Orthodontic Treatment Phases
In order to produce straight teeth, our orthodontist, Dr. Prosk suggests a two-phase approach for children with orthodontics issues. We also proudly offer options for adult braces.
Orthodontic treatment is different at different stages in life. It broadly falls into three main categories. Phase 1 happens during childhood, while phase 2 generally happens during the teen years. Finally, adult orthodontic treatments are suitable for those who missed out when they were younger, or who have developed orthodontic issues in the intervening years.
Phase 1
Bozeman Smiles and the American Association of Orthodontics recommends that children receive an initial check-up with an orthodontist no later than age 7. By this age, children’s teeth and jaws have developed enough to evaluate how their smile is progressing. This information can be helpful in determining if any removable appliances or fixed appliances can help promote a healthy jaw and teeth structure as the mouth matures.
The orthodontist may notice that your child is developing an orthodontic issue, such as a crossbite or overbite. It may be clear that their palate is narrow and as their adult teeth emerge there will be overcrowding.
There are many advantages to treatment while a child is young. Firstly, their bones are still developing. The palate will not fully fuse until puberty, making it easier to expand it at this stage. Second, children are often more compliant. During the self-conscious teen years, your child may find it hard to stick to the program. Finally, phase 1 orthodontics can mean shorter treatment times during phase 2. There will be more room for their adult teeth to emerge in the correct positions.
If Dr. Prosk notices any severe issues in young patients, he may recommend Phase 1 treatment. This could include metal brackets or other appliances that will move your child’s baby teeth as their smile and jaw develop, such as:
- Palatal expanders
- Braces
- Clear aligners
Phase 1 orthodontics can also help to break habits such as thumb sucking and the dental issues that can come from them. Usually, this treatment plan lasts around 12 months. However, more severe orthodontics issues may require 6 to 18 months of phase 1 orthodontic treatment.
Phase 2
After Phase 1 orthodontic treatment is complete, young patients will generally begin phase 2 of their orthodontic treatment plan. Phase two orthodontic treatments can start when most or all of your child’s adult teeth have come through.
The goal is to correct any bite misalignment. It will also straighten crooked teeth and help your child achieve an esthetically pleasing smile. For most children, phase 2 treatment will be all they need.
Braces and clear aligners (like Invisalign) are ideal treatments in phase 2. During this phase, the goal is to position the permanent teeth in a way that creates a beautiful, mature smile as well as good oral health. Having permanent teeth with proper alignment decreases the risk of future dental issues.
Adult Orthodontics
Adult teeth are able to be treated similarly to younger patients with a treatment plan that fits their lifestyle, including clear and discreet options. Our initial consultation can provide more information on the comfortable, easy way of achieving a lasting, beautiful smile.
Much like phase 2 orthodontics in teens, adult orthodontics can address a wide range of bite and teeth alignment issues. This includes complex cases where multiple issues are at play. If you’ve lived for years with issues such as overbite, underbite, or crooked teeth, you may wonder if you’ve left it too late to get them corrected. The good news is that this is rarely the case.
Even adults over 50 can have their orthodontic issues successfully treated. But first, your orthodontist will check:
- Your general health
- Medications you take
- Your oral health
If you have underlying oral health issues, such as gum disease, you will probably need treatment for them before you can get braces or aligners. Once your teeth are in generally good health for your age, you’ll be ready to start your treatment. Adult orthodontic treatments can last for many months to over a year. It depends on how serious your issues are.








