Phase I, or early interceptive treatment, is orthodontic treatment (i.e. expansion or partial braces) that is done before all of the permanent teeth have erupted, and often occurs between the ages of six and ten. Phase I treatment is recommended when there is a moderate or severe orthodontic problem that should not wait until later to be treated. Dr. Lamparski is very conservative and does not recommend Phase I treatment unless he can make a significant difference in his patient’s final outcome. We wait until treatment that is efficient and economical can be delivered…until we can do the best care, at the best time, for the best value.
The goal of Phase 1 is to develop the child’s jaws to make room for the future eruption of permanent teeth and to improve the relationship of the upper and lower jaws. An upper or lower jaw that is growing too much or too little can benefit from early treatment. This early correction can often prevent dental trauma, later removal of permanent teeth, or even jaw surgery. Leaving a severe condition untreated until all permanent teeth erupt could result in a problem too severe to correct with braces alone. The treatment time for Phase I treatment is usually between 6-18 months. Later, when most of the permanent teeth have erupted (usually between the ages of eleven and thirteen), Phase II treatment will be recommended.
The goal of Phase II Treatment is to position all the permanent teeth to maximize their appearance and function. This is best accomplished with full braces or Invisalign and is usually between 12-18 months long. Due to the improvements made in Phase I Treatment, Phase II Treatment requires less patient participation (less headgear and rubber bands), often eliminates extraction of permanent teeth, and reduces the time spent in full braces. This is especially important for patients as they enter their teenage years!