I Think It’s Just a Phase
By Christine Walker
Believe it or not, there is an optimal time to begin orthodontic treatment. According to the American Association of Orthodontists an initial exam should take place at the first sign of orthodontic problems or no later than age 7. While extensive treatment may not be necessary at this early age, a proper orthodontic evaluation will ensure the greatest result while reducing the amount of time and expense involved for the patient.
What it’s really about is something referred to as “phases of orthodontic treatment.” While this may sound ridiculous or confusing, the truth is that some children will require only one major comprehensive treatment period, while others may require a shorter initial treatment period. We call this Phase I. Children receiving Phase I treatment will most likely also require subsequent comprehensive treatment. This is because children who undergo an initial treatment phase usually still have several baby teeth. They also may have problems that require early intervention, such as a narrow palate, an open bite, a large overbite (also called a deep bite), an under-bite, or blocked out permanent teeth. So what happens during Phase 1 is actually growth guidance—when the orthodontist attempts to get things growing in a better direction so the permanent teeth that aren’t out yet can grow in where they should be. Many of these problems emanate from bad habits such as thumb sucking, or can be genetic (which is usually the case).
So, why not wait and just take care of everything all at once? Well, for one, it is much easier on children to correct these things early on by taking advantage of growth patterns. A younger child’s teeth move more easily, while waiting tends to make things worse, and any opportunity to influence growth will pass. Some patients who don’t receive the benefit of early intervention must endure very long comprehensive treatments. Sometimes they even require surgery to correct a skeletal problem or impacted teeth.
Naturally, two phases of treatment usually means two fees. So once again, why can’t we just work on this all at once? The answer is fairly simple—comprehensive treatments tend to last a very long time. And very long treatment times mean much bigger orthodontic fees. So, the truth is you really don’t save money by waiting. It’s actually the same amount of time for two phases, but a phased approach is much easier on the child. And while it may seem to cost more initially, it will end up costing a lot less if surgery can be avoided.
Getting braces can be challenging, so understanding the process is helpful. Realizing that the most simple and sound approach will make the experience more pleasant for everyone, while increasing the probability your child will end up with a beautiful and healthy smile.
Christine Walker is an orthodontic practice manager, whose enjoys keeping in touch with patients through her blog, Amazing Braces at www.amazingbraces-christine.blogspot.com.
WNY Resource
Drs. Alan Patrignani and Charles Kohout of Smiles and More, are certified specialists of the American Association of Orthodontists. Located in Williamsville and Elma, they can be reached at 633-4747 or 652-0140. Learn more and view a gallery of patients at www.morethanasmile.net.
