Phase 1 Treatment (Ages 6-11)

Phase 1 Treatment (Ages 6-11)

While there is not an exact age for kids to start orthodontic treatment, the American Association of Orthodontists and Drs. Passamano recommend children have a routine orthodontic consultation at 7-8 years of age or when their permanent incisors begin erupting.  Here are some benefits to orthodontics as a child.

  • Correct and modify your child’s growth to achieve facial harmony
  • Facilitate upper and lower jaw arch development
  • Guide teeth and your child’s jaw so permanent teeth can come in straight without problems
  • Create space to allow permanent teeth to come in normally without extraction of permanent teeth
  • Correct thumb sucking problems
  • Here are some signs that your child may need to see an orthodontist: difficulty chewing, thumb-sucking, mouth breathing, difficulty chewing/biting, early or late loss of baby teeth, crowded front teeth, jaws and teeth not proportional to face, etc.

Below are some photos of patients who benefited from Phase I Treatment   Not all children will benefit from Phase I; many children will not require Two-Phases of orthodontics, and instead only One-Phase when most of their permanent teeth are erupted.

Most Phase I children will receive some orthodontic appliances for 1-1.5 years, then appliances are removed for 1-3 years while permanent teeth erupt.  At that time, further orthodontic treatment can be evaluated.  Below is a slideshow of successful Phase I to Completed Treatment patients from our Passamano Orthodontics office in Irvine, CA.

Top 7 Reasons Your Child Needs Braces

Here are the Top Reasons Orthodontists Recommend or Don’t Recommend Orthodontic Treatment for your children ages 6-11 years old.  As the first 12 permanent teeth erupt (6-8 years old), certain tooth problems can present that are easier and healthier to correct earlier at ages 7-11 rather than in teenage years.  This method of doing some orthodontic correction at 7-11 years old and again at 12-16 years old is called Phase 1 and Phase 2 Orthodontic Treatment (Two Phase Treatment).

  1. Too much Horizontal Overlap.  When the Upper teeth protrude forward too much (also called “Buck teeth”).  There is usually an underlying bite issue associated with this.
  1. Too Much Vertical Overlap (Deep Bite).   How your child chews could be causing harm.  This is when the lower front teeth are hidden behind the upper front teeth and can sometimes contact the palate.
  2. UNDER BITE: When the lower jaw and/or the lower teeth are in FRONT of the upper teeth.  This usually involves longer and more extensive treatment to avoid a jaw surgery later on.
  3. OPEN BITE: The upper and lower front teeth do not come together. There is an open space when biting.   This is often the result of a finger habit, abnormal eruption of teeth, posturing positioning, or jaw growth issue. 
  4. SPACING: The spaces between teeth can be caused by jaw size differential or tooth size differential.  
  5. CROWDING.  The upper or lower jaw may be too narrow or the teeth may be too large.  This is the most common orthodontic problem that is usually solved with braces or Invisalign
  6. CROSSBITE.  The position of the teeth is dependent on the growth of the upper and lower jaws.  The maxilla or mandibular jaw growth is abnormal, then the appearance of a tooth crossbite is usually seen.  These are usually fixed with expanders.

These are the top 7 reasons why your child may need braces.  While there is not an exact age for kids to start orthodontic treatment, the American Association of Orthodontists and Drs. Passamano recommend children have a routine orthodontic evaluation at 7-8 years of age or when their permanent incisors being to erupt.

Before and After Photos
Case 1
Case 1: The front permanent teeth generally erupt around 6-8 years old and here they erupted on the wrong side. We used orthodontic appliances to get this young patient’s teeth to line up on the correct side.  It also helped his self-esteem!

Class III in Phase 1 Jump

Case 2
Case 2: Often times, Upper canine teeth can be impacted because there’s not enough room in the upper arch for them.  A sign that expansion is needed is upper lateral teeth that are angled outward (shown below).  This usually means the canine is too close to the lateral incisor root.  An expander and braces were used to get this patient’s teeth to look beautiful.

Braces Before and After Phase 1

Case 3
Case 3: This 8 year old female had one right upper lateral incisor blocked out.  Those teeth sometimes get blocked because of other erupting teeth.  We were able to get that tooth in and all of her others and here is the result.  This was a 2-Phase treatment.

Lateral Incisor Young Girl before after

Passamano Orthodontics

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Passamano Orthodontics in Irvine, CA
4200 Barranca Pkwy, Irvine, CA 92604


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