The goal of Phase I treatment is to improve the position of the upper and lower jaw while developing in order to increase the chances of them fitting properly in the future. As your child is developing, there are changes that can be made at an earlier age that can not be made at a later age. The American Dental Association (ADA) and American Association of Orthodontists (AAO) recommend that a child is evaluated by the age of 7 to determine if the teeth and bones are developing properly. Indications for Phase I treatment include:
- Habits: Thumb or finger habits and mouth breathing habits can affect tooth and bone position
- Speech issues
- Tongue thrust
- Chewing and/or biting difficulties
- Crowding of baby teeth
- Cross bites: upper jaw is on the inside of the lower jaw
- Under bite: lower jaw is in front of upper jaw
- Protruding upper teeth: upper teeth are pushed our from lower teeth or lower jaw is far back from upper jaw
- Upper and lower teeth do not meet
At an initial consultation for Phase I early orthodontic treatments, we will examine the child's teeth and jaw relationships for abnormalities in bite, growth, and spacing.
Phase I can improve the way the jaws develop, how the bite aligns, the way the teeth are spaced (crowded or gapped), how teeth erupt, or prevent a combination of jaw and bite complications. If you would like to learn more about Phase I treatment and appliances, please call our to schedule a free consultation with Dr. Bietsch.
"Seriously the best team ever! Everyone at Bietsch Orthodontics makes you feel so comfortable and welcome. I was really hesitant to get braces on as an adult but Dr. B helped put my mind at ease and they offer so many great options. HIGHLY recommend Bietsch Orthodontics!"- L.P. / Facebook / Apr 01, 2017
"We love Dr. Bietsch and his team! They are always so welcoming and make what could easily be a stressful time for young ones an anxiety free time. They are encouraging and gentle. We are thrilled to have found them!"- I.M. / Facebook / Jul 28, 2018
"My daughter Alexis goes there. Great people along with great service. They even have a mobile check up trailer that comes to schools. Strongly recommend them for your braces and ortho needs."- D.M. / Google / Apr 08, 2018
"Me and my boys met Dr. Bietsch and his lovely wife Bianca, at Celina Days in Celina, Tx this summer. Curious about the notion of my boys needing braces or not, we came in for a free consultation.After dicovering both of my boys needed braces, I was a bit concerned, because we don't have dental insurance. Right away Dr. Bietsch, along with Bianca, discussed a plan affordable, for both of my boys complete corrections! The monthly payment plan is very agreeable with me, and it works nicely with my budget. It is conveniently debited each month for ease of payment.We drive 2 hours to see Dr. Bietsch every 6 weeks for adjustments, as it is well worth it. The money I saved alone covers the cost of the trips! I have teenagers, and those of you who do, can agree it is hard to please them. Dr. Bietsch and his well trained staff answers their questions with ease and certainty. They enjoy their time here, and never leave wondering about any concerns they have had. After one adjustment visit, upon returning home, my 16 year old found one of the brackets were not adhearing correctly to his tooth. Being in a panic, because it was Friday and after 5 o'clock, I called Dr. Bietsch. He asked how far I was from the office and if it would be convenient for me to return to the office. I agreed to return, and when I pulled up, he had already picked up his baby boy. I felt terrible about calling him after hours, but his concern for my son was genuine, and never wavering that of his own. He assesed the situation, and found my son's tooth, had uneven crevices. He explained he could smooth the area down allowing the glue to adhear better. He hasn't had that problem since.Dr. Bietsch and his wonderful staff make coming to the Orthodontist fun and exciting every time. They treat us like old friends, though we are just visiting for a few hours. I highly recommend Bietsch Orthodontist to anyone who wants a great experience from the very first visit!"- D.H. / Google / Jan 08, 2018
"No doubt, the best customer experience in town. Staff is always friendly and Dr. Bietsch is a true professional. Our experience with Bietsch Orthodontics has been perfect! One kid's braces down, 2 more to go, and no question where we'll be going to take care of those."- N.A. / Facebook / Dec 13, 2017
About the Phase 1
Dr. Bietsch recommends that patients be seen by the age of 7 to be sure the bones and teeth are developing properly. Even though not all of the permanent teeth have erupted, bone changes, tooth guidance, and oral muscular retraining are more effectively done at this age to allow for more proper development. Intervening at this time allows Dr. Bietsch to modify skeletal growth and tooth eruption to improve the child's overall facial balance, skeletal relationship, and minimize the chances of removing permanent teeth or jaw surgery in the future.
You child may not show any signs, only have one sign, or have multiple problems that may need to be addressed. At our office, we can start the process early to help avoid more aggressive, invasive treatments such as jaw surgery or longer time in braces.
What to Expect
During Phase I, you can expect that our orthodontic team will be laying the footwork for your child's orthodontic treatment in the future by making room for the permanent teeth to come in and to help correct the framework of the jaw's growth and bite alignment. Phase 1 with orthodontic appliances can be as short as 6 months or last up to 18 months. Baby teeth can continue to fall out and permanent teeth can erupt during this process.
Each Phase I treatment looks different for each child. Your child will have a customized treatment plan addressing any concerns that were discussed to give him or her a healthy smile and bite.
Upon completion of Phase I treatment, retainers are given to hold our correction and to allow the rest of the permanent teeth to develop and erupt. Dr. Bietsch will continue to monitor growth and development and determine if Phase II will be necessary to correct the remainder of the teeth that have erupted.
Getting your child in a regular routine of good oral hygiene practices (brushing their teeth after meals, flossing the teeth, and using mouthwash) is always a good idea.
Plan Your Procedure
- Procedure Recovery Location
Let's Get Started Today!
Whether your child has a genetic predisposition to orthodontic problems, has a habit of thumb-sucking, or has developed abnormalities in the growth of the jaw, BIETSCH Orthodontics can help decide how to best treat these problems at an early age. We are a compassionate team, ready to help your child with Phase I treatment. Dr. Bietsch and our orthodontic team members will be gentle and caring with your child, and will always explain what is going on during the appointments to him or her while laying down the footwork for effective, corrective care. We look forward to meeting you and your child at your complimentary consultation in our office in Prosper, TX.