About Dr. Tom Bietsch, Orthodontist

Bietsch Orthodontics

Phase 1 Orthodontics in Prosper, TX*

16 Treatments ( View All )

Phase 1 Orthodontics Overview

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.

About Phase 1 Orthodontics

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 from Phase 1 Orthodontics

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.

Aftercare for Phase 1 Orthodontics

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.

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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.

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.