Treatment Timing and Phases

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First Phase Orthodontic Treatment

Early Treatment, sometimes called "Interceptive" care, usually occurs between the ages of 7 to 9.  Treatment usually takes 12 to 18 months, and is recommended to correct specific problems.  A variety of appliances may be used.


                                  Braces:  Placed on the upper and sometimes lower permanent teeth.                  

                       Headgear:  Worn to move the upper molars back.                                               

                      Rapid Palatal Expander:  Worn to widen the upper jaw.                                    

          Frozat Appliance:  A lower arch expander used to create space.            

Face Mask:  Worn to move the upper jaw and/or teeth forward.



Maintenance Phase

During the time between the first and second phase the patient will be seen approximately two times a year.  The patient may wear a retainer during the maintenance phase of care.

Second Phase (if necessary)

At approximately age 12 to 13, Dr. Jusino will evaluate to determine if a second phase of treatment is necessary.  During the first phase of treatment, Dr. Jusino has no control over the (16) unerupted permanent teeth.  As the permanent teeth erupt, if problems still exist, further treatment will be recommended.  Typically, Phase Two involves a full set of braces.  Treatment usually takes 12-24 months.

Full Treatment

Most often, treatment will be started when all permanent teeth have erupted.  Treatment usually takes 24-30 months at 12 to 14 years of age.  The length of treatment depends on several factors, including:

      Severity of the problem                                                            Age of the patient

     Patient Cooperation                                                             Keeping appointments

As an orthodontic specialist, Dr. Jusino is trained to diagnose and recommend the best treatment plan for you.  During the initial examination (FREE) appointment, Dr. Jusino will advise you if Two-Phase treatment is necessary, or if Full Treatment is recommended.  The advantages and disadvantages of pursuing Two-Phase program of a Full Treatment program will be presented.