Two-Phase Treatment

What is the advantage of two-phase orthodontic treatment?

Two-phase orthodontic treatment is a specialized process that combines tooth straightening and physical, facial changes. The purpose of two-phase treatment is to maximize the opportunity to accomplish the ideal healthy, functional, and aesthetic result that will remain stable throughout your child's life.

What if treatment is put off?

Putting off treatment can result in a need for more invasive treatment later in life that may not completely fix your child's smile. Early treatment is most effective for achieving lasting results.

Phase One

A Foundation for a Lifetime of Beautiful Smiles

The goal of Phase One treatment is to help the jaw develop in a way that will accommodate all of the permanent teeth and improve the way the upper and lower jaws fit together. Children often exhibit early signs of jaw problems as they grow and develop. An upper jaw that is growing too much or is too narrow can be recognized at an early age. If children over the age of six are found to have this jaw discrepancy, they are candidates for early orthodontic treatment. Also, if children around the age of eight have crowded front teeth, early treatment can prevent the need to extract permanent teeth later.

  • Planning now can save your child's smile later

    Children benefit tremendously from early-phase treatment. Receiving early treatment may prevent the removal of permanent teeth later in life, or the need for surgical procedures to realign the jaws.

  • Making records to determine your child's unique treatment

    Orthodontic records will be necessary to determine the type of appliances to be used, the duration of treatment time, and the frequency of visits. Records consist of models of the teeth, X-rays, and photographs. After your child's initial consultation, the doctor will take records if early treatment is necessary.

Resting Period

In this phase, the remaining permanent teeth are left alone as they erupt. Retaining devices may not be recommended if they would interfere with eruption. It is best to allow the existing permanent teeth some freedom of movement. A successful first phase will have created room for permanent teeth to find an eruption path. Otherwise, they may become impacted or severely displaced.

  • Monitoring the teeth's progress

    At the end of the first phase of treatment, teeth are not in their final positions. This will be determined and accomplished in the second phase of treatment. Selective removal of certain primary (baby) teeth may be in the best interest of enhancing eruption during this resting phase. Therefore, periodic recall appointments for observation are necessary, usually on a six-month basis.

Phase Two

Stay healthy and look attractive

The goal of the second phase is to make sure each tooth has an exact location in the mouth where it is in harmony with the lips, cheeks, tongue, and other teeth. When this equilibrium is established, the teeth will function together properly. Phase Two usually involves full upper and lower braces.

At the beginning of the first phase, orthodontic records were made and a diagnosis and treatment plan was established. Certain types of appliances were used in the first phase to correct and realign the teeth and jaw. The second phase begins when all permanent teeth have erupted, and usually requires braces on all the teeth for an average of sixteen months. Retainers are worn after this phase to ensure your child retains his or her beautiful smile.

A Few of Our Smiles


What our Patients are Saying


"John Kelley has partnered with us in transforming the H.O.P.E. Farm Boys into men. Kelley Orthodontics has the ability to help our boys develop confidence in their appearances and more importantly their characters. The Kelley Orthodontics team has been an irreplaceable instrument in the success of our program. John Kelley and the Crew… you are the best! "

"Professionalism and efficiency usually don't mix well with warm hospitality, but somehow at Dr. Kelley's office you find it blended comfortably together at every visit. Dr. Kelley not only takes his work seriously but also his relationship with you, the patient. You will not find a more friendly, helpful staff anywhere. "

"When I first found out I was getting braces, I got kind of worried, but Dr. Kelley explained everything to me step by step and made sure I knew how to treat minor pokes or pains in my teeth. They also provided me with toothbrushes and floss just for braces and taught me how to use them. The staff is really friendly and they're really good at accommodating me to where I don't miss anything big at school. Kelley Orthodontist has done a great job helping me with my braces! "

"I personally like it when I go to the orthodontist. When all the other kids at school say, 'I have to go to the orthodontist today,' the usual responses are, 'Hope you come back alive!' or 'That stinks!' But my response is, 'Who do you have?' The reason all the kids hate orthodontics is because they don't have Dr.Kelley! The staff is amazing, they don't put pointy things into your mouth, and they make the appointments quick and fast. Thank you Dr. Kelley for making a place that makes my mouth good as new!"

"We have been so grateful for Dr. Kelley's orthodontic care of our children. His kindness in dealing with our family, thorough medical expertise, and friendly office staff have made this office feel like a second family. Three of our children have been through orthodontics with Dr. Kelley, and not only are their smiles fabulous, but they even enjoy going to the office for visits. We have full confidence in Dr. Kelley's treatment of our children's individual orthodontic needs, and for one of our children in particular have seen significant progress that will likely keep him from surgery down the road. Because orthodontics requires frequent visits and check ups, we are all the more thankful for such a fantastic orthodontist and office staff to spend time with."

American Board of Orthodontics American Assoication of Orthodontists Invisalign Incognito