Phase One orthodontic treatment is an early period of care that may be recommended while a child still has a mix of baby and permanent teeth. It is generally considered between ages 6 and 10 when a developing bite, tooth eruption concern, or jaw relationship may benefit from treatment before the teen years. At COCO Smiles Orthodontics, Dr. Sibel Eljach does not recommend early treatment simply because a child reaches a certain age. She evaluates growth, eruption, spacing, oral habits, and the way the upper and lower jaws fit together before discussing whether treatment now offers a meaningful advantage over monitoring.
When Phase One Treatment May Be Considered
Early treatment may be considered for selected crossbites, significant crowding, limited space for erupting teeth, protruding front teeth at increased risk of injury, harmful oral habits, or jaw growth patterns that should be monitored closely. The goal depends on the diagnosis. Treatment may guide development, improve available space, reduce a specific risk, or make a later phase more predictable. It is not intended to complete every aspect of orthodontic correction at a young age. Many children receive observation only, and some children who complete Phase One care still need comprehensive braces or aligners after more permanent teeth have erupted.
What Happens During Early Treatment
The process begins with an age-appropriate examination and a conversation about the child’s dental history and development. Dr. Eljach may recommend photographs, digital scans, or diagnostic images when clinically appropriate. Depending on the treatment goal, Phase One care may involve a palatal expander, limited braces, space guidance, or another orthodontic appliance. Visit frequency and treatment length vary. Parents receive clear instructions about cleaning, eating, appliance wear, and what to do if something feels loose or uncomfortable. Growth and eruption are reviewed throughout care so the plan can respond to the child’s development.
Observation Between Treatment Phases
After the active early phase, Dr. Eljach may recommend a resting or observation period while additional permanent teeth erupt. A retainer or another appliance may be used when needed to help maintain the result. Observation visits allow the team to monitor growth and decide whether a second phase is appropriate. Families should continue routine dental cleanings and contact the office if an appliance is lost, damaged, or no longer fits. The team will explain the purpose of each phase separately so parents understand what has been addressed and what may remain for later treatment.
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Frequently Asked Questions
Does every child need Phase One orthodontic treatment?
No. Many children are best served by periodic observation until more permanent teeth erupt. Dr. Eljach recommends an early phase only when the expected clinical benefit supports treatment before comprehensive care.
What age is Phase One treatment?
Phase One treatment is commonly considered during the mixed-dentition years, often between ages 6 and 10. The child’s development and diagnosis matter more than a specific birthday.
Will my child need braces again later?
A later comprehensive phase may still be recommended because additional permanent teeth and jaw growth remain after early care. Dr. Eljach explains the limited goals of Phase One treatment before it begins.
How long does Phase One treatment take?
Timing varies with the concern, appliance, growth, and response to care. Your family will receive a personalized estimate after the examination and diagnostic records.
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