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Kids Orthodontics


Braces For kids

Age 7 is when the first set of permanent molars and most of the permanent front teeth should be in. There are certain problems that should be corrected at this early age, but most 7 year olds don’t need braces. It is very important to monitor the growth and development of the teeth and jaws at this age and as children get older.

Early treatment

When children who have some permanent teeth and some baby teeth (typically 7-10 year olds) need braces, this treatment is usually called Phase 1, Interceptive or Early Orthodontic Treatment. This type of treatment usually lasts 9 months to 1 year and has specific goals, like correcting a cross-bite or making more room for permanent teeth. This early treatment is almost always followed by another round of braces when all the permanent teeth grow in. Getting treatment at the right age is important to ensure the best long-term results. Investing in braces for your children sets them up for a lifetime of healthy, beautiful teeth.

Full Treatment

When kids who have all their permanent teeth need braces, this treatment is called Full or Comprehensive Treatment. This usually involves a full set of upper and lower braces to align and position all the teeth in their ideal position for a beautiful smile and a healthy functional bite.
Most children and teens opt for metal braces with the colors they can change at each appointment. Braces are cool! And for many kids it’s fun to be able to show them off. For those teens who aren’t interested in braces, there’s Invisalign Teen. More and more teens are deciding that Invisalign clear aligners are the way that they want to go through orthodontic treatment.

Two Phase Treatment

After your child’s orthodontic evaluation, your orthodontist may talk about something called “two-phase treatment.” If you’ve never heard this term before, you’re not alone! Many people aren’t aware of what two-phase treatment is, and as a result, find it a little intimidating.

That said, we want to assure it is nowhere near as daunting as it sounds, and it’s actually pretty straightforward. Two-phase treatment is orthodontic treatment completed in two separate phases. The first phase centers around specific problems that need to be addressed as early as possible, and the second stage is dedicated full alignment of the teeth, jaws and, facial structures. Certain circumstance necessitate handling orthodontics in two phases, this allows us at DaBell & Paventy Orthodontics to bring not only a healthy, beautiful smile to our patients but also a long-lasting one! Scroll down to view the Two-Phase treatment process.

Advantages of Two-Phase treatments

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

What if I put off treatment?

Putting off treatment can result in a need for more invasive treatment later in life that may not completely fix your smile. When indicated early treatment is the most effective for achieving lasting results.We will help guide you through this process.

Phase 1

The goal of phase one treatment is to help the jaw develop in a way that will accommodate all of the permanent teeth and to 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 8 have crowded front teeth, early treatment can avoid the need to extract permanent teeth later.

Planning now can save your smile later

Children can 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 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. During your child’s initial consultation, your doctor will take records to determine 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 your 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 2

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 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. Retainers are worn after this phase to ensure you retain your beautiful smile.

Please contact one of our four practices to schedule an appointment for a complementary orthodontic evaluation. Early treatment now will give your child a healthy, beautiful smile for the future.

East Spokane Valley

720 N. Evergreen Rd #101
Spokane Valley, WA 99216
(509) 381-4200


2640 1st St Suite B
Cheney, WA 99004
(509) 381-4200


West Spokane Valley

721 N. Pines Rd #301
Spokane Valley, WA 99206
(509) 381-4200



266 E. 1st Ave.
Colville, WA 99114
(509) 381-4200


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