Phase II and Adolescent Treatment

For many teens, braces are a rite of passage: They’re one more example of the changes adolescents go through at this time — along with growth in stature, edgier tastes in clothes and music, and an increasing degree of self-awareness. But is there any particular reason why orthodontic appliances and teenagers seem to go together? In a word: Yes.

There are several good reasons why adolescence is the optimal time for orthodontic treatment, though occasionally even earlier intervention is called for. One has to do with the development of the teeth: There’s no set timetable for every kid, but generally by the age of 11-13 the deciduous (baby) teeth have all been lost, and the permanent ones have largely come in. This is the time when we can go to work correcting the problems that cause a bad bite (malocclusion), improper tooth spacing or poor alignment.

The Ideal Time for Treatment

In general, orthodontic problems do not improve with age and time. It’s easier to treat many orthodontic problems during adolescence because the body is still growing rapidly at this time. Whether we use standard braces, or appliances like palatal expanders, we can create an improved appearance and function in a short period of time. In later years, when the bones of the face and jaw are fully developed, many conditions become more difficult (and costly) to treat.

There’s even a social element to getting orthodontic treatment in adolescence. If you need braces, you’re not alone! Chances are you’ll see some of your classmates in our office, and you may even make new friends as you go through the process together. When it’s done, you’ll have a smile that you can really be proud of and benefits that will last your whole life.

How Long Will I Wear Braces?

There’s no one answer that fits everyone: It all depends on what we need to do in your individual situation. Generally, however, the active stage of orthodontic treatment lasts 6-30 months.

Will I Need Retainers?

The answer is absolutely YES! And at this time in science, retainers are required for as long as you wish to maintain your new smile and bite. This is an important point to consider before you commence orthodontic treatment. Maintenance will not only require your diligence in wearing retainers as recommended but also an investment in replacement retainers over time, depending on the type of retainer. Dr. Minahan will guide you explicitly.

Palatal Expanders

An expander is custom-made for each individual and fits over several top teeth in the back of the mouth. The appliance has two halves that are connected in the middle with a screw. To activate the device, you simply turn the screw a very small amount each day with a special key. This induces tension at the junction of the two palatal bones, causing them to gradually move apart. Once the desired expansion is achieved, we will leave the appliance in for a few more months to allow new bone to form in the gap and stabilize the expansion. Generally, expanders are worn for 3 to 6 months altogether.