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When Do We Start? Understanding the Two Phases of Orthodontic Treatment

If you’ve noticed that other kids already have braces while your child does not, you might be wondering if it’s time to start orthodontic treatment. The truth is, every child’s smile develops on its own timeline. At Alpine & Rafetto Orthodontics, we focus on giving each child the right care at the right time - never too early and never too late.

Why Some Kids Start Earlier

The American Association of Orthodontists recommends a first checkup by age 7. At this stage, we can spot potential issues with jaw growth or tooth development that might not be visible to you or even your dentist.

Early treatment can sometimes prevent more serious problems later, like extractions or surgery. But for many kids, starting right away isn’t necessary. That’s why we take a conservative, watch-and-wait approach, only stepping in when it truly benefits your child’s long-term oral health.

The Two Phases of Orthodontic Treatment

Orthodontic treatment can happen in one or two phases, depending on your child’s needs.

Phase One: Early Treatment
Usually starting around ages 6 to 10, phase one focuses on guiding jaw growth and making space for incoming permanent teeth.
Common tools may include:

Rapid Palatal Expanders (RPEs) to gently widen the upper jaw
Partial braces to address specific teeth or bite issues
Simple appliances to prevent crowding or misalignment

Phase Two: Full Treatment
Once all permanent teeth are in, usually between ages 11 and 14, phase two is when full braces or clear aligners are used to fine-tune alignment and create a confident, lasting smile.

Every Smile Is Unique

Not every child needs two phases of care. Many kids can wait until all their permanent teeth have come in before starting treatment. Regular checkups allow us to monitor growth and recommend treatment only when it’s truly needed.

And remember - you don’t need a referral to see us! Your child’s first consultation is complimentary, and it’s a great way to gain peace of mind about their smile.

The Right Time, The Right Plan

If your child isn’t ready for braces just yet, don’t worry. Some kids benefit from starting early, while others are better served by waiting.

Dr. Mark Fiss and our team at Alpine & Rafetto Orthodontics are here to guide you every step of the way, ensuring that when treatment begins, it’s perfectly timed for the best results.

Schedule your child’s free consultation today and take the first step toward a lifetime of confident, healthy smiles.