Treatment for Children and Teens

Typically, Phase II treatment is for children or young adults between the ages of 11 and 13. This involves placing braces on the patient once his or her permanent teeth have erupted. Beginning about age 10, children lose 12 primary or baby teeth, and by about age 12 to 13, they gain 16 permanent teeth. The braces straighten the permanent teeth and finish correctly aligning the patient's jaw. Typically treatment lasts for 24 months.

The goal of Phase Two Treatment is to position all the permanent teeth to maximize their appearance and function. Each tooth has an exact location in the mouth where it is in harmony with the lips, cheeks, jaws and other teeth. Shifting your child's teeth into this harmonious position is the ideal result of Phase II treatment. This is usually best accomplished by placing braces on all the upper and lower permanent teeth.

With Phase II Treatment, we hope to:

  • Increase the stability of final treatment results.
  • Reduce the likelihood of impacted permanent teeth.
  • Improve speech development.
  • Improve position of the first molars.
  • Guide permanent teeth into more favorable positions.
  • Improve lip competence.
  • Preserve or gain space for erupting teeth.
  • Improve compliance before the busy teenage years.

Below are some before and after photographs of different treatment recommendations:


Lower first bicuspid extraction


High cuspid/Crowding