Treatment Timing

The Best Time
One of the most frequently asked questions we hear is, “when is the best time to do orthodontic treatment?” Orthodontists generally agree the optimum time to treat a case is during the adolescent growth spurt. In girls this is typically seen from ages 9 to 12 and in the boys from 10 to 14. There are exceptions due to individual variation in growth. We recommend seeing a case about a year prior to these ages to see if that individual may be one of these exceptions.

Why do we recommend treatment during the growth spurt? The reason is we can use the growth of the individual’s facial bones to aid in the correction of the orthodontic problem. Often times malaligned teeth are due in part to a discrepancy in the relationship of the facial bones. If we are able to use growth, we can lessen these skeletal imbalances. Proper balance of the facial bones will lead to a more stable orthodontic result and a better cosmetic appearance.

Early Treatment
Can a case be started too early? In our opinion, yes. There are some treatment options that require two or even three “phases” of treatment. These plans often require a patient start at a very early age (5-7 years). In general, we prefer treatment plans that call for a single phase of treatment. Single-phase treatments have been shown to be equal to or superior to multiple phase treatments. The advantages of a single-phase treatment include less time in appliances, less incidence of patient “burnout,” and less cost.

Non-Growing Patients
What if I miss the adolescent growth spurt? Cases can be successfully treated during periods of little or no growth. As a matter of fact adult treatment represents the fastest growing component of our practice. The treatment options for a non-growing patient may be different. For example, if an imbalance exists in the facial bones of a growing patient, we may choose to modify growth to bring the facial bones into a better balance. In a non-growing adult patient we would either accept the existing facial balance or if the patient wishes to correct an imbalance, surgery would be considered.


Our Mission Statement

Treatment Timing

Treatment Options

Long-Term Retention

Conclusion