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Orthodontic Treatment Phases


Orthodontic irregularities are extremely common and vary in their complexity. In the case of a severe irregularity, the dentist may work in conjunction with a maxillofacial surgeon or another dental professional to correctly realign the teeth and underlying jawbone. Malocclusions, or misaligned bites, however, can usually be treated by a dentist or Orthodontist alone. Orthodontic treatment for malocclusion typically occurs in two or three main stages:

Phase 1: Planning

The goal of the first several visits to the dentist is to determine an exact diagnosis and plan expedient treatment. The orthodontic evaluation usually includes:

  • A complete dental and medical history review

  • Castings or bite impressions of the teeth

  • Panoramic x-rays of the jaws and teeth

  • Additional imaging of the face, teeth and jaw joints

  • Computer-generated images of the head, face, and neck 

Phase 2: Active Treatment

Once a specific diagnosis has been made, the dentist applies a device to realign the teeth, which is either fixed or removable. The best known type of fixed device is traditional dental braces, which use brackets interconnected by an archwire. Continual gentle pressure is applied on teeth by the gradual tightening of the archwire. Regular orthodontic adjustments are necessary to continue the straightening process.

Removable devices include the Invisalign® system and headgear. These devices should be worn for a specified number of hours each day. The success of these removable appliances largely depends on the motivation of the wearer. The dentist monitors and adjusts the device at regular appointments.

Phase 3: Retention

When treatment is complete, the braces and appliances are removed. The dentist then creates a retainer. The retainer ensures that the teeth do not regress back to their original positioning. The retainer is worn for a specified number of hours each day to allow the bone to reform and stabilize the teeth in their new, correct alignment.


If you have questions or concerns about the progression of orthodontic treatment, please contact your dental professional.

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  • 951 Steubenville Ave
  • Cambridge, Ohio
  • 43725
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