What Treatment Options Are Used During Two-Phase Treatment?

Understanding your child’s orthodontic treatment options can feel overwhelming. That’s why Dr. Ryan Wiesemann and our team at Wiesemann Orthodontics are here to help. We specialize in two-phase orthodontic treatment for families in Bowling Green, Russellville, Portland, and White House. What does that mean? It’s a proven approach to achieving a healthy, well-aligned smile. This blog will break down the specific treatment options used during each phase. That way, you can make informed decisions for your child’s dental health.


Phase One: Growth Modification

What happens in the first phase of two-phase orthodontic treatment? Well, the first phase sets the foundation for a well-aligned smile. At Wiesemann Orthodontics, we focus on growth modification. Therefore, we can allow adequate space for all teeth to fit comfortably. This phase often involves the use of palatal expanders and partial braces.

Palatal Expanders

Palatal expanders are a vital player in phase one. These devices are designed to widen the upper jaw, creating more room for teeth to align correctly. At Wiesemann Orthodontics, we customize these expanders to fit your child’s unique dental structure. Dr. Wiesemann will typically attach it to the upper molars. Then, he will gradually adjust it over weeks or months. This slow and controlled expansion helps increase the upper jaw’s width. Increased width makes it easier for the remaining teeth to find their proper places. It’s a crucial step in preventing overcrowding and ensuring a more straightforward phase two.

Partial Braces

Another essential component of phase one is the use of partial braces. The doctor applies them only to the front teeth. Their aim? To correct immediate alignment issues. Partial braces are beneficial for addressing problems like crossbites or severe crowding in the front teeth area. We use high-quality materials at Wiesemann Orthodontics. High-quality materials make the props practical and comfortable. The goal is to create minor adjustments that will pave the way for a smoother, more efficient second phase of treatment. By focusing on the front teeth initially, we can better prepare the mouth for the comprehensive alignment in phase two.


Break Period: Natural Growth and Retainers

After the initial phase of treatment, there’s a break period that allows for natural growth. This is an essential part of the two-phase treatment at Wiesemann Orthodontics. No orthodontic appliances are used during this time. Why? The jaw and teeth must grow naturally. Depending on your child’s needs, this break can last several months to a few years. The natural growth during this period allows the teeth and jaw to settle into new positions. Thus helping achieve better long-term results.


While the break period is generally appliance-free, there are instances where a retainer may be recommended. At Wiesemann Orthodontics, we sometimes use retainers to maintain the alignment we achieved in phase one. Our retainers are custom-made to fit your child’s teeth and are usually worn at night. The retainer helps to hold the teeth in their new positions. Retention prevents any unwanted shifts that could complicate the second phase of treatment. It’s a proactive step to ensure that the progress made in phase one is recovered, setting the stage for a successful phase two.


What Treatment Options Are Used During Two-Phase Treatment?

Phase Two: Full Treatment

Now you’re in the second phase! You’re almost there. Let’s examine some treatment options your Wiesemann Orthodontics team might use. 

Traditional Metal Braces

The second phase of treatment often involves the use of traditional metal braces. At Wiesemann Orthodontics, we use high-grade stainless steel to ensure durability and effectiveness. These braces comprise brackets and wires applied to most teeth, facilitating comprehensive alignment. Sometimes, more complex orthodontic issues require a robust solution. Metal braces are a reliable option for such issues. They have a long history of successful use and are considered a proven treatment option. With regular adjustments at our offices, these braces work steadily to align your child’s teeth into their ideal positions.

Ceramic Braces

For those looking for a less visible option, ceramic braces are available at Wiesemann Orthodontics. These braces are made from a transparent or tooth-matching material, making them less noticeable than their metal counterparts. They function similarly to metal braces but offer the added benefit of a more discreet appearance. Ceramic braces are often smaller and provide more precise alignment. For that reason, they are particularly beneficial for adults or older teens with more particular orthodontic requirements. Their smooth texture also tends to be more comfortable. The texture reduces irritation in the cheeks and gums.



Invisalign offers a modern approach to teeth alignment. This treatment involves wearing several clear, removable aligners custom-made for your child’s teeth. At Wiesemann Orthodontics, we replace these aligners approximately every two weeks. Why change them every two weeks? It slowly moves the teeth into their desired positions. One of the significant advantages of Invisalign is the convenience it offers. You can remove the aligners to eat, drink, brush, and floss. What’s the benefit? It’s easier to maintain good oral hygiene. They are also virtually invisible. Invisalign’s transparency provides a discreet treatment option that doesn’t interfere with your child’s daily life.


What Treatment Options Are Used During Two-Phase Treatment?

Treatment Options at Wiesemann Orthodontics

Choosing the proper orthodontic treatment for your child is an important decision. At Wiesemann Orthodontics, Dr. Wiesemann and our dedicated team are committed to providing personalized treatment plans that yield the best results. We serve families in Bowling Green, Russellville, Portland, and White House. Furthermore, we offer a range of options as part of our two-phase treatment approach. Consider our palatal expanders and partial braces in phase one to traditional metal braces, ceramic braces, and Invisalign in phase two. We have solutions to your child’s unique needs. Understanding these options can help you make informed decisions for your child’s dental health. Ready to take the next step? Schedule your free consultation with us today, and let’s work together to give your child a stupendous smile.