Ask Dr. Weiss: What is Two-Phase treatment?

Usually patients in orthodontic treatment at Weiss Orthodontics already have their permanent teeth – they are pre-teens, teens and adults. But in some cases we have to start treatment earlier, even before the patient’s permanent teeth come in. We call this “two-phase treatment.”

When we have patients with clear developmental problems at an early age, it’s best to start work when they are young, before the problems get bigger and more difficult to treat.

Examples include:

• An upper or lower jaw that is not growing correctly
• A mouth growing in a way that doesn’t leave enough room for all the permanent teeth to come in
• A severe malocclusion, or bad bite, which means the jaw doesn’t fit together correctly

In these cases we will start early and do one round of treatment – phase one – while the patient still has their baby teeth. Phase one usually does not involve braces, but can include a different type of appliance that helps the jaw grow into place properly. We’ll follow up with phase two usually a few years later, when permanent teeth are in place. Generally phase two involves standard braces.

In order to catch early problems, we recommend that children have an orthodontic check-up no later than age seven (and so does the American Association of Orthodontists). However, if your dentist or pediatrician sees any sign that early treatment might be necessary, he or she may recommend your child visit our office even sooner.

If you have additional questions, give our office a call!

Do you know what makes up your braces?

In case you sustain any damage to your braces and need to call Weiss Orthodontics, we can help you more effectively if you can tell us exactly which piece is in trouble! Here’s a handy diagram and corresponding list of all the parts that make up your braces.



Elastic Tie: Tiny rubber band that fits around the bracket to hold the archwire in place.

Archwire: The main wire that acts as a track to guide the teeth along. It's changed periodically throughout treatment, as teeth move to their new positions.

Loop in Archwire: Frequently used for closing space left by an extraction. Many archwires don't have a loop.

Bracket: Small attachment that holds the archwire in place. Most often, a bracket is cemented directly onto the tooth's surface, eliminating the need for a band.

Headgear Tube: Round, hollow attachment on the back bands. The inner bow of the headgear fits into it.

Coil Spring: Fits between brackets and over archwire to open space between teeth.

Tie Wire: Fine wire that is twisted around the bracket to hold the archwire in place.

Band: A thin ring of metal fitted around a tooth and cemented in place. The band provides a way to attach the brackets to the tooth.

Hook: Welded or removable arm to which elastics (rubber bands) are attached.

Elastic (Rubber Band): Small rubber band that is hooked between different points on the appliance to provide pressure to move the teeth.

Hope this helps! Give us a call if you have any questions!

Your are never TOO OLD to treat yourself to a NEW SMILE

Did you know one in every five orthodontic patients is an adult? We’re living longer and technology is improving, making orthodontic treatment an appealing and safe option for patients of all ages. As the trend toward treatment later in life grows, Weiss Orthodontics is seeing braces on parents as well as children – and even adult celebrities such as Tom Cruise, Gwen Stefani and Nicholas Cage have shown off their braces. It’s never too late to look and feel your best!

Can Braces Work for Adults?

People of all ages can benefit from orthodontic treatment. The physical process for moving teeth is the same, young or old, which means it is never too late to address issues such as an overbite or underbite, crooked or crowded teeth, or jaw disorders.

How Do I Get Started?

If you’re considering orthodontic treatment, give Weiss Orthodontics a call and we will make a consultation appointment with you. During this meeting, Dr. Weiss will perform a general assessment of your oral health, discuss options for treatment, and answer any questions you may have. We will also discuss matters of cost and insurance. The next step is an orthodontic records appointment in which we take x-rays, photos, and an impression of your teeth. This information drives your unique treatment plan.

What Are the Benefits?

Straightening your teeth can improve your smile, your self-esteem, and your dental health. Technologically advanced new treatments make it easier to identify the option that best fits your lifestyle. Modern techniques and materials have made braces and aligners more effective, comfortable and unobtrusive than ever.

If you think you might benefit from orthodontic treatment, get in touch with our Memphis or Millington office, so we may set up a consultation to determine what type of treatment best meets your needs.

Connect with the Braces Brigade!

At Weiss Orthodontics, our patients want to get as much out of their treatment as possible. That includes asking a lot of questions and making sure they take care of both their appliances and oral health.

Would you like to learn more about what to expect during orthodontic treatment, from someone with firsthand experience? Well, our friends at the American Association of Orthodontists (AAO) recently developed the Braces Brigade blog, where past, present, as well as future orthodontic patients from coast to coast document their (or their child’s) orthodontic journeys. The blog will serve as a source of guidance for others as the patients undergo orthodontic care.

Our team at Weiss Orthodontics encourages you to visit the Braces Brigade blog to read these great and informative blogs—who knows, maybe you’ll learn a thing or two! As always, don’t hesitate to give us a call if you have any questions about the Braces Brigade or your own orthodontic treatment with Dr. Weiss!