What is Early Orthodontics?


Early orthodontics is also referred to as phase 1 orthodontic treatment, and may be necessary to help children who have growth or alignment issues with their teeth. At Nacogdoches Pediatric Dentistry, we offer a variety of different options for patients who require early orthodontics. Our goal is to address the issues early to prevent more serious issues in the future from developing. Catching any issues with the jaw or teeth in the beginning is important before permanent teeth erupt.

When Should I Consider Early Orthodontic Treatment?

If your dentist has a concern during your regular exam, they may recommend early orthodontic treatment. Common devices used in early orthodontic treatment include braces, palatal expanders, or retainers.

What Are Common Issues That Require Early Orthodontic Treatment?

  • Issues with a child’s bite
  • Malocclusion or misaligned teeth
  • Teeth that protrude
  • Issue with a child’s jaw, or a child who has a very small jaw

What Are the Benefits of Early Orthodontics?

Early orthodontics can correct issues early on before they cause damage, and reduce the need for treatments later in life. Not every child requires early orthodontic treatment. Children that do not have any issues with their jaw or teeth should wait until phase 2 orthodontics.

  • Prevents a narrow jaw
  • Eliminates chances of crowding
  • Lowers risk of damage to protruding teeth
  • Reduces risk of tooth decay
  • Reduces risk of gum disease

Typically, children do not need to visit the orthodontist until at least six or seven years of age. Many children do not need orthodontic treatment until they are older. An early visit to the orthodontist can help detect issues, as well as know what your child may require as they get older. This also gives the opportunity for the parent to ask questions. Our team will discuss if your child requires phase 1 orthodontics to help reduce the need for treatment later in life.

Ready To Schedule Your Child’s Consultation?

If you are interested in finding out if your child requires early orthodontics, we recommend scheduling a consultation with us. Our doctors have years of experience in orthodontics, and our team is trained to work with children. We strive to provide a positive experience each time they visit our office. At Nacogdoches Pediatric Dentistry, we provide quality dentistry you can trust, and we welcome new patients to join our dental family.

To schedule your child’s appointment, contact Nacogdoches Pediatric Dentistry, and our friendly staff will be happy to assist you.

Installation Of Ligature Braces


The installation process is the same for ligature and ligature braces until the arc fixation stage.

  1. The tooth enamel is etched with a special composition to improve grip with the bracket. The composition acts on the tooth for a while, and then washed off with water.
  2. A composite material fixing the lock is applied to the teeth.

iii.    Braces are glued to the teeth either by the direct method – one bracket one after another, or indirect fixation – are transferred simultaneously to the entire dentition from the mouthpiece, which were previously installed from the impression.

  1. When the locks are fixed on the teeth, the orthodontist proceeds to fasten the arc. In self-alloying systems, it is enough to insert the arc into the grooves and close the covers of each bracket. In ligature braces, an elastic band or ring of wire is put on each lock.

Due to the need to put on additional elements on each lock, ligature braces are set longer.

The process of treatment on ligature braces

Orthodontic treatment does not end with the installation of braces. So that they consistently perform their function of correcting the bite, the orthodontist needs to change the arcs and activate the braces, according to the treatment plan. The activation of ligature braces takes place much more often – about once a month, since the rubber bands wear out quickly and cease to fix the arc reliably.


In this regard, the work of self-ligating braces is more “autonomous” – the orthodontist can be visited every 2 months. Due to the fact that the arc in the ligatures has to overcome the friction force to straighten, the duration of treatment is slightly increased. In order not to delay it, you need not to miss the activation, quickly visit the orthodontist when removing the bracket or falling out of the arc from the ligature.

Ligature Braces Care

As we mentioned above, ligature braces require more careful care. All additional elements in the mouth prevent the free passage of the toothbrush during brushing. Ligatures are precisely these elements that interfere with hygiene. Erasers collect leftover food and accumulate plaque. To thoroughly clean the lock, the ligature must be removed, but the patient does not have such an opportunity.

Therefore, hygiene must be maintained with accessible tools:

  • Orthodontic brush with a special recess in the middle for the bracket system
  • A Monoblock brush that allows you to clean the lock around, the gingival region and the enamel under the arc.
  • Orthodontic brushes – small brushes for hard-to-reach places – under the arch, in tooth gaps, around distant braces.
  • Irrigator is an apparatus that cleans surfaces and inaccessible places with the help of a powerful jet of water. It is safe for mucous membranes and effective against food debris.

A full-time care during treatment on braces is selected by an orthodontist or a hygienist. In the clinic, you get a detailed memo for the care of braces and at any time you can visit the hygienist. He will indicate errors in care and will tell you the correct methods of home cleansing.