When Are Two Phases of Treatment Necessary?

Usually patients in orthodontic treatment 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. Questions? Schedule your complimentary consultation with Dr. Ridder today!

--Ridder Orthodontics, Orthodontist Keller TX

Enter the AAO Video Scholarship Contest!

We have some exciting news to share with all of our patients this Friday. The American Association of Orthodontists, which Dr. Ridder is a member of, is offering a $2,500 academic scholarship to two lucky winners of their "How Orthodontics Changed My Life" video contest.

All patients at Ridder Orthodontics 18 years of age or younger are eligible to enter, and entries are due by June 1st! You can learn more about the contest on the AAO's web site, but here are a few subjects to think about while making your video:

• What were you like before you had orthodontic treatment? How have you changed?
• How proud are you of your new smile?
• When did you notice changes in yourself? What kinds of changes have you noticed?
• What does your new smile mean to you?
• What would you say to others whose smiles make them self-conscious?


This is a great opportunity and we encourage you to enter. GOOD LUCK!

The Braces Cookbook: Kid Tested, Orthodontist Approved!

The wisdom of the ages tells us that necessity is the mother of invention. Brenda Waterman, age thirteen, offers new proof of this proverb. When getting braces mandated cutting a list of foods out of her diet – including her much-loved treat of caramel apples – she devised a work-around recipe that let her indulge her craving. This clever replacement for caramel apples was the inspiration for The Braces Cookbook: Recipes You (And Your Orthodontist) Will Love, which Brenda created along with her mom, Pam Waterman.

Anyone with braces knows that it's important to avoid sticky foods, crunchy foods, hard foods, chewy foods, and so on. It's easy to look at the list and think, "What can I eat?" The Watermans' new book tackles that question with creative and thorough answers in the form of 50 braces-friendly recipes, plus additional tips and advice – enough to reassure any doubter.

Neatly divided into chapters such as Definitely Deserved Desserts and Be-Nice-To-Me Beverages, The Braces Cookbook offers a broad assortment of recipes from main courses and sides to breakfasts and snacks. An all-around guide, the book also offers suggestions for packing lunches, preparing quick meals, and handling parties and restaurants, where the food selection isn't under your control. There's even a section of tips for dealing with the soreness that can arise in teeth and gums when braces are adjusted.

Purchase The Braces Cookbook for your kitchen, and pick up an extra copy or two – they make great gifts!

--Ridder Orthodontics

More About Orthodontics From Ridder Orthodontics

There are so many questions about orthodontics that we never ask, so Dr. Ridder took some time to explain the most common concerns.

At what age should orthodontic treatment occur?

Orthodontic treatment can be started at any age. Many orthodontic problems are easier to correct if detected at an early age before jaw growth has slowed. Early treatment may mean that a patient can avoid surgery and more serious complications. The American Association of Orthodontists recommends that every child first visit an orthodontist by age seven or earlier if a problem is detected by parents, the family dentist or the child's physician.

What is Phase I and Phase II treatment?

Phase I, or early interceptive treatment, is limited orthodontic treatment (i.e. expander, Herbst, Facemask, headgear, or partial braces) before all of the permanent teeth have erupted. Such treatment can occur between the ages of six and ten. This treatment is sometimes recommended to make more space for developing teeth, correction of crossbites, overbites, underbites, or harmful oral habits. Phase II treatment is also called comprehensive treatment, because it involves full braces when all of the permanent teeth have erupted, usually between the ages of eleven and thirteen.

Would an adult patient benefit from orthodontics?

Absolutely!! Orthodontic treatment can be successful at any age. Everyone wants a beautiful and healthy smile. Between 30-40% of our patients are adults.

How does orthodontic treatment work?

Braces use steady gentle pressure to gradually move teeth into their proper positions. The brackets that are placed on your teeth and the arch wire that connects them are the main components. When the arch wire is placed into the brackets, it tries to return to its original shape. As it does so, it applies pressure to move your teeth to their new, more ideal positions.

How long does orthodontic treatment take?

Treatment times vary on a case-by-case basis, but the average time is from one to two years. Actual treatment time can be affected by rate of growth and severity of the correction necessary. Treatment length is also dependent upon patient compliance. Maintaining good oral hygiene and keeping regular appointments are important in keeping your treatment time on schedule.

Do braces hurt?

The placement of bands and brackets on your teeth does not hurt. Once your braces are placed and connected with the arch wires, you may feel some soreness of your teeth for one to four days. Your lips and cheeks may need one to two weeks to get used to the braces on your teeth.

Will braces interfere with playing sports?

No. It is recommended, however, that patients protect their smiles by wearing a mouth guard when participating in any sporting activity. Mouth guards are inexpensive, comfortable, and come in a variety of colors and patterns.

Will braces interfere with playing musical instruments?

No. However, there may be an initial period of adjustment. In addition, brace covers or wax can be provided to prevent discomfort.

Should I see my general dentist while I have braces?

Yes, you should continue to see your general dentist every six months for cleaning and dental checkups, or more frequently as recommended.

Got more questions? Give us a call at our orthodontic office in Keller, TX. We'd love to hear from you.

This March, what have you been up to?

It’s almost springtime. The daffodils and buttercups are on their way, fresh rhubarb is ready to be picked, the birds are chirping, the sun is warming up and the smell of freshly-cut grass is wafting from a baseball field nearby. Dr. Ridder and team thought this would be a good time to ask: What are your plans for March?

Are you ready for spring? Are you participating in school sports this year? Do you have exciting plans? We’d love to know them all!

You may share your stories or plans with our team here, on our Facebook fan page or by giving us a call!

P.S. While you’re on our Facebook page, become a fan of Ridder Orthodontics!

What’s so special about an Orthodontist?

"Dentists, Orthodontists, they're all the same right?" We hear our patients asking this question as they wonder about the difference between an orthodontist and a dentist. Before becoming an orthodontist Dr. Ridder started out in dental school and earned a DDS (dental degree), just like your dentist. After dental school however, Dr. Ridder decided he wanted to learn more about orthodontics, which is one of nine specialties within the dental field. So he stayed in school for a few more years and became an expert in orthodontics; which focuses on tooth and jaw alignment and bite problems like overbites and under bites.

Other dental specialties you may have heard of include endodontic (focusing on the soft tissue inside your teeth), periodontic (focusing on the gums and other tissues surrounding your teeth) and prosthodontic (focusing on restoring and replacing damaged teeth).

Isn't it nice to know there's a dental expert here to help you through any type of treatment your teeth, jaw and gums might need?

When should you call Dr. Ridder?

Our friends at the American Association of Orthodontists (AAO) have put together a helpful list that outlines when you should call (Insert Name of Doctor). Here are some early warning signs indicating it’s time to check in with us:

1. Early or late loss of baby teeth
2. Difficulty of chewing or biting
3. Mouth breathing
4. Finger sucking or other oral habits
5. Crowding, misplaced or blocked-out teeth
6. Jaws that shift, make sounds, protrude or retrude
7. Speech difficulty
8. Biting the cheek or biting into the roof of the mouth
9. Protruding teeth
10. Teeth that meet in an abnormal way or don’t meet at all
11. Facial imbalance or asymmetry
12. Grinding or clenching of teeth


Do any of these warning signs fit you? If so, give us a call as soon as possible!
Hope this helps,

-Ridder Orthodontics

Age 7 is the magic number for an orthodontic check-up

Many parents assume they must wait until their child has all of his or her permanent teeth to see Dr. Ridder, only to discover treatment would have been much easier if started sooner. Some orthodontic problems are easier to correct while the jaw is still growing. Consequently, the American Association of Orthodontists recommends that every child have an orthodontic check-up no later than age seven.

Ok, so what’s so great about age seven, you ask? Enough permanent teeth have arrived for us to make a determination about whether any problems are present. The first molars have come in, providing an opportunity to check for malocclusion, or “bad bite.” Also, the incisors have begun to come in, and problems such as crowding, deep bites and open bites can be detected.

Orthodontic evaluation at an early age provides one of two positive outcomes: For some, early identification or problems will lead to easier or shorter orthodontic treatment in the future. For others, a healthy prognosis will provide immediate peace of mind.

Early evaluation, of course, may signal a need for early treatment. For some children, early treatment can prevent physical and emotional trauma. Aside from spurring on years of harmful teasing, misaligned teeth are also prone to injury and are detrimental to good oral hygiene. So if your child is nearing his or her seventh birthday, give us a call at 817-380-5325 to schedule an appointment.