Two-Phase Treatment Can Offer Less Invasive Orthodontic Solutions

Two-phase orthodontic treatment is not necessary for every patient. Oftentimes, our young patients are simply monitored until they are in their pre-teen or early teenage years. However, Dr. L. Douglas Knight believes in comprehensive care, and offers two-phase treatment in his Louisville, KY and Radcliff, KY offices for patients who can benefit from it.

The American Association of Orthodontists advocates that your child have his or her first visit by the age of seven. Because early care can significantly prevent future dental problems, Dr. Knight fully embraces this philosophy. Two-phase orthodontic treatment involves beginning the first phase of treatment when your child is around the age of 8 or 9, and initiating a second stage of treatment around the age of 12 or 13.

Phase One Treatment

Early interceptive treatment is commenced before all of the permanent (adult) teeth have erupted. The goal is to correct any issues with jaw growth or occlusion (the way teeth fit together), and help hold space for the eventual eruption of permanent teeth. During the developmental years, problems concerning the face and jaws can be addressed using conservative methods. Once the maxillofacial structures have completed growth, more invasive treatment may be necessary to correct the issues. The appliances used in phase one treatment may include partial braces, a retainer, or an expander, and will depend on your child’s specific needs. Early interceptive treatment may be indicated if you have:

  • Crowding: Severe crowding of the teeth on either arch can be a risk factor for impacted teeth.
  • Overbite: When there is a severe overbite (protrusion of the upper teeth), there is a higher probability of tooth loss due to trauma.
  • Underbite: Severe underbites can lead to the need for surgical correction if left untreated.
  • Cross bite: A cross bite is present if your upper teeth meet inside your lower teeth when you bite down naturally. This can cause abnormal jaw growth, excessive wear and tear on the tooth surfaces, and gum recession.
  • Premature tooth loss: Many people are not concerned if a baby tooth is lost. However, shifting of the other teeth may lead to an overall loss of space that can be extremely difficult to correct later on.
  • Negative habits: Behaviors such as excessive thumb sucking can lead to a myriad of dental issues regarding the development of maxillofacial structures. It can have a significant negative impact on tooth position and the roof of the mouth.

Resting Phase

After phase one is complete, retainers may be used to maintain progress while allowing the eruption of the remaining permanent teeth. Dr. Knight will monitor your child’s development and growth during this period, and determine the best time to move forward into phase two treatment.

Phase Two Treatment

Phase two is much like traditional orthodontic treatment, and typically begins around the age of 12 or 13. This phase of treatment is initiated once the majority of your child’s permanent teeth have erupted.

Advantages of Two-Phase Orthodontic Treatment

Many patients have experienced the benefits of two-phase orthodontic treatment. Though it is not necessary for everyone, this approach to orthodontic care can offer significant advantages:

  • Less invasive correction
  • Reduces the probability of future tooth extractions
  • Improvement in speech development
  • Hold space for permanent teeth
  • Encourages optimal jaw growth
  • Reduces the need for corrective jaw surgery
  • Improvement in appearance and self-confidence

Schedule a Consultation Today

Your child’s dental health can have a lasting impact on his or her overall health. By visiting the orthodontist at an early age, you are making an investment that will last a lifetime. To find out what method of orthodontic treatment is right for your child, call our office at (502) 327-6453 (Louisville) or (270) 351-5151 (Radcliff) or schedule an appointment online.

Dr. L. Douglas Knight
Meet Dr. L. Douglas Knight

Dr. Knight is so nice and you get treated so well there. Everyone is nice and friendly. They always make sure you’re taken care of.A Patient

Knight Orthodontics Locations

Louisville, KY

L. Douglas Knight D.M.D.
3210 Westport Green Pl.
Louisville, KY 40241
(502) 327-6453

Radcliff, KY

L. Douglas Knight D.M.D.
555 W. Lincoln Trail Blvd.
Radcliff, KY 40160
(270) 351-5151

Google Reviews

Carrie Jordan
Carrie Jordan
21:33 20 Aug 18
Hands down the best! Ensures that treatment plan is working and adjusts it as necessary. Great office staff, always friendly and helpful! Thanks for the smile!!
Ellie Fields
Ellie Fields
17:48 21 May 18
Very helpful and very nice staff!! Never had to wait to be called back. Made having braces a little bit better.
Benjamin Ahmetagic
Benjamin Ahmetagic
15:39 14 May 18
Dr. Knight and his staff couldn't have been more skilled at what they do. I initially got braces just to correct my teeth, but they found irregularities in my jaw positioning and I ended up having corrective surgery about a year and a half with the braces on. The recovery process afterwards was tough, but they were more than accommodating. I couldn't recommend them highly enough.
Eric D
Eric D
14:14 10 May 18
I am rarely impressed by people who do their jobs. Dr knight and the entire staff impress! They are friendly, professional and very efficient. Those are rare qualities these days.
Kristen Cox
Kristen Cox
15:25 25 Apr 18
Dr. Knight and his team have always made me feel comfortable and welcome in the facility. Aside from the team being extremely friendly, this is one of the most professional practices I have been to in a long time. Customer service goes a long way nowadays and Dr. Knight and his team go above and beyond. I will continue to recommend Dr. Knight to friends and family in need of orthodontics. Kristen Cox
Angela Shupe
Angela Shupe
01:35 10 Apr 18
Dr. Knight has provided service to three of my children. One child presented much more than a simple case requiring two rounds of braces, multiple retainers and even oral surgery, all of which Dr. Knight carefully and caringly oversaw. He worked closely with the oral surgeon to achieve the best possible results. In addition, he referred us to a dentist to finish the process with additional cosmetic procedures. The staff at the office are all wonderful to work with. They are very accommodating of scheduling issues and quick to follow up when there are questions or concerns.
Heather Shoopman
Heather Shoopman
20:06 04 Apr 18
Dr. Knight and his staff are wonderful. They get to know you on a personal level. It was a wonderful experience and I am grateful for the amazing work the office provided. I have a beautiful smile and I owe that all to Knight Orthodontics!
Melissa Crawford
Melissa Crawford
18:38 26 Mar 18
Our boys love Dr. Knight! It's been a great experience all the way around, the staff is super helpful, appointments are quick, and the results are remarkable! Highly recommend you won't be disappointed.
Charles Sima
Charles Sima
18:39 16 Mar 18
Dr Knight and his staff are exceptional! They go above and beyond taking care of their clients. And most importantly they get your smile to utmost perfection! A+!!! If you require orthodontics then Dr Knight is who you should see!
Cody Everett
Cody Everett
18:20 14 Mar 18
Dr. Knight and Staff are wonderful people who do great work. You can feel that they genuinely care about your dental progress and are always willing to accommodate your needs as a patient. I am elated with my new smile.
Tara Moore
Tara Moore
17:04 10 Mar 18
I had braces in my teens and pretty extensive work to correct my overbite and alignment. They made it as painless as they possibly could, especially for a teenager. They were always so friendly. I just called to get my records to have on file (I am 25 now) and they told me Dr. Knight had to sign off on them for me to receive them. He called me personally the next day- a Saturday- to see how I was doing and to let me know I could come get my records. What an awesome guy, an amazing practice, and friendly and helpful staff. I definitely recommend them.
Nikki Melton
Nikki Melton
14:14 08 Mar 18
Absolutely love the staff and Dr Knight! They are always very friendly and take the time to listen to concerns and answer questions. They have done amazing things with my 8 year olds teeth and I look forward to how ever much time we have left as they continue to make her smile perfect.
Becky Meredith
Becky Meredith
23:23 07 Mar 18
Everyone is so friendly and very professional. I really didn’t want braces but I’m so pleased with the result. I recommend Dr Knight and his office staff highly!
Patrick Thompson
Patrick Thompson
22:20 22 Jan 18
A very professional, efficient, and friendly doctor and office staff. And great results for my teen daughter.
Noshia Saunders
Noshia Saunders
23:43 21 Dec 17
Staff is always pleasant and I was surprised at my second visit they knew my name as soon as I walked in! Very family and community oriented.
Sentinel-7
Sentinel-7
22:40 19 Dec 17
Great service and excellent follow up appointments whether you have to have braces or anything else you need. They also have brand new, very useful and innovative technology at Knight Orthodontics. I would highly recommend it.
Grace Linscott
Grace Linscott
21:47 03 Nov 17
The workers were excellent. They took really good care of me. Dr. Knight was awesome couldn’t have asked for a better orthodontist
Genevieve Mulkins
Genevieve Mulkins
20:15 01 Nov 17
Dr Knight and his staff provide outstanding care; they are always kind; work around our busy schedule and are always understanding. I highly recommend Dr Knight to everyone.
George Atkins
George Atkins
13:46 01 Nov 17
The staff were all very nice and friendly! Dr. Knight had me in and out of braces very quickly and easily.
D Pedro
D Pedro
00:33 31 Oct 17
Dr. Knight did an awesome job on our child’s teeth. Other Orthodontists said the job couldn’t be done. Dr Knight not only said he could do it, he took away all our concerns. We highly recommend Knight Orthodontics!!
Emily Cyphers
Emily Cyphers
14:18 24 Oct 17
I went in for a permanent retainer repair for the first time with Dr. Knight, and had a wonderful experience. I'm new to Kentucky and he talked with me like he new me for years, he was so personable and took the time to get to know me. He had never worked on my teeth before but knew exactly what to do to re-straighten them and get a retainer back in. There is no "new patient" fee which is always nice. He seems to truly care about his patients' smile (teeth) and I will continue to come back to him for any orthodontic care.
Will Heemsoth
Will Heemsoth
21:02 11 Oct 17
Dr Knight and his staff are amazing. My son's treatment went very well and we are tremendously happy with the results. Scheduling was super easy and we always got in and out on time.
David Jones
David Jones
16:54 05 Oct 17
Dr. Knight is an expert and simply one of the best orthodontics in the area. His staff are very friendly and professional. I highly recommend, especially if you have a complex or difficult case .
Beth Searcy
Beth Searcy
01:54 07 Sep 17
My issue was more complicated than simply braces to straighten teeth - it included extensive jaw advancement surgery as well. Dr Knight and his staff were great through the entire 18 month process - always available, always willing to answer any questions and they also maintained constant communication with the surgeon so that everyone was always on the same page which was very comforting.
Harrison Bratton
Harrison Bratton
22:27 01 Sep 17
Staff is great, extremely helpful and reliable. Dr.Knight suggests the best things for you and is very good at his job. My smile is bigger and brighter thanks to them !
Reggie Smith
Reggie Smith
20:53 10 Aug 17
All 4 of my children have had braces at Dr. Knight. He's been been wonderful and I'd highly recommend him. His staff have been really great to work with as well!
Marla Harris
Marla Harris
19:52 09 Aug 17
Dr. Knight and his staff have been wonderful throughout the entire process starting with braces for my daughter and now my son. Both of my children had positive experiences with Dr. Knight and his staff. I would highly recommend Knight Orthodontics to anyone. Thanks for making my children's smiles even more beautiful! Marla Harris
thomas troxtle
thomas troxtle
19:20 14 Jun 17
Dr. Knight and his team are remarkable! I can't give enough positive feedback about them. Caring, kind, attentive and personal. It is definitely 100% about the clients. Great work. Life changing. 10 out of 5 stars!!
Elizabeth Clark
Elizabeth Clark
00:28 04 Jun 17
I have enjoyed my second round of wearing braces. He has done an excellent job correcting my bite and the time flew by. Before I knew it, my braces were coming off. Dr. Knight and his team really care and take an interest. I used the emergency number, after hours, and Dr. Knight was there for me. When my children come to the point in their life when they will need orthodontics, I will make their appointments with Dr. Knight! Thank you, Dr. Knight and team!
Macreena Groody
Macreena Groody
21:21 02 Jun 17
I've been coming to Knight Orthodontics since I was in grade school. The team is so friendly and professional, you will always be greeted with a smile. Dr. Knight and his incredible staff make me feel right at home. Dr. Knight has done an amazing job not just on my own teeth, but on my mom and brother's as well. I highly recommend this office!
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