Early Intervention in Madison and Greensboro

Early intervention orthodontics (often called Phase 1 treatment) focuses on evaluating and treating structural jaw growth and bite issues in young children while they still have a mix of primary and permanent teeth.

The American Association of Orthodontists (AAO) recommends that every child have their first orthodontic screening by age 7. By this age, the first permanent molars and incisors have usually erupted, allowing an orthodontist to identify potential developmental issues early.

Primary Goals of Phase 1

Rather than focusing purely on straightening teeth, Phase 1 takes advantage of a child’s active growth phase to guide jaw development and create sufficient space.

  • Guide Jaw Growth: Correct uneven growth between the upper and lower jaws (e.g., severe underbites or overbites).

  • Create Space: Expand narrow dental arches to prevent severe crowding and reduce the risk of impacted permanent teeth (like canines).

  • Prevent Trauma: Realign severely protruding front teeth that are vulnerable to accidental chipping or fracture.

  • Intervene in Oral Habits: Correct structural damage caused by prolonged thumb sucking, tongue thrusting, or mouth breathing.

Appliances Used

Invisalign Palatal Expander (IPE) - Gently widens the upper jawbone before the midpalatal suture fuse. Helps to correct crossbites, severe upper arch narrowness, & crowding.

Partial Braces / Clear Aligners - Aligns specific erupting permanent incisors. Severe rotations, traumatic deep bites, functional interference.

My name was on the board as you enter. I was greeted nicely by receptionist. The hygienist was very nice and explained everything about my aligners. She also made sure that the smile app was working, and set up my next appointment.

B.I. Google

Dr. Paschal and his entire team are amazing. Always professional, friendly, and very accommodating.

K.S. Google

Fantastic experience! Very informative and accommodating!

B.H. Google

Excellent communication and explanation of how the express liners work. Friendly staff and Dr. was informative and took his time explaining the process.

L.M. Google

They are amazingly nice people. They take really good care of you and answers any questions that you have with no hesistation and in a timely manner. The dental hygienists are great. Every last one of them. They were worth every penny i spent. Can't wait for my son to start his treatment.Update my son has started and will be moving on to his retainers soon. We just love Dr.Paschal and his whole team. Now I have one more child that needs them and of course he will also be apart of the Paschal team💜Update he is now in his retainers from completing his beautiful smile journey. Again I very pleased with their work. They have gotten my smile perfect and now my oldest. Next year is my youngest turn and we’ll be done.

C.I. Google

545

Total Reviews

5

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