While the adult teeth arrive

Early Orthodontics (Phase I)

An evaluation around age seven to find the few children who benefit from early treatment. Often the answer is to wait, and we will say so.

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First visit Around Age Seven
Consultation Complimentary
Monitoring No Charge While We Wait
Phase I A Short, Focused Phase

Why around age seven

The right timing starts here

A first orthodontic look while the adult teeth are still arriving.

Most children who come for this leave with a note to check back in a year or two, and that is the correct outcome.

Is it right for you?

Problems that get harder to fix later

Crossbites, severe crowding, a narrow upper jaw, or a habit affecting jaw growth. Early treatment exists to catch the small number of problems that get harder to fix later, not to start everyone early.

Your orthodontist will help you choose at the consultation.

Five steps

From an early look to a next step

  1. Evaluation

    A look, a scan where useful, and a straight answer about timing.

  2. Wait, or treat

    If waiting is right, we monitor at no charge and call you when the time comes.

  3. Phase I

    If it is indicated, a short focused phase while growth can still be used.

  4. Rest period

    The remaining adult teeth arrive.

  5. Phase II

    Full treatment later, if it is still needed.

Orthodontic specialists

Meet your orthodontists

Both are orthodontic specialists: dental school first, then a university residency spent only on moving teeth and correcting bites.

Dr. Kate Lew, DMD

Braces, clear braces and Invisalign for teens and adults, and the Phase I evaluations that decide whether a child should start now or wait.

  • DMD, Rutgers School of Dental Medicine, graduated at the top of her class
  • Orthodontic residency, Columbia University College of Dental Medicine
  • Bachelor of Science, Cornell University
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Dr. Scott Noh, DDS, MS

Comprehensive orthodontic treatment for teens and adults: braces, Invisalign and the retainers that keep a finished smile in place.

  • MS in Orthodontics and three-year orthodontic residency, Columbia University
  • DDS, Columbia University College of Dental Medicine
  • BS in Biochemistry, University of California, Los Angeles
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Your consultation

A scan, your options explained side by side, and the cost in writing, in one visit.

Office hours
Mon9:00 - 5:00
Tue - Thu9:30 - 5:30
Fri9:00 - 4:00
Sat8:30 - 1:30 (select)
SunClosed
Book an Orthodontic Consultation

Cost and coverage

Cost, insurance and financing

The fee, your insurance benefit and the payment plan are explained at the consultation, before you start.

Is the consultation free?

Yes. Orthodontic consultations at Elite are complimentary: the orthodontist examines the teeth and bite and explains the options.

What will it cost?

It depends on the bite, the type of treatment and how long it takes. You get a customized quote at the consultation, before you decide.

Will insurance help?

Many dental plans include an orthodontic benefit. We verify your benefits and file the claims on your behalf.

Can I pay monthly?

Yes. Interest-free in-house payment plans, CareCredit for longer terms (subject to credit approval), and HSA or FSA funds.

Six common questions

What people ask

What is the “Rule of 7”?

The American Association of Orthodontists recommends that children have their first orthodontic check-up as soon as a problem is noticed, and no later than age 7. At that age children have a mix of baby and permanent teeth, and the exam shows how the bite, the spacing and the jaws are developing. If a problem exists or is developing, the orthodontist can tell you whether treatment is recommended, when it should begin and roughly how long it would take.

What are the advantages of Phase I treatment?

Phase I, or early interceptive treatment, can:

  • Influence jaw growth in a positive way
  • Widen the dental arches
  • Reduce the need to take out permanent teeth
  • Reduce or eliminate the need for jaw surgery
  • Lower the risk of injury to front teeth that stick out
  • Correct harmful oral habits
  • Simplify or shorten later treatment (Phase II)
  • Make impacted permanent teeth less likely
  • Help speech development
  • Improve the position of the first molars
  • Guide permanent teeth into better positions
  • Keep or gain space for teeth that are coming in
What is Phase II treatment?

Phase II is when braces or clear aligners are placed to bring the permanent teeth to their final positions, on average over 12 to 24 months depending on the difficulty of the case. For kids and teens it means straighter teeth, a better-looking smile and more confidence, easier chewing, healthier gums, wider dental arches, fewer cavities and less risk of gum disease, less grinding and chipping, easier brushing and flossing, and less risk of injury to teeth that stick out.

What is a space maintainer?

A small appliance that holds a gap open when a baby tooth has to come out well before it would fall out on its own, so the permanent tooth underneath can come in where it should.

What is a palatal expander?

An appliance that widens the upper jaw by putting gentle pressure on the upper molars each time it is adjusted. Your orthodontist shows you when and how to adjust it. Once the jaw is wide enough, the expander stays in for several months to hold the expansion and stop it relapsing.

What is a habit-breaking appliance?

An appliance that helps a child stop a habit such as a tongue thrust or thumb sucking. One example is a tongue crib: a wire frame held on two rings at the back of the mouth that stops the tongue pushing against the teeth. Treatment for a habit like this should be discussed with a pediatric dentist or an orthodontist as soon as the problem is noticed.