Comprehensive treatment is initiated once most or all of the permanent teeth have emerged in the mouth. Typically, comprehensive treatment involves braces on both the upper and lower teeth. In select cases, Invisalign® may be used instead of braces. In adolescents, comprehensive orthodontic treatment combined with jaw orthopaedics aims to align the teeth, guide the growth and development of the jaws, and establish a proper bite.
These are some of the specific goals of comprehensive treatment:
The length of comprehensive treatment depends on the severity of the problem. If the front teeth have minor crowding or spacing but the back teeth fit together properly, treatment may take as little as 9 - 12 months. By contrast, treatment to correct moderate to severe crowding or spacing or an improper bite typically takes between 18 - 24 months. In some cases, treatment may extend beyond 24 months.