Staged Treatment

For some patients, orthodontic treatment is more effective if it is divided into two stages or phases. The first phase is during a child's younger years, around 6-12 years old, when they are developing. The second phase occurs after all adult teeth have erupted, usually during their early teen years.

Phase One

The goal of phase one treatment is to create a strong, healthy foundation. We can use various methods, such as a rapid palatal expander or limited braces, to ensure the patient's jaw develops in a way that will accommodate all the permanent teeth. This can help your child avoid the need avoid the need for full braces or treatment later and to prevent future complications like extractions or jaw surgery, as well as to ensure a better overall outcome.

Phase 1 Orthodontics Explained
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Phase Two

Phase two treatment involves making sure each tooth is perfect and in its exact position. This typically includes a set of braces for a very brief amount of time possibly some easy Invisalign Express

Patients who have undergone phase one treatment often do not need any further treatment at all!


Free Consultations

Consultations include x-rays, photos, digital scans, 3D models, and a comprehensive evaluation. You will be given a thorough treatment plan that is customized to meet your child's individual needs. 

Our goal is to equip you with all of the information you need to make the best decision for you and your child!

Call or Text us at 724-846-9666 if you have any questions or would like to get scheduled.

Learn more about Scheduling a Consultation.


Karski & Spokane Orthodontics

David Spokane and Melissa Karski are committed to providing the very best orthodontic and dental care to valued patients throughout the state of Pennsylvania. We are affiliated we several prestigious organizations, including the:

  • American Board of Orthodontics
  • American Association of Orthodontists
  • American Dental Association

You can schedule an appointment at one of our six convenient office locations today by calling (724) 591-5758 or sending us a message. We will get back to you shortly. 

Contact Us Today

"Highly satisfied with my child's ortho procedure. The entire process has been seamless even with the pandemic. The website and patient portal is user friendly, but should you need to call the office for any reason, a staff member always answers in a friendly manner.  The Ambridge office is stunning, it's like waking into a super hero museum.  Everybody's favorite super hero can be found.  Dr. Spokane has a great chair side manner, upbeat and friendly.  My child was nervous at first but his fear quickly went away with the super comfortable atmosphere.  I recommend Dr. Spokane to all my friends and family." Cymone Bronaugh

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