What’s the difference between Phase 1 and Phase 2 orthodontic treatment?

As any parent knows, children grow up fast. That means that parents constantly need to find new ways to accommodate their kids’ developing brains and bodies—and that includes their growing smiles!

The American Association of Orthodontists recommends children first see an orthodontist at age 7,1 so the doctor can assess what kind of treatment their little smiles might need to care for their existing baby teeth and to make room for the incoming adult teeth. If your child is around age 6 or 7, you might have heard the terms “Phase 1” and “Phase 2” treatment when researching the best way to care for their smiles.

But what do these terms mean? And how can you ensure your child is getting the proper treatment that’s effective and as comfortable as possible? Well, we’re here to help.

What is Phase 1 treatment?

Phase 1 treatment is orthodontic care for children who are still in the early stages of having mixed dentition, or a mix of baby and adult teeth. This generally occurs between ages 6 to 9.2 The goal of Phase 1 treatment is to develop kids’ jaws and/or rows of teeth (commonly called “arches”) to make room for existing teeth and for incoming permanent teeth.3

Two processes commonly involved in Phase 1 treatment are moving teeth and widening the palate, or the roof of the mouth.

Invisalign First™ aligners

If your child’s doctor determines their teeth should be moved during Phase 1, you’ll likely hear about Invisalign First™ aligners.

Invisalign First aligners are specifically designed for kids ages 6 to 10 with mixed dentition in Phase 1 treatment. These kid-friendly aligners are:

  • Designed to treat a broad range of teeth straightening issues in growing children, from simple to complex, including crowding, spacing, and narrow dental arches.

  • Removable for easy hygiene, making it easier for growing children to brush and floss.

  • Designed for kids’ comfort, which means no discomfort from rubbing brackets or poking wires.

Invisalign® Palatal Expander System

If your child’s doctor determines their palate is too narrow, palatal expansion will be your likely next step.

First introduced in the 1950s, traditional metal palatal expanders work by inserting a tiny key into a center hole and cranking the appliance wider every day.4

Today, the Invisalign Palatal Expander System offers an alternative that’s just as effective.5 Using a series of 3D-printed expanders that gradually widen to create space for adult teeth, the Invisalign Palatal Expander System gives kids the orthodontic care they need, without you having to manually crank open the expander every day.

What is Phase 2 treatment?

One way to think of your child’s pediatric orthodontic treatment is like building a house. If Phase 1 treatment is like laying the foundation and building the frame, Phase 2 treatment is like wiring the house and designing the interiors—part structural, part aesthetic.

All the important work completed during Phase 1 treatment can leave your child’s smile with gaps. Phase 2 treatment helps close those gaps, align their teeth, and create a beautiful, confidence-boosting smile.

Invisalign® aligners for kids

If your child’s doctor determines your child is ready for Phase 2 treatment, regular Invisalign aligners are here to help them get a beautiful, healthy smile.

Invisalign aligners:

  • Are more comfortable than braces6

  • Work faster than braces7

  • Are removeable, so kids can easily brush and floss for better oral hygiene8

And most importantly, they help your child gain confidence in their smile as they grow up and take on the world!

Find an Invisalign-trained doctor for your child

Don’t wait to start caring for your child’s smile. Use the convenient Doctor Locator tool to find an Invisalign-trained doctor that offers Phase 1 and Phase 2 treatment options near you.



Disclaimer: The information contained in this website are for educational and informational purposes only and does not constitute medical advice. It is not intended to be a substitute for medical advice, diagnosis or treatment. Please seek the advice of your health care provider with any questions you may have regarding any dental or medical-related condition and never disregard or delay seeking such advice because of something you have read on this website.

Wonder if Invisalign treatment is right for you?

  1. American Association of Orthodonists (2020 Nov 12). The Right Time: When Should your child see an orthodontist? AAO. https://aaoinfo.org/whats-trending/when-should-your-child-see-an-orthodontist/?_rt=NXwxfGNoaWxkfDE3MDc4NDY5NTk&_rt_nonce=3015aa794e
  2. Children’s Hospital of Philadelphia (2019 March). Phase 1 Orthodontics. https://www.chop.edu/treatments/phase-1-orthodontics
  3. Invisalign First. https://www.invisalign.com/invisalign-first
  4. Cleveland Clinic (2022 June 30). Palate Expander. https://my.clevelandclinic.org/health/treatments/23502-palate-expander
  5. Based on data from a multi-site US IDE clinical study (n=29 subjects, ages 7-10 years) of expansion treatment with Invisalign® Palatal Expanders. Data on file at Align Technology, as of September 5, 2023.
  6. Gu, J et al. Evaluation of Invisalign treatment effectiveness and efficiency compared with conventional fixed appliances using the Peer Assessment Rating index. Am J Orthod Dentofacial Orthop February 2017;151:259-66Buschang, P et al. Comparative time efficiency of aligner therapy and conventional edgewise braces. Angle Orthodontist, Vol 84, No 3, 2014
  7. Study sponsored by Align Technology and based on adult Class I, nonextraction, mild to moderate crowding cases with SmartTrack material. David W. White, Katie C. Julien, Helder Jacob, Phillip M. Campbell and Peter H. Buschang, Discomfort associated with Invisalign and traditional brackets: A randomized, prospective trial. The Angle Orthodontist Nov 2017, Vol. 87, No. 6 pp. 801-808
  8. Data on file at Align Technology, as of September 5, 2023.