Early Orthodontic Treatment at Platte River Orthodontics
Expert Early Intervention for Growing Children
At Platte River Orthodontics in Gretna, Nebraska, Dr. Chad B “SnaggleTooth” Carter brings his unique expertise in early intervention, growth modification, and complex craniofacial cases to provide comprehensive early orthodontic treatment for children. As one of the few orthodontists in the region with extensive experience treating infants and young children, Dr. Carter understands the critical importance of early orthodontic evaluation and the life-changing benefits that timely intervention can provide.
Early orthodontic treatment, also known as Phase I treatment or interceptive orthodontics, involves identifying and addressing orthodontic problems during the mixed dentition phase when children have both baby teeth and permanent teeth. This proactive approach takes advantage of natural growth and development to guide teeth and jaws into proper positions, often preventing more serious problems from developing and simplifying future treatment.
Family-Centered Care for Early Treatment
Supporting Parents Throughout Treatment
Dr. Carter understands that successful early orthodontic treatment requires the support and involvement of the entire family. Our team provides comprehensive education and support for parents, helping them understand their role in their child’s treatment success.




Understanding Early Orthodontic Treatment
The Philosophy of Early Intervention
Early orthodontic treatment is based on the principle that certain orthodontic problems are much easier to correct when addressed during periods of active growth and development. Dr. Carter’s expertise in growth modification and his understanding of craniofacial development allow him to identify the optimal timing for intervention and maximize the benefits of early treatment.
The American Association of Orthodontists recommends that children have their first orthodontic evaluation by age 7, when the first permanent molars and incisors have typically erupted. This timing allows orthodontists to assess the developing bite and identify potential problems before they become more serious. However, some children may need to be seen earlier than 7 when there are specific growth concerns
Growth Utilization & Development
Taking advantage of natural growth patterns to guide jaw development, ensure proper function, and support aesthetics.
Prevention & Space Management
Preventing small issues from becoming major problems by creating space for permanent teeth and correcting harmful oral habits early.
Conditions Treated with Early Intervention
More Than Straight Teeth – We're Building Confident Lives
Severe Crowding and Space Deficiency
When permanent teeth are significantly larger than the baby teeth they replace, severe crowding can develop. Early intervention can help create space through arch expansion, growth modification, or other techniques, often preventing the need for permanent tooth extractions later.
Crossbites and Jaw Development Issues
Crossbites occur when some upper teeth bite inside the lower teeth, which can lead to asymmetric jaw development and facial growth if left untreated. Early correction of crossbites can help establish proper jaw relationships and promote symmetric development.
Protruding Front Teeth
Severely protruding front teeth are at increased risk of trauma and can affect both function and appearance. Early treatment with braces can help reduce protrusion and protect teeth from injury while improving facial balance.
Early Treatment Approaches and Techniques
The Ultimate in Precision
Palatal Expansion
Partial Braces Treatment
Space Maintainers
MYTHs About Early Orthodontic Treatment
Separating Fact from Fiction
MYTH: Early treatment is just cosmetic and not medically necessary.
FACT: Many orthodontic problems addressed with early treatment have functional implications that go beyond appearance. Issues like crossbites, severe crowding, and harmful habits can affect jaw development, oral health, and overall function if left untreated.
Dr. Carter’s comprehensive evaluation considers both functional and aesthetic factors, ensuring that early treatment recommendations are based on genuine need rather than cosmetic concerns alone.
MYTH: Early treatment will eliminate the need for braces later.
FACT: While early treatment can address many developing problems and often simplifies future treatment, most children will still need a second phase of treatment once all their permanent teeth have erupted. However, early intervention often makes this second phase shorter, simpler, and more stable.
Dr. Carter’s comprehensive approach considers both immediate needs and long-term goals, ensuring that early treatment provides maximum benefit and sets the foundation for optimal final results.
MYTH: It's better to wait until all permanent teeth have erupted before beginning treatment.
FACT: While comprehensive orthodontic treatment typically waits until most permanent teeth have erupted, certain problems benefit significantly from early intervention during periods of active growth. Dr. Carter’s expertise in growth analysis allows him to identify children who will benefit from early treatment.
Early intervention can take advantage of natural growth patterns to achieve results that may be more difficult or impossible to achieve later. The key is proper case selection and timing, which Dr. Carter’s experience and training provide.
MYTH: Early treatment is more expensive than waiting for comprehensive treatment later.
FACT: While early intervention does represent an initial investment, it often reduces the complexity and duration of future treatment, potentially saving money in the long run. Additionally, addressing problems early can prevent more serious issues that would be more expensive to treat later.
Dr. Carter’s team will help you understand the long-term value of early intervention and explore payment options that make early treatment affordable for your family.
Platte River Orthodontics - Gretna, NE
Ready to Start Your Journey to a More Confident Smile?
Your new smile is just a consultation away. Contact us today to schedule your complimentary Invisalign consultation. Our team will be happy to answer your questions, discuss your treatment options, and help you take the first step towards the beautiful, healthy smile you deserve.