Phase 1

Prosper & Melissa Phase 1 Orthodontics

Braces for Our Younger Patients

As your child is developing, some changes can be made at an earlier age that cannot be made at a later age. The American Dental Association (ADA) and the American Association of Orthodontists (AAO) recommend that a child is evaluated as early as the age of 7 to determine if the teeth and bones are developing properly.

At an initial consultation for Phase I early orthodontic treatments, we will examine the child's teeth and jaw relationships for abnormalities in bite, growth, and spacing.

Indications for Phase 1 treatment include:

  • Thumb or finger habits
  • Mouth breathing habits
  • Speech issues
  • Tongue thrust
  • Chewing and/or biting difficulties
  • Crowding of baby teeth
  • Cross bite: upper jaw is on the inside of the lower jaw
  • Underbite: lower jaw is in front of upper jaw
  • Protruding upper teeth: upper teeth are pushed out from lower teeth or lower jaw is far back from upper jaw
  • Upper and lower teeth do not meet

If you would like to learn more about Phase I treatment and appliances, please call (972) 934-6222 to schedule a FREE consultation with Dr. Bietsch.

What Is Phase 1 Orthodontics?

Dr. Bietsch recommends that patients be seen by the age of 7 to be sure the bones and teeth are developing properly. Intervening at this time allows him to modify skeletal growth and tooth eruption to improve the child's overall facial balance, skeletal relationship, and minimize the chances of removing permanent teeth or jaw surgery in the future.

Your child may not show any signs or have multiple problems that may need to be addressed. At our office, we can start the process early to help avoid more aggressive, invasive treatments such as jaw surgery or longer time in braces.

What to Expect

During Phase I, you can expect that our orthodontic team will be laying the footwork for your child's orthodontic future by making room for the permanent teeth to come in and help correct the framework of the jaw's growth and bite alignment. Phase 1 with orthodontic appliances can be as short as 6 months or last up to 18 months. Baby teeth can continue to fall out and permanent teeth can erupt during this process.

Each Phase 1 treatment looks different for each child. Your child will have a customized treatment plan addressing any concerns that were discussed to give him or her a healthy smile and bite.

Upon completion of Phase 1 treatment, retainers are given to hold correction and allow the rest of the permanent teeth to develop and erupt. Dr. Bietsch will continue to monitor growth and development and determine if Phase II will be necessary to correct the remainder of the teeth that have erupted.

Let’s Get Started Today!

Whether your child has a genetic predisposition to orthodontic problems, has a habit of thumb-sucking, or has developed abnormalities in the growth of the jaw; getting your child in a routine of good oral hygiene practices (brushing their teeth after meals, flossing the teeth, and using mouthwash) is always a good idea to maintain the best oral health.

Bietsch Orthodontics can help decide how to best treat these problems at an early age. We are a compassionate team, ready to help your child with Phase I treatment. Dr. Bietsch and our orthodontic team members will be gentle and caring with your child and will always explain what is going on during the appointments to him or her while laying down the footwork for effective, corrective care.

We look forward to meeting you and your child at your complimentary consultation in our offices in Prosper & Melissa, TX. Call (972) 934-6222 today!

Patient Experiences

Opinions We Cherish Most
  • “I chose to see Dr. Bietsch from a referral from a friend. I am so happy that I did. The entire consult was all about my son and never about the doctor. I was so impressed that I chose to see him myself for some orthodontic work.”

    - Amy
  • “We love Dr. Bietsch's office. It's very easy to find a qualified orthodontist, but more difficult to find the combination of highly qualified, and caring. I feel like going above and beyond, is just normal for Dr. Bietsch and his staff.”

    - Kelly
  • “I was walked through each x-ray, necessary procedure and plan to align a jaw, straighten teeth, and make sure both my children and I were going to be happy with the results. Very impressed.”

    - Aimee

Our Smile Specialists

Experienced & Caring
  • Dr. Tom  Bietsch Photo
    Dr. Tom Bietsch


    Having practiced orthodontics for more than 19 years, I am excited to offer Prosper residents a place where they can attain their best smile in a compassionate and fun environment. Originally from Chicago, I knew as a teen that I wanted to be an orthodontist. My neighbor was an orthodontist and he gave me the confidence and reassurance by volunteering in his office that being an orthodontist was my calling. I love watching patients' confidence and self esteem grow as their smile is enhanced and ...
  • Bianca   Photo

    Treatment Coordinator

    Bianca was born and raised in Alaska where she developed her love for animals and the outdoors. She loves any reality show about Alaska, all types of music, bike riding with her husband and 3 boys and attending outdoor concerts. Her favorite foods are cheese pretzels, McDonalds Hot Fudge Sundae's and, due to her Italian heritage, she has a special love for spumoni ice cream! Bianca has been in the Medical/Dental field for over 11 years. As treatment coordinator she loves helping Dr. Bietsch ...
  • Kirsten   Photo

    Financial Coordinator

    Kirsten has been in the dental field for over 5 years now. She loves solving puzzles and working with numbers to create solutions for our patients. This includes everyone's favorite, Insurance! If there is a way to get an insurance company to pay benefits, Kirsten will find it! She also has an amazing talent of remembering everyone's name and fun random facts about our patients and their families. Kirsten is a native Texan from the beaches of South Texas. She is married and has a funny 9 year ...
  • Jessica   Photo
    You can find Jessica and her husband every weekend on the baseball fields cheering on their 2 boys. Four wheeling and camping are just a few activities that Jessica enjoys. Jessica enjoy shopping, hibachi food, country and Christian music. Jessica is a veteran to orthodontics with 16 years as a dental technician and brings a caring and experienced hand to Bietsch Orthodontics.
  • Lilee   Photo
    Bio Coming Soon!
  • Monica   Photo
    Monica's favorite thing about her home state of Texas is the people and delicious food you find everywhere. Family is everything to Monica and you can find her enjoying skydiving, camping, fishing or trying exotic foods such as shark when she is not working. Monica has been working in the dental field for 6 years and absolutely loves her position as a scheduling coordinator here at Bietsch Orthodontics.
  • Willow   Photo
    Willow has a special love for the outdoors and the freedom of being in nature. She loves camping, hiking, fishing, riding atv's and enjoying all this with her sweet son Blake. Willow has been in the dental field for over 4 years and is our financial coordinator here at Bietsch Orthodontics. Willow enjoys music and poetry. Her favorite poem is called "If i were the sun"
  • Zeke   Photo
    Zeke comes to Bietsch Orthodontics with over 17 years in the dental field. Zeke served in the US Army as a Dental Technician who specialized in orthognathic surgery. Happily married to his wife Michelle, they just welcomed their 1st child "Ariella" who is the sweetest little girl. When Zeke is not with his family you can find his cooking, grilling, or hiking.
  • ESPiN   Photo


    Meet our mascot, ESPiN! You may see ESPiN at local sporting or community events meeting and greeting people. Snap a selfie with ESPiN and give our mascot a high five! Hugs are welcome, too. BIETSCH Orthodontics wouldn't be the same without our smiling, spirited friend. ESPiN loves to see patients of all ages with brilliant new smiles and is available in the office for patients when they may need a little encouragement during their treatment.

Confident Smiles
Start Here

Call us at (972) 934-6222 to start your journey to bright and healthy future.Confident Smiles Start Here

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Bietsch Orthodontics

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