Braces for Children

Many children are ambivalent about getting braces. On the one hand, they like the idea of perfect teeth, but on the other hand they are nervous about whether the braces will cause pain and discomfort. The good news is that the placement of orthodontic braces is not at all painful, and the end result will be a beautiful straight smile.

Although patients of any age can benefit from orthodontic braces, they tend to work much quicker on pre-teens and teenagers since they are still experiencing jaw growth. The American Association of Orthodontists (AAO) recommends that children should first see an orthodontist around the age of seven years-old. Noticing facial or oral irregularities may make an orthodontic examination beneficial for children before age seven.

What Causes misalignment of teeth?

Poorly aligned teeth often cause problems speaking, biting and chewing. Most irregularities are genetic or occur as a result of developmental issues. Conversely, certain habits and behaviors can acquire or greatly exacerbate some irregularities, such as:

• Mouth breathing
• Thumb or finger sucking
• Prolonged pacifier use
• Poor oral hygiene
• Poor nutrition

What’s involved when a child gets braces?

The orthodontist initially conducts a visual examination of the child’s teeth. This will be accompanied by panoramic x-rays, study models (bite impressions) and computer generated images of the head and neck. Orthodontists use these preliminary assessments, known as the “planning phase,” to diagnose and plan the most effective treatment.

In many cases, the orthodontist will recommend “fixed” orthodontic braces for a child. Fixed braces stay in place, preventing loss, forgetfulness, or removal at will, which accelerates treatment. We can also use removable appliances, which are less intrusive and typically treat various types of defects.

Here is a brief overview of the main types of orthodontic appliances we use for children:

• Fixed braces – Braces consist of brackets affixed to each tooth and an archwire that connects the brackets. We typically make the brackets from metal, ceramic, or a clear synthetic material that is less noticeable to the naked eye. After applying braces, the orthodontist will schedule regular appointments to adjust them. The orthodontist often adds elastic bands to the braces to help move specific teeth.
• Headgear – This type of appliance is most useful to treat developmental irregularities. We attach a custom-made headgear to a wire, and the patient wears it to aid in tooth movement. Patients must wear the headgear for 12-20 hours each day as recommended to achieve good results.
• Retainers – Retainers are typically utilized in the third phase (retention phase). When the original malocclusion has been treated with braces, it is essential that the teeth do not regress back to the original misalignment. Wearing a retainer ensures the teeth maintain their proper alignment, and gives the jawbone around the teeth a chance to stabilize.
• If you have questions about braces for children, please contact our office.