Braces for Children

Braces for Children: When and Why

When Should Children Get Braces?

The ideal age for an orthodontic evaluation is around 7 years old, as recommended by the American Association of Orthodontists (AAO). At this stage, children have a mix of baby and permanent teeth, allowing orthodontists to detect potential issues early. However, not all children need braces immediately—some may require early intervention (Phase 1 treatment), while others can wait until most permanent teeth have erupted (typically ages 11-14).

Signs a Child May Need Braces Early (Phase 1 Treatment, Ages 7-10)

  • Severe crowding (not enough space for permanent teeth)

  • Crossbite (upper teeth sit inside lower teeth)

  • Protruding front teeth (increased risk of trauma)

  • Underbite or severe overbite

  • Thumb-sucking or tongue-thrusting habits affecting jaw growth

Comprehensive Braces (Phase 2 Treatment, Ages 11-14)

Most children get braces between 11 and 14 years old, when most permanent teeth (except wisdom teeth) have come in. At this stage, full braces (like MBT braces) or clear aligners can effectively straighten teeth.

Why Should Children Get Braces?

Early or timely orthodontic treatment offers several benefits:

1. Guides Jaw Growth & Prevents Severe Problems

  • Expanders or limited braces in childhood can correct jaw misalignment before it worsens.

  • Helps avoid surgery or extractions later in life.

2. Creates Space for Permanent Teeth

  • Prevents impaction (teeth getting stuck in the gums).

  • Reduces the need for tooth extractions in the future.

3. Improves Oral Health

  • Straight teeth are easier to clean, reducing cavities and gum disease.

  • Prevents uneven wear on teeth from misaligned bites.

4. Boosts Confidence & Social Well-being

  • Children with crooked teeth may face teasing or low self-esteem.

  • A straighter smile can improve social interactions and confidence.

5. Prevents Speech & Chewing Difficulties

  • Misaligned teeth can affect speech (lisping, pronunciation).

  • Proper bite alignment improves chewing efficiency and digestion.

Is It Painful for Children?

  • Mild discomfort is common after braces are placed or adjusted.

  • Soreness lasts 3-5 days and can be managed with soft foods and children’s pain relievers.

  • Orthodontic wax helps with bracket irritation on lips/cheeks.

What to Expect During Treatment?

  • Regular check-ups every 4-8 weeks for adjustments.

  • Good oral hygiene is crucial to avoid cavities or white spots.

  • Retainers are needed after braces to maintain results.