More About Braces For Kids
Many children are ambivalent about getting braces. On 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. An orthodontic examination may be beneficial before age seven if facial or oral irregularities are noted.
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, some irregularities are acquired or greatly exacerbated by certain habits and behaviors such as:
Thumb or finger sucking
Prolonged pacifier use
Poor oral hygiene
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. These preliminary assessments are sometimes known as the “planning phase” because they aid the orthodontist in making a diagnosis and planning the most effective treatment.
In many cases, the orthodontist will recommend “fixed” orthodontic braces for a child. Fixed braces cannot be lost, forgotten or removed at will, which means that treatment is completed more quickly. Removable appliances may also be utilized, which are less intrusive and are generally used to treat various types of defects.
Here is a brief overview of some of the main types of orthodontic appliances used on children:
- Expanders – An orthodontic expander may be used in the upper jaw to widen it. Sometimes expanders are utilized so that the bottom and upper teeth fit together better and sometimes they are used to create more space in the upper jaw for braces. With more room in the upper jaw, braces can move teeth to their ideal positions more effectively.
- Arch development – A variety of removable expansion appliances are now available for early arch development. It is believed that if a child’s upper and lower arches are widened early; (before all permanent teeth have erupted) there is a better chance that the need for later orthodontic therapy will be minimized if needed at all. These appliances can be customized per the patient’s needs with various springs, crews and screw placement options.
- Fixed braces – Braces are comprised of brackets that are affixed to each individual tooth and an archwire that connects the brackets. The brackets are usually made of metal, ceramic, or a clear synthetic material which is less noticeable to the naked eye. After braces have been applied, the child will have regular appointments to have the braces adjusted by the orthodontist. Orthodontic elastic bands are often added to the braces to aid in the movement of specific teeth.
- Headgear – This type of appliance is most useful to treat developmental irregularities. A headgear is a custom-made appliance attached to wire that aids in tooth movement. A headgear is intended to be worn for 12-20 hours each day and must be worn as recommended to achieve the intended result.
- 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 that 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.