A Parent’s Handbook on Pediatric Orthodontics


As a parent, you want the best for your child, including a healthy and beautiful smile. But when it comes to pediatric orthodontics, there are a lot of questions and concerns that may arise. What age should my child see an orthodontist? Are braces necessary for children? How do I know if my child needs orthodontic treatment?

When it comes to kids orthodontics, child braces play a crucial role in correcting dental and facial irregularities in children. Pediatric dentistry focuses on providing specialized care for young patients, ensuring that their orthodontic needs are met with precision and expertise. Children’s braces, whether traditional metal braces or more discreet options like ceramic braces or Invisalign, can help children achieve a healthy and beautiful smile while promoting proper oral health and overall well-being.

In this comprehensive guide, we’ll answer all your questions and provide you with the information you need to make informed decisions about your child’s orthodontic care.

What is Pediatric Orthodontics?

Pediatric orthodontics is a specialized branch of dentistry that focuses on the diagnosis, prevention, and treatment of dental and facial irregularities in children. It involves the use of braces, aligners, and other orthodontic appliances to correct misaligned teeth and jaws.

When Should My Child See an Orthodontist?

The American Association of Orthodontists recommends that children have their first orthodontic evaluation by the age of 7. This is because by this age, your child’s permanent teeth have started to come in, and any potential issues can be identified and addressed early on.

However, this does not mean that your child will necessarily need orthodontic treatment at this age. In fact, most children will not require any treatment until they are in their early teenage years. But by having an early evaluation, an orthodontist can monitor your child’s growth and development and intervene if necessary.

Signs Your Child May Need Orthodontic Treatment

While an orthodontist will be able to determine if your child needs orthodontic treatment, there are some signs that you can look out for as a parent. These include:

  • Crowded or crooked teeth
  • Difficulty chewing or biting
  • Early or late loss of baby teeth
  • Mouth breathing
  • Thumb sucking or other oral habits
  • Protruding teeth
  • Jaws that shift or make sounds
  • Speech difficulties
  • Biting the cheek or roof of the mouth
  • Teeth that do not meet properly when biting down

If you notice any of these signs in your child, scheduling an orthodontic evaluation is best to determine if treatment is necessary.

Types of Orthodontic Treatment for Children

There are several types of orthodontic treatment available for children, depending on their specific needs and preferences. These include:

Traditional Metal Braces

Traditional metal braces are the most common type of orthodontic treatment for children. They consist of metal brackets that are attached to the teeth and connected by wires and rubber bands. These braces are highly effective in correcting a wide range of orthodontic issues and are often the most affordable option.

Ceramic Braces

Ceramic braces are similar to traditional metal braces, but the brackets are made of clear or tooth-colored material, making them less noticeable. They are a popular choice for older children and teenagers who may be self-conscious about wearing braces.


Invisalign is a popular alternative to traditional braces for children and teenagers. It consists of a series of clear, removable aligners that gradually shift the teeth into their proper position. Invisalign is virtually invisible and can be removed for eating and brushing, making it a convenient option for busy kids.

Other Orthodontic Appliances

In addition to braces and aligners, there are other orthodontic appliances that may be used to correct specific issues in children. These include:

  • Palatal expanders: Used to widen the upper jaw to create more space for permanent teeth to come in.
  • Headgear: Used to correct overbites or underbites by applying gentle pressure to the teeth and jaws.
  • Retainers: Used to maintain the results of orthodontic treatment and prevent teeth from shifting back to their original position.

The Benefits of Pediatric Orthodontics

Orthodontic treatment offers more than just a straighter smile for children. It can also have a positive impact on their overall oral health and well-being.

Improved Oral Health

Misaligned teeth and jaws can make it difficult to properly clean and care for the teeth, leading to an increased risk of tooth decay, gum disease, and other oral health issues. Orthodontic treatment can help align the teeth and jaws, making it easier to maintain good oral hygiene.

Boost in Self-Esteem

A beautiful smile can do wonders for a child’s self-esteem and confidence. By correcting any orthodontic issues, children can feel more confident in their appearance and be less self-conscious about their smile.

Better Chewing and Speech

Misaligned teeth and jaws can also affect a child’s ability to chew and speak properly. Orthodontic treatment can help improve these functions, making it easier for children to eat and communicate.

How to Prepare Your Child for Orthodontic Treatment

If your child needs orthodontic treatment, it’s important to prepare them for the process. Here are some tips to help your child feel more comfortable and confident about their treatment:

  • Explain the process: Talk to your child about what to expect during their orthodontic treatment. Explain how braces or aligners work and how they will help improve their smile.
  • Address any concerns: If your child has any fears or concerns about the treatment, address them and reassure them that everything will be okay.
  • Involve them in the decision-making: If your child is old enough, involve them in the decision-making process. Let them choose the color of their braces or the design of their aligners to make them feel more in control.
  • Encourage good oral hygiene: Proper oral hygiene is crucial during orthodontic treatment. Encourage your child to brush and floss regularly and remind them to clean their braces or aligners as instructed by their orthodontist.

Finding the Right Pediatric Orthodontist

When it comes to your child’s orthodontic care, it’s important to find a qualified and experienced pediatric orthodontist. Here are some tips to help you find the right one:

  • Ask for recommendations: Ask your child’s dentist or other parents for recommendations.
  • Research online: Look for reviews and testimonials from other parents.
  • Schedule a consultation: Most orthodontists offer free consultations, so take advantage of this to meet with the orthodontist and ask any questions you may have.
  • Consider their experience and qualifications: Make sure the orthodontist is board-certified and has experience working with children.
  • Evaluate their office and staff: The office should be clean and child-friendly, and the staff should be welcoming and knowledgeable.


Pediatric orthodontics is an essential aspect of your child’s oral health. By understanding the basics of pediatric orthodontics and finding the right orthodontist, you can ensure that your child receives the best possible care and achieves a healthy and beautiful smile. Remember to schedule regular check-ups with your child’s orthodontist to monitor their progress and address any concerns that may arise. With the right treatment and care, your child can have a confident and healthy smile for years to come.

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Dr. Matthew Schwed

Dr. Matthew Schwed

Dr. Schwed holds a Doctorate of Dental Surgery from New York University and completed his advanced pediatric dentistry training at Brookdale University Medical Center in Brooklyn. He is Board-Certified in Pediatric Dentistry. His professional interests include studying the biological underpinnings of tooth decay and oral disease, particularly focusing on the oral-systemic connection, which underscores the significant impact of oral health on overall well-being. He has also delved into advanced studies in laser dentistry, particularly in treating oral diseases and structural defects like tongue and lip ties.

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