When Do Kids Get Braces? The Ultimate Guide for Parents

When Do Kids Get Braces?

a boy smiling with braces

The Austin orthodontics journey towards a perfect smile is most often paved with traditional metal braces here in Texas like everywhere else. This orthodontic tool has been instrumental in correcting dental imperfections, improving oral health, and boosting self-esteem for millions of individuals worldwide. However, many parents often ask themselves: “What age can kids get braces?” or “What age do kids get braces?”, although some now also look for clear aligners brands such as Invisalign Teen as a treatment option, or even clear braces. Usually, parents think of pediatric dentists when their kids have dental issues and often forget about the orthodontist.

Pediatric dentistry usually focuses more on the tooth itself and their restorative process, and sometimes restorative processes of facial malformations at birth. A pediatric dentist has minimal dental experience in growth and development compared to a dentist, and only sometimes has some experience addressing it with appliance therapy. An orthodontist deeply studies all the growth and development of the face and learns how to subtly detect abnormalities like no other dental specialist. It is a regular question in our orthodontic clinic, when we find a large issue “But we have been going to the dentist or pediatric dentist and nobody ever told us this before! And sadly, sometimes it can be too late before surgery is needed as part of the therapeutic plan.

Understanding Orthodontics and Dentofacial Orthopedics: what age do kids get braces?

Orthodontics is a specialized field of dentistry that’s not just about straightening teeth. It’s also about diagnosing, preventing, and addressing dental and facial abnormalities to improve both function and appearance.

Dentofacial orthopedics is a specialized area within orthodontics which focuses on guiding facial growth and development, particularly in children. It is not a subspecialty of pediatric dentistry. As Dr. David Carpinello, a popular orthodontist in Drexel Hill, PA, says, orthodontics covers more than just teeth, it also guides how the face and jaws grow. The name of our specialty is “Orthodontics and Dentofacial Orthopedics” because the specialist Dr has to know how the face grows, how muscle imbalances affect the bones and how to intervene to modify it when needed.

These fields cover and treat a broad range of conditions that can warrant early interventions. For instance, habits like tongue thrusting or mouthbreathing can have long-term effects on dentition and jaw appearance. If left untreated, these conditions might require surgical correction later in life to achieve the best smile and recover self confidence.

Understanding Orofacial Myofunctional Disorders and Early Orthodontic Treatment

Orofacial myofunctional disorders (OMDs) encompass a variety of conditions that involve the muscles and functions of the face and mouth. These can include mouth breathing, tongue thrusting and inadequate posturing, and persistent sucking habits of the fingers, lip or objects. The best orthodontists pay close attention to these disorders and treating them is crucial for good health. If left untreated, OMDs can lead to improper muscle function, abnormal swallowing patterns, and even skeletal deformities that if not caught early can only be corrected surgically, with costs often surpassing $20,000, when addressing them early could have reasonable prices.

The Impact of Mouthbreathing

Mouthbreathing is a common issue among children, often resulting from airway restrictions or nasal congestion. However, chronic mouthbreathing can have significant implications for craniofacial development. It can lead to a condition known as “long face syndrome,” characterized by a long, narrow face, a high-arched palate, and an open bite.

At what age can kids get braces

Early intervention can help patients address these issues. For instance, myofunctional training, strengthening the hyoid muscles and educating tongue position with exercises, or oral appliance therapy with expanders on tongue trainers can promote optimal tongue function and positioning, reducing symptoms of sleep-disordered breathing and modifying mouthbreathing habits. Our clinic and office is equipped with a CT scan where we can not only detect but measure the benefit of our therapies and detect anatomical abnormalities or discard them, identifying the cause and referring the patient to the proper professional for multidisciplinary treatment plan options, such as an ENT. For instance, we are one of the few offices in Austin tx that offer patients a free CT Scan (3D x rays) as part of our free consultation. ENTs charge up to $800 for those and very few orthodontic offices have them.

Tongue Posture and Thrust: Potential Consequences

Tongue thrusting refers to pushing the tongue against or between the arches while swallowing, speaking, or at rest. This abnormal tongue function can contribute to dental issues, such as open bites, spacing, anterior crossbites (underbites) and misalignments in different areas of the dentition. Furthermore, improper tongue posture can lead to atypical swallowing patterns and exacerbate orthodontic problems.

Orthopedic interventions can help improve tongue posture and function. Treatment options may include orofacial myofunctional therapy, which aims to establish correct swallowing patterns and proper tongue resting positions.

When do kids get braces?

Finger and Lip Sucking Habits: The Need for Early Intervention and identification by Pediatric Dentistry

Nonnutritive sucking habits, such as finger or pacifier sucking, can significantly influence craniofacial growth7. These habits can result in atypical swallowing, oral breathing, and skeletal changes, including open bites and crossbites.

Early functional orthodontic treatment can help patients manage these bad oral habits and guide proper jaw development7. Pediatric dentistry professionals can also provide patient guidance on habit cessation techniques to prevent long-term dental and skeletal effects.

The Role of Early Orthopedic Intervention in the Dental Office

Early orthopedic intervention plays a crucial role in addressing these issues. By identifying and managing these habits early, healthcare professionals can guide proper craniofacial growth and reduce the need for extensive orthodontic care later in life.

In conclusion, the importance of early orthopedic intervention in managing breathing, tongue posture and thrust, and finger and lip sucking habits cannot be overstated. These habits can have significant effects on craniofacial growth and development, highlighting the need for timely detection and treatment. Most often, the optimal maturity time for treating lack of space issues in my practice is around 9, when their little oral cavity and psyche are a bit more developed to withstand the experience in the chair. But for situations such as underbites and underdeveloped upper jaws and underbites, treatment must be done by 7 years old. Dr Viecilli and the staff of the practice will work with the parents as a team on the psychological aspects of how to best prepare your child for appliance treatment.

The Early Loss of Baby Teeth: A Concern for Parents

One common issue that parents encounter is the early loss of baby teeth in their children. Losing them too soon can lead to space loss in the dental arches and crowding, affecting the alignment of the permanent ones that are yet to come3. This is where early intervention from an orthodontist comes into play. By guiding the growth and development of the jaws, orthodontists can ensure adequate space for the eruption of the permanent dentition and potentially minimize the need for future orthodontic care.

The Role of the Dr Orthodontist in Dental Health Services

Orthodontists are dental specialists who have undergone additional years of rigorous training after dental school. Their training equips them with the expertise to manage complex conditions that general dentists may not be equipped to handle. These conditions include malocclusions (improper bites) and facial irregularities. These are reasons kids should get braces or appliances.

Recognizing the importance of early intervention, to make it clear, the American Association of Orthodontists recommends that every child should have their first check-up with an orthodontist no later than age 7. It is the best age for his early evaluation because it allows for the timely identification of potential issues and the planning of future service, if necessary.

Timing of Orthodontic Care: Not a One-Size-Fits-All Approach

When it comes to the timing of orthodontic care, there’s no one-size-fits-all answer for doctors. The appropriate timing for appliances, traditional braces or clear trays, or even the extraction of a tooth or more in severe cases, varies greatly depending on the individual’s specific needs and the nature of the problem.

Although many times braces are needed after primary treatment to address lack of space for permanent tooth eruption when others inside the bone are at risk of damage, general guideline is that the most suitable time to consider placing ceramic braces or regular brackets is usually the first visit after all primary dentition has been replaced by permanent dentition, which typically happens around ages 10 to 14. By this time, significant growth has occurred, allowing for efficient and effective treatment.

Braces for kids: The Importance of Early Intervention in Orthodontics

While the range of 10 to 14 years old is often ideal for the initiation of comprehensive orthodontic procedures, certain problems may benefit from earlier intervention. Early treatment, also known as Phase I treatment, can help guide jaw growth, correct harmful oral habits, lower the risk of trauma to protruded front dentition, and guide them into a more favorable position.

The Multifaceted Benefits of Orthodontics

Our services serve several critical purposes beyond just straightening crooked teeth here. They can provide solutions for issues such as grinding, jaw alignment, gum health, and injury prevention.

Teeth Grinding and Deep Overlap of the anterior dentition

Teeth grinding, or bruxism, can lead to enamel wear and tear, increased tooth sensitivity, and even fractures in the dentition. Braces can help alleviate this issue by correcting the anterior overlap of teeth that locks the jaw, thus reducing the tendency to grind. One of the perks of Invisalign is that it can help control grinding and bruxing habits by shifting the bite position to the front teeth, triggering a proprioception mechanism that decreases the grinding force. Additionally, it also protects the the dental enamel against wear.

Jaw Alignment

Misalignment of the jaw can cause difficulties in speaking, breathing, and eating. By aligning the dentition and improving the fit of the teeth, orthodontics can enhance jaw function.

The Role of Braces in Gum Health

Straight teeth are easier to clean, reducing the likelihood of plaque build-up and subsequent gum disease. Crowding has been determined to be the number one factor for calculus formation which can contribute to periodontal disease, tooth mobility and loss. Through orthodontic alignment, we can contribute to improved oral hygiene and healthier gums. Here in Austin and in Texas, people have a sweet tooth, so this becomes even more important!

Injury Prevention through Orthodontics

If the dentition is protruding on the front are, they are more prone to injury, especially in individuals engaged in contact sports. Braces can correct this, thereby reducing the risk of traumatic injuries.

When Can Kids Get Braces: A Closer Look

While the ideal age to get braces is usually when most permanent dentition is present, these days it happens around 11 to 12 years old. All permanent dentition should have erupted, with the exception maybe of the second molars, which we normally engage later anyway. Orthodontic consultations should begin much earlier. Taking your child for a consultation at age 7 allows the best Austin tx orthodontist around to monitor their growth and development and intervene at the optimal time for the best possible outcome. A dentist or pediatric dentist may miss many issues, and it’s not their fault, it’s just that orthodontists are specialists in this.

Visiting the Austin Orthodontics Office in Adulthood: It’s Never Too Late!

Braces are not exclusively for children, kids, teens or teenagers. More and more adults are seeking orthodontic services to improve their smiles and oral health. Whether they missed out on braces during childhood or there was shifting of the dentition over time, adults can benefit significantly from orthodontic treatment. before placing implants or restorative procedures.

In some instances, adults with severe jaw discrepancies may require a combination of orthodontic care and orthognathic (jaw) surgery. This combined approach can dramatically improve facial aesthetics and function these patients.

Adjusting to Braces: A Parent’s Role

Parents and even friends play a crucial role in helping their family, dentist and their children adjust to braces. From building excitement about the treatment to teaching good oral hygiene and preparing the family and kids for potential discomfort, parents can provide their family with much-needed support throughout the orthodontic journey as an adventure here in Austin TX.

Building Excitement About Orthodontic Treatment

One way parents can help their children adjust to braces is by building excitement about early orthodontic treatment. You can do this by focusing on the ultimate positive outcomes of it such as a beautiful, healthy smile and harmonized esthetic facial structure.

Teaching Good Oral Hygiene with Braces in Austin

Another crucial role for parents is teaching their children good oral hygiene while wearing braces. This includes showing them how to brush carefully around the brackets and wires to prevent tooth decay and gum disease. In Texas, patients are known to have a sweet tooth. Sometimes Invisalign Teen can be a good option for patients with neurological or anatomical difficulties to brush, as there is a lot less tendency for plaque to accumulate and cause inflammation that can lead to bone loss- an undesirable side effect for the kids and a headache for the Austin Dr.

Preparing for Potential Discomfort from Braces

It’s also important to talk openly with your child about any potential discomfort they may experience while wearing braces. Let them know that they might feel a bit sore after adjustments but reassure them that this discomfort is temporary. Invisalign Teen or some other clear aligner may be an option for compliant kids that are more sensitive to braces discomfort. Retainers are not always needed at the end of early treatment but we always recommend a personalized regimen for their wear after comprehensive orthodontics of the adult dentition is completed.

A Confident Smile at Anytime with a Top Contender for Austin Best Orthodontist!

At Limestone Hill Orthodontics, we believe in the power of a beautiful smile for everyone from 7 to 80 or beyond. Whether you’re considering orthodontic care for your child with brackets or Invisalign, or contemplating braces as an adult here in Austin, our dedicated team is here to guide you every step of the way. With a personalized approach to care with the traditional hospitality known here in Austin TX, we’re committed to helping you achieve the smile of your dreams. If you or your kid are a potential new patient and found us after googling and like what you’ve read, contact our friendly staff in the office today to schedule a consultation that is totally free now, and let’s embark on this journey together!

How to Brush Your Teeth with Braces

Caring For Braces

Rodrigo F. Viecilli, DDS, PhD

Orthodontist Austin TX

We are known for creating beautiful smiles. Here are some tips for taking care of your braces.

Ortho Care

Take especially good care of your teeth during orthodontic treatment. By brushing and flossing regularly, you’ll keep your teeth and gums at their best and ensure that your orthodontic treatment will deliver the healthiest smile possible.

When your braces come off, you’ll see that your extra efforts have been rewarded with a healthy, great-looking smile that’s good for life! If you fail to spend a little extra time caring for your braces, you may end up with white spots on your teeth once the braces are removed. This is an unsightly condition that no one wants.

Limestone Hills Orthodontics

Doing Your Part

To get the the healthy and beautiful smile that you want, you, your family dentist, friends and [Dr.] will have to work together as a team.

As the patient, you play the key part. It’s up to you to make sure that your treatment is successful. Most importantly, you must keep your teeth clean and maintain good dental hygiene while you’re wearing braces.

Proper dental care will take a little extra time and effort but the results are well worth it. It will help you enjoy the best possible smile from your orthodontic treatment.

Plaque Is Your Enemy

Plaque is a sticky, colorless film that collects on your teeth. It’s made of bacteria, food, and saliva. If you let plaque and trapped food stay on your and and around your braces, they can cause swollen gums, bad breath, cavities, and permanent marks on your teeth.

As your [city] orthodontist, we advise brushing your teeth regularly to remove this plaque. We teach all of our patients the correct way to floss while wearing braces to make sure you remove all plaque on a regular basis.

When to Clean

Brush thoroughly each time you have a meal or snack. If you can’t brush right away after a meal, be sure to at least rinse your mouth well with water until you can brush.

Carry a travel toothbrush so that you can brush when you aren’t home. At least once every day, brush your teeth and braces thoroughly until they are spotlessly clean, and then floss. This takes a little extra time, so you may want to do it at night before going to bed.

How to Brush

a girl holding a toothbrush

During your braces treatment, you will need to relearn the basics of brushing your teeth. Relearning this everyday task will teach you to pay attention to the cracks and crevices not only between teeth but around brackets and wires.

Keep these tips in mind when brushing your teeth with braces:

  • Use a fluoride toothpaste and a soft, rounded-bristle toothbrush that’s in good condition. Because braces wear out a toothbrush quickly, replace your brush as soon as it shows signs of wear.
  • Brush around all the parts of your braces and every surface of your teeth – fronts, sides and backs. Be sure to brush your tongue and the roof of your mouth. A good way to tell if you’re brushing correctly is if your braces look clean and shiny and you can see the edges of the brackets clearly.
  • Brush your gums gently and thoroughly.
  • Rinse thoroughly after brushing.
  • Inspect your teeth and braces carefully to make sure they are spotless. Look closely in a well-lighted mirror. This is a good time to check for loose or broken brackets. If you find a problem, contact [office name] to see if it needs to be checked out and if we need to schedule a time to make a repair.

How to Floss

Our helpful Austin orthodontist staff will help you learn proper flossing techniques when you choose us for your orthodontic care. These tips for flossing with braces will make the process smoother for you, and you’ll be a pro in no time.

  • Floss every night before you go to bed. That way, you won’t feel rushed.
  • When flossing with braces on, it might be necessary to use what’s called a floss threader. This reusable tool allows you to get dental floss underneath your archwire easily.
  • Make sure you clean carefully along and under the gumlines.
  • Flossing with braces on may seem like a difficult process, but it’s very important. And as with anything, a little practice will make it go a lot faster.

Other Hygiene Helpers

In addition to the regular dental hygiene tools we are familiar with like toothbrushes and floss, there are a few products we can recommend that make brushing teeth with braces a little easier to manage.

  • Interproximal Brush: This tool slips under your archwire to more completely remove plaque and food particles near your brackets.
  • Prescription Fluoride Toothpaste or Fluoride Rinse: Use once a day as part of your cleaning routine, if prescribed by [Dr.]. For the best results, use with your interproximal brush to deliver maximum fluoride protection to your teeth.
  • Power Toothbrush or Waterpik: These devices, such as the Oral-B Professional Series toothbrush, are designed to make brushing easier and more efficient.

Problems Caused By Poor Oral Hygiene

Dr. Jeryn Jacob a highly recommended orthodontist in Sunnyvale, TX agreed that good dental hygiene is critical during orthodontic treatment. Without it, plaque and food can accumulate around your braces.

The bacteria in plaque react with sugars and starches in food and form an acid that can eat away the enamel on your teeth, leading to white marks, cavities or gum disease.

  • If plaque accumulates around your braces, it can leave permanent stains on your teeth called decalcification. Lines and spots from decalcification will remain on your teeth for life.
  • Periodontal disease, caused by the build-up of plaque, occurs in three stages. In the first stage, plaque accumulation irritates the gums. Your gums may be puffy or swollen. They may bleed when you brush or floss. This is called gingivitis.
  • Over time, the build-up of plaque may harden into a substance called tartar. As tartar accumulates, gaps or pockets may form between your gums and teeth. Even more tartar can collect in these pockets. This is called periodontitis.
  • Pockets of bacteria form and deepen beneath your gums, attacking and destroying the bone that anchors your teeth. This can even cause healthy teeth to loosen or eventually fall out. This is called advanced periodontitis.

Early gum disease is reversible with professional help and good home care, but if you ignore it, it can get worse.

Gum disease is usually painless, so you need to pay attention to signs like bleeding, or swollen and puffy gums.

Carefully follow [Dr.] and staff’s directions on hygiene to avoid these problems.

Orthodontic Emergencies

You probably won’t experience a true orthodontic emergency, but Dr. Viecilli provides emergency orthodontic care in Austin TX. For instance, getting hit on the face and getting your braces stuck on your lips is an emergency. Emergencies of this type are rare. Our office only charges for true emergencies outside of business hours.  Dr. Viecilli will come see you when available for a fee. There are, however, minor issues that do happen from time to time, and you can come during our business hours for comfort adjustments, so it’s important for you to know how to handle them. They are not an emergency and do not require you to come to the office after hours.

Common Issues

a woman getting her teeth checked

The following orthodontic emergencies and their treatments are listed in the order from least severe to most severe. Only the most severe emergencies may require immediate attention by Dr. Viecilli.

Broken or Lost Retainer

Dr. Viecilli will usually suggest a removable Essix (clear plastic tray) type of retainer because what patients call a permanent retainer is not permanent at all. Those wire retainers are nowadays mostly used to keep spaces closed in the upper front teeth which tend to reopen easily.  Clear plastic retainers are more hygienic, don’t bend or unbend to inadvertently move teeth and are the choice most modern orthodontists recommend. And some people can wear them only once a week eventually to keep the teeth in place. If you have a broken or lost retainer, you have to call the practice a book a full examination before making a new retainer. The consultation is free.

Food Caught Between Your Teeth

This is not an emergency, but it can be uncomfortable or embarrassing. It’s easily fixed with a piece of dental floss.

Try tying a small knot in the middle of the floss to help remove the food, or use an interproximal brush or toothpick to dislodge food caught between your teeth and your braces.

Ligatures Coming Off

Tiny rubber bands or small, fine wires, known as ligatures, hold the wire to the bracket. If a rubber ligature should come off, you may be able to put it back in place using sterile tweezers. If a wire ligature comes loose, simply remove it with sterile tweezers.

If your wire ligature is sticking out into the lip but is not loose, you can bend it back down with a Q-tip or pencil eraser so it doesn’t irritate your lip. Of course, when one ligature pops off or breaks, others may follow.

Be sure to examine all ligatures. Missing or broken ligatures should be brought to the attention of the office. If a rubber or wire ligature is lost, tell the office so we can advise whether you should be seen.

Discomfort

It’s normal for you to have discomfort for a day or two after braces or retainers are adjusted, but it can make eating uncomfortable.

This discomfort is very normal and only for a short time.

Try eating soft foods and rinse the mouth with warm salt water.

Mouth Sores

You may be susceptible to mouth sores. While your braces don’t cause them, they may be made worse by irritation from braces.

One or several areas patches of sores may appear on the cheeks, lips or tongue. This is not an emergency, but may be very uncomfortable for you.

Get quick relief by applying a small amount of topical anesthetic (such as Orabase or Ora-Gel) directly to the area with sores using a cotton swab.

You can reapply as needed.

Irritated Lips or Cheeks

a boy with mouth open and mouth open with hands on his face

Sometimes new braces can irritate your mouth, especially when you’re eating. A small amount of non-medicinal relief wax makes an excellent buffer between the metal and your mouth.

Simply pinch off a small piece and roll it into a ball the size of a small pea. Flatten the ball and place it completely over the area of the braces causing irritation.

Then, you can eat more comfortably. If you accidentally swallow the wax, it’s not a problem. The wax is harmless.

Protruding Wire

Occasionally, the end of a wire will work itself out of place and irritate your mouth. Use a Q-tip or pencil eraser to push the wire so that it is flat against the tooth.

If the wire cannot be moved into a comfortable position, cover it with relief wax. (See Irritated of Lips or Cheeks above for instructions on applying relief wax.)

You’ll need to make the office aware of the problem.

In a situation where the wire is extremely bothersome and you can’t see the doctor anytime soon, you may, as a last resort, clip the wire.

Reduce the possibility swallowing the snipped piece of wire by using folded tissue or gauze around the area.

Use a pair of sharp clippers and snip off the protruding wire. Relief wax may still be necessary to provide comfort to the irritated area.

Loose Brackets, Wires, or Bands

If your braces come loose in any way, call the doctor to determine the next steps.

Brackets are the parts of braces attached to teeth with a special adhesive. They are generally positioned in the center of each tooth. The bracket can be knocked off if you’ve eaten one of those hard or crunchy foods you are instructed to avoid, or if the mouth is struck while at play.

We encourage all patients, especially those with braces, to wear a protective mouth guard while playing sports.

If the bracket is off center, the adhesive may have failed. In this instance, it is best to immediately notify [Dr.], who will determine the course of action.

If the loose bracket has rotated on the wire and is sticking out and you can’t come to our office immediately, you can do a temporary fix to alleviate discomfort and prevent further damage, but take care to prevent swallowing or another injury.

To put the bracket back in place, use sterile tweezers to slide the bracket along the wire until it is between two teeth.

You Swallow a Piece of Your Appliance

This is rare, but when it does happen, it can be alarming but stay calm.

If you’re coughing excessively or having difficulty breathing, you may have inhaled the piece into your airways or lungs.

If you are able to see the piece, you may carefully attempt to remove it.

DO NOT make the attempt if you could cause harm.

If appropriate under the circumstances, examine your braces for problems that may result from the missing piece, such as looseness or irritation, and treat as specified above.

If you are unable to see the piece and believe it could have been inhaled, call and leave a voicemail and text the office immediately.