Child Orthodontics

By Danine M. Fresch, DDS

Many pre-teens and young teenagers have colorful smiles -- they wear braces. Today's braces bear little resemblance to the "train tracks" that baby boomers may remember from their youth -- they're updated in style and make a colorful fashion statement that's good for their teeth!

Why Do Kids Wear Braces?

It's not surprising that many teenagers wear braces. Dental experts estimate that more than two-thirds of the population need braces to correct problems that occur, including teeth that protrude or are crooked, teeth that overlap and crowd each other, and teeth that have gaps between them. In addition, some children need braces to align their teeth and correct their bite. Whatever the condition, children recognize that they will enhance their appearance in the long term. Parents know that they are actually making an investment in their child's health and appearance.

What Happens If They Don't?

Not everyone who needs braces gets them. Children who have problems with their teeth will not outgrow them, nor will their teeth "just take care of themselves." Teeth that are crooked or overlapping will stay that way, and will be difficult to clean, which can lead to bacteria growth and gum disease. Bites that need correcting will cause difficulty in biting or chewing as time goes on. Teeth that are not aligned correctly may wear the enamel more quickly, which exposes the teeth to more damage.

When Should My Child Visit an Orthodontist?

It's a good idea to schedule an appointment with an orthodontist when your child's permanent teeth appear, sometime between the ages of five and seven. Your dentist may recommend an orthodontist in your area. You may also ask friends whose children have had braces if they have any recommendations.

An early appointment is advised to spot any potential problems that require treatment. Timing is critical since delaying treatment can multiply some dental problems. The orthodontist will be able to tell you how your child's mouth is developing and whether any problems exist. At early ages, children's jaws are still growing; at about age 12, the mouth and jawbones begin to harden. Some children at the earlier ages require a retainer, which sometimes eliminates the need for braces at a later age. After this age any structural work may require complex surgery so early treatment is advised.

Smile -- Straight Teeth in Progress!

Because so many children have braces these days, much of the stigma of braces has disappeared. In fact, braces are often viewed as a fashionable rite of passage. While your child may experience some good-natured ribbing at first, chances are that lots of classmates have braces, too. Remind them that their smile -- and their dental health -- is important to you, and that it won't be long before the braces give way to straight, healthy teeth, guaranteed to make them smile!