Braces for Kids

Does my child need braces?

Strictly speaking, few children really "need" braces. Crooked teeth are generally a cosmetic problem, not a health problem. But since teeth are so important to a person's appearance, braces are often worth the investment. There are lots of reasons why an orthodontist might recommend braces for your child, including severe overbite, crowded or crooked teeth. Braces will help teeth grow in straight and evenly spaced, the best foundation for a nice smile.

Are thumb suckers more likely to need braces?

Most bite problems are inherited, so you usually can't blame thumb sucking or anything else other than genes. Thumb sucking in the toddler and preschool years is really unlikely likely to do any long-term damage. But if they're still sucking when their permanent teeth start to come in usually around age five, it's possible the growing teeth could get sucked out of place, creating crowding or an overbite.

How do braces work?

Typical braces consist of tiny brackets attached to the front of the teeth that are connected with a wire. The orthodontist adjusts the wire every four to six weeks to pull the teeth into the position. Sometimes the brackets can be put on the back of the teeth, making the braces less noticeable. Depending on the severity of the bite problem, the orthodontist might recommend rubber bands that put extra pressure on the teeth to help pull them into place. When the braces come off, your child will likely wear a retainer (a removable mouth appliance) to help keep the teeth in place until the jaw stops growing.

Do braces hurt?

Today's braces are very comfortable compared to the models from past generations. Because orthodontists can glue brackets directly to the teeth, they don't have to force metal bands around each tooth. The wires are more flexible, too, so they don't cause much unnecessary pressure. Your child may still feel a little sore for a day or two after the braces are tightened. A little acetaminophen or ibuprofen should help ease the discomfort.

How long will my child have to wear braces?

Every case is different, of course, but most kids wear braces for one to three years. Your orthodontist can give you a cost estimate after examining your child's teeth, including using x-rays.

References

American Dental Association. Braces and Orthodontics. http://www.ada.org/2598.aspx

American Academy of Orthodontists. Orthodontic Emergencies and Other Problems. http://www.braces.org/

Children's Hospital of Denver. Braces. http://www.thechildrenshospital.org/wellness/info/kids/20194.aspx

Federal Citizen Information Center. Straight talk on braces. http://www.pueblo.gsa.gov/cic_text/health/straight_talk/talk.htm

Cleveland Clinic. Braces and Retainers. http://my.clevelandclinic.org/devices/dental_care/hic_braces_and_retainers.aspx