Before Braces 101: What Parents & Kids Should Know

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A teenager smiling pointing at her braces.

Braces are a common part of growing up—and for good reason! Straight teeth don’t just boost confidence, they also support better long-term dental health. But as a parent, you probably have questions: 

When do kids need braces? What should we expect? How can we make this process smooth and stress-free?

In honor of World Orthodontic Health Day (May 15), we’re breaking down how to recognize the signs that your child may need braces, when to schedule an evaluation, and what you can expect at their first orthodontic appointment.

Common Signs Your Child May Need BracesA colorful infographic showcasing different signs of needing braces by showing 6 different teeth structures, including Crowded, overlapping, or crooked teeth Overbite (upper teeth significantly overlap lower teeth) Underbite (lower teeth extend past the upper front teeth) Crossbite (upper teeth sit inside the lower teeth when biting down) Open bite (visible gap between upper and lower front teeth when the mouth is closed) Teeth that stick out (protruding teeth) Difficulty chewing or biting Mouth breathing or thumb-sucking past age 5 Early or late loss of baby teeth,

While every child develops at their own pace, certain signs can indicate the need for orthodontic care. According to the American Association of Orthodontists (AAO), children should have their first check-up with an orthodontist by age 7—even if they still have baby teeth. Here’s why:

Early screenings can catch alignment issues while your child’s bones are still growing, making future treatment shorter and more effective.

Here are some of the most common signs that a child may benefit from braces:

  • Crowded, overlapping, or crooked teeth
  • Overbite (upper teeth significantly overlap lower teeth)
  • Underbite (lower teeth extend past the upper front teeth)
  • Crossbite (upper teeth sit inside the lower teeth when biting down)
  • Open bite (visible gap between upper and lower front teeth when the mouth is closed)
  • Teeth that stick out (protruding teeth)
  • Difficulty chewing or biting
  • Mouth breathing or thumb-sucking past age 5
  • Early or late loss of baby teeth

 

Common Questions About Braces

Do I need a referral from a dentist to take my child to an orthodontist?

Nope! You don’t need a referral. You can go straight to an orthodontist if you have questions about your child’s teeth or bite. It’s a good idea to get an early check-up to spot things like crowding, bite issues, or habits like thumb-sucking that might affect their smile.

Do braces hurt?

Braces don’t hurt when they go on, but your child might feel a little sore a day or two afterward or after an adjustment. This is normal and usually doesn’t last long. Soft foods and kid-friendly pain relievers (check with your dentist first) can help them feel better fast.

How long will my child need braces?

It depends! Some kids only need a few months of treatment, while others might need braces for a couple of years. Your orthodontist will give you a clear timeline based on your child’s teeth and what’s best for their smile.

Why should my child see an orthodontist instead of a regular dentist for braces?

Orthodontists are the braces experts! After dental school, they get extra training just to focus on straightening teeth and fixing bites. They’re the best choice for creating a safe and effective plan that’s just right for your child.

 

What to Expect at the First Orthodontic ConsultationYoung girl with braces with a nervous or shy expression.

Worried about what the first appointment will be like? Don’t be—it’s quick, easy, and pain-free. At your child’s first visit, the orthodontist will:

  • Examine their teeth, jaw, and bite
  • Take X-rays and impressions (molds)
  • Discuss whether treatment is needed now or later
  • Create a personalized plan along with a walk through of the different types of braces (if braces are recommended)

This appointment is quick, easy, and pain-free. It’s also a great opportunity to ask questions and learn more about children’s orthodontics.

 

Why Timing Matters

You may be surprised to learn that orthodontic treatment doesn’t always start right away. Sometimes, early treatment (called Phase 1) can help guide how your child’s mouth develops or make room for adult teeth to come in properly.  Other times your orthodontist may monitor until they’re older, when traditional braces or clear aligners are more appropriate.

The goal of early evaluations isn’t always immediate treatment—it’s to develop a plan that’s tailored to your child’s unique needs and development.

 

Take the First Step Toward a Confident Smile

If you’ve noticed any signs that your child might need braces—or just want peace of mind—it’s a great time to get an orthodontic check-up. An early evaluation can prevent more complex problems later on and give your child the healthiest, happiest smile possible.

Celebrate World Orthodontic Health Day by scheduling your child’s first orthodontic consultation. We’ll help you understand what’s going on and guide you through the next steps if treatment is needed.

Call us today to get started—we’re here to support your child’s smile every step of the way!