The Complete Parent's Guide to Pediatric Orthodontics: Braces, Invisalign First, Myobrace, Early Treatment & Teen Orthodontics
- Aug 6
- 32 min read
Medically reviewed by the dentists at Longwood Dental, Taipei
Longwood Dental is a private English-speaking dental clinic in Taipei providing comprehensive general, restorative, periodontal, implant, aesthetic/cosmetic, and endodontic care for local and international patients.
Everything Parents Need to Know About Braces, Invisalign First, Invisalign Teen, Myobrace, and Healthy Smile Development
Pediatric Orthodontics: More Than Straight Teeth
Quick Answer
Orthodontic treatment is about more than creating a beautiful smile. In growing children, it can guide jaw development, improve bite function, make teeth easier to clean, reduce the risk of dental injuries, and support lifelong oral health. The best treatment depends on your child's growth, bite, jaw development, and overall dental health—not simply how straight their teeth appear today.
Many parents think orthodontics is mainly about straightening crooked teeth during the teenage years. In reality, pediatric orthodontics focuses on helping children develop a healthy, functional bite while their jaws and facial bones are still growing.
As children grow, orthodontists evaluate much more than tooth alignment. They assess:
Jaw growth and facial development
How the upper and lower teeth fit together
Available space for permanent teeth
Eruption patterns
Oral habits such as thumb sucking, mouth breathing, or tongue thrust
Whether a developing bite problem is likely to improve, remain stable, or worsen
For many children, the best treatment is no treatment yet. Careful monitoring often allows orthodontic care to begin only when it will provide the greatest long-term benefit.
Why Do Orthodontic Problems Develop?
Quick Answer
Most orthodontic problems result from a combination of genetics and environmental factors. Family history, jaw growth, oral habits, early loss of baby teeth, and airway issues can all influence how a child's teeth and bite develop. Parents often ask:
"Did we do something wrong?"
In most cases, the answer is no. Many orthodontic conditions are inherited, including:
Crowding
Large teeth in small jaws
Overbites and underbites
Spacing
Impacted teeth
Jaw size discrepancies
Environmental factors may also influence development, particularly when combined with genetic predisposition. These include:
Prolonged thumb sucking or pacifier use
Tongue thrust
Chronic mouth breathing
Enlarged tonsils or adenoids
Premature loss of baby teeth
Dental trauma
Every child grows differently. The role of the orthodontist is to determine whether growth is progressing normally or whether early intervention could improve long-term outcomes.
When Should My Child First See an Orthodontist?
Quick Answer
Most orthodontic organizations recommend an initial orthodontic evaluation at around 6 to 7 years of age. This does not mean your child will need braces. Instead, it allows developing bite or jaw problems to be identified early and monitored at the most appropriate time.
By around age six to seven, most children have:
Their first permanent molars
Permanent front teeth beginning to erupt
A mixture of baby and permanent teeth
This stage provides valuable information about jaw growth, tooth eruption, and bite development.
At Longwood Dental, many children who are evaluated at this age do not necessarily begin treatment. Instead, we monitor growth with periodic reviews and recommend treatment only when it is likely to improve long-term outcomes.
Does Every Child Need Early Orthodontic Treatment?
Quick Answer
No. Most children do not need early orthodontic treatment. An early evaluation helps determine whether treatment, observation, or simply continued growth monitoring is the most appropriate approach.
One of the biggest misconceptions is that seeing an orthodontist at age seven automatically means getting braces. For many children, observation is the best treatment.
Regular reviews allow us to monitor:
Jaw growth
Tooth eruption
Bite development
Facial growth
Changes in crowding or spacing
Only some children benefit from Phase I (interceptive) orthodontic treatment, particularly those with conditions such as:
Crossbites
Significant underbites
Severe protruding front teeth with increased injury risk
Developing jaw asymmetry
Severe crowding
Impacted teeth
Selected growth-related jaw discrepancies
Early treatment is recommended only when evidence suggests it is likely to simplify or improve future care.
Why Timing Matters More Than Age
Quick Answer
Orthodontic treatment is planned according to a child's stage of growth—not simply their age. Two children of the same age may require very different treatment timing depending on their dental and skeletal development. Parents often ask:
"My friend's child started braces at nine. Should mine?"
Not necessarily. Orthodontists consider:
Eruption of permanent teeth
Remaining jaw growth
Facial development
Skeletal maturity
Bite relationships
Starting too early may unnecessarily prolong treatment, while waiting too long may reduce the effectiveness of growth-based therapies. Successful orthodontics is about choosing the right window of opportunity, not simply the earliest one.
What Happens During an Orthodontic Consultation?
An orthodontic consultation is much more than checking whether teeth are straight. It typically includes:
Discussion of your concerns and treatment goals
Medical and dental history
Examination of the teeth, gums, bite, and facial growth
Assessment of oral habits
Digital photographs
Digital scans or impressions when appropriate
X-rays when clinically indicated
Growth and eruption assessment
Individualized treatment recommendations—or reassurance that treatment is not yet needed
Every consultation is designed to answer one key question:
What is the healthiest long-term plan for this child?
Why Families Choose Longwood Dental
Choosing orthodontic treatment is about more than selecting braces or aligners—it is about choosing a team that understands children's growth and development.
At Longwood Dental, our team includes Harvard-trained specialists with advanced specialty training in orthodontics and pediatric dentistry. By working collaboratively, we evaluate not only how your child's teeth look today, but also how their jaws, bite, and facial structures are likely to develop over time.
Our philosophy is simple:
Recommend treatment only when it provides meaningful long-term benefit
Choose the most appropriate appliance—not the most heavily marketed one
Base recommendations on current scientific evidence and individual diagnosis
Communicate openly so families can make informed decisions with confidence
We are also proud to care for Taipei's international community. Our English-speaking team provides clear explanations, individualized treatment planning, and comprehensive documentation for families using international or private dental insurance.
Early Orthodontic Treatment (Phase I): When It Helps—and When It Doesn't
What Is Early Orthodontic Treatment?
Quick Answer
Early orthodontic treatment, also called interceptive orthodontics or Phase I treatment, is orthodontic care provided while a child still has a mixture of baby and permanent teeth. The goal is not simply to straighten teeth early, but to guide jaw growth, correct specific developing bite problems, and create a healthier foundation for future permanent teeth.
Many parents assume orthodontic treatment begins only after all permanent teeth have erupted. In reality, some orthodontic problems are easier—and occasionally more effective—to treat while a child is still growing. Because children's jaws continue to develop, orthodontists can sometimes guide growth in ways that are no longer possible after adolescence. However, early treatment is appropriate only for selected children. For many, careful observation remains the best approach.
At Longwood Dental, we recommend early treatment only when evidence suggests it can improve long-term outcomes or reduce future treatment complexity.
What Does "Phase I Orthodontics" Mean?
Phase I treatment is usually performed between 6 and 10 years of age, when children have both baby and permanent teeth. Depending on the diagnosis, treatment may involve:
Limited braces
Palatal expanders
Functional appliances
Invisalign First
Space maintainers
Other interceptive appliances
Common goals include:
Guiding jaw growth
Correcting crossbites
Creating space for erupting permanent teeth
Reducing trauma risk from protruding front teeth
Preserving space after premature loss of baby teeth
Some children will later benefit from a second phase of treatment (Phase II) after most permanent teeth have erupted, while others may require little or no additional orthodontic care.
Does Every Child Need Phase I Orthodontics?
Quick Answer
No. Most children do not require early orthodontic treatment. An early orthodontic evaluation helps identify children who may benefit from timely intervention while allowing others to be monitored until the ideal stage for treatment.
Some parents worry that delaying treatment means "missing the window." Fortunately, that is not always the case. When unsuitable, starting treatment too early may:
Increase the total treatment time
Require two phases when one might have been sufficient
Increase cost and treatment fatigue
Lead to additional refinement later as growth continues
The goal is not simply to start early—it is to begin treatment when it offers the greatest benefit.
Which Problems Benefit Most from Early Treatment?
Not every orthodontic problem should be treated immediately. However, several conditions often benefit from evaluation and, in selected cases, early intervention. The most common cases being:
Crossbite
Quick Answer
A crossbite occurs when one or more upper teeth bite inside the lower teeth instead of outside them. Because crossbites may affect jaw growth and bite function, early correction is often recommended.
Crossbites may involve the front teeth, back teeth, or both. Some children shift their lower jaw to one side when biting, which may contribute to uneven jaw development if left untreated. Treatment may include:
Palatal expansion
Limited braces
Clear aligners in selected cases
Other interceptive appliances
Early correction is often simpler than treating an established skeletal problem later.
Protruding Front Teeth (Large Overjet)
Quick Answer
Children with significantly protruding upper front teeth have a higher risk of dental injuries. In selected cases, early orthodontic treatment may reduce this risk while improving bite function. Prominent front teeth are more exposed during:
Falls
Playground accidents
Contact sports
Depending on the cause and stage of growth, treatment may include functional appliances, braces, or Invisalign First. Not every child with prominent front teeth requires immediate treatment, but significant overjet deserves careful evaluation.
Underbite
Quick Answer
An underbite occurs when the lower teeth or lower jaw sit in front of the upper teeth. Certain underbites may benefit from early treatment while facial growth is still occurring. An underbite may result from:
A narrow or underdeveloped upper jaw
A forward-growing lower jaw
A combination of both
Some children benefit from growth-guided treatment during childhood. Others with stronger inherited skeletal patterns may still require further orthodontic treatment—or, in severe cases, jaw surgery—after growth is complete. Early treatment aims to improve growth where possible, but it cannot completely overcome every genetic jaw pattern.
Severe Crowding
Quick Answer
Crowding is common, but not every crowded smile needs early orthodontic treatment. The decision depends on how much space is available, how permanent teeth are erupting, and whether future problems are likely. Significant crowding may:
Block eruption of permanent teeth
Increase the risk of impacted teeth
Make oral hygiene more difficult
Management may include:
Monitoring
Space maintenance
Space creation
Expansion in selected cases
Each child develops differently, so treatment decisions should be individualized rather than based on appearance alone.
Thumb Sucking
Quick Answer
Thumb sucking is a normal childhood behavior, but prolonged habits beyond 4 to 5 years of age may contribute to open bites, protruding front teeth, or a narrow upper jaw. Many children naturally stop sucking their thumbs as they grow. When the habit continues for several years, the frequency, intensity, and duration determine how much it may affect the developing bite. The earlier the habit stops, the more likely mild dental changes will improve naturally.
Pacifier Use
Pacifiers can be helpful during infancy, but prolonged use may contribute to:
Open bites
Posterior crossbites
Protruding front teeth
Many pediatric dental organizations recommend gradually discontinuing pacifier use by around 2 to 4 years of age, depending on the child's development.
Tongue Thrust
Some children continue pushing their tongue against the front teeth during swallowing or speaking. Persistent tongue thrust may contribute to:
Open bites
Difficulty maintaining orthodontic results
Speech differences in selected children
Treatment depends on the underlying cause and may include orthodontic care, myofunctional therapy, or both.
Mouth Breathing
Quick Answer
Persistent mouth breathing does not automatically cause crooked teeth, but it may be associated with changes in jaw growth and bite development. Because it can also signal airway or nasal problems, identifying the underlying cause is important. Children may breathe through their mouths because of:
Allergies
Enlarged adenoids
Enlarged tonsils
Chronic nasal congestion
Structural nasal obstruction
Research has found associations between long-term mouth breathing and narrower upper dental arches, crossbites, and certain facial growth patterns. However, current evidence does not support the idea that mouth breathing alone causes these changes. When persistent mouth breathing is identified, an orthodontic assessment may be combined with evaluation by an ear, nose, and throat (ENT) specialist or pediatrician to investigate possible airway issues.
Sometimes Observation Is the Best Treatment
One of the most valuable recommendations an orthodontist can make is:
"Your child doesn't need treatment yet."
For many children, periodic monitoring is the most evidence-based approach.
Regular reviews allow us to assess:
Tooth eruption
Jaw growth
Bite development
Facial growth
Crowding
Oral habits
If treatment becomes beneficial later, it can begin at the stage when it is most likely to achieve the best long-term result. At Longwood Dental, we believe careful observation is an active part of orthodontic care—not simply waiting.
Key Takeaways
An early orthodontic evaluation does not mean immediate braces.
Not all children need Phase I treatment.
Early treatment is recommended only when evidence suggests it can improve long-term outcomes.
Timing treatment according to growth is often more important than treating at a specific age.
Habits such as thumb sucking, prolonged pacifier use, tongue thrust, and persistent mouth breathing should be evaluated as part of the child's overall growth and development.
Careful monitoring is often the most appropriate treatment until the timing is right.
Comparing Orthodontic Treatment Options: Which Is Best for Your Child?
Quick Answer
There is no single orthodontic treatment that is best for every child or teenager. The ideal appliance depends on your child's age, stage of dental development, bite, jaw growth, oral hygiene, lifestyle, and treatment goals. A thorough orthodontic evaluation allows your orthodontist to recommend the treatment that is most likely to deliver a healthy, stable, and predictable result. Modern orthodontics offers more choices than ever before, including:
Traditional metal braces
Ceramic braces
Self-ligating braces
Lingual braces
Invisalign First
Invisalign Teen
Other clear aligner systems
Functional and interceptive appliances
Myobrace® (MRC) and other myofunctional appliances
Rather than asking "Which appliance is the newest?", the better question is:
"Which appliance is most appropriate for my child's diagnosis?"
At Longwood Dental, we recommend the appliance that best suits your child's individual needs—not simply the most heavily marketed option.
Orthodontic Treatment Comparison
Treatment | Best For | Appearance | Removable | Compliance Needed |
Metal Braces | Mild to complex cases | Visible | No | Low |
Ceramic Braces | Mild to complex cases | Less visible | No | Low |
Self-Ligating Braces | Similar to conventional braces | Visible | No | Low |
Lingual Braces | Selected older teens | Invisible from the front | No | Moderate |
Invisalign First | Selected children (mixed dentition) | Nearly invisible | Yes | High |
Invisalign Teen | Mild to complex teen cases | Nearly invisible | Yes | High |
Myobrace® | Selected younger children with functional concerns | Removable | Yes | Very High |
Treatment recommendations always depend on a comprehensive orthodontic assessment.
Traditional Metal Braces
Quick Answer
Traditional metal braces remain one of the most versatile and predictable orthodontic treatments for children and teenagers. They are suitable for both simple and complex orthodontic problems and do not rely on the child remembering to wear the appliance.
Despite the popularity of clear aligners, metal braces continue to be the gold standard for many orthodontic cases because they allow precise control of tooth movement.
Advantages
Effective for simple and complex bite problems
Excellent control of tooth movement
No need to remember to wear them
Well suited for growing children
Considerations
Most visible option
Food restrictions are required
Brushing and flossing require extra attention
Temporary irritation may occur after adjustments
Today's braces are considerably smaller and more comfortable than those many parents remember from childhood.
Ceramic Braces
Quick Answer
Ceramic braces function like traditional braces but use tooth-colored brackets that blend more naturally with the teeth, making them a popular option for teenagers concerned about appearance.
Advantages
Less noticeable than metal braces
Effective for many moderate and complex cases
Fixed appliance with predictable tooth movement
Considerations
Slightly more delicate than metal brackets
Usually higher cost
Excellent oral hygiene is important to prevent staining around brackets
Self-Ligating Braces
Quick Answer
Self-ligating braces use a built-in clip instead of elastic ties to hold the orthodontic wire. While they offer certain practical advantages, current research shows they generally achieve similar treatment outcomes to conventional braces. These braces are often marketed as being faster, less painful, or more likely to avoid extractions. Current scientific evidence does not consistently support these claims.
Potential advantages include:
Slightly shorter adjustment appointments
Easier cleaning around brackets
Reduced friction during some stages of treatment
However, systematic reviews have found little evidence that they consistently:
shorten overall treatment time,
reduce discomfort significantly,
eliminate the need for extractions,
or produce better long-term results.
The orthodontist's diagnosis and treatment planning remain far more important than the type of bracket used.
Lingual Braces
Quick Answer
Lingual braces are attached to the inside surfaces of the teeth, making them virtually invisible during normal conversation. They are generally reserved for carefully selected older teenagers and adults with high cosmetic expectations.
Advantages
Hidden from view
Continuous tooth movement without relying on patient compliance
Considerations
Higher cost
More technically demanding
Temporary tongue irritation or speech changes
Not suitable for every orthodontic problem
For most younger children, conventional braces or clear aligners are usually more practical.
Invisalign First
Quick Answer
Invisalign First is designed for selected children who still have a mixture of baby and permanent teeth. It can address many developing orthodontic problems while offering the comfort and aesthetics of removable clear aligners. Depending on the child's needs, Invisalign First may help:
Create space for erupting permanent teeth
Correct selected crossbites
Improve mild to moderate crowding
Guide dental arch development
Advantages
Nearly invisible
Comfortable to wear
Easier brushing and flossing
No food restrictions
Considerations
Must be worn 20–22 hours per day
Success depends on excellent cooperation
Not suitable for every orthodontic problem
Lost aligners may delay treatment
For motivated children with supportive families, Invisalign First can be an excellent option.
Invisalign Teen
Quick Answer
Invisalign Teen uses a series of clear, removable aligners to gradually move teeth into healthier positions. For appropriately selected teenagers who wear them consistently, treatment outcomes can be comparable to braces for many orthodontic problems. Many teenagers appreciate Invisalign because it fits easily into school, sports, and social activities.
Advantages
Nearly invisible
No dietary restrictions
Easier oral hygiene
Comfortable smooth aligners
Convenient for sports when combined with a mouthguard
Considerations
The biggest challenge is compliance. Because aligners are removable, they must be worn consistently. Teenagers who frequently forget to wear them may experience slower or less predictable treatment.
Other Clear Aligner Systems
Quick Answer
Several clear aligner systems are available worldwide, including Spark™, ClearCorrect®, Angel Aligner®, and SureSmile®. Many can achieve excellent results when prescribed by experienced orthodontists. The success of clear aligner treatment depends far less on the brand than on:
Accurate diagnosis
Appropriate case selection
Careful digital treatment planning
Patient compliance
Regular orthodontic supervision
Families should be cautious of direct-to-consumer aligners that bypass comprehensive orthodontic examinations, particularly for growing children.
Myobrace® (MRC): What Does the Evidence Say?
Quick Answer
Myobrace® is a removable myofunctional appliance designed to improve oral habits such as tongue posture, lip seal, and swallowing while supporting healthy dental development. It may benefit carefully selected children, but current scientific evidence does not support replacing comprehensive orthodontic treatment with Myobrace alone when braces or clear aligners are indicated.
Few orthodontic topics generate as much discussion as Myobrace. There is sound biological reasoning behind encouraging healthy oral habits. Good nasal breathing, appropriate tongue posture, and balanced muscle function all contribute to healthy oral development. However, parents should also understand the current evidence.
Myobrace may help:
Improve selected oral habits
Encourage healthier tongue posture
Promote better lip seal
Support myofunctional therapy when appropriate
Contribute to mild improvements in selected developing bite problems
Current evidence does not show that Myobrace consistently:
Replaces braces
Eliminates the need for orthodontics
Corrects significant crowding by itself
Predictably expands the jaws in every child
Prevents tooth extractions in all patients
Corrects major skeletal jaw discrepancies
At Longwood Dental, we view Myobrace as one treatment option—not a universal solution. When indicated, it can complement a comprehensive treatment plan, but recommendations are always based on each child's diagnosis and the best available scientific evidence.
Choosing the Right Orthodontic Appliance
Parents often ask:
"If this were your own child, which treatment would you choose?"
The honest answer is:
It depends on the diagnosis.
Two children with similarly crooked teeth may receive completely different recommendations because their jaw growth, facial development, oral habits, and treatment goals are different.
At Longwood Dental, we begin every treatment plan by asking:
"What problem are we trying to solve?"
Only then do we decide which appliance is most appropriate. That philosophy helps ensure treatment is individualized, evidence-based, and focused on achieving the healthiest long-term outcome—not simply the straightest smile.
Key Takeaways
No orthodontic appliance is universally "best."
The orthodontist's diagnosis and treatment planning are more important than the brand of appliance.
Traditional braces remain one of the most versatile options for complex treatment.
Invisalign First and Invisalign Teen are excellent choices for appropriately selected, motivated patients.
Myobrace may benefit selected children but should not be viewed as a replacement for evidence-based orthodontic treatment when braces or aligners are indicated.
The best treatment is the one that matches your child's individual needs, growth, and long-term oral health goals.
Parents' Most Frequently Asked Questions About Children's Orthodontics
Does My Child Really Need Braces?
Quick Answer
Not necessarily. Many children with mild crowding or minor bite irregularities never require braces. Orthodontic treatment is recommended when it is likely to improve oral health, bite function, jaw development, or long-term stability—not simply because teeth are not perfectly straight. Braces are not recommended based on appearance alone.
Treatment may be beneficial when it helps:
Improve bite function
Reduce excessive tooth wear
Make teeth easier to clean
Lower the risk of injury to protruding front teeth
Guide healthy jaw development in selected children
At Longwood Dental, we recommend treatment only when the expected long-term benefits clearly outweigh the time, cost, and commitment involved.
Will Crooked Baby Teeth or Adult Teeth Straighten Naturally?
Quick Answer
Sometimes. Mild irregularities may improve as the jaws grow and permanent teeth erupt, but significant crowding, crossbites, or jaw discrepancies are unlikely to correct themselves.
Children's mouths change constantly during growth. Minor spacing or crowding often improves naturally, while more significant problems—such as crossbites, severe crowding, or underbites—usually require professional evaluation. Regular monitoring helps determine whether observation or treatment is the best option.
Will My Child Grow Out of an Overbite or Underbite?
Quick Answer
Some bite relationships improve naturally during growth, while others become more pronounced. Every child develops differently, so an orthodontic evaluation is the best way to determine whether treatment is needed.
Growth patterns vary considerably. Some children experience balanced jaw development, while others develop increasing discrepancies over time. Early evaluation helps identify whether observation or growth-guided treatment is most appropriate.
Does Thumb Sucking Always Mean My Child Will Need Braces?
Quick Answer
No. Thumb sucking does not automatically lead to braces, but frequent, prolonged thumb sucking beyond 4 to 5 years of age may contribute to bite problems such as open bites, protruding front teeth, or narrow dental arches.
The impact depends on:
Frequency
Intensity
Duration
Many mild changes improve naturally once the habit stops early enough.
Does Mouth Breathing Cause Crooked Teeth?
Quick Answer
Not by itself. Persistent mouth breathing has been associated with changes in jaw growth and bite development, but it is usually one factor among many. It may also indicate allergies or airway problems that deserve medical evaluation.
Current research supports an association—not a direct cause-and-effect relationship. Children with chronic mouth breathing may benefit from assessment by both an orthodontist and, when appropriate, an ENT specialist or pediatrician.
Will Removing Baby Teeth Prevent Braces?
Quick Answer
Usually not. Baby teeth help guide permanent teeth and maintain space. Removing them unnecessarily may actually increase the risk of future orthodontic problems. When extraction is recommended, it is usually based on careful orthodontic planning rather than appearance alone. Baby teeth play an important role in:
Maintaining space
Supporting chewing
Guiding eruption of permanent teeth
Speech development
Can Early Orthodontic Treatment Prevent Tooth Extractions Later?
Quick Answer
Sometimes—but not always. Early treatment may reduce the likelihood of extractions in selected children, but no appliance can guarantee that permanent teeth will never need to be removed. Whether extractions are needed depends on:
Tooth size
Jaw size
Crowding
Bite relationships
Facial balance
Long-term treatment goals
Whenever appropriate, orthodontists aim to preserve healthy teeth.
Do Wisdom Teeth Cause Crowding?
Quick Answer
Current scientific evidence indicates that wisdom teeth are not the primary cause of crowding of the front teeth. Removing wisdom teeth solely to prevent crowding is generally not recommended. Crowding during adolescence and adulthood is more likely related to:
Normal aging
Facial growth
Genetics
Natural tooth movement over time
Wisdom teeth may still require removal for other reasons, including impaction, infection, or damage to neighboring teeth.
Is Invisalign Better Than Braces?
Quick Answer
Neither treatment is universally better. For many orthodontic problems, braces and Invisalign can achieve similarly excellent results when used appropriately. The best choice depends on the diagnosis, growth stage, and patient cooperation.
Braces may provide greater control for some complex tooth movements, while Invisalign offers advantages such as improved aesthetics, easier cleaning, and fewer dietary restrictions. Choosing the right appliance depends on the individual child—not the popularity of the treatment.
How Long Does Orthodontic Treatment Take?
Quick Answer
Most comprehensive orthodontic treatment lasts 12 to 24 months, although treatment time varies depending on the complexity of the case and how consistently instructions are followed. Treatment duration depends on:
Bite complexity
Growth
Oral hygiene
Appointment attendance
Wearing elastics or aligners as instructed
Good cooperation often leads to more efficient treatment.
Do Braces Hurt?
Quick Answer
Braces should not be painful most of the time. Mild soreness or pressure is common for a few days after braces are placed or adjusted, but this usually improves quickly. Most children describe the sensation as pressure rather than pain. Soft foods, orthodontic wax, and simple pain relief when appropriate are usually sufficient during the first few days.
Can My Child Still Play Sports or Musical Instruments?
Quick Answer
Yes. Most children continue participating in sports, music, and other activities throughout orthodontic treatment with little disruption. Children with braces should wear a properly fitted mouthguard during contact sports. Young musicians who play wind or brass instruments may notice temporary adjustments during the first few weeks, but most adapt quickly with practice. Orthodontic treatment should not prevent children from enjoying an active lifestyle.
Can Braces Damage Teeth?
Quick Answer
No. Braces do not damage healthy teeth. Problems occur when plaque builds up around brackets, increasing the risk of cavities, gum inflammation, and permanent white spot lesions. Excellent brushing, flossing, fluoride toothpaste, and regular dental visits are essential throughout treatment. Orthodontic treatment is a partnership between the orthodontic team, the child, and the family.
Will My Child Need Retainers Forever?
Quick Answer
Almost everyone who completes orthodontic treatment will need retainers to maintain their results. Teeth naturally shift throughout life, whether or not someone has worn braces. Retention is the final stage of orthodontic treatment. Depending on the case, retainers may be:
Removable
Fixed (bonded)
A combination of both
Wearing retainers as instructed helps protect the long-term result.
When Should I Be Concerned About My Child's Bite?
Quick Answer
You should arrange an orthodontic evaluation if you notice delayed eruption of permanent teeth, significant crowding, protruding front teeth, crossbites, underbites, persistent thumb sucking, mouth breathing, or jaw asymmetry. Early assessment does not always lead to treatment, but it helps identify problems while growth can still be monitored or guided if necessary.
What Makes a Good Orthodontic Candidate?
Quick Answer
A good candidate is not defined by age alone. Successful treatment depends on the right diagnosis, appropriate timing, good oral hygiene, and a child who is ready to cooperate with treatment. Children who achieve the best outcomes typically:
Attend appointments regularly
Brush and floss well
Wear removable appliances consistently
Follow dietary advice
Have supportive families involved throughout treatment
These factors often have a greater impact on success than the specific appliance chosen.
Key Takeaways
Most children do not need braces simply because their teeth are not perfectly straight.
Growth and development vary widely, making individualized assessment essential.
Braces and Invisalign are both excellent treatment options when chosen for the right patient.
Good oral hygiene and patient cooperation are just as important as the orthodontic appliance itself.
Long-term success depends on thoughtful treatment planning, regular follow-up, and wearing retainers after treatment.
Orthodontic Myths and Facts: Separating Evidence from Marketing
Parents have access to more orthodontic information than ever before—but not all of it is accurate. Social media, online forums, and advertising often blur the line between scientific evidence and marketing.
The best treatment decisions are based on current research, clinical experience, and each child's individual needs, not on trends or promises of a "one-size-fits-all" solution.
Myth: Every Child Should Get Braces Early
Reality
An early orthodontic evaluation is highly recommended. Early orthodontic treatment is not. Most children benefit from seeing an orthodontist around age seven so growth and bite development can be assessed. However, many simply need periodic observation until treatment becomes appropriate. The goal is not to start treatment as early as possible—it is to start at the right time.
Myth: Braces Are Better Than Invisalign
Reality
Neither treatment is universally better. Both braces and Invisalign can achieve excellent results when used for the right patient. Braces may be preferable for some complex tooth movements, while Invisalign offers advantages such as:
Better aesthetics
Easier oral hygiene
No food restrictions
Greater comfort for many patients
The best choice depends on diagnosis, growth stage, and patient cooperation—not personal preference.
Myth: Invisalign Only Works for Simple Cases
Reality
This was true many years ago, but it is no longer accurate. Advances in digital treatment planning have expanded the range of cases that can be treated with clear aligners. Many moderate—and selected complex—cases can now be treated successfully with Invisalign. However, certain bite corrections and skeletal problems may still be more predictable with braces or a combination of techniques.
Myth: Self-Ligating Braces Are Faster
Reality
Current scientific evidence does not consistently support this claim. Self-ligating braces may offer practical advantages such as easier cleaning and slightly shorter adjustment appointments. However, systematic reviews generally show little consistent evidence that they:
Shorten total treatment time
Eliminate extractions
Produce wider smiles
Improve long-term results
Successful orthodontics depends far more on careful diagnosis and treatment planning than on bracket design.
Myth: Myobrace Can Replace Braces
Reality
Current evidence does not support Myobrace as a replacement for comprehensive orthodontic treatment when braces or aligners are indicated.
Myobrace focuses on improving oral habits such as:
Tongue posture
Lip seal
Swallowing patterns
Selected breathing habits
These goals may benefit carefully selected children.
However, current research does not show that Myobrace alone can consistently:
Replace braces
Correct significant crowding
Eliminate the need for extractions
Correct major jaw discrepancies
At Longwood Dental, we view Myobrace as one possible treatment option within a comprehensive, evidence-based treatment plan—not a universal solution.
Myth: Mouth Breathing Causes Crooked Teeth
Reality
The relationship is more complex than many online claims suggest. Persistent mouth breathing has been associated with certain facial growth patterns and bite problems, but it is unlikely to be the sole cause. Many children who breathe through their mouths also have:
Allergies
Enlarged adenoids
Enlarged tonsils
Chronic nasal obstruction
These underlying conditions should be identified and managed alongside any orthodontic concerns.
Myth: Jaw Expansion Prevents Tooth Extractions
Reality
No orthodontic treatment can guarantee that permanent teeth will never need to be removed. Expansion can be highly beneficial for selected children with narrow upper jaws or crossbites. However, whether extractions are needed depends on many factors, including:
Tooth size
Jaw size
Facial balance
Crowding
Long-term stability
Whenever possible, orthodontists aim to preserve healthy teeth—but extraction remains the healthiest option in some cases.
Myth: Wisdom Teeth Cause Crowding
Reality
Current scientific evidence does not support wisdom teeth as the primary cause of crowding of the front teeth. Changes in tooth alignment during adolescence and adulthood are more likely related to natural aging, facial growth, and genetics. Wisdom teeth may still require removal for other reasons, such as impaction, infection, or damage to neighboring teeth.
Myth: Braces Damage Teeth
Reality
Braces do not damage healthy teeth. Poor oral hygiene does. Plaque that remains around brackets can lead to:
Cavities
White spot lesions
Gum inflammation
These problems are largely preventable with good brushing, fluoride toothpaste, flossing, and regular professional cleanings.
Myth: Orthodontic Treatment Is Purely Cosmetic
Reality
Orthodontics is about much more than appearance. Depending on the individual patient, treatment may help:
Improve bite function
Make teeth easier to clean
Reduce excessive tooth wear
Lower the risk of injury to protruding front teeth
Support long-term oral health
Not every crooked tooth requires treatment, but orthodontics often provides benefits beyond aesthetics.
Myth: Treatment Ends When Braces Come Off
Reality
Retention is an essential part of successful orthodontic treatment. Teeth naturally shift throughout life. Retainers help preserve the healthy bite and smile achieved during treatment and are an important part of long-term stability.
How to Evaluate Orthodontic Information Online
Parents often ask:
"How do I know what information to trust?"
A few simple questions can help:
Does the source explain both benefits and limitations?
Are recommendations supported by professional organizations or peer-reviewed research?
Does it acknowledge that every child is different?
Does it begin with diagnosis rather than promoting a particular appliance?
If one treatment is presented as the answer for every child, it is worth seeking a second opinion.
Our Philosophy: Evidence Before Trends
Orthodontics continues to evolve, with new technologies and appliances introduced regularly.
Innovation has improved patient care, but new does not always mean better.
At Longwood Dental, we believe every recommendation should be guided by three principles:
The best available scientific evidence
Clinical expertise
The individual needs of each child
This balanced approach allows us to provide modern, evidence-based care while avoiding unnecessary treatment or unrealistic promises.
Key Takeaways
Be cautious of orthodontic claims that sound too good to be true.
No single appliance is the right choice for every child.
Diagnosis, treatment planning, and patient cooperation have a greater impact on success than the brand of appliance.
Evidence-based orthodontics combines research, clinical experience, and individualized care.
Families should feel comfortable asking questions and discussing alternatives before making treatment decisions.
Everyday Life with Braces or Invisalign: What Families Can Expect
Starting orthodontic treatment is a big milestone for many families. Along with excitement often comes a long list of practical questions:
Will braces hurt?
Can my child still eat normally?
Will school or sports be affected?
What happens if something breaks?
How often are appointments?
Fortunately, most children adapt remarkably quickly. After a short adjustment period, orthodontic treatment becomes part of their normal routine, allowing them to continue school, sports, music, travel, and social activities with minimal disruption.
The First Few Days
Quick Answer
Mild pressure or tenderness is normal for a few days after braces are placed or adjusted, or when starting a new series of aligners. Most children adapt quickly as their teeth begin responding to gentle orthodontic forces.
The most common sensations are:
Mild pressure
Tightness
Tenderness when chewing
Minor irritation of the lips or cheeks
These symptoms usually improve within several days.
Soft foods such as yogurt, eggs, soup, rice, pasta, tofu, mashed potatoes, and smoothies can make the first few days more comfortable. Orthodontic wax may also help reduce irritation from brackets while the mouth adjusts.
Eating During Orthodontic Treatment
Quick Answer
Children with braces can continue eating a healthy, balanced diet, but certain hard or sticky foods should be avoided. Invisalign patients can generally eat normally because the aligners are removed during meals.
With Braces
To reduce the risk of broken brackets or bent wires, avoid:
Hard candy
Ice
Popcorn kernels
Whole nuts
Sticky caramel
Chewing gum
Many foods remain perfectly acceptable with simple modifications. For example, apples can be sliced instead of bitten into, and corn can be removed from the cob.
With Invisalign
One of Invisalign's biggest advantages is dietary freedom. Children simply remove the aligners before eating, then brush or rinse their teeth before replacing them whenever possible. Avoid drinking sugary or acidic beverages while wearing aligners to reduce the risk of cavities and staining.
Keeping Teeth Clean
Quick Answer
Excellent oral hygiene is one of the most important parts of successful orthodontic treatment. Braces do not damage teeth—but plaque around brackets or aligners can lead to cavities, gum inflammation, and permanent white spot lesions. Children should continue brushing twice daily with fluoride toothpaste and pay extra attention around brackets and along the gumline.
Helpful cleaning aids may include:
Interdental brushes
Floss threaders
Water flossers
Regular professional cleanings throughout orthodontic treatment remain essential for maintaining healthy teeth and gums.
School, Sports, and Music
Quick Answer
Most children continue school, sports, and musical activities with very little interruption during orthodontic treatment.
Sports
Children wearing braces should use a properly fitted orthodontic mouthguard during contact sports. Children using Invisalign generally remove their aligners during games and wear a sports mouthguard instead.
Music
Young musicians who play wind or brass instruments may notice temporary changes during the first week or two, but most adapt quickly with regular practice.
School
Most children return to school immediately after orthodontic appointments. Mild soreness may make chewing uncomfortable for a day or two, but orthodontic treatment rarely interferes with normal school activities.
What If Something Breaks?
Quick Answer
Most orthodontic problems are not emergencies, but they should be reported to your orthodontist promptly to avoid unnecessary treatment delays. Occasionally children may experience:
Loose brackets
Poking wires
Broken retainers
Damaged removable appliances
Lost Invisalign aligners
In most situations, your orthodontic team can advise whether the problem should be seen immediately or safely managed until the next available appointment. Parents should avoid attempting repairs at home.
How Often Are Appointments?
Quick Answer
Most orthodontic reviews are scheduled every 4 to 10 weeks, although the timing varies depending on the appliance and stage of treatment. Regular appointments allow your orthodontist to:
Monitor tooth movement
Adjust braces
Deliver new aligners
Assess oral hygiene
Monitor jaw growth
Make treatment refinements
Keeping scheduled appointments helps treatment progress as efficiently as possible.
When Treatment Is Finished
Many children think orthodontic treatment ends when the braces come off. In reality, the final stage is retention. Retainers help stabilize the teeth while the surrounding bone and tissues adapt to their new positions. Without retainers, teeth naturally tend to shift over time. Wearing retainers as instructed is one of the most important steps in protecting the long-term result.
Orthodontics Is a Team Effort
Successful treatment depends on more than braces or aligners. It is a partnership between:
Your child
Your family
Your orthodontist
Your pediatric or general dentist
Children who maintain excellent oral hygiene, attend appointments regularly, wear removable appliances as instructed, and follow dietary recommendations generally enjoy smoother treatment and more predictable results.
At Longwood Dental, we believe parents are an essential part of the orthodontic team. We take time to explain each stage of treatment, answer questions, and support families throughout the journey.
Supporting Your Child
Children often take their emotional cues from their parents. Simple encouragement—rather than pressure—can make orthodontic treatment a much more positive experience.
Parents can help by:
Encouraging consistent brushing and flossing
Helping younger children remember aligners or elastics
Keeping scheduled appointments
Celebrating progress along the way
Maintaining regular preventive dental visits
For most families, orthodontic treatment becomes just one part of growing up—and one that can provide lifelong benefits.
Key Takeaways
Most children adapt to braces or Invisalign within a few days.
School, sports, music, and travel can usually continue as normal.
Good oral hygiene is essential throughout treatment.
Most broken brackets or lost aligners are not true emergencies but should be reported promptly.
Retainers are critical for maintaining long-term treatment results.
Parents play an important role in supporting successful orthodontic treatment.
The Long-Term Benefits of Orthodontic Treatment: More Than a Beautiful Smile
Many parents first consider orthodontic treatment because they notice crooked teeth or because their child feels self-conscious about their smile. While appearance is certainly one benefit, well-planned orthodontic treatment can also improve oral function, make teeth easier to clean, reduce excessive tooth wear, and support long-term dental health. When treatment is recommended at the right time for the right reasons, the benefits can last well into adulthood.
Healthier Teeth and Gums
Quick Answer
Well-aligned teeth are generally easier to brush and floss than severely crowded teeth. While orthodontics does not prevent cavities or gum disease by itself, it can make daily oral hygiene more effective and support better long-term oral health.
Crowded or overlapping teeth can create areas where plaque is more difficult to remove, increasing the risk of:
Tooth decay
Gum inflammation
Tartar buildup
Orthodontic treatment may improve access for brushing and flossing, but healthy teeth still depend on good home care, fluoride, a balanced diet, and regular dental visits.
Orthodontics supports oral health—it does not replace it.
Better Bite Function
Quick Answer
A healthy bite allows the teeth, jaw joints, and chewing muscles to work together more efficiently. Correcting significant bite problems may improve chewing function and distribute biting forces more evenly. Some bite problems place excessive stress on individual teeth or create uneven wear over time.
In selected patients, orthodontic treatment may:
Improve chewing efficiency
Reduce abnormal tooth wear
Improve bite stability
Support long-term function
Not every imperfect bite requires treatment, but when significant problems are present, correcting them may provide lasting functional benefits.
Reducing the Risk of Dental Injuries
Quick Answer
Children with significantly protruding upper front teeth are at greater risk of dental injuries. Early orthodontic treatment may reduce this risk in carefully selected cases. Active children naturally experience falls and sports injuries. When the upper front teeth protrude significantly, they are more exposed to trauma. Research has shown that reducing excessive overjet may lower the risk of injury to these permanent teeth—an important benefit that extends beyond appearance.
Supporting Healthy Growth
Children have one important advantage over adults: They are still growing.
For selected patients, orthodontic treatment during childhood can:
Guide jaw development
Correct functional bite problems
Create space for erupting permanent teeth
Improve bite relationships while growth is still occurring
Because growth patterns differ between children, treatment timing is individualized rather than based solely on age.
Preserving Natural Teeth
One of the primary goals of modern dentistry is helping patients keep their natural teeth for life. Orthodontics contributes to that goal by helping create a bite that is easier to maintain and functions more efficiently.
Combined with preventive care and good oral hygiene, orthodontic treatment may help reduce:
Excessive tooth wear
Plaque-retentive areas caused by severe crowding
Bite-related stress on individual teeth
Long-term oral health depends on many factors, but a healthy bite can be an important part of the picture.
Confidence and Quality of Life
Quick Answer
Many children and teenagers feel more confident about their smiles after orthodontic treatment. Research suggests orthodontics can improve oral health-related quality of life, particularly for patients who are concerned about the appearance or function of their teeth. A smile is only one part of a child's identity, but it can influence how they feel during school, social activities, and adolescence. Orthodontic treatment may help children feel more comfortable smiling, speaking, and interacting with others. At the same time, it is important to keep expectations realistic. Orthodontics can improve a smile, but it does not define confidence, happiness, or self-worth.
Building Healthy Habits
Orthodontic treatment often encourages children to become more aware of their oral health. Many families find that treatment reinforces positive habits such as:
Brushing and flossing consistently
Choosing healthier foods
Attending regular dental visits
Taking responsibility for daily routines
These habits often continue long after treatment has finished.
Retention Protects the Result
One of the biggest misconceptions in orthodontics is that treatment ends when braces are removed. In reality, retention is the final and essential stage of treatment.
Teeth naturally shift throughout life due to normal aging and changes in the surrounding tissues. Whether removable or fixed, retainers help maintain the healthy alignment achieved through orthodontic treatment.
Orthodontics Works Best as Part of Comprehensive Dental Care
Straight teeth are only one part of a healthy smile. Long-term oral health also depends on:
Healthy gums
Good oral hygiene
Fluoride protection
Preventive dental care
Balanced nutrition
Regular professional examinations
For this reason, orthodontic treatment is most successful when it is integrated into comprehensive dental care rather than viewed as a standalone procedure. This collaborative philosophy is central to how we care for children and teenagers at Longwood Dental.
Looking Beyond Straight Teeth
Parents often ask:
"Will orthodontic treatment be worth it?"
For children who genuinely need treatment, the answer is often yes—not simply because their teeth become straighter, but because treatment can support healthier function, improved oral hygiene, and long-term dental health. The ultimate goal is not perfection.
It is helping children grow into adulthood with:
A healthy bite
Healthy teeth and gums
Confidence in their smile
Lifelong oral health habits
That is the outcome every orthodontic team hopes to achieve.
Key Takeaways
Orthodontic treatment provides benefits beyond appearance.
A healthy bite may support better oral hygiene, improved function, and reduced injury risk.
Long-term success depends on good oral hygiene, preventive care, and wearing retainers as instructed.
Orthodontics works best as part of comprehensive dental care.
The goal is not simply straighter teeth—it is lifelong oral health.
Why Families Trust Longwood Dental for Children's Orthodontics
Choosing orthodontic treatment is about more than deciding between braces and clear aligners. It is about choosing a team that understands children's growth, recommends treatment only when it is beneficial, and partners with families throughout every stage of care. At Longwood Dental, our philosophy is simple: provide evidence-based, individualized orthodontic care that supports healthy smiles for life.
Harvard-Trained Specialists with Advanced Specialty Training
Children's orthodontics is unique because treatment decisions are closely linked to growth and development. Our team includes Harvard-trained specialists with advanced specialty training in orthodontics and pediatric dentistry, allowing us to evaluate not only your child's teeth today, but also how their jaws, bite, and facial structures are likely to develop over time. This specialist approach helps ensure that treatment recommendations are based on careful diagnosis, appropriate timing, and long-term oral health—not simply on achieving straighter teeth.
Individualized, Evidence-Based Treatment
No two children develop in exactly the same way. Some benefit from early interceptive treatment. Others achieve the best outcomes by waiting until more permanent teeth have erupted. Some are ideal candidates for Invisalign, while others are better treated with braces or another appliance.
Our responsibility is not to recommend a particular product—it is to recommend the treatment that offers the healthiest, most predictable result for your child. That means explaining:
Whether treatment is needed
Why it is recommended
The available treatment options
Expected benefits and limitations
When observation may be the best choice
Families deserve clear information, realistic expectations, and recommendations supported by current scientific evidence.
Comprehensive Orthodontic Care
Because every child is different, we provide a full range of orthodontic treatment options, including:
Early interceptive (Phase I) orthodontics
Traditional metal braces
Ceramic braces
Invisalign First
Invisalign Teen
Comprehensive Invisalign treatment
Functional and growth-guidance appliances
Myobrace® and other adjunctive appliances when clinically appropriate
Our goal is never to promote one appliance over another, but to choose the option that best fits your child's diagnosis, growth stage, and lifestyle.
Collaborative Care Under One Roof
Orthodontic treatment is often just one part of a child's overall dental care. Depending on your child's needs, treatment may involve collaboration between orthodontists, pediatric dentists, general dentists, oral surgeons, periodontists, or other dental specialists. Having these services available within one clinic allows care to be coordinated more efficiently and ensures that treatment decisions are made with your child's long-term oral health in mind.
Supporting International Families in Taipei
Longwood Dental has proudly cared for Taipei's international community for many years. Our English-speaking team provides clear communication throughout every stage of treatment, including:
Treatment planning
Oral hygiene instruction
Progress reviews
Written documentation for private insurance and international reimbursement when required
Whether you are living in Taiwan temporarily or long-term, our goal is to make orthodontic care straightforward, transparent, and reassuring.
Modern Technology with a Conservative Philosophy
Orthodontic technology has advanced significantly in recent years. Digital intraoral scanning, digital treatment planning, and advanced imaging have improved both comfort and precision. However, technology is only valuable when combined with sound clinical judgment.
At Longwood Dental, we adopt new technologies because they improve patient care—not simply because they are new. Every recommendation is guided by careful diagnosis, current evidence, and the individual needs of the child.
Our Commitment to Every Family
Choosing orthodontic treatment is an important decision. Parents deserve honest advice. Children deserve compassionate care. Families deserve enough information to make confident decisions without feeling pressured.
Whether your child needs early intervention, braces, Invisalign, or simply reassurance that their development is progressing normally, our goal is to provide thoughtful, evidence-based care that supports healthy smiles for years to come. We look forward to partnering with your family throughout every stage of your child's orthodontic journey.
Research and References
This guide has been prepared using recommendations and evidence from internationally recognized professional organizations, academic institutions, and peer-reviewed scientific literature. Wherever possible, we have emphasized clinical practice guidelines, systematic reviews, and consensus recommendations while acknowledging that orthodontics continues to evolve as new research becomes available.
Professional Organizations
American Association of Orthodontists (AAO)
American Academy of Pediatric Dentistry (AAPD)
American Dental Association (ADA)
World Federation of Orthodontists (WFO)
European Orthodontic Society (EOS)
Academic Institutions
Harvard School of Dental Medicine
University of Michigan School of Dentistry
University of North Carolina Adams School of Dentistry
King's College London Faculty of Dentistry, Oral & Craniofacial Sciences
UCL Eastman Dental Institute
Peer-Reviewed Journals
American Journal of Orthodontics and Dentofacial Orthopedics (AJODO)
The Angle Orthodontist
European Journal of Orthodontics
Journal of Clinical Orthodontics
Seminars in Orthodontics
Journal of Orofacial Orthopedics
Progress in Orthodontics
Evidence Sources
Cochrane Database of Systematic Reviews
Systematic reviews and meta-analyses relevant to pediatric orthodontics, early interceptive treatment, clear aligners, myofunctional appliances, growth modification, and retention.
Because every child is unique, no online guide can replace a comprehensive clinical examination. Treatment recommendations should always be based on an individualized orthodontic assessment, appropriate diagnostic records, and a discussion between families and their treating dental team.
Final Thoughts
Every child's smile develops differently. Some children benefit from early treatment. Others simply need periodic observation until the timing is right. Some will achieve their best outcome with braces. Others may be excellent candidates for Invisalign or another treatment approach.
The most important decision is not choosing a particular appliance—it is choosing an orthodontic team committed to careful diagnosis, individualized treatment planning, scientific evidence, and open communication.
We hope this guide has helped you better understand your child's orthodontic development and feel more confident about making informed decisions. If you have questions about your child's teeth, bite, or jaw development, we are here to help you understand their options and work together toward a healthy, confident smile that lasts a lifetime.
If You Have More Questions
Our English speaking orthodontists and dentists at Longwood Dental Clinic Taipei is here to help guide you calmly and honestly through your options. You can book your appointment online or contact our team directly with any questions.
At Longwood Dental, dentistry is not about rushing through procedures. It is about listening carefully, explaining clearly, and caring thoughtfully—every step of the way.
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