Children’s Orthodontist in Sunnyvale

Children's Orthodontics

(Phase 1)

What Is Children's Orthodontics?

To bite and chew properly, you need teeth that work together, making orthodontic treatment a critical part of your child’s oral health care. Orthodontic treatment not only gives your child a beautiful smile; it sets the stage for a lifetime of healthy teeth.

The Importance of Early Check-Ups

AAO experts recommend children complete their first check-up with an orthodontist by age 7. Around this age, children have a mix of baby (primary) and permanent teeth, and examining them gives your child’s orthodontist a wealth of information. If a problem exists, or if one is developing, your orthodontist can advise you on the recommended treatment, when it should begin, and how long it should take.

If your child is younger than 7 and you notice something that appears “off,” you don’t need to wait until your child turns 7 to see an orthodontist. Regardless of age, you should take your child to an orthodontist the moment you notice an issue.

Signs Your Child May Need Orthodontic Care

To determine if your child needs to see an orthodontist watch for these warning signs:

Early or Late Loss of Baby Teeth

While some variation is normal, losing baby teeth too early or too late can create problems with the permanent teeth replacing them. An orthodontist is an expert in recognizing and treating adverse variations.

Difficulty Chewing or Biting

Eating should never hurt. Although discomfort is typical when “teething,” painful chewing may indicate orthodontic problems that need to be addressed.

Jaws Shifting or Clicking

Shifting of the lower jaw due to a bite problem can lead to jaw pain and other dental consequences. Orthodontists are experts in evaluating how teeth come together and can ensure your child’s jaws are aligned correctly.

Mouth Breathing

Many orthodontic problems can develop as a result of mouth breathing. Your child’s orthodontist can address and correct these issues.

Cheek Biting

With a normal bite, the outer cusps of the upper teeth hold the cheeks away from the lower chewing surfaces. If your child is constantly biting their cheeks, they may have a condition where the upper and lower teeth are not coming or fitting together properly when chewing.

Facial Imbalance

The underlying teeth and jaws may affect the appearance of the lips, chin, and other facial features. If your child’s jaw is misaligned, an imbalance can impact their face shape and appearance. An orthodontist can expertly align your child’s jaw to avoid this imbalance and prevent future health issues.

Your Child’s First Orthodontic Exam

As previously mentioned, AAO recommends that children first visit an orthodontist no later than age 7. The mix of baby and permanent teeth present at this age allows the orthodontist to recognize orthodontic problems (“malocclusions”) even in their earliest stages.

Five essential questions are generally covered during the first exam:

Is there an orthodontic problem, and if so, what is it?
What are the available treatment options?
How long is the recommended treatment expected to take?
How much will the recommended treatment cost?

Frequently Asked Questions

Will dental insurance cover replacement retainers?

Unfortunately, most plans include retainers as part of the initial orthodontic package, so replacements are an out-of-pocket expense. Fortunately, most plans allow you to utilize Flexible Spending Accounts (FSAs) or Health Savings Accounts (HSAs) to help reduce the cost.

I grind my teeth at night. Should I wear both a night guard and my retainer at the same time?

Before determining which to wear, ask your orthodontist for advice. Many patients switch to a dual-purpose, custom hard-acrylic retainer that doubles as a protective night guard. Layering two separate devices can alter your bite and is rarely recommended.

How should I clean and store my retainer?

Rinse with cool water after each use, brush gently with a soft toothbrush and mild soap, then let it air-dry in a ventilated case. Avoid hot water, bleach, and dishwasher cycles, as heat and harsh chemicals can cause the plastic to warp or weaken. To learn more about retainer care, check out AAO’s comprehensive guide.

What is the difference between removable and fixed (bonded) retainers?

Removable retainers can be removed for eating and cleaning, making oral hygiene easier. Fixed retainers are thin wires bonded to the backside of the front teeth, working 24/7 but requiring careful flossing and periodic checks to ensure the bond has not failed.

What’s the best way to clean a mouthguard?

Rinse it in cool water after each use, brush it gently with a soft toothbrush and mild soap, then let it air-dry in a ventilated case. Avoid hot water (it warps plastic) and never leave the guard in a closed, damp container, as bacteria love that environment.