Parents should know that orthodontic evaluation is recommended when permanent teeth begin to erupt, typically around age 7. At Smileland Pediatric Dentistry in Westborough, our specialists assess jaw growth and tooth alignment to determine if early intervention is needed. This proactive approach helps guide teeth into their proper positions and can simplify future treatment.
Understanding the Right Time for Evaluation
Many parents wait until all baby teeth are gone before considering orthodontics. However, the American Association of Orthodontists recommends the first orthodontic evaluation by age 7. This timing allows the dentist to identify potential issues with jaw development and tooth eruption before they become complex. Early detection is a key component of modern pediatric dental care.
Signs Your Child May Need Braces
While only a professional exam can confirm the need for treatment, certain signs warrant a consultation. These include teeth that are significantly crooked, gaps that do not close as baby teeth fall out, or a child who has difficulty chewing. Additionally, habits like thumb sucking or mouth breathing can impact alignment. Our team in Westborough is trained to spot these developmental markers during routine checkups.
Types of Orthodontic Treatment Available
Orthodontics is the branch of dentistry focused on correcting misaligned teeth and jaws. At Smileland, we offer a range of options to suit different needs and preferences. The choice of appliance depends on the severity of the case and the specific goals of the treatment plan.
Traditional Metal Braces
Metal braces remain the most common and effective tool for complex alignment issues. They consist of brackets bonded to the teeth and connected by wires. Modern metal braces are smaller and more comfortable than older versions. They provide precise control over tooth movement, making them ideal for significant crowding or bite corrections.

Ceramic and Clear Aligners
For patients who prefer a less visible option, ceramic braces blend in with the natural color of teeth. Clear aligners, such as Invisalign, are removable trays that gradually shift teeth into place. These options require high compliance, as aligners must be worn for 20 to 22 hours a day. Our orthodontists will help you decide which option fits your child's lifestyle and dental needs.
The Treatment Process and Timeline
Getting braces is a journey that typically lasts between 12 and 24 months. The process begins with a comprehensive exam, which may include digital X-rays and photographs. After diagnosis, the orthodontist creates a customized treatment plan. Parents should be prepared for regular adjustment appointments every 4 to 8 weeks to monitor progress.
What to Expect During Adjustments
Adjustment visits are generally quick and painless. The orthodontist tightens the wires or replaces them to continue guiding tooth movement. Some discomfort is normal for a few days after an adjustment, but it is usually manageable with over-the-counter pain relief. Consistent attendance at these appointments is crucial for achieving the desired results on time.
Daily Care and Dietary Considerations
Maintaining oral hygiene is more challenging with braces, but it is essential to prevent decay and gum disease. Patients must brush after every meal and floss daily. Special tools like interdental brushes and water flossers can help clean around brackets and wires. Dietary restrictions are also important to avoid damaging the appliances.
Foods to Avoid
Hard, sticky, and crunchy foods can break brackets or bend wires. Parents should encourage their children to avoid items like hard candy, ice, and raw carrots. Cutting food into smaller pieces can make eating safer and easier. Our team provides detailed dietary guidelines to help families navigate these restrictions successfully.
Insurance and Financial Planning
Orthodontic treatment is a significant investment, and understanding insurance coverage is vital. Smileland accepts most major dental insurance plans and MassHealth. However, coverage varies widely by plan. Some plans cover a portion of orthodontic costs, while others do not. We recommend contacting your insurance provider to confirm your specific benefits before starting treatment. Our office staff can help you estimate costs and discuss payment options.
Key Takeaways
- Schedule an orthodontic evaluation by age 7 to catch developmental issues early.
- Options include metal braces, ceramic braces, and clear aligners.
- Treatment typically lasts 12 to 24 months with regular adjustments.
- Strict oral hygiene and dietary restrictions are required during treatment.
- Smileland in Westborough accepts MassHealth and most major insurance plans.
- Early intervention can simplify future treatment and improve overall oral health.
Frequently Asked Questions
At what age should my child see an orthodontist?
The American Association of Orthodontists recommends the first evaluation by age 7. This allows the specialist to monitor jaw growth and tooth eruption, even if treatment is not needed immediately.
Do braces hurt?
Braces can cause mild discomfort or soreness for a few days after adjustments. This is normal and usually manageable with over-the-counter pain relievers. The initial placement of brackets is painless.
How long does orthodontic treatment take?
The duration varies by case complexity, but most treatments take between 12 and 24 months. Some minor cases may resolve faster, while complex bite issues may take longer.
Can my child play sports with braces?
Yes, but a mouthguard is strongly recommended to protect the teeth and braces from injury. Our office offers sport mouthguards that fit comfortably over braces.
Does Smileland accept MassHealth?
Yes, Smileland Pediatric Dentistry accepts MassHealth and most major commercial insurance plans. Coverage details vary by plan, so please contact our office to verify your specific benefits.
Start Your Child's Journey to a Healthy Smile
Choosing the right time for orthodontic care can make a lasting difference in your child's oral health and confidence. At Smileland Pediatric Dentistry in Westborough, we provide compassionate, expert care tailored to each child's unique needs. Our team is dedicated to creating positive dental experiences that support lifelong healthy habits. To schedule a consultation or learn more about our orthodontic services, please contact our office today.

