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| |    Braces by Amy A. Napierala, D.D.S. reviewed by Laura Jana, M.D., F.A.A.P. When your child's teeth or jaws don't line up properly-a condition known as a malocclusion-her dentist may recommend braces to correct the problem. Braces are either fixed or removable appliances that slowly move teeth into place over a long period of time. They can greatly improve the appearance of a child's smile and ensure that her teeth and jaws are working properly. Your child's dentist can help determine if and when she needs braces. If braces are warranted, your dentist will either initiate treatment or refer you to an orthodontic specialist. The process of getting braces Treatment begins with obtaining dental records in the form of x-rays, models, and photos. These records provide the baseline information necessary to develop an orthodontic treatment plan. The next step is to place bands and brackets on the teeth to help regulate their movement. These attachments may be used to anchor wires, elastics, headgear, and other appliances that provide the forces necessary to reposition your child's teeth and regulate the growth of her jaw. Treatment is usually complete approximately in two to three years. Afterwards, most children are outfitted with retainers, to maintain the new position of their teeth. Practical care tips for braces Children with braces or other dental appliances need to be especially diligent about their oral care and diet. Appliances can collect and hold food and plaque next to their teeth, making it important to brush frequently and thoroughly. If the plaque is not removed, decalcifications, or white spots, can form. These white spots are the precursors to cavities and cannot be removed from the teeth. Some basic tips to keep in mind: Brushing after eating is ideal, of course, but if that's not always possible, encourage your child to rinse vigorously with water to help to loosen and remove some of the debris. Sticky foods and candies should be avoided, as should biting directly into hard foods, such as apples or carrots. Extra topical fluoride is helpful to keep the enamel strong and avoid the formation of white spots.
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