Early Childhood Guidance (~Ages 6)

An early evaluation allows developing concerns to be identified while the jaws and facial structures are still growing. Children may benefit from being seen before age 7 if you notice challenges such as difficulty chewing, frequent mouth breathing, thumb or finger sucking, crowding of erupting teeth, jaw clicking, speech concerns, tooth grinding, or an uneven bite.

Early guidance is not always about immediate treatment. In many cases, it allows us to monitor growth, address habits that may affect development, and support healthier jaw and bite patterns as permanent teeth emerge.

Adolescent Treatment (~Ages 12)

Full treatment for adolescents typically begins once most permanent teeth have erupted, usually around ages 12 or 13. Treatment duration commonly ranges from 18 to 36 months, with approximately two years being typical. Timing varies based on individual development, complexity of alignment, oral hygiene, and consistency with care instructions.

We use modern, low-friction brace systems that allow teeth to move efficiently with gentle force, improving comfort during treatment. Clear bracket options are available for a more discreet appearance. Digital planning tools such as Insignia allow us to design each smile in advance, supporting precise, predictable tooth movement tailored to each individual.


Schedule a Child’s Evaluation

    • Difficulty chewing

    • Open-mouth breathing

    • Thumb or finger sucking

    • Overlapping or crowding of erupting permanent teeth

    • Jaws that click or pop

    • Biting of the cheek or into the roof of the mouth

    • Speech problems

    • Grinding or wearing down of teeth

    • Obvious abnormal bite development of any kind

  • How It Works

    In children under 12, palatal expansion—often called Rapid Palatal Expansion (RPE)—is done while the upper jaw is still developing. A custom appliance is attached to the upper molars and activated at home as directed. This gently widens the upper jaw and allows new bone to form, stabilizing the expansion.

    Treatment Timeline

    Active expansion typically takes 4–6 weeks. Afterward, the appliance remains in place for several months to allow the bone to fully stabilize. A temporary space between the front teeth is normal during expansion and closes naturally over time. Expansion may be coordinated with other treatment, such as braces or aligners, when appropriate.

    Comfort & Adjustment

    Most children feel mild pressure or tingling around the nose or upper teeth during the first few days. Any soreness usually resolves within a week. Softer foods can help during the initial adjustment period.