Does My Child Need to Get Teeth Pulled Before Getting Braces? | King Orthodontics

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Does My Child Need to Get Teeth Pulled Before Getting Braces?

Most kids should see an orthodontist by age 7, and parents are often surprised when it’s suggested that treatment will need to be started to create more room in a child’s mouth due to overcrowding, bite problems, or a small jaw.

Why Some Children Need to Have Teeth Pulled 

Before beginning their orthodontic treatment, some children may have to have their teeth pulled.

There are several reasons for this.

  • First, some kids don’t lose their baby teeth in the normal order, which can cause problems when their adult teeth come in, including crowding. If adult teeth don’t erupt at the proper time, it can cause issues that will continue to cascade through their teen years and then into adulthood.
  • Some children have narrow jaws. It’s not unusual for children to have jaws that are too small for all of their teeth. Remember, children have 20 baby teeth, and then they’ll lose those teeth between the ages of 6 and 12, when they are replaced by 32 adult teeth. Even when children grow during this period (and they grow quite a bit), they still may not have enough room for their teeth, and crowding will occur.


Two-phase Orthodontic Treatment for Children
One of the treatments for a too-small jaw is two-phase treatment. It’s become a very common procedure that expands a child’s jaw while helping to reduce the time necessary for orthodontic treatment in the future.


This treatment starts when your child is young—usually between the ages of 7-9. They will use an appliance, called an expander, which corrects problems, such as a narrow jaw. Your child will then get braces to position the adult teeth that are coming in. Following this phase, your child will grow (this part of the treatment is called the resting phase), lose all of their baby teeth, and all of their adult teeth will come in. When your child is between the ages of 11-13, phase two will begin. Phase two involves both upper and lower braces. Instead of four years of braces, which many adults remember from their youth, your children will have nearly half of that in treatment time by using your child’s natural growth as a part of the process.


Pittsburgh Orthodontist Treatment for Kids

King Orthodontics has successfully treated thousands of children and teenagers using the two-phase treatment. If your general dentist believes that your child’s teeth should be treated for crowding or bite problems, make an appointment to see us at our Wexford, Pittsburgh, or Bridgeville office. We can answer your questions and make sure that your child’s smile is both healthy and beautiful.

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I have 4 children who are patients of King Orthodontics and we always look forward to our visits. The atmosphere is relaxing and the staff is kind, & courteous. To top it off, we have never had to wait more than 10 minutes or so! Dr. King... and Dr. Bryan, are kind and knowledgeable and easily accessible too. I can’t say enough about this practice!

Elizabeth K, Monroeville PA

I just wanted to take a minute to write and let you know what a wonderful addition Dr. DeMiria is to your office. I was in twice this week and saw Dr. DeMiria on Monday for the first time. She is absolutely wonderful - just so nice and she really seems to be invested in her patients. The entire staff at Wexford office is wonderful and Dr. DeMiria is just icing on the cake.

Jen R, Pittsburgh PA

I absolutely love King Orthodontics!! The staff are so friendly and actually care about you and your teeth. Almost everyone who works there knows you by name which is very uncommon for a place with so many patients. It is so worth the hour drive it takes me to get there. I would highly recommend King Orthodontics to anyone!!!!!

Andrew G, Midland PA