Braces for kids

The Complete Guide to Your Child’s Smile Journey

As a parent, you want to give your child every advantage in life and a healthy, confident smile is one of the greatest gifts you can provide. Don’t wait until all adult teeth come in before you book an orthodontic screening for your child.

If you are wondering whether your child needs braces, when they should see an orthodontist, or how modern treatment options fit into your busy family schedule, you are in the right place.

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Why Children Need Braces

Why Children Need Braces

When most people think of braces for kids, they picture a perfectly aligned, cosmetic smile. While a beautiful smile does wonders for a child’s self-esteem, orthodontic treatment is primarily rooted in health, function, and prevention.

During childhood, the jaws are still growing, and the facial bones are highly adaptable. Addressing structural issues early can prevent more invasive, complex treatments (such as jaw surgery or permanent tooth extractions) later in life. Here are the primary reasons why children need braces or early orthodontic guidance:

1. Correcting Severe Crowding and Spacing

When permanent teeth erupt, there isn’t always enough room in the jaw to accommodate them. Severe crowding can cause teeth to twist, overlap, or become impacted (trapped beneath the gums). Conversely, excessive spacing can leave gums exposed and vulnerable to injury or plaque buildup. Braces create the perfect amount of space, guiding teeth into their proper anatomical positions.

2. Resolving Bite Issues (Malocclusions)

How your child’s upper and lower teeth meet is fundamental to their oral health. Common bite issues include:

  • Overbite: The upper front teeth overlap the lower teeth excessively, which can cause wear on the lower teeth or irritation to the roof of the mouth.
  • Underbite: The lower teeth sit in front of the upper teeth, putting stress on the jaw joints and affecting chewing function.
  • Crossbite: One or more upper teeth bite inside the lower teeth. If left uncorrected, a crossbite can cause the jaw to grow unevenly, leading to facial asymmetry.
  • Open Bite: The front teeth do not meet at all when the back teeth are closed, often caused by prolonged thumb-sucking or tongue-thrusting, making tearing food difficult.

3. Improving Chewing, Speech, and Breathing

Misaligned teeth make it difficult to chew food thoroughly, which can occasionally impact digestion. Furthermore, certain speech impediments and lisping are linked directly to bite structural imbalances, which can be improved with proper alignment. The shapes and positions of the upper and lower jaws also have an effect on how well your child breathes during the day and night.

4. Protecting Against Tooth Wear and Injury

When teeth are misaligned or protrude outward (“buck teeth”), they are significantly more susceptible to dental trauma and chipping during playground activities or sports. An uneven bite also causes certain teeth to bear the brunt of chewing forces, leading to premature enamel wear, fractures, and jaw joint strain (TMD) in the future.

5. Improving Oral Hygiene

Crooked, overlapping teeth create tight spaces that are difficult for small hands to brush and floss effectively. Over time, these hard-to-reach plaque traps increase your child’s risk of developing tooth decay, cavities, and early gum inflammation. Straight teeth make daily brushing easier for you and your child.

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Signs your child will benefit from an orthodontic consult

  • Early, late, or irregular loss of baby teeth: Most children begin losing baby teeth around age 6 and finish around age 12. Significant deviations can throw off the path of permanent teeth.
  • Difficulty chewing or biting: If your child frequently bites the inside of their cheek or shifts their jaw uncomfortably to chew, their bite may be misaligned.
  • Mouth breathing: Constantly breathing through the mouth can alter jaw development, narrowing the upper arch.
  • Prolonged oral habits: Thumb-sucking, finger-sucking, or pacifier use past the age of 4 can push the front teeth forward and alter the shape of the palate.
  • Crowded, misplaced, or blocked-out teeth: Permanent teeth erupting behind baby teeth or coming in at severe angles.
  • Jaws that shift, make sounds, or protrude: Jaws that click, pop, or appear too far forward or backward relative to the face.
  • Speech difficulties: Chronic lisps or difficulty pronouncing certain sounds.

The Age 7 Rule: The Ideal Window for a First Visit

The Canadian Association of Orthodontists recommends that every child receive their first orthodontic evaluation by age 7.

Why age 7? By this stage, your child has a mix of baby and permanent teeth, and their first permanent molars have usually erupted. This allows Dr. MacKenzie to assess how the bite is forming and track jaw growth.

Important Note for Parents: Bringing your child in at age 7 does not mean they will get braces right away. In fact, most children do not need immediate treatment. Instead, it allows us to monitor their dental development safely over time for free, stepping in only if interceptive care is required to guide growth smoothly.

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How Gentle Braces are Today

If you had braces yourself decades ago, you might remember bulky metal brackets, uncomfortable manual tightening appointments, and persistent soreness. We have wonderful news for you: orthodontics has completely transformed.

At MacKenzie Orthodontics, we invest heavily in next-generation digital technology. Our advanced systems utilize gentler, continuous forces  making the process faster, gentler, incredibly precise, and very comfortable.

DIBS AI (Digital Indirect Bonding System)

The day your child gets their braces on should be exciting, not exhausting. Using DIBS AI software, Dr. MacKenzie digitally maps out the perfect mathematical placement for every single bracket on a 3D digital model of your child’s teeth before they even set foot in the office.

On bonding day, rather than gluing brackets one by one while your child sits restless in the chair, we use a custom-engineered transfer tray to place an entire arch of brackets simultaneously. This decreases the time your child has to spend getting braces on. It also decreases the number of appointments and treatment time.

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Clear Aligners (Invisalign First and Angel Kid)

While traditional braces are highly effective, clear aligners consistently deliver a superior, more predictable experience for children and their busy families. Clear aligners such as Invisalign First and Angel Kid provide:

  • Amazing Patient Comfort: Traditional braces rely on metal brackets and wires that can rub against delicate cheeks and lips, occasionally causing painful ulcers or wire pokes. Clear aligners are made of a smooth, material custom-printed to your child’s teeth, completely eliminating irritation and emergency repair appointments.
  • Faster, More Predictable Treatment: Using advanced 3D digital planning, we program every single tooth movement simultaneously rather than relying on manual wire adjustments. This precise, continuous force often allows us to achieve dental arch expansion and crowding correction much more efficiently, frequently shortening the overall time your child spends in treatment.
  • Great for Oral Hygiene:  Because aligners are completely removable, your child can brush and floss normally without navigating a maze of metal, ensuring their teeth and gums stay spotlessly clean and healthy.
  • No Food Restrictions:  Aligners are simply removed before meals, meaning zero lifestyle or dietary disruptions for your child. They can eat anything they want including apples, carrots, and popcorn.
  • The Best Patient Experience: Clear aligners transform your child’s anxiety into excitement. The aligners are virtually invisible, meaning no self-consciousness at school.

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The Dental Pain Eraser

To ensure absolute peace of mind, we are proud to be the only office in New Brunswick that offers the Dental Pain Eraser. This groundbreaking, drug-free, device calms the nerve pathways responsible for dental soreness. We use it in our clinics during adjustments, and it is available for at-home use, providing safe, near-instant relief from early treatment tenderness without relying on over-the-counter pain medications.

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Our Three Convenient New Brunswick Locations

Office Location Address Serving Communities
Saint John 53 King Street Uptown Saint John, West Side, East Side, Grand Bay-Westfield
Quispamsis 120 Millennium Drive Quispamsis, Rothesay, the Kennebecasis Valley (KV), Hampton
St. Stephen 141 King Street St. Stephen, St. Andrews, Charlotte County, Calais (ME)

Each office is fully digital, staffed by our exceptionally trained, compassionate clinical team, and designed to provide a warm, stress-free environment for kids and parents alike.

Ready to Start Your Child’s Journey? Book a Free Consultation Today!

Give your child the lifelong confidence that comes with a healthy, beautiful, well-aligned smile. Booking an appointment is simple, and no dentist referral is required to see our specialist team.

Contact our central scheduling team today at (506) 633-0555 or visit us online to request your child’s Free Consultation at our Saint John, Quispamsis, or St. Stephen locations. We cannot wait to welcome your family to ours!

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Meet Dr. Liliya MacKenzie

Choosing who will guide your child’s smile transformation is an important decision. Orthodontics is more than just straightening teeth. It is a specialized branch of dentistry focused on facial development, jaw alignment, and long-term oral health.

Dr. Liliya MacKenzie has been a board-certified specialist orthodontist since 2009. Her academic and clinical foundation is extensive:

  • Bachelor & Master of Science: Mount Allison University
  • Doctor of Dental Medicine (DMD): McGill University
  • Orthodontic Speciality Residency: University of Rochester, NY
  • Fellowship: The Royal College of Dentists of Canada
  • Academic Leadership: Dr. MacKenzie has been teaching orthodontics to other orthodontists for many years. She was a speaker for Invisalign and is now a renowned key opinion leader for Angel Aligner. She travels nationally and internationally to lecture on topics such as treatment of children.

Beyond the clinical degrees and board certifications, Dr. MacKenzie brings an invaluable perspective to her practice: She is a mom of three children.

At MacKenzie Orthodontics, your child isn’t just a chart or a number: they are treated like family.

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