Orthodontics

Braces & Orthodontic Treatment

From the first orthodontic assessment to the day retainers are fitted — comprehensive, evidence-based braces treatment for children and teenagers in Bengaluru.

Dentist showing orthodontic appliance to patient

Orthodontic problems are easier to correct when caught early. Dr. Mittal identifies developing issues from age 6 to 7 — before they become structural — and plans treatment that works with the child's natural growth rather than against it.

When to Begin Treatment

Phase 1: Early Intervention (Ages 7–10)

Phase 1 treatment uses removable or fixed appliances to guide jaw growth and create space while the child is still developing. Not every child needs Phase 1 — but for those who do, early action prevents more invasive treatment later.

  • Crossbites — fixed when the bite pattern is narrow; left untreated, they cause asymmetric jaw growth.
  • Severe crowding — space is created for permanent teeth before they erupt, reducing the chance of extractions.
  • Skeletal discrepancies — upper or lower jaw position issues are most responsive to growth modification at this stage.
  • Thumb or finger habits — if habits have caused bite deformation, habit appliances correct the bone changes.

Phase 2: Full Orthodontic Treatment (Ages 12–14)

Once all permanent teeth are in, comprehensive braces or aligner treatment aligns all teeth, fine-tunes the bite, and achieves the final result. Phase 2 follows Phase 1 if one was done, or begins at this stage if early intervention was not needed.

The 7-year check is a clinical standard, not a formality.

The American Association of Orthodontists recommends an orthodontic screening by age 7. At this age, the first permanent molars and incisors have arrived — enough to assess jaw width, bite, and emerging crowding. Catching problems at 7 does not mean treatment begins at 7; it means we have a plan before the window closes.

Types of Braces

Metal Braces

The most effective and durable option. Modern metal brackets are smaller, lower-profile, and less noticeable than older designs. For children and adolescents with complex bite issues, metal braces deliver the most precise control. Coloured elastics are popular with younger patients.

Ceramic (Tooth-Coloured) Braces

Ceramic brackets match the tooth colour, making them less visible. They are a good choice for adolescents who want a more discreet option but still need the reliability of fixed braces. They require slightly more careful hygiene as the brackets can stain with certain foods.

Clear Aligners for Teens

A series of clear, removable trays that progressively move teeth. Best suited for moderate crowding and spacing without complex bite issues. Requires strong compliance — the trays must be worn 20 to 22 hours daily to work. We assess readiness carefully before recommending aligners for adolescents.

Retainers

Why Retainers Are Non-Negotiable

Teeth have a natural tendency to shift after braces are removed. This is biology, not failure. Retainers hold the corrected position while the bone and fibres stabilise. Skipping or inconsistent retainer wear is the most common reason orthodontic results are lost.

Types of Retainers

  • Fixed (bonded) retainer — a thin wire bonded behind the front teeth; requires no patient action and works continuously. Recommended for cases with a high relapse risk.
  • Removable Hawley retainer — durable acrylic and wire plate worn at night; can be adjusted if minor shifts occur.
  • Clear removable retainer — similar material to aligners; worn at night; must be replaced when worn out or damaged.
Phase 1 Age
7–10 years
Growth-guided early intervention
Phase 2 Age
12–14 years
Full braces once all permanent teeth are in
Active Treatment
18–24 months
Average for full orthodontic treatment
Retainer
Lifelong
Night-time wear protects your investment

Frequently Asked Questions

7 is the right age for a screening, not necessarily for treatment. Most children who come in at 7 are simply monitored — we photograph, measure, and check again in 6 months. But for the minority with jaw narrowing, crossbites, or severe crowding, starting at 7 is significantly better than waiting. We will be direct with you about what needs action and what does not.
Phase 1 (if needed) typically runs 9 to 12 months, followed by a rest period. Phase 2 comprehensive treatment averages 18 to 24 months. Total active treatment time across both phases is usually under 3 years. Clear aligner cases for mild to moderate issues can sometimes be completed in 12 to 18 months. The more complex the bite, the longer the treatment.
Braces cause mild soreness for 2 to 5 days after each adjustment — not pain, but a dull pressure as the teeth begin to move. Most children manage with soft foods and, if needed, a mild pain reliever. The soreness decreases with each subsequent adjustment as the teeth move closer to their target positions.
Yes. Children with braces can and should continue sports. We recommend an orthodontic mouthguard for contact sports — standard mouthguards do not fit well over brackets. A properly fitted guard protects both the braces and the lips from impact. Let us know which sport your child plays; we can advise on the right mouthguard.

Related treatments:

Start Your Child's Smile Journey.

A comprehensive orthodontic assessment at Dr. Mittal's gives you a clear picture of your child's needs — and a timeline that fits your family.

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