Children’s Orthodontics

At our practice, Dr. Carl Roy recommends treatment on a case-by-case basis. Most orthodontic patients begin treatment around the age of 11 or 12. However, in some cases, two-phase treatment – sometimes referred to as early orthodontics – can help correct issues before they progress. Therefore, while not every young patient will require early orthodontics, it is incredibly advantageous for those who can benefit from it. Here, we will explore a variety of procedures available in children’s orthodontics, and discuss the appropriate age to begin treatment.

At What Age Should I Bring My Child to the Orthodontist?

The American Association of Orthodontists recommends scheduling your child’s first orthodontic visit around the age of seven. This is because several permanent teeth will have erupted by this age. Therefore, Dr. Roy can obtain a clear picture of your child’s bite, and determine if any treatment will be necessary. At age seven, your child is still in the developmental stages. As a result, any skeletal abnormalities can be identified and addressed while the oral and maxillofacial bones are still growing. If no treatment is required at this young age, Dr. Roy will simply continue to monitor your child’s bite as he or she grows. Then, he can begin treatment when it is the most beneficial.

Two-Phase Treatment: Why is Early Orthodontics Sometimes Advantageous?

If there are significant problems identified at age seven, early orthodontics can make overall treatment much more predictable. For example, early intervention can guide growth and development. If you wait until the bones are fully formed, treatment may be much more extensive. Early orthodontics can:

  • Encourage facial symmetry through proper jaw growth
  • Create room for erupting teeth
  • Minimize crowding
  • Reduce the possibility of extractions in the future
  • Reduce or eliminate the possibility of trauma to protruding front teeth
  • Reduce the overall treatment timeline

If Dr. Roy recommends two-phase treatment, there are a variety of procedures that can be recommended, based on your child’s specific needs. Some of the most common procedures and appliances used in the first phase of orthodontic treatment include:

  • Space maintainers: To preserve or “hold” space for a tooth that has not erupted yet, a space maintainer can be placed.
  • Partial braces: Sometimes, there is an area that is more problematic. In these cases, partial braces can be used to gradually move the teeth into more desirable locations.
  • Anterior braces: If your child has protruding front teeth or other conditions affecting the front portion of the jaw, anterior braces may be useful.
  • Removable appliances: While braces are fixed onto the teeth, there are other appliances that can be removed, such as retainers or headgear. Depending on your child’s specific situation, Dr. Roy may recommend a removable appliance.
  • Palatal expanders: If the palate and upper jaw are too narrow, a palatal expander may be used to gently widen the roof of the mouth and make room for permanent teeth.
  • Cross bite and width correction: A cross bite is present when the upper teeth meet inside or outside your lower teeth when you bite down naturally. At time, the teeth may fit together, but both arches are too narrow for normal function. These problems can cause abnormal growth, excessive wear and tear on the tooth surfaces, gum recession, and jaw joint damage.

Once your child has successfully completed the first phase of orthodontic treatment, he or she will typically wait until the age of 11 or 12 to move on the second phase. Dr. Roy will monitor your child’s development and growth, and will recommend the next phase at the appropriate time. Generally, the second phase of treatment involves traditional metal braces. On average, phase two lasts between 18 to 24 months.

What if My Child Does Not Require Two-Phase Treatment?

If Dr. Roy does not recommend two-phase treatment for your child, he will simply monitor your child’s growth until orthodontic treatment is appropriate. In most cases, he will recommend full traditional metal braces around the age of 11 or 12. If your child only has mild misalignment, he or she may benefit from Invisalign®. Dr. Roy will base his suggestions on the long-term health and function of your child’s smile.

Learn More about Children’s Orthodontics

If you think your child may require orthodontics, schedule a consultation with Dr. Roy. We can assess your child’s development and recommend any necessary treatment. Contact our Virginia Beach and Chesapeake offices today.

Dr. Carl Roy Meet Dr Roy
My sincere thanks to Dr. Roy and his team for showing me the way! My baby teeth had to be crowned for years since 2 of my adult teeth never came in. This was just one piece of the puzzle that needed figuring out. I’m proud of my smile and it shows every time I meet someone!Liz

Roy Orthodontics Locations

Virginia Beach Location

4388 Holland Rd
Ste. 200
Virginia Beach, VA 23452
(757) 471-2900  

Chesapeake Location

684 Battlefield Blvd. N
Ste. B
Chesapeake, VA 23320
(757) 549-1115

Google Reviews

Tina Roberts
Tina Roberts
03:31 26 Jun 18
My first experience with Dr.Roy and his staff was in 2004. The entire staff was always professional and very kind to me. I was treated for large spaces between my teeth and my end result was Phenomenal!! Here I am 14 years later, seeking slight help once again, but not as bad. I didn't wear my retainer faithfully. .so I have returned to the best orthodontic team in the area. I can honestly say,Dr.Roy and his team are the best! That's why I chose to come back to Roy Orthodontics this year for round #2. #satisfied returning patient.
Jennifer Grimes
Jennifer Grimes
01:13 26 Jun 18
Dr. Roy and his colleagues are the best. They are very professional and knowledgeable in what they do. I like how they take the time to get to know you as a person and not just a client. They even incorporate personal touches that takes the overall experience to new heights. I highly recommend them for orthodontic care!
Karen Bennett
Karen Bennett
22:42 23 Jun 18
We were visiting from Vermont and my daughter broke her braces. Dr. Roy and his office staff not only agreed to see us, but squeezed us in between regular scheduled patients AND made all the much needed repairs. Their willingness and professionalism, combined with their friendly personalities made this stressful time so much easier!! Huge thanks to Dr. Roy and his amazing staff!!
Kathy Knopp
Kathy Knopp
00:56 10 May 18
Great orthodontist with great results. I know I can be frustrating to deal with but Dr Roy hung in there. Thank you Dr Roy
Sherrilyn Olds-Cage
Sherrilyn Olds-Cage
11:13 09 May 18
My teenage daughter and I are in treatment. We love the care and the progress we are receiving from Dr. Roy. Everyone there is kind and knowledgeable. They are going far beyond the expected to give us top-knotch service.
gabrielle hopkins
gabrielle hopkins
16:25 08 May 18
Dr. Roy and his team has been nothing short of a blessing to me. I was stationed in Virginia four years ago, I came to Dr. Roy with braces from another Orthodontist, instead of pushing me away like most doctors due to not wanting to finish another's work he was more than welcoming. Due to after care with retainers I wasnt as diligent as I should to wear them often Dr. Roy and staff always made me feel wanted and warm to start the process over. Many days I didn't want to smile, his team always brought cheer. I was actually refereed to him by someone else and I shared the candor and referred someone also. I said to myself " does anyone here have a bad day, everyone is literally always smiling". It saddens me a bit to have my braces off because I wont see their smiling faces monthly. But, if you want fair over the top treatment, Dr. Roy and staff will ensure 5 star treatment. They are truly a blessing, I wish I could give more than 5 stars.
Colman Elis
Colman Elis
13:59 02 May 18
They were always super friendly and they always knew who you were when you walked in. Everytime I was there they were fast and I'm very happy with the outcome of my teeth.
Jorene Delacruz
Jorene Delacruz
15:07 27 Mar 18
Dr. Roy & his staff are more than wonderful. I would recommend this practice 10x if I could. They are amazing at what they do, especially Dr. Roy for understanding my past situation with my teeth. I’m so grateful & happy to have been a patient here for many years. The staff knows what they’re doing and is always so nice. I can’t thank you guys enough for dealing with my crazy teeth!
Tanya Barclift
Tanya Barclift
02:49 28 Feb 18
My son was need of palate expanders and braces and Dr. Roy and his staff have been such a blessing to us! He was only 8 years of age when this was all needed and they treated him with such professionalism and ease! Dr. Roy has such a love and compassion for his patients and families! What could have been a nightmare for my son was actually the exact opposite because of his expertise in this field. Karen, Sandy and the whole office staff is amazing!!! I would highly recommend this practice who is need of their services! Thank you Dr. Roy and staff for helping our son! May God continue to bless your wonderful practice and employees!!
04:50 24 Feb 18
Everyone was so welcoming and polite. They made me very comfortable which made me want to keep coming back. I love how they put their patients first, and they do everything they can to make sure their patients’ teeth are perfect👌🏾.
Jay Wang
Jay Wang
22:04 01 Feb 18
Dr. Roy and his team took great care of my son’s teeth. They are efficient, professional and knowledgeable. Everyone has been friendly and helpful. They fixed my niece’s braces for free during her visit!
Samantha Simmons-Conaway
Samantha Simmons-Conaway
16:09 09 Jan 18
Wonderful staff. Everything was always explained thoroughly and I felt comfortableAs an older adult I had lots of trepidation about doing braces but they made process clear and I always looked forward to my visitsHighly recommend this practice. Special kudos to Tracy who is a wonderful tech and a great person
Heather Ham
Heather Ham
16:41 15 Dec 17
Dr Roy and his staff have provided Orthodontic care for both of my children. The best thing I can say about Dr Roy is he always puts the needs of the child and their long term orthodontic care first. It isn’t just about putting braces on your kids to have straight teeth for pictures it is about treating them at the appropriate age so that the care they receive is appropriate and will last them into adulthood and more importantly won’t have to be repeated when they finish growing. As a parent it was so refreshing to deal with a practice as practical and professional as Roy Orthodontics. I recommend them to anyone seeking orthodontics for their children.
Sheila Field
Sheila Field
17:12 04 Dec 17
I am thrilled with my results from Roy Orthodontics. I am happy to say that my jaw is pain free for the first time in years. My joint popped, cracked and hurt after I had braces as a teenager. Now, I not only look good but I feel good too. Thank you Dr. Roy and your amazing staff for investing your time in being the best. This team of experts will certainly give you a reason to smile!
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