Treatment for children
Treatment timing & methods
The right time for orthodontic treatment is when the second phase of tooth replacement has begun, i.e. when the first lateral permanent teeth erupt, usually at the age of 9-10. In a consultation, the anomaly is then classified according to the guidelines of the “orthodontic indication groups”, or “KIG” for short, and diagnostic documents such as impressions, x-rays and photos are prepared if treatment is required.
After evaluating the diagnostic documents, I then draw up a treatment plan. We will take care of the entire approval process with the health insurance company for you. As soon as we have received written approval from the health insurance company, we will arrange a meeting with you to discuss the treatment plan and the choice of treatment equipment. The treatment can now begin.
Phase 01
Removable appliances, or rather “loose braces”, are usually used in the first phase of orthodontic treatment. With these “braces”, however, only tilting tooth movements and the subsequent development of the jaws in width and length are possible. This treatment method is sufficient for many patients. However, some patients need “fixed braces” in the 2nd phase.
Phase 02
“Fixed braces” can do more! They move the teeth physically, purposefully and almost without restriction, meaning that the teeth can be turned straight, gaps can be closed or opened and the teeth can be lengthened or shortened.
Phase 03
The retention phase is the time after the active treatment; here the teeth are strengthened and held in place so that no tooth “dances out of line” later on.
Children aged nine and over
When the first lateral molars erupt – usually at the age of 9 – the statutory health insurance companies cover orthodontic treatment for misaligned teeth and jaws.
Treatments are carried out in my practice with removable and fixed braces. With “loose” braces, the jaws are widened to create space and straighten the incisors or to correct a crossbite.
Fixed braces are necessary to align rotated teeth and to close or open gaps. The special wire changes the position of the teeth thanks to its elastic restoring force. If all the teeth are on the same level, they can be moved along the wire – like on a splint.
Self-ligating brackets / ceramic brackets
Aesthetic brackets
Of course, brackets no longer have to be made of metal. White brackets made of plastic or ceramic also meet the highest aesthetic demands. The passive Damon self-ligating brackets enable fine movement and therefore faster results with a gentler application of force. Damon System brackets work with a unique sliding mechanism that minimizes friction and allows faster and more comfortable alignment of the teeth. The Damon System allows teeth to move more freely and comfortably.
Frequently asked questions about orthodontics for children and adolescents
At what age does the actual braces treatment for children begin?
Regular orthodontic treatment with braces usually begins when the second phase of tooth replacement begins. This is usually the case at around 9 to 10 years of age, when the permanent side teeth erupt. We can then specifically correct misalignments and at the same time take advantage of the natural growth of the jaw.
Which braces are used for children and adolescents?
Depending on the type and severity of the misalignment, we use loose braces, fixed braces with brackets or modern, almost invisible splints. Removable appliances are often used for minor misalignments and to guide growth, while fixed braces are often the best choice for more complex corrections. In a personal consultation, we will explain to you which type of treatment makes the most sense for your child.
How long does orthodontic treatment take for children and teens?
The duration of treatment depends on the initial situation, growth and cooperation of the child. In many cases, treatment with braces takes around 1.5 to 3 years, followed by stabilization with retainers. During the planning stage, we will give you an estimate of how long the treatment is likely to take and what intermediate steps are planned.
Does wearing braces hurt children?
When inserting new braces or after readjustment, the teeth may be sensitive or slightly sensitive for a few days. This is normal and shows that the teeth are moving. The discomfort usually subsides considerably after a short time and can be treated with a mild painkiller suitable for children if necessary. Severe or persistent pain is rare – in this case you can contact us at any time.
Can my child eat normally and do sports with braces?
With braces, your child can usually cope with everyday life as normal. With fixed braces, very hard, sticky or sugary foods should be avoided or eaten in an adjusted way to protect the brackets and wires. Sport is generally possible without any problems; an individual mouthguard may be useful for contact or ball sports. With loose braces or aligners, the appliances are simply removed for eating and certain sports.
How does the classification according to KIG work and why is it important?
At the beginning of treatment, the misalignment of the teeth or jaw is classified according to the “orthodontic indication groups” (KIG). This system determines how pronounced the misalignment is and whether the statutory health insurance fund can cover the costs of treatment. The higher the KIG level, the more likely it is that the treatment is covered by statutory health insurance. We will explain to you in a consultation how your child is classified and what this means for the costs.
What does health insurance cover for braces for my child?
For children and adolescents, the statutory health insurance fund covers the costs of basic treatment if certain KIG severity levels are reached. As a rule, parents initially pay a co-payment, which can be reimbursed once treatment has been successfully completed. Additional services such as particularly inconspicuous brackets or special archwires are private optional services. Private health insurances and supplementary insurances have their own regulations, which we will be happy to discuss with you.
How often do check-ups take place during treatment?
During the active treatment phase, check-ups usually take place every 4 to 8 weeks. At these appointments, the braces are checked, readjusted or the next stage of treatment is initiated. We also check oral hygiene and give your child tips on how to care for their teeth and braces.
What role does my child's cooperation play in the success of the treatment?
Your child’s cooperation is a decisive success factor. Removable appliances and aligners must be worn consistently as instructed, otherwise the treatment time will be longer or the result will be worse. Careful oral hygiene and adherence to check-up appointments also help to ensure that the treatment runs smoothly and the desired result is achieved.
Does my child have to continue wearing anything after the active treatment?
Yes, after the active braces phase, a so-called retention phase is important to stabilize the result. For this purpose, fixed retainer wires on the inside of the front teeth or removable splints are usually used. This phase is crucial to ensure that the teeth do not move back into their original position.
Are there any costs for the first consultation?
Regardless of whether you have statutory or private insurance, the first consultation is covered by your health insurance. This means that every patient – whether young or old – can receive sound orthodontic advice without having to take any financial risk. Only if you would like the diagnostic documentation to be started immediately after the in-depth examination will costs be incurred, which may or may not be covered by your health insurance, depending on your insurance policy. In this case, we work together with
