There is no fixed date for a child’s first braces. What matters is how your child’s teeth and jaws are developing. As a rule, a first orthodontic check-up makes sense in the early school years, and the actual treatment usually begins in the late stage of tooth replacement. Earlier treatment is only given for certain findings.

Whether and when treatment is needed is something we clarify with a thorough examination at our practice for orthodontics in Küsnacht. Not every misalignment needs treatment, and not every one needs to be treated early.

Three windows: check-up, early treatment, main treatment

Orthodontists broadly distinguish between three time windows. The ages given are guidelines. What always counts is your child’s individual findings.

First check-up in the early school years

A first check-up makes sense as soon as the first permanent incisors and molars have come through. At that point, the bite and jaw growth can be assessed well. Often the outcome is: keep an eye on it for now.

Early treatment only for certain findings

Depending on the findings, early orthodontic treatment may be considered as early as the primary or early mixed dentition. It is targeted and aims to prevent a problem from getting worse as the child grows. Possible reasons include:

a crossbite, where the upper back teeth sit inside the lower ones
a reverse front bite, where the lower incisors sit in front of the upper ones
markedly protruding upper incisors, which are more easily injured in a fall
early loss of baby teeth, when the space for the permanent teeth needs to be kept

Early treatment does not always replace later main treatment. Depending on the initial situation, however, it can make it simpler.

Main treatment in the late stage of tooth replacement

Most treatments begin when the last baby teeth are being replaced and the jaw is still growing. The right time is different for every child. This growth can be used for the correction. However, teeth can still be moved later on, which is why we also treat teenagers and adults.

Signs parents can look out for

You may notice some signs yourself at home. They do not automatically mean that braces are needed. But they are a good reason for a check-up:

crowded, rotated or overlapping teeth
front teeth that clearly stick out or sit too far back
the upper and lower teeth do not meet properly when biting
baby teeth fall out noticeably early or late
your child often breathes through the mouth or still sucks their thumb or a dummy for a long time
difficulty biting off or chewing food

During the school dental check-up at our practice, we also check whether early orthodontic treatment is necessary. We accept vouchers from all municipalities for this.

The braces we offer

Our team includes Dr. med. dent. Sofia Bakirtzi, specialist orthodontist. Which appliance is suitable depends on your child’s findings, age and cooperation. Options include:

early treatment for children when the findings require it
removable braces, which only work if they are worn consistently
fixed braces with brackets for targeted tooth movements
clear aligners, more suited to teenagers and adults; Dr. Bakirtzi is certified in Clear Aligner and Orthocaps, among others
lingual technique, i.e. brackets on the inside of the teeth; Dr. Bakirtzi is certified in Incognito and WIN
mini implants as additional anchorage in certain cases

Each option has advantages and disadvantages. Fixed braces, for example, require particularly thorough oral hygiene. Depending on the findings, treatment with Invisalign may also be an option for children and teenagers. However, aligners are not suitable for every type of misalignment.

Swiss disability insurance (IV) and costs

For certain congenital tooth and jaw malformations (congenital conditions (birth defects) under the GgV ordinance), Swiss disability insurance (IV) may cover orthodontic treatment. Dr. Bakirtzi is recognised by the IV for orthodontic assessments (items 208, 209, 210, 214 and 218 GgV). Whether there is an entitlement is decided by the IV on a case-by-case basis; for congenital conditions, this applies up to the age of 20.

In all other cases, the costs depend on the findings, the appliance and the length of treatment. On request, we can provide you with a cost estimate in advance, including for your insurer. Whether supplementary insurance covers part of the cost depends on your policy. It is best to check with your insurer before treatment begins.

How we work at our practice

It all starts with a personal consultation with you and your child. We examine the teeth, bite and jaws, using a digital 3D scan and digital X-rays where needed. We show the scan on a large screen so that your child can also see what it is all about.

We then discuss whether treatment should start now, later or whether we should simply monitor for the time being. We draw up the treatment plan together with you. Children who are nervous can take their time with us. You can read more on our page Dentistry for children & families.

Frequently asked questions

Does every crooked tooth need treatment?

No. Minor irregularities are common and often purely cosmetic. We recommend treatment if function, dental health or jaw development are affected, or if you make a conscious decision to go ahead after the consultation.

Is it ever too late for braces?

Basically, no. Teeth can still be moved once growth is complete. However, corrections involving jaw growth are then more difficult. That is why an early check-up is worthwhile.

How long does treatment take?

That depends on the findings and the appliance. Early treatment is usually shorter than main treatment. You will receive a realistic estimate after the examination.

Do braces hurt?

After braces are fitted or adjusted, many children feel some pressure for a few days. This is normal and usually subsides on its own. Any spots that rub can usually be adjusted easily at the check-up.

Would you like to know whether your child needs braces? Book an appointment in Küsnacht – we take time for both of you.