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Children2 min read · July 19, 2026

Braces for children: fixed, removable or interceptive?

Which appliance does your child really need? The differences between interceptive orthodontics, removable and fixed braces, explained by Dr. Irene Ferrara.

"Does my child need braces?" is the question many parents arrive with. The honest answer: it depends on the problem, the age and the growth. Here is a compass through the three main treatment families.

Interceptive orthodontics (ages 6-10)

It works while the child grows, guiding jaw development: crossbite, underbite, narrow palate, habits. Usually short, targeted programmes that can avoid far more demanding treatment in adolescence. A real case in our practice: a Class III at age 7 corrected in 18 months.

Removable appliances

Plates and devices worn some hours a day and at night, ideal for functional corrections and as support to interceptive treatment. The critical factor is cooperation — so we involve child and parents with clear goals.

Fixed braces and aligners

In permanent dentition we work on definitive alignment: traditional fixed braces or, in suitable cases, clear aligners designed for teenagers. The choice is clinical, after the case study with intraoral scanning and cephalometric analysis.

How we decide

Dr. Irene Ferrara — specialist in orthognathodontics, Invisalign and Spark certified — bases every journey on the case study, then shares a plan transparent in timing and costs.

The first step is always the same: an early orthodontic visit around age 6, as national guidelines recommend. Book it: a small investment that can save years of treatment.

Sources

  • Italian Ministry of Health, National guidelines for oral health in childhood — early orthodontic checks and prevention.
  • WHO, Global Strategy and Action Plan on Oral Health 2023–2030 — children's oral health as a priority.

Frequently asked questions

At what age do children get braces?

It depends on the problem: interceptive orthodontics can start at 6-8 to guide growth, while full fixed treatment usually happens in permanent dentition. A specialist assessment defines the right moment.

Do removable appliances only work if worn many hours?

Yes: cooperation is decisive. We agree realistic goals and wearing times with the family and monitor progress at every check-up.

Do braces hurt?

The first days may bring manageable soreness that passes quickly. Modern brackets and aligners have made treatment far more comfortable than it used to be.

Clinical review: Dr.ssa Irene Ferrara