Carrollton & McKinney Early Orthodontics
A healthier smile starts before braces
The right time for orthodontics isn’t always middle school
Early orthodontic treatment, or Phase 1 orthodontics, helps guide jaw growth while your child is still developing. It doesn’t mean full braces at an early age. It means identifying concerns early so your child has a stronger foundation for a healthy bite, clear airway, and confident smile.
At Kidz and Teen Dental + Orthodontics, we begin orthodontic evaluations around age 7, as recommended by the American Association of Orthodontists. Most kids won’t need treatment right away. But when they do, early care can often mean less treatment later.
What is early orthodontic treatment?
Carrollton & McKinney Early Orthodontics is dedicated to caring for children who still have a mix of baby teeth and adult teeth, usually between the ages of 6 and 10.
It’s about correcting issues that get harder to fix once your child stops growing, including:
- Crossbites (where the upper and lower teeth don't align properly)
- Severe crowding is blocking adult teeth from coming in
- A narrow upper jaw that's making breathing or chewing difficult
- Protruding front teeth that are at risk of injury
- Habits like thumb-sucking or tongue-thrusting that are reshaping the bite
The goal is to make Phase 2 treatment, the traditional braces or clear aligner phase in the teen years, shorter, simpler, and more predictable.
Why early treatment matters
Some orthodontic problems are easier to correct while a child is still growing. During the early years, the jaws, teeth, and facial muscles are developing quickly, which gives us a window to guide growth rather than waiting until a problem becomes harder to fix.
Early treatment may help:
- Improve jaw alignment as the face develops
- Create room for crowded teeth before they shift
- Guide permanent teeth into better positions as they erupt
- Improve chewing, biting, and bite function
- Reduce the chance of more complex (and more expensive) treatment later
We don’t believe in early treatment for its own sake. We believe in catching the problems that genuinely benefit from early action, and being honest with parents when the answer is to wait and watch.
How your child’s bite develops
A child’s mouth is constantly changing. Baby teeth hold space for adult teeth. The jaws, palate, tongue, and facial muscles all play a role in how the bite develops. When those structures grow well together, the result is usually a healthy, stable bite that needs little correction.
When they don’t, problems like crowding, crossbite, deep bite, open bite, or jaw imbalance can develop as your child grows.
Common causes we see in our patients:
- Genetics, bite patterns often run in families
- Oral habits like thumb-sucking, prolonged pacifier use, or tongue-thrusting
- Mouth breathing, which can affect jaw and palate development
- Early loss of baby teeth, which allows the surrounding teeth to shift
- Jaw growth patterns that fall out of balance with one another
The earlier we understand how your child’s bite is developing, the more options we have to support it through their growth.
Signs your child may benefit from early orthodontics
Most of these signs are easy to miss because they look “normal” if you’ve grown up with them. Here’s what families in Carrollton and McKinney should watch for:
- Crowded or crooked permanent teeth coming in
- Overbite, underbite, crossbite, deep bite, or open bite
- A gummy smile or teeth that look unusually short
- Protruding front teeth
- Front teeth that don't meet when the back teeth are closed
- A jaw that shifts to one side when biting down
- Mouth breathing, even at rest
- Snoring or restless sleep
- Speech issues that aren't improving with age
- Trouble biting or chewing certain foods
- Persistent thumb-sucking past age 4 or 5
- Tongue-thrusting
- Frequently biting the cheek or tongue
- Jaw discomfort or clicking
If any of these sound familiar, an evaluation is worth scheduling. It costs nothing to find out whether treatment is actually needed, and the earlier we look, the more options you have.
What an early orthodontic evaluation looks like at our office
We’ve spent years caring for nervous kids, anxious kids, and kids who simply don’t want to be at the dentist. That experience shapes everything about how we run an evaluation.
Here’s what to expect:
A relaxed conversation with you and your child before anything happens in the chair
After the evaluation, your child falls into one of three buckets: treatment now, monitor and re-evaluate, or no concerns at all. We’ll tell you which one and why.
What’s involved in Phase 1 treatment?
Phase 1 treatment usually focuses on guiding jaw growth, improving bite development, and creating room for permanent teeth. The exact plan depends on your child — their growth stage, the issue we’re correcting, and what they can comfortably manage.
Depending on what your child needs, treatment may include:
- Palatal expanders to gently widen a narrow upper jaw, often improving both bite and breathing
- Partial braces on just the front teeth to correct alignment or close gaps before adult teeth erupt
- Space maintainers if a baby tooth is lost early and the adult tooth needs help coming in correctly
- Habit appliances to gently break thumb-sucking or tongue-thrusting patterns
- Removable or fixed functional appliances to encourage proper jaw growth
- Headgear in select cases where it's the right tool for the job
- Limited braces or Invisalign, depending on the bite issue and your child's age
Most early treatment lasts 6 to 18 months, followed by a resting period until your child is ready for Phase 2, if it’s needed.
Invisalign for growing smiles
Invisalign can be a great option for some kids and teens — depending on the type of correction needed, their stage of development, and how consistently they can wear the aligners.
Where Invisalign tends to work well:
- Mild to moderate crowding or spacing
- Some bite corrections in the right candidate
- Older kids and teens who can take responsibility for wear time
- Families who want a more discreet, low-profile option
Braces vs. Invisalign — which is right for your child?
Both braces and Invisalign have a place in orthodontic treatment. Neither one is “better.” Each one is better for certain cases.
Braces are often the right call when:
- Treatment needs more control or precision than aligners can provide
- A fixed appliance (like an expander or functional appliance) is part of the plan
- Your child isn't ready to manage the daily routine that aligners require
Invisalign is often the right call when:
- The bite issues fit well with the aligner treatment
- Your child is mature enough to wear them as directed (typically 20-22 hours per day)
- A more discreet, removable option matters to your family
- Easier cleaning and food flexibility are priorities
The real question isn’t which one sounds better. It’s which one fits your child’s needs best — and that’s a conversation we’ll walk through together at your evaluation.
Home care that makes treatment work
Great orthodontic results depend on good habits at home. We’ll teach your child exactly what to do, and we’ll always be a phone call away if questions come up between visits.
For Invisalign:
- Wear aligners as directed (typically 20-22 hours per day)
- Remove them for eating, drinking anything besides water, brushing, and flossing
- Clean aligners daily to prevent staining and buildup
- Keep the case with you so aligners don't get lost in lunch trays or napkins
For braces and appliances:
- Brush carefully around brackets, wires, or acrylic components
- Use the cleaning tools we provide (floss threaders, water flossers, interdental brushes)
- Avoid hard, sticky, or chewy foods that can damage treatment
- Wear rubber bands or auxiliary pieces exactly as prescribed
What happens after Phase 1?
What comes next depends on your child:
– A retainer or holding appliance may be used between phases to preserve the progress already made
– Some kids will need a shorter, simpler Phase 2 of braces or Invisalign in their teens to finish aligning the bite
– A small number of kids won’t need anything else at all
The big-picture goal of early treatment is to make Phase 2 easier — shorter timelines, fewer complications, more stable results. Even when Phase 2 is needed, you’ll usually find it’s a less complicated process than it would have been without early intervention.
Why families across Carrollton & McKinney trust us with their kids
Pediatric and orthodontic care under one roof means your child stays with a team that already knows them. No new offices. No starting over with someone who’s meeting your child for the first time.
We’re known for:
- Decades of pediatric dental experience
- Multiple comfort and sedation options for nervous or special-needs children
- A prevention-first philosophy — we treat what's needed and nothing more
- Clear, parent-friendly explanations of every recommendation
- A calm, kid-friendly office that doesn't feel like a clinic
We treat every child the way we’d want our own treated.
Early orthodontic treatment FAQs
When should my child have an orthodontic evaluation?
Will my child still need braces as a teenager?
Is Invisalign an option for kids?
How do I know if my child needs treatment now?
How much does early orthodontic treatment cost?
Will treatment hurt?
Start with a real evaluation
Loved by kids, trusted by parents
Two convenient offices in DFW
Carrollton Office
4100 Fairway Dr, Ste #520
Carrollton, TX 75010
Our Hours
Monday: 8:30 AM – 5:00 PM
Tuesday: 09:00 AM – 6:00 PM
Wednesday: 09:00 AM – 6:00 PM
Thursday: 08:30 AM – 5:00 PM
Friday: 09:00 AM – 1:00 PM
Saturday: Once a month (call office for details)
We are by appointment only.
McKinney Office
2144 N Lake Forest Dr, Unit 204
McKinney, TX 75071
Our Hours
Monday: 8:30 AM – 5:00 PM
Tuesday: 09:00 AM – 6:00 PM
Wednesday: 09:00 AM – 6:00 PM
Thursday: 08:30 AM – 5:00 PM
Friday: 09:00 AM – 1:00 PM
Saturday: Once a month (call office for details)
We are by appointment only.




