When Should Your Child See an Orthodontist?
The American Association of Orthodontists recommends every child have an orthodontic evaluation by age 7. At that age, your child has enough permanent teeth for Dr. Greenberg to identify developing problems, and enough remaining growth to guide the jaw in the right direction.
Bold Bite supports the AAO recommendation that every child be screened around age 7, but Dr. Greenberg considers age 7 often too early to begin treatment. The age-7 visit is used to establish a diagnostic baseline — when a child can sit still for a 3D CBCT scan and digital impression, those records anchor every follow-up recall. Early interceptive treatment, when it is clinically indicated, is typically started around age 8–9 (interceptive, when indicated). Comprehensive treatment is usually scheduled for ages 12–13 (most girls age 12, most boys age 13), once the permanent dentition is in.
Most children evaluated at Bold Bite Orthodontics do not need immediate treatment. Many enter the Complimentary Growth-Observation Program and are monitored until the right time.
AAO RECOMMENDATION
The American Association of Orthodontists recommends every child have a first orthodontic evaluation by age 7 — even when no treatment is needed. The first permanent molars and incisors are in place by age 7, giving the orthodontist the earliest reliable look at developing bite, jaw growth, and airway. Most 7-year-olds at Bold Bite are placed on a complimentary growth-observation recall rather than starting treatment immediately. Earlier evaluation does not mean earlier braces; it means catching the small number of cases where timing the intervention to the growth window prevents a harder problem at 14.
American Association of Orthodontists — Early Orthodontic Care
What Makes Pediatric Evaluation at Bold Bite Orthodontics Different
Bold Bite's pediatric evaluation combines specialist orthodontic diagnosis with a whole-mouth perspective most single-specialty practices do not bring. Dr. Martin Greenberg graduated Cum Laude from Boston University School of Dental Medicine and spent 8+ years in general dentistry before his orthodontic residency at Jacksonville University. That general-dentistry background means every pediatric evaluation accounts for hygiene, cavity risk, enamel wear, and restorative implications — not just tooth alignment.
Dr. Trang Cao is ABO Board Certified (Diplomate of the American Board of Orthodontics — a distinction held by fewer than half of practicing orthodontists), graduated Summa Cum Laude from Boston University School of Dental Medicine, and holds a Specialty Certificate in Orthodontics plus a CAGS (Certificate of Advanced Graduate Study) from Jacksonville University. Her ABO board-certified discipline sets the precision and finishing standard for every pediatric case the practice sees. Bold Bite works closely with Jacksonville pediatric dentists — Myers Pediatrics, Weaver & Stratton, and Fishman Pediatrics are the top referring offices — and coordinates ENT referrals with Dr. Angela Black, Dr. Andrioli, Dr. Simonsen, and Dr. Wahl when airway findings warrant.
The doctors at Bold Bite Orthodontics are Invisalign First certified and offer Angel Aligners for children. Angel Aligners has become the preferred aligner system for pediatric cases because the patented Angel Buttons work especially well for Phase 1 mechanics, the Mandibular Advancement option helps severely retrognathic growing patients, and the technician setups finish cases 1/2 to 1/3 faster than Invisalign First based on a direct comparison Dr. Greenberg ran across 20 matched cases. Invisalign First remains available for families who request it.
A Conservative Approach to Early Treatment
Dr. Greenberg and Dr. Cao take a highly conservative posture on pediatric orthodontic treatment. Dr. Greenberg was trained in part by Dr. Peter Buschang — a widely published anthropologist and craniofacial growth-and-development expert — and carries that evidence-first, restraint-first approach into every new-patient consult. Most of the conditions that bring a child into the office for a first orthodontic look do not require immediate treatment. Many will self-correct with growth. Bold Bite recommends early intervention only when not intervening would create a larger, longer, or surgical problem later.
Approximately 75% Placed on Growth-Observation Recall
Of the hundreds of pediatric referrals Bold Bite receives each year from Jacksonville pediatric dentists and general-dentistry partners, roughly 75% are placed on complimentary growth-observation recall rather than starting immediate treatment. Families are told up front: if early treatment would not change the final result, Dr. Greenberg will tell the family to wait.
Complimentary Growth-Observation Program
When a child is not yet ready for treatment, the family is enrolled in the complimentary growth-observation program at Bold Bite Orthodontics. Dr. Greenberg personally evaluates the child at each recall visit, not a technician, not an assistant, monitoring the specific factors that determine when (and whether) treatment should begin.
What Is Monitored at Each Recall
- Eruption patterns and timing of permanent teeth
- Jaw growth velocity and direction
- Airway development and breathing patterns
- Oral habits (thumb sucking, tongue thrust)
- Space analysis for incoming teeth
- Bite relationship changes between visits
How It Works
After the free initial consultation with a complimentary 3D CBCT scan, Dr. Greenberg recommends a follow-up interval based on the clinical findings, typically every 6 to 12 months. Each observation visit is free for as long as the child is in the program.
When Dr. Greenberg identifies that the right time has come, treatment begins with full parental agreement. Most children monitored at Bold Bite Orthodontics do not end up needing Phase 1 intervention at all.
Children's Orthodontic Pricing
Bold Bite uses a transparent, appliance-based Phase 1 pricing model. Each Phase 1 option is priced separately, and up to $1,200 of what a family pays for Phase 1 is credited toward Phase 2 comprehensive treatment if the child goes on to need it. Comprehensive Phase 2 treatment is priced the same across braces and aligners — there is no upcharge for Angel Aligners or Invisalign over metal braces.
Phase 1 Credit Toward Phase 2
Up to $1,200 of what a family pays for Phase 1 treatment at Bold Bite is credited toward Phase 2 comprehensive treatment, offsetting the future out-of-pocket cost. A family that pays $2,500 for an upper expander, or $4,500 for expander + Phase 1 braces, is not paying twice when the child is ready for comprehensive treatment at age 12–13.
| Treatment | Starting Price | Who It's For |
|---|---|---|
| Phase 1 Braces | $4500 | Ages 8–9, expander + Phase 1 braces, up to 15 months |
| Phase 1 Angel Aligners | $4500 | Ages 8–11, Phase 1 aligners with Angel Buttons |
| Phase 1 Invisalign First | $4500 | Ages 7–11, early mild correction |
| Comprehensive Metal Braces (Phase 2) | $4500 | Ages 10+, full correction |
| Comprehensive Clear Ceramic Braces (Phase 2) | $4700 | Ages 12+, discreet appearance |
| Comprehensive Invisalign (Phase 2) | $5500 | Ages 12+, removable |
| Comprehensive Angel Aligners (Phase 2) | $4500 | Ages 12+, ages 12–13+, doctor-directed aligners (no upcharge over braces) |
Use the free calculator for a personalized estimate: Braces Cost Calculator · Invisalign Cost Calculator
When Phase 1 Treatment Is Actually Needed
Dr. Greenberg does not recommend early treatment for every child. Most kids are better served by waiting until their permanent teeth come in and doing one comprehensive round. Phase 1 is recommended only when a specific problem will get worse if treatment waits:
Functional Crossbite
A posterior crossbite causing the jaw to shift to one side. Correcting this early prevents asymmetric jaw growth that becomes surgical later. Usually treated with a palatal expander.
Narrow Upper Jaw
A maxilla too narrow for the permanent teeth. Expansion between ages 7–14 works with the growing suture and avoids MARPE or surgery later.
Severe Crowding
When baby teeth need to be managed to make room for permanent teeth. Early space maintenance can prevent later extractions.
Class III (Underbite)
A lower jaw growing ahead of the upper jaw. Reverse-pull facemask therapy between ages 7–10 can redirect growth and reduce or eliminate the need for surgery in the teen years.
Tongue Thrust or Thumb Sucking
Habits actively changing how the jaws develop. Addressed with exercises first, appliances only as last resort. See our tongue thrust protocol.
Mouth Breathing / Airway
Airway restriction affecting jaw growth. See our mouth breathing and airway orthodontics programs.
If Early Treatment Will Not Change the Final Result...
...Dr. Greenberg will tell you to wait. The Bold Bite philosophy is to treat every patient the way the doctors would want their own family treated. Families should leave the first visit with a clear, honest read on whether treatment is needed now, later, or not at all — not with a sales pitch for a plan they did not come in looking for.
Comprehensive Treatment: Ages 12–13
For most patients, Bold Bite schedules comprehensive (Phase 2) treatment once the permanent dentition is in — typically age 12 for most girls and age 13 for most boys. Comprehensive cases run 18–24 months on average and finish the alignment, bite correction, and detailing work in one predictable round. Children who completed a Phase 1 at Bold Bite carry up to $1,200 of Phase 1 credit forward, and the same family discount of $200 per additional child still applies on siblings in treatment.
Built for Kids
Bold Bite treats every child like one of their own. Bold Bite Orthodontics was designed by doctors who wanted an office they would feel good about bringing their own children to, which is why the practice looks less like a medical clinic and more like a space a kid actually wants to walk into.
The waiting area has a dedicated kids' zone with a beverage bar, bright seating, and room to move; the clinical bays are open and parent-friendly, so caregivers can sit chairside for every appointment rather than watch through a window.
That environment matters during orthodontic care because treatment lasts months, sometimes years. A child who associates the office with boredom and cold sterile walls fights every visit. A child who looks forward to the beverage bar and the pick-your-color appointment shows up cooperative, and cooperative patients finish faster. Specific touches Bold Bite built in:
- 3D-printed fidget toys designed in-house by the clinical team and handed out at appointments, a different print each visit, because the same printer that makes retainers makes the toys.
- Custom-printed bands and appliances that eliminate the traditional “spacer appointment” most kids dread, because Bold Bite Orthodontics fabricates parts on-site rather than ordering from a lab.
- Beverage bar and kid-friendly waiting area stocked with water, iced drinks, and a seating setup designed for families with younger siblings in tow.
- Parents chairside at every appointment, the clinical floor is deliberately open so caregivers see exactly what the doctor sees.
- Care in multiple languages, English, Spanish, Vietnamese. Consultations can be led in any of these for families who prefer a non-English visit.
Technology Used for Your Child's Care
Free Vatech Green CT 3D Scan
Every new patient receives a complimentary 3D CT scan showing teeth, jaws, airway, and developing issues. A $200–$500 value elsewhere. Dr. Greenberg reads every scan personally.
iTero and Allied Star Digital Scanner
No goopy impressions. Same-day digital records taken in a private room while your child relaxes. Results are shown on a screen so you see exactly what Dr. Greenberg sees.
In-House 3D Printing
Retainers, models, and custom appliances printed same-day in our own lab. Faster replacements and better fit than lab-fabricated alternatives.
Insurance & Financing for Children's Treatment
Bold Bite Orthodontics accepts all major PPO dental plans and files claims on the family's behalf. Most family plans provide $1,500–$2,500 in lifetime orthodontic benefits per child, often applied to Phase 1 AND Phase 2 separately (depending on plan).
- Family Discount: $200 off each additional child in the same household
- In-House 0% APR In-House Financing: 0% interest, no credit check, monthly payments from $149/month with no down payment
- Cherry Financing: Start with just $189 down, no hard credit check.
- CareCredit: $0 down for approved credit
- Pay-in-Full Discount: 5% off
- HSA/FSA Accepted
See the insurance page for a specific plan, or use the cost calculator to estimate out-of-pocket with insurance applied.
Frequently Asked Questions About Kids Orthodontics
How much do kids braces cost at Bold Bite?
Phase 1 interceptive braces at Bold Bite start at $2,500. Comprehensive Phase 2 braces (for tweens and teens ages 11+) start at $4,500. Phase 1 is an early-intervention treatment that may reduce or eliminate the need for Phase 2 entirely; not every child needs Phase 1.
When should my child first see an orthodontist?
The American Association of Orthodontists recommends a first evaluation by age 7. By that age, the first permanent molars and adult incisors have erupted, which gives the orthodontist enough information to identify crossbites, severe crowding, or jaw-growth issues that benefit from early intervention. The evaluation at Bold Bite is free and does not commit the family to treatment.
How long does children's orthodontic treatment take?
Phase 1 interceptive treatment for children ages 7 to 10 typically takes 9 to 12 months. Comprehensive Phase 2 treatment for tweens and teens ages 11+ takes 18 to 24 months. Some children only need Phase 2 (skipping Phase 1 entirely); others benefit from a short Phase 1 followed by a shorter Phase 2.
Does insurance cover kids braces?
Most family dental insurance plans with an orthodontic rider cover children's braces, usually at 50% of the treatment fee up to a lifetime maximum of $1,500 to $3,500 per child. Bold Bite accepts all major PPO plans and files claims on the family's behalf. The benefit is verified before treatment begins and the payment plan is built around what the plan actually pays.
Can we pay for kids braces monthly?
Yes. Bold Bite offers in-house 0% interest monthly financing from $149/month with no down payment required. Family discounts are available when a sibling is also in treatment ($200 off). HSA and FSA pre-tax funds can pay any portion of treatment costs.
When should my child first see an orthodontist?
The American Association of Orthodontists recommends an orthodontic evaluation by age 7. At Bold Bite Orthodontics, an evaluation at age 7 does not mean treatment at 7. It means the first professional look at how adult teeth are coming in, whether the jaws are growing proportionally, and whether airway patterns look normal. Most 7-year-olds who come in for a Bold Bite evaluation are told to come back in a year — the early screening is about catching the small number of cases where early intervention changes the outcome, and reassuring the rest that nothing needs doing yet.
What is Phase 1, and does my child actually need it?
Phase 1 is limited early treatment done during the mixed-dentition years (roughly age 8–9 at Bold Bite, when indicated), while baby teeth are still present. It addresses a specific structural issue — functional crossbite, multi-tooth crossbite, true underbite, severely narrow palate, severe crowding that would trap adult canines, or moderate-to-severe retrognathia. Of the hundreds of pediatric referrals Bold Bite receives each year, roughly 75% are placed on complimentary growth-observation recall rather than starting immediate treatment. Dr. Greenberg and Dr. Cao recommend Phase 1 only when waiting would cost more time, money, or surgical risk later.
How much does Phase 1 cost at Bold Bite?
Phase 1 pricing depends on the appliance. An upper expander by itself (Leaf by Leone, self-expanding, no parent key-turning) is $2,500 for up to 12 months of treatment. An expander plus Phase 1 braces is $4,500 for up to 15 months. Extended Phase 1 beyond 15 months is $5,500. Up to $1,200 of what the family paid for Phase 1 is credited toward Phase 2 comprehensive treatment when the child is ready, which offsets the future out-of-pocket and rewards families who start early intervention with Bold Bite.
Will my child need two phases, or just one round at the end?
Most Bold Bite children need one comprehensive round of treatment in their early teens, once all the adult teeth are in — typically age 12 for most girls and age 13 for most boys. Phase 1 followed by Phase 2 is reserved for cases where an earlier structural correction made the later work possible or simpler. When a child does need both phases, Bold Bite applies up to $1,200 of the Phase 1 fee as a credit against Phase 2, so the family is not paying for the same clinical work twice.
Does orthodontic treatment hurt kids?
Placing braces or handing over an aligner does not hurt. Teeth feel tender for 2–4 days after each adjustment or new aligner tray, similar to a muscle that has been worked. Over-the-counter pain relief and soft foods handle it. Expanders and functional appliances cause pressure rather than pain. The clinical team leads the head clinical assistant team and walks every child through what to expect before the appointment starts — the fear of pain is usually the hard part, not the pain itself.
How long are appointments, and how often?
Initial bonding runs about 60–75 minutes. Routine adjustments are typically 20–30 minutes every 6–8 weeks. With Grin Scope remote monitoring — a smartphone-app-based check-in that is currently the only platform of its kind in use at a Jacksonville orthodontic practice — many Bold Bite kids replace one or two in-office visits a year with a 5-minute phone scan. That reduces missed school, missed work, and the drive time parents spend shuttling.
Does insurance cover children's orthodontics?
Most PPO family plans include $1,500–$2,500 in lifetime orthodontic benefits per child. Some plans apply the benefit to Phase 1 and Phase 2 separately; others apply it only once to the comprehensive total. The scheduling team verifies each family's plan before the treatment quote is finalized. The Bold Bite family discount of $200 per additional child stacks on top of insurance, not instead of it — and the 5% pay-in-full discount applies after the family discount when treatment is paid in full at the start.
How does Bold Bite handle kids who are anxious about appointments?
The office was built specifically for kids. In-house 3D printing means custom-printed fidget toys arrive for anxious patients, and the custom bands approach eliminates the separate spacer appointment that most practices require — one fewer visit, one less needle-like sensation to anticipate. Dr. Cao speaks Vietnamese for families who prefer a non-English consult, and both doctors block extra time for the first visit when a parent flags anxiety ahead of the appointment. The philosophy is straightforward: the office was built the way the doctors would want to bring their own kids.
