The Complete Auckland Parent’s Guide to Braces for Kids

Do you wonder if your child needs braces? You’re not alone. Most children get braces between ages 10 and 14 when their permanent teeth have emerged. The New Zealand Association of Orthodontists recommends taking your child for an initial orthodontic assessment around age 7-8, even if they don’t need treatment immediately. There are significant jaw growth changes that, if captured early, can be modified back to correct alignment without surgery.

Auckland Orthodontists state that treatment usually lasts between 12 to 24 months for most cases, and finding the right specialist orthodontist marks the start of your child’s journey. Specialist orthodontists complete three additional years of full-time postgraduate study after dental school graduation. Your child will need checkups every 6-10 weeks for adjustments once treatment begins.

This guide covers everything about braces for kids in New Zealand – from early warning signs to different types available, daily life with braces, and costs that typically range from $8,000 to $12,000 for comprehensive treatment.

When Should Kids Get Braces?

Your child’s journey to braces involves more than waiting for adult teeth. The right timing can significantly affect treatment success, cost, and your child’s comfort during the process. Our specialist orthodontists have decades of combined experience treating young children’s bite and teeth alignment problems. An early assessment is critical to ensure that treatment options exist and that bite/jaw problems are addressed while a child is growing and not when they reach their adolescent growth spurt. This is often a time of drastic bone changes which can be utilised to obtain the best results.

Early signs to look for

Parents who spot orthodontic issues early have better options to address them. Here are key warning signs to watch for:

• Crowded or overlapping teeth that make proper cleaning difficult. This lack of space can increase cavity and gum disease risks
• Bite misalignments like overbite, underbite, or crossbite that disrupt chewing and speaking
• Prolonged thumb sucking after age 5 that can alter bite development
• Persistent mouth breathing or tongue thrusting that can affect jaw development
• Difficulty chewing or biting foods that might indicate alignment problems
• Visible gaps between teeth beyond normal patterns
• Jaw shifting, clicking, or jaw noise during opening and closing

If something seems off about your child’s teeth or bite, a professional consultation is better than waiting and wondering.

Recommended age for first orthodontic check

The New Zealand Association of Orthodontists recommends an orthodontic assessment around age 7-8. Some practices recommend assessment as early as age 6-7 when the first adult teeth appear.

These early ages serve an important purpose. At 7-8 years, your child has both baby and permanent teeth, which allows orthodontists to:

• Spot subtle changes in jaw development and tooth patterns
• Identify potential issues before they become complex and costly
• Set up a monitoring plan even without immediate treatment
• Detect missing or extra teeth early so that a plan can be developed

Most children start orthodontic treatment between ages 10 and 14 once their permanent teeth have emerged, though early assessment remains valuable. Our specialist orthodontists have successfully managed thousands of complicated cases utilising this approach. It works!

Early intervention vs. later treatment

Orthodontists continue debating optimal treatment timing. Both approaches offer unique benefits:

Early intervention (ages 7-10):

• Guides jaw growth while bones are still developing
• Prevents severe problems from developing
• Reduces need for tooth extractions or jaw surgery later
• Works best for underbites, crossbites, and crowded teeth
• Sometimes called Phase 1 treatment

Later treatment (ages 11-14):

• Works with all permanent teeth already in place
• Takes advantage of puberty’s growth spurts although adult teeth eruption does not always occur at the same time as the adolescent growth spurt, meaning that the growth can be missed waiting on adult teeth to arrive
• Usually requires a more comprehensive treatment phase with likely extractions
• In New Zealand, this is a common timing for comprehensive treatment

Research shows early orthodontic care can bring better improvements in overjet reduction, molar relationship correction, and skeletal changes compared to late intervention. Your child’s specific needs determine the best approach. At Shakespeare Orthodontics, our specialists tailor treatment to each patients needs, giving us the best possible results.

Note – early assessment doesn’t always mean early treatment. Sometimes monitoring your child’s development until the ideal treatment timing window works best.

Types of Braces Available in New Zealand

Understanding teeth straightening options can feel overwhelming. Modern orthodontics offers several solutions that work well with your child’s unique needs and priorities.

Metal braces

Metal braces remain the most popular choice for children in New Zealand because they work effectively and are the most affordable option. These braces use high-grade stainless steel brackets attached to each tooth, connected by wires and elastic bands.

They work well for complex orthodontic problems and are durable enough for active kids. Children often enjoy choosing fun colours for their elastic bands at each adjustment appointment.

Metal braces in New Zealand typically cost between $8,800 and $13,800, making them the most affordable fixed braces option. The wide price range reflects varying complexity of treatment, treatment duration and location differences.

Ceramic braces

Ceramic braces offer a less noticeable way to straighten teeth. They work just like metal braces but use tooth-coloured or clear brackets that blend naturally with teeth.

These braces have some trade-offs – they’re more fragile than metal braces and usually cost more. Ceramic braces in New Zealand generally range from $9,800 to $14,800. The brackets are slightly larger.

With some patient cases, orthodontists can place ceramic brackets on front teeth and metal ones on back teeth, or ceramic braces on the top teeth and metal on the lower. At Shakespeare Orthodontics, this is routinely carried out as it helps balance aesthetics with durability, getting the best of both worlds for our patients.

Lingual braces

Lingual braces stay completely hidden behind the teeth, making them invisible from the front. The brackets fit against the tongue side of teeth with a low profile design. Theoretically, this is the gold standard in aesthetics… in real life, there are some significant trade-offs.

These work well for older teens and adults who are concerned about appearance, but they’re not suitable for everyone. Lingual braces typically cost between $16,800 and $22,800 in Auckland. They can cause tongue soreness, ulcerations and can affect speech.

Not every patient is suitable to have this treatment and our orthodontists generally do not recommend these for patients.

Clear aligners (Angel aligners or Invisalign)

Clear aligners like Angel, Spark, Clarity, and Invisalign offer a removable option for straightening teeth without brackets. These custom-made clear plastic trays are nearly invisible and can be removed for eating and cleaning.

Clear aligners in Auckland can cost anywhere from $8,000 to $16,000, depending on treatment complexity, appointments required, auxiliary appliances and duration of treatment. Success depends on wearing the aligners 20-22 hours each day, which requires maturity and responsibility.

Teens appreciate being able to eat whatever they want and find them easier to clean. However, the removable nature means compliance is crucial – if aligners aren’t worn consistently, treatment won’t work effectively.

How to choose the right type

Your child’s orthodontic needs play the biggest role in selecting the right braces. Complex problems may require traditional braces for optimal results.

Consider these factors:

• Age and maturity: Younger children often do better with fixed braces, while responsible teens can handle removable aligners
• Complexity of orthodontic issues: Severe misalignment may need traditional braces
• Budget: Metal braces are most affordable, while lingual braces are most expensive
• Lifestyle: Sports participation may influence choice; musicians may need adjustment time
• Aesthetic concerns: Older children may prefer less visible options

A specialist orthodontist can guide you based on your child’s specific needs and help you make an informed decision.

The Treatment Process Explained

Getting from crooked teeth to a beautiful smile takes several well-planned steps. Understanding this journey can help manage your child’s anxiety and support them through treatment.

Initial consultation and assessment

Your child’s first orthodontic visit typically takes 30-45 minutes and provides a comprehensive picture of their needs. The orthodontist will perform a thorough examination of your child’s face, teeth and bite.

The assessment includes:

• Review of complete medical and dental history
• Examination of teeth, bite, and jaw alignment
• Photographs of face and teeth
• X-rays (Panoramic and Lateral Cephalograms) to assess growth and development
• Digital scans (Video scans of the teeth)

At Shakespeare Orthodontics, the Initial consultation fees are waived, meaning the initial screen is free, without any obligations. The purpose of this appointment is to assess if the timing is correct and the best course of action for your child. If it is deemed that treatment may be beneficial or the timing is correct, the specialist orthodontist will instruct you to consider a “records appointment”. This is where a full comprehensive assessment using scans, photos and Xrays is carried out – this appointment costs on average $520.

Creating the treatment plan

After the assessment, the orthodontist creates a customised treatment plan for your child. The records and planning stage typically costs around $420-$620 on average (depending on complexity of case, communication and any further referrals required) and usually includes:

• Analysis of all diagnostic records including photos, X-rays, and digital scans of your child by one of our specialists
• A comprehensive discussion of the case at the following appointment (consultation appointment) and reviewing options if available
• Selection of the best treatment options
• Fixed quote and treatment timeline
• Discussion of payment plans and appointment schedules

Your child’s specific orthodontic needs determine the recommended approach. Treatment plans vary significantly based on case complexity.

Fitting the braces

The braces fitting happens after you approve the treatment plan. This appointment usually takes 40-60 minutes. The process includes:

• Thorough cleaning and preparation of teeth
• Bonding brackets to each tooth
• Placement of auxiliary appliances including bite ramps (if required)
• Threading an archwire through the brackets
• Providing a starter hygiene kit and detailed care instructions

This appointment isn’t sore or painful but have pain relief handy as your child may experience some discomfort for a few days afterward. This is normal and indicates the braces are beginning to work.

Regular adjustments and check-ups

Orthodontic treatment requires ongoing care with appointments typically every 8-12 weeks for adjustments. These visits are shorter than the initial fitting appointment. Your orthodontist will oversee the treatment and will work with highly trained professional staff members to execute the treatment plan.

During adjustment appointments, the orthodontist may:

• Reactivate or change wires to continue tooth movement as per the plan
• Adjust or replace bands
• Begin or cease the use of elastic bands
• Check treatment progress and make modifications as required to move through the treatment phases
• Address any concerns or broken brackets

Successful orthodontic treatment requires a a high level of teamwork between the orthodontist and patient. A high level of patient compliance is mandatory to ensure all the planned movements occur as per the orthodontists’ plan. If patients miss appointments, It can extend treatment duration and cause limitations to the results. After treatment completes, your child will need retainers to maintain their new smile and prevent teeth from shifting back. This will need to be worn indefinitely to ensure a lifelong smile result.

Daily Life With Braces

Life with braces requires some adjustments to daily routines. With the right care and attitude, your child’s orthodontic result will be the best that it be.

Foods to avoid and enjoy

The right food choices protect your child’s braces from damage. Sticky foods like caramel and toffee can get stuck in brackets, distort them or pull them off. Hard items like popcorn kernels, nuts, hard lollies, and ice cubes can break brackets and wires. Orthodontic appliances are highly delicate and accurate so a high level of care is mandatory.

Braces-friendly foods include:

• Soft foods like mashed potatoes, yoghurt, and smoothies
• Cooked vegetables instead of raw, crunchy ones
• Pasta, soft bread (watch the crust!), and pancakes
• Boneless seafood and ground meats
• Soft fruits like bananas and berries
• Eggs, cheese, and soft proteins

Cut hard fruits and vegetables into small pieces rather than biting into them directly.

Brushing and flossing techniques

Good oral hygiene is an absolute must for kids with braces – it is a foundational building block of successful treatment. Help your child establish a routine of brushing after every meal and before bed intensely over the first couple of weeks into their braces journey.

Use a soft-bristled toothbrush at a 45-degree angle to the brackets, brushing in small circular motions. Take extra time around brackets and wires where food particles accumulate.

Flossing requires special care – use a floss threader to get under wires, or try a water flosser for easier cleaning. Interdental brushes work well for cleaning around brackets where food gets stuck. If you need help with anything, please reach out and we will organise for an appointment with one of our dental hygienist or friendly staff to help.

Managing discomfort and soreness

Your child will likely experience some discomfort, especially after initial fitting and adjustment appointments. Soreness usually lasts a few days after appointments.

Relief methods include:

• Over-the-counter pain relievers like ibuprofen or paracetamol. Follow the directions of use of all medications
• Salt water rinses (1 teaspoon salt in warm water)
• Cold compresses applied to the outside of cheeks
• Orthodontic wax on brackets that irritate cheeks or lips
• Eating soft foods until discomfort subsides

Playing sports and musical instruments

Braces shouldn’t stop your child from their favourite activities. Young Athletes need an orthodontic mouthguard for contact sports like rugby, hockey, or netball. These special mouthguards are available in the practice and accommodate braces. There will be special instructions that are provided to you relating to their fitting.

Musicians typically need a couple of weeks to adjust. Brass players should use more breath support instead of lip pressure. Woodwind players might notice more condensation and need frequent cleaning of their instruments.

Emotional support and confidence

Research shows many teens feel self-conscious about braces initially. As always, your job is to be there and support your child through most of their experiences. The first week with braces is the toughest compared to the entire journey. Your child will need emotional support as much as physical care during this time.

Listen to their concerns, celebrate their progress at each appointment, and remind them of the beautiful smile waiting at the end. Many children find that their self-consciousness fades within a few weeks as braces become their normal.

Cost and Payment Options in New Zealand

Understanding the costs and payment options helps you plan for this investment in your child’s smile.

Average cost of braces for kids

Braces for children under 18 in New Zealand typically range in costs due to the treatment being tailored to each patient. The cost can vary considerably between patients and is a product of the treatment complexity, the duration, the need for added appliances and so on. In our practices the average cost tends to be between   $10,000 to $12,000. More specific pricing will be provided once you have seen one of our specialist orthodontists.

There are also cases where “limited treatment” or “specific treatment” focusing on front teeth or alignment only may cost between $3,800 to $8,800 with a shorter treatment period of about 6 months.

Factors that affect pricing

The final cost of your child’s orthodontic treatment depends on several key elements:

• Treatment complexity: Severe orthodontic problems require significant planning time, co-ordination, communication with other specialists, increasing the overall costs
• Type of braces chosen: Aesthetic options like ceramic or lingual braces cost more than metal braces
• Treatment duration: Most treatments last 15 to 24 months, with longer treatments costing more
• Age of the child: Young children might need early intervention or multiple treatment phases
• Geographic location: Auckland and Wellington practices typically charge more than regional areas due to higher overheads
• Orthodontist’s experience and qualifications

Additional costs to consider and ensure are included in your child’s plan. At Shakespeare Orthodontics, we believe in being transparent with our charges and are clear on all that is included.

Beyond the braces themselves, factors to consider when comparing pricing in these potential expenses:

• Initial consultation: Is there a fee or is it complimentary – depending on practice!
• Records and treatment planning: Does the cost include all X-rays, photos, and digital models that are required?
• Retainers: After all the treatment is completed, what retainers are being provided? It is important to know and understand the different types of retainers available as significant cost variation can exist depending on which retainers are included
• Emergency repairs: Broken brackets or lost appliances may incur additional fees
• Specialist referrals: Some cases may require oral surgery or extractions. Is the management of these included in the pricing
• Failed appointments: Are thre charges for these
• Treatment overtime: Often there are charges if patient’s are failing to comply with treatment and causing the delays

Payment options

Shakespeare Orthodontics offers 12 monthly payment treatment plans that are interest. Common options include:

Interest-free payment plans: Spread costs over 12 with no additional fees

Deposit plus monthly instalments: Initial payment of approximately 20%, with balance paid in regular instalments over the following 12 months

Paid-in-full discount: Payment in full discounts are provided as there is approximately an administrative time saving of 3 hours. We pass this onto our patients and their families which amounts to a discount of $300.

Family discounts: Reduced rates when multiple children in one family need braces. This discount is usually $500.

Government assistance and charitable support

There is government assistance for orthodontic treatment associated with cleft lip and palate and other craniofacial conditions, usually through Middlemore Hospital.

Wish For A Smile: A charitable trust run by the New Zealand Association of Orthodontists that provides free orthodontic treatment to eligible young New Zealanders whose families cannot afford care. Check their selection criteria before applying at wishforasmile.org.nz.

Getting the best value

At Shakespeare Orthodontics, we value not only our reputation but the community in which our specialists and staff live. Are specialists are heavily involved at multiple levels within the local community as well as the professional community; We value good people and try to be just that! Are specialists are very well regarded. Take time to review the specialist’s reputation and ask friends and family about their experiences before commiting to 2 years of treatment.

Always ensure your quote includes all aspects of treatment with no hidden costs, and request a comprehensive diagnostic report from your specialist orthodontist if seeking second opinions.

Why Choose a Specialist Orthodontist

The qualifications and expertise of your chosen orthodontist significantly impacts the treatment outcomes. To ensure you are seeing a SPECIALIST orthodontists, you can go to the Dental Council of New Zealand website and review their specialist directory: https://dcnz.org.nz/practitioners

Understanding specialist qualifications

Specialist orthodontists must graduate as dentist and have experience working as dentists for several years before they are accepted to complete an additional three years of full-time postgraduate study after dental school, focusing exclusively on orthodontics and dentofacial orthopaedics. They are registered with the Dental Council of New Zealand with a specialist scope of practice.

In contrast, general dentists may offer orthodontic services but haven’t completed specialist orthodontic training. While any general dentists can perform orthodontic procedures, complex cases benefit from specialist expertise. Specialists simply have experience and knowledge to deal with all orthodontic issues.

Benefits of specialist care

At Shakespeare Orthodontics, our specialist orthodontists offer:

• Specialised care as they only deal with teeth and bite straightening. I.e. They are experts!
• Expert diagnosis of complex orthodontic and jaw problems
• Comprehensive treatment planning using advanced technology
• Experience handling complications and unusual cases
• Knowledge of the latest orthodontic techniques and research
• Ongoing professional development in their specialty field. They routinely lecture other dental professionals on orthodontic areas

Finding the right orthodontist

When selecting an orthodontist for your child:

1. Verify they are a registered specialist orthodontist (check the Dental Council of New Zealand register) – https://dcnz.org.nz/practitioners
2. Check membership in the New Zealand Association of Orthodontists
3. Ask about their experience treating children
4. Request before-and-after photos of previous patients
5. Consider location and appointment availability
6. Evaluate the practice environment and staff friendliness
7. Compare comprehensive quotes from multiple specialists if you would like reassurance

Conclusion

Choosing the right orthodontic treatment for your child ranks among the most important decisions parents make for their child’s long-term health and confidence. This guide has covered everything from early warning signs to treatment options, daily care routines, and costs in New Zealand.

The New Zealand Association of Orthodontists recommends always consulting a specialist orthodontist before undergoing any type of treatment to ensure the chosen option is suitable and safe for your child long-term.

Investing in your child’s orthodontic health creates lasting benefits. A healthy smile does more than look good – properly aligned teeth support overall dental health, improve speech, make eating more comfortable, and significantly boost self-confidence. The temporary adjustments during treatment create permanent benefits your child will value throughout their life.

Follow your orthodontist’s guidance closely and support your child through this transformative journey. With patience, proper care, and encouragement, braces can be a positive experience rather than a challenge. Your child will thank you for giving them a healthy, confident smile that lasts a lifetime.

Frequently Asked Questions