Pediatric Orthodontic Services in New York

Orthodontic Care
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Kids and teens' orthodontic treatment using advanced technology. Choose us for excellent care and comfort.

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Our Orthodontic Approach:
Multi-Phase Treatment

If you’re not sure your child needs orthodontic treatment, please call us, and we’ll advise you. Below are some of the most common orthodontic services our team treats here at our convenient New York City location.

1. Early Ortho Evaluation

The American Association of Orthodontics (AAO) recommends children to have their first orthodontic evaluation before the age of seven because at this age, the child's jaw is still growing, and any orthodontic problems can be detected early. Early intervention helps prevent more severe problems from developing in the future, and it may also simplify and shorten the treatment required. The evaluation at a young age enables a dentist to determine if there is any malocclusion, crowding, or bite-related issues that could benefit from early treatment. It's essential to diagnose dental problems as early as possible because the growth of the jaws can be modified more at a younger age than after the jaws have finished developing. Early evaluation enables the dentist to determine the best time to begin treatment and how much treatment will be required.

2. Mixed Dentition Stage

During the ages of 6 to 12, which is commonly known as the mixed dentition stage, there are significant changes occurring in you child's dental development. During this timeframe, children undergo the eruption of their permanent incisor (front) teeth and the eruption of their six-year molars. It is also during this stage that dental and jaw malrelationships may begin to occur, causing orthodontic realignment problems. However, despite the potential for dental issues, this is an excellent time to start treatment if necessary, due to the high level of responsiveness of your child's soft and hard tissues to orthodontic and orthopedic forces. For optimal treatment and outcome, professional dental checkups must be done by a qualified dental professional. Therefore, if you see any signs of misalignment or jaw issues, it is recommended that you schedule an appointment as soon as possible.

3. Adolescent Dentition

During this crucial stage in dental development, permanent teeth emerge and take the place of baby teeth. The eruption of permanent teeth sets the foundation for a healthy and functional bite relationship, which is determined by the position, alignment, and occlusion of the teeth. This stage is important because it ensures the stable and long-term health of the mouth's structure and functionality. Effective oral hygiene practices and regular dental check-ups are crucial during this phase of dental development to detect any abnormalities or concerns that may interfere with the proper growth and alignment of teeth. This stage also marks the beginning of a lifelong commitment to maintaining good dental health as it plays a pivotal role in overall health and wellbeing. With proper care and attention, individuals can ensure that their permanent teeth develop and function optimally and provide lifelong benefits.

Orthodontic Treatment Options

1. Metal braces are traditional braces made of stainless steel brackets and wires that are attached to teeth to gradually shift them into their desired position. They are effective for correcting a variety of dental problems such as crowding, spacing, and malocclusion. They are the most affordable type of braces and require regular adjustments.

2. Porcelain ceramic braces are very similar to metal braces but are made of clear or tooth-colored ceramic brackets that blend in with the natural color of teeth. They are more aesthetically pleasing than metal braces and are a good option for patients who are concerned about the appearance of traditional braces. However, they are more fragile than metal braces and may require more care.

3. Invisalign is a clear aligner system designed to straighten teeth without the use of wires or brackets. The clear plastic aligners are custom-made for each patient and are virtually invisible. They are removable and must be worn for at least 22 hours per day to be effective. Invisalign is a popular option for adults and teenagers who want a discreet and comfortable way to straighten their teeth. However, it may not be suitable for correcting severe dental problems.

Your Unique Dental Journey

Every child’s orthodontic treatment is unique as it depends on individual conditions such as the degree of crookedness, bite problems, oral habits, and skeletal development. While some children may require orthodontic treatment before all permanent teeth come in, others may need it after all permanent teeth have erupted. Early orthodontic treatment is recommended for children with severe malocclusions, bite problems, or overcrowded teeth, as it can prevent future complications and reduce the need for more invasive treatments later in life. Periodic monitoring of dental health is important to ensure that the child’s teeth and jaw are developing appropriately, and to catch any issues early on. Regular check-ups can help identify potential problems and prevent them from worsening, ensuring a healthy smile for years to come.

Early Treatment Benefits

Early orthodontic treatment, also known as interceptive orthodontics, can provide numerous benefits for children and adolescents. Some of these benefits include:

1. Preventing more serious orthodontic issues: Early treatment can help correct certain issues before they become more serious and require more invasive and long-term treatments.

2. Improved oral health: Straighter teeth are easier to clean, reducing the risk of cavities, gum disease, and other oral health problems.

3. Boosting self-esteem: Correcting teeth and jaw alignment issues can help improve a child or adolescent’s self-esteem and confidence.

4. Improved speech and chewing: Fixing orthodontic issues can improve speech and chewing, making it easier for a child to communicate and eat comfortably.

5. Shorter treatment time: Early treatment can help reduce overall treatment time, making it a more efficient and cost-effective option for families.

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What Our Patients Say

You don’t have time to waste when you’re facing a severe toothache, infection, or injury. You need a pediatric dentist you can trust to deliver the highest standards of care. See why NYC patients trust Twinkle Dentist Pediatrics for their children’s care.

Alyssa Berman
Alyssa BermanGoogle
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I have been a patient at twinkle dental for 2 years. I have had a very pleasant experience with my braces. I never had any problems with them and found myself excited for my next monthly appointment to come up. I am happy with my results and am so grateful to the kind and friendly staff who always made me feel at ease when it came to the process reassuring me that my teeth will come out beautiful. Thanks twinkle!
Anahay Ortiz
Anahay OrtizGoogle
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My son has been coming to Twinkle Dentist since he was 2, he's 7 now. Our first few visits were challenging because of his fear. The staff at Twinkle Dentist are amazing! They have helped him conquer his fear by being patient and listening to his fears. Dr. Emilie Agrait is truly awesome ! I would recommend your child to be seen by Dr. Emilie Agrait and her staff. Thank you for helping my son feel comfortable and brave at each appointment.
Sabine Chlosta
Sabine ChlostaGoogle
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I come all the way from Westchester to have my three kids seen by Dr. Agrait. She is super kind and knowledgeable. My kids love to see her, and their dentist visits are something they look forward to. Thanks to Dr. Agrait, their teeth are in excellent conditions, since she promptly addresses any issues that need attention.

What to expect from your Orthodontic dental appointment

Visiting the dentist doesn’t have to be scary! With our experienced pediatric dental staff by your side, you’ll feel immediately at ease as we carefully and methodically deliver care for your child.

1. Visit

Call and tell us what dental issues your child is dealing with and we’ll book you an appointment as soon as possible.

2. Intake

We collect medical history and payment information as well as discuss insurance acceptance before your appointment.

2. Triage

Once we assess the root of the problem, we’ll recommend treatment options, including dental sedation.

3. Treat

Once we answer all your questions and you understand the options, we carry out your child’s treatment.

Accepted Insurances:

Connect with our team to verify your insurance’s coverage.

Frequently Asked Questions

What is considered a dental emergency?

We typically define a dental emergency as a patient who needs treatment to:

  • Stop uncontrollable bleeding
  • Treat severe tooth or gum pain
  • Save a knocked-out tooth
  • Fix a chipped or fractured tooth
  • Stop a tooth infection
  • Treat a tooth or gum abscess

In general, if you’re experiencing severe pain, distress, loss of function, or your condition will worsen if you don’t get fast treatment, we consider this a dental emergency and recommend you give us a call to book an emergency appointment.

How do I know if my tooth infection is spreading?

Tooth infections such as abscesses on the tooth or gums can be extremely dangerous if you don’t get them treated quickly. If you’re experiencing fever, swelling, dehydration, a quickening heart rate, pain in your stomach, or are finding it hard to breathe; please call us immediately.

Can you go to A&E with a toothache?

If you have a toothache, find swelling around your eye, neck, or mouth area, and it’s difficult to breathe, swallow, or speak, we’d advise you to call the NHS helpline on 111 immediately, and they will advise you on whether you need A&E treatment.

How long does an emergency root canal take?

Emergency root canals typically take between 1-2 hours to complete. This may be longer or shorter depending on the complexity of your dental problem.

Invisalign is a type of orthodontic treatment used to straighten teeth. It utilizes clear, custom-made aligners that fit snugly over the teeth, gradually moving them into the desired position. Unlike traditional braces, Invisalign aligners are nearly invisible, making them a popular choice for those who wish to avoid the look of metal brackets. The aligners are removable, making it easier to eat and brush teeth than with braces. Invisalign treatment typically involves a series of aligners that are changed every two weeks to continue shifting the teeth into the desired position. The length of treatment varies depending on the severity of the teeth correction needed. Invisalign is a popular option for those seeking a less noticeable orthodontic treatment that is also effective.

1. Discreet: Invisalign treatment uses clear, nearly invisible aligners, making them more aesthetically appealing than traditional metal braces.

2. Comfortable: The aligners are made of smooth, flexible material that reduces irritation and discomfort often associated with traditional braces.

3. Convenient: Patients can easily remove the aligners to eat, drink, brush, and floss, making it easier to maintain oral hygiene.

4. Predictable: Invisalign uses 3D digital imaging technology to create a customized treatment plan, ensuring precise alignment and predictable results.

5. Efficient: Invisalign treatment can often be completed in a shorter period of time than traditional braces.

6. Versatile: Invisalign can effectively treat a variety of orthodontic issues, including crowded or spaced teeth, overbites, underbites, and crossbites.

7. Easy Maintenance: Unlike traditional braces, Invisalign aligners require minimal maintenance and do not require regular adjustments.

8. Improved Confidence: Unlike traditional braces, Invisalign aligners are virtually invisible, allowing patients to feel more confident about their smile during treatment.

Invisalign treatment is a perfect option for teenagers who want to straighten their teeth without the discomfort, aesthetic concerns, and hassle that comes with traditional metal braces. There are a variety of benefits for teens who choose Invisalign. First, adolescents can wear clear, removable aligners, ensuring minimal impact on their day-to-day routines. Secondly, Invisalign offers better aesthetics, allowing teens to smile confidently and pose for pictures without being conscious of their braces. The clear aligners blend with the teeth well, making them almost invisible. Invisalign doesn’t interrupt the activities of the wearer, particularly for teens involved in sports, band, or other extracurricular activities. Finally, this treatment is significantly beneficial for special occasions like prom where teens do not want their braces to draw unwanted attention. As a result, Invisalign treatment offers teens the freedom to undergo orthodontic treatment without negatively affecting their self-esteem and everyday activities.

Invisalign treatment uses clear plastic aligners to straighten teeth, while traditional metal braces use brackets and wires. Invisalign aligners are virtually invisible and removable, making them more aesthetically pleasing and easier to clean than metal braces. Invisalign allows patients to eat and drink what they want without restrictions, whereas traditional braces require avoiding certain foods that can damage the hardware. Invisalign requires fewer office visits and typically has a shorter treatment time compared to traditional braces. However, traditional braces may be more effective for correcting certain types of dental issues, such as severe overcrowding or bite problems. They are also more durable and can withstand more force than Invisalign aligners. Ultimately, the choice between Invisalign and traditional braces will depend on an individual’s specific dental needs and preferences.

An iTero scanner is a specialized piece of technology used to create digital impressions of a patient’s teeth and mouth. It utilizes advanced laser scanning technology to create a 3D model of the patient’s teeth and gums, providing a highly accurate and detailed picture of the patient’s dental structure. The iTero scanner is frequently used by dentists and orthodontists to create customized treatment plans, such as braces or clear aligners. Patients can benefit from the iTero scanner’s non-invasive and painless process, which eliminates the need for messy and uncomfortable traditional dental impressions. The scanned images are immediately available for analysis and can be shared with patients to help them visualize their treatment options. Overall, the iTero scanner is a state-of-the-art tool that helps to streamline the dental procedures, improve accuracy, and deliver superior oral healthcare.

1. Precise measurements: An iTero scanner provides accurate and precise measurements of a patient’s teeth, gums, and oral structures, enhancing the accuracy of treatment plans.

2. Time-efficient: The iTero scanner offers a quick and efficient alternative to traditional dental molds. This leads to faster treatment and reduces the number of appointments required.

3. Comfortable for the patient: The scanner’s wand is non-invasive and painless, allowing the patient to sit comfortably throughout the scanning process.

4. Reduced risk of contamination: Since the scanner is a digital tool, there is no risk of contamination and no need for storage facilities.

5. Improved communication: The iTero scanner provides clear and detailed 3D images, which can be easily shared with other healthcare providers.

6. Enhanced patient engagement: Patients can see a visual representation of their teeth and gums through the iTero scanner’s 3D images, enabling them to engage more effectively in their treatment plan.

7. Supporting multiple applications: iTero scanner can be utilized in various dental procedures, including orthodontics, restorative dentistry, and implant placement, among others.

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