Preparation, realistic expectations and steady support can help children adjust to braces. Parents can make the process easier by explaining what to expect, helping with daily routines and focusing on progress rather than promising a particular emotional outcome.
- Talk it through first, because preparation tends to help most
- Quality of life evidence is clearer than the evidence on self-esteem
- A hygiene kit comes with treatment, so families are adding to it
- Parents accept food changes more readily than their children do
- Reminder apps show no measurable effect, but parental support does
Preparing for the First Appointment
A first fitting appointment is mostly routine. Knowing what to expect in advance takes the edge off for both of you. Orthodontics Australia describes the appointment as taking up to an hour. The brackets are attached one by one. The orthodontist talks the family through care instructions before anyone leaves. If treatment has already been planned and the next visit is the fitting appointment, knowing what happens can make the day feel more predictable.
Some tenderness after braces are fitted is common and usually settles over the following days. It is better to tell your child that their teeth may feel sore than to promise the appointment will be pain-free. Orthodontic wax can help if a bracket rubs against the inside of the mouth. If pain relief is needed, follow the age-appropriate directions on the packaging or advice from a pharmacist, dentist or doctor.
What genuinely reduces a child’s nerves differs from the usual advice. A 2025 review of 18 randomised trials looked at child dental anxiety. It found that talking a child through each step, a method called tell-show-do, helps. More targeted techniques, such as hypnosis, work better in head-to-head comparisons. The same review found a parent in the room did not reliably help. It showed no consistent benefit over other approaches. A larger 2024 analysis covered 61 trials and more than 6,000 children. It found music, aromatherapy and structured games worked best, with the strongest evidence for easing anxiety.
In practical terms, a calm conversation beforehand can help. It may matter more than your presence at the chair on the day, though being there still matters for other reasons. Playing a favourite song on the way in can help too, and so can picking a distraction that has worked before. Both are reasonable, low-effort things to try.
Worth knowing, this varies by case. It is not settled whether a first visit includes fitting anything. Ask directly what your child’s own appointment will involve.
Focusing on the Positive Outcomes That Actually Hold Up
The honest answer here is narrower than the one parents are usually given. Quality of life tends to improve by the end of treatment, but self-esteem is a different, unsettled question. The best-designed long-term evidence does not support a confidence promise.
A systematic review of 10 studies found that nine reported improvements in oral health-related quality of life at the end of orthodontic treatment. This measure is broader than confidence alone and considers factors such as oral comfort, function and the social or emotional effects of oral health.
Self-esteem is less predictable. A separate systematic review found some evidence of improvement in children, but the relationship between self-esteem and oral health-related quality of life was weak overall. A six-year UK study involving 2,600 adolescents also found no significant association between orthodontic treatment and changes in self-esteem after accounting for baseline self-esteem and other factors.
An 18-year Australian study of 427 children found the opposite of the usual marketing claim. Fixed-appliance treatment was associated with lower self-esteem scores at follow-up. The study adjusted for treatment need and income, though not for where each child’s self-esteem started. That limitation is worth knowing, and it cuts both ways. The honest summary is that the best-designed long-term evidence does not support a confidence promise, in either direction.
There is a separate finding worth putting alongside that one, because it is the other half of the picture. A study of 1,140 adolescents found that being unhappy with how their teeth looked was a strong predictor of lower self-esteem. So a visibly crooked smile can weigh on a child before treatment starts. What the evidence does not establish is that treatment reliably lifts it back.
For parents, the useful message is to keep expectations individual. Talk about the goals in your child’s own treatment plan and the progress they are making rather than suggesting braces will necessarily change how they feel about themselves.
Creating a Braces Care Kit Together
Capital Smiles Orthodontics already provides a care kit at the fitting appointment. Families are building on what is already there, not starting from nothing. The practice’s own guidance confirms this. Every patient is given an orthodontic care kit once braces are placed. It contains toothbrushes and oral care items to help clean thoroughly around the brackets. It also includes orthodontic wax.
It can also be useful to put together a small portable version for school, sport or days away from home. A few practical additions include
- A spare pack of orthodontic wax for the school bag or sports bag. Wax is cheap to duplicate, a few dollars a pack, and one chemist chain listed a value pack at $2.79 against a recommended retail price of $4.75 when we checked. It comes in its own small carry case that fits easily into a bag.
- A travel-sized toothbrush and toothpaste. Orthodontics Australia recommends exactly this. It keeps the habit going through the day, not just morning and night. Manual toothbrushes are inexpensive and easy to find at any supermarket or chemist. An electric toothbrush costs more. Orthodontics Australia describes it as a worthwhile investment for some families. That choice is worth making together.
- Interdental brushes or superfloss, in the size your orthodontist recommends. These are genuinely useful for a braces hygiene routine. They help reach around brackets and wires in a way a toothbrush alone cannot. Checking sizing at the next adjustment visit is worthwhile. It gives your child a natural reason to ask a question of their own.
If sport, sleepovers or long days out are a regular thing, the second kit is the one that travels.
Putting the kit together can also give your child a little ownership over the routine. Letting them choose the case or travel toothbrush is a simple way to make the kit feel like theirs. The goal is not to make braces care complicated, but to make the essentials easier to keep close by.
Capital Smiles Orthodontics uses low-profile metal brackets for children and teenagers who have metal braces. Cleaning needs can vary slightly depending on the appliance, so follow the care instructions provided for your child’s treatment.
Managing Food Restrictions Together
This is about the family side of eating with braces, not the clinical list of which foods put a bracket at risk. Our living with braces page is the place to start on the practical side, including the hard and chewy foods that put a bracket at risk.
Children can find food restrictions harder to accept than parents expect. One study of 100 orthodontic patients aged 7 to 17 found that parents were more willing than their children to accept restrictions on certain foods. Because this was a relatively small study conducted outside Australia, it is better treated as a useful observation rather than a rule that applies to every family.
Where you can, give your child some choice within the foods that are suitable for their braces. This can be especially helpful with school lunches, birthday parties, sleepovers and eating out. There is no single research-backed method for handling these social situations, so these are practical suggestions rather than clinical rules.
For a party or sleepover, you might agree on suitable options together beforehand. A quiet word with the host can also help if necessary, particularly if it means your child does not have to explain their braces at the table.
Social situations can make food restrictions feel more noticeable, so a little planning can make them easier to manage. For the clinical side of what your child should and should not eat, follow the food advice provided by Capital Smiles Orthodontics.
Celebrating Milestones Along the Way
Steady parental involvement can support good treatment habits. A 2024 review of orthodontic adherence found that parental involvement was positively associated with cooperation during active treatment and with retainer wear. The useful role for parents is support rather than pressure, particularly around appearance or an exact finish date.
A child’s own sense of progress also helped. A more focused 2025 review of teenagers specifically found parental support helped too. Patients said it helped them keep wearing removable appliances, including retainers, worn as prescribed.
Technology can help some families remember routines, but it should not replace regular encouragement. The same 2024 review found that mobile reminder apps alone did not improve prescribed retainer wear in the studies it included. A newer review of adolescents also found that evidence for interventions designed to improve appliance wear remains limited. So keep milestone conversations focused on things you can both see. Do not rely only on your child’s own report.
A mid-treatment dip in motivation is normal, not a sign anything has gone wrong. A study looked at teenage patients partway through treatment. It found them measurably less motivated than those who had not yet started. If your child loses enthusiasm somewhere in the middle, that is normal. This dip is a well-recognised pattern, not a reason for concern. Naming it as such tends to help.
Milestones can focus on things your child can actually control, such as keeping up with cleaning, wearing elastics or another appliance as prescribed, or reaching the appointment when their braces are removed. Orthodontic treatment for teenagers at Capital Smiles Orthodontics usually takes around 18 to 24 months, although more complex cases can take longer. Because treatment time varies from person to person, it is better to acknowledge progress as it happens than promise a particular finish date.
Getting Started
Every child settles into braces a little differently. If your child is approaching their first visit, see our first visit page, which sets out what to expect. Our children’s orthodontics page covers the early assessment window. Most families start from around ages 7 to 10. For families further along, our adolescents page covers the teenage years. It explains what treatment typically involves.
It is also worth knowing before you budget that the Australian Government’s Child Dental Benefits Schedule does not cover orthodontic treatment. If you have private health extras cover, your fund may contribute towards treatment depending on your policy, so check your individual level of cover directly with your insurer.
Questions before the first appointment? Get in touch with our team.
Sources and Further Reading
- Orthodontics Australia: Your Orthodontic Journey
- Orthodontics Australia: 5 Tips to Prepare Your Child for Braces
- Orthodontics Australia: When to See an Orthodontist
- Orthodontics Australia: Best Toothbrush for Braces
- PMC: Oral Health-Related Quality of Life of Adolescents After Orthodontic Treatment
- PMC: Impact of Self-Esteem on Orthodontic Treatment and Oral Health-Related Quality of Life
- PMC: Six-Year Longitudinal Study of Orthodontic Treatment and Self-Esteem
- PMC: Dental Appearance and Self-Esteem in Adolescents
- PMC: Motivational Factors in Orthodontic Treatment
- PMC: Scoping Review of Orthodontic Patient Adherence
- Progress in Orthodontics: Adolescent Adherence to Removable Appliances
- PMC: Parent and Child Motivation During Orthodontic Treatment
- PMC: Behaviour Guidance for Paediatric Dental Anxiety
- PMC: Non-Pharmacological Interventions for Dental Anxiety in Children
- Australian Institute of Health and Welfare: Oral Health and Dental Care in Australia
- Australian Dental Association: Child Dental Benefits Schedule
- Capital Smiles: Living with Braces
- Capital Smiles: Metal Braces
- Capital Smiles: Orthodontics for Adolescents
- Capital Smiles: Your First Orthodontist Appointment
- Chemist Warehouse: Piksters Orthodontic Wax Value Pack

