Second Opinion Before Braces

Parents often feel this intuitively. A plan may be too aggressive if:
  • There’s no clear explanation of “why now.”
  • The goals sound mostly cosmetic, but the approach is complex
  • The plan includes multiple appliances without a clear sequence
  • You’re told “this is the only way” without discussing alternatives
  • A second opinion helps separate what’s essential from what’s optional.
Sometimes, yes—but it depends on age, eruption stage, bite complexity, and compliance. A second opinion can tell you:
  • Whether aligners are realistic for your child’s situation
  • The pros/cons versus braces for that specific case
  • Whether a hybrid approach might be better
Extractions can be appropriate in some cases, but it’s a big decision. A second opinion is especially valuable here to explore:
  • Whether extractions are the only path, or one of several options
  • Whether expansion, reshaping, or different mechanics could work
  • The expected impact on facial profile, spacing, and long-term stability
  • Risks of crowding relapse if space isn’t created appropriately
Expanders can be helpful for certain bite and space concerns, but they should be recommended for a clear reason. A second opinion can confirm:
  • Whether the jaw/palate width is truly the limiting factor
  • Whether expansion is age-appropriate right now
  • What the goals are (space creation, crossbite correction, bite improvement)
  • Alternatives and expected stability
Phase 1 (early/interceptive treatment) is used in specific situations—often to guide growth, create space, or address bite issues early. Not every child needs it. A second opinion helps you understand:
  • What problem Phase 1 is intended to solve
  • What happens if you wait
  • Whether Phase 1 reduces time/complexity later, or simply adds an extra phase
Many children benefit from an orthodontic screening in early grade school years, but screening doesn’t automatically mean treatment. The real question is timing: is there a reason to intervene now, or is it better to wait until more permanent teeth erupt and growth patterns are clearer?
Not always. Crowding can be influenced by growth, spacing changes, and eruption patterns. In some cases, early intervention helps; in others, it’s better to monitor and start at the ideal time. A second opinion can clarify whether treatment now improves outcomes—or simply starts the clock earlier than necessary.
It’s particularly worth doing if:
  • You were told your child needs extractions
  • The plan feels aggressive, or you feel rushed
  • You were given multiple appliances, and you’re not sure why
  • The quote is high, and you want to understand what’s truly necessary
  • You received conflicting guidance from different providers already
  • Your child has airway/sleep concerns, mouth breathing, or frequent congestion
  • You’re unsure whether the issue is cosmetic, functional, or both
Not at all. It means you’re doing due diligence for your child. Most orthodontic providers understand that parents want to feel certain before starting a multi-year treatment that affects growth, comfort, finances, and long-term dental health.
Differences often include:
  • Timing (start now vs. wait)
  • Treatment type (braces vs. aligners; one-phase vs. two-phase)
  • Whether teeth need to be removed (extractions) or alternatives exist
  • Use of expanders or growth appliances
  • Estimated treatment length
  • How much “cosmetic” vs. “functional” correction is being planned
  • Long-term stability and retention strategy