Orthodontic

Fixed Appliances (Thumb sucking, Palatal expanders, Etc.)

Custom fixed appliances help guide jaw growth, break harmful oral habits, and create space for healthy tooth development in children and teens.

Close-up of dental models displaying braces and dentures for orthodontic education.

Guiding Your Child's Smile Development

Fixed appliances are orthodontic devices that stay in place 24/7 to gently guide your child's dental and jaw development. Unlike removable retainers or aligners, these appliances are bonded or cemented to the teeth, so they work continuously without relying on your child to remember to wear them.

At Atlantic Smiles, we use fixed appliances to address a variety of developmental concerns—from breaking thumb-sucking habits to expanding a narrow palate. These early interventions can prevent more complex orthodontic problems down the road.

Common Types of Fixed Appliances

Palatal Expanders
A palatal expander gradually widens the upper jaw to create space for crowded teeth and improve the bite. This treatment is most effective while your child is still growing, typically between ages 7 and 12.

Habit-Breaking Appliances
Thumb-sucking and tongue-thrusting can affect tooth alignment and jaw development. We offer gentle, fixed appliances that discourage these habits without shame or discomfort, helping your child transition naturally.

Space Maintainers
When a baby tooth is lost early, a space maintainer holds the gap open so permanent teeth can erupt in the right position. This simple device can prevent the need for more extensive orthodontic work later.

Lower Lingual Holding Arches
These appliances preserve space in the lower jaw and prevent molars from drifting forward, ensuring room for developing permanent teeth.

What to Expect

We'll evaluate your child's dental development and discuss whether a fixed appliance is the right step. If we recommend one, we'll explain exactly how it works, how long it will be in place, and what care it requires.

Most children adjust quickly—within a few days to a week. You may notice minor speech changes or increased saliva at first, but these resolve as your child gets used to the appliance. We'll provide detailed care instructions and schedule regular check-ups to monitor progress.

Our goal is to make early orthodontic care as comfortable and effective as possible, setting the foundation for a healthy, confident smile.

How it works

Comprehensive Evaluation

We examine your child's dental development, jaw growth, and any habits that may affect their smile. X-rays and impressions help us create a complete picture.

Custom Treatment Plan

We'll explain which appliance we recommend, how it works, and how long treatment will take. You'll have time to ask questions and feel confident in the plan.

Comfortable Placement

We gently bond or cement the appliance in place. The appointment is quick, and we make sure your child feels at ease throughout.

Adjustment & Monitoring

We'll schedule regular check-ups to monitor progress and make any needed adjustments. You'll see gradual, positive changes as your child's smile develops.

Common questions

Will a fixed appliance hurt my child?+

Most children experience mild pressure or soreness for a few days after placement, similar to getting braces adjusted. Over-the-counter pain relief and soft foods help during this brief adjustment period. The appliance itself doesn't cause pain—it works gently and gradually.

How do we keep a fixed appliance clean?+

Brushing carefully around the appliance is essential. We'll show your child exactly how to clean it during their appointment. A water flosser can also help remove food particles. Regular dental cleanings ensure everything stays healthy while the appliance is in place.

How long will my child need to wear the appliance?+

It depends on the type of appliance and your child's specific needs. Palatal expanders are typically worn for several months, while space maintainers may stay in place until the permanent tooth is ready to erupt. We'll give you a clear timeline during your consultation.

Get in touch — Egg Harbor Township, NJ

Ready when you are — let's get you smiling.

New patients are always welcome. Give us a call, and we'll find a time that fits — gentle care, honest answers, no pressure.

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