Some bite problems in children are not about the teeth at all. The upper jaw may be narrow, or the lower jaw may be growing more slowly than the upper one. Dentofacial orthopedics uses the years when a child is still growing to guide the jaws into a better relationship, with an appliance the child wears for a set time each day. Braces then only have to line up the teeth, not make up for the jaws.
At The Smile Super Speciality Dental Clinic, this is the main work of Dr. Rajesh Kumar Y, MDS Orthodontics, Facial Orthopedist and Fellow of Implantology (Germany). The clinic has treated families in Kondapur, Hyderabad and in Vizag since 1997. Treatment costs ₹60,000 to ₹1,50,000, and you get the exact figure in a written plan after a ₹500 consultation with an iTero 3D scan.
Not every child with crooked teeth needs this. Often the honest answer at the first visit is "nothing yet, come back in six months", and we will say so.
Get Your General Answers
What parents usually tell us
- "His upper front teeth stick out and he has already chipped one falling off the cycle."
- "Her chin looks small and set back, like her father's."
- "When he bites, his lower front teeth sit in front of the upper ones."
- "Her teeth meet crooked on one side and her jaw seems to slide when she closes."
- "He sleeps with his mouth open and snores."
- "There is clearly no room for the new teeth coming in."
- "The school dentist said we should get the jaw checked."
Any one of these is a good reason for a check. The American Association of Orthodontists suggests a first orthodontic check by about age 7, even when nothing looks wrong. More on timing in our guide on when to take your child to an orthodontist.
Honest limits
- It needs growth to work. Once a child has finished growing (often around 14 to 16 for girls and 16 to 18 for boys), an appliance can no longer change how the jaws grow. Teenagers near the end of growth may be better served by braces or aligners alone.
- It needs daily wear. A removable appliance only works while it is in the mouth. If a child will not wear it, we would rather choose a fixed design or wait than take your money for an appliance that sits in a drawer.
- Some underbites follow family genes. When the lower jaw keeps growing forward late into the teens, early treatment can help, but some of these children may still need jaw surgery as adults. We tell you if your child's pattern looks like this.
- It does not replace braces in most children. Many still need a shorter course of braces once the adult teeth are in.
- Mild crowding alone is usually not a jaw problem. If the jaws are in balance, we will not suggest a jaw appliance.
Adults whose jaws are uneven are treated with braces or aligners, sometimes together with jaw surgery planned with a surgeon.
Step 1: the first visit (₹500 consultation)
- Dr. Rajesh Kumar Y examines the bite, the face from the front and the side, breathing and habits like thumb sucking or tongue thrust.
- An iTero 3D scan records the teeth with no moulds. X-rays show the jaws, the adult teeth still under the gums and how far along your child's growth is.
- You hear plainly whether the problem is in the teeth, the jaws or both, and whether now is the right time.
Step 2: the written plan
- Which appliance, why that one, how many hours a day it is worn and for roughly how long.
- The exact price, what it includes and the payment stages.
- Whether braces are likely later. No pressure to start the same day.
Step 3: fitting the appliance
- It is made for your child from the scan. Fitting takes one visit; we show your child and you how to put it in, take it out and clean it.
Step 4: regular reviews, usually every 4 to 6 weeks for 6 to 18 months
- Small adjustments as the jaw responds. Progress is checked against the first records, so you can see the change for yourself.
Step 5: what comes next
- A retainer to hold the result, and braces later if the adult teeth need lining up. See braces in Kondapur and Vizag.
For your child
The first few days feel strange. Speech may sound a little different and there is more saliva, which settles within about a week. Teeth can feel tender for two or three days after a review. Some appliances are worn most of the day, some mainly at night; the plan says which.
For you
The biggest single thing you can do is make sure the appliance is worn as advised. Children do better with a routine: in after school, in at bedtime, the case always in the school bag. At each review we tell you how well it is being worn, because the result depends on it.
During treatment
No surgery and no time off school. Brush the teeth and the appliance twice a day, and keep sticky sweets and hard chewing to a minimum. If a part breaks or feels sharp, message us on WhatsApp and we will see your child at the next opening.
After treatment
A retainer holds the new jaw position while growth finishes. If braces follow, they usually have less to do because the jaws are already in better balance.
Jaw growth treatment: ₹60,000 to ₹1,50,000
The exact figure is in your child's written plan after the ₹500 consultation. What moves it:
- The problem: widening a narrow upper jaw is usually at the lower end; bringing a small lower jaw forward, or treating an underbite, usually costs more.
- The appliance: removable or fixed, one appliance or two in sequence.
- How long: a 6 month course costs less than an 18 month one.
- Braces afterwards: charged separately, if needed. Braces at our clinics cost ₹50,000 to ₹1,50,000; braces cost guide.
The plan lists what is included: the appliance, the reviews, repairs from normal wear, and the retainer, so you can compare like with like if you get a second quote.
Timing is read from the X-ray, not the birthday
Two children of the same age can be at very different points in their growth. The growth spurt that a lower-jaw appliance relies on usually comes earlier in girls than in boys, and it shows on the X-ray before it shows on the height chart. So we time treatment from the X-ray and the bite, not from the child's age.
That is also why a first check at 7 or 8 is useful even when treatment is not needed yet. It gives a starting picture, so at the next check we can see which way the jaws are growing and start at the right moment, neither too early (a longer course) nor too late (the growth has passed). Related reading: growth modulators for teens, why crowded teeth are not just genetics, and how the jaw affects breathing.
For families visiting from abroad
The first visit, records and appliance fitting can usually be done within one to two weeks of a holiday in Hyderabad or Vizag. Jaw growth treatment needs regular reviews, so between trips your child would need an orthodontist at home to check the appliance; we send full notes and the plan. If that is not possible, we will tell you honestly and suggest starting closer to home.
Live outside India? See how to plan your treatment from home →
At what age should my child have a jaw check?
By about age 7, even if nothing looks wrong. Most children do not need treatment then, but the first check gives a starting picture and shows whether the jaws are growing in balance.
How is this different from braces?
Braces move teeth. Dentofacial orthopedics guides how the jaws grow, while the child is still growing. Many children have jaw treatment first and a shorter course of braces later; some need only one of the two.
Will my child still need braces afterwards?
Often yes, once the adult teeth are in, but the braces usually have less to do because the jaws are already in better balance. Children with milder problems sometimes need no braces at all.
Does the appliance hurt?
No. It feels strange for the first few days and the teeth can feel tender for two or three days after a review. Speech settles within about a week.
How much does jaw growth treatment cost in Kondapur and Vizag?
₹60,000 to ₹1,50,000 at The Smile Super Speciality Dental Clinic, depending on the problem, the appliance and how long it is worn. The exact price is in a written plan after the ₹500 consultation with an iTero 3D scan.
Can it avoid jaw surgery later?
For many children with a small lower jaw or a narrow upper jaw, guiding growth early makes later treatment simpler. It cannot promise that surgery will never be needed, especially for underbites that run in the family. We tell you which pattern your child has.
My child is 13. Is it too late?
Not necessarily. Many children are still growing at 13, especially boys. The X-ray shows how much growth is left, and that decides whether a jaw appliance still makes sense or braces alone are the better choice.
Who treats my child, and where?
Dr. Rajesh Kumar Y, MDS Orthodontics, Facial Orthopedist, plans every case. You can visit Smile Dental Clinic Kondapur on Masjid Banda Road, Hyderabad, or Smile Dental Clinic Vizag at SLN Towers, Maharani Peta, Visakhapatnam.
