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Visiting the Dentist While Having Braces

Even though you have braces and you’re seeing your orthodontist every six weeks for adjustments, you still have to see your dentist every six months for cleanings. This applies even to those who wear clear aligners.

Why You Still Need Cleanings

Braces are no excuse for neglecting your oral hygiene; in fact, it’s more important than ever to keep up with cleanings because of all the potential for food to get caught in your braces that you may never know about. In addition to that, flossing can sometimes be hard when wires are involved, which can lead to excessive levels of plaque in braces-wearers.

It’s also tough to brush in all the right places when you have braces covering a portion of each tooth. On top of all that, you may be due for x-rays that can determine the health of your gums, roots and jaw. As someone who wears braces, you are also at risk for decalcification, or the loss of calcium in the teeth , which can leave unsightly white spots on your teeth. While this condition is not reversible if left untreated, it is preventable if you cut back on the sweets and acidic foods, brush and floss every day, and visit your dentist  at least twice each year for a  cleaning.

If you get a cavity, this could prolong your braces treatment. That’s why it’s important to keep up with cleanings and fluoride treatments while undergoing braces.

What to Expect

When you make your appointment for a cleaning, be sure to tell them you have braces. They will make a note of this in your chart so the dental hygienist and dentist are prepared when you get there. When you show up for your appointment, be sure to allocate just a little more time for your visit. While there’s no special procedure to cleaning teeth with braces, a lot of extra care does go into the process so as not to damage your wires and brackets.

While some dentists prefer to take out the wires connecting your braces to do a really good cleaning, most dentists simply work around the existing braces. In many cases, they use a smaller brush to fit in all the nooks and crannies. They will also floss your teeth and use a scaler to remove any built-up plaque and tartar. You will get a fluoride treatment if you are due for one.

Overall, the cleaning is just like any other, with the addition of extra care and time due to all the hardware. If you have any questions about your dental cleaning with braces, don’t hesitate to call Drs. Savage, Sabol, and Visser at one of our five convenient locations . We would be happy to answer any concerns you may have so your visit goes as smoothly as possible.

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Getting braces is easier than you may think.

You’re on your way to a better smile! Find out what to expect as you get started.

Congratulations! You’re taking the first step to better oral health – and a better smile. Getting braces is a big deal, but it’s easier than you might think. And knowing what will happen when you are in the orthodontist’s chair can help make the whole process less intimidating.

As you get ready for your first appointment, you’ll probably have a lot of questions. Your orthodontist will guide you through the process, but it can help to know the basics before you head in. Browse through the helpful information below to get an idea of the process, from the first consult to the day you get your braces on!

For more information about living with braces, including eating, cleaning and extra-curriculars, check out our Life with Braces page.

Navigating your way to getting your perfect smile.

Before your first official appointment, you may have a consultation with your orthodontist. If you have any x-rays from your dentist, bring them along. Your orthodontist will evaluate your teeth and make a treatment recommendation.

This is the time to ask all your questions – so come prepared! We’ve included a handy list of starter questions in our FAQ section below.

The first step to getting braces: go to the dentist! Have your teeth professionally cleaned. If you need treatment for other oral care conditions (e.g. periodontal problems or tooth extraction), your orthodontist may recommend taking care of these issues before braces.

First, you’ll get x-rays of your whole mouth and of individual teeth. Photographs of your face, teeth and mouth may also be taken. If spacing is too tight between any of your teeth, spacers may be inserted to help prepare your mouth for braces.

Whether you get traditional braces or customized behind-the-teeth braces, the next step is to make an accurate mold. To do that, your orthodontist will take an impression of your teeth. Either you’ll bite down on a tray of soft impression material for a few minutes, or your orthodontist may take a digital scan of your mouth.

First things first: don't forget to brush and floss before you get your braces on! The procedure itself is painless for most people. Your bonding appointment may last for about two hours, so you may want to bring some music to help pass the time.

Your orthodontist will start by inserting a device to keep your mouth dry and your tongue in place. Then he or she will dry your teeth and apply an etchant to make the tooth surface ideal for bonding. Next, the braces will be placed on your teeth using a special adhesive to hold them in place throughout your treatment. A curing light will harden the adhesive and set the bond. Finally, the orthodontist will run the archwire through the braces and hold it in place with ligature bands (unless you have chosen self-ligating braces , which don't need additional bands). And that's it!

Once your braces are on, you'll have about 4-8 weeks to get used to them before your first follow-up appointment. These routine "adjustments" go much faster than getting your braces in the first place. Your orthodontist will check your progress and swap out the old bands, and possibly the old archwire, for a new set. This is the perfect time to change up your colors if you want!

Adjustment appointments may be recommended every 4-8 weeks throughout your treatment. Because the archwire will be replaced, it is normal to feel minor discomfort for a few days – but it is only temporary. If you are concerned, talk to your orthodontist about their suggested methods to relieve your discomfort.

You’ve done it! Your treatment is complete and you are about to see your new perfect smile. You won't have to wait long – removing braces may be easier and faster than you might think. The brackets will come off easily, leaving behind just a trace of the bonding material. Your orthodontist will remove the bonding material and polish the enamel, leaving smooth and shiny teeth where your braces had been. The best part: it only takes about 15 minutes!

What happens next? You may need a retainer to help your teeth "remember" their new positions. Ask your orthodontist how to care for your smile after braces. As always, keep brushing your teeth and flossing regularly. Now get ready to show off your new smile!

Learn more about life after braces .

FAQ: Asking the big questions

Your orthodontist will be your go-to resource for questions before, during and after braces. Here are a few things you may want to ask, along with some helpful information about the patients’ and families’ most frequent questions.

• Do I really need braces? If your orthodontist or dentist recommends braces, you probably need them. You can always ask your orthodontist how necessary they are, but keep in mind that getting braces is not just about a better smile. Having straighter teeth also helps keep you healthier and can prevent dental and jaw issues down the road. Learn how braces help overall health and what conditions they are used for by visiting our page How Braces Work . Collapse
• What are my options? 3M has developed a variety of quality materials to treat almost any case while still providing options for the look you want – and the fit you need. Talk with your orthodontist about the best solution for your smile and lifestyle. Check out the main types of 3M™ Braces: metal , clear and invisible . Collapse

Like braces themselves, there’s no single answer that fits all cases. Costs will vary depending on your choice of braces, the complexity of your treatment, and possibly your geographic location. Fortunately, there are many options to fit a wide range of budgets and lifestyles. Talk with your orthodontist about your personal and financial priorities. Payment Plans: Your orthodontist may offer different options for payment plans. Be sure to ask during your consultation. Insurance: Many dental insurance plans have orthodontic benefits to help with some of the cost of getting braces. Call your insurance company to ask about your coverage. Flexible Spending Accounts: If your employer offers this savings option, braces will qualify as an approved medical expense. You may be able to pay your orthodontist directly from your FSA account; if not, simply submit your treatment receipts for reimbursement.

• What do braces feel like? It will probably take 1 to 2 weeks to adjust to your new braces. Your teeth may "feel" larger, and your lips, cheeks and tongue may be sensitive as they get used to the braces. Your orthodontist will give you some special wax you can put on your brackets to help relieve any irritation. If you have behind-the-teeth braces, your speech may also feel a little clumsy for the first week or two. No matter how teeth are straightened, most people experience tenderness when their teeth move. After first getting braces, and after each adjustment, you may feel a little pressure and discomfort when biting or chewing, but this should only last for a few days. Ask your orthodontist about how best to relieve any discomfort. Before you know it, having braces will feel normal and you will be able to enjoy your favorite activities – and snacks – without discomfort. Check out some tips for adjusting to life with braces . Collapse
• How do I take care of my braces? Once you get your braces put on, you’ll have more questions about the best way to take care of your teeth. Brushing and flossing can be slightly more complicated. While your orthodontist can give you the best advice based on your specific treatment, you can visit our Life with Braces website for some quick tips and basic advice on how to keep your teeth and gums healthy while your smile straightens. Collapse
• What do I do if a bracket or band comes off, or if a wire is loose? Orthodontic emergencies are rare. Your braces are held in place by a strong, reliable dental adhesive, and the brackets themselves are designed to bond securely. But if one of your brackets does fall off – or if a band or wire comes loose – call your orthodontist right away. Collapse
• What can I eat and do while I’m wearing braces? You may need to make some adjustments when you get braces, but don't worry – life with braces is easier than you may think! You can still play sports and musical instruments, and you can still enjoy many of your favorite foods. Check out our page Life with Braces to get a general idea of what you can eat and what activities you can do with braces. Then talk to your orthodontist about how you can keep up with your hobbies – and your favorite meals –throughout your treatment. Collapse
• What happens after braces? While reading this page, you are probably already picturing yourself with straighter teeth. But as you get closer to having your braces removed, you might have more questions. Check out our page Life with Braces for a brief overview of what to expect in your life immediately after your new smile is revealed. Your orthodontist will give you detailed information about how to care for your teeth after braces. Collapse
• Will my teeth move after my braces are removed? They may move slightly over time making retainers/retention an important part of your treatment. Your orthodontist may give you a removable retainer or attach a longer-term retainer behind your teeth – out of sight. Talk to your orthodontist about any questions you may have about what to expect. To learn how your teeth keep their position after braces, check out our page How Braces Work . Collapse
• How is my treatment cost determined, and how much will it be?  
• Does your quote include all treatment costs from beginning to end? Are there any additional fees?  
• What are my insurance and payment options?  
• Can you describe the procedures you will be using?  
• How long will it take to get my braces put on and taken off?  
• How long will I be wearing braces?  
• Do I need headgear? If so, what are my options?  
• Will braces significantly affect my eating, oral hygiene or speech?  
• How often will I need to schedule my check-up or adjustment appointments?  
• What do I do if one of my brackets falls off?  
• What follow-up steps or appointments do I need after my braces are removed?  
• Will my teeth move after my braces are removed?

Now that you know what to expect, you've got a good starting point. It's time to take the next step!

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Everything You Need to Know About Braces

Orthodontists , dentists specializing in teeth and jaw alignment, use dental braces to straighten teeth. There are various reasons people get braces , such as enhancing their appearance (cosmetic) or addressing crowding or issues with their bite (functional). 

Braces are appliances that are typically glued to the fronts of teeth. Bands provide an anchor for the device, and wires and brackets connect them. Together, they put pressure on the teeth to encourage them to move.

People with braces typically visit an orthodontist every couple of months to adjust the pressure of the appliance. When treatment is complete, the orthodontist removes the braces, and people will often receive a retainer to keep the teeth from shifting back to their old position.

This article explains the different types of braces and what to expect if you get them. 

Tom Werner / Getty Images

Types of Braces

When you think of braces, you probably think of metal brackets and wires covering teeth. While metal braces are still standard, there are now plenty of other materials and options for braces.

Metal braces are made of strong, lightweight materials, including titanium and alloy. They do not rust or set off metal detectors. Metal braces are the most common type of braces, and they are often the least expensive option. One downside is that they are the most noticeable on your teeth.

With metal braces, orthodontists glue metal brackets to the teeth, and then a metal wire connects them. Elastics , which come in various colors, hold the wire to the brackets.

Ceramic braces are similar to metal braces in their appearance and function. The main difference is that the brackets are tooth-colored or clear to help them blend in with the color of your teeth.  

Ceramic braces are less noticeable than metal braces. However, they are more expensive, and certain foods and drinks can stain them over time. In addition, they do not bond as well to the teeth, so you may need more repairs throughout treatment.

Lingual braces use the same material as metal braces; however, instead of adhering them to the outside of the teeth, the orthodontist places them on the inside (lingual side) of the teeth. 

The apparent benefit of lingual braces is that they are not visible from the outside. They are more challenging to access, which means you could have trouble keeping them clean. It also means your orthodontist’s job is a little more complicated, so your adjustments could take longer and be more expensive.

Not everyone is a good candidate for lingual braces, though. For instance, your bite may make it impractical in some cases because you would bump and break brackets too frequently.

Self-Ligating

Self-ligating braces look like traditional metal braces, except that instead of elastics holding the wire in place, the bracket itself is fitted with a spring-loaded door to hold the wire. Since there is a built-in wire holder, orthodontist adjustments are a little faster. The brackets may be metal or clear.

One study found that those with self-ligating braces felt more comfortable than those with conventional braces, but the difference was not statistically significant.

On the other hand, these types of braces tend to cost more.

Clear Aligners

Clear aligners straighten teeth with clear, removable retainers. The most recognizable brand name of these devices is Invisalign . 

Clear aligners work by wearing a clear tray over your teeth. Throughout your treatment, you will replace trays with new ones. Each new tray fits slightly differently until your teeth have moved into the desired position. You change trays more frequently than you would get adjustments with conventional braces, as often as every two to three weeks.

Clear aligners, while convenient because you can remove them to eat and clean, can be more costly than traditional braces. In addition, they are reserved for more minor misalignments and will not work for serious orthodontic problems or children. 

What to Expect

Before you get braces, an orthodontist will evaluate your teeth, diagnose the issues that need correcting, and suggest a treatment plan. This process is usually relatively quick and involves an oral exam and X-rays of your mouth. 

Next, the orthodontist may take impressions of your teeth and take pictures. They will use these to guide treatment.

How Are Braces Put On?

Putting braces on your teeth may take up to a couple of hours. The process involves:

• Applying a bonding agent (glue) to your teeth
• Adhering brackets to the bonding agent
• Connecting wire through the brackets
• Securing the wire with elastics

The process of getting braces does not hurt. However, you may experience pressure as the orthodontics team places your braces. Afterward, your mouth will be a little sore as your teeth adjust to the pressure. 

What Will Change Once You Have Braces?

After you get braces, it will take time to get used to them. For example, you may talk a little differently at first and have to adjust to how you chew your food. 

When you first get your braces on and after appointments where your braces get adjusted, your mouth will be sore for a few days. During that time, the following may help:

• Eat soft food, like mashed potatoes, soups, and yogurt.
• Use over-the-counter (OTC) pain relievers if needed.
• Use dental wax over areas that cause mouth sores.

For the most part, after the initial soreness wears off, you can continue to eat normally. However, you may want to avoid some items that can damage or stain your braces, including:

• Sticky, chewy candy that could get stuck in your braces
• Popcorn and hard candy that could break brackets
• Sugary soda and juice can aid in tooth decay and may stain the teeth

In addition, when you have braces, it’s essential to brush and floss consistently. That way, when your braces come off, you won’t have stains around where your brackets once were.

There are many types of braces. Most appliances involve gluing metal or ceramic brackets to the fronts of your teeth and then attaching them with wire. But, other varieties are removable, such as clear aligners that use plastic trays. All methods work by slowly adjusting the appliance over time to change the teeth into a straighter position.

Getting braces is not painful, but your teeth may be sore for a little while afterward and after each adjustment. To avoid damaging your braces or staining them, you should avoid eating hard, sticky foods and sugary drinks.

A Word From Verywell

If you need braces, you may be feeling overwhelmed by the prospect. Rest assured that, while you may have braces on your teeth for a couple of years, the process is pretty straightforward, and most people adjust to braces after a couple of months. Talk to an orthodontist to help you find the right braces for your teeth.

Frequently Asked Questions

Braces themselves are not painful, although it may take up to a couple of months to get used to the feeling of them in your mouth. After they are applied and following adjustments, your mouth will be sore for a few days. Eating soft foods and taking over-the-counter (OTC) pain medication can help.

The cost of braces varies, depending on how complicated your treatment is and which type of braces you have. Metal braces are generally the cheapest type and lingual the most expensive. Prices also vary between regions and practices. On average, the cost of braces is around $5,350. Dental insurance may cover a portion of this cost.

Since your teeth move with braces, it is possible to see some slight adjustments in how your face shape looks at the end of treatment. In addition, while wearing braces, you may notice that your lips sit differently to accommodate them.

The most common side effect of braces is discomfort following adjustments. More rarely, periodontal (gum) problems, root resorption (when the body dissolves a tooth's root), and tooth damage can occur.

American Association of Orthodontists. How orthodontics works: braces .

American Association of Orthodontists. AAO dispels myths about braces .

Chalipa J, Jalali YF, Gorjizadeh F, Baghaeian P, Hoseini MH, Mortezai O. Comparison of bond strength of metal and ceramic brackets bonded with conventional and high-power LED light curing units . J Dent (Tehran) . 2016;13(6):423-430.

Zhou Y, Zheng M, Lin J, Wang Y, Ni ZY. Self-ligating brackets and their impact on oral health-related quality of life in Chinese adolescence patients: a longitudinal prospective study . ScientificWorldJournal . 2014;2014:352031. doi:10.1155/2014/352031

Colgate. How are braces put on? Learn the basics of brackets .

American Dental Association. What (and how) to eat when you're having dental issues .

American Association of Orthodontists. Handling orthodontic issues at home .

Nemours Children's Health. The basics of braces .

Authority Dental. How much do braces cost?

Gyocsi A, Kolarovszki B, Frank D. Adverse effects of orthodontic treatments . Fogorv Sz . 2016;109(4):111-118.

By Kathi Valeii Valeii is a Michigan-based freelance writer with a bachelor's degree in communication from Purdue Global.

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• Every Smile Has A Story

The Complete Braces Process: What to Expect When You’re Looking for Braces

Posted on: October 22, 2020 | Blog

Braces are designed to realign teeth that are crooked or just don’t come in right. If you have a slight overbite or underbite, braces can also help to correct this. The braces process can be long, but it’s easy once you get started. Let’s walk through the braces procedure, so you know what to expect at your appointments and day-to-day activities.

The Complete Braces Process: What to Expect

Step 1: consultation.

Visit to your dentist or orthodontist. Your professional will examine your teeth to ensure they’re healthy enough for braces, and that braces will be a good option for you. This is a good time to ask about other braces options, such as invisible alignment trays , like Invisalign. At this time, your dentist or orthodontist can also tell you about expenses and payment plans .

Step 2: Getting Your Braces On

Actually getting your braces put on will take the most time. There are several steps involved in this process. First, your dentist will thoroughly clean your teeth. Then, your dentist will condition your teeth, so that the braces’ brackets will stick properly. Using dental cement, your dentist will place the brackets on your teeth, and then place the wire. The wire will be properly fitted to the brackets, so it will push or pull teeth gently in the right direction. With this process completed, your braces are fitted!

Step 3: Care Instructions

At this visit, your dentist or orthodontist will also provide you with care instructions. This way, you’ll know how to keep your teeth and your braces safe and secure. Your dentist will tell you how to properly clean your teeth and braces, as well as what foods to avoid.

Step 4: Regular Appointments

Braces are designed to slowly realign your teeth and jaw. To accomplish this, you’ll have to revisit your dentist every three to four weeks for readjustment. This will help to maintain tension across the wire of the braces, so teeth continue to shift in the right direction. At these appointments, your dentist can also check on the health of your teeth and make sure your mouth is healthy.

Step 5: Removal

Some people can have braces removed in about a year. For others it might take two years or more. Your dentist will tell you what to expect at your first appointment. Once your teeth and jaw are aligned, your braces can be removed. Your dentist will carefully remove the wire, then the brackets bonded to your teeth. You can see your beautiful new smile for the first time!

Step 6: After-Care

To keep your teeth in alignment, your dentist will have you fitted for a retainer . First, your dentist will take a mold of your teeth, so your retainer will fit exactly. Then you’ll receive your retainer once it’s’ complete. This will help to prevent your teeth from shifting out of alignment again. Don’t worry, you’ll only have to wear this at night.

The process behind braces is lengthy, but the results are well worth it. You’ll enjoy a straight, beautiful smile for the rest of your life. If metal braces aren’t for you, keep in mind that there are many braces options available, including invisible braces. Make an appointment with a dentist in Las Vegas today to learn more.

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Do I still visit my dentist for dental cleanings with braces or Invisalign?

• December 9, 2023

If you have braces or Invisalign® , should you continue visiting your dentist every 6 months for professional cleanings? Can your dentist still clean your teeth if you’re wearing braces?

Spoiler alert – YES it’s actually essential that you still visit your dentist throughout your orthodontic treatment!

Here’s everything you need to know:

Before you begin treatment

Before you begin treatment, it’s important that you receive a professional cleaning from your dentist at least 6 months prior to your initial orthodontic exam . We want to ensure that your teeth and gums are healthy and ready to support your new smile!

Throughout your orthodontic treatment with any type of braces or clear aligners , it’s important that you visit your dentist every six months (or as frequently as your dentist requests) for professional cleanings. Your regular orthodontic check-ins and your regular dental cleanings are both essential for creating a beautiful, healthy smile.

Can you get your teeth cleaned with braces on?

Yes! Your orthodontic treatment shouldn’t impact your dental health. Your regular cleanings are as important as ever. Even with braces, plaque and tartar are still building up. In fact, brackets and wires provide even more places for plaque and tartar to accumulate.

Your dentist has likely performed a number of dental cleanings with braces and has taken care of plenty of other patients undergoing orthodontic treatment. Dentists are prepared for this! They have special dental tools that work around brackets to remove hardened plaque on your brackets and around your brackets.

Your dentist knows how to floss between your teeth and archwires effectively, without damaging your appliances. In some cases, we may temporarily remove your archwires if your dentist needs to reach a certain area.

Teeth cleaning with braces may take a little longer than when you didn’t have braces, but it’s important that your dentist has time to clean your teeth thoroughly.

Can you get x-rays with braces?

Yes you can! You should have x-rays taken regularly, as advised by your dentist. Although your braces are made of metal brackets and wires, they’re safe to undergo x-rays.

Routine x-rays are important for detecting tooth decay (cavities) that may not be apparent at first glance.

How often should I clean my teeth with braces?

Ideally, you’ll brush your teeth after each meal or snack to keep your braces debris-free. This is the best (and easiest) way to prevent bacteria buildup and ensure beautiful results at the end of your treatment.

It’s a good idea to carry a braces care kit when you’re at school or work, with a travel-sized toothbrush and toothpaste, or disposable Colgate® Wisp™ mini brushes for a quick and convenient brushing.

Teeth cleaning with Invisalign®

Dental cleanings are a bit easier with Invisalign. You simply remove your clear aligners for your regular dental cleanings. You may have attachments or buttons with Invisalign, but they are easy to clean around.

When cleaning your teeth during Invisalign treatment at home, you’ll remove your clear aligners to brush your teeth and floss your teeth, so you won’t have to make many adjustments to your oral care routine.

Have questions about dental cleaning with braces or Invisalign?

Please don’t hesitate to reach out to us with any questions! We’re here to guide you through orthodontic treatment and ensure that you achieve beautiful, lifelong results. If you’re looking for advice – or just want to chat about your child’s treatment – we’re here for you.

Our orthodontists and experienced team will go over your recommended treatment options on your first visit .

Ready to get started? Request your complimentary orthodontic exam with our experienced orthodontists in Oxford, Saltillo, Collierville, Corinth or Southaven today!

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Do You Still Need Dentist Visits With Braces?

Home » Teeth Whitening » Do You Still Need Dentist Visits With Braces?

While you have braces, you’ll have regular appointments with your orthodontists for adjustments. Since you’re seeing your orthodontist regularly, do you really need to keep seeing your regular dentist?

There’s a big difference between dentist appointments and adjustments with your orthodontist, and both are important.

Why You Need Dentist Appointments During Orthodontic Treatment

Even though your orthodontist went through dental school, he or she has specialized in orthodontia and doesn’t perform the same functions as a dentist. Your appointments are focused on correcting your smile and bite.

Dentists take care of everything else. From the health of your gums and regular cleanings to thorough exams that can detect cavities or other problems, your dentist still serves a very important function that your orthodontist doesn’t. Especially while you have braces, taking care of your teeth is necessary.

Caring for your braces takes a little more effort than regular oral hygiene. Keeping up a healthy care routine is a big part of preventing cavities and staining while you have braces.

Without proper cleaning, you might end up with white spots on your teeth when the brackets come off.

Braces can also hold food particles against your teeth, increasing the risk of decay and cavities.

Home care can prevent a lot of problems, and regular visits to your dentist are the extra step to keep your teeth healthy, white, and strong.

Home Care Tips

To reduce your risk of cavities, white spots, gum recession, and other painful problems, it’s wise to make a few small changes to your habits.

Avoiding sugar is a good idea in general, but it’s especially smart while you’re undergoing orthodontic treatment. Sugar increases bacterial growth in your mouth, which means more plaque, more cavities, and worse breath. Cutting back is great for your teeth and for your overall heath.

Your dentist may recommend using a fluoride rinse during treatment to help prevent cavities. Use a fluoride toothpaste, too.

Be mindful of foods that can stain tooth enamel like coffee and wine, and if you smoke, consider cutting back of quitting to prevent white spots when brackets come off.

And, of course, follow your orthodontist’s instructions regarding foods to avoid, cleaning, and care.

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When Do You Need Braces & How Long Do You Need Them For?

Gentle Dental December 29, 2021

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Whether you are embarrassed by your smile or experience discomfort due to structural issues, modern orthodontics can help. But what are the requirements for braces, and when is the best time to get them? Here’s how to know if you should get braces along with all the facts surrounding orthodontic treatment. 

How To Know If You Should Get Braces

When do people get braces? Usually when they want to improve their jaw function or orofacial appearance. Generally speaking, orthodontic treatments are effective at correcting common issues such as:

• Incorrect jaw position
• Crowded teeth
• Certain disorders of the jaw joints.

So, if you have one or more of these issues, when should braces be put on? In most instances, it’s better to get braces at a younger age, but it’s also important to wait until a child’s mouth is ready. 

What Age Do Children Get Braces?

Patients can benefit from braces at just about any age; however, it’s usually best to wait until a child’s adult teeth have fully erupted. With this in mind, what age do you need to be to get braces? Although it depends on the child, most are ready between the ages of 10 and 14. This is a key time when the mouth and head are still growing, and the teeth are more sensitive to straightening. 

At the same time, braces are not just for children. These days, more and more adults are wearing braces to improve their smiles and ease oral discomfort. So, what is a good age for braces? While younger is generally considered better, the actual answer is any age, as long as the adult teeth have fully erupted. 

If You Have an Overbite, Do You Need Braces?

Many people decide to get braces to correct aesthetic and/or comfort issues relating to an overbite. In most cases, braces can effectively correct a troublesome overbite; however, in rare instances, surgery may be necessary. If you are concerned about your overbite, consider meeting with a local dentist to get a professional evaluation.

Should I Get Braces?

There are a number of issues that can cause a person to require braces, including:

• Small mouths: Because they leave less room for teeth to grow, smaller mouths can promote crowding once permanent teeth begin growing.
• Tongue Thrusting: Some kids push their tongues forward against the lips, which can cause an open bite, a protrusion of teeth or other issues.
• Extra teeth: Some people develop extra teeth, which can cause crowding. Other people suffer traumatic injuries or untimely tooth loss, which can also cause dental issues.
• Misaligned jaw structure: This can affect the bite and cause difficulty chewing. It can also contribute to Temporomandibular Joint Disorder.
• Bad habits: Some people may experience alignment issues, when they engage in thumb sucking during and beyond infancy.

While accidents and bad habits can cause alignment problems, most people inherit their dental issues. Just like every other part of the body, genetics play a key role in determining whether our teeth will be straight or crooked. If your parents needed braces, there’s a good chance you will too. 

How Long Will I Need Braces For?

This depends on your individual needs and treatment plan. Most patients will need to wear their braces for between 18 to 30 months. The older you are and the more complicated your spacing issue, the longer you will need to wear your braces. You will also need to wear a retainer for a few months up to two years to keep tissues aligned. Some people have to wear permanent retainers to prevent their bites from returning to their previous positions.

Do Braces Hurt?

Most people experience no discomfort when they are getting their braces. That said, to effectively move teeth into the desired position, interconnecting wires must be tightened at every visit. This involves applying mild pressure on the bands or brackets to shift the jaw or teeth. Depending on your unique spacing issues, you may experience soreness after each tightening. This discomfort is usually mild, however, and goes away within a few hours or a couple days.

Will I Need to Have Teeth Pulled for Braces?

If the dentist determines that your teeth are too crowded to provide adequate room for shifting, he or she may recommend that you have one or more teeth extracted. This will create adequate room for your teeth to settle in the desired position. Thanks to modern dental treatments, extractions are usually painless with some mild soreness hours after the procedures.

Who Do I Go To For Braces?

Most people rely on their family general dentist to coordinate their orthodontic treatment plans, which will involve examinations, diagnosis and corrective procedures. In many instances, a general dentist will refer clients to an orthodontist; however, this is not always the case.

How Much Do Braces Cost?

The cost of braces will depend on the treatment needed, insurance coverage, type of braces, and location. In most cases, insurance will not cover the cost of braces for adults; however, you will need a thorough evaluation with your orthodontist to know for sure.

Final Word On Braces Options

When can you get braces? While it usually depends on the child, there are some general timelines that apply to children. Adults can usually get braces at any age, but you’ll need an evaluation to get expert advice on your specific situation.

Still need more information about orthodontic treatments? From color options and braces-friendly meals to flossing and travel tips , our braces guide has everything you need. View this helpful resource and make an appointment at your local Gentle Dental where our experts can help you decide which orthodontic options are best for your needs. 

Get closer to your perfect smile. Book your next appointment at a Gentle Dental location near you.

This information has been reviewed by the Gentle Dental Clinical review committee .

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How Many Visits to the Orthodontist Before Braces?

[vc_row][vc_column][vc_column_text]Patients often ask Dr. Caudill and Dr. McNeight about the number of visits necessary before they can start their braces or Invisalign treatment. In many cases, the answer is one or two, but sometimes, we can start on the same day as the first consultation.

During your first visit to Caudill Orthodontics, you will get familiar with our office, team, and receive your free exam to assess your goals and determine the best course of action. We take photographs and and an x-ray to see both the surface and below-the-surface changes that are necessary to align your bite and correct your smile. Our doctors do a thorough exam to analyze your bite, jaw function, tooth size and shape, health of the teeth and soft tissues, and smile aesthetics. At that time, we can recommend the next steps for treatment and answer insurance/payment questions.

We handle orthodontic cases for adults , teens , and kids starting at age seven. The American Association of Orthodontics recommends age seven as the proper age for the first visit to an orthodontic specialist. This age is the first opportunity to identify any issues with the bite and smile development.

Many times, our patients are not ready to start orthodontic treatment when we first see them. We may need to wait for permanent teeth to erupt in order to start treatment at the most optimal time.

Patients who seek to correct their smiles using Invisalign (invisible braces) get their trays on their second visit, as the mouthpieces are custom-made for their unique bite and treatment plan using 3-D mouth scans. Children, teens and adults can be treated with Invisalign. Caudill Orthodontics is a top 1% provider of Invisalign, so a great choice for our patients.

We have offices in Melbourne and Merritt Island, FL to serve you better. That first visit is a free consultation, so take the simple first step of requesting your consultation online. The New Year is a great time to ride the smooth wave with us to your perfect smile.[/vc_column_text][/vc_column][/vc_row]

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Do I Need Braces? What To Expect From Your Orthodontic Visit

Bon October 30, 2023 Braces

Dental braces are customizable and highly effective orthodontic appliances. If you or your child have misaligned teeth or dental bite issues, you may want to know whether braces would be an appropriate next step.

An orthodontic consultation will help the doctor determine your need for braces and answer your questions about the process.

Before Your First Visit

If you have any outstanding issues like tooth decay or gum disease, we must address them before moving forward with orthodontic treatment.

Early Orthodontic Visits

According to the American Association of Orthodontists , all children should see an orthodontist for an evaluation by age seven. Early interceptive treatment with habit appliances, space maintainers, and other interventions can reduce the treatment time needed in later years.

Your First Orthodontic Visit

Your first visit with our orthodontist will include a thorough dental examination, including the size and alignment of each tooth.

The orthodontist also takes photographs and digital X-rays to establish your baseline before treatment begins. They will check for any underlying issues causing your tooth alignment problems.

With this information in hand, the orthodontist can create a treatment plan. If they determine you need braces, they will present options , including traditional metal braces, clear braces, self-ligating braces, and lingual braces.

Types of Dental Braces

Metal braces.

Metal braces are the most commonly used. They are strong and highly adaptable, correcting minor and major orthodontic issues. Today's metal braces have smaller and lower-profile brackets than ever before, leading to less patient discomfort.

Clear Braces

Clear brackets make these less obvious than metal braces, creating a beautiful solution for teens and adults.

Self-Ligating Braces

Self-ligating braces work more efficiently than traditional braces because the brackets slide freely along the archwire.

Lingual Braces

Lingual braces provide effective, discreet treatment and an alternative to clear aligners. The orthodontist attaches the brackets to the back of the patient's teeth.

Advantages of Braces

• Good choice for all ages
• Can handle complex orthodontic treatment plans
• Creates more perfect results than clear aligners
• Improves oral health by reducing spaces where gum disease and tooth decay-causing bacteria collect
• Better dental bite improves digestion and stress on the jaw

Tips for Success With Braces

Keep your braces as clean as possible, using floss threaders and interproximal brushes to reach between the brackets and wires. If your home care routine suffers, so will your oral health.

Eat soft foods after braces adjustments if you experience discomfort. This discomfort should be short-lived.

It may take a few weeks for your mouth to become accustomed to braces. Use orthodontic wax to cover brackets and wires that irritate.

Attend all scheduled orthodontic appointments. Your orthodontist must adjust your archwire approximately every four to six weeks to keep your treatment on track.

Be patient with the process and keep your eventual goal in mind. Ensure that you wear your retainer after completion of treatment to keep your beautiful smile for a lifetime.

Call Total Dental Care

If you believe you or your child may need braces, please call our Germantown, MD, office at 240-813-9111 . We can schedule an initial consultation with our orthodontist, Dr. Manda, who will evaluate your teeth and create a treatment plan.

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Do I still need to visit the dentist with braces or Invisalign?

If you have braces or Invisalign® , should you continue visiting your dentist every 6 months for professional cleanings? Can your dentist even clean your teeth with braces on?

Spoiler alert – YES it’s actually essential that you still visit your dentist throughout your orthodontic treatment!

Here’s everything you need to know:

Before you begin treatment

Before you begin treatment, it’s important that you receive a professional cleaning from your dentist at least 6 months prior to your orthodontic exam. We want to ensure that your teeth and gums are healthy and ready to support your new smile!

Throughout your orthodontic treatment with advanced Damon® braces or Invisalign clear aligners , it’s important that you visit your dentist every six months for professional cleanings. Your regular orthodontic check-ins and your regular dental cleanings are both essential for creating the beautiful smile you’ve always wanted.

Can you get your teeth cleaned with braces on?

Yes! Your orthodontic treatment shouldn’t impact your dental health. Your regular cleanings are as important as ever. Even with braces, plaque and tartar are still building up. In fact, brackets and wires provide even more places for plaque and tartar to accumulate!

Your dentist has taken care of plenty of other patients undergoing orthodontic treatment, just like you. Dentists are prepared for this! They have special dental tools that work around brackets to remove hardened plaque on your brackets and on your teeth, around your brackets.

They know how to floss between your teeth and archwires effectively, without damaging your appliances. In some cases, we may temporarily remove your archwires if your dentist needs to reach a certain area.

Teeth cleaning with braces will take a little longer than when you didn’t have braces, but it’s important that your dentist has time to clean your teeth thoroughly.

Can you get X-rays with braces?

Yes you can! You should have X-rays taken regularly, as advised by your dentist. Although your braces are made of metal brackets and wires, they’re safe to undergo X-rays.

Routine X-rays are important for detecting tooth decay (cavities) that may not be apparent at first glance.

Teeth cleaning with Invisalign®

Dental cleanings are a bit easier with Invisalign . That’s because you get to remove your clear aligners for your regular dental cleanings. There won’t be any brackets or wires for your dentist to work around! You may have attachments or buttons with Invisalign, but they are easy to clean around.

Although cleaning braces will require some additional care (because food particles can get trapped between your brackets and wires), cleaning your teeth with clear aligners is no different than cleaning your teeth without clear aligners. You’ll remove your clear aligners to brush your teeth, floss your teeth and eat food, so you won’t have to make many adjustments to your oral care routine.

Have questions about dental cleaning with braces or Invisalign?

Please don’t hesitate to reach out to us with any questions! We’re here to guide you through orthodontic treatment and ensure that you achieve beautiful, lifelong results. If you’re looking for advice – or just want to chat about your child’s treatment – we’re here for you.

Dr. Andrews and our experienced team will help you make the best choice for your smile on your first visit .

Ready to get started? Request your complimentary orthodontic exam with our experienced family orthodontist in Augusta or Grovetown today!

How Long Does It Take to Put On Braces?

In this article

Key Takeaways

• Having braces placed usually takes between 1 and 2 hours.
• Fortunately, none of your follow-up orthodontic appointments should take as long.
• No two people have the same teeth, and there are different types of braces. This means that exact placement times vary.

How Long Does It Take To Put On Braces?

It takes about 1 to 2 hours to get your braces put on. Because they remain attached to your teeth for months or years, braces have to be securely placed. This will take some time.

The exact amount of time may vary because no two people have the same teeth. The type of braces may also play a role ( lingual braces can take a bit longer to place).

This article discusses the braces placement process, why it may take more or less time, and what you can expect afterward.

How Braces are Placed

Braces have several parts that work together to put pressure on your teeth. These include brackets, archwires, and rubber bands.

These parts can’t be placed all at once—they must be linked together in the correct order. The process will look something like this:

• First, your orthodontist will refer you to a dentist. They will clean your mouth thoroughly and make sure you don’t have cavities or gum disease. This helps prevent bacteria or food debris from getting stuck under your braces.
• A bracket will be attached to each tooth using a non-toxic dental adhesive. This adhesive generally doesn’t taste good, but you’ll only have to taste it briefly.
• The archwires will be placed, linking the brackets together. Your orthodontist will use rubber bands (ligatures) on each bracket to hold the archwires in place.

Orthodontic Spacers

Sometimes people need spacers to help separate their teeth and prepare them for braces. If you need spacers, you’ll have them placed about a week before getting your braces put on.

Once it’s time to place your braces, your orthodontist will remove the spacers. This may add a few minutes to your overall braces placement time.

Types of Braces

Braces may have brackets made of metal or ceramic . In general, these different materials don’t make much of a difference in terms of placement time.

Lingual braces, however, may take a bit longer to put on. What makes these braces different isn’t the material they’re made from, but the way they’re attached to the teeth.

Unlike conventional metal or ceramic braces, lingual braces are placed behind the teeth rather than in front. This makes them more discreet but a little more challenging to place because of the limited access.

Is the Process Painful? 

Having braces put on shouldn’t be painful. However, you’ll feel pressure because the braces exert significant force on your teeth.

How Long Will My Teeth Hurt After Braces are Put On?

While braces placement won’t hurt, you will feel soreness due to the new pressure on your teeth.

Within the first few hours after your appointment, your teeth, jaw, or head may ache. Alternatively, you might only feel discomfort when chewing.

You can expect the soreness to subside after about a week. In the meantime, over-the-counter pain medication (such as Tylenol or Advil) or oral anesthetics (such as Orajel) can give you some relief.

What to Expect After Having Braces Placed

After your first week with braces, your teeth will be more accustomed to the pressure and shouldn’t feel as sore. However, your braces rubbing and scraping the inside of your mouth can be another source of soreness.

To help you prevent and manage this, your orthodontist may provide you with orthodontic wax. Put a bit of this wax on the parts of the braces that are bothering you.

Over the course of the first month or so, this soreness should subside as well.

Eating with Braces

For your first few days with braces, you’ll need to stick to a soft diet that requires minimal chewing. Your orthodontist will recommend eating foods like the following:

• Scrambled eggs
• Soft fruits and soft-cooked vegetables
• Mashed potatoes
• Yogurt and smoothies

Sticking to soft or liquid foods will keep chewing pain to a minimum. As your mouth gets used to the new pressure and the soreness subsides, you can begin introducing tougher foods again.

However, you’ll need to get used to some (less extreme) dietary adjustments. For your entire time with braces, you’ll want to avoid foods that can easily become stuck in your braces.

Avoid hard candy, nuts, corn on the cob, and other hard, crunchy, or sticky foods. These foods pose a risk of one or more brackets popping off. They’ll also make oral hygiene more difficult (see below).

Oral Hygiene with Braces

Braces require extra care when cleaning your teeth. Your brushing and flossing technique may need to change a bit. Consider getting a water flosser to make it easier to clean between your teeth.

You’ll have to get used to cleaning your mouth several times a day with braces. You should rinse your mouth after eating or drinking something sugary.

Proper brushing, flossing, and rinsing will help keep food and bacteria from getting lodged in your braces.

Adjustments

You’ll need to visit your orthodontist for adjustments every 4 to 6 weeks. These follow-up visits are crucial for successful braces treatment because they ensure that your braces continue to exert the right amount of pressure.

At each adjustment appointment, your orthodontist will change out the worn rubber bands on your brackets. You can have them change the color of the rubber bands if you like. Your orthodontist may also take the opportunity to replace the archwires on your braces.

All in all, these visits shouldn’t last longer than half an hour. Like the first appointment, they may result in some soreness, but this should subside quickly.

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• “ Braces. ” American Dental Association.
• Alrbata, Raed H. “ Accurate bracket positioning as a prerequisite for ideal orthodontic finishing. ” International Journal of Orthodontic Rehabilitation, 2017.
• Pereira, Dinis, et al. “ Comparison of Pain Perception between Clear Aligners and Fixed Appliances: A Systematic Review and Meta-Analysis. ” Applied Sciences, 2020.
• Huh, Heidi H., et al. “ Practice of lingual orthodontics and practitioners’ opinion and experience with lingual braces in the United States. ” Journal of Clinical and Experimental Dentistry, 2021.
• Behnaz, Mohammad, et al. “ Lingual Orthodontic Treatment: Efficacy and Complications. ” Journal of Advanced Oral Research, 2019.
• Anisha, Vallakati, et al. “ Orthodontic Separators – A Systemic Review. ” Journal of Orofacial and Health Sciences, 2014.

How Much Do Braces Cost? Financing Options for Orthodontic Treatment

Whether you’re considering braces for yourself or a loved one, the excitement and anticipation of achieving a beautiful smile may be overshadowed by the practical consideration of cost. The financial aspect of orthodontic treatment is a critical consideration that varies widely and no two patients are alike. Treatment costs are influenced by factors such as the type, complexity, and duration of the orthodontic treatment.

Orthodontic treatment is an investment, not just in terms of money but also in your health and self-esteem. In this article, the American Association of Orthodontists outlines some of the different types of treatment options that may be recommended. It also explores the various factors affecting cost, ensuring you have everything you need to make well-informed decisions regarding orthodontic care.

Understanding the Cost of Braces

To navigate the financial landscape of orthodontic treatment, it’s essential to understand the different types of treatment options available and the various factors that influence their cost as they relate to a patient’s individual needs and treatment duration. This prepares you for what to expect and helps you make informed decisions that align with your needs and budget.

Types of Treatment Options

Traditional Metal Braces are the most common type of braces, known for their durability and effectiveness. They consist of high-grade stainless steel brackets attached to each tooth, connected by a wire. They are visible but offer a reliable solution for a wide range of orthodontic problems and are typically a more affordable treatment option.

Ceramic Braces function similarly to metal braces but feature tooth-colored or clear brackets that blend more naturally with the teeth, making them less noticeable. They offer an aesthetic alternative to metal braces but may require more meticulous maintenance and may not effectively fix all orthodontic issues.

Lingual Braces are custom-made to fit on the inside or tongue side of your teeth, making them invisible from the outside. They are an excellent option for those concerned about the appearance of braces but can be more challenging to clean and may be uncomfortable at first. Lingual braces are usually a more expensive option.

Clear Aligners offer a modern alternative to traditional braces, providing a discreet method to achieve a straighter smile. Crafted from nearly invisible plastic trays, they seamlessly fit over your teeth, applying gentle yet consistent pressure to gradually realign them. Clear aligners are designed to be worn for a minimum of 22 hours each day.

The Cost of Treatment Options

The best way to get an accurate cost assessment is to consult a qualified orthodontist who can evaluate your specific needs and provide a personalized estimate. Most AAO orthodontists offer low-cost or free initial consultations, giving you a full picture of what orthodontic treatment may cost.

Financial Assistance and Payment Options for Braces

The cost of braces can be a significant investment, but many financing options are available to help manage the expense. Dental insurance may include benefits for orthodontic treatment, but coverage can vary significantly between policies. Typically, insurance will cover a percentage of the treatment cost or provide a fixed benefit amount. Contacting your insurance provider can help you determine the percentage covered, any lifetime maximums or age limits for orthodontic coverage, and whether your orthodontist needs to be in-network.

Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) are also helpful options. These accounts allow you to use pre-tax dollars to pay for eligible medical expenses, including orthodontic treatment. Using these accounts can offer tax advantages and effectively reduce the overall cost of braces. It’s also essential to understand the contribution limits and rules for using these accounts, as FSAs typically have a “use it or lose it” policy within the calendar year.

Additionally, many orthodontic practices offer in-house payment plans, allowing patients to spread the cost of treatment over several months or years. These plans often come with low or no interest and can be tailored to fit your budget. Discussing payment plan options with your orthodontist’s office can provide a manageable way to afford treatment without a significant upfront cost.

Finally, several organizations offer grants and charitable programs to assist individuals who need orthodontic treatment but cannot afford it. AAO’s Gifted Smiles , Smiles Changes Lives , and Smile for a Lifetime all provide orthodontic treatment to children under 18 at low or no cost.

Tips for Managing the Cost of Orthodontic Treatment

Orthodontic treatment is an important investment in your dental health and self-confidence. While the cost of braces can be significant, there are several strategies you can use to manage these expenses more effectively. Here are some practical tips to help you navigate the financial aspects of orthodontic treatment:

• Ask About All-Inclusive Pricing: Some orthodontists offer all-inclusive pricing, which covers the cost of braces, all appointments (including emergency visits), and post-treatment retainers. When consulting an orthodontist, ask what is included in the quoted price and what isn’t.
• Prioritize Necessary Treatment: Discuss with your orthodontist whether all proposed treatments are essential. In some cases, the treatment plan’s elements could be modified or postponed without significantly impacting the overall outcome.
• Take Advantage of Discounts: Some practices may offer discounts for upfront payment, multiple family members starting treatment simultaneously, or referrals. Ask your orthodontist if any discounts are available that you could benefit from.
• Maintain Your Braces: Taking good care of your braces during treatment can help avoid additional costs from repairs or replacements. Follow your orthodontist’s instructions on foods to avoid and proper cleaning techniques to save money in the long run.

Discuss Your Financing Options with an AAO Orthodontist

Orthodontic treatment is a worthwhile investment in yourself or your loved one. Beyond the aesthetic improvements, it significantly benefits oral health, functionality, and overall well-being. With proper planning and resources, achieving a beautiful smile can be an attainable goal for everyone.

If you’re considering orthodontic treatment, we encourage you to take the next step towards a healthier, more confident smile. Contact an AAO orthodontist to schedule a consultation. Our members are highly trained professionals who deliver the highest standard of care. During your consultation, they provide personalized advice, a detailed treatment plan, and information on how to manage the costs associated with your treatment.

Don’t let financial concerns keep you from achieving the smile you’ve always dreamed of. To discuss your financing options and find the best path forward, find an AAO orthodontist near you and schedule a consultation today.

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Parents of Michigan School Shooter Sentenced to 10 to 15 Years in Prison

Jennifer and James Crumbley, whose son killed four people, each faced up to 15 years in prison for involuntary manslaughter convictions.

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By Jacey Fortin and Anna Betts

Jennifer and James Crumbley, who were convicted of involuntary manslaughter for failing to prevent their teenage son from killing four fellow students in the deadliest school shooting in Michigan’s history, were each sentenced on Tuesday to 10 to 15 years in prison.

Their separate jury trials ended in guilty verdicts in February and March , making them the first parents in the country to be convicted over the deaths caused by their child in a mass shooting.

Involuntary manslaughter charges carry a penalty in Michigan of up to 15 years in prison, and prosecutors asked in sentencing memos filed to the court last week that the Crumbleys each serve at least 10 years. Both have been in jail for more than two years while awaiting trial and will receive credit for time served.

“Parents are not expected to be psychic,” Judge Cheryl Matthews of the Oakland County Circuit Court in Pontiac, Mich., said before issuing the sentence. “But these convictions are not about poor parenting. These convictions confirm repeated acts or lack of acts that could have halted an oncoming runaway train — repeatedly ignoring things that would make a reasonable person feel the hair on the back of her neck stand up.”

Before the hearing, prosecutors said that Ms. Crumbley, 46, was asking to be sentenced to house arrest on her defense lawyer’s property, rather than serving prison time. And Mr. Crumbley, 47, said that he had been wrongly convicted and his sentence should amount to the time he had already served in prison, adding that he felt “absolutely horrible” about what had happened.

On Tuesday, each of them spoke in the hearing before the judge pronounced sentence.

“I stand today not to ask for your forgiveness, as I know it may be beyond reach, but to express my sincerest apologies for the pain that has been caused,” Ms. Crumbley said in court, addressing the relatives of students who were killed.

Mr. Crumbley also apologized. “I cannot express how much I wish that I had known what was going on with him or what was going to happen, because I absolutely would have done a lot of things differently,” he said.

Relatives of some of the victims also spoke during the hearing, describing the overwhelming effects the shooting had on their lives.

“The ripple effects of both James’s and Jennifer’s failures to act have devastated us all,” said Jill Soave, the mother of Justin Shilling, 17, who was killed in the shooting at Oxford High School on Nov. 30, 2021. “This tragedy was completely preventable. If only they had done something, your honor, anything, to shift the course events on Nov. 30, then our four angels would be here today.”

Steve St. Juliana, whose daughter, Hana, 14, was killed, said that the Crumbleys continued to fail to take responsibility for what had happened.

“They chose to stay quiet,” he said. “They chose to ignore the warning signs. And now, as we’ve heard through all of the objections, they continue to choose to blame everyone but themselves.”

The Crumbleys’ son, Ethan, was 15 when he carried out the shooting that killed Justin and Hana, as well as Madisyn Baldwin, 17, and Tate Myre, 16. Seven others were injured. Ethan Crumbley pleaded guilty to 24 charges, including first-degree murder, and was sentenced last year to life in prison without parole . He is still eligible to appeal that decision. His parents may appeal, too.

In the trials of both parents, prosecutors focused in part on their failure to remove their son from school after he made a violent drawing on the morning of the shooting. It included a written plea for help.

They also emphasized Ethan’s access to a handgun that Mr. Crumbley had purchased. And they said that Ms. Crumbley had missed signs that her son was struggling with his mental health, adding that she took him to a gun range just days before the shooting.

Defense lawyers for both parents said they could not have foreseen the unspeakable violence their son would commit.

Ms. Crumbley grew up in Clarkston, a Detroit suburb about 20 minutes from Oxford, her lawyer said during a hearing after the couple’s arrest in 2021 . Before her arrest, she had worked as a marketing director, her lawyer said.

Mr. Crumbley’s job history included work at a handful of small software and technology companies.

The couple once lived in Florida but returned to Michigan several years ago, their lawyers said. They bought their home near downtown Oxford in 2015.

The trials of Jennifer and James Crumbley became a lightning rod for issues of parental responsibility at a time of high-profile gun violence by minors. In recent months, parents in other states have pleaded guilty to charges of reckless conduct or neglect after their children injured or killed others with guns.

But the manslaughter charges against the Crumbleys were unique, and legal experts said their trials could serve as a playbook for other prosecutors who seek to hold parents accountable in the future.

Ekow Yankah, a professor at the University of Michigan Law School, said the effect of the ruling on Tuesday might be felt beyond the state.

“This is going to be precedent, most obviously in Michigan and its home jurisdiction, but prosecutors all over the country will see this as a new and viable form of liability,” Mr. Yankah said. “I think we should not underestimate the precedential power of this case, even as we recognize that the facts were quite extraordinary.”

For Matthew Schneider, a former United States attorney in Michigan, what makes this case so different from many others is that most criminal sentences are related to the actions of a defendant, rather than being “about inactions, and how the inactions of a person result in a criminal sentence.”

The sentencing is “very much about making an example of the defendants,” Mr. Schneider said. “This is a shot across the bow to all parents, to all people who have firearms in their house, to keep them locked up, if they could be in the hands of the wrong people.”

Jacey Fortin covers a wide range of subjects for the National desk of The Times, including extreme weather, court cases and state politics all across the country. More about Jacey Fortin

Anna Betts reports on national events, including politics, education, and natural or man-made disasters, among other things. More about Anna Betts