Pediatric Orthopedics in Barcelona
At what age should I take my child for an orthodontic checkup?
One of the most common questions we get is, “When should I take my child for a checkup to see how their teeth are coming in?” Age 6 is a good time to take your child to the orthodontist.
Even though the child still has all of his or her baby teeth, there may be problems with tooth replacement or with the size of the jawbones that house the teeth, which should be detected as soon as possible.
During the primary dentition stage (baby teeth), the first signs of insufficient space for the teeth and abnormalities in the size of the jaws begin to appear.
At our clinic, we treat:
Narrow palates, often associated with posterior crossbites
This is a problem related to the size of the upper jaw in the transverse plane. It’s too narrow.
The treatment involves a fixed appliance on the palate that has an expansion screw and is gradually adjusted until the desired size is achieved.
It is a very comfortable and effective orthopedic treatment. It greatly simplifies treatment in adulthood, and the appliance can even be customized with colors and little designs to suit the patient’s preferences.
Anterior crossbites or Class III malocclusions
This is a problem related to the size of the upper jaw in the transverse and anteroposterior planes. It is sometimes accompanied by a lower jaw that is larger than normal.
The treatment consists of a fixed palatal expander, as used in posterior crossbite cases, and a face mask. The facial mask is a device that is used only at home and while sleeping, and it helps promote the anteroposterior growth of the upper jaw. Currently, the face mask can be replaced with mini skeletal anchorage plates, which are more comfortable and easier to wear.
Teeth Eruption Problems
Sometimes, baby teeth fall out prematurely, and the space where the tooth used to be—which is meant for the permanent tooth to erupt later—closes up, creating a space problem.
We use expanders and other devices to regain that lost space and thus allow the permanent teeth to erupt properly.
Class II or severely protruding teeth
Increased overjet, or Class II malocclusion, refers to cases in which the teeth of the
The upper part appears to be very advanced, and the chin seems very receded and small.
Although this is a type of malocclusion that we typically treat during adolescence, early treatment is indicated in some severe cases. Especially if it is associated with respiratory problems such as sleep apnea and snoring.
Functional appliances are “removable” appliances that the child wears at home and while sleeping. These help reduce the gap between the upper and lower teeth, thereby preventing self-esteem issues or possible tooth fractures if the child takes a fall.
Proper functioning of the masticatory system is very important for the proper growth of the jaws.
Treatments at an early age typically last no more than 12 months.
Treatment Process
The process begins with an initial evaluation of the child around the age of 6 or 7. We perform an oral examination, functional observation (breathing, swallowing, habits), take photographs, and, when appropriate, a panoramic X-ray. If we detect a condition that can be treated with orthopedic care, we share a plan with the family that includes goals, the recommended appliance (expander, face mask, functional plate, etc.), and a timeline. The procedure is painless. From that point on, we schedule follow-up appointments every 4–8 weeks to activate the device and monitor progress. We maintain close communication with the family and, if applicable, with the pediatric dentist.
Recovery time
There is no clinical recovery. For the first 3–5 days after placement, the child may experience mild discomfort, initial difficulty speaking or eating, and increased saliva production. You quickly get used to this, and it stops being a real inconvenience. Oral hygiene requires supervision by the family: brushing after every meal and a visual inspection of the braces. If any part comes loose or causes chafing, just contact us to schedule a quick visit. Children generally adapt very well.
Expected Results
The results of appropriately indicated pediatric orthodontics are remarkable: correction of crossbites, palatal expansion, improved breathing, redirection of mandibular growth, and elimination of habits. In many cases, this early intervention prevents or substantially reduces the need for surgery or complex orthodontic treatment during adolescence. The results continue to support the child’s development through a stage-by-stage plan. We document each case with before-and-after photographs and new tests at the start of each phase.
Duration of treatment
The typical duration of an orthopedic phase is 6 to 18 months. After this phase, there is often a break until the permanent teeth erupt, at which point the possibility of a second phase of orthodontic treatment is evaluated (an additional 12–24 months). Follow-up visits during the active phase are scheduled every 4–8 weeks. Phased planning allows you to take action when it adds the most value and to take a break when action isn’t necessary. It is a medium- to long-term project that takes advantage of a child’s natural growth.
Frequently Asked Questions About Pediatric Orthopedics
What is pediatric orthopedics, and at what age is it performed?
Pediatric orthodontics corrects abnormalities in jaw growth in children, typically between the ages of 6 and 11. Take advantage of the developmental stage to prevent major problems in the future and, in many cases, avoid surgery. At Clínica Birbe in Barcelona, we evaluate each case using an interceptive approach and respecting biological timelines.
What problems can early treatment prevent?
Crossbites, open bites, narrow palate, sucking habits, mouth breathing, severe crowding, and jaw misalignments. Identifying them early on allows us to redirect growth naturally. That is why we recommend an initial orthodontic evaluation around age 6 or 7, even if parents do not notice any obvious signs.
Does my child need to wear braces throughout childhood?
No. Pediatric orthodontic treatment typically lasts 6–18 months and, in many cases, prevents or significantly reduces the need for future orthodontic treatment. A second phase of orthodontic treatment for adolescents may be considered once all the permanent teeth have come in. The plan is designed in stages, with breaks between phases if circumstances allow.
How much does pediatric orthopedics cost in Barcelona?
The price depends on the device needed (expander, face mask, functional plate, etc.) and the expected duration. After the initial assessment, we provide a fixed-price quote and financing options. Starting treatment early is usually not only more effective but also more affordable than treating the problem once it has become established.
Dr. Joan Birbe: orPediatric Orthopedics with a Maxillofacial Focus at ABOMS
Facial growth problems detected early can be managed without the need for future surgery. Pediatric orthodontics relies on natural growth to correct malocclusions, gaps, and mouth breathing. Dr. Birbe’s maxillofacial evaluation, certified by the ABOMS, ensures an early diagnosis and a treatment plan that takes advantage of growth windows to avoid more invasive treatments during adolescence.
Why Choose Clínica Birbe for Your Child's Treatment?
Pediatric pediatric orthopedics works because it takes advantage of growth. Early detection is key to avoiding more complex treatments.
• First checkup starting at age 6–7 to detect problems early.
• Orthopedic treatments using expanders, chin rests, or functional appliances.
• Coordination with pediatric dentistry and maxillofacial surgery, as appropriate.
• An ABOMS-certified surgeon supervising cases with a potential skeletal component.
• A clear plan and regular check-ins to support the child’s growth.
→ Schedule an appointment for your child at Clínica Birbe Barcelona and get an early diagnosis.
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- Phone: +34 93 212 47 37
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