At age 7, Dr. Neal evaluates more than just crooked teeth—she assesses the “Airway Foundation.” By identifying mouth breathing or narrow palates early, we can thoughtfully guide jaw growth to improve a child’s breathing and sleep quality without unnecessary over-expansion.

The days of “hiding” your braces are over. Today’s Kirkland teens are leaning into the “bold look,” treating their brackets as a personalized accessory. Unlike aligners, which are meant to be invisible, metal braces allow your child to show off their personality at every appointment.

Neal Smiles motivates patients with “Neal Notes,” a rewards system where kids and teens earn points for great hygiene, wearing their office t-shirt, and following instructions. Points are redeemed for gift cards and prizes, making orthodontic treatment an engaging game.

Phase 1 (Interceptive) treatment typically lasts 12–18 months and focuses on correcting foundational jaw and bite issues before all adult teeth emerge. It uses appliances like expanders or partial braces to prevent more severe problems later.

Phase 1 treatment is a preventative step for children (ages 6–10) with significant bite issues. Key warning signs include mouth breathing, early or late loss of baby teeth, difficulty chewing, and thumb-sucking habits that persist past age five.

The Junior Explorer Program at Neal Smiles is a free growth and observation track for children ages 7+. It includes 6–12-month check-ins to monitor dental and facial development, along with fun rewards and prizes to help kids feel comfortable at the orthodontist and for our younger patients when a first phase or orthodontics is not needed.