Crooked teeth aren't just a cosmetic issue. Misaligned teeth are harder to clean, which leads to more cavities and gum disease. A bad bite (malocclusion) can cause jaw pain, headaches, and uneven wear that shortens the life of your teeth. Orthodontic treatment fixes all of this — and yes, gives you the straight, confident smile you've been wanting.
At PureSmile Miami, we provide orthodontic consultations and treatment for patients of all ages at our Kendall location. Whether your child needs early intervention, your teenager is ready for braces, or you're an adult who's been putting it off for years, we have the right approach for your situation. Our bilingual team will walk you through every option so you can make an informed decision.
Traditional metal braces — Still the most effective and affordable option for complex cases. Today's metal braces are smaller, more comfortable, and faster-acting than the ones you might remember from the 1990s. They're the best choice for severe crowding, significant bite issues, and most teenage patients. Treatment time typically ranges from 12 to 24 months depending on complexity.
Ceramic (clear) braces — Same mechanics as metal braces but with tooth-colored brackets that are much less noticeable. Popular with adult patients and image-conscious teens who need the precision of braces without the metallic look. They cost slightly more than metal but deliver identical results.
Clear aligners — Custom-made transparent trays that gradually move your teeth into position. You wear each set for one to two weeks, then switch to the next. They're removable for eating and brushing, virtually invisible when worn, and ideal for mild to moderate alignment issues. Not every case can be treated with aligners — we'll tell you honestly whether they're right for your specific situation.
Early intervention (Phase 1) — For children ages 7 to 10, early orthodontic treatment can guide jaw growth, create space for incoming permanent teeth, and prevent more complex treatment later. The American Association of Orthodontists recommends every child have an orthodontic evaluation by age 7. Not every child needs early treatment, but identifying problems early gives us more options.
If you're an adult thinking about straightening your teeth, you're not alone. According to the American Association of Orthodontists, one in three orthodontic patients today is over 18. And the reasons go beyond aesthetics.
Adults seek orthodontic treatment because misaligned teeth are causing recurring cavities in hard-to-clean areas, because TMJ pain is linked to bite problems, because they want to improve their smile before a career change or milestone event, or simply because they couldn't afford braces as a teenager and can now.
Adult treatment is slightly different from adolescent treatment — adult bones are no longer growing, so certain movements take longer, and jaw growth modification isn't possible. But the results are excellent, and modern options like clear aligners make treatment far more discreet than it was a generation ago.
We see a particularly strong demand for adult orthodontics in Kendall. Many patients in our community grew up without access to orthodontic care and are now in a position to invest in their smile. If that's you, welcome — you're making one of the best decisions for your long-term oral health.
Initial consultation — We take X-rays, photographs, and impressions (or digital scans) of your teeth. We analyze your bite, your jaw alignment, and the position of every tooth. Then we sit down with you and explain what we see, what we recommend, and what all the options are — including timeline and cost for each approach.
Treatment start — For braces, the bonding appointment takes about 60 to 90 minutes. You'll feel some pressure but no pain. For clear aligners, you'll receive your first set of trays and instructions. Either way, you walk out the same day with treatment underway.
Regular adjustments — Braces patients come in every four to eight weeks for adjustments. Aligner patients check in every six to ten weeks. These appointments are short — typically 15 to 30 minutes. We track your progress, make adjustments, and answer questions.
Retention — After active treatment, you wear a retainer to prevent your teeth from shifting back. This phase is critical — skipping retainer wear is the number one reason people need orthodontic treatment twice. We'll give you a retention plan designed for long-term stability.
Orthodontic costs in Miami vary by treatment type and complexity. Traditional metal braces are the most affordable option. Ceramic braces and clear aligners cost more. Full treatment plans range depending on the severity of your case and the length of treatment.
Many PPO dental plans include orthodontic benefits, typically covering a portion up to a lifetime maximum (often $1,000 to $2,500). For children with Medicaid, orthodontic treatment may be covered when it's medically necessary — meaning the malocclusion is severe enough to affect function. We verify your insurance benefits during the consultation and provide a clear cost breakdown.
We also offer payment plans to make treatment accessible regardless of your insurance situation. Orthodontics is an investment in health and confidence that pays dividends for the rest of your life.
What age should my child first see an orthodontist?
The American Association of Orthodontists recommends an evaluation by age 7. This doesn't mean your child will get braces at 7 — most don't. But early evaluation lets us identify problems that are easier to treat while the jaw is still growing. If treatment isn't needed yet, we'll monitor growth and recommend the ideal time to start.
Are clear aligners as effective as braces?
For mild to moderate cases — yes. For severe crowding, significant bite issues, or complex tooth movements, braces are often more effective and predictable. We'll recommend the best option based on your specific case, not a one-size-fits-all approach. If aligners can achieve the same result, we'll offer them. If they can't, we'll tell you honestly.
How long does orthodontic treatment take?
Most treatments take 12 to 24 months. Simple alignment cases with clear aligners can be as short as 6 months. Complex cases with significant bite correction may take up to 30 months. We'll give you a realistic timeline during your consultation.
Does Medicaid cover braces?
Florida Medicaid covers orthodontic treatment for children when the malocclusion is classified as severe enough to be medically necessary (typically a score of 26 or higher on the HLD index). This isn't just cosmetic criteria — it measures functional impact. We evaluate your child and, if they qualify, help you navigate the Medicaid approval process.
Can I play sports with braces?
Yes. We recommend a mouthguard for contact sports, which we can provide or help you select. Clear aligners can be removed during athletic activities, though a mouthguard is still recommended for contact sports.
Is the office bilingual?
Completely. Our entire team speaks English and Spanish. For orthodontic treatment that spans months or years, clear communication at every appointment matters. You'll always be understood in your preferred language.
PureSmile Miami is opening soon in Kendall with orthodontic services for children, teens, and adults. Clear aligners, ceramic braces, traditional braces — we'll help you find the right option for your smile, your lifestyle, and your budget.
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