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When Should My Kids Start Orthodontic Treatment?

3 kids smile with braces after starting orthodontic treatment early

Braces image from Authority Dental under CC 2.0

Establishing good oral hygiene habits at a young age can result in great oral health in the future. However, some dental issues, such as overcrowding or misalignment, can’t always be avoided with simple oral hygiene. The need for orthodontic treatment can be affected by a variety of factors, such as prolonged thumbsucking, a tongue thrust, trauma, genetics, and premature tooth loss.

Orthodontics for Children

While many people seek orthodontic treatment to achieve a better looking smile, orthodontic treatment can also improve the health and function of a patient’s smile. For children, an aligned bite can improve their ability to get the proper nutrition, communicate, and feel confident socially. In turn, these all can affect their mental and emotional health.

When to Schedule an Orthodontic Evaluation for Your Child

Many orthodontists suggest bringing your child in for an orthodontic consultation around the age of 7 when the permanent teeth start to come in. During this appointment, the orthodontist will evaluate your child’s teeth, bite, and jaw. Sometimes a child will benefit from early orthodontics, such as a spacer or palatal expander. Even if treatment doesn’t need to commence at this time, your child’s orthodontist may be able to suggest the appropriate timing for treatment.

Orthodontic Treatment Options

Traditional metal braces are the most common treatment option for children. For mature teens with mild to moderate misalignment, clear aligners are also an option. Invisalign® aligners are discreet and comfortable, which can make your teen feel less self-conscious about their orthodontic treatment.

Children’s Dentistry at CarolinasDentist

At CarolinasDentist, our friendly team strives to help each child have a comfortable and positive dental experience when they visit us. We offer a variety of pediatric dental treatments to meet your child’s oral health needs. We also offer Invisalign clear aligner therapy for teens and adults. Contact us today to schedule an appointment with us at one our locations across North Carolina.

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Andrew Callender

Andrew Callender

Regional Director of Operations

Andrew Callender was born and raised in Denver, Colorado, and serves as one of our Regional Directors of Operations at CarolinasDentist, focusing on our Western NC and Charlotte regions. He joined the leadership team in 2025 and earned his degree from Western Colorado University. Andrew brings over 12 years of experience in dentistry, including more than 10 years of progressive leadership in healthcare operations and three years serving as a Regional Director of Operations. He relocated to North Carolina in 2023 and has quickly made an impact across the region.

Andrew is passionate about delivering outstanding patient care through operational excellence. He is committed to fostering an environment that aligns with CarolinasDentist’s values and culture while leveraging diverse perspectives and experiences to support team success and growth. His leadership style is rooted in collaboration, consistency, and continuous improvement.

Outside of work, Andrew enjoys spending time with his wife and their four children. He’s an avid golfer and also enjoys walking his lab, Harper—making the most of his time outdoors with family and fresh air.

Nate Bunyak

Nate Bunyak

Regional Director of Operations

Nate Bunyak brings a little bit of Pittsburgh grit and a whole lot of energy to everything he does. He is one of the Regional Director of Operations at CarolinasDentist focusing on our Triangle region, joining the team in 2026. Originally from Pittsburgh, PA, Nate graduated from Indiana University of Pennsylvania (IUP) with a degree in Marketing and Management—and has been putting both to work ever since. Three years ago, he traded in steel city winters for North Carolina sunshine—and hasn’t looked back.

When he’s not working, Nate is all about family life with his wife, Melissa, and their three kids—Bryce, Molly, and Connor. Whether cheering on their activities, exploring the outdoors, or simply embracing the joyful chaos of a busy household, he makes the most of every moment with his family.

An avid hiker and nature enthusiast, Nate loves adventures that combine fresh air, beautiful views, and lasting memories. That same adventurous, positive spirit carries into his work—he’s driven, all-in, and always ready to take on what’s next.

Jenna Holland

Jenna Holland

Regional Hygiene Director

Jenna Holland is a Fayetteville native and serves as Regional Hygiene Director, joining the leadership team in 2026. She began her career with CarolinasDentist in June 2016 as a dental hygienist in the Fayetteville office after graduating from Fayetteville Technical Community College. Over the years, she has grown within the organization, building strong relationships with both patients and team members while staying rooted in her passion for patient care.

Jenna is deeply committed to promoting overall well-being through oral health and believes in the powerful connection between a healthy smile and a healthy body. In her leadership role, she especially loves mentoring and coaching hygienists, helping them grow in confidence, strengthen their clinical skills, and develop into exceptional providers. She takes pride in supporting her team and fostering an environment of continuous learning and encouragement.

Her best advice for patients is simple: stay consistent with routine check-ups and cleanings to maintain optimal health. Outside of the office, Jenna enjoys traveling—especially to warm, tropical destinations—and is engaged to her high school sweetheart, adding a personal touch to her passion for caring for others.