Braces in Harlan, Iowa

For kids who need them early and adults who have been waiting. Our team provides traditional braces for patients of all ages in Harlan, with payment plans that make treatment accessible.
Macro close-up of metal braces on upper teeth with a dental tool adjusting the archwire

Braces at Markham Family Dental Associates

Most families put off braces for the same two reasons: they are not sure the timing is right, or they are worried about the cost. Our team addresses both at your first visit. We evaluate whether your child is ready, explain what treatment involves before you commit to anything, and work through financing options that fit your budget.
We treat kids, teenagers, and adults. If you are an adult who never had orthodontic treatment, or whose teeth have shifted since a previous round of braces, you are not too old. This page covers who braces are appropriate for, what treatment looks like from start to finish, and how to get started. Patients come to us from Harlan, Avoca, Atlantic, Minden, and Shelby, and no referral is needed.
Smiling teenage boy with metal braces wearing a denim shirt indoors

What Are Braces?

Traditional braces are a fixed orthodontic system made up of metal brackets bonded to the surface of each tooth, connected by a wire that runs across the arch. The wire applies steady, controlled pressure to the teeth and is adjusted periodically to guide movement in a planned direction. Over the course of treatment, teeth shift gradually into their corrected position.
Modern metal braces are smaller and lower profile than earlier versions. The brackets sit closer to the tooth surface, the wires are more flexible, and adjustments tend to be less uncomfortable than patients expect from older descriptions of the experience. For cases involving complex bite corrections, rotation, or significant tooth movement, braces give our team a level of control that no other orthodontic system matches.
Patient with a cheek retractor having clear braces adjusted by a dentist's gloved hands

Who We Treat

Braces are appropriate at different life stages for different reasons. Here is how our team approaches each.

Children

Teenagers

Adults

Braces vs. Clear Aligners

Both systems straighten teeth. The right one depends on what needs to be corrected, who the patient is, and what their day-to-day life looks like during treatment.

Braces are typically the better choice when:

The case involves complex bite correction
Significant rotation or vertical tooth movement is needed
The patient is a younger child whose compliance with removable trays is uncertain
Previous orthodontic treatment has relapsed significantly
Precise control over each tooth is required throughout treatment

Clear aligners are typically the better choice when:

The case involves mild to moderate crowding or spacing
The patient is an adult or disciplined teenager
Visibility during treatment is a priority
The patient wants to remove trays for eating and oral hygiene
Treatment is planned before a cosmetic procedure
Our team makes this recommendation at the consultation based on your case, not on which option is easier or more profitable to sell. If aligners will do the job, we will tell you. If braces are what the case requires, we will explain why.

What Braces Do for You

Orthodontic treatment changes more than the appearance of your smile. Here is what actually shifts once teeth are in the right position.

A Bite That Functions the Way It Should

Teeth That Are Easier to Keep Clean

Confidence Without Thinking About It

Results That Last

Signs It May Be Time for an Evaluation

It may be time to come in if
Your child is around age seven and has not had an orthodontic evaluation
You can see visible crowding, spacing, or overlapping teeth in your child's mouth
Your child has difficulty chewing or breathes primarily through their mouth
You are an adult with teeth that have shifted since a previous round of braces
You have crowding or a bite issue you have been thinking about addressing for years
A dentist has previously recommended an orthodontic evaluation and you have not followed up
Close-up of a young girl's open mouth showing crowded mixed teeth and a gap from a missing tooth

What Treatment Looks Like

1

Consultation and Records

Our team examines your teeth, takes X-rays, and reviews your bite. For children, this visit establishes whether treatment is appropriate now or whether monitoring over time is the right approach. For teens and adults, we use this visit to build the treatment plan. You leave with a clear picture of what braces will correct, how long treatment is projected to take, and what the total cost is.
2

Bonding

Brackets are bonded to the surface of each tooth with a dental adhesive. The wire is threaded through each bracket and secured. The bonding appointment takes one to two hours. Some patients experience mild soreness for the first few days as the teeth begin to respond to the pressure.
3

Adjustment Appointments

Every four to six weeks, you come in for a brief adjustment. The wire is replaced or tightened to advance tooth movement to the next phase of the plan. These appointments take 20 to 30 minutes. Mild soreness for one to two days after each adjustment is normal and typically managed with over-the-counter pain relief.
4

Monitoring Progress

Periodic X-rays during treatment confirm that roots are moving as planned and that bone is responding correctly. Our team tracks every case against the original simulation and adjusts the plan if needed. If something is not tracking correctly, we address it at an adjustment appointment rather than waiting.
5

Debonding and Retainer

When teeth have reached their final position, the brackets are removed and the teeth are polished. A retainer is fitted at the same appointment or shortly after. The retainer holds the teeth in their corrected position. Wearing it as prescribed is what keeps the result permanent.

Words From Our Patients

Why Patients Choose Markham for Braces

The Markham Family Dental Associates team posed together outside the office
Kids, teens, and adults treated by the same team from evaluation through retainer
Meet the Team
Markham team member positioning a patient at the CBCT 3D imaging scanner
Digital X-rays and treatment planning that track progress against the original plan at every stage of treatment
Our Technology
Modern dental treatment room with a chair and a digital dental X-ray on the monitor
Flexible payment plans and insurance verification before you commit to anything
Our Services

Frequently Asked Questions

Common questions about braces.
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Where can I get braces in Harlan, Iowa?
How much do braces cost in Iowa?
Does Medicaid cover braces in Iowa?
What age should my child get braces?
How long does orthodontic treatment with braces take?
Can adults get braces?
Do braces hurt?
Exterior of the Markham Family Dental Associates office at 2105 Pine St, Harlan, Iowa

Prepare for Your Visit

Patient Forms

Download and complete your forms before your appointment to save time when you arrive. Plan to come in 10 to 15 minutes early so we can get you settled.
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Insurance and Financing

We work with many PPO dental insurance plans and can file claims on your behalf when insurance applies. Financing options may be available for patients who need flexible payment options. Ask our front desk what works best for your situation.
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Contact Us

Start the Conversation

Address

2105 Pine St
Harlan, IA 51537, US

Hours

Mon - Tue: 8:00am - 5:00pm
Wed: 7:00am - 2:00pm
Thu: 8:00am - 5:00pm
Fri: 7:00am - 12:00pm
Sat - Sun: Closed
(712) 755-5342