Braces in Harlan, Iowa

Braces at Markham Family Dental Associates

What Are Braces?

Who We Treat
Children
Teenagers
Adults
Braces vs. Clear Aligners
Braces are typically the better choice when:
Clear aligners are typically the better choice when:
What Braces Do for You
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

What Treatment Looks Like
Consultation and Records
Bonding
Adjustment Appointments
Monitoring Progress
Debonding and Retainer
Words From Our Patients
Why Patients Choose Markham for Braces



Markham Family Dental Associates in Harlan, Iowa provides orthodontic treatment with traditional braces for children, teenagers, and adults. We serve patients from across Shelby County including Avoca, Atlantic, Minden, and Shelby as well as patients from surrounding communities such as Omaha, Glen Oaks, West Des Monies, Clive, Jacksonville, Lincoln, and Sioux Falls.
Traditional braces in Iowa typically range from $3,500 to $7,000 depending on the complexity of the case and the length of treatment. Children and teenagers with straightforward crowding tend to fall toward the lower end. Adults or cases involving significant bite correction run higher. At Markham Family Dental, we provide a full cost breakdown at the consultation before treatment begins. Many dental insurance plans include an orthodontic benefit with a lifetime maximum of $1,000 to $2,000. We verify your insurance coverage before your first appointment and offer monthly payment plans for the remaining balance.
Iowa Medicaid covers orthodontic treatment for children under 21 when the case meets medical necessity criteria, typically a significant functional bite problem rather than cosmetic alignment alone. Coverage for adults under Medicaid is generally not available for orthodontic treatment. If your child is on Medicaid and you believe they may qualify, bring your insurance information to the consultation and our team will verify eligibility and walk you through what is covered.
The American Association of Orthodontists recommends a first orthodontic evaluation by age seven. At that stage, most children will not need treatment yet, but the evaluation allows our team to identify jaw development patterns and tooth eruption sequences that could benefit from early intervention. When braces are needed, the ideal start time depends on each child's individual development rather than a fixed age. Some children start between 9 and 11, most teenagers begin between 12 and 14. Our team will give you a specific recommendation at the evaluation and explain the reasoning behind the timing.
Most patients at Markham Family Dental complete treatment between 18 months and 3 years. Children and teenagers with moderate crowding typically fall in the 18 to 24 month range. Adults or cases involving significant bite correction often run 24 to 36 months. The timeline depends on the complexity of the movement required and how consistently the patient attends adjustment appointments. Our team gives you a projected range at the consultation based on your specific records.
Yes. Adults represent a significant portion of orthodontic patients and there is no age limit on treatment. The biology of tooth movement works the same in adults as in younger patients, though treatment may take longer due to denser bone. Many adults come to us after years of thinking about it, or after their teeth shifted following a previous round of braces. If you are an adult considering treatment, the consultation is the right starting point. Our team will assess your case and tell you honestly whether braces or clear aligners are the better fit for your situation.
Braces cause pressure rather than sharp pain. Patients typically feel the most discomfort in the first few days after the brackets are bonded and for one to two days after each adjustment appointment. Over-the-counter pain relief manages this comfortably for most patients. The level of discomfort varies by individual but tends to decrease significantly after the first few weeks as patients adjust to the feeling of the hardware. Our team explains what to expect at each stage so there are no surprises.

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Harlan, IA 51537, US
