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When Should My Child See an Orthodontist?

Parenthood is a journey filled with countless questions and decisions, especially when it comes to your child’s health and well-being. One area that often sparks inquiries is orthodontic care. Many parents wonder when the right time is for their child to see an orthodontist and start their journey towards a beautiful, healthy smile. In this post, we will delve into the key indicators and factors that can help you determine when it’s the right time for your child to see an orthodontist.

Early Evaluation

The American Association of Orthodontists recommends that children have their first orthodontic evaluation by the age of 7. This seemingly early age is actually an essential milestone in dental development. By the age of 7, a child’s permanent front teeth have typically erupted, allowing orthodontists to identify any potential issues with tooth alignment, jaw growth, and bite patterns.

Early orthodontic evaluations serve a preventive purpose. Orthodontists can detect subtle problems that may not be immediately apparent but could lead to more significant issues as the child grows. These evaluations often catch concerns such as overcrowded or misaligned teeth, jaw discrepancies, and issues with the bite, such as overbites or underbites.

Identifying Potential Issues

One of the primary reasons for early orthodontic evaluations is to identify potential issues that may require intervention. Misaligned teeth, for example, can lead to various problems, including difficulty with oral hygiene, increased risk of tooth decay, and challenges with proper chewing and biting.

Orthodontic issues can extend beyond the visible aspects of the teeth. Jaw discrepancies, where the upper and lower jaws do not align correctly, can affect a child’s facial symmetry and contribute to functional problems. Early detection of these issues allows orthodontists to develop appropriate treatment plans tailored to each child’s unique needs.

Addressing Growth and Development

A child’s jaw is still in the developmental stage, and early orthodontic intervention can guide its growth. Orthodontists use various techniques to influence jaw development, preventing potential problems or reducing the severity of issues in the future.

For instance, if a child exhibits signs of a developing overbite or underbite, early intervention can help redirect the growth of the jaw to achieve a more harmonious bite. By taking advantage of the natural growth processes, orthodontists can often achieve better results with less invasive measures.

Phase I Treatment

In cases where orthodontic issues are identified early, orthodontists may recommend Phase I treatment. This early intervention aims to address specific problems while a child is still growing. Phase I treatment can include the use of orthodontic appliances like braces, retainers, or expanders to guide jaw growth and tooth alignment.

Phase I treatment is not always necessary for every child, but for those who do require it, the benefits can be significant. By addressing issues early on, orthodontists can create a more favorable environment for the eruption of permanent teeth and optimize overall oral health.

Waiting for the Right Time

It’s essential to note that not every child requires early orthodontic intervention. Some orthodontic issues are best addressed when the child’s permanent teeth have fully erupted. In such cases, the orthodontist may recommend monitoring the child’s dental development until the ideal time for treatment arrives.

Orthodontists take a personalized approach to treatment, considering the unique needs and developmental stage of each child. By waiting for the right time, orthodontists can implement treatment plans that are more targeted and effective, often resulting in a shorter overall treatment duration.

Signs That Your Child Might Need Orthodontic Care

While the age of 7 is a general guideline, parents should also be attentive to signs that may indicate the need for orthodontic evaluation at any age. These signs include:

  • Difficulty Chewing or Biting: If your child experiences challenges while chewing or biting, it could be a sign of misaligned teeth or bite issues that may benefit from orthodontic intervention.
  • Mouth Breathing: Persistent mouth breathing instead of breathing through the nose may suggest potential orthodontic issues, such as narrow dental arches or other airway concerns.
  • Thumb-Sucking Beyond Age 5: Prolonged thumb-sucking can impact dental development, leading to misalignment issues that may require orthodontic attention.
  • Speech Difficulties: Difficulty in speech development, including lisping or other articulation challenges, could be linked to orthodontic issues affecting the position of the teeth and jaw.
  • Crowded or Misplaced Teeth: If your child’s teeth appear crowded, misplaced, or if there are gaps between teeth, it may indicate the need for orthodontic evaluation and potential treatment.
  • Jaws that Shift or Make Sounds: Unusual jaw movements or sounds, such as clicking or popping, may suggest underlying orthodontic issues with the temporomandibular joint (TMJ) or the jaw itself.
  • Protruding Teeth: Front teeth that significantly protrude may indicate an overbite, and addressing this issue early can prevent potential dental problems and boost your child’s confidence.
  • Facial Asymmetry: Noticeable facial asymmetry, where one side of the face looks different from the other, could be linked to orthodontic concerns regarding jaw development and tooth alignment.

Monitoring your child for these signs and seeking early orthodontic evaluation when necessary can contribute to effective preventive care and promote the development of a healthy, well-aligned smile.


In the journey of nurturing your child’s health, dental care plays a crucial role. Early orthodontic evaluations offer a proactive approach to identifying and addressing potential issues, ensuring that your child’s smile develops beautifully. Remember, every child is unique, and orthodontic treatment plans are tailored to individual needs.

Schedule that first orthodontic evaluation to empower your child with the gift of a healthy, confident smile that will last a lifetime. Whether it’s early intervention or waiting for the right time, working closely with an orthodontic professional can set the foundation for optimal oral health and a radiant smile throughout your child’s life.

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8631 Arbor Creek Drive #3
Charlotte, NC 28269