As Orthodontists, we hear it often- “Oh, we will need you but not yet, my child still has baby teeth to lose.” However, the time is actually now!
Why so early?
Age seven is the the typical age when the front and back permanent teeth are erupting, which allows an Orthodontist to evaluate tooth eruption, bite position, and jaw growth. Fortunately, most children will not need early orthodontic treatment. However, there are some orthodontic problems that can develop into severe issues in the future if not addressed early. The American Association of Orthodontists (AAO) recommends all children have an orthodontic evaluation by age 7.
At your child’s first orthodontic visit we are looking for several things, both on X-rays and in the mouth. Oftentimes, things that are concerning need to be addressed prior to the eruption of all the adult teeth, and before the child is done growing.
In both pictures below, baby teeth are present. In 1a, we have a bite concern- the front permanent teeth are in what we call a “crossbite”, which is a compromised bite due to the way bottom teeth connect with the upper teeth. In 1b we see a crossbite in the back on the right side- leading to a crooked smile and long lasting, asymmetric jaw and facial changes if this remains after the child's growth spurt.
1a. Anterior crossbite and left side posterior crossbite.
1b. Right side posterior crossbite.
What We Look For
Extra Teeth
Missing Teeth
Crossbite
Eruption concerns
Oral habit
Severe crowding
Severe Overbite
Severe Overjet
Jaw imbalance
What To Expect
At your child’s first orthodontic visit, they will typically receive photos and an X-ray (not one commonly taken by the dentist). Your Orthodontist will discuss if they notice any concerns, and what the next steps might be when your child is ready. These consultations are typically at no charge and are a great way to gain knowledge about your child’s future orthodontic journey.
Dr. Adina Wolfe, owner and orthodontist at Quaker Pointe Orthodontics, says “I love watching the children grow up and mature throughout our yearly observation appointments. It gives them an opportunity to realize that the Orthodontist isn’t scary; and it gives us, the Orthodontist, the opportunity to watch, wait and treat only when the child is ready.”
Dr. Danielle Godley, the owner and orthodontist at Godley Family Orthodontics, mentions, “Fortunately, the majority of children will not need early intervention. We value monitoring your child's dental development. This also allows us to decide the best option if treatment is needed, when the time is right.”
If early orthodontic treatment is needed, it typically involves some temporary braces or aligners to make space for incoming adult teeth or to make improvements in alignment and bite. This phase can also be used to help encourage proper growth of the jaws. Early treatment can last anywhere from 3 months to a year, and is usually followed by a retainer. Because these early Phase I braces are typically followed later by teen/adult braces or aligners (Phase II), Orthodontists try to make this experience as simple and fun as possible.
ABOUT THE AUTHORS:
Dr. Danielle N. Godley, Orthodontist at Godley Family Orthodontics in Zionsville, IN. Dr. Godley earned her dental degree (DDS) from Indiana University School of Dentistry, and trained in orthodontics at the University of Michigan Orthodontic Residency Program.
Dr. Adina Wolfe, Orthodontist at Quaker Pointe Orthodontics in Quakertown, PA. Dr. Wolfe earned her dental degree (DMD) from Temple University, and trained in orthodontics at the University of Buffalo’s Orthodontic Residency Program.
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