Orthodontic treatments are most commonly associated with pre-teens and teenagers. However, the American Association of Orthodontists (AAO) recommends that children receive their first orthodontic check-up around the age of seven. In cases where obvious irregularities are noted, treatment may be sought at an earlier age.

Most orthodontists agree there is an optimal time for treating malocclusions (bad bites) and irregularities in the face and jaw. While an early check-up does not necessarily mean immediate treatment, some irregularities are more easily corrected before jaw growth is complete, making early detection essential.

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Irregularities in Pediatric Dental Development

Orthodontic problems can sometimes be invisible to the untrained eye. An orthodontist is skilled at detecting the smallest signs of irregularities and misalignment. Most issues are genetic, but can be worsened by poor nutrition, inadequate oral hygiene, and habits such as thumb sucking.

Common signs that may indicate orthodontic irregularities include:

  • Finger or thumb sucking
  • Chewing or biting difficulties
  • Teeth that do not meet or meet irregularly
  • Disproportionate jaws
  • Clicking or shifting jaws
  • Earlier or later loss of baby teeth than normal

Types of Early Orthodontic Intervention

The goal of early intervention is to prevent more serious problems from developing. Untreated irregularities may require more complex treatments later. Orthodontists can improve the appearance and function of your child’s teeth and jaw, guide jaw growth, and provide advice on correcting poor oral habits.

Early intervention generally falls into three categories: preventive, interceptive, and comprehensive. A brief overview of each is provided below:

Preventive Treatments

Preventive treatment aims to avoid the development of malocclusion in a normally developing mouth. Your dental professional may remove a baby tooth to create space for the adult tooth to erupt. Conversely, if a baby tooth is lost too early, a space retainer appliance may be used to preserve room for the adult tooth.

Interceptive Treatments

Interceptive treatments aim to reduce the complexity of a developing problem and, where possible, eliminate its cause. Ideal candidates usually have a mixture of adult and baby teeth. Orthodontists can adjust tooth size, remove longstanding baby teeth, and create space for erupting adult teeth.

Comprehensive Treatments

Comprehensive treatments are used to correct significant growth irregularities. When teeth are severely misaligned or jaws function poorly, treatment may involve jaw surgery, tooth extractions, or restorative procedures. Comprehensive care can begin prior to the loss of all baby teeth, often in multiple phases to optimize results.

If you have any questions or concerns about early orthodontic treatment, please contact your dental care provider.