Early Treatment

The American Association of Orthodontists recommends that children be evaluated for possible orthodontic problems by age 7.

Creating a nice smile can be critical during the age of self-image and self-esteem development.

Because space is created early, teeth usually come in straighter if they have room. This, in particular, can simplify and shorten later orthodontic treatment and possibly prevent the extraction of permanent teeth.

Modern expansion techniques are very comfortable and have proven to be very stable when performed early (before the closure of the palatal suture.)

During early treatment, we can effectively address harmful oral habits like thumb sucking and tongue thrusting.

Why start looking at age 7?

Around the age of 7, the permanent first molars and central incisors (front two teeth) have usually erupted. At that time, we can evaluate the relationship between the jaws and space requirements for the remaining permanent teeth.

There are solid benefits of early treatment. Cooperation potential is good at this young (7-10 years) age. Children are generally excited about treatment. It makes them feel and look older. This is also the age when they are starting to care about the look of their teeth.

Do all kids need to start treatment early?

No, most do not. However, if jaw discrepancies are severe or space is limited, a "First Phase" of orthodontic treatment can provide significant advantages. The following growth discrepancies are best treated early: Upper Jaw Too Far Forward, Lower Jaw Underdeveloped, Upper Jaw Underdeveloped and Lower Jaw Overdeveloped.

Does early treatment eliminate the need for braces later?

Rarely, but it can significantly simplify and shorten the comprehensive (full braces) phase of treatment.

A typical "first phase" started at 7 or 8 years of age would last between 9-12 months. After which there would be a period of retention followed by a break lasting from 1-2 years depending on the eruption of the permanent teeth. The typical "second phase" of treatment usually lasts between 12-24 months depending on the severity. That means that most patients finish treatment before high school. Our patients have told us that the most awkward time to wear braces is junior and senior year of high school.