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What Age Should a Child Begin Orthodontic Treatment

Orthodontic care is a rite of passage for many children. Your child should receive an ortho evaluation by age seven. During this checkup, the dental provider determines whether your child needs further care. If braces are in your child's future, the dental team can create a treatment plan. Orthodontics for kids is available at Trielle Orthodontics in Union and the surrounding area. We guide your family through the first orthodontist visit. Our team offers a range of services, including first braces. Call us at (908) 206-4700 to learn more.

Early Orthodontic Treatment

Early or interceptive orthodontic treatment begins between the ages of 6-9. This stage of treatment is also known as Phase One orthodontics. During this stage, a child may not have permanent teeth. As a result, the dental team usually does not focus on straightening teeth. Instead, they improve jaw alignment and bite. The team might also correct spacing issues.

The dental team makes sure that permanent teeth can shift into the right position. They also take a close look at the child's jaw size and shape. During each visit, the team takes measurements and tries to anticipate problems that might occur down the road. Interceptive treatments may eliminate the need for braces later on. If a child needs braces, early intervention may shorten treatment duration. Interceptive care protects a child's smile and reduces treatment costs.

“Interceptive treatments may eliminate the need for braces later on.”

The Right Time to Receive Braces

After Phase One is complete, a child enjoys a rest period. The dental team usually pauses treatment for 1-3 years. They wait for the permanent teeth to erupt and for the jaw to develop. Once a child's mouth is ready, the team takes measurements to determine whether that child needs Phase Two treatment.

Phase Two usually begins around age 11-13. But keep in mind that each child's mouth is unique. There is no ideal age for braces. The dental team considers a family's needs and preferences. They discuss options and explain the advantages of different treatment strategies.

Older teens and adults are also eligible for Phase Two care. Older patients sometimes have a wider selection of treatment options. Our dental team can help patients explore their options and make an informed choice.

“There is no ideal age for braces.”

Clear Aligners

In recent years, clear aligners have become a commonplace orthodontic treatment. These removable trays have some advantages over traditional braces. Patients can take their aligners out to eat, brush, or attend special events. Aligners are discreet and nearly invisible. As a result, they are a popular option for teens.

But aligners are not right for everyone. Most dental providers recommend aligners exclusively for older teens and adults. Patients must be responsible and disciplined when using aligners. Younger patients may not be ready for this level of responsibility. Aligners can fix mild-to-moderate problems, but they are not right for severe orthodontic problems. If the patient has complex dental needs, traditional braces might be a better choice. Our team can discuss clear aligners in more detail.

“Most dental providers recommend aligners exclusively for older teens and adults.”

Warning Signs of Orthodontic Problems

Many parents wonder whether their child will need braces. The dental provider can offer an in-depth evaluation. During routine checkups, the provider takes measurements and examines the child's bite. They can also provide a referral for an orthodontic evaluation.

All children should receive an orthodontic evaluation by age 7. The provider may perform this evaluation in the office, or they may refer the child out. Ask the dental team what to expect during an orthodontic evaluation.

Certain risk factors can increase a child's chances of needing orthodontic care. Some childhood behaviors can also be a warning sign of underlying orthodontic problems. Parents should talk to the dental provider about the following:

  • Thumbsucking
  • Extended pacifier use
  • Early or late loss of baby teeth
  • Difficulty chewing or biting
  • Mouth-breathing

Parents should keep an eye on their child's mouth. As a child grows, parents might notice:

  • Crooked or misaligned teeth
  • An uneven bite (crossbite)
  • Jaw cracking or creaking
  • An overbite or underbite
  • Gaps between teeth

Some of these issues may resolve on their own. But if a parent notices any changes in their child's mouth, they should call a dental provider right away. Early intervention may reduce a child's risk of needing braces later on.

“Certain risk factors can increase a child’s chances of needing orthodontic care.”

Other Orthodontic Treatments

Braces are not the only way to fix an orthodontic issue. In some cases, the dental team may recommend retainers, rubber bands, jaw splints, headgear, or palate expanders. If a child has severe issues, surgery may be required. Our team can review the patient’s options and make a decision about treatment.

“If a child has severe issues, surgery may be required.”
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