At what age should a child first see an orthodontist?
The first orthodontic check-up is best done around the age of 7. Here is why, which signs to watch for and what happens at the visit.
Dr. Stefan ZahmanovDoctor of Dental Medicine, Orthodontist
Many parents think orthodontics only matters once all the permanent teeth are in. In fact, the first check-up is best done around the age of 7 - even if your child's teeth look fine.
Why so early?
By about seven, the first permanent molars and incisors have come through and the jaws are growing actively. It is the best moment to see whether growth is on track and, if needed, to guide it. Early treatment can shorten - and sometimes even prevent - later treatment with braces.
Signs to watch for
Crowded or visibly crooked teeth
Upper teeth that stick out a lot, or lower teeth that close in front of the upper ones
Mouth breathing, or thumb sucking after the age of 5
Baby teeth falling out very early or very late
Difficulty chewing or frequently biting the cheeks
Appliances used in children
In children we often use removable appliances and specialised devices for the specific problem. A rapid palatal expander, for example, widens a narrow upper jaw when there is not enough room for the permanent teeth:
For upper teeth that stick out with a lower jaw that has fallen behind, we use functional appliances such as the Twin Block. You will find more about all appliances on our orthodontics page.
What happens at the first visit
The visit is short and relaxed. We look at the bite and the teeth, take X-rays if needed, and explain to you and your child what we see. Often no treatment is needed yet - then we simply agree when to check the development again.
