5 signs your child may need early orthodontic care

Why age 7?

The American Association of Orthodontists advises that every child is screened at about age 7. By then a child has enough permanent teeth for an orthodontist to see a developing problem before it becomes a bigger one. A panoramic X-ray can also show what is under the gums, such as extra, missing or impacted teeth.

Five signs to look for

1. Crowded, crooked or very spaced teeth. Teeth with no room to come through, or with large gaps between them, are worth having checked.
2. Bite problems. A crossbite (upper teeth sitting inside the lower ones), an underbite (lower front teeth in front of the upper ones) or an overbite can all affect how the jaws grow.
3. A jaw that shifts to one side. If your child's jaw moves sideways as their teeth come together, it's called a functional shift.
4. Thumb, finger or pacifier sucking that carries on. When it affects the teeth or the growth of the jaw, it's worth dealing with early.
5. Extra or missing teeth, or teeth that don't meet properly. Some of these only show up on an X-ray.

What early treatment can do

Treatment that starts while some baby teeth are still present can guide the growth of the facial and jaw bones into a better pattern and make more room for the adult teeth that are coming through. When early treatment is needed, an orthodontist plans it after an examination and X-rays.

When treatment can wait

A screening at 7 doesn't mean treatment at 7. Many children are simply monitored while they grow. The usual time for full braces is between about 12 and 14, when the teeth and jaw are still growing, and the orthodontist will tell you when the right time is for your child.

What to do next

If you notice any of these signs, or you simply want reassurance, book a screening. You don't need a referral from a general dentist to see an orthodontist. Our team includes an orthodontist, and you can also bring up any worry at your child's regular check-up.