Navigating dental and orthodontic care for young children can seem complex, especially when it comes to the question: Can children who still have baby teeth get braces? If you’ve heard that your child should have all their permanent teeth before visiting the orthodontist for the first time, you’ve been misinformed.

Despite traditional associations of braces with older children and teenagers, there are cases where addressing dental issues at a younger age is not only possible but also crucial for long-term oral health. In fact, putting off a first visit to the orthodontist until all of a child’s permanent teeth are in could do more harm than good.

What Is Phase 1 Orthodontics?

A child can get braces even if they still have baby teeth. In some cases, treatment may be initiated when a child has a mix of both. This is known as “interceptive orthodontics” or “phase 1 orthodontics.” The objectives of early intervention include:

• Guiding Jaw Growth: Ensuring sufficient space is available for permanent teeth to emerge correctly
• Correcting Bite Problems: Some overbites, underbites, or crossbites may be harder to correct if treatment is delayed until permanent teeth have erupted.
• Addressing Harmful Habits: Like thumb sucking or tongue thrusting, which can affect teeth and jaw development.
• Improving Aesthetics & Self-esteem: by addressing noticeable dental issues at an early age.

Dental Development in Young Children

A child’s mouth is a busy place, and everything in the body is growing in the early years, including the bones in the jaw and face. Around age 6, the first permanent molars appear, followed by the loss of baby teeth as permanent teeth come in. Typically, this happens in a predictable, particular order, but problems with dental development can arise without warning.

The gums hide about two-thirds of each tooth and the bone that holds the teeth in place. This allows the gums to mask conditions that interfere with the emergence of teeth, making it important to schedule an orthodontic appointment before all permanent teeth are in.

Early or late loss of baby teeth can signal a problem and cause trouble with chewing, biting, or speaking. Not addressing these issues until a child has all their permanent teeth could complicate the treatment process. If you notice these symptoms, schedule an appointment with a trusted AAO orthodontist right away.

The Importance of a Healthy Bite

A central goal of orthodontic treatment is to ensure the bite is aligned properly, meaning that the upper and lower teeth fit together like interlocking gears.  With incorrect alignment, your child may have difficulty chewing, speaking, or biting. By catching alignment issues early and correcting them with braces or other orthodontic appliances, you can avoid long-term oral health issues.

Some children can wait for braces until they have most or all of their permanent teeth, while others may benefit from early treatment even with some baby teeth still present. These children might need growth guidance for the bones in their upper and lower jaws to create sufficient space for permanent teeth and correct bite issues, ensuring proper coordination between the jaws. To achieve the best results, their treatment should be timed to coincide with predictable stages of dental development and physical growth.

Beyond the health benefits, proper jaw alignment can help give you a beautiful smile regardless of age. To learn more about bite alignment, explore this AAO article.

If your dentist has not referred your child to an orthodontist, you don’t have to wait to schedule an appointment; Orthodontists do not require a referral to see your child.

When Should Your Child Visit the Orthodontist?

The American Association of Orthodontists (AAO) recommends that children first visit an orthodontist no later than age 7. If a problem is detected and treatment is advised, the orthodontist can provide your child with the most appropriate treatment at the most appropriate time.

To answer the question that headlines this article, you don’t have to wait until your child loses all their baby teeth to consult an orthodontist. Even if your child is younger than 7, they should see an orthodontist as soon as you suspect a problem with their dental development. Many orthodontists offer a free or low-cost initial consultation.

Regardless of your age, there’s no time like the present to talk to an orthodontist about creating a healthy bite and getting the smile you’ve always wanted. Locate AAO orthodontists through Find an Orthodontist and schedule an appointment today.

The post Can You Get Braces with Baby Teeth? A Guide to Early Orthodontics appeared first on American Association of Orthodontists.

It is recommended that children see an orthodontist by the age of seven, as this helps maintain their oral health. And it may help you avoid more costly or more invasive treatments down the road. 

What is the Importance of Age 7?

Palatal expander: Your child may be a good candidate for palatal expansion, which can widen the upper jaw and help reduce crowding in abnormally narrow arches. Ideally, a palatal expander is used when a patient is still growing. Expansion occurs when the growth plate or suture in the middle of the palate is stretched, and the two halves are pushed apart. As the two halves are spread, new bone is added. 

In younger patients, palatal expansion may reduce the need for extractions or prevent impacted teeth. Cases not corrected in growing patients may require surgery for correction in adulthood and may lead to abnormal wear or bite problems if left uncorrected. 

Early orthodontic intervention, such as wearing braces for a short time, can correct problems early on to prevent more severe issues later.  

An example of interceptive treatment is correcting an anterior crossbite. 

Tooth removal: Sometimes, removing baby or impacted teeth can help permanent teeth emerge better and encourage them to come in closer to their ideal position even without an orthodontic appliance. Your orthodontist will suggest the best time for extractions to take advantage of your child’s growth and development. Getting them into the orthodontist early allows you to receive the optimum  treatment for them. 

Not all early visits result in orthodontic treatment. 

How Can Early Orthodontic Treatment Help – Even If There’s No Obvious Problem?

1. There may be no need for treatment recognized at that time.  
2. Treatment may be necessary in the future, so the child will be followed periodically while the face and jaws continue to develop.  
3. A problem that would benefit from early treatment already exists, and you’re in the right place to get started! 

Most orthodontists offer free consultations and early orthodontic evaluations for kids, so there’s no reason to wait. 

Trust an AAO orthodontist.

You can work with an AAO Orthodontist to achieve a healthy, beautiful smile at any age. Orthodontists are experts in orthodontics and dentofacial orthopedics – properly aligned teeth and jaws – and possess the skills and experience to give you your best smile. Find an orthodontist near you.

The post The Milestone Visit: Why Age 7 is The Best Age For Orthodontic Treatment appeared first on American Association of Orthodontists.