The short version
- First orthodontic check-up: no later than age 7, or earlier if something looks off
- A check-up is not the same as starting treatment
- Only a small number of problems are treated this early
The American Association of Orthodontists (AAO) recommends that every child have a first check-up with an orthodontist no later than age 7. If you notice something that seems off before then, you do not need to wait.
Why seven?
By around seven, the first permanent molars have usually arrived and the front teeth are coming in. Kids have a mix of baby and adult teeth, which lets an orthodontist see how the bite is setting up and how the jaws are growing. Some problems are easier to guide while a child is still growing than to fix later.
What we look for
- Crowding or spacing as adult teeth come in
- Crossbites, where upper teeth sit inside the lower teeth
- Upper front teeth that stick out and are at risk of injury
- Open bites or deep bites
- Habits such as thumb-sucking that are shaping the teeth or jaws
Check-up does not mean braces
The AAO is clear that only a few orthodontic problems need correcting around age 7. For most children the result is reassurance and a plan to keep an eye on growth. When early (Phase 1) treatment is recommended, it is usually because waiting could make the problem harder to fix, and it can make later treatment shorter or simpler.
And if your child is already older than seven? It is not too late. Orthodontists treat children, teens and adults successfully.
At PRIME, orthodontics shares space with kids dentistry in most of our offices, so a first ortho check can often happen on the same trip as a cleaning.
Sources
General information, not a diagnosis. Talk with your child's dentist about their specific needs.