When to See an Orthodontist: Optimal Treatment Timing for Children

Orthodontic treatments are generally necessary to correct misaligned teeth and jaws and to improve overall oral health. One of the most common questions from parents is when they should bring their child to an orthodontist. Learn more about treatment for children and adolescents and when braces make sense. In this article, you’ll learn when the optimal time is to begin treatment for children and how early intervention can be beneficial.

The different phases of orthodontic treatment for children

Orthodontic treatments can be divided into different phases, depending on the child’s age and the type of dental or jaw misalignment:

1. Early treatment: This phase typically occurs between the ages of 5 and 9, when the child is still growing. Early treatment can help prevent more serious problems later in life and reduce the need for more extensive orthodontic treatment.
2. Late mixed dentition phase: This phase occurs when both permanent and primary teeth are present, typically between the ages of 9 and 12. This phase is ideal for creating space for permanent teeth and promoting healthy jaw growth.
3. Permanent dentition: This phase begins when all permanent teeth have erupted, typically between the ages of 12 and 16. In this phase, aligners or fixed braces are used to correct the final position of the teeth and jaw.

 

Why is early intervention beneficial?

Early orthodontic treatment offers several benefits:

• Early detection of problems: Orthodontists can identify potential dental and jaw misalignments early and intervene accordingly.
• Corrections: In younger children, dental and jaw misalignments are often easier to correct because their jaws and teeth are still growing. This can shorten the treatment duration and allow for less invasive methods.
• Lower risk of tooth extractions: Early treatment can help create space for permanent teeth and reduce the risk of tooth extractions later in life.
• Greater self-confidence: Early orthodontic treatment can improve a child’s appearance and boost their self-confidence by correcting dental and jaw misalignments in a timely manner.
• Prevention of further health problems: By correcting dental and jaw misalignments, the risk of cavities, gum disease, and other health problems can be reduced.

Summary and conclusion

When should you take your child to an orthodontist?

The answer to this question varies depending on individual circumstances and the type of dental or jaw misalignment. Generally, however, orthodontists recommend that children receive an initial examination between the ages of 6 and 9to detect and treat potential problems early. What distinguishes a specialist in orthodontics from other titles is explained in our article What Is an Orthodontist?

Early orthodontic treatment offers several advantages, including early detection of problems, simpler corrections, a reduced risk of tooth extractions, improved appearance and self-confidence, and the prevention of further health problems. By understanding the different phases of orthodontic treatment in children and the benefits of early intervention, parents can ensure that their child receives the best possible oral health.

Sources:

• Fleming P. S. (2017). Timing orthodontic treatment: early or late?. Australian dental journal, 62 Suppl 1, 11-19. https://doi.org/10.1111/adj.12474
• Fleming, P. S., DiBiase, A. T., & Lee, R. T. (2010). Randomized clinical trial of orthodontic treatment efficiency with self-ligating and conventional fixed orthodontic appliances. American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics, 137(6), 738-742. https://doi.org/10.1016/j.ajodo.2009.06.023
• Pisani, L., Bonaccorso, L., Fastuca, R., Spena, R., Lombardo, L., & Caprioglio, A. (2016). Systematic review for orthodontic and orthopedic treatments for anterior open bite in the mixed dentition. Progress in orthodontics, 17(1), 28. https://doi.org/10.1186/s40510-016-0142-0
• Brierley, C. A., DiBiase, A., & Sandler, P. J. (2017). Early Class II treatment. Australian dental journal, 62 Suppl 1, 4-10. https://doi.org/10.1111/adj.12478
• Al-Zoubi, E. M., & Al-Nimri, K. S. (2022). A comparative study between the effect of reverse curve of Spee archwires and anterior bite turbos in the treatment of deep overbite cases. The Angle orthodontist, 92(1), 36-44. https://doi.org/10.2319/020921-117.1
• Hamidaddin M. A. (2023). Optimal Treatment Timing in Orthodontics: A Scoping Review. European journal of dentistry, 10.1055/s-0043-1768974. Advance online publication. https://doi.org/10.1055/s-0043-1768974
• Woon, S. C., & Thiruvenkatachari, B. (2017). Early orthodontic treatment for Class III malocclusion: A systematic review and meta-analysis. American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics, 151(1), 28-52. https://doi.org/10.1016/j.ajodo.2016.07.017
• Shalish, M., Gal, A., Brin, I., Zini, A., & Ben-Bassat, Y. (2013). Prevalence of dental features that indicate a need for early orthodontic treatment. European journal of orthodontics, 35(4), 454-459. https://doi.org/10.1093/ejo/cjs011
• Graber L. W. Vanarsdall R. L. Vig K. W. L. & Huang G. J. (2017). Orthodontics : current principles and techniques (Sixth). Elsevier.
• American Association of Orthodontists (AAO). (2021). “When Should Your Child See an Orthodontist?”. Verfügbar unter: https://aaoinfo.org/whats-trending/when-should-your-child-see-an-orthodontist/

Frequently Asked Questions About When to See an Orthodontist

At what age should my child see an orthodontist?

An initial visit is usually recommended around age 6 to 7. This allows early detection of whether and when treatment may be needed. If noticeable findings such as a crossbite or pronounced mouth breathing are present, an earlier appointment may be advisable.

What is early treatment and when is it necessary?

Early treatment typically occurs between ages 5 and 9, while the jaw is still growing. It is used only for certain findings and can help prevent more extensive corrections later. It is the exception, not the rule.

Do I need a referral to see an orthodontist?

No. In Germany, you have free choice of physician—you can book an appointment directly at an orthodontic practice. However, dentists often point out when the time is right.

What happens at the first appointment?

The teeth, jaw, and bite are examined, often supplemented by a 3D scan instead of an impression. Based on this, we discuss whether treatment is needed and when the best time would be—without pressure and at your own pace.

Is it a problem if we miss the ideal timing?

Usually not. Many misalignments can still be treated well later. However, for some growth-dependent findings, a certain time window is more favorable—which is why early checkups are worthwhile.