Orthodontic treatment plays a vital role in the alignment and development of a child’s teeth and jaw. Early intervention can prevent future complications and improve overall dental health. But when is the ideal time to visit an orthodontist, and what common orthodontic issues should parents be aware of?

The American Association of Orthodontists (AAO) recommends that children have their first orthodontic evaluation by the age of 7. At this age, a child’s teeth and jaws are still developing, which allows for early detection of any potential issues and timely intervention. By age 7, most children have a mix of baby teeth and permanent teeth, and an orthodontist can identify subtle problems with jaw growth and emerging teeth. Early evaluations can help plan treatments that may reduce the need for more invasive procedures in the future.

While many children will not need immediate treatment, a consultation at this stage provides a clear roadmap for future care and ensures that any developing problems are monitored.

Several common orthodontic issues can arise during childhood. Crowding of teeth occurs when there isn’t enough space in the jaw, causing teeth to overlap and making it difficult to clean them properly, increasing the risk of cavities and gum disease. An overbite, where the upper front teeth overlap the lower front teeth excessively, can lead to tooth wear, jaw pain, and an increased risk of injury to protruding teeth. On the other hand, an underbite occurs when the lower teeth extend past the upper teeth, often due to an overdeveloped lower jaw or underdeveloped upper jaw, affecting chewing and speech. Crossbite, which happens when one or more upper teeth sit inside the lower teeth, can lead to uneven jaw growth, teeth wear, and facial asymmetry if untreated.

Open bite, caused by habits like thumb-sucking or tongue thrusting, occurs when the upper and lower teeth do not meet when biting down. Spacing issues, such as large gaps between teeth due to missing or small teeth, can affect both the aesthetics and function of the smile. Protruding teeth, or “buck teeth,” are more prone to injury and can lead to self-esteem concerns. Lastly, jaw growth problems, such as asymmetry or improper growth, may require orthodontic attention to prevent functional difficulties.

Early orthodontic care, often referred to as “Phase 1” treatment, can address these issues while a child’s bones are still growing. This approach can help guide jaw growth and tooth eruption, improve facial symmetry, reduce the risk of trauma to protruding teeth, and simplify or shorten future orthodontic treatments. Regular follow-ups allow orthodontists to monitor growth and development, ensuring that treatment is initiated at the right time.

Scheduling an orthodontic evaluation by age 7 ensures that potential issues are identified early, improving both oral health and overall confidence. If you have concerns about your child’s teeth or jaw development, don’t hesitate to consult a qualified orthodontist. Early action can make a significant difference in your child’s dental and overall well-being.

Dr P S Viswapurna 
Consultant Orthodontist 
American Dental Center 
Almasa Mall 
Shatti Al Qurum 
Muscat