The Importance of Early Orthodontic Evaluations

When it comes to orthodontic care, timing is everything. While many people associate braces and aligners with the teenage years, orthodontic issues can begin much earlier. That’s why professional organizations like the American Association of Orthodontists recommend that children have their first orthodontic evaluation by age 7—even if no problems are visible yet.

Early orthodontic evaluations can identify issues with tooth development and jaw alignment before they become more complex, saving time, cost, and discomfort later on. For families in Phoenix, Gilbert, and the surrounding areas, understanding the value of early intervention is the first step toward a lifetime of healthy smiles.

What Is an Early Orthodontic Evaluation?

An early orthodontic evaluation, sometimes called a “growth and guidance” checkup, is a comprehensive exam that assesses the development of a child’s teeth, jaw, and bite. Even though most children still have a mix of baby and permanent teeth at age 7, this developmental stage allows orthodontists to spot emerging concerns with:

• Tooth eruption and spacing
• Jaw growth and alignment
• Bite function and symmetry
• Habits like thumb-sucking or tongue thrusting

This first evaluation doesn't necessarily mean that treatment will begin right away. In many cases, the orthodontist will recommend a period of monitoring as the child grows. But in situations where early treatment is beneficial, getting started at the right time can lead to better outcomes.

Why Age 7?

Around age 7, several key dental and skeletal changes occur that give orthodontists insight into how a child’s mouth is developing. At this age:

• The first adult molars typically emerge, establishing the foundation of the bite.
• Front permanent teeth begin to appear, offering a clearer picture of alignment and spacing.
• Jaw growth is still occurring, allowing for early correction of skeletal discrepancies.

Because of this developmental window, an orthodontist can evaluate not just the current position of the teeth, but also how the bite is likely to develop in the coming years.

Common Issues Detected in Early Evaluations

Some orthodontic concerns are easy to spot—such as visibly crooked teeth or noticeable gaps—but many early signs of problems are more subtle. An evaluation at age 7 can help identify:

• Crossbites — When the upper and lower teeth do not align properly
• Underbites or overbites — Misalignment that can affect chewing and speaking
• Crowding — Lack of space for permanent teeth to erupt correctly
• Open bites — When the front teeth don’t touch, even when the mouth is closed
• Habits — Prolonged thumb-sucking or mouth breathing that can affect jaw growth

Detecting these concerns early allows the orthodontist to plan for timely intervention—or to monitor growth and act if the issue worsens.

What Is Two-Phase Treatment?

In some cases, early evaluation leads to a recommendation for two-phase treatment. This approach involves:

• Phase One — Early intervention between ages 7 and 10 to guide jaw growth, make space for permanent teeth, or correct harmful habits.
• Resting Phase — A period of observation while the remaining adult teeth erupt.
• Phase Two — Full orthodontic treatment, usually with braces or clear aligners during the teen years, to perfect alignment and bite.

While not all children require two-phase treatment, it can be highly beneficial for those with complex developmental issues or jaw discrepancies.

The Benefits of Early Intervention

Even when no immediate treatment is needed, early evaluations offer several advantages:

• Timely Correction — Early treatment can prevent more serious issues from developing later.
• Shorter Treatment Times — Addressing certain problems early may reduce the time needed for braces or aligners in the future.
• Better Jaw Development — Guiding jaw growth early can improve facial balance and long-term oral function.
• Avoidance of Extractions — Making space for incoming teeth can reduce the likelihood of needing permanent tooth removal.
• Peace of Mind — Parents can gain valuable insight into their child’s dental future, even if no treatment is required.

What Happens During an Evaluation?

A typical early orthodontic evaluation includes:

1. A visual exam of the teeth, bite, and facial structure
2. Photos and digital x-rays to assess tooth development and jaw alignment
3. A conversation about habits, health history, and any concerns
4. A recommendation for next steps—whether that’s monitoring, preventive treatment, or simply returning in a year

Most evaluations are quick, comfortable, and informative for both children and parents.

When Should You Schedule One?

If your child is approaching their 7th birthday and hasn’t seen an orthodontist yet, now is the ideal time. You don’t need a referral from a dentist, and there’s no harm in checking early—even if it turns out that no treatment is necessary.

Some signs that may suggest an earlier evaluation is beneficial include:

• Early or late loss of baby teeth
• Difficulty biting or chewing
• Mouth breathing or snoring
• Jaw clicking or shifting
• Speech concerns
• Crowded or protruding teeth

Even if everything appears “normal,” an early evaluation ensures that a professional is tracking your child’s development and can act at the ideal time.

Invest in Their Smile Early

The foundation for a healthy, beautiful smile starts early. Understanding how and when your child’s teeth and jaws are developing allows for more informed, proactive care. While braces may not come into play for a few more years, early orthodontic evaluations give families the power to prepare, prevent, and plan.

Ready to take the first step? Schedule your child’s complimentary orthodontic evaluation with Team Orthodontics today and give them the best start toward a confident smile.