When to Evaluate for Orthodontic Intervention

We recommend children get their first orthodontic screening by the age of 7. An evaluation at this age can evaluate skeletal development, airway issues and allow for properly timed orthodontic interventions. Often it is best to wait until all permanent teeth have erupted prior to starting orthodontic treatment; however, in certain situations treatment should begin prior to the eruption of all permanent teeth. These early orthodontic treatments are called Interceptive or Phase 1 Orthodontics.

Phase 1 Orthodontics treatment is indicated to correct an issue that adversely affects skeletal growth or has a severe risk for dental trauma. Oral structures are still growing at this time and Phase 1 treatment is helpful to correct these issues so that development can continue properly.

For this treatment, the patient will wear an appliance and/or braces for a period of time to correct the problem while still in mixed dentition, which is when both primary and permanent teeth are present. If orthodontic treatment is needed to correct dental alignment again once all the permanent teeth have erupted this is called Phase 2 Orthodontic Treatment. Phase 2 Orthodontics can start once all the permanent teeth have erupted which is usually around the age of 12 or 13.