When is the best time to begin orthodontics?
Though an orthodontist can enhance a smile at any age, there is an optimal time period to begin treatment. Beginning treatment at this time ensures the greatest result and the least amount of time and expense. The American Association of Orthodontists recommends that the initial orthodontic evaluation should occur at the first sign of orthodontic problems or no later than age 7. At this early age, orthodontic treatment may not be necessary, but vigilant examination can anticipate the most advantageous time to begin treatment.
What are the benefits of early orthodontic evaluation?
Early evaluation provides both timely detection of problems and greater opportunity for more effective treatment. Prudent intervention guides growth and development, preventing serious problems later. When orthodontic intervention is not necessary, an orthodontist can carefully monitor growth and development and begin treatment when it is ideal.
Why is age 7 considered the optimal time for screening?
By the age of 7, the first adult molars erupt, establishing the back bite. During this time, an orthodontist can evaluate front-to-back and side-to-side tooth relationships. For example, the presence of erupting incisors can indicate possible overbite, open bite, crowding or gummy smiles. Timely screening increases the chances for an incredible smile.
A Conservative Approach to Early Orthodontic Treatment (PHASE I)
Younger children ages 6-10 years old present with a mixture of both adult teeth and baby (primary) teeth. When recommending an early phase of interceptive orthodontic treatment at this age we inform parents their child in most cases will require a second comprehensive phase of orthodontic treatment when all the adult teeth are in place at around age 12. My preference is to avoid an initial early treatment phase in favor of treating only once when all the adult teeth are in place. With close monitoring and careful patient selection, early treatment can be avoided for many children.
What are the advantages of interceptive treatment?
While some patients will not receive any benefits with early treatment, some patients will obtain a better treatment outcome from early intervention. Our goal in providing early treatment is to manage or resolve the following problems:
- Creating room for crowded, erupting teeth
- Creating facial symmetry through influencing jaw growth
- Reducing the risk of trauma to protruding front teeth
- Preserving space for unerupted teeth
- Reducing the need for tooth removal
- Reducing treatment time with braces