Early Orthodontic Treatment for Children

Early orthodontic treatment gives your child a head start on a healthy smile. By gently guiding jaw growth and tooth development at the right age, our doctors can often prevent bigger problems later and make teen treatment easier and shorter. At Janzen & Chwa Orthodontics, we focus on early, kid-friendly care that supports confident smiles for life.

Why Early Orthodontic Treatment Matters

Early orthodontics, also called Phase One treatment, helps us spot and correct issues while your child is still growing. Addressing problems early can:

  • Guide erupting teeth into better positions

  • Reduce the need for permanent tooth extractions later

  • Support proper jaw development and facial balance

  • Improve chewing, speech, and breathing

  • Make future treatment faster and more straightforward

By stepping in at the right time, we can often simplify what would otherwise be more complex teen orthodontic care.

When Should My Child First See a Pediatric Orthodontist?

According to the American Association of Orthodontists, children should have an orthodontic evaluation by age 7. At this visit, Drs. Kyint and Evan Chwa can evaluate whether your child may need orthodontic treatment and determine the best timing to start care.

Many local dentists are trained to recognize orthodontic issues and may recommend a visit even before age 7 if they notice something unusual in your child’s bite or tooth development.

What Can Early Orthodontics Accomplish?

Early orthodontic treatment can:

  • Guide erupting teeth into better positions

  • Preserve space for incoming permanent teeth

  • Reduce the chance of extractions later

  • Correct harmful habits such as thumb sucking

  • Reduce the risk of injury to protruding front teeth

  • Support proper speech and swallowing patterns

  • Address jaw growth issues, underbites, and other bite problems

By addressing these issues early, Phase Two treatment in the teen years (usually age 11 or older) is often simpler and shorter.

How to Tell if Your Child May Need Early Orthodontics

Your child might benefit from early orthodontic care if you notice:

  • Early or late loss of baby teeth (usually starts around age 5, with all permanent teeth in by about 13)

  • Difficulty chewing or biting

  • Mouth-breathing

  • Thumb-sucking habits continuing after age 5

  • Speech difficulties

  • Protruding front teeth

  • Teeth that do not come together properly

  • Jaw shifting to one side when opening or closing (possible crossbite)

  • Crowded front teeth around ages 7–8

If you see one or more of these signs, an early orthodontic evaluation is a smart next step.

Does Every Child Need Early Orthodontic Treatment?

Not all children require early orthodontics. Some conditions are best handled in the teen years when all permanent teeth have erupted.

If immediate treatment is not needed, your child may be placed in our Orthodontic Supervisory Program, which includes:

  • Regular check-ins every 6–8 months to monitor growth and tooth eruption

  • Guidance on when baby teeth may need to be removed to help permanent teeth come in properly

  • Coordination with your family dentist to support overall oral health

There is no fee for this program. It ensures your child starts treatment at the right time for the best long-term result.

Health Benefits Beyond a Beautiful Smile

Early orthodontic care does more than create a straight smile. It can also:

  • Improve how the teeth fit together for better bite function

  • Make teeth easier to brush and floss

  • Reduce premature enamel wear

  • Help protect the natural teeth for life

Good alignment sets the stage for a healthier mouth and fewer dental problems in the future.

Should My Child Still See Their Dentist During Orthodontic Care?

Yes. Regular checkups with your family dentist every six months are essential, even during orthodontic treatment. Braces and appliances require extra attention to keep teeth and gums healthy. Your dentist and orthodontist work together as a team to support your child’s overall oral health.

If your child is between ages 7 and 8 and shows any signs of needing orthodontic care, or if your dentist has recommended a visit, contact us to schedule an initial exam. Our team will review your child’s needs and discuss the best next steps for a healthy, confident smile.

FAQ

Phase One treatment for braces for kids typically lasts between 12 and 18 months, depending on your child’s specific needs and how their teeth and jaws respond. After early treatment, many kids have a resting or observation period before any teen treatment begins.

Most children adapt quickly to appliances or limited braces. They can still attend school, play sports, and participate in activities as usual. In some cases, we may recommend a mouthguard for contact sports to protect both teeth and appliances.

You can support your child by helping them brush twice a day, floss carefully around any appliances, and avoid very hard or sticky foods that might damage their braces. Keeping regular dental cleanings and following your pediatric orthodontist’s instructions will help protect their teeth throughout treatment.

Early orthodontic treatment may use expanders, partial braces, space maintainers, or habit appliances for thumb sucking or tongue thrusting. The specific appliance depends on your child’s bite, jaw growth, and tooth position. Your doctor will explain each option and recommend what is best for your child.

Often, yes. A retainer helps hold the teeth and jaw in their improved positions while your child continues to grow. The doctor will let you know what type of retainer is recommended and how long it should be worn to protect the early results until Phase Two treatment, if needed.