The American Association of Orthodontists recommends a screening examination by an Orthodontist at age 7. Orthodontists generally agree with this screening philosophy although whether or not treatment is indicated during the mixed-dentition (half baby teeth, half permanent teeth) remains very controversial. Early or “Phase 1″ treatment almost always requires a follow-up second phase (full braces) once all permanent teeth are present (usually around age 11-13). In the RTP area, you would find a mix of orthodontic opinions regarding “early treatment”.

My opinion is that most children do not need “early intervention” for an outstanding result. However, there are some developing malocculsions (bad bites) that are progressive and/or traumatic and should not wait. There are also certainly some children that would have a huge boost in self-esteem with some limited braces earlier on. My preference is to see children early so that I can catch those who would benefit from early intervention. It is also very helpful to me to recall children on a annual basis until they are ready for braces. That gives me a much better sense of jaw growth and tooth eruption patterns as opposed to single point-in-time evaluation.

We have some great orthodontists in our area. When you visit an office, you should trust your instincts. If something doesn’t feel right to you, consider a second opinion. Your neighbors and friends may also be a very good resource for selecting an orthodontist.