What age should a child first see an orthodontist?

A first orthodontic assessment is usually recommended around age 7, once the front permanent teeth have erupted. However, your dentist may refer earlier if there are clear signs of crowding, crossbite, or other bite concerns. Regular dental check-ups allow your dentist to spot issues early.

What are the early warning signs a child needs orthodontic treatment?

Key signs include crowded or overlapping teeth, early or late loss of baby teeth, difficulty biting or chewing, mouth breathing, thumb sucking beyond age 4, and teeth that do not meet properly when the jaw closes. Your dentist can identify these at routine check-ups.

What does early orthodontic treatment involve?

Early (interceptive) treatment may include space maintainers to hold gaps for permanent teeth, expanders to widen a narrow palate, or partial braces to guide jaw growth. The goal is to reduce the complexity of treatment needed later by addressing structural issues while the jaw is still developing.

Is it better to wait until all adult teeth are through before seeing an orthodontist?

Not necessarily. Some issues are easier and less invasive to correct while baby teeth are still present and the jaw is actively growing. Waiting until all permanent teeth erupt can mean more complex treatment. An early assessment does not always lead to immediate treatment but ensures nothing is missed.

When should your child be seen by an Orthodontist?

November 11, 2025

When should my child see an Orthodontist?

Parents often ask this and the answer depends more on dental age than birthdays.

A first orthodontic check is usually best around age 7 once the front permanent teeth have erupted, or sooner if there’s clear crowding or bite concerns. Keep regular dental visits, allowing your dentist to spot issues early and refer to an orthodontist.

Early warning signs:

Baby teeth lost very early or very late (most fall out between ages 5-12)
Thumb sucking that’s strong or persists past age 4
Teeth that don’t meet properly or stick out
Lisping or other speech issues
Crowded front adult teeth
Crossbites, where the upper teeth sit inside the lower teeth

Why early treatment helps:

Guides jaw growth while bones are still developing
Creates space for adult teeth to erupt correctly
May reduce the need for jaw surgery later on
Lowers the injury risk for protruding front teeth; mouthguards are key for sports

What early treatment may involve:

Removable or fixed braces (removable appliances are common)
Growth-guiding devices (e.g. twin block) for small jaws or protruding teeth

Book an orthodontic assessment around age 7, or sooner if you see crowding, bite, speech, or habit issues. Early care can guide growth and prevent bigger problems.

Dr Ramtin Taheri - Specialist Orthodontist - Dorset — **Dr Ramtin Taheri – Specialist Orthodontist, Dorset**

“As an orthodontist, I see the long-term benefits of healthy baby teeth every day. MamaSmiles Teething Gel supports that journey naturally, soothing gums and strengthening smiles from the start.”

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About the Authors

Dr Jack Brazel and Dr John Krezel, Co-Founders of MamaSmiles

Dr Jack Brazel BChD Dr John Krezel BChD, MSc, DClinDent, MPros RCSEd, MFDS RCSEd

Co-Founders, MamaSmiles

Jack and John are award-winning dentists with clinical experience across Australia, the United Kingdom, and the United States. John is a Specialist Prosthodontist registered with the GDC and Adjunct Clinical Associate Professor at the University of Michigan. They co-founded MamaSmiles out of a shared belief that families deserve oral care products held to the same standard as clinical recommendations.

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This article is general information, not medical advice. If you have specific concerns about your child's oral health or your own during pregnancy, please speak to your dentist, GP, midwife, or pharmacist.