When is the best time to start orthodontic treatment?
The answer to that question really depends on the individual patient. For that reason, the American Association of Orthodontists recommends an initial screening exam by the age of seven. Early evaluation provides an opportunity for early detection of orthodontic problems, which in many cases can be corrected before all the teeth erupt. Interceptive treatment is only a partial treatment. Patients who undergo early orthodontic treatment will require another phase of treatment after all the permanent teeth erupt.

Why is age 7 the optimal time for screening?
By the age of 7 the first adult molars and some of the anterior permanent teeth have erupted. At this time the orthodontist can evaluate front-to-back and side-to-side bite relationships, as well as overcrowding.

Some the advantages of interceptive treatment are:

• Creating room for crowded teeth.
• Creating facial symmetry by correcting crossbites that can affect jaw growth.
• Reducing the risk of trauma to protruded front teeth.
• Preserving space for unerupted teeth.
• Reducing the need for permanent tooth removal in the future.

Many children do not need early interceptive treatment. When early treatment is not recommended, patients are placed in our observation program. They are then seen periodically while their permanent teeth are erupting, so that orthodontic recommendations can be made at the appropriate time.