Why problems show up early
A child's mouth changes a lot between ages six and 10. Most baby teeth fall out and the jaws grow in size and shape, which can bring new crowding or bite problems. Most orthodontic concerns come from genetics, such as a narrow jaw. Thumbsucking or long pacifier use can play a part too. Sometimes we cannot find a cause.
Parents often feel guilty, but any child can develop these problems. They are treatable, and some resolve on their own. If treatment is needed, early care can help.
When to have your child checked
The American Association of Orthodontists recommends an evaluation by age seven. Phase 1 treatment typically starts between about ages six and nine. If you see crooked teeth, an irregular bite or tooth pain, do not wait. Sooner is better, because early care can shorten later treatment and improve oral health, while delaying can lead to longer-lasting problems.
What phase 1 involves
- Evaluation. We examine your child's bite and alignment, and may take measurements or impressions.
- Plan. We create a treatment plan based on what we find.
- Treatment. Phase 1 usually uses appliances rather than braces. A space maintainer holds room open when baby teeth are lost early. A palate expander widens the jaw to make space for adult teeth and can help a bite problem. Retainers may also be used.
- Monitoring. We track progress and help you decide whether to move to phase 2.
Phase 1 typically lasts about nine to 18 months. We may recommend braces right away for a significant problem, and early braces can sometimes shorten the next stage. Otherwise braces usually wait until all the adult teeth are in.
Phase 2
Phase 2 may begin around age 10 or 11, and it often uses braces. Most children wear them for about two years, sometimes less and sometimes up to four. Not every child needs phase 2. Early treatment can sometimes make braces unnecessary. Each plan is different, and we can give you a timeline for your child.
Keep up with regular care
Preventive care is part of every orthodontic plan. Keep up with exams and cleanings, and call us if your child has tooth pain.
Call us at (781) 289-3331 to find out whether your child should be evaluated.
Common questions
What is phase 1 orthodontics?
Early treatment, usually between ages six and nine. We check the bite and jaw alignment and take steps to improve where adult teeth will come in, often with retainers, palate expanders or space maintainers.
Does my child need phase 1 care?
Every child should be evaluated by age seven. A full exam tells us whether early treatment would help.
How can I tell if my child needs braces?
Sometimes the first evaluation shows it. In other cases we wait until phase 1 is done, because teeth shift during childhood. Phase 1 may reduce or even remove the need for braces.
How long does orthodontic treatment last?
Phase 1 often lasts about a year, sometimes up to two. If phase 2 is needed, braces usually add around two years. We may suggest breaks between stages.
How much does it cost?
Cost depends on your insurance, the type of treatment and how long it lasts. Our team can explain costs and coverage for your child.