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When Should My Child First See an Orthodontist?

Home » Blog » When Should My Child First See an Orthodontist?
  • NC Tooth Docs
  • February 13, 2026

As a parent, it’s natural to wonder when the right time is to schedule your child’s first orthodontic visit. Should you wait until all their adult teeth come in? Only visit if something looks “off”? The truth is, early evaluation is one of the best ways to set your child up for a lifetime of healthy, confident smiles — even if they don’t need treatment right away.

So, when is the best age to bring your child to an orthodontist? Let’s walk through the expert recommendations and what you can expect during that first visit.

What Age Should a Child First Visit an Orthodontist?

According to the American Association of Orthodontists (AAO), children should have their first orthodontic evaluation by age 7. By this age, most kids have a mix of baby teeth and permanent teeth, which gives the orthodontist a clear view of how their mouth is developing — including jaw growth, bite alignment, and space for incoming teeth.

Even though age 7 might seem early, it doesn’t mean braces are going on anytime soon. In many cases, early visits are simply preventive and observational. But they can catch developing problems before they become more serious or harder to treat later.

Why Age 7? The Benefits of Early Orthodontic Evaluation

At age 7, the bones of the face and jaw are still growing — which means certain issues can be guided or corrected more easily than later in life. This proactive approach is often called interceptive orthodontics or Phase 1 treatment.

Here are a few things an orthodontist can assess by age 7:

  • Jaw growth — Is the upper or lower jaw developing too quickly or too slowly?
  • Bite alignment — Is there an underbite, overbite, crossbite, or open bite?
  • Tooth crowding — Is there enough space for adult teeth to come in properly?
  • Eruption patterns — Are permanent teeth emerging in the correct sequence?
  • Habits — Are thumb-sucking or tongue-thrusting habits affecting growth?
  • Airway or breathing issues — Are there signs of mouth breathing or snoring?

By spotting these signs early, an orthodontist can develop a plan to guide proper growth — sometimes avoiding the need for more complex treatment later.

Signs Your Child May Need Early Orthodontic Attention

While routine evaluation at age 7 is ideal, some children may benefit from even earlier attention — especially if parents or dentists notice warning signs.

Common early indicators include:

  • Difficulty biting or chewing
  • Mouth breathing
  • Speech delays or trouble pronouncing certain sounds
  • Early or late loss of baby teeth
  • Teeth that protrude, crowd, or seem out of place
  • Clicking or shifting in the jaw when opening or closing
  • Thumb-sucking beyond age 4–5
  • A visible underbite or crossbite

These issues don’t always require immediate treatment, but they should be evaluated by an orthodontist for peace of mind and proactive care planning.

What Happens at a Child’s First Orthodontic Visit?

If you’re nervous about what to expect, don’t worry — the first orthodontic visit is typically quick, easy, and completely non-invasive. It’s designed to educate both the parent and child while assessing the development of the teeth and jaws.

Here’s what typically happens:

  • A thorough review of your child’s dental and medical history
  • An exam of your child’s teeth, jaw, and bite
  • Digital x-rays or 3D scans if needed
  • Discussion of any current or future concerns
  • A timeline for treatment, if necessary — or simply a plan to monitor growth

In many cases, the orthodontist will simply recommend routine check-ins every 6–12 months to keep an eye on development. If early treatment is advised, it may involve simple solutions like space maintainers, habit appliances, or partial braces.

Does Early Orthodontic Treatment Mean Braces?

Not necessarily. While some children may benefit from early-phase braces or appliances, many do not need active treatment until later — around ages 11–13, when most permanent teeth have come in.

That’s why the first visit isn’t just about braces — it’s about developing a healthy foundation for the future. In fact, early evaluation can sometimes reduce the need for full braces later, or make the second phase of treatment shorter and more effective.

Think of it as building a strong framework — with less stress and better outcomes in the long run.

Early Ortho vs. Waiting: What’s the Advantage?

You might be wondering, “Why not just wait until my child is older?”

Here’s what early orthodontic care can help with:

  • Guiding jaw growth to improve facial symmetry
  • Creating space for crowded teeth
  • Reducing the risk of tooth trauma from protruding front teeth
  • Encouraging healthier breathing and oral function
  • Preventing the need for tooth extractions down the line
  • Helping break habits that impact development

Waiting too long can sometimes limit treatment options or result in longer, more intensive care. Starting with a professional evaluation early gives you more choices — and peace of mind.

Final Thoughts: Early Evaluation Is a Smart First Step

Your child’s smile will last a lifetime — and a simple orthodontic check-up around age 7 is one of the best ways to protect it. Even if your child doesn’t need treatment right away, getting a professional’s eyes on their development ensures you’re never guessing when it comes to their oral health.

Considering an Orthodontic Evaluation for Your Child?

At NC Tooth Docs, we believe early orthodontic care is all about empowering parents with answers and options. Our friendly team provides free consultations and gentle, thorough evaluations — so you can feel confident about your child’s smile every step of the way.

Ready to schedule your child’s first orthodontic visit?
Contact us today to book a free consultation at one of our convenient locations in Mooresville, Huntersville, or Harrisburg.

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Sheryl Smiley
The staff was incredibly patient and very knowledgeable, which made the entire process smooth and reassuring. They took the time to explain everything and truly made it a great experience for my daughter’s first braces and expanders. We felt comfortable, informed, and well cared for from start to finish. Highly recommend!
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We love Dr. J and the whole staff! Both of our kids see Dr. Amanda as well for dental care. Our son recently graduated from braces to retainers and the process has been great!
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Jennifer Carranza
Thank you NC Tooth Docs! Ever since I decided to move my kids to this office I leave the office very happy every time. They are very polite, friendly, accommodating and helpful. My children and I have seen it grow with more patients and more staff tremendously and every member is just as awesome.

My daughter recently went in for a process and Dr. Amanda did an amazing job with her tooth fill ins. We had been waiting for this moment for a year (since she had to be on braces) beforehand. Thank you Amber for helping my daughter through the process and thank you Dr. Amanda for the amazing job you did! 🩷

As a mom, it is an accomplishment to be able to see my children with amazing and beautiful smiles.
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Staff is very pleasant and made my son's first visit flawless. He was very nervous when arriving, the staff put him at ease very quickly. Everything was clean and organized. I was very pleased with the outcome of the visit.
Response from the owner:Thank you, Kristin! We're thrilled to hear that our team made your son's first visit enjoyable and stress-free. Your kind words about our cleanliness and organization mean a lot to us. We look forward to seeing you again!
Susan Settle
OMG this place is amazing. From the time you walk in from the time you book your next appointment. The staff is great and I can’t say enough about Dr. Amanda. She is so good with the kids and they just like her so much. They can’t wait to go back.
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Win Lee
Dr. Amanda is amazing! She’s caring and loving. She treats every patient with respect. We love her! Great office - highly recommend!
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Hannah King
Dr. Amanda is amazing! We always have a great experience here. Would recommend to anyone!
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Marc Virtue
Dr. Amanda is a kind and caring dentist! She takes the time to explain everything in a kid friendly language. Highly recommend.
Response from the owner:Thank you for your wonderful review, Marc! We're thrilled to hear that Dr. Amanda's approach resonates with you. Your recommendation means a lot to us. We look forward to seeing you again soon!
Connor Doyle
We had an absolutely wonderful experience at NC ToothDocs! From the moment we walked in, the staff made us feel welcome and at ease. The waiting area is kid-friendly and calming, which helped my child feel relaxed right away.

Dr. Amanda was incredibly gentle, patient, and kind. They explained everything in a way both my child and I could understand, and they took the time to answer all our questions without rushing us. My child actually looks forward to dental visits now—which I never thought I’d say!

The entire team is professional, warm, and clearly great with kids. If you’re looking for a pediatric dentist who combines expert care with a genuinely caring approach, this is the place to go. Highly recommend!
Response from the owner:Thank you for your wonderful review, Connor! We're thrilled to hear that you and your child had such a positive experience with Dr. Amanda and our team. We look forward to seeing you again!
Alina Halusic
Dr. Amanda is kind, knowledgeable and caring in her field. I have consulted with her on numerous patients and she always gives thorough advice and guidance. I would strongly suggest NC tooth docs to see Dr. Amanda for your pediatric dentist. I have referred many patients in my practice and continue to do so!
Response from the owner:Thank you for your wonderful review, Alina! We appreciate your trust in Dr. Amanda and our team. Your referrals mean a lot to us, and we look forward to continuing to provide excellent care for your patients.
Brittany Matthews
SO impressed with NC Tooth Docs in Harrisburg! My daughter had a bad experience at a different practice, so she was very nervous for the appointment. Dr. Amanda made her feel safe, comfortable and even got a bunch of laughs out of her. When we left she said “when do we get to come back?”. Cannot recommend this practice enough!
Response from the owner:Thank you for your wonderful review, Brittany! We're thrilled to hear that Dr. Amanda made your daughter feel comfortable and safe. We look forward to welcoming you both back soon!
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