Early Orthodontics

Orthodontic problems can begin developing at an early age, often before all permanent teeth have erupted. At Bernhardt & Smith Orthodontics, Dr. Melissa Bernhardt and Dr. Blair Smith recommend early evaluations to monitor growth and identify potential concerns before they become more complex.

Early orthodontic care helps guide proper development and can reduce the need for more extensive treatment in the future.

Why Is Early Orthodontic Treatment Important?

The American Association of Orthodontists recommends that children have their first orthodontic evaluation by age 7. At this stage, enough permanent teeth have developed to identify potential issues with alignment, spacing, and jaw growth.

Early evaluations allow us to:

  • Detect developing bite or jaw problems
  • Correct anterior/posterior crossbites
  • Monitor how teeth are erupting
  • Identify crowding or spacing concerns
  • Determine the best timing for treatment

In many cases, no immediate treatment is needed, but early monitoring ensures the right care at the right time.

What Is Phase I Orthodontic Treatment?

Phase I treatment, also known as early orthodontic treatment, focuses on guiding jaw growth and creating space for permanent teeth while a child is still developing.

This phase may be recommended to:

  • Improve jaw alignment and development
  • Reduce crowding and create space for incoming teeth
  • Correct harmful oral habits
  • Lower the risk of injury to protruding teeth
  • Support proper bite function

Not every child will need Phase I treatment, but when recommended, it can make a significant difference in long-term results.

Will My Child Still Need Braces Later?

In many cases, a second phase of treatment (Phase II) will be recommended once all permanent teeth have erupted. This phase focuses on fine-tuning alignment and bite.

However, early treatment can:

  • Simplify future orthodontic care
  • Reduce overall treatment time
  • Improve long-term stability

In some cases, additional treatment may not be necessary.

What Is the Orthodontic Observation Program?

If your child is not ready for treatment, we may recommend an orthodontic observation program. This allows us to monitor growth and development over time at no additional cost.

Through regular check-ups, we can:

  • Track the eruption of permanent teeth
  • Monitor jaw growth and alignment
  • Identify the ideal time to begin treatment

This proactive approach helps ensure the best possible outcome.

What Are the Benefits of Early Orthodontic Treatment?

Early intervention can provide both immediate and long-term benefits for your child’s oral health.

Benefits may include:

  • Guiding proper jaw growth
  • Reducing the need for tooth extractions later
  • Improving bite function
  • Making future treatment easier and more efficient
  • Supporting healthy smile development

What Happens During My Child’s First Visit?

Your child’s first orthodontic visit is simple, comfortable, and informative. During this appointment, we will evaluate their teeth and bite and discuss any concerns you may have.

We will:

  • Examine your child’s teeth and jaw development
  • Determine if treatment is needed
  • Recommend the best timing for care
  • Answer any questions you may have

Our goal is to provide clear guidance and peace of mind for you and your child.

Frequently Asked Questions

Early orthodontic care often raises important questions for parents. These answers are designed to help you better understand your child’s needs and what to expect.

Common signs include crowded or misplaced teeth, early or late loss of baby teeth, difficulty chewing, mouth breathing, or jaws that shift or make sounds.

Early treatment is typically gentle and well-tolerated. Some mild discomfort may occur as your child adjusts, but it is usually temporary.

Every child’s smile develops differently, which means early orthodontic treatment is customized based on growth, bite development, and specific orthodontic concerns. During your child’s evaluation, our team will discuss the recommended treatment approach and what to expect throughout care.

If treatment is not needed, we will monitor your child’s growth through our observation program and recommend care at the appropriate time.

Yes. Early orthodontic care can help reduce the severity of future issues and make later treatment simpler and more efficient.