Orthodontics for children is not just about aligning teeth during adolescence. Between the ages of 6 and 9, some simple appliances help guide the growth of the mouth and improve functions like chewing and nasal breathing. Therefore, early evaluation often makes future treatment simpler and more effective. If you prefer, you can already schedule an evaluation in Porto by Scheduling an evaluation in Porto.
Myth vs. Reality
Myth: "Braces are only for aligning crooked teeth in adolescence."
Reality: For many children, the primary goal is to guide jaw growth and correct function. This way, crossbites are corrected, spaces are maintained when a baby tooth falls out early, and habits like pacifier use or thumb sucking are controlled. Later, if necessary, fine alignment of the teeth occurs with much more predictability.
Why Evaluate Early (6–9 years)?
From ages 6 to 9, there is a very favorable window for bone growth. Early interventions, known as interceptive orthodontics, can prevent bigger problems. Additionally, the so-called "jaw orthopedics" focuses on guiding the growth of the facial bones, which is simpler at this age. The American Association of Orthodontists (AAO) recommends the first evaluation by age 7.
Warning Signs for Parents
- Crossbite (one side or both) or open bite at the front.
- Obvious lack of space or teeth that are slow to emerge.
- Mouth breathing, frequent snoring, or lips always slightly open.
- Prolonged habits: pacifier, thumb sucking, tongue thrusting.
- Recurrent trauma to the front teeth due to being too protruded.
If any of these signs appear daily, it's worth scheduling an evaluation. However, not every child needs braces right away; many will just be monitored.
What Can Be Done Between Ages 6 and 9
- Palate expander: Corrects narrow palate and crossbite, also helping nasal breathing when there is a lack of width.
- Space maintainer: Preserves space after early loss of a baby tooth.
- Habit appliances: Help quit pacifier/thumb and correct atypical swallowing.
- Selected functional appliances: Guide the growth of the mandible/maxilla according to the diagnosis.
- Active monitoring: When the best approach is to wait and observe growth, with periodic reviews.
Benefits of Intervening at the Right Time
- Potentially shorter and simpler treatments during adolescence.
- Improvement in chewing, tongue posture, and lip sealing.
- Reduced risk of trauma to protruded upper incisors.
- In some cases, lower likelihood of future extractions.
How Two-Phase Treatment Works
- Phase 1 (Interceptive): Focus on growth and function, usually short and well-targeted.
- Phase 2 (Adolescence): Final alignment of teeth and bite adjustment, if still necessary.
What to Expect from the First Consultation
During the consultation, we analyze the medical history, examine the bite, and if necessary, request X-rays and photographs. Based on this, we explain whether it's better to intervene now or monitor. You will receive simple guidance on habits, hygiene, and signs to watch for at home. In cases of persistent mouth breathing, coordinating with an ENT specialist and speech therapist may be helpful.
Frequently Asked Questions
What is the ideal age for the first evaluation? Around age 7, or earlier if there are warning signs.
Does every child need braces early? No. Many are just monitored until the right time.
Does palate expansion hurt? It may cause pressure and some initial discomfort, but it is temporary and manageable.
What if I wait until ages 12–13? Some bone corrections become more difficult after the growth peak. Therefore, early evaluation is prudent.
Does orthodontics improve breathing? When there is a narrow palate, expansion can help nasal breathing; in certain situations, joint evaluation with specialists is indicated.
Transparency: Time and Focus
Early phases are usually shorter and have very clear objectives. Additionally, the plan is individualized and reviewed throughout growth. The most important thing is to act at the right time and avoid unnecessary interventions.
Next Steps
Every child grows at their own pace, and the orthodontist's role is to guide this path calmly and clearly. If you noticed any of these signs—or if you have questions—we are in Porto to help. Schedule an evaluation by Scheduling an evaluation in Porto. For more professional information on the ideal age for evaluation, also consult the Portuguese Society of Dento-Facial Orthopedics and the AAO. And, if you came here from Instagram, the scheduling link is also in the bio.
