Redhead Orthodontics

0207 637 0777

Early Treatment

What is early treatment?

Parents usually have many questions about orthodontic treatment for their children. Ideally children between the ages of 8-10 years should visit a registered specialist orthodontist for an assessment.
This allows the orthodontist to evaluate your child’s existing and incoming teeth and determine whether or not early treatment might be necessary.


Typically the first permanent molars are present in the mouth, giving your orthodontist an opportunity to check for a developing malocclusion, also known as a “bad bite.” Incisors have also usually begun to come in and problems such as crowding, deep bites, crossbites and open bites can be detected.

Before permanent teeth have come in, it may be possible to help teeth to erupt (emerge through the gums) into better positions. It's common, for example, for the dental arch to be too small to fit all of the teeth. A few decades ago, the solution for crowding was almost always to extract some of the permanent teeth to make space. Then fixed braces were used to position the teeth properly.

Early intervention takes advantage of the fact that a child's jaw is still growing. For example, a device called a palatal expander may be used to expand the child's upper dental arch. Once the arch is the proper size, there's a better chance that the adult teeth will emerge in better position. Sometimes teeth still may be crowded after all of them have erupted. In such cases, some permanent teeth may still have to be extracted to make room to align the teeth properly.


Although treatment usually will not begin until one to five years after the initial evaluation, it is still helpful in determining whether your child has any problems with the jaw and teeth early, when they may well be easier to treat.
Earlier treatment can also be financially beneficial to the patient by correcting a potential problem early, rather than allowing the situation to deteriorate. For some children, early treatment can prevent physical trauma to the protruding front teeth and reduce emotional distress if teasing is occurring. In addition, severely crowded teeth can prevent good oral hygiene.



There are several ways you can determine whether your child may need early orthodontic treatment. If you observe any of these characteristics or behaviours, you should see an assessment from a specialist orthodontist:

  • Early loss of baby teeth (before age five)
  • If your child’s teeth do not meet properly at all when biting
  • Mouth breathing and/or snoring
  • If your child’s front teeth are crowded (you generally won’t see this until the child is about seven or eight years old)
  • Protruding front teeth
  • Biting or chewing difficulties
  • A speech impediment
  • If your child’s jaw shifts when he or she opens or closes the mouth
  • If your child is older than five years and still sucks a thumb or finger

If you think your child needs or would benefit from early orthodontic treatment, only a specialist orthodontist has the training, experience and expert knowledge to determine the most appropriate treatment options and the best time to start treatment. When you see a specialist orthodontist you can be confident that your child is in the best hands.


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0207 637 0777