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Top 5 Signs Your Child May Need Early Orthodontic Treatment

Most parents know that orthodontics plays an important role in creating straight teeth and healthy smiles. What may be less well known is that orthodontic treatment doesn’t always start in the teen years. In fact, the American Association of Orthodontists recommends that children have their first orthodontic evaluation around age seven.

Early orthodontic treatment — also called Phase 1 treatment — allows orthodontists to guide jaw growth, correct bite issues, and make space for permanent teeth as they come in. This proactive approach can prevent bigger problems later on and often makes future treatment shorter and less complex.

But how do you know if your child might benefit from early orthodontic care? Here are the top five signs to watch for.


1. Crowded or Misaligned Teeth

One of the most common reasons for early orthodontic treatment is visible crowding. When baby teeth overlap or erupt at odd angles, it can be a sign that the jaw doesn’t have enough space for permanent teeth.

Early treatment can expand the dental arches, create room for adult teeth, and guide them into healthier positions. Addressing crowding early helps avoid severe misalignment or the need for tooth extractions later.


2. Difficulty Biting or Chewing

If your child struggles to bite into food or chews unevenly, it may be a sign of a bite issue. Common bite problems include:

  • Overbite — The upper teeth extend too far over the lower teeth.
  • Underbite — The lower teeth extend in front of the upper teeth.
  • Crossbite — Upper teeth sit inside the lower teeth when biting.
  • Open bite — Front teeth do not meet when the mouth is closed.

These issues don’t just affect appearance — they can make chewing difficult, wear down teeth unevenly, and even contribute to jaw discomfort. Early orthodontic care can correct these bite relationships before they worsen.


3. Mouth Breathing or Snoring

Children who regularly breathe through their mouths or snore during sleep may be dealing with airway problems. Mouth breathing can dry out oral tissues, increase the risk of cavities, and affect facial growth.

Orthodontic appliances like palatal expanders can help open nasal passages and improve airflow. By addressing these issues early, orthodontic care can support better sleep quality and healthier development.


4. Early or Late Loss of Baby Teeth

Baby teeth typically fall out on a predictable schedule. Losing them much earlier or later than expected may signal underlying problems with jaw growth or tooth development.

For example:

  • Early loss — Can cause neighboring teeth to drift into empty spaces, blocking permanent teeth from erupting correctly.
  • Late loss — May indicate that permanent teeth are misaligned or unable to erupt at all.

An orthodontist can use X-rays and evaluations to monitor tooth development and recommend solutions like space maintainers or interceptive appliances.


5. Jaw Shifting, Clicking, or Imbalance

Pay attention to how your child’s jaws line up when they bite. If you notice shifting from side to side, frequent clicking sounds, or a visibly uneven jaw, it may be time for an orthodontic evaluation.

Jaw imbalances can lead to long-term problems, including uneven wear, difficulty chewing, and even discomfort in the temporomandibular joint (TMJ). Early orthodontic intervention can guide jaw growth and prevent these issues from becoming more severe in adolescence or adulthood.


Why Early Orthodontics Matters

Treating orthodontic concerns in childhood offers many advantages beyond just aesthetics. Benefits of early orthodontic treatment include:

  • Reducing the need for extractions later — By creating enough room for permanent teeth.
  • Guiding proper jaw growth — Ensuring the upper and lower jaws fit together correctly.
  • Shortening future treatment — Making braces or Invisalign more effective during the teen years.
  • Boosting self-esteem — Helping children feel more confident about their smiles at an early age.

While not every child needs Phase 1 treatment, an orthodontic evaluation can provide peace of mind and a clear plan for the future.


Why Paying Attention Early Makes a Difference

Waiting until all the permanent teeth come in isn’t always the best option. By recognizing these early warning signs, parents can help their children avoid more complicated orthodontic problems down the road. A proactive approach ensures healthier development, more effective treatment, and brighter smiles that last a lifetime.


Take the Next Step Toward Your Child’s Smile

If you’ve noticed signs like crowding, bite problems, or mouth breathing in your child, it may be time for an orthodontic evaluation. At Gig Harbor & Tacoma Orthodontics, Dr. Patra and our team specialize in early orthodontic treatment tailored to children’s unique needs. Schedule your free consultation today at our convenient Gig Harbor or Tacoma office and take the first step toward your child’s healthiest smile.