Early Orthodontic Treatment for Children
Set the foundation for a lifetime of healthy, beautiful smiles
The American Association of Orthodontists recommends that children have their first orthodontic evaluation by age 7. At Islander Orthodontics, Dr. Borda provides comprehensive early orthodontic assessments to identify potential issues and determine the optimal timing for treatment.
Early orthodontic treatment—also called Phase 1 or interceptive treatment—can address developing problems while your child is still growing. This proactive approach can simplify or even eliminate the need for more extensive treatment later, setting the stage for a healthier, more confident smile.
What is Early Orthodontic Treatment?
Early orthodontic treatment (Phase 1) is performed while your child still has a mix of baby and permanent teeth, typically between ages 7 and 10. The goal is to guide jaw growth, create space for permanent teeth, and address bite issues before they become more serious.
Early treatment doesn't always mean your child will need braces right away. In many cases, we simply monitor development and intervene at the most effective time. When treatment is needed, it's usually shorter and more focused than comprehensive orthodontic treatment.
After Phase 1 treatment, there's typically a resting period during which we monitor the eruption of remaining permanent teeth. Phase 2 treatment (full braces) may or may not be necessary, depending on how teeth develop.
Why Age 7?
First Molars Have Erupted
By age 7, the first permanent molars and incisors have typically erupted, allowing Dr. Borda to evaluate the relationship between upper and lower jaws.
Growth is Active
Children are still growing, making it easier to guide jaw development and correct bite problems before growth is complete.
Early Detection
Some problems are easier to correct when caught early, before they become more severe or require more invasive treatment.
Prevention
Early intervention can prevent more serious problems from developing, potentially reducing or eliminating the need for tooth extractions or jaw surgery later.
Signs Your Child May Need Early Treatment
Watch for these warning signs that may indicate a need for early orthodontic evaluation:
Early or late loss of baby teeth
Difficulty chewing or biting
Mouth breathing
Thumb or finger sucking after age 5
Crowded, misplaced, or blocked-out teeth
Jaws that shift or make sounds
Difficulty speaking
Biting the cheek or roof of the mouth
Facial imbalance or asymmetry
Grinding or clenching teeth
Problems Early Treatment Can Address
Crossbites
When upper teeth bite inside lower teeth, crossbites can cause uneven jaw growth and facial asymmetry if left untreated. Early correction guides proper jaw development.
Severe Crowding
Early treatment can create space for permanent teeth to erupt properly, potentially eliminating the need for tooth extractions later.
Protruding Front Teeth
Teeth that stick out are more prone to injury. Early treatment can protect your child's smile and reduce the risk of trauma.
Underbites
When the lower jaw grows too far forward, early intervention can guide growth and prevent the need for jaw surgery in the future.
Excessive Overjet (Overbite)
When upper front teeth protrude excessively, early treatment can improve facial balance and reduce the risk of injury.
Harmful Oral Habits
Thumb sucking, tongue thrusting, and mouth breathing can affect dental and facial development. We can help break these habits and prevent long-term problems.
Benefits of Early Orthodontic Treatment
Guides Jaw Growth
Takes advantage of your child's natural growth to create proper jaw relationships and facial balance.
Creates Space
Helps permanent teeth erupt in better positions, potentially avoiding extractions or more complex treatment later.
Reduces Treatment Time
Addressing issues early can simplify or shorten future orthodontic treatment, if needed.
Improves Appearance
Corrects visible problems early, boosting your child's confidence during important developmental years.
Prevents Injury
Protruding front teeth are more vulnerable to trauma. Early treatment reduces this risk.
Improves Function
Corrects bite problems that can affect chewing, speaking, and breathing.
What to Expect During Early Treatment
Initial Evaluation
Dr. Borda will examine your child's teeth, jaws, and facial structure. We'll take X-rays and photos to assess development and identify any issues.
Treatment Plan
If early treatment is recommended, we'll create a customized plan tailored to your child's specific needs. We'll explain the process, timeline, and expected outcomes.
Active Treatment
Phase 1 treatment typically lasts 6-18 months. We may use appliances like expanders, partial braces, or retainers to guide growth and tooth development.
Resting Period
After Phase 1, we'll monitor your child's development while remaining permanent teeth erupt. We'll see your child every 6-12 months during this time.
Phase 2 (If Needed)
If comprehensive treatment is needed after all permanent teeth have erupted, it will typically be shorter and simpler thanks to early intervention.
Common Early Treatment Appliances
Palatal Expander
Widens the upper jaw to create space for teeth and correct crossbites. Most effective when used during active growth.
Partial Braces
Brackets placed on select teeth to guide eruption, correct rotations, or create space.
Space Maintainers
Hold space for permanent teeth when baby teeth are lost prematurely, preventing crowding and misalignment.
Habit Appliances
Help break harmful habits like thumb sucking or tongue thrusting that can affect dental development.
Why Choose Islander Orthodontics for Your Child
Child-Friendly Environment
Our office is designed to make children feel comfortable and at ease. We create positive experiences that set the foundation for lifelong dental health.
Experienced Specialist
Dr. Borda has extensive training in growth and development, ensuring your child receives expert care at the right time.
Parent Communication
We keep parents informed every step of the way and answer all questions about treatment and development.
Flexible Payment Options
We offer affordable payment plans to make early treatment accessible for every family.
Schedule Your Child's Free Orthodontic Evaluation
Early assessment can set your child on the path to a lifetime of healthy smiles.
Or call us at (206) 707-7650
What Our Patients Say
"I've had an amazing experience at Islander Orthodontics! The entire team is personable, attentive, and truly top-notch. They make every visit comfortable and easy, and you can tell..."
Carl V.
a month ago
"Dr. Borda and her staff are amazing! Always very friendly, communicative, and make you feel informed. I've been going to her clinic for about a year now, and I offer a genuinely hi..."
Tyler B.
2 months ago
"This is such a helpful and professional office & they work so great with kids. Dr. Borda is immensely kind & knowledgeable… And they have beautiful offices. Highly recommend Island..."
Olivia L.
3 months ago
Islander Orthodontics
Mercerdale Professional Center (lower level)
3236 78th Ave SE #102, Mercer Island, WA 98040