As parents, we all want the best for our children—including healthy, confident smiles. But sometimes, it’s not easy to know when your child might need help from an orthodontist. After all, every child grows differently, and what might seem like a small quirk in their bite or smile could actually be a sign of something deeper.
So how do you know when it’s time to schedule that first orthodontic visit? Here are some key signs to watch for.
1. Baby Teeth That Fall Out Too Early—or Too Late
Losing baby teeth is a big milestone. But did you know that losing them too early or too late could signal problems with how the permanent teeth will grow in?
An orthodontist can spot these timing issues and guide things back on track, potentially avoiding more complex treatment later on. Even if it seems minor, the timing of baby tooth loss plays a major role in long-term dental alignment.
2. Pain or Trouble While Chewing
Chewing should be easy and pain-free. If your child regularly complains about discomfort while eating, it could be more than just sensitivity—it might point to underlying orthodontic concerns, like misaligned teeth or jaw positioning issues.
Don’t ignore signs like your child avoiding certain foods or chewing only on one side. A checkup can help pinpoint and correct the cause.
3. Constant Mouth Breathing
Mouth breathing can be more than just a habit—it’s often linked to developmental changes in the jaw and facial structure. Over time, breathing through the mouth instead of the nose may contribute to narrow dental arches, open bites, or other alignment issues.
An orthodontist can help identify whether mouth breathing is affecting your child’s oral health.
4. Jaws That Shift or Click
Does your child’s jaw shift when they talk or chew? Do you hear a clicking sound when they move their mouth?
These could be signs of bite issues or TMJ (temporomandibular joint) problems. Orthodontists specialize in how the teeth and jaws fit together and can determine if the alignment needs to be corrected to prevent pain and other complications down the road.
5. Frequent Cheek Biting
If your child often bites the inside of their cheeks while eating or speaking, this might not just be clumsiness—it could be a misalignment between the upper and lower teeth.
When the teeth don’t come together properly, they can trap soft tissues like the cheeks or lips. Treatment can gently shift the bite into a safer, more comfortable position.
6. Unbalanced Facial Features
Facial symmetry is often connected to jaw alignment. If your child’s chin appears off-center, or if the lips and jaw don’t seem to line up, it might be more than just a growth phase.
Orthodontists can detect jaw growth issues early on, and in many cases, guide it in a healthier, more balanced direction using orthodontic appliances.
When Should You Book the First Orthodontic Visit?
The American Association of Orthodontists (AAO) recommends that children have their first orthodontic exam by age 7—even if there are no obvious problems.
At this age, a mix of baby and permanent teeth allows orthodontists to spot early warning signs and plan treatment (if necessary) before things become more complicated.
During this first visit, the orthodontist will typically answer five key questions:
- Is there an orthodontic issue present?
- If so, what is the nature of the problem?
- What treatment options are available?
- How long will the treatment take?
- What will the cost be?
Even if treatment isn’t needed right away, your child’s orthodontist can monitor growth and recommend the ideal time to begin treatment later on.
Trust Your Instincts—and Ask the Experts
As a parent, you know your child better than anyone. If something seems off with their smile, bite, or jaw, it’s always worth checking in with a specialist. Many orthodontic issues are easier and less invasive to correct when addressed early.
If you have questions or want to schedule your child’s first orthodontic exam, we’re here to help.
📍 Philadelphia Office: (610) 664-1641
📍 Kensington, MD Office: (240) 550-1442
Let’s work together to give your child a smile that’s not only healthy—but one they’ll feel proud to show off.***
