When is it Time for an Orthodontic Evaluation?

Back-to-school season is full of checklists: school supplies, updated wardrobes, and annual physicals. But there's one important item many parents overlook, and that’s their child's smile.

As your child grows, so do their jaws. Scheduling an orthodontic evaluation at the right time can help identify potential issues early, making treatment simpler, more effective, and in some cases, shorter. Even if your child's teeth appear straight, there may be underlying concerns that only an orthodontist can detect.

Here's your back-to-school smile checklist to help determine whether it's time to schedule an orthodontic evaluation.

Your Child Is Around Age 7

Because of their own experience, many parents assume orthodontic treatment doesn't begin until the teenage years, but the American Association of Orthodontists recommends that children have their first orthodontic evaluation by age 7.

At this age, your child typically has a mix of baby teeth and permanent teeth, allowing an orthodontist to evaluate how their bite and jaw are developing. Most children won't need braces immediately, but early monitoring can help prevent more complex problems later.

Teeth Look Crowded or Too Far Apart

As permanent teeth come in, it's normal for parents to notice changes. However, excessive crowding or unusually large gaps may indicate that orthodontic treatment could be beneficial. Signs to watch for include:

• Teeth overlapping or twisting
• Permanent teeth erupting behind baby teeth
• Large spaces between teeth
• Teeth that don't seem to have enough room

Early evaluation helps determine whether these issues are likely to resolve naturally or require treatment.

The Bite Doesn't Seem Right

A healthy bite is about much more than straight teeth. You may notice:

• Upper teeth sticking out significantly
• Lower jaw extending beyond the upper jaw
• Front teeth that don't touch when biting down
• Difficulty closing the mouth comfortably
• Teeth that meet unevenly

These bite issues can affect chewing, speaking, and even long-term oral health if left untreated.

Your Child Breathes Through Their Mouth

Chronic mouth breathing isn't always an orthodontic issue, but it can be associated with jaw development and bite problems.

If your child consistently breathes through their mouth, snores regularly, or struggles with proper lip closure, it's worth mentioning during an orthodontic evaluation. Your orthodontist may recommend additional evaluation by your child's pediatrician or an ear, nose, and throat (ENT) specialist if necessary.

They Still Suck Their Thumb or Use a Pacifier

While many children naturally outgrow these habits, prolonged thumb sucking or pacifier use can affect the position of the teeth and the development of the jaw.

An orthodontic evaluation can help determine whether these habits have impacted your child's bite and whether early intervention is recommended.

They Frequently Bite Their Cheeks or Have Difficulty Chewing

If your child avoids certain foods, chews awkwardly, or accidentally bites their cheeks often, it may be related to how their teeth fit together.

An orthodontist can evaluate whether bite alignment is contributing to these challenges and discuss treatment options if needed.

They Feel Self-Conscious About Their Smile

Orthodontic care isn't only about improving oral health as it can also boost confidence.

If your child hides their smile in photos, avoids smiling, or expresses concerns about their teeth, an orthodontic consultation can provide reassurance and help you understand the available treatment options. Today's orthodontic solutions are more comfortable and discreet than ever before.

Early Evaluations Don't Always Mean Early Treatment

One of the biggest misconceptions about orthodontics is that every evaluation leads to braces.

In reality, many children simply enter a growth-monitoring program. Your orthodontist may recommend periodic checkups to monitor tooth eruption and jaw development, beginning treatment only when the timing is ideal.

Early evaluations give families the advantage of planning ahead rather than reacting after problems become more difficult to correct.

Make Oral Health Part of Your Back-to-School Routine

Back-to-school is the perfect time to establish healthy habits that support a lifetime of confident smiles. Your child's checklist should include:

• Brushing twice a day with fluoride toothpaste
• Flossing daily
• Wearing a mouthguard during sports
• Visiting the dentist every six months
• Scheduling an orthodontic evaluation if recommended

Starting the school year with a healthy smile can help your child feel more confident both inside and outside the classroom.

Give Your Child a Reason to Smile This School Year

An orthodontic evaluation is quick, painless, and provides valuable insight into your child's dental development. Whether treatment is needed now or years down the road, early assessment allows you to make informed decisions about your child's oral health.

This back-to-school season, add one more item to your family's checklist: make sure your child's smile is growing as beautifully as they are.

McKenna Orthodontics has served Morristown, TN and the surrounding area for over 30 years. Dr. Mark McKenna is an experienced orthodontist who can help enhance your smile and improve the overall health and function of your teeth and jaw. Schedule a free consultation today!

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