ASK THE DENTIST: What happens at your child’s first Orthodontic visit?

 

Many parents believe orthodontics begins in the teenage years. In reality, a child’s first orthodontic visit  is recommended around age 7, when baby and adult teeth are both present. At this stage, orthodontists  can identify early concerns and guide healthy growth before problems become more complex. 

The first visit is typically simple and comfortable. The orthodontist will assess your child’s dental  development by: 

• Examining teeth, bite, and jaw alignment  

• Taking X-rays or digital scans (if needed) 

• Checking for early signs of crowding, spacing, or bite issues  

The goal is not always immediate treatment, but early detection and planning. 

Common issues identified early 

Even if teeth appear straight, underlying problems may exist, such as: 

• Lack of space for emergence of adult teeth 

• Protruding upper front teeth – increased risk of dental trauma  

• Overbite – increased vertical overlap between front teeth, with potential trauma to the gums • Anterior open bite – potential difficulties biting foods using the front teeth 

• Other bite anomalies such as underbite or crossbite (“reverse bite”) 

• Delayed or early loss of baby teeth  

• Jaw growth discrepancies 

After evaluation, there are usually three outcomes: no treatment, periodic monitoring, or early  intervention.  

If early intervention is needed, there are multiple appliance types available, with different options  catering to one’s lifestyle preferences and behavioural habits.  

Your orthodontist will make the recommendation on treating timing and appliance type specific to your  child’s needs 

Why early evaluation matters 

Early assessment provides the peace of mind that your child’s dental and jaw development is on track. If  early treatment is indicated, it can minimise the need for more complex treatment later and set the  foundation for a healthy, confident smile.

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Dr Soh Shean Han is an Orthodontist with Specialist Dental Group®. She received her specialty training in Orthodontics from University of Washington-Health Sciences School of Dentistry, USA. She is an Adjunct Senior Lecturer with National University of Singapore and Associate Staff at National University Centre for Oral Health, Singapore. Dr Soh provides orthodontic treatment across all ages, including young kids and adults. She has a special interest in clear aligner treatment and the management of jaw deformities. http://www.specialistdentalgroup.com | (65) 6733 7883