Orthodontist Questions Crooked Teeth

My son is 8 years and his permanent teeth are crooked. Is it too early to go to an orthodontist?

My son is 8 years old and his permanent teeth are now erupting. They are coming in crooked and not aligned properly. The dentist who saw him said I should wait it out and that this is normal. Do you think I should get an orthodontist to get him checked just in case?

22 Answers

To have the first permanent teeth coming crooked is not too usual but it would be best to have an orthodontist look at your son. Like everything, there can be exceptions to the rule. To make the proper diagnosis it would be wise to have a specialist look at your son.
I respectfully disagree with your primary care dentist. Teeth that are newly erupted at the age of 8 should come in straight. If there is irregularity, he should be seen in office for a consultation for possible early treatment.
We start orthodontic consults with children at the age of 7 years old.
An orthodontist should check him, but it is probably early for treatment. The American Association of Orthodontics suggests kids should be screened by age 7. This is when the front teeth, or incisors, are growing in. At this age it is helpful to assess tooth and jaw positions.

This is a common question that many people have. The American Association of Orthodontists recommends the first consult with an orthodontist at age 7. We do this so we can evaluate things such as jaw size and the development of the teeth. Many first exams include an X-ray which will allow us to evaluate all the teeth that have not fully erupted. Many times patients are placed in a recall system to monitor the eruption of the teeth and will start with braces when all the teeth have erupted. Other children with jaw-size concerns may start treatment early to fix problems that are easily addressed while growth is occurring. I would suggest an exam with an orthodontist just to have the discussion about your concerns with crowding. Most orthodontists do not charge for a first exam and it can help to establish a relationship with a doctor your son will be seeing someday.
I hope this helps!
The American Association of Orthodontists recommends initial screening at age 7. Often early intervention can prevent more significant problems and can produce more stable results through growth modification. Your child may be presented with treatment options or be placed on recall for the following year so that growth and development can be monitored.
The American Dental Association recommends all children receive an orthodontic examination at age 7. If you are seeing problems you should seek a board certified orthodontist at any age. Please check under the Orthodontist location tab at Americanboardortho.com to find a qualified orthodontist in your area.

Dr. Eric Dellinger, DDS, MSD
Absolutely not. The American Association of Orthodontist recommends that all children should get an orthodontic screening by age 7 (8 is great and 9 is fine).
The American Association of a Orthodontists recommends seeing an orthodontist by age 7 for an exam. If there is no treatment indicated, they will simply ask you to return in a year or so to check their tooth eruption and jaw relationship.
No it is definitely not too early. See the short article below.

The American Association of Orthodontists advocates for parents to bring in their children to see the orthodontist as early as 7 years old. Major problems (including severe crowding) of teeth can be treated early to avoid future complicated orthodontic treatment and surgery.
Yes definitely, the American Association of Orthodontics recommends that an orthodontist examine a child's teeth by the time they are 7 years old, even while baby teeth are still in the mouth. An orthodontist can identify a
developing problem and often times they might suggest working with the dentist to have them remove a baby tooth or teeth early in order to prevent a larger problem. Often, the orthodontist will just want to monitor the child’s growth and development, and then if indicated, begin treatment at the appropriate time for the child. In other cases, the orthodontist might find a problem that can benefit from early treatment. Early treatment may prevent more serious problems from developing and may make treatment at a later age shorter and less complicated.
Yes. This age is a perfect age to check for space issues and early alignment. Aligning before teeth are fully set into the occlusion are more stable.
The American Association of Orthodontists recommends that all children be screened by an orthodontist by age 7. The dentist who saw him may be right, but an orthodontist can spot jaw growth or teeth eruption problems at an early age. Sometimes patients can benefit from early intervention as we can guide the growth of the jaws to help permanent teeth come in properly. Also early intervention can prevent more extensive treatment later in life that may require pulling of permanent teeth or even jaw surgery.
No, an early examination by an orthodontist is recommended by orthodontists to pick up any ear problems. Nothing may need doing, but it is worthwhile assessing that all teeth are developing and no functional problems exist.
I do recommend that you take your son to an orthodontist for a consultation. Most of the times these consultations are free. The American Academy of Orthodontics recommends kids to be seen by an orthodontist at age 7. Your orthodontist would evaluate and let you know if there are any developing issues and answer all
yout concerns.
Age 6-7 is the perfect age to have your first orthodontic visit. Perhaps 20%-30% of patients benefit from early intervention at ages 6-9 while the rest are followed until they're ready for braces at age 11-13. Your orthodontist can discuss the options available to you and usually follow patients at no charge till they are ready to get that great smile.
We like to see patients at age 8. There are interceptive treatments that can be done to make future treatment easier and better. Also, some kids get their teeth early, so 8 is a great time.
The American Association of Orthodontists highly recommends kids to be checked by an orthodontist as early as age 7. Orthodontists might be able to diagnose and treat a patient if they have any malocclusion. On a side note, it is very common to have crowded teeth as early as age 8, but an expander treatment can help the patient to resolve crowding, so please consult with an orthodontist.

Dr. H. Nagori, B.D.S, MPA, C.A.G.S (Orthodontics), ABO
It’s not to early to have your son seen by an orthodontist. The American Association of Orthodontist recommends all children be evaluated by an orthodontist by age 7. If your son is not ready yet, the orthodontist will tell you when you can come back.

Dovid Friedman, DMD
While it may be too early for braces...it is NOT too early to be checked by an orthodontist!
There are many things that can and SHOULD be intercepted when a patient is in the mixed dentition (still has several primary teeth remaining!). Skeletal discrepancies, severe crowding, parafunctional habits, etc...which can be intercepted and corrected while we await the eruption of the remaining permanent teeth.
While personally, I'm not a big fan of two sets of braces OR many years in braces because we're waiting for teeth to come in...I AM in favor of early skeletal correction or arch development because often you can take advantage of growth AND make room for developing/erupting teeth!
Hope this helps!
Dr. L
Yes, the American Association of Orthodontists recommends seeing an orthodontist at age 7.


Tony Skanchy, DMD, MDS