Orthodontist Questions Crooked Teeth

My 9 year old son is getting his permanent teeth, but they are not in order. What should I do?

My son is 9 years old and has just started getting his permanent teeth, which do not seem to be coming in order and already look to be crooked. What can be done to correct this? Anything that I can do?

21 Answers

Please schedule your 9-year-old to see an orthodontist for complimentary evaluation. It is time for a check-up on him.
Why do you think he is not getting them "in order", did a dentist or dental staff member tell you that. The textbook sequence of getting teeth is based on the general population and there can be exceptions - if the lack of order is due to teeth not forming that is a problem. At age nine a child usually has the four first molars, the upper and lower central and lateral incisors and may have the lower cuspids, upper cuspid usually erupt around 11 or 12 years of age.
The best thing you can do is to have a consultation with an orthodontist who will evaluate your son’s particular case and come up with appropriate treatment.
You should take your son to an orthodontist to have him evaluated. The American Association of Orthodontists recommends every child be evaluated by an orthodontist at age 7. An orthodontist will let you know if any treatment is indicated.
My best advice for you and your son is to have a consultation with a reputable orthodontist, preferably one that is Board Certified (by the American Board of Orthodontics). The AAO (American Association of Orthodontists) recommends a first orthodontic consult around age 7, especially if there are any irregularities noted.
We suggest seeing a qualified orthodontist to help assess the need for orthodontic assistance for your son.
Search for an AAO Orthodontist and have a no-cost exam with X-ray to check the position of the unerupted teeth.

Go visit a local orthodontic specialist for a consultation.
Unfortunately, this question does not have a simple answer. There are a lot of different possibilities for your daughter's treatment. The only way to know for sure is for you to make an appointment with an orthodontist and have a thorough clinical examination and diagnostic records. This will give the orthodontist all of the information that they need to thoroughly study your daughter's individual case and determine the best treatment for her.

I hope this helps.
The order of adult teeth eruption may be a big problem, sometimes not. Depending on which teeth and why it's happening. Your Pediatric dentist, or Orthodontic specialist will easily be able to tell you if it's a big issue and how to address.
The normal order in which permanent teeth come in:

First, the first molars come in back of the mouth, the far end of all of the baby teeth. Lower first, normally about six months later, the upper. Around the age of 6.
Later, and speed of which they come in is governed by genetics, not that chart you see that is not even a good average the two front in the lower, followed by the upper about six months later. Then, the next in line is the two lower front teeth offset to the side of the center ones. Then, the uppers in the same location, again six months later. Then, the third tooth from the center in the lower, followed by the upper. There might be some variation from this order, as sometimes the fourth tooth will come in rather than the third. Normally, lower then upper.

It is important to realize that if all the baby teeth are lined up nicely, without any gaps between them, crowding is a natural consequence, as the secondary teeth are invariably larger than the primary teeth. Crowding and displacement from the normal alignment can be caused by not only a lack of space, but by extra teeth, which sometimes occur, by displacement of teeth outside of their normal spots, and their running into other teeth, forcing them into wrong positions. All that is probably best checked out by someone who knows what is going on. A children's dentist, or an orthodontist.
A visit with an orthodontist should clarify for you what is going on for you and if he needs help, the orthodontist should be able to advise you as to what can be done to fix it. Some times at this age there may be a simple exercise that the patient can do or it may be that having your dentist remove a baby tooth or teeth early might help. The orthodontist can recommend whats best once they have had an opportunity to evaluate you son. Most orthodontists will evaluate patients free of charge.
This is a common age to be evaluated. Crowding can be addressed now and at this age, permanent teeth extractions can often be avoided.
The American Association of Orthodontists recommends a consultation with an orthodontic specialist at age 7. Most orthodontic consultations are free, so call your local orthodontic specialist and have them take a look at your son. They will let you know the correct course of action.

Hope this helps,

Dr. Gibson
See an orthodontist.
Your son should have an initial examination by an orthodontist. Many problems can be corrected or significantly improved by about a year of Early Treatment. When all of his teeth have come in by age 12 or 13, he will be ready to complete his treatment with braces or Invisalign Teen.
9 is a perfect age to see an orthodontist. There are many interceptive treatments that can be done to make room for incoming teeth if that is needed. This can make future treatment much easier, of unncessary. It also usually means that patients will not need to remove permanent teeth in the future (this is done to make room for the teeth). Even if you don't end up needing treatment now, it will give you an idea for the future plans.

Thanks,

Nichole
The American Association of Orthodontists recommends that all children should be seen by an orthodontist at age 7. If he hasn't seen an orthodontist, you should take him to one for an initial examination. The types of problems you discuss in your question will be identified by the orthodontist and recommendations can be made. With this type of situation, rarely do we want to wait until all permanent teeth erupt before taking any action. We can often intercept these problems before they get to be more
difficult to correct. Hope this helps.

Kenneth A. Holman, D.D.S.
See an orthodontist.

Thanks,

Tony Skanchy, DMD, MDS
Hello!
The best thing to do is to have an orthodontist see your son to see if any early treatment is indicated. As long as there's not a significant skeletal discrepancy, or severe crowding...it is often best to wait until all or at least most of the permanent teeth have erupted. Otherwise you're looking at either TWO sets of braces, or an unnecessary extended time in braces! (neither of which are very appealling!)
However, there are MANY things that can and SHOULD be intercepeted early...when there are still some primary teeth remaining!
So, the best thing to do would be to make an appointment for your son for a new patient exam/consultation to see what if anything is necessary at this time!
Hope this helps!
Dr. Logeman
We get this question in our pediatric practice all the time. It is hard for me to give you the right answer without evaluating your son's case, but the American Board of Orthodontics highly recommends kids to be evaluated as early as age 8. This will help the orthodontist diagnose any tooth or jaw-related problems earlier and prevent future complications.