Understanding Early Orthodontic Treatment
Early orthodontic treatment is planned for younger children who show certain bite or growth concerns during their first evaluation. Instead of waiting until all permanent teeth have erupted, our pediatric dentists may recommend a short phase of care that guides jaw growth and directs new teeth into better positions. This early approach can protect developing teeth, reduce future complications and create a healthier foundation for later comprehensive treatment if it is needed. Your child’s plan is based on individual needs, so treatment begins only when the benefits of early guidance clearly outweigh the option of waiting and simply watching growth closely.

Why Children Are Evaluated So Young
Benefits of Early Diagnosis
Evaluating children around age 7 may seem early, but it gives our pediatric dentists a valuable window into how the teeth and jaws are developing. At this stage, baby teeth and permanent teeth are both present, which makes it easier to see whether there is enough space for incoming teeth and whether the bite is balanced. Early diagnosis can reveal crowding, spacing, crossbites, open bites or jaw growth patterns that might cause bigger problems if they are not addressed until later.
When concerns are found, our pediatric dentists may suggest limited early treatment to guide growth, protect protruding front teeth or preserve space for permanent teeth that have not yet erupted. If no immediate problems are seen, we may place your child on a recall schedule, using brief visits to monitor changes and decide whether treatment will be helpful in the future. This careful timing helps avoid unnecessary treatment, focuses attention on issues that truly matter and supports healthy development during a period of rapid growth.
Parents gain peace of mind, and children become familiar with the orthodontic office, which makes later visits more relaxed, cooperative and positive for the entire family. They support healthier smiles and wiser choices about timing.

Does Every Treatment Help Every Child?
Choosing the Right Timing
Early orthodontic treatment is very useful for some problems, yet it is not the best choice for every growing child. Certain concerns, such as crowded front teeth or crossbites, respond well to treatment while the jaws are still developing. Other issues, including the final alignment of all permanent teeth, often wait until the teen years, when more teeth have erupted and the bite can be corrected in a single comprehensive phase. During an early evaluation, our pediatric dentists will study X-rays, photographs and the clinical exam to decide whether early treatment will give lasting benefits or whether observation is more appropriate. If early treatment is not expected to change the outcome or simplify later care, we may recommend waiting and returning on a recall schedule.
This individualized approach means that each child receives care that matches personal needs, rather than following a single plan based only on age. Parents are encouraged to ask questions, review the proposed timeline and understand how early treatment, later treatment or simple monitoring might affect comfort, cost and convenience. Clear explanations and regular follow up help families feel confident that early orthodontic choices support long term health and are based on careful, thoughtful planning together.

The Orthodontic Recall Program
Monitoring Growth Between Visits
The orthodontic recall program is designed for children who are not ready for active treatment but still need regular monitoring as they grow. Instead of guessing when to return, families receive a schedule for future visits, usually every six to eight months, so our pediatric dentists can follow important changes. During these short appointments, we check how permanent teeth are erupting, evaluate the bite, review X-rays when needed and talk with parents about any new questions or concerns. If a baby tooth is blocking a permanent tooth or if an eruption pattern suggests future crowding, our pediatric dentists may recommend small steps to guide growth, such as removing a baby tooth at the right time. These limited actions can help teeth erupt into better positions, shorten later time in braces and reduce the need for more extensive procedures in the future.
There is often no additional fee for recall visits, and your general dentist receives updates so that everyone involved in your child’s care understands the ongoing plan. The recall program also helps children become comfortable in the orthodontic office, which makes future treatment smoother, less stressful and more positive for the entire family.
Questions & Answers
As you consider early orthodontic treatment, you may wonder how it will affect future braces and whether your child truly needs care at a young age. These questions focus on early phases of treatment, recall visits and the relationship between childhood care and later comprehensive orthodontics for a healthy smile.
See Resources
Will early treatment prevent the need for braces as a teen?
Early treatment can correct important problems and protect developing teeth, but it does not always eliminate the need for braces during the teen years. Because new teeth continue to erupt, a second phase of treatment is often needed later to refine alignment, adjust the bite and secure lasting results overall.
How long does early orthodontic treatment usually last?
Early orthodontic treatment is typically shorter than comprehensive treatment in the teen years. Many early phases last about a year, but the exact length depends on your child’s needs, how quickly teeth respond and whether there are specific growth goals to reach.
Why is my child in a recall program instead of starting treatment now?
If your child is in a recall program, it means our pediatric dentists and team believe treatment will be more effective or efficient at a later time. Regular recall visits allow us to watch growth, guide eruption when needed and pick the best time to begin active treatment.
Who oversees my child’s early orthodontic care?
Your child’s early orthodontic care is a team effort between the orthodontic office and your family dentist. Dr. Eleni Asanaki and Dr. Ali Rad, our pediatric dentists in Peabody, Massachusetts, coordinate with dentist. We invite you to call Pediatric Dentistry and Braces at 978-595-1455 whenever you have questions about evaluations, recall visits or timing of treatment.