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How Soon Is Too Soon to Bring Your Child to an Orthodontist?

Experience the Perfect Smile
How Soon Is Too Soon to Bring Your Child to an Orthodontist?
  • Romani Orthodontics
  • April 21, 2025

If you’ve ever looked at your child’s smile and thought, “Should we be doing something about this yet?”—you’re not alone. Many parents assume orthodontic treatment doesn’t begin until the teen years, when braces are most common. But what most families don’t realize is that the foundation for a healthy, well-aligned smile starts much earlier.

So, how soon is too soon to bring your child to the orthodontist?

The short answer: It’s not too soon by age 7.

In fact, that’s the ideal age for a first orthodontic evaluation—and at Romani Orthodontics, we’re here to guide you through what that means for your child’s smile, now and in the future.

Why Age 7 Is the Right Time for a First Orthodontic Visit

According to the American Association of Orthodontists (AAO), all children should have an orthodontic evaluation by the time they’re 7 years old, even if no obvious issues are present.

At this stage, most children have a mix of baby teeth and permanent teeth. This is a critical window in development because their jaws are still growing, and early adult teeth are beginning to take shape. It gives us a unique opportunity to:

  • Identify any bite or jaw development problems
  • Assess tooth alignment and spacing
  • Detect early signs of crowding, crossbites, or habits that could impact growth
  • Plan ahead for the smoothest treatment path—if one is needed

Coming in at this age doesn’t mean your child will get braces right away. It simply gives us a baseline to work from and lets us monitor changes as your child grows.

Common Misconception: “My Child’s Teeth Look Fine”

We hear this often—and it’s completely understandable. If your child’s teeth appear straight and they’re not complaining about discomfort, it might seem like everything is on track.

But orthodontic issues aren’t always visible. Some problems, such as:

  • Improper jaw growth
  • Early crowding
  • Crossbites
  • Mouth breathing
  • Tongue posture issues …may develop quietly and worsen over time if not addressed early.

That’s why an expert evaluation is so valuable. Using digital scans and an in-depth bite analysis, we can see what’s going on below the surface—and help prevent small concerns from turning into major issues.

What Happens at an Early Orthodontic Evaluation?

At Romani Orthodontics, we go above and beyond to make your child’s first orthodontic visit comfortable, educational, and even fun. During this visit, you and your child will:

  • Meet our friendly team and get to know the office
  • Learn what orthodontists look for in a developing smile
  • Receive a comprehensive exam of the teeth, bite, and jaw
  • Get digital photos and imaging (if needed)
  • Hear a clear explanation of our findings
  • Receive personalized guidance on what’s next

Outcomes of the First Visit:

  • No treatment needed: We’ll monitor growth and see your child again in 6–12 months.
  • Early intervention recommended: We’ll explain why and walk you through your options.
  • Future planning: We’ll create a custom growth tracking schedule based on your child’s unique needs.

No pressure. No rushing into braces. Just honest answers and smart planning for your child’s smile.

What Kinds of Issues Can We Catch Early?

Orthodontic problems caught early are often easier, less invasive, and less costly to address. Some of the most common issues we evaluate include:

Crowding or spacing

If adult teeth don’t have enough room to come in properly, we can gently guide jaw growth to create space.

Bite problems

Crossbites, overbites, underbites, and open bites can affect chewing, speech, and even facial development. Addressing these early leads to better long-term results.

Jaw development concerns

A growing child’s jaw can be gently adjusted with early-phase treatment (like expanders) to avoid more complex procedures later.

Harmful oral habits

Thumb sucking, tongue thrusting, or prolonged pacifier use can interfere with jaw development and tooth alignment.

Mouth breathing

Chronic mouth breathing can lead to narrow dental arches and long-face growth patterns. Identifying the cause early can improve health and aesthetics.

By checking for these early signs, we can guide development in the right direction—often avoiding the need for extractions or surgical treatment down the line.

Will My Child Need Braces at Age 7?

Not necessarily.

Most kids who come in for an early evaluation won’t begin treatment right away. Instead, they’ll enter what we call a “growth observation program.” This means we’ll check in with them every 6–12 months to monitor development and make sure everything is progressing smoothly.

Only about 10–20% of children need early (Phase One) treatment—and when they do, it’s because starting early will:

  • Reduce the severity of future issues
  • Shorten the time they’ll need braces later
  • Protect their teeth and oral function as they grow

We’ll always recommend treatment only if it’s necessary—and we’ll explain every step along the way.

Signs Your Child May Benefit from an Early Visit

While age 7 is a great general guideline, there are some signs you can look for even earlier. Call us for an evaluation if your child:

  • Lost baby teeth unusually early or late
  • Has difficulty biting or chewing
  • Has noticeably crowded or widely spaced teeth
  • Has a jaw that shifts or makes noise
  • Breathes through their mouth frequently
  • Sucks their thumb or fingers past age 5
  • Has visible bite issues (like an underbite or open bite)
  • Complains about jaw or tooth discomfort

Even if you’re unsure, a free consultation at Romani Orthodontics can give you peace of mind—and possibly save time, money, and discomfort in the future.

What If You Wait Too Long?

Delaying your child’s first orthodontic visit can limit treatment options later. By the time they’re 12 or 13, many jaw growth windows have closed, making it harder to correct certain issues without extractions or more advanced care.

That’s why an early evaluation is so valuable—even if it turns into a “wait and monitor” plan. It ensures you’re not missing the window for easier, more effective treatment.

Why Parents Across Rhode Island Trust Romani Orthodontics

At Romani Orthodontics, we treat your child like we’d treat our own—with compassion, honesty, and personalized care. Here’s what makes our early orthodontic care different:

  • Gentle, child-friendly approach to every visit
  • Advanced digital technology for faster, more comfortable evaluations
  • Clear, honest communication with parents—no pressure or jargon
  • Growth tracking at no cost, so we’re ready when your child is
  • A supportive environment that makes kids feel confident and comfortable

Whether your child needs early treatment or just a growth check every year, we’re here for the long haul—guiding you every step of the way.

Ready to Take the First Step?

If your child is around age 7—or you’ve noticed signs of potential orthodontic issues—there’s no better time to start the conversation.

A complimentary evaluation at Romani Orthodontics gives you the information, clarity, and peace of mind you need to support your child’s developing smile.

Schedule your child’s free consultation today and let’s create a plan that sets them up for lifelong confidence.

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We’d love the opportunity to help take care of your smile!
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patient testimonials

What Our Patients Are
Saying

Hear what our patients are saying about their experience with us!

Kate D.
My daughter loves everyone at Romani! She was so nervous to get her braces, but they have made every step of the way comfortable for her. Everyone is so friendly and accommodating. We have been very happy with our choice to go to Romani!
Jennifer M.
My daughter is a newer patient at Romani orthodontics and we cannot say enough about them. The staff is amazing and very welcoming! My daughter was nervous at first about getting braces but the staff made her feel so comfortable that she looks forward to coming into the office now! We highly recommend this office and give it a 10 out of 10!
Michelle C.
We cannot say enough wonderful things about Dr. Kristen Romani and the entire team at Romani Orthodontics in East Providence! My daughter, Mackenzie, started Phase 1 treatment back in February 2024 when she was almost 9 years old. She had severe crowding, and without intervention, we were looking at potential tooth extractions just to make room for her canine teeth. Dr. Romani put her in upper braces and a lower lingual arch with orthopedic headgear therapy for a little over a year. The results were amazing, but what truly blew me away was the environment. Dr. Romani and her staff made Mackenzie feel so excited and welcomed that when her Phase 1 braces finally came off, she actually cried because she wanted them back on! Fast forward two years later, and we are back for Phase 2, which includes upper and lower braces along with a Herbst functional appliance. Because of the fantastic foundation laid in Phase 1, Mackenzie isn’t scared of the hardware at all. In fact, she was so excited that she wanted her braces put back on that very same day! She genuinely looks forward to her next appointment. As a working parent trying to balance the chaotic daily juggle of school events, appointments, and work life, I am so grateful for how smoothly this practice runs. Romani Orthodontics always sends plenty of helpful appointment reminders, the waiting room is incredibly comfortable, and the staff is consistently pleasant. They always take the time to thoroughly answer every single question or concern we have. A special shout-out to Stacey, the treatment coordinator! She has the absolute best personality, always makes us laugh, and makes the logistical side of things a breeze. If you are looking for top-notch orthodontic care wrapped in a warm, fun, and stress-free environment, look no further than Dr. Romani!
Brittany L.
Dr Romani and his the whole team have been wondering during our last 2 years. My oldest started with phase 1 of his braces journey and now we are starting middle son. The boys never push back coming to this office. I have a third son who will most likely need to join this office in the future and I have no hesitation coming here for his orthodontist treatments either.
Ryan S.
I had a great experience during my Invisalign consultation. From the very beginning, the process was easy to schedule, and the entire visit was welcoming, professional, and informative. The team took the time to thoroughly explain my treatment options and made sure I understood what to expect moving forward. A special thank you to Stacey, the treatment coordinator, who was absolutely wonderful throughout my visit. She took the time to address all of my questions and concerns, never making me feel rushed, and made sure I felt comfortable and confident with the information provided. Her knowledge, patience, and friendly demeanor truly stood out. Overall, this was a very positive experience, and I would highly recommend this orthodontic office to anyone considering Invisalign or orthodontic treatment.
Mandi D.
We had a great experience with Romani orthodontics. They were straight forward from the consultation day to the end of our daughter’s plan. She is almost done with her first round of braces and we couldn’t be happier with the Dr.Romani’s knowledge and the rest of the team she worked with through the year.
Veera K.
Amazing people and very good at what they do! I love the way my teeth look now compared to what they looked like before! Thank you!!
Justin I.
Great office and staff. Always able to fit in an appointment when something happens with the braces. A+++
Joshua T.
Great ortho office, we used them for both kids and everything was excellent. Kuddos to their finance office especially, always helpful and flexible. As a bonus, the office is always thematically decorated!
Mark C.
I’m just finishing up my Invisalign journey. The team at Romani made the whole process go smoothly with great results. They laid out the path to success clearly and did everything to make sure I got there. As a busy adult I was worried about fitting in appointments but they were very accommodating, even when some last minute work travel came up. They are also a friendly, encouraging, supportive team that works together to make your journey (it really is so don’t think your going to get results without the work and dedication to the process) successful and will cheer you along the whole way. Thanks!!!
SHALEIGH H.
Dr. Romani and her entire staff are wonderful from check in to check out. They have made my son’s Orthodontic journey smooth and understandable every step of the way. I appreciate the extra care they take for each case that’s presented to them. I would recommend Dr. Romani for all of your Orthodontic needs !
Melissa A.
Two years of excellent service and amazing professionals who helped me achieve my new smile. I couldn’t be happier with the results. Thank you so much, Dr. Romani and the entire team!
Alex J.
Romani Orthodontics is always a great experience! We drive long distance for the expertise, kindness, and incredible results! We have had 3 of 4 people in our family get braces or Invisalign with perfect results. Dr. Kirsten Romani is the best of the best.
Taylor
I have been a patient at this facility for many years and I can confidently say that have always given me the best care and have the kindest staff! Definitely recommend for any dental needs!
Bill R.
I have known Dr Romani for years both professionally and personally. Because she is a thoughtful and thorough professional I can wholeheartedly recommend and endorse Dr Romani to anyone who might be looking for an orthodontist.
Laura F.
If you are looking for treatment, I highly recommend Romani Orthodontics. The staff is always friendly when I am there and Dr.Romani truly cares about her patients. The office is modern and very clean and now has a coffee station for parents to enjoy while their children are being seen for appointments. I trust the work of Dr.Romani, a highly trained, board certified Orthodontist. She always answers any questions I have and goes above and beyond for her patients!
King L.
The professionalism and expertise displayed by the doctor and employees are truly commendable. The staff are all courteous and pleasant. My daughter's orthodontic braces treatment from last summer is yielding good results. Upon calling to update payment card details on my file, I appreciated the prompt response. The receptionist's exceptional service warrants acknowledgment and a salary increase.
K H.
We had a consolation today! All the staff were very nice and friendly for me and children!
Bethany G.
Nothing but positive things to say. All the staff have been so kind, approachable, and attentive. My calls are always returned in a timely manner and I appreciate feeling like my children are genuinely cared for, and are not just another routine patient. Dr. Romani has also reached out personally to follow up on my children's care and new appliances, which was highly valued. Thank you!
Isabella Arboleda P.
During my treatment, each of them was patient, and their passion for their work and their desire for their patients to achieve a good result is evident. They always strive to provide the best solution and a positive experience.
Ismael C.
Did an amazing job with my teeth :) the ladies here made it worth coming in and chatting tho most of the time I couldn’t speak lol but definitely if need braces come check them out :)
Bill G.
Fantastic orthodontist, very knowledgeable, cares deeply for her patients and kind. It's too bad we can't give 10 stars.
Maggie
Dr. Romani and her team are excellent. They are very professional, friendly and caring, highly recommended.
Francisco G.
The service is fantastic; the doctor is incredibly knowledgeable and I can't stress how greatly organized they are from the second you step into the office. The way you feel welcome, everything is fantastic at this place
Autumn B.
We’ve been going to Romani Orthodontics for years, and we couldn’t be happier with our experience! All three of our kids have been treated there, and every single time the care has been exceptional. The entire team is friendly, welcoming, and incredibly professional. They always take the time to explain each step of the process, answer our questions, and make the kids feel comfortable and confident. The office is clean, organized, and runs efficiently, which we really appreciate as busy parents. Most importantly, the results have been amazing—beautiful smiles and a big boost in confidence for all three kids! We truly feel like part of the family every time we walk in. At our last retainer visit at Romani Orthodontics, we had Janice and she was awesome! She was friendly, efficient, and made the whole appointment quick and easy. We highly recommend Romani Orthodontics to anyone looking for knowledgeable, caring, and trustworthy orthodontic care.
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