Early Orthodontic Treatment:

The early years of growth play an important role in the development of your child’s smile, bite, and airway. Early orthodontic treatment allows us to identify developing concerns before they become more complex, helping guide healthy jaw growth, create space for incoming teeth, and support proper function. At Atique Orthodontics, we take a comprehensive approach that looks beyond straight teeth to support long-term oral health, facial development, and confident smiles.

Early Orthopedic-Orthodontic Treatment
(Ages 3-10)

How can early treatment benefit my child?

The early years are an ideal time to guide the growth and development of the jaws and facial structures. When only baby teeth are present, treatment is often focused on dentofacial orthopedics, which involves gently directing jaw growth and improving how the teeth and jaws fit together.

By addressing concerns early, we can help create space for the developing permanent teeth and reduce the severity of future orthodontic problems. In many cases, a second phase of treatment (braces or aligners) may still be needed later to fine-tune tooth alignment.

At this stage, treatment may also help improve oral function, such as chewing patterns, oral habits (like thumb sucking and tongue thrust), clenching or grinding (bruxism), and swallowing.

Our comprehensive evaluation also includes assessment of breathing patterns (including mouth breathing), tongue posture, and palate development. These factors are part of how the face grows and functions and may be associated with how a child breathes, particularly during sleep.

When indicated, imaging such as CBCT may be used to evaluate anatomical structures, including the nasal airway and surrounding tissues. Findings such as enlarged tonsils or adenoids may be noted, and referral to an ear, nose, and throat (ENT) specialist or other healthcare providers may be recommended when appropriate.

We take a collaborative, evidence-based approach and may work with other professionals to support your child’s overall growth and development.

Common Early Treatment Needs in Children

1. Underdeveloped Upper Jaw: Narrow and Positioned Back

Before
After

When the upper jaw is underdeveloped, it may be associated with narrower airway dimensions and mouth breathing patterns. Early orthopedic treatment can help guide jaw development and support more favorable oral function and breathing patterns.

Before & after orthopedic treatment to guide forward development of the upper jaw using reverse-pull headgear (facemask).

Before
After
Before
After
In some cases, orthopedic treatment can begin as early as age 3. It is often most effective when started at a younger age, typically before age 9, depending on the child’s growth and development.

Patients proudly wearing their creatively decorated reverse-pull headgear

2. Narrow Dental Arches (Limited Space)

Before - Narrow & Crowded
After Palatal Expansion
The roof of the mouth (the palate) is also the floor of the nose. When it is narrow, there may be less space for the teeth and tongue. Supporting proper palate development may help promote healthy oral function and breathing patterns.
Posterior crossbite on the right side
After Palatal Expansion

Unilateral or bilateral posterior crossbite: The upper teeth sit inside the lower teeth on one or both sides. Contributing factors may include oral habits (such as thumb or finger sucking, prolonged pacifier use), swallowing patterns, and, in some cases, airway-related factors. If left untreated, a crossbite may lead to the jaw shifting to one side during biting and can be associated with asymmetric jaw development over time.

3. No Spacing Between Baby Teeth

Baby teeth with no spaces
Baby teeth with spaces
Lack of spacing between baby teeth may be associated with crowding as the adult teeth come in. In general, spacing between baby teeth can help accommodate the larger adult teeth.
Before treatment - baby teeth no spaces
After treatment - baby teeth with spaces
Example of early orthopedic treatment with expansion. This approach helps create the space needed for adult teeth.

4. Flared Upper Front Teeth (Commonly Referred to as “Buck Teeth”)

Before
After
Flared upper front teeth can affect facial appearance and may increase the risk of dental trauma. Treatment with Invisalign® First and its mandibular advancement feature can help guide the lower jaw forward during growth and reduce the overjet (horizontal distance between the upper and lower front teeth).

5. Signs to Watch For: Breathing and Airway

Certain findings may be associated with airway or breathing concerns, including mouth breathing, vertical facial growth patterns, snoring, attention or behavioral concerns (ADD/ ADHA), bedwetting, allergies, asthma, enlarged tonsils or adenoids, and frequent ear or sinus infections.
Consequences of Chronic Mouth Breathing

4. Flared Upper Front Teeth (Commonly Referred to as “Buck Teeth”)

Anterior tongue thrust/anterior openbite.
Before: Lower lip habit associated with flaring of the upper front teeth
Lateral tongue thrust/posterior openbite
After: By reducing upper incisor flaring and guiding the lower jaw forward, the lower lip posture improves and the habit often improves or resolves.
Thumbsucking

7. Aesthetic Considerations

Before Phase 1 Orthodontic Treatment
After Phase 1 Orthodontic Treatment
As children grow, they become more aware of their appearance, which can influence their confidence and self-esteem. Crooked teeth may play a role in how they feel about their smile. Depending on the severity, early treatment may be recommended to help improve alignment and confidence.

8. Gingival (Gum) Concerns

9 y.o. with gum recession on lower incisor
After Phase 1 orthodontic treatment with upper front braces
Improvement in gingival (gum) health was observed after correcting the alignment of the teeth.