Many parents are surprised to learn that the American Board of Orthodontics recommends every child see a board-certified orthodontist by age 7. This recommendation does not mean that every child will need braces at that age. Instead, it is about early evaluation, careful monitoring, and ensuring each child’s growth and development are progressing in a healthy way.
By age 7, a child typically has a mix of baby teeth and permanent teeth. This stage allows an orthodontist to evaluate how the jaws are growing, how permanent teeth are erupting, and whether there are early signs of crowding, bite problems, or jaw discrepancies. Identifying these issues early can sometimes prevent more complex problems later—or, just as importantly, confirm that everything is developing normally.
It is important for parents to know that not all children need orthodontic treatment at age 7. In fact, many do not. An early visit is often simply a baseline evaluation. At Eng Orthodontics, children who are not ready for treatment are seen at no cost every six months so growth patterns can be monitored. There is never any charge until a child is truly ready to begin orthodontic treatment, giving parents peace of mind and children appropriate, timely care.
When early treatment is recommended, it is typically referred to as Phase 1 treatment. Phase 1 focuses on guiding jaw growth, creating space for permanent teeth, correcting harmful bite issues, or addressing habits such as thumb sucking. This phase usually begins while a child still has baby teeth and is designed to reduce the severity of future orthodontic problems—not necessarily to achieve a final straight smile.
Phase 2 treatment occurs later, once most or all permanent teeth have come in. This is when comprehensive orthodontic care, such as braces or clear aligners, is used to fine-tune tooth alignment and bite function. Most children who have completed Phase 1 will then take a break before beginning Phase 2. Some children only need Phase 2 treatment. A board-certified orthodontist carefully determines the right approach for each child based on growth, development, and long-term stability.
Choosing a board-certified orthodontist for your child is one of the most important decisions a parent can make. Board certification through the American Board of Orthodontics signifies advanced training, clinical excellence, and a commitment to the highest standards of care. It means your child is being treated by a specialist who has demonstrated mastery of orthodontics beyond basic licensure.
Dr. Albert Eng, owner and orthodontist at Eng Orthodontics, is board certified and has over 16 years of experience owning and practicing in his private, family-owned orthodontic office. He is widely known for his calm, personable manner, which helps put even the most nervous young patients at ease. Dr. Eng and his team accommodate children of all abilities and work closely with parents to ensure each child feels safe, comfortable, and supported.
An early orthodontic visit is not about rushing treatment—it is about informed guidance, prevention, and trust. With a board-certified orthodontist like Dr. Albert Eng, parents can feel confident their child’s smile and development are in expert hands.