Braces used to feel like a rite of passage for teenagers, but more and more kids seem to be starting orthodontic treatment at younger ages. For parents, that shift can be confusing—when’s the right time, what are the options, and how do you know if your child really needs them? To help clear things up, we spoke with Dr. Cary Bocklet, DMD, MSD, at BOCKLET ORTHOPEDICS, a trusted Charleston orthodontist with more than 30 years of experience, for a Q&A on what families should know.
Dr. Bocklett is with a patient who recently had her braces removed at Bocklet Orthopedics.
Q: At what age should parents first consider an orthodontic evaluation for their child?
A: The American Association of Orthodontists recommends a first orthodontic check-up at age 7 when children usually have a mix of baby teeth and permanent teeth. This gives us a clear picture of how their teeth and jaws are developing. Early evaluations don’t always mean early treatment — it’s about ensuring we can guide growth, prevent bigger problems later, and give parents peace of mind.
At our practice we also have a 7 and Up club for kids to join if they are not yet ready for treatment. You get complimentary 6-month growth and development visits until they are ready for treatment.
Q: What are the signs that a child may need braces, even before their permanent teeth have fully come in?
A: Teeth crowding, early or late loss of baby teeth, permanent teeth not erupting after loss of a baby tooth, crossbites, underbites, or teeth that protrude out. Habits such as thumb-sucking or mouth breathing can also be signs of poor jaw development. Even if the permanent teeth aren’t fully in, these patterns can show us how the jaws are developing and whether or not early treatment is indicated.
Q: What role do baby teeth and jaw development play in deciding the right timing for braces?
A: Baby teeth are like placeholders — they hold space for developing permanent teeth and guide them into the right positions. If baby teeth are lost too early or too late, it can negatively affect the developing permanent teeth. While most braces are placed once the permanent teeth have erupted (around ages 11–13), sometimes younger children benefit from an early phase (phase 1) treatment (ages 7–10) to correct jaw growth, make space for teeth, or prevent future complications. There is a push towards early treatment now primarily to limit future extractions and improve airway health in growing children.
