Causes and Treatment of Orthodontic Disorders in Children

Key Takeaways
Dr. Dt. Ekin Saydam
Written by DentAkademi Editorial Team
Medically reviewed by Dr. Dt. Ekin Saydam
Last updated:

Pediatric orthodontics includes treatments designed to prevent problems that might occur in later years. Because children’s teeth are more sensitive, issues such as cavities, crowding, and jaw disorders can appear during this period. However, early diagnosis and orthodontic treatments can prevent these problems.

Although orthodontic disorders in children are often hereditary, external factors can also cause such problems. Habits like thumb sucking and poor breathing patterns in children can cause tooth misalignment.

Orthodontic treatments in children are not limited to braces alone. Many alternatives exist, such as removable appliances and space maintainers. The appropriate method is decided by the dentist after examination.

What Is Pediatric Orthodontics?

Pediatric orthodontics monitors dental and jaw development during the mixed dentition period when both primary and permanent teeth are present. It aims to diagnose and treat current or potential problems early. Tooth misalignment can occur in children due to thumb sucking, prolonged bottle use, or genetic reasons. Pediatric orthodontic treatments help prevent problems that may develop later in life.

Why Do Orthodontic Disorders Occur in Children?

Although often genetic, environmental factors play a significant role in orthodontic disorders in children. Certain habits from early childhood, jaw structure, and hereditary traits may lead to orthodontic issues.

Causes of orthodontic disorders in children include:

  • Thumb sucking habit
  • Bottle feeding
  • Congenital crooked teeth
  • Mouth breathing
  • Early or late loss of primary teeth
  • Jaw narrowing and other jaw problems

What Does Pediatric Orthodontic Treatment Include?

Pediatric orthodontics is not limited to braces use. Other orthodontic treatments include tooth extraction, jaw surgeries, and appliance use.

Treatments include:

  • Preventive orthodontics (use of space maintainers)
  • Interceptive orthodontics (to stop thumb sucking habit)
  • Appliance therapy
  • Braces treatment
  • Orthognathic guidance (monitoring jaw development)
Treatment TypeMain PurposeWhen It Is Used
Preventive orthodonticsPreserve space and guide tooth eruptionEarly tooth loss
Interceptive orthodonticsStop harmful habitsThumb sucking, mouth breathing
Appliance therapySupport jaw and tooth developmentMixed dentition period
Braces treatmentAlign teeth properlyCrowding and misalignment
Orthognathic guidanceMonitor jaw growthJaw development issues

How Is Pediatric Orthodontic Treatment Performed?

Treatment planning considers the child’s age, dental and jaw structure. First, the dentist examines and evaluates the general jaw and teeth structure. If necessary, decay treatment and tooth extraction are done. Then, the dentist applies the appropriate orthodontic treatment method.

Treatment steps:

  • Initial examination and diagnosis
  • Intraoral and X-ray measurements
  • Preparation of a customized treatment plan
  • Application of appliance or braces treatment
  • Adjustments and regular follow-ups

Advantages of Pediatric Orthodontic Treatment

Early orthodontic treatments prevent many potential problems later. They help children achieve a healthy smile and boost self-confidence. They also promote healthier dental development compared to peers.

Advantages include:

  • Proper jaw development
  • Prevention of possible tooth loss
  • Increased self-confidence
  • Improved digestion
  • Reduced speech problems
  • Prevention of crooked teeth
  • Prevention of thumb sucking and mouth breathing

What Should Children Do After Orthodontic Treatment?

To maintain lasting results, children should follow some important guidelines after treatment. Changes in diet, extra attention to oral hygiene, and following dentist’s instructions contribute to healthier treatment outcomes and prevent future dental issues.

Post-treatment care:

  • Compliance with appliance use
  • Regular tooth brushing
  • Following doctor’s instructions
  • Avoiding hard and sticky foods
  • Avoiding acidic and high-sugar foods and drinks
  • Attending regular dental check-ups

Frequently Asked Questions About Pediatric Orthodontics

At what age does orthodontic treatment begin?

Typically, age 7 is ideal for the first orthodontic examination. At this age, jaw development and teeth position are evaluated and preventive treatment may start if necessary.

Treatment duration varies between 6 months and 2 years, depending on dental condition and compliance.

Braces are usually placed between ages 9 and 14, after most permanent teeth have erupted.3

If oral hygiene is poor, plaque buildup around braces can cause cavities. However, good hygiene minimizes this risk.

If your child has crooked teeth, jaw misalignment, mouth breathing, speech problems, or frequent biting issues, orthodontic evaluation may be needed. The first orthodontic exam around age 7 helps detect such problems early.

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