Mar 27, 2025

Do kids need braces if their baby teeth haven’t fallen out?

As a parent, it’s natural to have questions about your child’s dental development - especially when it comes to braces. One question we’re often asked at Marvel Orthodontics is: “Do kids need braces if their baby teeth haven’t fallen out?”

The short answer? Yes - sometimes orthodontic treatment begins before all baby teeth are lost. In fact, early assessment and even early intervention can help guide proper jaw development and prevent more complex issues down the track.

Let’s explore why that is, what signs to look out for, and when to bring your child in for an orthodontic assessment.

Why early orthodontic assessment matters

According to the Australian Society of Orthodontists, children should have their first orthodontic consultation by age 7. At this age, most kids still have a mix of baby (primary) teeth and adult (permanent) teeth.

This is the ideal time for a specialist to assess:

• Jaw growth and alignment
• Tooth crowding or spacing
• Bite issues like crossbite, underbite, or overbite
• Thumb sucking or tongue thrusting habits that affect development

Even if no treatment is required right away, early checks allow us to monitor your child’s growth and step in at the right time if needed.

Can orthodontic treatment happen with baby teeth still present?

Absolutely. This is known as Phase 1 (or early interceptive) treatment - a proactive approach that can take place even while some baby teeth are still in the mouth.

At Marvel Orthodontics, Phase 1 treatment is carefully considered and only recommended when it's likely to prevent more serious issues later on.

Examples of early treatments include:

• Expanders to widen the upper jaw
• Partial braces to correct specific tooth positions
• Habit-breaking appliances (for thumb sucking, for example)

By intervening early, we can sometimes reduce the need for full braces later on, or shorten the length of time they're needed.

Signs your child might benefit from early orthodontic care

Even if your child still has baby teeth, they may benefit from an orthodontic review if you notice:

• Crowding or overlapping teeth
• Gaps between teeth that don’t seem to close
• Difficulty chewing or biting
• Speech problems
• Jaw shifting or clicking
• Mouth breathing
• Thumb sucking beyond age 4–5

We also understand that every child develops at their own pace, and dental development is no different. That’s why we tailor our approach based on your child’s unique needs - not just their age or stage.

What happens at the first orthodontic appointment?

At Marvel Orthodontics, your child’s first visit is relaxed, informative, and judgement-free. Our team will:

• Take photos and low-radiation X-rays if needed
• Examine how your child’s teeth and jaws are developing
• Answer all your questions clearly and honestly
• Provide a personalised treatment plan (if required)

Dr Jessica Li and Dr Jenny Doan are both experienced in working with children, and we’re proud to offer a Mandarin-speaking service for families in our community.

Making treatment affordable for families

We understand that affordability is a major concern for many families. That’s why we offer:

• Interest-free payment plans
• Fortnightly options from $129.58 for braces
• Family discounts for siblings
• Appointments available before and after school

We’re here to make orthodontic care accessible, flexible, and stress-free - because looking after your child’s smile shouldn’t be hard.

Final thoughts

So - do kids need braces if their baby teeth haven’t fallen out? Sometimes, yes. While not every child needs early treatment, having their smile assessed around age 7 gives us the opportunity to catch issues early and guide healthy development.

At Marvel Orthodontics, we’re committed to giving every child the best chance at a confident, functional smile - no matter their age or stage.

Book your child’s first orthodontic visit today

Located in Gordon and Hurstville, Marvel Orthodontics offers family-focused, expert-led care with Mandarin-speaking orthodontists and a warm, welcoming environment.

Book a consultation today and give your child the foundation for a marvellous smile.