Not certain if your child is old enough to be evaluated by an orthodontist? The American Association of Orthodontists recommends children be seen as early as 7 years old as certain skeletal (jaw) discrepancies and/or crowding issues may already be present and can be painlessly treated while growth is still occurring. Dr. Pincofski will perform a detailed, complimentary exam and if she determines that it is too early to begin treatment, she will continue to monitor your child’s growth and development (these visits are also complimentary) so that we can start treatment when it is most advantageous.

“Interceptive Treatment” (commonly known as Phase I) usually begins at 8-9 years old, while full braces (Phase II) at around 11 years old. The goal of Phase I is to correct jaw growth discrepancies (under bite, cross bite, protrusion) and to make space for the permanent teeth to erupt. A misaligned bite can lead to severe future dental issues as an adult. Orthodontic correction- done as a child -can often prevent permanent tooth damage or loss, gum surgeries and or even jaw surgery -as an adult.


  • early or late loss of baby teeth
  • sucking habits (thumb, finger, pacifier)
  • tongue thrust habits
  • cross bite (upper teeth don’t fit outside the bottom teeth)
  • protruding upper front teeth (at risk for fracturing)
  • anterior open bite (the upper front teeth do not overlap the lowers)
  • crowding or excessive spacing
  • speech/swallowing issues
  • injuries to the mouth

Parents will often notice these issues even before the dentist addresses them. If you notice any of the above, or if your dentist HAS recommended an orthodontic consult, please contact our office to schedule your complimentary exam. We will be happy to discuss your concerns and the best steps toward caring for your child’s smile!