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Orthodontics for children: when to start and what Invisalign First is

At 7 almost nobody is treated, but almost everything can be seen coming. That is the reason for the early check-up.

Dr. Mari Rivera · Orthodontist
Dr. Mari Rivera reviewing a case with her assistant

Why at 7

By that age the first permanent molars and the incisors are in, and the relationship between the arches can be assessed. Problems like a crossbite, a narrow arch or a marked lack of space are spotted then — and some are better corrected while the child is growing.

Treat now or wait

Most check-ups end in "wait and monitor". When a first phase is recommended, it is because growth can be used: expanding a narrow arch, correcting a crossbite or gaining room for the permanent teeth to come in well.

What Invisalign First is

It is the version of the system for mixed dentition: aligners designed for erupting teeth, with space compensation and gradual expansion. It does with removable aligners what used to require fixed expanders, with no food restrictions.

What a parent should know

That a first phase does not always avoid a second: sometimes the final position of the permanent teeth needs a short adjustment later. That daily wear is a shared responsibility. And that the iTero™ scan uses no impressions — for a child, that difference is huge.

Questions on this topic
Yes, with the right indication and follow-up. They are removable and have no metal parts.
It depends on the goal; it is usually shorter than a full treatment. It is set in the plan.
An orthodontic check-up looks at different things: jaw growth and the relationship between the arches. It does not replace the dentist; it complements them.
Sources
  • — American Association of Orthodontists — first orthodontic check-up at age 7.
  • — Align Technology — Invisalign First: indications in mixed dentition.
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