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Does My Child Need Braces? What a Pediatric Dentist Can Spot Early

Home » Does My Child Need Braces? What a Pediatric Dentist Can Spot Early

  • NOLA Pediatric Dentistry
  • December 6, 2025

For many parents, the idea of braces feels like a distant concern—something to think about in the teen years. But did you know that signs of future orthodontic issues can show up much earlier? In fact, a pediatric dentist is often the first to spot them.

Early dental evaluations don’t just check for cavities and clean teeth. They also play a critical role in monitoring your child’s jaw development, bite alignment, and the spacing of both baby and permanent teeth. The sooner these factors are identified, the easier it is to plan for a healthy, well-aligned smile.

Wondering if your child might need braces? Here’s how a pediatric dentist helps detect early signs—and what steps you can take as a parent.

What Pediatric Dentists Look For During Early Exams

During regular checkups, pediatric dentists are trained to observe more than just visible cavities or gum health. They’re looking at the overall structure of your child’s mouth, how their teeth fit together, and whether their development is on track.

Some of the key areas they evaluate include:

  • Bite alignment — How the upper and lower teeth come together when your child bites
  • Crowding — Whether there’s enough room in the jaw for all teeth to erupt properly
  • Spacing — Large gaps or overlapping between teeth
  • Jaw development — Whether the upper and lower jaws are growing evenly
  • Eruption patterns — The timing and sequence of baby tooth loss and permanent tooth eruption
  • Oral habits — Thumb sucking, tongue thrusting, or mouth breathing that can influence bite or alignment

By identifying these issues early, pediatric dentists can help you understand whether your child may benefit from future orthodontic care.

Common Early Signs That May Indicate a Need for Braces

Some signs of orthodontic issues are obvious, while others are more subtle. These red flags often appear in early childhood—even before all permanent teeth have erupted.

Keep an eye out for the following:

  • Crowded or overlapping baby teeth
  • Difficulty biting or chewing
  • Frequent mouth breathing or snoring
  • Early or late loss of baby teeth
  • Thumb sucking beyond age 4–5
  • Speech challenges, such as lisping
  • An overbite, underbite, or crossbite
  • Clicking or popping noises when your child opens their mouth

If you’ve noticed any of these signs, mention them at your child’s next dental visit. Even if orthodontic treatment isn’t needed right away, it’s helpful to monitor the issue and track development over time.

Why Early Detection Matters

You might wonder: Why check for braces early if treatment won’t begin until later?

The answer is simple—early detection makes later treatment easier and more effective. When concerns are identified in the primary (baby) teeth stage, there’s often an opportunity to:

  • Guide jaw growth while bones are still developing
  • Create space for incoming permanent teeth
  • Prevent more severe misalignment
  • Reduce the need for tooth extractions or surgery later
  • Plan the ideal timing for braces or orthodontic treatment

In some cases, early intervention with a referral to an orthodontist may involve a two-phase approach: a first phase to guide development, followed by a second phase once all permanent teeth are in.

Not All Kids Need Braces—But Monitoring Is Key

It’s important to note that not every child will need braces. Many kids’ teeth grow in straight and functionally aligned without the need for orthodontic work.

However, regular monitoring from a pediatric dentist helps ensure nothing is missed during critical growth years. Since bite and jaw issues often develop slowly, consistent checkups make it easier to spot and manage any concerns before they require more complex treatment.

Even if your child never needs braces, early dental assessments offer peace of mind—and help set the foundation for lifelong oral health.

The Ideal Age for an Orthodontic Evaluation

While every child is different, the American Association of Orthodontists recommends that children have their first orthodontic evaluation by age 7. By this time, most kids have a mix of baby and permanent teeth, making it easier to assess how their bite is forming.

Your pediatric dentist may refer your child for an early evaluation if they see signs of:

  • Crowded teeth that may worsen as more erupt
  • Abnormal jaw growth
  • Problems with how upper and lower teeth fit together
  • Habit-related concerns like thumb sucking or tongue thrusting

Even if no treatment is needed at the time, an early consultation allows for better long-term planning and monitoring.

How to Support Healthy Dental Development at Home

While genetics play a role in how teeth and jaws develop, there are a few habits you can reinforce at home to support healthy alignment:

  • Encourage nasal breathing — Mouth breathing can impact jaw growth and posture
  • Address thumb or finger sucking early — Especially before age 4
  • Promote good nutrition — A balanced diet supports bone and tooth health
  • Maintain regular brushing and flossing — Preventing decay helps keep baby teeth in place as natural space holders
  • Stay on track with dental visits — Routine checkups are the best way to catch issues early

Simple steps can make a big difference in how your child’s smile develops—and how soon potential problems are addressed.

Pediatric Dental Care That Grows with Your Child in New Orleans

At NOLA Pediatric Dentistry, we’re here to support every stage of your child’s smile—from their very first tooth to their teenage years. Our team takes a proactive approach to monitoring oral development, ensuring that any signs of future orthodontic concerns are addressed with care and clarity.

Why families in New Orleans and Madisonville trust us:

  • Comprehensive dental exams that evaluate bite and growth
  • Gentle, kid-friendly visits that make dental care stress-free
  • Early identification of orthodontic red flags
  • Clear communication and collaboration with local orthodontists
  • A long-term care approach focused on prevention and growth

Curious about whether your child might need braces? We’re happy to walk you through what we see and what to expect. Schedule a visit today and let’s keep your child’s smile on the right track.

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We’re excited to meet you and give you the healthy smile you deserve. We’ve created a relaxed, modern, and kid-friendly atmosphere so you can enjoy your dental experience.

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Our 5-Star Experience

Check out what our patients are saying about their 5-star experience with us! We look forward to serving you and your family with the same level of care.
Brittany S.
We love Dr. Kris!!! My daughter actually looks forward to her visits and asks when she can go to the dentist to see him again. I would recommend him to anyone!! Thank you, Dr. Kris and your kind staff, for always making my daughter feel so welcomed and comfortable!
Response from the owner:Thank you Brittany! Your little girl is the sweetest and it so fulfilling watching her grow as a young little patient over the years. We look forward to seeing you back in 6 months!
-Dr. Kris
Victoria T.
Dr Kris Norbo is an amazing pediatric dentist. My little one had a frenectomy procedure done and he was very informative with the initial visit and made sure he answered every question I had . Very thorough in explaining the treatment. The day of we had no questions as he went over everything with us on her initial visit. Also a post op call was made!!! Which I was truly impressed by. I highly recommend Dr Norbo and his staff. Everyone was nice. From the front desk to assistants. :) Nice and clean office. Book that appointment! You will not be disappointed !!
Response from the owner:Thank you for your wonderful feedback! We're thrilled to hear that we provided thorough explanations and ensured you felt confident during your visit. Our team appreciates your kind words and recommendation! - Dr. Kris
Anna T.
The BEST EXPERIENCE EVER! When we walked in she was greeted by a sign with her name on it. My daughter was given the respect and attention a patient should receive. They explained everything so clearly to her . The staff went out of their way to help me with the insurance issue I was having…out of all the dentists we’ve seen ,Dr. Chris was the only One to identify that she has a tongue tie and was able to set up appointments for the speech therapist and orthodontist and reassured us that they all work close together. He created a plan tailored for her and seemed genuinely interested in helping her. He explained in detail what I am to expect for the tongue tie fix she needs. And They even gave her a “welcome” bag filled with a brand new shirt, a rubber ducky, toothpaste and toothbrush. 10 out of 10 would recommend switching to Dr. Chris and his team! They are very knowledgeable and kind hearted !
Response from the owner:Anna, thank you for your wonderful review! We are passionate about not only screening for cavities, but also assessing each child's growth and development and screening for any soft tissue abnormalities that could impact other aspects of life. We are happy to be your daughter's pediatric dentist and also look forward to helping improve your daughter's quality of life. See you soon!
-Dr. Kris
Danalea Latz T.
Esta clínica me gusta mucho porque los doctores son muy atentos con mi niño 🦷🥰
Response from the owner:We're deeply thankful for your trust. Your words inspire our continued dedication.
Nat S.
My family's experience was amazing....NOLA Pediatric Dentistry made sure everything was explained very well.....I was afraid of my daughter having surgery but NOLA Pediatric Dentistry eased my worries...and is simply the best....I would highly recommend them
Response from the owner:We're sincerely grateful you felt supported and informed through your experience. Your trust means the world to us.
Vivianne M.
This place was a godsend- my daughter gets extremely anxious about the dentist but she needed significant work done and I didn’t know where to turn. NOLA Pediatric Dentistry works with a pediatric dental anesthesiologist to ensure the comfort and safety of twilight sedation to help kids like my daughter get the care they need without being traumatized. The facilities are state of the art, immaculate, and comfortable. The office manager Meagan is attentive and available to answer questions and Dr.Kris Norbo is a pleasure to work with and instills confidence. If only they accepted our insurance (BCBS), then we’d have them take care of all our kids’ dental needs! Regardless, I am grateful that they are here in NOLA and easily accessible for any time something requiring more attention comes up. Thank you NOLA Pediatric Dentistry!!
Response from the owner:We appreciate you taking the time to leave us feedback on your experience. We work very hard every day to exceed our patients’ expectations! - Dr. Kris
Brandon B.
Dr. Kris and his team make dental visits for my boys so easy! They love seeing him. Everyone in the office is always so friendly. Highly recommend!!
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