The American Association of Orthodontists recommends that children have an initial evaluation by the age of seven. This is important because it is the optimal time to evaluate skeletal development and to identify the position of the permanent teeth. Some maladies can be prevented at this time as well. Each child’s needs are unique. For some, it is best to begin treatment before all of the permanent teeth have come in – this is called Phase I / Interceptive Treatment. For others, it makes more sense to wait until the permanent teeth are fully erupted and the roots are completely formed. Operating in a timely manner is important because it can improve the stability, function and aesthetics of the results while helping prevent problems down the road. A proper evaluation will help us create a seamless treatment with periodic monitoring.