Smile Solutions - Melbourne CBD

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Children’s Orthodontics

In young children, orthodontic work is usually focused on treating functional problems such as cross-bites, severe overcrowding, jaw growth problems, thumb sucking and snoring.

Childrens Orthodontics at Smile Solutions

When should orthodontic treatment start?

The Australian Society of Orthodontics recommends a first assessment by a registered specialist orthodontist at around six or seven years of age, when the first adult teeth typically begin to appear and developmental problems may arise. Early treatment for young children usually focuses on addressing functional issues that could immediately affect the health of the teeth. A proactive approach may reduce or simplify the need for more extensive orthodontic treatment later.

Conditions treated in early childhood include problems with tooth eruption, crossbites, severe overcrowding, jaw growth issues, snoring, and thumb-sucking.

Assessing your child’s orthodontic needs

1

Tooth extractions

Removal of teeth is not always necessary for orthodontic treatment. Some modern orthopaedic methods and appliances treat crooked teeth without extractions. However, in cases of overcrowding, extracting one or more teeth may be the best way to achieve optimal results. Our specialist orthodontists will review all options and create a personalised plan for your child.
2

Dental Crowding

Dental overcrowding occurs when there is not enough space for new teeth to grow. Early detection is important to prevent complications. In young children, simple removable appliances can expand dental arches or maintain premolar spaces.
3

Jaw growth & snoring

Some children have a growth imbalance between the upper and lower jaws, which can affect their bite and facial development. Childhood snoring may also indicate airway obstruction. Early intervention, including jaw expansion, can improve airflow, facial development, and sleep. Our orthodontists work alongside ENT specialists, sleep specialists, and oral & maxillofacial surgeons to manage these cases effectively.

Treatment options available

  • Space maintainers

    When a primary tooth is lost prematurely (often due to decay), adjacent teeth may drift, leaving insufficient space for permanent teeth. Space maintainers can be fixed or removable, depending on the case, and help guide proper tooth alignment.

  • Removable expander plates & early orthodontics

    For dental crowding, removable plates can be used from ages six to eight to expand the arches or maintain premolar spaces. Early treatment often continues with fixed braces to complete alignment once all teeth have erupted.

  • Conventional & clear braces

    Traditional metal braces and clear/ceramic braces function the same way: brackets with a tensioned wire gradually guide teeth into position. At Smile Solutions, we use Empower braces in stainless steel or porcelain, eliminating elastic ties for a more discreet, comfortable, and hygienic experience.

  • Invisalign® Teen

    Clear, removable aligners gradually move teeth into place. Aligners can be removed for eating, brushing, sports, or special occasions but should be worn for 22 hours per day for effective results.

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Frequently Asked Questions

What is early intervention orthodontics?

Early intervention orthodontics (sometimes called Phase 1 orthodontics) involves assessing and treating orthodontic concerns before all adult teeth have erupted. It focuses on guiding jaw growth, improving function, and creating the best foundation for your child’s permanent teeth.

At what age should my child be assessed?

A child is never too young for an orthodontic assessment. The Australian Society of Orthodontists recommends an initial assessment around 6–7 years of age, when adult teeth start to emerge and developmental concerns can be identified early.

Does early intervention mean my child will need braces straight away?

Not necessarily. Many children are simply monitored with regular reviews every 6–12 months. If treatment is recommended, it is carefully timed to suit your child’s growth and development and may help reduce or simplify the need for braces later.

What problems can early intervention orthodontics address?

Early intervention may be recommended for:

  • Crowding or spacing issues

  • Crossbites or narrow upper jaw

  • Protruding front teeth (buck teeth)

  • Underbite or deep bite

  • Jaw growth or asymmetry concerns

  • Thumb sucking or other oral habits

  • Snoring or breathing concerns

  • Difficulty with tooth eruption

Why is early intervention important?

Treating orthodontic issues early allows us to work with your child’s natural growth, which can:

  • Improve jaw development

  • Create space for adult teeth

  • Reduce the need for tooth extractions

  • Lower the complexity of future orthodontic treatment

  • Support better breathing, sleep, and oral function

What are the benefits of early intervention orthodontics?

Early treatment may help to:

  • Minimise crowding as adult teeth erupt

  • Improve facial balance and jaw symmetry

  • Reduce the risk of impacted teeth

  • Improve oral hygiene and ease of cleaning

  • Lower the risk of dental trauma to protruding teeth

  • Support nasal breathing and airway development

  • Improve confidence and emotional wellbeing

  • Reduce or simplify orthodontic treatment later in life

What is sleep-disordered breathing in children?

Sleep-disordered breathing occurs when a child has difficulty breathing during sleep, which can disrupt their rest and oxygen levels. In some cases, this includes obstructive sleep apnoea, where breathing briefly stops during sleep.

What are the signs of sleep-disordered breathing?

Symptoms can vary but may include:

  • Snoring or loud breathing

  • Mouth breathing

  • Tooth grinding

  • Daytime fatigue or hyperactivity

  • Behavioural or learning difficulties

  • Night terrors, sleep walking, or bedwetting

  • Headaches or difficulty concentrating

How can orthodontics help with sleep-disordered breathing?

If breathing concerns are linked to a narrow upper jaw, orthodontic treatment such as a palatal expander may be recommended. Expanding the palate can increase nasal airway space and support improved breathing during sleep.

Who provides early intervention orthodontic treatment?

At Smile Solutions, early intervention orthodontics is provided by board-registered Specialist Orthodontists and Specialist Paediatric Dentists, who work collaboratively to manage your child’s care.

Both specialties undergo an additional 3–5 years of university training beyond general dentistry, ensuring a high level of expertise and child-focused care.

Meet our Specialist Orthodontists

At Smile Solutions your children’s orthodontic treatment will be carried out by one of our registered specialist orthodontists, not a general dentist.

Specialist orthodontists complete a postgraduate university degree specialising in tooth and jaw correction and these are the clinicians who will assess your suitability and perform your treatment. You can have complete confidence in the care you receive and the final outcome.

Early intervention orthodontic treatment is managed collaboratively by our specialist orthodontists and specialist paediatric dentists, all under one roof.

Dr Katie Xu

Specialist Orthodontist

BDSc (Hons) Melb, D.Clin.Dent (Orth) Melb

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