Prevention starts early


The American Association of Orthodontists recommends that most children should have an orthodontic screening by age 7. This allows Dr. Silvana Gonzalez to determine if orthodontic treatment will be necessary and the best time for the patient to be treated.
In some cases, Dr. Gonzalez may recommend early treatment (or Phase One treatment) to promote healthy growth and development of your child’s teeth and jaws. Early diagnosis and treatment can guide erupting teeth into a more favorable position, create space for permanent teeth, and allow the upper and lower jaws to grow correctly.

If early treatment is indicated, Dr. Silvana Gonzalez can guide the growth of the jaw and incoming permanent teeth. Early treatment can also regulate the width of the upper and lower dental arches, gain space for permanent teeth, avoid the need for permanent tooth extractions, reduce the likelihood of impacted permanent teeth, correct thumb sucking, and eliminate abnormal swallowing or speech problems. In other words, early treatment can simplify later treatment, after all the permanent teeth erupt.



Children’s teeth and jaws are still growing and developing at this stage, so if major problems exist, we have a better opportunity to correct the problem before growth is complete.


Early treatment reduces the complexity of the second phase of treatment, and may even allow your child to avoid tooth extraction or surgical procedures in the future.


Following early treatment (which usually lasts about one year), your child will be closely monitored as their permanent teeth continue to develop. Once all permanent teeth have grown in the mouth, the second and final phase of treatment, which includes full braces, Invisalign will begin.




Some signs your child may be a candidate for early orthodontic treatment include:

  • Early loss of primary (baby) teeth
  • Severely crowded teeth
  • Impacted permanent teeth
  • Finger sucking or other habits
  • Speech difficulty
  • Protruding teeth
  • Asymmetrical face
  • Overbite and underbite
  • Irregular facial profile




Because some of these problems may not be obvious to parents, we recommend that all come in before the age of 7


In many instances, Dr. Silvana will perform your child’s initial orthodontic consultation and recommend that no treatment is necessary until all permanent teeth are present.  In such cases, we will see your child every 6 months to one year to monitor their development and begin treatment only when the time is right.  These growth and development visits are always complementary.