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Children · Article

10 signs your child might need braces

Updated and expanded from our original article. What to watch for at home — and which signs shouldn’t wait.

Young child having an early orthodontic evaluation while a parent looks on.
  1. Crowded or overlapping teeth. Adult teeth erupting twisted or squeezed means the arch is short on room — the most common reason for treatment.
  2. Very early or very late loss of baby teeth. Either can throw off the eruption sequence and let neighbouring teeth drift into the wrong spaces.
  3. Front teeth that stick out. Prominent upper teeth look charming and chip easily — playground trauma risk is a genuine reason for earlier treatment.
  4. A crossbite. Upper teeth biting inside the lowers, especially on one side, can steer the growing jaw off-centre — one of the clearest cases for truly early treatment.
  5. An underbite. Lower teeth in front of the uppers is a jaw-relationship pattern that’s far easier to guide during growth than to correct after it.
  6. Mouth breathing, snoring or restless sleep. Airway and jaw development are linked; these signs deserve airway-aware screening, not just a tooth check.
  7. Thumb-sucking past age 5–6. Persistent sucking habits reshape the bite and often create open bites that don’t self-correct.
  8. Difficulty chewing or biting. If your child avoids certain foods or chews oddly, the bite may not be meeting properly.
  9. Jaws that shift or click. Visible sideways shifts on closing suggest the bite is forcing the jaw around it.
  10. Speech quirks that persist. Some sounds depend on tooth position; lisps that outlast speech development can have a dental component.

When to book the check

Around age 7 — or now, if you’re seeing signs 3, 4, 5 or 6. The assessment at our clinic is free, and the most common outcome is reassurance plus a monitoring recall. The full picture of what early treatment can and can’t do is in our children’s orthodontics guide.

How it works at our practice

Any of these signs is a reason to book the free assessment; signs three through six are reasons not to wait for the next dental checkup. We'll show you on the X-ray which pattern we see, name what early treatment would prevent if it's indicated, and give you a free recall date if it isn't.

Frequently asked questions

Which sign is most urgent?

A crossbite that shifts the jaw, and an emerging underbite — both easy early and hard late.

My child has crooked baby teeth — is that a sign?

Not on its own; baby teeth are meant to have gaps and the adult teeth often arrive straighter. The assessment sorts it.

Should I wait for all the adult teeth?

For the skeletal signs, no — several windows close by twelve. For mild crowding, waiting is usually fine.

What does the assessment cost?

Nothing, including the X-ray and the monitoring visits that usually follow.

Related reading

The bottom line

Ten signs, one first step: a free assessment around age seven. Most children get reassurance and a recall date; the ones with a skeletal pattern get caught while it's still easy.

If it were our own family

We'd watch for a jaw shift on closing and an emerging underbite — and book the free look for everything else without worry, because most of it needs a recall date and nothing more.

What people also search for

“Does my child need braces quiz”

No quiz replaces a look at the jaws on an X-ray. The assessment is free.

“Crooked baby teeth”

Usually normal; adult teeth often arrive straighter. Worth a look at seven regardless.

“Signs of overbite in child”

Prominent upper front teeth, a receding chin, lips that don't meet easily.

The bottom line

Ten signs, one first step: a free assessment around seven. Most children get reassurance; the ones with a skeletal pattern get caught early.

Start with an examination

Your first visit is free, and it comes with an honest answer.

We'll look at the bite, take the records that make a real diagnosis possible, and tell you plainly whether braces are the right tool — what it would involve, how long it would take, and what it would cost, in writing. If the right answer is "not yet," we'll say that too and see you again when the timing is right.

myORTHODONTIST Coquitlam
1158 The High Street, Unit 106
Coquitlam, BC V3B 0C6
(604) 949-0654
Coquitlam Centre · underground parking off Atlantic Ave