
The Relationship Between Pediatric Dentistry and Orthodontics: Why Early Collaboration Matters
Table of Contents

What This Is About
Did you know that half of the teeth problems teens have could have been fixed when they were little? When pediatric dentists and orthodontists work together, kids get better teeth care.
A pediatric dentist takes care of baby teeth. An orthodontist helps make teeth straight. When they work as a team, your child gets the best care for their smile.
Why Early Help Matters
Growing Jaws Need Watching
Pediatric dentists check how your child’s jaw grows. If they see a crossbite or other problem, they can tell you to see an orthodontist.
- Jaw problems are easier to fix when bones are still growing
- Early checks can stop bigger problems later
- Growth modification therapy works best before age 10
Studies show that 60% of children who get early orthodontic treatment don’t need teeth pulled later. This makes treatment easier and less scary!
Saving Space for Adult Teeth
When baby teeth fall out too soon, other teeth can move into the wrong spots. This causes dental crowding.
Space maintainers are small tools that:
- Keep space open for adult teeth
- Help prevent malocclusion (bad bite)
- Let teeth come in the right way
Stopping Bad Habits Early
Some habits can change how teeth and jaws grow. These include:
- Thumb-sucking
- Tongue thrust
- Mouth breathing
Your pediatric dentist might see these problems and send you to an orthodontist for habit-breaking appliances. These special tools help stop these habits before they cause big problems.
A study of 850 children found that 45% needed early orthodontic treatment for bite problems. The good news? Parents say “yes” to this early care 98% of the time!

Problems They Fix Together
Crowded Teeth
When teeth don’t have enough room, they get crowded. This can make it hard to:
- Brush and floss well
- Talk clearly
- Feel good about your smile
A study on dental crowding prevention shows that early help using dental arch expansion can make more room for teeth to grow right. This can help avoid more work later.
Bite Problems
There are different kinds of bite problems:
Problem | What It Looks Like | Treatment |
---|---|---|
Overbite | Top teeth stick out too far | Functional appliances |
Underbite | Bottom teeth are in front | Growth modification |
Crossbite | Top and bottom teeth don’t line up | Palatal expanders |
Research shows that 80% of crossbite cases can be fixed with palatal expanders during the mixed dentition phase.
When Teeth Come In Wrong
Sometimes teeth come in the wrong way. This is called ectopic eruption. Your pediatric dentist might use:
- X-rays to see where teeth are
- Guided eruption techniques
- Early tooth removal if needed
Early help can make sure all teeth have room to come in right.
How They Help Your Child
First Phase: Ages 7-10
This is called Phase-one treatment or interceptive orthodontics. During this time:
- Pediatric dentists check teeth every 6 months
- Orthodontists might use tools like:
- Palatal expanders to make the jaw wider
- Space maintainers to keep room for adult teeth
- Habit appliances to stop thumb-sucking
Middle Phase: Ages 10-12
This is the mixed dentition phase when kids have both baby teeth and adult teeth. During this time:
- Regular checks with the pediatric dentist for preventive care
- The orthodontist might watch how teeth come in
- Sometimes, serial extraction protocols are used
Second Phase: Teen Years
Now it’s time for phase-two treatment. This might include:
- Braces or clear aligners for teens
- Final fixes for the bite
- Making sure all teeth fit together well
Your pediatric dentist will still:
- Clean teeth
- Check for cavities
- Put on fluoride varnish to make teeth strong
When both doctors work together, they use 3D imaging in pediatrics to plan the best care. This team approach cuts treatment time by about 28%!
Big Benefits of Working Together
Better Health Now and Later
When pediatric dentistry and orthodontics team up, your child gets:
- Less chance of getting cavities
- Teeth that work well for eating and talking
- A nice smile that helps them feel good
Studies show that when kids get this kind of care, they need 35% fewer gum treatments as adults. That saves pain and money!
Fewer Big Treatments Later
Early team care means:
- Less chance of needing teeth pulled
- Shorter time in braces
- 20% less chance of needing jaw surgery later
Breathing and Sleep Benefits
Did you know teeth and jaws affect breathing? When pediatric dentists and orthodontists work together on airway development, they help:
- Make sure your child can breathe through their nose
- Reduce sleep apnea screening problems
- Help your child sleep better
A well-rested child does better in school and feels happier!
Real Questions Parents Ask
When should my child first see an orthodontist?
The American Academy of Pediatric Dentistry (AAPD) and American Association of Orthodontists (AAO) say age 7 is best. This is when:
The first adult teeth come in
Jaw growth can still be guided
Problems can be found early
Can baby teeth affect permanent teeth alignment?
Yes! Baby teeth:
Save space for adult teeth
Guide adult teeth into the right spots
Help jaws grow right
That’s why your pediatric dentist works hard to keep baby teeth healthy until they’re read
Are braces the only option?
Are braces the only option?
Tools They Use Together
Both pediatric dentists and orthodontists use special tools to help your child:
For Prevention:
- Sealants to prevent cavities
- Fluoride varnish to make teeth strong
- Custom sports mouth guards to protect teeth during sports
For Treatment:
- Space maintainers after baby teeth are lost too soon
- Palatal expanders to make the jaw wider
- Habit-breaking appliances to stop thumb-sucking
For Monitoring:
- Dental age assessment to see how teeth are growing
- Craniofacial development checks
- Digital impressions instead of goopy molds
Working As A Team
The best care happens when your child’s pediatric dentist and orthodontist:
- Talk to each other about your child
- Share x-rays and records
- Make a plan together
- See your child at the right times
This team approach:
- Saves time
- Saves money
- Gets better results
Final Thoughts
When pediatric dentists and orthodontists work together, they help your child have:
- Straight teeth
- A healthy bite
- A nice smile
- Good health
Early team care can save up to $3,000-$5,000 by avoiding bigger treatments later. Plus, it helps your child feel good about their smile right now!
Don’t wait for problems to get big. Ask your child’s dentist about an orthodontic screening by age 7. Working together, these tooth doctors will help your child’s smile grow right from the start!