Dr. Yury Slepak, DDS
Board-certified pediatric dentist, Diplomate of the American Board of Pediatric Dentistry

Age 7 is the sweet spot for a first orthodontic look. Enough adult teeth and jaw growth are in place to spot problems, and enough growth is left that we can guide them gently instead of correcting them the hard way later. Early orthodontic screening is a proactive approach to ensuring your child's dental health. By identifying potential issues with jaw growth, tooth alignment, and bite development early, parents can help prevent more severe problems down the road. If you want to ensure your child receives effective orthodontic screening, book an appointment at our office located at 2464 Coney Island Ave, Brooklyn, NY 11223.
Dr. Slepak is a pediatric dentist with over a decade of experience. Immediately following his graduation from the New York University College of Dentistry with Honors, Dr. Slepak continued his training at Maimonides Medical Center in the Pediatric Dentistry Residency Program.
During his training, he mastered his knowledge and skills in the treatment of children of all ages.
By around seven, the first adult molars and front teeth are usually in, which lets us see how the bite is shaping up. Catching a crossbite, severe crowding, or a jaw imbalance now means we can sometimes guide growth and avoid or shorten braces later. Most children just need monitoring after this screening, and we say so when that is the case.
If the upper jaw (maxilla) or lower jaw (mandible) grows unevenly, it can lead to skeletal discrepancies like crossbites or open bites. Early screening allows orthodontists to guide jaw development with appliances like expanders.
When permanent teeth fail to erupt properly due to misaligned roots or crowding, they become impacted. This can lead to pain, infections, or cysts. Early evaluations can help identify these risks and guide solutions to create space for proper eruption.
Malocclusion, such as deep bites or open bites, can interfere with chewing and place strain on the temporomandibular joint. Addressing these issues early can help minimize the risk of joint disorders and uneven tooth wear.
Habits like thumb-sucking or tongue-thrusting can push teeth out of alignment or reshape the palate. Orthodontists can recommend corrective measures like myofunctional therapy or oral appliances.
Teeth should erupt in a specific order to ensure proper alignment. Delays or early loss of primary teeth can disrupt this process. Orthodontists use early screening to monitor and adjust the sequence.
Protruding front teeth are more likely to be injured during falls or sports. Orthodontic screening helps reduce the risk by correcting the alignment early with treatments like partial braces.
An uneven bite can cause certain teeth to bear more pressure than others, leading to enamel loss or fractures. Early intervention balances the bite and protects enamel health.
Orthodontists recommend that children have their first screening by age 7. At this age, most kids have a mix of baby teeth and permanent teeth. This makes it the perfect time to spot problems with tooth alignment or jaw growth.
By age 7, the jaws are still growing. If an orthodontist finds an issue, they can guide the growth to prevent bigger problems later. For example, they might use expanders to make more space for teeth or correct a crossbite before it worsens.
The orthodontist looks at how your child's teeth are growing. They check if the top and bottom teeth fit together properly when your child bites down.
X-rays allow the orthodontist to see how your child's teeth are developing and check for any potential issues, such as impacted or missing teeth.
A mold or 3D scan might be taken to help the orthodontist understand the exact positioning of your child's teeth and plan any necessary treatments.
If the orthodontist finds any problems, they will talk about treatment options. This might include braces, expanders, or other appliances to guide jaw and tooth development.
These are devices used to widen the upper jaw. They help create more space for teeth to grow properly and fix crossbites.
These removable devices guide the growth of the jaws. They are often used to correct overbites or underbites in kids whose jaws are still developing.
These braces are placed on a few teeth to fix specific alignment problems. They are often used when only a small adjustment is needed.
If a baby tooth falls out too early, a space maintainer keeps the gap open. This ensures the permanent tooth has enough room to come in correctly.
These are wires attached to the back molars. They are used to prevent teeth from shifting into spaces where they don't belong.
These are appliances that keep the lower lip away from the teeth. They create space in the lower jaw by reducing pressure from the lip muscles.
Headgear is worn partially outside the mouth. It helps guide jaw growth and tooth alignment in severe cases of overbite or underbite.
Retainers can sometimes be used to guide minor tooth movements. They are often part of treatment plans to maintain results after corrections.
You might want to look for an orthodontist who specializes in treating children and makes them feel comfortable. Additionally, look for an orthodontist who uses up-to-date technology and has a reputation for providing excellent care, as reflected in patient feedback.
Board-certified pediatric dentist, Diplomate of the American Board of Pediatric Dentistry
Board-certified pediatric dentist
Call (718) 998-2424 or request an appointment online.
Request a Free ConsultationEarly orthodontic care can make a big difference in your child's dental health. We are conveniently located at 2464 Coney Island Ave, Brooklyn, NY 11223, and specialize in gentle, child-friendly orthodontic screenings and treatments. Set up a consultation and let us provide your kid effective orthodontic treatments.
Bite Squad Dental of NYC is located at 2464 Coney Island Avenue, Brooklyn, NY 11223, and we provide gentle early orthodontic screening for families across Sheepshead Bay, Brighton Beach, Coney Island, Gravesend, Bensonhurst, Midwood, Flatbush, Borough Park, Canarsie, and Bay Ridge. If your child is around age 7 or you have noticed bite or alignment concerns, Dr. Slepak and our team are here to help.
Wondering if it's time for a screening?
Call us to schedule a gentle early orthodontic evaluation.
Orthodontists recommend a first screening by age 7. By this age most children have a mix of baby and permanent teeth, which makes it a good time to spot issues with tooth alignment or jaw growth while the jaws are still developing.
Not necessarily. Many early screenings simply confirm that growth is on track, and the orthodontist will continue to monitor over time. Treatment is only recommended when there is a clear benefit to acting early.
No. A screening is a gentle, non-invasive exam. The orthodontist looks at how the teeth and bite are developing and may take X-rays or a 3D scan, none of which cause discomfort.
Early screening can help detect uneven jaw growth, crossbites, open bites, crowding, impacted teeth, disrupted eruption sequences, and harmful oral habits such as thumb-sucking, so they can be guided before they become harder to treat.
✓ Medically reviewed by Dr. Yury Slepak, DDS, Board-Certified Pediatric Dentist | 20+ Years Experience | Last Updated: June 2026
Medical Disclaimer: This information is provided for educational purposes and is not a substitute for professional medical advice, diagnosis, or treatment. Please schedule a consultation with our team to discuss your individual needs.