Every child's dental development
is evaluated at every routine recall visit.
More specifically, at 7-8 years of age, with the eruption of permanent front teeth, the bite is evaluated to consider referral to an orthodontist.
There are some instances of dental development, such as severe crowding, under bite, or overbite, where early referral to the orthodontist for evaluation is indicated. Early referral occurs when the child has a mixed dentition or a mix of baby teeth and permanent teeth.