Pediatric Orthodontics
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The American Association of Orthodontists (AAO) recommends that all children
have a check-up with an orthodontic specialist no later than age 7.


  1. The posterior occlusion is established when the first molars erupt. At that time one can evaluate the antero-posterior and transverse relationships of the occlusion, as well as discover any functional shifts or crossbites.
  2. Incisors have begun to erupt and problems can be detected such as crowding, habits, deep bites, open bites and some jaw discrepancies.
  3. For some, a timely evaluation will lead to significant treatment benefits; for others, the principal immediate benefit is a parent’s peace of mind. The AAO does not advocate comprehensive orthodontic treatment at age 7. However, interceptive treatment may be appropriate in the kinds of problems shown below. Final treatment decisions should be made among the parent, child’s dentist and orthodontist.


  • AAO Web site,
  • Scientific articles in Orthodontic Dialogue in the “For Dentists” section;
  • Online orthodontic glossary in the “For Dentists” section;
  • Frequently asked questions and answers in the “About Orthodontics” section.
  • AAO members in your area.

Problems to Watch for in Seven Year Olds

  • Anterior Crossbite

  • Posterior Crossbite

  • Crowding

  • Open Bite

  • Protrusion

  • Ectopic Eruption

  • Complete Class III

  • Diastema

  • Oral Habits

Malocclusions, like those illustrated above, may benefit from early diagnosis and referral to an orthodontic specialist for a full evaluation.

Read What Some Of Our Happy Patients Are Saying...
Dr. Manilla treated both of my children with orthodontics. We have been very happy with the outcome. I had one child have great success with Invisalign and another child have great success with traditional braces. He is awesome with children of all ages and the staff is excellent to work with. I did a lot of research before I chose an orthodontist and it came down to the fact that he had fantastic reviews AND his prices were very reasonable…much better than anyone else that I researched in the West Chester/Liberty Township area. I highly recommend him. You will love everyone that works there and they are very good at squeezing you in when necessary. Plus…the skating parties are a lot of fun. :)
We were recommended to Dr. Manilla by a friend and couldn’t have been happier with our decision. His office is always exceptionally friendly and was very understanding when my son (13) was nervous about his first visit. Dr. Manilla talked to, not only me as the parent, but also talked to my son. So many Dr.’s can sometimes just talk to the adult, so it made my son comfortable in a new environment. Dr. Manilla has a wonderful and very funny chair-side manner. Our son’s plan was to have 2 phases of braces, but the first phase went to well (lasting only 7 months) we didn’t even need phase 2. Now he has a beautiful straight smile! It has been a wonderful experience!
Our experience with Dr. Manilla and the staff has been wonderful! From the start, we felt valued and cared for. My daughter was excited to get her braces, and they were excited for us! Everyone is very kind and friendly. Setting appointments was painless… they always seemed to find time for us. And with the expertise and knowledge of the entire team, we felt very confident with their guidance, direction and care. They were willing to work with me financially, which was wonderful and very much needed. We very much feel a part of this wonderful “family”. Thank you for such an awesome experience! Oh, and we love, love, love my daughter’s new smile!
Will My Child Need Braces?
Request Your FREE Initial Consultation Today!