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Related Experiment Video

Updated: Mar 6, 2026

Author Spotlight: 3D Movement Assessment of Maxillary Posterior Teeth in Clear Aligner Treatment
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Author Spotlight: 3D Movement Assessment of Maxillary Posterior Teeth in Clear Aligner Treatment

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Timing orthodontic treatment: early or late?

P S Fleming1

  • 1Institute of Dentistry, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK.

Australian Dental Journal
|March 16, 2017
PubMed
Summary

Early orthodontic treatment for skeletal discrepancies and crowding is often not superior to later interventions. Evidence suggests reserving early treatment for specific issues, with definitive care usually starting in the late mixed or early permanent dentition.

Keywords:
CrowdingEarly treatmentInterceptive Orthodontic

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Area of Science:

  • Orthodontics
  • Dentofacial Orthopedics
  • Pediatric Dentistry

Background:

  • The optimal timing for orthodontic interventions remains a subject of debate.
  • Early treatment is frequently employed to address skeletal discrepancies and alleviate crowding.

Purpose of the Study:

  • To evaluate the effectiveness of early versus later orthodontic interventions.
  • To provide evidence-based recommendations on the timing of orthodontic treatment.

Main Methods:

  • A review of existing literature and clinical evidence regarding orthodontic treatment timing.
  • Analysis of studies comparing early intervention outcomes with those of later treatment initiation.

Main Results:

  • Broadly, early orthodontic intervention has not demonstrated superiority in effectiveness compared to later treatment.
  • The evidence does not consistently support early treatment for general skeletal discrepancies or crowding.

Conclusions:

  • Early intervention imposes an additional burden and duration without proven general benefits.
  • Current evidence favors reserving early orthodontic treatment for specific, localized problems.
  • Definitive orthodontic treatment is typically best initiated during the late mixed or early permanent dentition stages.