The American Association of Orthodontists (AAO) recommends that all children be evaluated by an orthodontist by age seven. Although full treatment is unusual at this age, some interceptive treatment may be indicated. Typically, your child's dentist or pediatrician will make a referral if he/she has concerns about jaw relationship or tooth position.

Orthodontists are trained to identify subtle problems with jaw growth and emerging teeth while some baby teeth remain present. The first permanent molars and incisors usually have come in by the age of seven and crossbites, crowding, and other problems often can be identified at that time. The correction of some problems could be more difficult if parents wait until all the permanent teeth have come in or until facial growth is nearly complete, while other problems are best treated in the permanent dentition with minimal growth remaining. For each patient who needs treatment, there is an ideal time to begin so that the best results can be achieved. The goal of every orthodontist should be to provide patients with the appropriate treatment at the appropriate time.

Here are some signs or habits that may indicate the need for an orthodontic examination:

  • Early or late loss of baby teeth
  • Difficulty in chewing or biting
  • Mouth breathing
  • Thumb/finger sucking
  • Tongue thrust or posture problem
  • Crowding, misplaced or blocked out teeth
  • Jaws that shift or make sounds
  • Biting the cheek or roof of the mouth
  • Teeth that meet abnormally or not at all
  • Jaws and teeth that are our of proportion to the rest of face


At the first visit to Parrott Orthodontics, necessary diagnostic records are taken and an initial examination is made to determine your treatment needs. Complete diagnostic records can typically include:

  • A medical/dental history
  • Clinical examination
  • Plaster study models of teeth (as needed)
  • Digital scans for impressionless models (as needed)
  • Photos of the your face and teeth
  • Digital Radiographs (X-rays)

This information is used to develop a custom treatment plan for you. These records are also helpful in tracking the progress of treatment as teeth move under orthodontic care. 


After Dr. Parrott has evaluated your records, we will discuss your treatment with you, including the cost for your particular case. For most cases, the consultation will be combined with the first visit to minimize patient's time missed from school or work; however, more complex cases may require a second appointment so that Dr. Parrott can review your case with your other dental providers.


The appliance (e.g. braces, Invisalign) delivery appointment usually takes one to two hours, subsequent adjustment appointments typically take 15-30 minutes and will be at 4 to 8 week intervals. Our regular office hours are Monday to Friday 8:00 am to 5:00 pm. Patients are seen by appointment only. We make every effort to be on time for our patients and ask that you extend the same courtesy to us. If you cannot keep an appointment, please notify us 24 hours prior to your scheduled appointment. Since our schedule is booked on a six-week rotation, rescheduling appointments may contribute to increased treatment time.