Early evaluation by an orthodontist  is indicated when the dentist or family detects  an early concern.  Interceptive treatment may be needed  as early as five to eight years old for finger or oral habits, crossbites, overbites, under bites and noticeable crowding. Our practice emphasizes early evaluation and treatment only if indicated to improve oral development during the growth years.  When indicated, proactive treatment  may  reduce the complexity of  later teenage  orthodontic treatment.