Not every child needs braces, and timing matters: an orthodontic evaluation around age 7 helps decide whether to intervene early (intercepting treatment), wait for the right moment for comprehensive orthodontics, or do nothing. At Clinica Crocetta in Milan, the orthodontic assessment is complimentary and conducted in English on request.
First orthodontic assessment around age 7
The American Association of Orthodontists and most international guidelines recommend an orthodontic evaluation by age 7. At this age the first permanent teeth have erupted and growth patterns are visible, allowing the orthodontist to identify any issues that may benefit from early treatment.
When intercepting (early) treatment helps
Crossbites, severe crowding affecting permanent teeth eruption, premature loss of baby teeth and certain habit-related issues (thumb sucking, tongue thrusting) can benefit from interceptive treatment between ages 8 and 11. The goal is to guide growth and simplify or sometimes avoid comprehensive orthodontics later.
When to wait
Many mild malocclusions can wait until age 11–13, when most permanent teeth have erupted, for comprehensive orthodontics. Treating too early or unnecessarily can mean prolonged treatment without added benefit. A reliable orthodontist knows when to act and when to wait.
Comprehensive orthodontics: braces or Invisalign Teen
From age 11–13 the options are traditional braces or Invisalign Teen. Both work well; the choice depends on the case complexity, the teen’s lifestyle and motivation, and family preference. Clinica Crocetta provides both, with Invisalign Diamond II + Apex 2026 status for clear aligners.
English-speaking care for expat families
First evaluation in English, written treatment plan including expected timing and cost, check-ups every 6–8 weeks. Italian tax deduction at 19% and instalment plans available; documentation in English for international insurance reimbursement on request.
What international and Italian patients say about Children Orthodontics
Reviews translated from Italian. Original verified reviews available on our Google Business profile (4.9★ · 287 reviews).
Laura B. · Invisalign Teen · 16 months · ★★★★★
My daughter did Invisalign Teen with Dr. Lombardo. Outstanding result and she was thrilled not to have to wear metal braces. Always clear communication, instalment payments, punctual check-ups every 6 weeks. For us it’s the best orthodontic practice in Milan.
Giampaolo Alexander Louis Brusa · Invisalign · 14 aligners · 4 months · ★★★★★
Dr. Piasente did excellent work. A polite and friendly person, as well as a skilled professional. He solved a problem that had given me complexes since adolescence — my smile is shining again with just 14 Invisalign aligners. With a manageable daily commitment, after only 4 months of treatment I could smile without hesitation. I had been to various studios, but I understood that with Invisalign the difference is made by the dentist, who predicts and corrects all tooth movements through software. Many dentists leave the automatic Invisalign positioning, without correcting each individual tooth, which lengthens the treatment by many months and the result is not perfect. Thanks again.
Rosa Marchi · Invisalign Full + extraction · ★★★★★
The studio and Dr. Piasente were recommended to me by a doctor friend. From the very first moment I noticed enormous skill and broad knowledge across the board, both from the gnathological and the orthodontic point of view. He has hands like a fairy — superb delicacy and care. I should add I had a phobia of the dentist and had to have a tooth extracted, and in just two appointments I felt deep peace of mind under his clearly expert eyes. I FELT NOTHING! I want to say it for everyone who, like me, has this strong fear (often unjustified). I also did a full Invisalign treatment — they are official providers — and I have to say I had a great experience. They explained that it is not an automatic treatment as one might think, but it is the doctor who modifies the position of each single tooth. We agreed I’ll come in for a check-up every 6 months — he will definitely be my dentist forever. Thank you so much, Dr. Piasente, you are my hero.
Frequently asked questions
At what age should my child see an orthodontist?
Around age 7, per international guidelines, even before braces might be needed.
Does my child really need braces?
Not always; an evaluation distinguishes cases that benefit from treatment from those that can wait or need nothing.
Should we treat early or wait?
Depends on the issue: crossbites and severe problems benefit from early intervention; many cases wait for age 11–13.
Braces or Invisalign Teen for my child?
Both work; choice depends on complexity, lifestyle and motivation — the orthodontist explains case by case.
Is the first orthodontic visit free?
Yes, at Clinica Crocetta the first visit is complimentary, including the orthodontic assessment.
Looking for an English-speaking dentist in Milan?
The first visit at Clinica Crocetta is complimentary and includes diagnosis, digital scan and a personalised treatment plan in a single appointment. Learn more on our dedicated page: Centro Invisalign Milano.
? Book on WhatsApp · +39 373 853 9107 — Largo della Crocetta 1, Milan · Metro M3 Crocetta
Information for educational purposes, not a substitute for a clinical examination. Clinica Crocetta, Largo della Crocetta 1, Milan.