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Do I Need an Orthodontist? When to Get an Orthodontic Assessment in Midrand or Centurion
How do I know if I need an orthodontist?
You may benefit from an orthodontic assessment if you have crowded, overlapping or widely spaced teeth, an unusual bite, teeth that have shifted, difficulty biting comfortably or concerns about the way your child’s teeth and jaws are developing. You do not need to determine whether braces are necessary before booking the assessment.
Do you need to see an orthodontist only when your teeth are obviously crooked?
Not necessarily.
Many orthodontic concerns involve more than the appearance of your smile. The way your upper and lower teeth meet, how much space there is for developing teeth, the position of your jaws and changes in your bite can all be reasons to arrange an orthodontic assessment.
Some problems are easy to notice in the mirror. Others are much less obvious.
For parents, an assessment can help determine whether a child’s teeth and jaws are developing normally or whether they should simply be monitored as they grow. For adults, it can help explain crowding, bite problems, shifting teeth or long-standing concerns that were never treated when they were younger.
If you are searching for an orthodontist in Midrand, orthodontist in Midrand, orthodontist in Centurion or orthodontist in Centurion, the most useful first step is often not deciding whether you need braces. It is finding out whether there is an orthodontic problem in the first place.
Innovative Dental Care provides orthodontics and braces treatment for patients across Midrand, Centurion and Carletonville.
What Is an Orthodontic Assessment?
An orthodontic assessment is an examination of the position and development of your teeth, bite and jaws.
The purpose is to understand whether there is an alignment problem, how significant it may be and whether anything needs to be done about it.
That distinction is important.
Booking an orthodontic assessment does not mean you have already committed to braces.
In many cases, the most useful outcome of an assessment may simply be professional advice.
For a growing child, the recommendation may be to monitor development and review the teeth again later. For a teenager, treatment may be worth considering once certain permanent teeth have appeared. For an adult, the assessment may identify several possible approaches or confirm that the concern is primarily cosmetic rather than functional.
An orthodontic assessment may consider issues such as:
- Crowded teeth
- Gaps between teeth
- Teeth erupting in unusual positions
- Upper and lower teeth that do not meet correctly
- Overbite or underbite
- Crossbite
- Open bite
- Jaw position
- Tooth wear caused by the bite
- Changes in alignment over time
- Space available for permanent teeth in children
The aim is to establish what is happening before deciding what, if anything, should happen next.
Patients who want to understand Innovative Dental Care’s available treatment options can explore the practice’s specialised dentistry services.

What Are the Signs That You May Need an Orthodontic Assessment?
People often assume they will automatically know if they need orthodontic care because their teeth will look noticeably crooked.
Sometimes that is true.
However, alignment problems can also affect the way the teeth meet or function without creating an immediately obvious cosmetic problem.
You may benefit from a braces assessment or broader orthodontic assessment if you notice:
- Teeth that overlap or appear crowded
- Large or noticeable spaces between teeth
- Front teeth that protrude
- An upper or lower jaw that appears significantly further forward
- Teeth that do not meet when you close your mouth
- Teeth that bite inside rather than outside the opposing teeth
- Difficulty biting certain foods comfortably
- Uneven tooth wear
- Teeth that have gradually shifted position
- A bite that seems to have changed
- Permanent teeth appearing in unexpected positions
Children may also show developmental signs that are worth discussing with a dental professional, including early or late loss of baby teeth, crowding as permanent teeth erupt or a bite that appears unusual.
Not every one of these signs means braces will be required.
They are reasons to have the teeth and bite assessed rather than trying to diagnose the problem at home.
Regular dental examinations can also help identify alignment concerns earlier. Learn more about Innovative Dental Care’s general dentistry services.
When Should a Child See an Orthodontist?
One of the most common questions parents ask is when to see an orthodontist for a child.
You do not necessarily need to wait until all the permanent teeth have arrived.
The American Association of Orthodontists recommends an orthodontic check-up by around age seven. At this stage, many children have a combination of baby teeth and permanent teeth, allowing developing bite and jaw issues to be assessed.
That does not mean every seven-year-old should start braces.
In fact, one of the benefits of an early assessment is being able to distinguish between a problem that needs attention and one that simply needs to be monitored.
Parents should consider an assessment sooner if they notice obvious concerns with their child’s bite, jaw development or tooth eruption.
Possible signs include:
- Significant crowding
- Teeth erupting far outside their expected position
- A lower jaw that appears to sit significantly forward
- Upper front teeth that protrude noticeably
- Difficulty bringing the front teeth together
- A crossbite
- Persistent thumb or finger sucking that may be affecting the bite
- Early or unusually late loss of baby teeth
- Difficulty biting or chewing
- The jaw shifting noticeably when the child closes their mouth
An assessment during childhood can create a useful baseline, even when no immediate intervention is required.
For younger patients, Innovative Dental Care also provides dedicated paediatric dentistry alongside its orthodontic services.
Does My Teenager Need a Braces Assessment?
The teenage years are when orthodontic concerns often become more noticeable.
Most permanent teeth have appeared or are in the process of erupting, while the teeth, bite and jaw relationship can be evaluated more clearly.
Parents may begin noticing overlapping teeth, crowding, prominent front teeth or significant spaces.
Teenagers may also raise the issue themselves because they feel self-conscious about the appearance of their smile.
A braces assessment can help determine whether the concern is cosmetic, functional or a combination of both.
Signs worth discussing include:
Crowding: Permanent teeth may not have enough space to align correctly.
Spacing: Larger gaps may remain between teeth or develop as teeth erupt.
A noticeable overbite: The upper front teeth may sit further forward relative to the lower teeth.
An underbite: The lower teeth may sit ahead of the upper teeth when biting.
Crossbite: Some upper teeth may bite inside the lower teeth.
Open bite: The upper and lower front teeth may not meet even when the back teeth are together.
Difficulty cleaning crowded areas: Overlapping teeth can sometimes make effective brushing and flossing more difficult.
A teenager does not need to decide that they definitely want braces before arranging an assessment.
The purpose is to understand the problem first.
Innovative Dental Care provides dental and orthodontic care specifically for this age group through its Teen Dentistry services.
When Should an Adult See an Orthodontist?
Orthodontic assessments are not only for children and teenagers.
Adults may seek an assessment because they have lived with crowded or uneven teeth for years, because their teeth have shifted over time or because their bite has begun causing concern.
Some adults were never offered orthodontic treatment when they were younger.
Others had braces previously but have noticed their teeth moving again.
You may want an adult orthodontic assessment if:
- You have always been unhappy with the alignment of your teeth
- Your teeth have become more crowded over time
- Gaps have developed
- Your bite feels uneven
- You are wearing down certain teeth more quickly than others
- You previously had braces and your teeth have shifted
- You find crowded areas difficult to clean
- You are considering improving your smile and want to understand your options
Adults may also have existing fillings, crowns, implants, gum concerns or missing teeth that need to be considered as part of treatment planning.
This is why assessment comes before deciding on a specific orthodontic solution.
Innovative Dental Care provides adult dentistry alongside orthodontic, restorative and cosmetic treatment options.
Orthodontics Is About More Than Crooked Teeth
Straight teeth may be the most visible result associated with orthodontics, but orthodontic assessment also looks at the relationship between teeth and how they function together.
This is known as the bite.
Ideally, the upper and lower teeth should meet in a way that allows you to bite and chew effectively without placing excessive pressure on particular teeth.
There are several common bite patterns an orthodontic assessment may identify.
Overbite
The upper front teeth vertically overlap the lower front teeth. Some overlap is normal, but a pronounced bite relationship may require assessment.
Underbite
The lower teeth or jaw sit forward relative to the upper teeth.
Crossbite
One or more upper teeth bite inside the lower teeth rather than outside them.
Open bite
Some teeth do not meet when the jaws are closed, often affecting the front teeth.
Crowding
There is insufficient space for all the teeth to align normally.
Spacing
There are noticeable spaces between some teeth.
What matters is not knowing the technical name before your appointment. That is what the assessment is there to establish.
If you are unsure whether the issue is orthodontic or part of another dental concern, a broader dental evaluation through preventative dentistry can also help establish the appropriate next step.
What Happens During an Orthodontic Assessment?
An orthodontic assessment is primarily a diagnostic and planning appointment.
The dental professional needs to understand how your teeth are positioned, how your bite functions and what you are hoping to address.
The assessment may include:
- A discussion about your main concern
- An examination of your teeth
- Evaluation of your bite
- Assessment of crowding or spacing
- Review of jaw alignment
- Examination of tooth eruption in younger patients
- Discussion of your dental and medical history
- Appropriate photographs, scans or X-rays where clinically required
- A conversation about whether treatment may be recommended
For children, growth and development are particularly important.
For adults, existing restorations, missing teeth, gum health and previous dental treatment may also need to be considered.
This appointment should ultimately answer a more useful question than simply, “Do I need braces?”
It should help establish:
What is the problem?
Does it need treatment?
Does it need treatment now?
What options may be appropriate?
For patients who already know they are moving closer to treatment, Innovative Dental Care’s existing guide explains what to expect at a first braces consultation in more detail.
Does an Orthodontic Assessment Automatically Mean Braces?
No.
This is particularly important for parents who worry that booking an assessment commits their child to years of treatment.
An assessment is intended to provide information.
Possible outcomes can include:
- No orthodontic treatment is currently required
- The teeth should be monitored as the child grows
- Another assessment should be arranged at a later stage
- A dental issue needs to be treated before orthodontics is considered
- Orthodontic treatment could be beneficial
- Different treatment options should be discussed
Timing matters in orthodontics, especially for growing children.
Assessing something early does not necessarily mean treating it early.
Similarly, an adult may arrange an assessment and decide after understanding the options that they do not want to proceed.
The decision should follow diagnosis, not the other way around.
If cost becomes part of that decision after an assessment, Innovative Dental Care has a separate guide covering braces cost in South Africa, so this article does not need to duplicate those pricing considerations.

Finding an Orthodontist in Midrand
People searching Google for an orthodontist Midrand or orthodontist in Midrand are often at different stages of the decision process.
You may already know that you have an alignment issue.
You may be a parent wondering whether your child’s developing teeth look normal.
Or you may simply have noticed that your bite or tooth position has changed and want a professional opinion.
In each situation, an assessment is the logical first step.
Innovative Dental Care’s Midrand practice provides orthodontic treatment, including braces, as part of its range of dental services. The practice is located in Noordwyk, Midrand.
Choosing a nearby practice can also make follow-up easier if treatment is eventually recommended, because orthodontic care generally involves ongoing visits rather than a single appointment.
Patients searching for an orthodontist in Midrand can find contact details and local practice information on the Midrand Dental Centre page.
Finding an Orthodontist in Centurion
The same principle applies if you are looking for an orthodontist Centurion or orthodontist in Centurion.
Start with the question you need answered rather than assuming which treatment you need.
For example:
“My child’s permanent teeth look very crowded. Should we be concerned?”
“My front teeth have shifted as an adult. What are my options?”
“My bite does not feel even. Is this an orthodontic issue?”
“My teenager’s teeth overlap. Is now the right time for an assessment?”
These are all appropriate reasons to arrange an orthodontic evaluation.
Innovative Dental Care’s Centurion practice offers orthodontic care, including braces, as part of its dental services.
Patients in Centurion and surrounding communities can view contact and practice information on the Centurion Dental Centre page.
When Should You Not Delay an Assessment?
Many orthodontic concerns are not emergencies.
That does not mean every issue should be ignored for years.
Consider arranging an assessment if you or your child has an obvious bite problem, significant crowding, difficulty biting normally, teeth erupting in unusual positions or a jaw relationship that concerns you.
For adults, gradual changes also matter.
Teeth do not have to become dramatically crooked overnight for an assessment to be worthwhile.
If your teeth have moved, your bite has changed or old orthodontic results are no longer stable, finding out why can help you make an informed decision.
The same applies if alignment is affecting your confidence.
Wanting to improve the appearance of your smile is a valid reason to ask about orthodontic treatment, even when there is no serious functional problem.
You do not have to determine the severity yourself.
That is the purpose of the assessment.
If you are ready to have your teeth or your child’s development checked, you can request an appointment with Innovative Dental Care.
Frequently Asked Questions About Orthodontic Assessments
At what age should a child have an orthodontic assessment?
The American Association of Orthodontists recommends that children have an orthodontic check-up by around age seven. This does not mean braces should automatically begin at seven. The assessment helps identify developing problems and determine whether treatment, monitoring or no intervention is appropriate.
What is the difference between an orthodontic assessment and a braces assessment?
A braces assessment usually focuses on whether braces may be an appropriate treatment option. An orthodontic assessment is broader. It evaluates the teeth, bite and jaw relationship before determining whether any treatment is required and which approach may be suitable.
Can adults have an orthodontic assessment?
Yes. Adults can seek orthodontic care at many different ages. An assessment may be useful for crowding, gaps, shifting teeth, bite concerns, previous orthodontic relapse or simply because you would like to improve the alignment of your smile.
Does an orthodontic assessment mean I will need braces?
No. An assessment may conclude that treatment is unnecessary, that development should be monitored or that treatment could be considered later. If orthodontic treatment is recommended, the available options can then be discussed based on the individual patient.
Where can I book an orthodontic assessment in Midrand or Centurion?
Innovative Dental Care provides orthodontic care through its practices in Midrand and Centurion. Patients searching for an orthodontist Midrand, orthodontist in Midrand, orthodontist Centurion or orthodontist in Centurion can request an appointment online and select the most convenient location.
Book an Orthodontic Assessment in Midrand or Centurion
You do not need to wait until you are certain you need braces before asking for an orthodontic opinion.
That is backwards.
The assessment is what helps determine whether treatment is needed in the first place.
For parents, it can provide reassurance that a child’s teeth and jaws are developing normally or identify something worth monitoring.
For teenagers, it can clarify whether crowding, spacing or bite issues would benefit from treatment.
For adults, it can provide answers about long-standing alignment concerns, shifting teeth or changes in the bite.
Whether you are searching for an orthodontist Midrand, orthodontist in Midrand, orthodontist Centurion, orthodontist in Centurion, an orthodontic assessment, a braces assessment or simply information about when to see an orthodontist, the first step is a professional evaluation.
Explore Innovative Dental Care’s Orthodontics & Braces services or request an orthodontic appointment at the Midrand or Centurion practice.