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Jaw problems in children

Dr Eslam Mansour
Written in association with: Dr Eslam Mansour Specialist orthodontist - Kids treatment in Central London
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2 reviews

Sources: Top Doctors GB
Published: 05/02/2026 Edited by: Karolyn Judge on 12/02/2026

Jaw problems in children can affect the alignment of the upper and lower jaws, the position of the teeth, and overall facial development. These issues may influence chewing, speech, breathing, and appearance. Early assessment is important because children’s jaws are still growing, and timely intervention can improve long-term outcomes.



What causes jaw problems in children?

Jaw development is influenced by genetics and environmental factors. Some children inherit a tendency toward a small or prominent jaw, while others develop problems due to habits or airway issues. Prolonged thumb sucking, mouth breathing, early loss of baby teeth, or enlarged tonsils and adenoids can affect how the jaw grows over time.


Skeletal problems may involve the upper jaw, lower jaw, or both, and are often associated with crowding or spacing of the teeth.



Signs parents may notice

Jaw problems are not always obvious. Some children show no pain but have changes in bite or facial symmetry. Others may develop functional symptoms that affect everyday life.


Signs to watch for include difficulty biting or chewing, teeth that do not meet properly, facial asymmetry, speech difficulties, or persistent mouth breathing. Snoring or disrupted sleep can also be linked to jaw position and airway size.



How jaw problems are assessed

A detailed assessment by a specialist orthodontist or paediatric dentist is essential. This typically includes a clinical examination, photographs, dental impressions or digital scans, and X-rays. Understanding how the jaws are growing relative to each other allows treatment to be planned around natural growth spurts, when interventions are most effective.



Non-surgical treatment options

Many jaw problems can be improved during childhood using orthodontic appliances and tailored approaches to treatment. These include:


  • removable functional appliances to guide jaw growth
  • fixed braces to correct bite relationships and tooth alignment
  • expansion devices to widen a narrow upper jaw
  • staged treatment plans that follow the child’s growth patterns


These approaches can reduce the severity of the problem and, in some cases, prevent more complex treatment later.



When further treatment may be needed

If significant skeletal discrepancies remain after growth is complete, advanced treatment may be considered during late adolescence or adulthood. Early intervention often simplifies later care and improves both function and facial balance.



When to seek specialist advice

An orthodontic assessment around age seven is usually recommended, even if no obvious problems are present. Earlier review is advised if a child has difficulty biting, noticeable jaw imbalance, or ongoing breathing issues.


With timely specialist assessment and carefully planned treatment, most children achieve healthy jaw development, improved oral function, and a balanced facial profile.

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