Frequently Asked Questions
Why should I choose an orthodontic specialist?
Teeth, and sometimes entire facial structures, are permanently changed by orthodontic treatment. It is important that the treatment be appropriate and properly completed. Orthodontic specialists have extensive and specialized training that enables them to provide their patients with professional, personalized treatments.
Does my dentist need to refer me?
Many of our patients are referred by their family dentist, yet many other patients take the initiative to schedule an examination themselves.
At what age should I schedule a consultation?
The American Association of Orthodontists recommends an orthodontic screening at age 7. By this age, several permanent teeth in most children have erupted, allowing us to effectively evaluate your orthodontic condition.
Will my teeth straighten as they grow?
No, they will not. The space available for the front teeth does not increase as you grow. In most people, after the permanent molars erupt, the space available for the front teeth decreases with age.
HOW DO I SCHEDULE AN INITIAL EXAM?
If you or your child can potentially benefit from orthodontic treatment, simply call our office or send us an e-mail. We will be happy to schedule an appointment for you. When you call to schedule your appointment, our front office staff will request some basic information from you.
WHAT WILL HAPPEN AT THE INITIAL APPOINTMENT?
Upon arriving, each patient and parent will be seen by the staff and doctor who will acclimate you to our office and prepare for the initial exam. We will take the necessary photographs and X-rays to allow us to make a proper diagnosis. The doctor will then complete a brief, but thorough, exam.
WHAT WILL I LEARN IN THE INITIAL EXAM?
There are five essential questions that we will cover during the initial examination:
• Is there an orthodontic problem, and if so, what is it?
• What must be done to correct the problem?
• Will any teeth need to be removed?
• How long will the treatment take to complete?
• How much will the treatment cost?
WILL I NEED TO HAVE TEETH EXTRACTED?
Removing teeth is sometimes required to achieve the best orthodontic result. Straight teeth and a balanced facial profile are the goal of orthodontics. However, because new technology has provided advanced orthodontic procedures, removing teeth is not always necessary for orthodontic treatment.
HOW LONG IS TREATMENT?
Treatment time obviously depends on each patient’s specific orthodontic problem. In general, treatment times range from 8 months to 30 months. The “average” time frame a person is in braces is approximately 18 – 24 months.
SHOULD MY CHILD GET BRACES WITH BABY TEETH REMAINING?
Yes. Some orthodontic problems are significant enough to require early intervention. However, if a patient is not yet ready for treatment, we will follow that patient’s growth and development until the time is right for treatment to begin.
I’M AN ADULT—IS IT TOO LATE FOR BRACES?
A surprising percentage of our patients are adults. In fact, 25 percent of all orthodontic patients are adults. Health, happiness and self-esteem are vitally important to adults. No patient is “too old” to wear braces!
CAN I WEAR BRACES WITH CROWNS OR MISSING TEETH?
Yes. A tooth with a crown will move just like a tooth with a simple filling. When teeth are missing, orthodontic treatment will aid in the alignment of the remaining teeth.
WHAT IS PHASE ONE TREATMENT?
Phase One treatment, if necessary, is usually initiated on children between the ages of 7 and 10. Phase One treatment lasts about 6-18 months. The primary objective for Phase One treatment is to address significant problems to prevent them from becoming more severe and to improve self-esteem and self-image.
WILL MY CHILD NEED FULL BRACES AFTER PHASE ONE?
It is best to assume that your child will need full braces even after Phase One treatment. The period following Phase One treatment is called the “resting period,” during which growth and tooth eruption are closely monitored. Throughout this period, parents and patients will be kept informed of future treatment recommendations.
WILL MY CHILD NEED AN EXPANDER?
At the completion of the initial examination, we will determine whether a patient will need an expander.
Care + Comfort
DO BRACES HURT?
Generally, braces do not “hurt.” After certain visits, teeth may be sore for a few days. In these situations, pain medications such as Advil or Tylenol will ease the discomfort. However, after most visits, patients do not feel any soreness at all! We often remind our patients, “It does not have to hurt to work!”
DO YOU GIVE SHOTS?
No. Shots are not necessary in orthodontic treatment.
DO YOU USE RECYCLED BRACES?
Absolutely not! It is our belief that each patient should be provided with their own braces to achieve the best orthodontic result possible.
CAN I STILL PLAY SPORTS?
Yes. We recommend a mouth guard for all sports.
DO I STILL NEED TO GO TO THE DENTIST?
Yes! Regular checkups with your family dentist are important while in braces. Your family dentist will determine the intervals between cleaning appointments while you are in braces.
SHOULD I AVOID CERTAIN FOODS?
Yes. Once treatment begins, we will explain the complete instructions and provide a comprehensive list of foods to avoid. Some of those foods include: ice, hard candy, raw vegetables and all sticky foods (i.e. caramel and taffy). You can avoid most emergency appointments to repair broken or damaged braces by carefully following our instructions.
HOW OFTEN SHOULD I BRUSH MY TEETH?
Patients should brush their teeth at least four times each day—after each meal and before going to bed. We will show each patient how to floss their teeth with braces and may also provide a prescription for a special fluoride, if necessary.
WHAT IF I HAVE AN EMERGENCY?
If your braces are causing extreme pain or if something breaks, you should call our office. In most cases, we can address these issues over the telephone. If you require an emergency appointment, we will set aside time for you.
Scheduling + Finances
WHAT ARE THE COSTS INVOLVED?
It is impossible to give an exact cost for treatment until we have examined you. We will cover the exact cost and financial options during the initial examination. We have many financing options available to accommodate your needs, and we will review these with you. We will also review your insurance policy and help to maximize your benefit and file your claims.
HOW OFTEN ARE APPOINTMENTS?
Appointments are scheduled according to each patient’s needs. Most patients in braces will be seen every 4 to 8 weeks. If there are specific situations that require more frequent monitoring, we will schedule appointments accordingly.
CAN I SCHEDULE APPOINTMENTS AFTER SCHOOL?
Unfortunately, we cannot schedule all appointments for students during after-school hours. However, because most appointments are scheduled 4 to 8 weeks apart, most patients will miss minimal school due to their orthodontic treatments. We will, however, make a sincere effort to meet your scheduling needs.
CAN I DROP MY CHILD OFF FOR AN APPOINTMENT?
Yes. We understand your busy schedule, and we are happy to help you make the most of your time. On some occasions, we may request to speak with a parent when they return, so we ask that parents check in with their patient manager before dropping off their child.
CAN I RETURN TO SCHOOL ON THE DAY I GET BRACES?
Yes. There is no reason you cannot return to school the same day.