Frequently Asked Question About Orthodontics
Initial Visit
Do you charge for an initial visit?
We do not charge for your initial visit. As a courtesy to you and your general dentist, we’ll review whether braces or teeth straightening are appropriate, free of charge. A co-payment may apply for X-rays or additional diagnostic procedures.
At what age do you begin seeing patients?
We typically like to evaluate children once their 6-year molars have come in and their front permanent teeth start to emerge, usually between ages 6 and 8.
Why do you examine patients at such a young age?
Early assessments allow us to monitor development and offer guidance, even if no immediate treatment is needed. This proactive approach helps us identify potential concerns early. While only a small percentage of young patients need early intervention, we’ll also evaluate habits, review medical concerns, and create an observation timeline.
How long does the first appointment take?
Depending on the patient’s readiness for treatment, your first visit may last from 30 minutes to one hour. We may begin with a simple visual exam or, if needed, proceed with X-rays and full diagnostic records, including dental impressions and photographs.
Can you accommodate patients transferring from another city?
Yes, we welcome transfer patients and treat them like new patients. We’ll collect comprehensive records to understand your current treatment status and develop a plan to complete your care. Unlike many offices, we don’t require a large upfront payment—just a monthly fee to continue your treatment.
Do you treat adult patients?
Absolutely. We’re seeing more adult patients than ever before. Advances in discreet and comfortable orthodontic options make it easier for adults to enjoy the benefits of a straighter smile.
What’s the difference between an orthodontist and a dentist?
Orthodontists are general dentists who have completed at least two additional years of full-time specialty training in orthodontics. They focus solely on straightening teeth and correcting jaw alignment.
Can I schedule all my appointments after school or later in the day?
We try to accommodate busy schedules, but some types of appointments are best done between 9 a.m. and 3 p.m. We’ll work closely with you to find times that suit your family’s needs.
Do you handle orthodontic emergencies?
Yes. Our emergency contact information is listed on our website and is also available through our phone answering service.
Financial
Can we set up a payment plan?
Yes. Whether or not you have insurance, we’ll help create a flexible payment plan tailored to your budget, usually aligned with the length of your treatment.
How is insurance handled?
After verifying your benefits, we’ll work directly with your insurance provider to collect payments. Please note that any changes in coverage do not affect your responsibility for the total treatment fee.
Do you accept American Express, MasterCard, or Visa?
Yes, we welcome all major credit cards.
Can I set up automatic payments?
Yes, we offer options for direct debit, online payments, and automatic charge card billing.
Is interest charged on payment plans?
No, we do not charge interest on your orthodontic payment plan.
Are there discounts for families?
Yes, we offer special pricing and discounts for families with multiple patients receiving treatment.
Types of Treatment
What is Phase 1 Treatment?
Phase 1, or early treatment, begins before all permanent teeth have erupted. It’s designed to address serious issues early, like jaw misalignment or bite problems, that may be harder to fix later. This phase does not replace traditional braces in adolescence, but rather complements them.
What is Phase 2 Treatment?
Phase 2 is standard orthodontic care, typically starting as the last baby teeth fall out and continuing through evaluation of the 12-year molars. It often lasts between two and three years.
How can I tell if Phase 1, Phase 2, or both are needed?
An early evaluation helps us determine if early intervention is necessary. About 10–20% of children benefit from Phase 1. Most others will be monitored until they’re ready for treatment.
Does early treatment guarantee better results?
Not always. While early care can help address important issues, the final outcome depends on how the treatment is completed. We only recommend early treatment if it offers clear advantages.
Moving of Teeth (Mechanics)
I need antibiotics before dental work—should I take them before an orthodontic visit?
Yes, if pre-medication is recommended for dental visits, it should be taken before orthodontic appointments as well.
How long does orthodontic treatment take?
Most treatments are completed in about two years of active tooth movement. Sometimes, treatment is divided into stages with rest periods lasting 6 to 18 months between phases. (See Phase 1 and Phase 2 above.)
How do braces straighten teeth?
Braces work by using specially shaped wires connected to brackets, gradually guiding teeth into proper alignment.
Do you use recycled braces?
No, we only use brand-new appliances for every patient.
Retainers
Will I need to wear a retainer after braces?
Yes, retainers are essential. You’ll typically wear them full-time for about six months, followed by nighttime wear indefinitely to preserve your results.
Why do teeth shift after braces or aligners?
Teeth can move throughout your life, even without orthodontic treatment. This is a natural part of aging, which is why consistent retainer wear is important for long-term results.
What about permanent retainers bonded behind teeth?
For some patients, we attach permanent retainers behind the lower front teeth. These require special hygiene care and routine checkups with your family dentist.
Wisdom Teeth (Third Molars)
Can wisdom teeth cause my other teeth to shift?
Studies show that wisdom teeth do not directly cause other teeth to become crooked.
Why do wisdom teeth sometimes need to be removed?
While they don’t cause crowding, wisdom teeth can lead to swelling, gum problems, and infections, especially if impacted. Planning ahead for their removal is usually more comfortable than handling them in an emergency.
When is the best time to remove wisdom teeth?
Oral surgeons typically recommend removal when about two-thirds of the root has developed, often between the ages of 16 and 18.
Temporomandibular Disorders (TMJ)
Can braces help or cause TMJ issues?
Scientific studies do not show a direct connection between orthodontic care and TMJ disorders. TMJ issues can occur regardless of how teeth are aligned.
Health Impact
What are the health benefits of orthodontics?
Braces improve bite function, simplify brushing and flossing, and may help balance facial muscles. Many patients also enjoy a major boost in self-confidence, which can be life-changing.
How do allergies or enlarged adenoids affect orthodontics?
Chronic mouth breathing caused by allergies or enlarged adenoids can alter jaw growth and facial shape, often resulting in crowded or narrow dental arches.
What role does tongue posture or tongue thrust play in orthodontics?
Poor tongue posture or tongue thrusting can worsen bite issues by pushing teeth forward and creating gaps, similar to the effects of enlarged adenoids or tonsils.
