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Frequently
Asked Questions
At what age should I schedule an appointment
for an orthodontic screening?
The American Association of Orthodontists recommends an orthodontic
screening at age 7. This is the age at which the first permanent
teeth begin to erupt in most children. An examination at this age
does not always lead to treatment at this age. However, it allows
the orthodontist to evaluate the position of the permanent incisors
and molars, and plan the patient’s treatment timing accordingly.
Will my teeth straighten out as they
grow?
No. The space available for the front teeth does not increase as
you grow. In most people, once the permanent molars erupt, the space
available for the front teeth decreases.
Will I need to have teeth extracted
for braces?
Removing teeth is sometimes (but not always) required to achieve
the best orthodontic result. Straight teeth, a stable, functional
bite and a balanced facial profile are some of the goal of orthodontic
treatment. Occasionally, it is necessary to remove some teeth to
reach these goals.
How long will it take to complete
treatment?
Treatment time depends on each patient's specific orthodontic problem
and their compliance once they are in treatment. In general, treatment
times range from 12 to 30 months. The "average" time frame
a person is in braces is approximately 22 months. However, things
like frequently broken appliances, missed appointments, poor oral
hygiene and poor cooperation can adversely affect treatment time.
Will
I have to wear retainers?
Yes. Orthodontics is a process of moving teeth through the bone
into their new position. Following active orthodontic treatment,
retainers will be placed. Retainers are very important to maintain
the new position of your teeth! Like all parts of the body, teeth
are also constantly changing and adapting. Only conscientious retainer
wear will keep your teeth straight for a life time.
How much will braces cost? Are financing options available? How
does my insurance work?
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 confirm your insurance benefit and file your claims.
How often will I have appointments?
Appointments are scheduled according to each patient's needs. Most
patients in braces will be seen every 6 to 8 weeks. If there are
specific situations that require more frequent monitoring, we will
schedule appointments accordingly.
Can I schedule all of my appointments
after school?
Unfortunately, we cannot schedule all appointments for students
during after-school hours. Typically long appointments, such as
putting on braces, are more technique-sensitive appointments and
are scheduled during the day. In general, most students miss minimal
school time due to orthodontic treatment.
Can I return to school the day I receive
my braces?
Yes. In general, there is no reason to miss school because of an
orthodontic appointment. We will provide you with school excuses
for scheduled orthodontic appointments and it is important for you
to turn these in to the proper school official.
Can I drop my child off my child 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 the receptionist when you return to pick up your child.
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 and can be given
to those patients who have no known history of adverse reactions
or contraindications to these medications.
Do you give shots?
No. Shots are not necessary for orthodontic treatment.
Are there foods I cannot eat while
I have braces?
Yes. Once treatment begins, we will explain the complete instructions
and provide a comprehensive list of foods to avoid (…basically,
nothing hard, sticky or chewy!). Some of those foods include: ice,
hard candy, gum, caramel and taffy. You can avoid most emergency
appointments to repair broken or damaged braces by carefully following
our instructions.
What is Phase I (early) Treatment?
Phase I treatment, if necessary, is usually initiated for children
between the ages of 7 and 10. Phase I treatment lasts about 12-21
months. The primary objective of Phase I treatment is to correct
some of the more severe problems early so that later comprehensive
orthodontic treatment (Phase II) is less complicated and, in some
cases, shorter in duration. Phase I treatment can also be successfully
performed to improve self-esteem and self-image.
Can orthodontic correction occur while a child has baby teeth?
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.
Will my child need full braces later
if he/she has Phase I treatment?
It is best to assume that your child will need full braces even
after Phase I treatment. The period following Phase I 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 a palatal expander?
At the completion of the initial examination we will be able to
determine whether a patient will benefit from a palatal expander.
Is it too late to have braces if I
am already an adult?
A surprising percentage of our patients are adults. In fact, 25%
of all orthodontic patients are adults. Health, happiness, and self-esteem
are vitally important to adults. No patient is "too old"
to undergo orthodontic treatment! We have a variety of esthetic
options and limited treatment options available for our adult patients.
Why should you 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 (more than six years of training
after college!) that enables them to provide their patients with
professional, personalized treatment.
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