What to Expect Our Orthodontic Process

Our Orthodontic Process

Our greatest goal is to give you the healthy, straight, beautiful smile that you've always wanted. We understand that choosing to receive orthodontic care is a big decision, and we respect your reasons for wanting to improve the way you look and feel. Our team will work with you every step of the way to make sure that your orthodontic care is as rewarding and comfortable as possible. Our practice utilizes the latest technology, offering a variety of safe and gentle treatment options to give you the customized, individual care you deserve. The below steps outline your initial consultation as well as what to expect when receiving orthodontic treatment of braces and starting treatment with Invisalign®.

Things To Know

Every smile starts with an initial consultation! Your first visit will give you the opportunity to meet our Doctor and Treatment Coordinator, learn more about orthodontics, receive a complete initial exam, and find out which treatment options will best meet your needs. Our team will be glad to answer any questions you may have and will also complete the following during your appointment:

  • Review your dental and medical history forms
  • Provide a complete orthodontic exam, including photographs and Panoramic and Cephalometric X-Rays, to determine whether you would benefit from orthodontic treatment
  • Discuss your treatment timeline and schedule future appointments
  • Discuss all financial information, your insurance coverage, and payment plans

Initial Bonding Visit (60-70 Minutes)

At your initial bonding appointment, we will start the placement of your appliances. Your teeth are prepped for the braces and they are then carefully bonded with special glue on each tooth. Whenever possible we will use an indirect bonding process to place your initial brackets. Watch Video on Indirect Bonding.

In cases where the teeth are erupting and moving rapidly we may use a direct bonding procedure where the brackets are placed individually at the bonding appointment. As this is such a critical step in the entire process, we will invest time in the smallest details to achieve the best results. Watch Video on Direct Bonding.

In many cases we will use orthodontic bands around the teeth to allow for the construction of orthodontic appliances. To make it more comfortable to place the orthodontic bands, Separators can be placed between the teeth. As most people's teeth do not have spaces between them, it would very difficult to place bands without creating these spaces. Separators should be in for a week before placing bands and if they fall out you will need to book another visit to have them replaced.

In the first few days after this appointment your mouth may be sore due to the pressure and initial tooth movement. Additionally, the braces will initially feel quite bulky to your lips and cheeks until you adjust. You may wish to take Acetaminophen (Tylenol®) or whatever you normally take for similar discomfort and eat a soft diet as you adjust to life with braces.

Adjustment Visits (30 Minutes)

Visiting us about every four to eight weeks is an important part of your orthodontic treatment. During these visits we will track your progress and make any necessary adjustments to your braces by way of wire changes, adding springs, introducing elastic bands, or other adding other accessories to your braces. Our practice will work with you to make sure that your appointments are as convenient as possible.

Debanding Visit (45 Minutes In The Morning And 30 Minutes That Afternoon) Once the active phase of treatment is completed a debanding appointment is made to remove your braces. You may experience some slight discomfort when having the braces removed, but there is no pain involved in this process.

Your teeth are then polished to remove any adhesive from their surfaces and we will take new impressions of your teeth to make a retainer. After this visit you’ll be grinning from ear to ear with your new and improved smile! During the day your retainers will be fabricated and in the afternoon we will see you again to insert your retainers and give you instructions for their care and use.

Retention Visits (10-15 Minutes)

We will ask you to return to the office three times during the first year after your retainers are removed. We will schedule appointments at 2, 6, and 12 months after your braces have been removed. It is extremely important that retainers are worn as directed to prevent the teeth from shifting as they are stabilizing.

Typically we will ask you to wear your retainers full time for 6 months after the braces are removed. At the 6 month mark if your teeth have stabilized we may recommend that you continue wearing the retainers at night time.

If you've opted for Invisalign® treatment we will begin the treatment process after your initial consultation. During your first appointment we will use a 3D scanner to take a digital impression of your teeth. We'll create a treatment plan and communicate with Invisalign to customize the movements of your teeth that will be needed to achieve the desired results.

Once we receive the aligners we will re-schedule an additional appointment to introduce you to your new appliance and discuss your treatment plan. Your Invisalign® aligners are worn for 20-22 hours a day and are usually changed every 2 weeks.

To monitor your progress and deliver your additional aligners, we will schedule checkups, usually every six weeks or so. To keep your teeth in position once treatment is complete, we will also fit you with retainers to maintain the results you have achieved by choosing Invisalign®. For more detailed information on Invisalign® please visit their website.

Visit Invisalign® For More Information


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