Getting Started

During the initial examination for each patient, we will address the following questions that cover the basics of orthodontic treatment. We encourage you to ask questions as well.

• Is there a condition that orthodontics can address?
• Is treatment needed now or should treatment be delayed until appropriate growth, tooth eruption or other factors have occurred?
• What treatment procedures will be used to correct the problem?
• Do any permanent teeth need to be removed?
• How long will treatment take?
• How much will it cost?
• What are my payment options?

While we can often answer these general questions about treatment during the initial examination, we will address specific areas after careful analysis of the diagnostic records. We feel it is important to analyze each patient’s specific needs, because in-depth planning leads to superior results and higher patient satisfaction.

We will then schedule a consultation visit to discuss treatment options, time frames and financial arrangements. We insist that our patients leave the office with a clear understanding of their specific needs, what the treatment will consist of and how long it will take. Also, we will answer any additional questions.

Please assist us by providing the following information at the time of your first visit:

• Any panoramic X-ray taken within the past six months.
• If you have orthodontic insurance, bring your insurance card. By providing this information at the first visit, we will be able to give you an estimate of your costs.

Open Communication

We believe that good orthodontic care begins with open communication. We promise to speak candidly with you about our diagnosis and recommendations, any alternative treatments, and any symptoms present that may require further treatment. Working together, we can achieve a true partnership, with one common goal – helping you achieve a beautiful, confident smile!

Evaluation of TMJ/TMD History

The “Temporomandibular Joint,” more commonly referred to as the “jaw joint,” assists in the basic opening and closing movements of the jaw. Unfortunately, this joint is a common area for recurring pain. Although conventional wisdom suggests that “popping” sounds in the jaw indicates a TMJ dysfunction, this is not always true. Many times, your jaw is functioning properly even if a “popping” sound is present when chewing or talking.

We offer a TMJ exam that evaluates the joint tissue in the “hinge” of the jaw. Possible problems include swelling, deterioration of the joint tissue or damaged joint tissue, which cushions the jaw bones during the opening and closing movement of the mouth. Common pain relievers and cold compresses can provide temporary relief for most cases of TMJ.

For more serious cases of TMJ, we will recommend alternate treatments. Often, we will suggest using a mouthguard to relieve teeth grinding. In some cases, we will instruct you to use orthodontic appliances or retainers to alleviate discomfort or redirect positioning of the TMJ joint. For the most severe cases of TMJ, we may recommend certain invasive procedures.

Getting Started With Braces On

Before Leaving Our Office

To minimize discomfort and eliminate any future problems or confusion, make sure to follow these steps before leaving our office with your new braces.

• Move your teeth around to check for all wires that may be poking you.
• Make sure you have listened to and understood your doctor’s instructions about what steps to follow until your next scheduled appointment.
• Make sure you have proper cleaning aids.
• Make sure you have enough dental wax; you will need it!
• Make sure you have rubber bands if your doctor told you to wear them.
• Schedule your follow-up appointment! Appointment times fill up quickly! Don’t delay your treatment by not scheduling your next appointment!

Getting Used To Your New Braces

It may make a day or two to get used to the feeling of having braces on your teeth. They may feel like they stick out a bit, but you will soon get used to them!

Sore Teeth and Mouth

Right after you get your braces, your teeth and mouth will likely feel sore or tender. The brackets may even scratch your cheeks.

To alleviate the pain:

• Gargle lukewarm saltwater, which is a mixture of one teaspoon of salt dissolved in eight ounces of water.
• Take acetaminophen or other non-aspirin pain relievers.
• Use a warm wash cloth or heating pad to reduce the soreness in your jaws.
• Use orthodontic wax to prevent brackets from scratching you.