1. Is it required that my family dentist schedule my appointment with the orthodontist?
No, unlike the medical world, a referral from the general dentist is not needed to see us for an appointment. Many of our patients are referred by their family dentist, yet many other patients take the initiative to schedule an examination themselves.
2. At what age should I schedule an appointment for an orthodontic screening?
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.
3. Will my teeth straighten out as they grow?
Generally, no. While many changes will take place over time, the space available for the front teeth does not increase as you grow.
4. How do I schedule an appointment for an initial exam?
Simply call (252-237-9999) or email ([email protected]) our office or request an appointment by filling out the 'contact us' information below. We will be happy to schedule an appointment for you.
5. What will happen at the initial examination appointment?
Upon arriving, each patient and parent will be seen by the staff and Dr. Goeckner who will acclimate you to our office and prepare for the initial exam. The doctor will then complete a brief, but thorough, exam. If treatment of any kind is recommended at that time, the options will be discussed including their corresponding financials.
6. What will I learn from the initial examination?
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?
7. Will I need to have teeth extracted for braces?
The majority of our cases are treated without extractions. Removing teeth is not always necessary for orthodontic treatment, but is sometimes required to achieve the best orthodontic result. Straight teeth and a balanced facial profile are the goal of orthodontics. We will provide you with all options for treatment, explaining the risks and benefits and allowing you as a family to decide the best treatment option and/or modality.
8. How long will it take to complete treatment?
Treatment time depends on each patient's specific orthodontic problem. In general, treatment times range from 12 to 30 months. The "average" time frame a person is in braces is approximately 24 months.
9. 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 review your insurance policy and help to maximize your benefit and file your claims.
10. How often will I have appointments?
Appointments are scheduled according to each patient's needs. Most patients in braces will be seen every five to seven weeks. If there are specific situations that require more frequent monitoring, we will schedule appointments accordingly.
11. Can I schedule all of my appointments after school?
Unfortunately, we cannot schedule all appointments for students during after-school hours. However, because most appointments are scheduled five to seven 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.
12. 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 when they return to pick up their child.
13. 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!”
14. Can I return to school the day I receive my braces?
Yes. There is no reason to miss school because of an orthodontic appointment.
15. Do you give shots?
No. Shots are not necessary in orthodontic treatment.
16. Can I still play sports?
Yes. We recommend a mouth guard for all sports.
17. Do I need to see my family dentist while in braces?
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. We recommend seeing your dentist every 6 months.
18. 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. Some of those foods include: nuts, popcorn, ice, hard candy, 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.
19. How often should I brush my teeth while in braces?
Patients should brush their teeth at least two times each day - after each meal and before going to bed is ideal. We will show each patient how to brush and floss their teeth with braces.
20. What is a comfort appointment? How are those handled?
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 a comfort appointment, we will set aside time for you.
21. 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.
22. What is Phase One (early) Treatment?
Phase One treatment, if necessary, is usually initiated on children between the ages of 7 and 10. Phase One treatment lasts about 12-21 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.
23. Will my child need full braces if he/she has Phase One treatment?
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 "observation period," during which growth and tooth eruption are closely monitored. Throughout this period, parents and patients will be kept informed of future treatment recommendations.
24. Will my child need an expander?
At the completion of the initial examination, we will determine whether a patient will need an expander.
25. Is it too late to have braces/aligners if I am already an adult?
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.
26. Can I wear braces even though I have crowns and 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.