Your Questions, Answered

  • After completing your initial examination and reviewing your records, we'll sit down with you — and your parents if applicable — to discuss your specific situation, what orthodontic treatment can improve, and all of your options. We'll answer every question before any decisions are made. There's no rush, and no pressure.

  • For most patients, getting braces on requires just one longer appointment — typically scheduled in the morning. We'll place the brackets, fit the wire, and make sure everything is comfortable before you leave. We'll also walk you through home care, what to expect over the next few days, and how to handle any minor issues that come up. Most patients are surprised by how straightforward it is.

  • Placing the braces is comfortable — there's no drilling or injections involved. You may feel some pressure as brackets are positioned, but nothing painful. Some tenderness in the teeth and gums is normal in the first few days as they begin to respond to the new forces. Soft foods and acetaminophen if needed will get you through it comfortably.

  • The appointments that require more time — getting braces on, removing them, and a few others through the course of treatment — are scheduled in the morning. This ensures we have the uninterrupted time needed to do the job properly. Getting the braces placed correctly at the start goes a long way toward how smoothly treatment proceeds. Most adjustment appointments are shorter and available in the afternoon and after school hours — we respect that everyone has busy schedules.

During Treatment

Getting Started

  • For most patients, treatment takes about two years — though individual factors can make it shorter or longer. Here's something worth understanding about how teeth move: pushing harder doesn't make them move faster. Once we're applying enough force, teeth move at their own biological pace. Pushing any harder only increases discomfort without speeding things up. We think of it as prescribing the lowest effective dose — the lightest force that moves teeth efficiently and comfortably, with the least amount of stress on the teeth and surrounding bone. The simple answer is that braces come off when we've done the best we can for you.

  • Most patients are seen every four to six weeks. The braces are working between visits whether you see us or not — regular appointments allow us to check progress, make adjustments, and keep treatment moving on schedule. Keeping appointments is one of the most important things you can do for your treatment.

  • At each visit we check your progress and decide on the next step. Depending on where things stand, we might re-tie the existing wire and let it keep working, replace it with a slightly different wire, change the type of wire to shift the kind of movement we're creating, or reposition a bracket to improve its effectiveness. Each visit builds on the last — the adjustments we make set the next stage of movement in motion.

  • Yes — the elastic ties that hold the wire to the brackets come in a wide range of colors and can be changed at every visit. It's one of the more popular parts of the appointment.

  • Absolutely — keep your regular dental check-ups throughout treatment, at least every six months. Your dentist monitors the health of your teeth and gums in ways that go beyond what we do, and catching any issues early makes a real difference. Orthodontics and general dental care work together.

About the Appliances

  • Braces have three main components. The bracket is bonded to the tooth — think of it as a precision handle that holds the wire. The wire is the engine — it's a spring that, when flexed away from its natural shape, creates the forces that move teeth. It also acts as a guide or track along which teeth travel. The tie is the small elastic that holds the wire to the bracket. When teeth need to be pulled together along the wire, linked ties called a power chain create a continuous gentle force to close spaces.

  • Thoroughly and consistently. The area between the brackets and the gumline is the most important place to focus. Brush at least twice a day — after every meal is better — and use interproximal brushes and floss to clean under the wires and between the teeth. Good oral hygiene during treatment protects the teeth from the white spot stains and cavities that can result from plaque buildup around brackets

  • Hard foods that shatter — ice, hard candy, hard pretzels, crusty bread — are the most likely to break brackets or bend wires. Sticky foods like gummies and caramel can pull brackets off. Sugary drinks — soda, sports drinks, juice — are the biggest threat to your teeth, contributing to the white spot stains that can permanently mark enamel. Most other foods are fine with a little common sense.

Treatment Outcomes

  • Yes — retention is an essential part of orthodontic treatment, not an afterthought. Teeth have a natural tendency to shift over time, and a retainer is what keeps your result in place. We take a digital scan at the same appointment your braces come off and fabricate your retainer in-house — most patients leave that day with their retainer already made. We start with night wear immediately, and honestly, the most effective approach is to wear a retainer indefinitely. The patients who keep their results are the ones who keep wearing their retainer.

  • Two-phase treatment involves an earlier, limited phase of care addressing specific growth-related concerns, followed by a second phase when the permanent teeth are in. It isn't appropriate for every child — and we recommend it selectively, only when the evidence clearly supports it.

  • Some orthodontic problems are best addressed while a child still has significant growth remaining or while certain baby teeth are still present. For most children, however, the right time for treatment is closer to adolescence. Careful monitoring is often the most appropriate course in the early years.

  • No — as long as the teeth and gums are healthy, successful orthodontic treatment is possible at any age. Adults make up a significant and growing portion of orthodontic patients, and the options available today make treatment more comfortable and discreet than ever.