FAQ

Initial Visit

At what age do you start seeing patients?

We typically evaluate young patients once their 6-year molars emerge and their front permanent teeth appear, usually between ages 6 and 8.

Why do you evaluate patients so young?

Early evaluations are more about observing and informing rather than starting treatment. This helps identify potential needs and discuss them early on. Only a small percentage of these young patients may require early intervention. Habits are assessed, medical issues are discussed, and an observation schedule is set up.

How long will the first visit take?

The initial visit can last between 30 minutes to 1 hour, depending on the patient’s readiness for treatment. We may perform a visual exam and discuss the situation or suggest X-rays and complete diagnostics, including teeth casts and photographs.

Do you take patients transferring from out of town?

Yes, we welcome patients transferring from other cities. We treat them like new patients, gathering complete diagnostic records to assess their current status and propose treatment to continue their existing care.

Do you have any adult patients?

Absolutely! More than 30% of our patients are adults.

What is the difference between an orthodontist and a dentist?

An orthodontist is a dentist who has completed at least 2 additional years of full-time training in orthodontics, earning a nationally accepted specialty certificate. Orthodontists specialize in straightening teeth and dentofacial orthopedics.

Can I make all my appointments in the afternoon and late after school?

Some procedures must be performed between 9 AM and 3 PM to ensure appointment availability. We strive to accommodate your schedule and family needs as much as possible.

Do you see patients for emergencies?

Yes, while orthodontic emergencies are rare, we do have a few helpful tips that you can find here for certain occurrences. 

For orthodontic emergencies causing pain outside of regular office hours, please call us at (207) 623-3116. Detailed instructions for further assistance are available. 

Financial

Can we make payments?

Yes, regardless of whether you have insurance, we can set up a convenient payment plan that aligns with your treatment plan.

How do you handle insurance?

After verifying coverage, we will bill and collect from your insurance carrier. However, if coverage changes or ceases, the patient is still responsible for the agreed-upon fee.

Do you take American Express, MasterCard, and Visa?

Yes, we accept all major credit cards.

Do you have direct debit?

Yes, we offer direct debit arrangements, charge card posting, and online payments.

Do you charge interest?

No, we do not charge interest.

Do you give family discounts?

Yes, we have special programs and fees for multiple patients from the same family.

Types of Treatment

What is Phase 1 Treatment?

Phase 1 treatment is provided early, before all permanent teeth have erupted, to correct skeletal problems that may be more difficult to address later.

What is Phase 2 Treatment?

Phase 2 is conventional orthodontic treatment, usually starting as the last baby teeth fall out and continuing until the 12-year molars are evaluated or straightened. This treatment typically lasts between 2 and 3 years.

How do I know if Phase 1, 2, or both types of treatments are necessary?

An early visit is recommended. About 10-20% of young patients may benefit from Phase 1 treatment. Others are observed until the appropriate time to begin care.

Does early treatment ensure a better result?

Not always. While early treatment can achieve significant goals, the final quality of the result is determined at the end of care. Therefore, we only recommend early treatment when significant benefits can be achieved.

Moving of Teeth (Mechanics)

I need to be pre-medicated for the dentist. Do I need to take my medicine to the orthodontist?

Yes, pre-medication is still required for orthodontic appointments.

How long do braces take?

Complete treatment usually takes around 2 years of active tooth movement, sometimes divided into two or more periods with a rest of 6 to 18 months in between.

How do braces work?

Braces gradually move crooked teeth into desired positions using shaped wires attached to brackets on the teeth.

Do you use recycled braces?

No, we do not use recycled braces.

Retainers

Do retainers need to be worn after braces?

Yes, retainers are worn full-time for a few weeks, followed by nighttime wear to maintain alignment.

Why do teeth get crooked after wearing braces or aligners?

Teeth naturally shift over time, so indefinite retainer wear is recommended to maintain orthodontic results.

How about retainers glued to the backs of teeth?

For some patients, permanent retainers are attached to the back of the front teeth. These require special hygiene procedures and regular check-ups.

Wisdom Teeth (Third Molars)

Do wisdom teeth cause teeth to get crooked?

Research indicates that wisdom teeth do not cause teeth to become crooked.

Why do wisdom teeth need to be removed?

If impacted, wisdom teeth can cause gum problems and swelling and trap food below the gum tissue, leading to infection. It’s better to plan for their removal rather than wait for an emergency.

When is a good time to have wisdom teeth removed?

The optimal time is when about 2/3 of the root is formed, typically around ages 16 to 18.

Temporomandibular Disorders (TMJ)

Can braces or orthodontic treatment treat or cause TMJ problems?

Scientific literature shows no direct link between orthodontic treatment or occlusion and TMJ. TMJ problems can occur regardless of the bite’s condition.

Health Impact

What are the health benefits of wearing braces?

Orthodontics can improve bite comfort, make brushing and flossing more accessible, and help balance facial musculature. The boost in self-esteem is immeasurable.

How do enlarged adenoids and allergies affect braces?

Mouth breathing due to enlarged adenoids, tonsils, or allergies can cause the upper and lower jaws to grow apart, leading to crowding and narrow arches.

How does a tongue thrust or low tongue posture affect braces?

Similar to enlarged adenoids, tongue thrusting can exert pressure on front teeth, aggravating protrusion and spacing.