Is there a charge on the initial visit?
No. As a courtesy to you and your family dentist, we will always discuss the process of braces or tooth straightening without charging a fee. There may be a co-payment for X-rays and other diagnostic procedures based on dental plans and insurance.
At what age do you start seeing patients?
We usually like to evaluate young patients between the ages of 6 and 8, after the 6-year molars erupt and the front permanent teeth just start to appear.
Why do you evaluate patients so young?
The purpose of evaluating early is to observe and inform, more than to begin treatment. At this young age, the eventual needs may be recognized and discussed. A small percentage of this young group may need some form of intervention. Habits are assessed, medical issues are discussed and an observation schedule is arranged.
How long will the first visit take?
The 1st visit can take anywhere between thirty minutes and one hour, depending on how ready the patient is for treatment. We may just do a visual exam and clarify the situation or we may suggest one or more X-rays and complete diagnostics. This includes moldings of the teeth with photographs.
Do you have any adult patients?
Yes we do. An increasing percentage of our patients are adults. New, more cosmetic appliances are making adult treatment much more convenient and comfortable.
Do you take patients transferring from out-of-town?
Absolutely. We handle a patient relocating into our office from another city just like any new patient. We gather complete diagnostic records to show the current status and propose treatment to finish the work that has already been started. Unlike most other practices, we do not ask for a hefty down payment but simply assess a monthly fee to complete the treatment in progress.
What is the difference between an orthodontist and a dentist?
An orthodontist is a general dentist that has had a minimum of 2 more years of full-time training in orthodontics resulting in a nationally accepted specialty certificate. The orthodontist then limits his or her practice to straightening teeth and dentofacial orthopedics.
Can I make all my appointments in the afternoon after school and late in the day?
Because we do like procedures at like times, the majority of visits may be made during the before and after school times. To make early and late appointments available for the majority of patients, some procedures do need to be completed during the hours of 9 and 3. We will do our best to accommodate your family needs and work with your schedules.
Do you see patients for emergency situations?
Yes, our emergency contact information is posted on the website as well as on our phone’s answering machine.
Are payment plans available?
Yes. Whether or not you have a dental plan or insurance, we will structure a suitable payment plan that will allow you to pay for needed services over a period of time that usually coincides with your treatment plan.
How do you handle insurance?
After verifying coverage, we will approve to bill and collect from an insurance provider. However, we ask patients to understand that if coverage changes or ends, the patient will still be held responsible for the agreed upon fee.
Do you take Master Card, American Express and/or Visa?
Yes, we accept all major credit cards and schedule automatic deductions.
Do you have direct debit?
Yes, we have measures to accept direct debit, charge card posting, as well as payments over the internet.
Do you charge interest?
We do not charge interest.
Do you give family discounts?
We have special fees and programs for multiple patients from the same family.
What is Phase 1 Treatment?
Phase 1 treatment is a treatment that is delivered early and before all of the permanent teeth have erupted. The reason for this early care is to begin correcting harmful malocclusions that may be more problematic or impossible to correct at a later time. We call it FACE FIRST THERAPY. Phase 1 treatment doesn’t eliminate the need for conventional orthodontics done during adolescence. Examples of phase 1 treatment include correcting individual tooth or jaw cross-bites and severe under-bites/over-bites where esthetic, function or psychological concerns are identified.
What is Comprehensive Treatment?
Comprehensive treatment is conventional orthodontic treatment. It may start while the last baby teeth are falling out and continue until the 12 year molars have been straightened or evaluated. This treatment usually lasts between two and three years.
How do I know if Phase 1, 2 or both type of treatments are necessary?
We suggest and early visit. About 10% to 20% of young patients may benefit from phase 1 treatment. Most other patients are observed until the proper time to initiate care. As you will see, Dr. Grob utilizes the Treatment By Twelve’s system to assess care and employs this throughout treatment.
Moving of teeth (Mechanics)
How long do braces take?
Complete treatment can generally be completed in 2 years of active tooth movement. Occasionally, this active movement is separated into 2 or more periods of time with a rest of 6 to 18 months in between. (See phase 1 and comprehensive treatment above).
I need to be pre-medicated for the dentist. Do I need to take my medicine for the orthodontist?
How do braces work?
Simply put, crooked teeth are gradually moved into preferred positions by taking shaped wires and attaching them to brackets on the teeth.
Do retainers need to be worn after braces?
Yes, retainers are worn full-time for approximately three months, followed by nighttime wear open-endedly.
Why do teeth get crooked after wearing braces or aligners?
Teeth move throughout life whether you have worn braces or not. It is a natural process as a result of tooth wear, grinding, muscles habits and TMJoint function or changes. This is why retainer wear is suggested indefinitely to preserve your orthodontic results over your lifetime.
How about retainers glued to the backs of teeth?
For certain patients, permanent retainers are attached to the back of lower teeth to keep them in place. This requires special hygiene procedures and regular recalls to the family dentist.
Wisdom teeth (Third Molars)
Do wisdom teeth cause teeth to get crooked?
Studies have shown this not to be true. Teeth become crooked due to poor retainer wear, growth, and bad habits.
Why do wisdom teeth need to be removed?
Wisdom teeth don’t cause crooked teeth but they can cause gum issues, swelling if impacted, and trap food below the gum tissue, which can cause infection. It is much nicer to plan for their removal rather than have them removed under emergency circumstances.
When is a good time to have wisdom teeth removed?
Oral surgeons suggest that wisdom teeth be removed when approximately 2/3 or so of the root is formed. Sometime after age 16 or 18 seems to be the average.
Can braces or orthodontic treatment treat or cause TMJ problems?
Scientific works have documented that there is not a direct link between orthodontic treatment or occlusion and TMJ. Problems with TMJ can be absent or present in the presence of all types of bad and good bites.
What are the health benefits of wearing braces?
Orthodontics helps to improve the comfort of the bite. It also can make it easier to brush and floss your teeth for good dental health, as well as many times it helps to balance the facial musculature. Additionally, the positive self-esteem benefits are immeasurable.
How do enlarged adenoids and allergies affect braces?
Mouth breathing, as a result of enlarged adenoids or allergies or tonsils, may cause your upper and lower jaws to grow apart and elongate facial form during growth, resulting in crowding and often narrow arches.
How does a tongue thrust or low tongue posture affect braces?
The effects are similar to that of enlarged adenoids. Additionally, the pressure on the front teeth from the tongue thrusting can aggravate spacing and protrusion.