Q.  When should a child first see an orthodontist?

 A.  We recommend that children come in for an evaluation no later than age   seven.  In some cases, children need to come in as young as two or three.  Many orthodontic problems are easier to correct if detected early rather than waiting until jaw growth has slowed. Early treatment may mean a patient will avoid surgery or other serious more corrections later in life. Usually, the best time for treatment is between ages nine and thirteen when you are losing your primary or 'baby' teeth and your permanent adult teeth are coming in. This is called the late mixed dentition period. During this period, the bones around your teeth are growing and developing. Orthodontic treatment will shape this growth so that your teeth grow in, in the proper position.

Q.  Is it ever too late for a person to get braces?

 A.  No.  Because healthy teeth can be moved at any age, an orthodontist can improve the smile of practically anyone.  In fact, we regularly treat patients in their 50s, 60s and beyond! We will work closely with your dentist and other dental specialists to provide you with comprehensive care and improve your oral health.

Q.  What about the cost of orthodontic work?

A.  This will vary, of course, depending on the nature of the problem and the length and complexity of the treatment.  Some orthodontic problems require limited treatment.  You may be surprised to discover that orthodontics is less expensive than you thought. We will be happy to discuss fees and payment options with you.  Many group dental plans now include orthodontic benefits.  Also, flexible payment plans are available, including options with no down payment and with monthly payments over an extended period of time, even          after treatment. Above all, it's important to keep in mind the lifetime value that orthodontics provides.

  Q. Can I get my teeth whitened?

A. Whitening should wait until after active orthodontic treatment has been completed and you are wearing retainers. Please consult your general dentist to have this treatment completed. It is advisable to be under your dentist's supervision. bleaching can be harmful or ineffective when using store bought bleaching systems.

Q. Why is a fluoride rinse recommended?

A. We recommend a prescription strength fluoride rinse be used while wearing braces or any other appliance that is in the mouth on a nearly full time basis. Fluoride helps strengthen the teeth and can even remineralize decay in its early stages. Even the most proficient use of brushing and flossing can't reach some areas while wearing braces. Fluoride rinse will protect against white spots and decay leaving a healthy smile at the conclusion of treatment.

Q. Can thumb sucking cause orthodontic problems?

 A. Yes, thumb sucking past age five or six can cause serious orthodontic problems. Like all bone tissue, jawbones are flexible. Thumb sucking into the school years can change the shape of a child's jawbones, causing serious damage. In severe cases, surgical correction is needed. Children over the age of five who regularly suck their thumb should see a pediatric dentist or orthodontist. Children often want to stop sucking their thumb, but need assistance getting out of the habit. Once a child is emotionally ready to stop, there are several ways in which we can help. One method is an orthodontic appliance that covers the roof of the mouth to make thumb sucking less convenient and pleasurable. It is particularly helpful at night for children who suck their thumbs during sleep.