Frequently Asked Questions About Orthodontics
Initial Visit
At what age do you start seeing patients?
The American Association of Orthodontists recommends that children have their first orthodontic evaluation around age 7, and we follow this guideline when evaluating young patients.
Why do you evaluate patients so young?
An early evaluation allows us to monitor jaw growth and identify concerns while they are easier to treat. Some children benefit from early interceptive treatment, while others may simply be monitored as they grow. We help guide parents with the information they need to make the best decision for their child.
How long will the first visit take, and is the orthodontist consultation included?
Your first visit typically lasts about 60 minutes. During this time, Dr. Korch and our treatment coordinator will meet with you and your family to review your exam, discuss digital records, and go over personalized treatment recommendations.
Do you take patients transferring from out of town?
Yes, we welcome transfer patients. Dr. Korch will review your treatment progress and help determine the best plan for your current stage of care.
Do you have any adult braces patients in your practice?
Absolutely. Many adults choose orthodontic treatment, with clear aligners or braces to achieve the smile they’ve always wanted.
What is the difference between an orthodontist and a dentist, and who should I see for teeth alignment?
Orthodontists are all dentists who complete three additional years of specialized training after dental school, focusing on aligning teeth, guiding jaw growth, and correcting bite. problems. Â For treatments such as braces or clear aligners, seeing an orthodontist ensures care from a specialist with advanced training in orthodontics.
Can I make all my appointments in the afternoon after school and late in the day?
We do our best to work with your schedule. Longer appointments are typically scheduled between 9 a.m. and 1 p.m., while shorter checkups are often available after school when possible.
Do you see patients for emergencies?
Orthodontic emergencies are very rare, but if one does occur, please contact our office and we will help guide you. You’ll also find after-hours instructions on our website and voicemail.
Financial and Insurance
Can we make payments for braces and Invisalign over time?
Yes. We offer flexible financing options to help make orthodontic treatment manageable, with or without insurance.
How do you handle insurance, especially when planning for the cost of braces or Invisalign?
Once we confirm your insurance benefits, we submit claims directly to your provider. If your coverage changes during treatment, the remaining balance in your agreement will still apply.
Do you accept credit card payments?
Yes. We accept Visa, MasterCard, American Express, Discover, and most major credit cards.
Do you have a direct debit?
Yes. To make payments simple and convenient, all patients are enrolled in automatic monthly payments through direct debit. Payments can be set up using a checking account or credit card.
Do braces or Invisalign monthly payments include interest?
No. We offer interest-free financing to make orthodontic treatment more manageable for families.
Types of Orthodontic Treatment
What is Phase 1 Treatment and how does it help?
Phase 1 treatment often begins when the permanent incisors and first molars erupt. Its goals are to create space for permanent teeth, begin correcting bite problems, and guide jaw development. Early treatment can also help simplify orthodontic treatment later as the remaining permanent teeth come in.
What is Phase 2 Treatment?
Phase 2 treatment is the second, finishing phase of orthodontic care and begins when the permanent teeth are in place. Braces or clear aligners are used to refine tooth alignment and bite relationships. This phase typically lasts about 18 months.
How do I know two-phase treatment is necessary?
Not all children need two-phase treatment. After an evaluation and diagnostic records, we’ll let you know if it’s the best path for your child. Patients with more significant crowding or bite concerns are often the best candidates for two stages of treatment.
Moving of Teeth (Mechanics)
I need to be pre-medicated for the dentist. Do I need to take my medicine for the orthodontist?
Some of your orthodontic appointments may require pre-medication. Please check with your physician or with Dr. Korch before your appointment so we can advise you appropriately.
How long do braces take, and what is the typical orthodontic treatment timeline?
Most patients complete orthodontic treatment in about two years. However, the exact timeline depends on your individual needs and the complexity of your case.
How do braces or Invisalign aligners actually move your teeth into place?
Braces and clear aligners use gentle, controlled pressure to gradually move teeth into their proper positions. Dr. Korch will create a personalized treatment plan to guide your teeth safely and efficiently.
Do you use recycled braces?
No. Every patient receives brand-new orthodontic appliances. We use only high-quality, top-of-the-line appliances to ensure the best possible results.Â
Wisdom Teeth (Third Molars)
Do wisdom teeth cause teeth to get crooked?
Research shows that wisdom teeth are not the main cause of crowding. Natural changes in tooth position and growth patterns over time usually play a larger role.
Why do wisdom teeth need to be removed before or after orthodontic treatment?
Impacted wisdom teeth can lead to infection, gum problems, or damage to nearby teeth. In some cases, removal may be recommended before or after orthodontic treatment to protect long-term oral health.
When is a good time to have wisdom teeth removed?
Oral surgeons typically recommend removal between ages 16 and 18, when the roots are about two-thirds formed.
Orthodontic Retainers
Do retainers after braces or Invisalign need to be worn long-term?
Yes. To maintain your beautiful new smile, we recommend wearing your retainers nightly for life. Over time, retainers may need to be replaced if they become worn, lost, or broken.
Why do teeth get crooked after wearing braces or clear aligners?
Teeth naturally shift over time. Wearing your retainer consistently at night helps maintain your straight smile and protect your orthodontic results.
How about retainers glued to the backs of teeth?
Bonded retainers behind the front teeth can help hold alignment, but they require ongoing maintenance, are harder to clean, and a removable retainer is still needed to hold the back teeth. For these reasons, Dr. Korch recommends modern clear removable retainers instead. These retainers are comfortable, easy to keep clean and help maintain the alignment of all your teeth.
Temporomandibular Disorders (TMJ)
Can braces or orthodontic treatment treat or cause TMJ problems?
Research has not shown a clear link between orthodontic treatment and temporomandibular disorders (TMD). These symptoms can develop for many reasons and are often unrelated to braces or bite alignment.
Health Impact
What are the health benefits of wearing clear aligners or braces for adults or teens?
Straight teeth are easier to clean, which helps reduce the risk of cavities and gum problems. Orthodontic treatment can also improve bite function, and support better long-term oral health. A straighter smile can also boost confidence and self-esteem.
How does a tongue thrust or low tongue posture affect braces?
Improper tongue posture can push teeth forward or create spacing. Addressing the habit is important for long-term orthodontic success. If we notice a tongue habit that could affect treatment, we can help connect you with a myofunctional therapist for additional support.
