Q&A

Q&A

Orthodontics Q & A

Q: What is an Orthodontist?

Q: What is a "Board Certified" Orthodontist?

Q: Can my family dentist do orthodontics?

Q: How much do braces cost?

Q: At what age should I schedule an appointment for an orthodontic screening?

Q: Is it too late to have braces if I am already an adult?

Q: Can orthodontic correction occur while a child has baby teeth?

Q: Will my teeth straighten out as they grow?

Q: What will happen at the initial consultation?

Q: Will I need to have teeth extracted for braces?

Q: Do you give shots?

Q: How long will it take to complete treatment?

Q: How often will I have appointments?

Q: Can I schedule all of my appointments after school?

Q: Can I drop my child off for an appointment?

Q: Can I return to school the day I receive my braces?

Q: Do braces hurt?

Q: How long does it take to put the braces on?

Q: What types of braces are there?

Q: Are all the appliances mentioned above capable of achieving the same results?

Q: Do you use recycled braces?

Q: Can I still play sports?

Q: Do I need to see my family dentist while in braces?

Q: Are there foods I cannot eat while I have braces?

Q: How often should I brush my teeth while in braces?

Q: Will braces damage my teeth or gums?

Q: What is an emergency appointment? How are those handled?

Q: Can I wear braces even though I have crowns and missing teeth?

Q: Why are retainers needed after braces?

Q: Will my teeth shift after my braces are removed?

Q: Will my teeth shift after my braces are removed?

Q: What training do the assistants have?

Q: How do you clean your instruments?


Q&A

Q: What is an Orthodontist?

A: An orthodontist is a "SPECIALIST" in dentistry. After graduating from Dental School and becoming a dentist, they must apply, be accepted and graduate from a university accredited by the American Dental Association. This is two or more years of specialized post-doctoral training in the art and science of moving teeth. Only orthodontists are uniquely qualified to perform orthodontic services. Membership in the American Association of Orthodontists guarantees they are certified in the specialty of orthodontics.

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Q: What is a "Board Certified" Orthodontist?

A: The highest obtainable level of education in the orthodontic specialty is to become a Diplomate of the American Board of Orthodontics. Only one third of all practicing Orthodontists attain Diplomate status. This designation indicates that Dr. Goldreich has completed rigorous testing, including oral defense of case reports and the ability to prove superior clinical reasoning. This board is the only recognized board organization by the American Dental Association.

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Q: Can my family dentist do orthodontics?

A: General dentists are not specialists in orthodontics but are not limited by law from placing braces on teeth. Some attend "non-specialist weekend courses" and provide orthodontic services in their office. Your assurance in receiving the best care possible for yourself or your child is to see a university trained, certified orthodontic specialist.

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Q: Do I need a referral from my dentist before seeing the orthodontist?

A: No, you do not need a referral from your dentist in order to see the orthodontist. You may call and schedule an appointment with Dr. Goldreich yourself.

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Q: How much do braces cost?

A: Orthodontic fees depend on the complexity of the case, the age of the patient, the type of appliances used, and the estimated length of treatment. Since every case is different, a visit to our office for a complimentary examination will allow us to give you an idea of the fee. We are very proud of our flexible, interest-free payment plans – we don't want finances getting in the way you receiving orthodontic treatment.

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Q&A

Q: At what age should I schedule an appointment for an orthodontic screening?

A: The American Association of Orthodontists recommends an orthodontic screening by age 7. By this age, several permanent teeth in most children have erupted, allowing us to effectively evaluate their orthodontic condition. Tooth alignment or jaw growth problems are best treated early, avoiding a more serious problem later or eliminating braces as a teenager altogether.

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Q: Is it too late to have braces if I am already an adult?

A: A surprising percentage of our patients are adults. In fact, 25 percent of all orthodontic patients are adults. Health, happiness and self-esteem are vitally important to adults. No patient is "too old" to wear braces!

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Q: Can orthodontic correction occur while a child has baby teeth?

A: Yes. Some orthodontic problems are significant enough to require early intervention. However, if a patient is not yet ready for treatment, we will follow that patient's growth and development until the time is right to begin treatment.

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Q: Will my teeth straighten out as they grow?

A: No, they will not. The space available for the front teeth does not increase as you grow. In most people, after the permanent molars erupt, the space available for the front teeth decreases with age.

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Q: What will happen at the initial consultation?

A: The initial consultation at our office is complimentary. You will be greeted by our Treatment Coordinator who will give you an office tour. She will introduce you to Dr. Goldreich who will then conduct an extensive evaluation of your teeth and gums. To read more about your first visit, see our Initial Visit Page.

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Q: Will I need to have teeth extracted for braces?

A: Removing teeth is sometimes required to achieve the best orthodontic result. Straight teeth and a balanced facial profile are the goal of orthodontics. However, because new technology has provided advanced orthodontic procedures, removing teeth is not always necessary for orthodontic treatment. We emphasize non-extraction treatment.

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Q: Do you give shots?

A: No. Shots are not necessary in orthodontic treatment.

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Q: How long will it take to complete treatment?

A: Treatment time obviously depends on each patient's specific orthodontic problem. In general, treatment times range from 12 to 30 months. The "average" time frame a person is in braces is approximately 22 months.

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Q&A

Q: How often will I have appointments?

A: Appointments are scheduled according to each patient's needs. Most patients in braces will be seen every six to ten weeks. If there are specific situations that require more frequent monitoring, we will schedule appointments accordingly.

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Q: Can I schedule all of my appointments after school?

A: Unfortunately, we cannot schedule all appointments for students during after-school hours. However, because most appointments are scheduled six to ten weeks apart, most patients will miss minimal school due to their orthodontic treatments. We will, however, make a sincere effort to meet your scheduling needs.

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Q: Can I drop my child off for an appointment?

A: Yes. We understand your busy schedule, and we are happy to help you make the most of your time. Upon return, we will request to speak with you, so we ask that parents check in with the receptionist before picking up their child. We may ask you for a cell phone number before you leave.

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Q: Can I return to school the day I receive my braces?

A: Yes. There is no reason to miss school or work because of an orthodontic appointment earlier in the day.

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Q: Do braces hurt?

A: It is painless to have your braces placed! It usually takes a few days to get used to having braces on your teeth. After certain visits, teeth may be sore for a few days, as the teeth begin to move. In these situations, pain medications such as Advil or Tylenol will ease the discomfort. However, after most visits, patients do not feel any soreness at all!

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Q: How long does it take to put the braces on?

A: Your appointment is approximately an hour and a half, but the actual placement of braces takes only a few minutes. Dr. Goldreich uses a technique called "Indirect Bonding" to apply the braces to your teeth. This procedure first involves placement of the braces by Dr. Goldreich onto your diagnostic study models in his on-site lab. Then transfer trays are made to carry all of your braces to your mouth. This allows for the greatest accuracy of placement.

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Q: What types of braces are there?

A: Typical braces are made of metal and are silver in color. We use Damon brackets in our practice. There are options for clear, and at times lingual (braces on the back side of the teeth) or Invisalign (a series of plastic trays that move the teeth).

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Q: Are all the appliances mentioned above capable of achieving the same results?

A: Braces on the front surface move teeth basically the same. Both lingual braces and Invisalign have their limitations and are not intended for use in certain bites.

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Q&A

Q: Do you use recycled braces?

A: Absolutely not! It is our belief that each patient should be provided with their own braces to achieve the best orthodontic result possible.

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Q: Can I still play sports?

A: Yes. We will be glad to provide a mouth guard for all types of sports.

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Q: Can I play a musical instrument with braces?

A: Yes, you can play the instrument of your choice with braces on your teeth. It may take a few days getting used to playing with the braces on.

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Q: Do I need to see my family dentist while in braces?

A: Yes! Regular checkups with your family dentist are important while in braces. We recommend that you continue to see your dentist for cleanings and other primary dental care at least every six months during and after the completion of your orthodontic treatment. We will sometimes recommend cleanings every three months.

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Q: Are there foods I cannot eat while I have braces?

A: Yes. Once treatment begins, we will explain the complete instructions and provide a comprehensive list of foods to avoid. Some of those foods include: ice, hard candy, raw vegetables and all sticky foods (i.e. caramel and taffy). You can avoid most emergency appointments to repair broken or damaged braces by carefully following our instructions

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Q: How often should I brush my teeth while in braces?

A: Patients should brush their teeth at least four times each day - after each meal and before going to bed. We will show each patient how to floss his or her teeth with braces and may also provide a prescription for a special fluoride, if necessary.

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Q: Will braces damage my teeth or gums?

A: No, braces will not damage your teeth and gums if you care for them properly and stay on schedule with your appointments. Lack of proper brushing and extended treatment can damage the teeth.

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Q: What is an emergency appointment? How are those handled?

A: If your braces are causing extreme pain or if something breaks, you should call our office. In most cases, we can address these issues over the telephone. If you require an emergency appointment, we will set aside time for you.

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Q: Can I wear braces even though I have crowns and missing teeth?

A: Yes. A tooth with a crown will move just like a tooth with a simple filling. When teeth are missing, orthodontic treatment will aid in the alignment of the remaining teeth.

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Q: Why are retainers needed after braces?

A: Retainers are designed to hold the teeth in their corrected positions after braces until the bone & ligaments remodel to the new tooth position. This takes a couple of years to occur...

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Q: Will my teeth shift after my braces are removed?

A: There is a natural tendency for teeth to move throughout a lifetime whether you had braces or not. Patients need to be committed to wearing retainers long term to minimize these natural changes.

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Q&A

Q: Why is it so important to have braces?

A: There is far more benefit to braces than just having a nicer smile though. Crooked teeth can lead to cavities or gum disease on or around teeth that are overlapped and hard to clean. A bad bite can lead to chewing problems, muscle soreness, and jaw joint discomfort.

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Q: What training do the assistants have?

A: All of our assistants are certified by the Texas State Board of Dental Examiners Each of our staff members has had some form of college or after high school education. Some of our assistants have also received formal training and/or worked as a dental assistant or dental hygienist. They are continually trained by Dr. Goldreich and given responsibilities, as they learn their skills. Our assistants have also taken continuing education courses and are certificated in advanced orthodontic assisting, CPR, sterilization, and taking x-rays.

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Q: How do you clean your instruments?

A: All instruments are sterilized by heat, according to CDC standards. This assures that there is no contamination between patients.


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