Do you charge for an initial visit?
No. Dr. Casey Johnson will always discuss the practicality of braces or teeth straightening without a fee, as a courtesy to you. If X-rays or other diagnostic procedures were performed, there may be a co-payment.
At what age do you start seeing patients?
We like to evaluate patients for the first time after their 6-year molars erupt and the front permanent teeth begin to erupt. This generally happens between the ages of 6 and 8.
Why do you evaluate patients at such a young age?
Early evaluation allows us to observe and inform, more than start treatment. It is good to identify and discuss the eventual needs of the child at this early age. A small percentage of children may need some form of treatment. Oral habits are evaluated, any medical issues are discussed, and an observation schedule is set up.
How long will the first visit take?
Your child’s first visit will take between 30 minutes and an hour, depending on how ready the patient is for treatment. Our orthodontist may just do a visual exam and explain your child’s eventual needs, or they may suggest one or more X-rays and/or photos.
Do you see adult patients?
Absolutely. The percentage of adult patients at All Kids Dental Pediatrics & Orthodontics is growing. We utilize new, cosmetic appliances that make adult treatment more comfortable and convenient.
What is the difference between an orthodontist and a dentist?
An orthodontist is a dentist that has had at least two additional years of training in orthodontics, earning a nationally accepted specialty certificate. An orthodontist limits his or her practice to straightening teeth and dentofacial orthopedics.
Can I make all my appointments in the afternoon after school?
So that we can have early and late appointments available for the majority of patients, some procedures need to be accomplished between 9 a.m. and 3 p.m. Our team will strive to work with your schedule and accommodate your family’s needs.
Do you see emergency patients?
Yes. Our emergency contact information is posted on our website as well as the phone answering machine.
Can we make payments?
Absolutely. Whether or not you have a dental plan or insurance, we can work with you to form a convenient payment plan that will allow you to pay for services over a period of time.
How do you handle insurance?
After we verify your coverage, we will agree to bill and collect from an insurance carrier. Please understand that if your coverage ceases or changes, the patient is still responsible for the agreed upon fee.
What credit cards do you accept?
We accept all major credit cards: American Express, MasterCard, Visa, and Discover.
Do you have direct debit?
Yes, at our offices, we have arrangements for direct debit, charge card posting, as well as payments over the internet. This is required on all payment plans.
Do you charge interest?
We only charge interest on some very extended payment plans.
Do you give family discounts?
Yes, we have special programs and fees for multiple patients within the same family.
Types of Treatment
What is Phase 1 Treatment?
Phase 1 Treatment is the early treatment that is performed before all permanent teeth have erupted. Early orthodontic care is used to start to correct harmful malocclusions that may be more difficult to correct later. Keep in mind that Phase 1 Treatment does not eliminate the need for orthodontic treatment performed during adolescence. Phase 1 Treatment includes: correcting jaw crossbites; correcting severe underbites and overbites where function, aesthetic, or psychological concerns are recognized; and correcting individual tooth crossbites.
What is Phase 2 Treatment?
Phase 2 Treatment is conventional orthodontic treatment. This phase of treatment may begin while the last primary teeth are falling out and last until the 12-year molars have been evaluated or straightened. This treatment tends to last between 1 ½ and 2 years.
How do I know if Phase 1, 2, or both types of treatment is necessary?
Bring your child in for their first visit early. About 10 to 20 percent of children may benefit from Phase 1 Treatment. Usually, other patients are observed until the appropriate time to begin care.
Does early treatment ensure a better result?
Not in every case. Research and experience shows that early treatment achieves worthy goals, but the quality of the result is determined at the end of orthodontic treatment. Because of this, early treatment is not encouraged unless significant benefits can be achieved.
How long do braces take?
Complete braces treatment can generally be finished in 18-24 months of active tooth movement. In some cases, this movement is divided into two or more periods of time with a break of 2-4 years in between. (See Phase 1 and 2 Treatment above).
How do braces work?
Brackets are placed on the teeth and shaped wires are attached to them that gradually move crooked teeth into their desired positions.
Do you use recycled braces?
Do retainers need to be worn after braces?
Yes. Retainers are usually worn full-time for about 2 weeks. This is followed by nighttime wear indefinitely.
Why do teeth get crooked after wearing braces or aligners?
The teeth move throughout life whether or not you have had orthodontic treatment. This is part of the natural aging process. This is why wearing a retainer is highly recommended indefinitely to maintain your orthodontic results for a lifetime.
How about retainers glued to the backs of teeth?
Most patients opt to have permanent retainers attached to the back of the upper and lower teeth to keep them in their optimal positions. This type of retainer requires special hygiene procedures and regular checkups with your family dentist.
Wisdom Teeth (Third Molars)
Do wisdom teeth cause teeth to get crooked?
Research has shown that this is not the case.
Why do wisdom teeth need to be removed?
Although wisdom teeth do not cause crooked teeth, they can cause gum problems, swelling if they become impacted, and infection if food becomes trapped below the gum tissue. It is much preferable to plan wisdom teeth removal than to have to remove them under emergency conditions.
When is a good time to have wisdom teeth removed?
According to oral surgeons, the best time to have the wisdom teeth removed is when about 2/3 of the tooth root is formed. Sometime after the age of 16 to 18 seems to be the average.
Temporomandibular Disorders (TMJ)
Can braces or orthodontic treatment treat or cause TMJ problems?
There is not a direct link between orthodontic treatment or malocclusion and TMJ. TMJ issues can be present or absent with both good and bad bites.
What are the health benefits of wearing braces?
Orthodontic treatment can improve the comfort of the bite, make it easier to have good dental hygiene for good dental health, and often helps balance the facial musculature. In addition, the self-esteem benefits are immeasurable.
How do enlarged adenoids and allergies affect braces?
Enlarged adenoids or tonsils or allergies can cause mouth breathing, which can cause your upper and lower jaws to grow apart and elongate the facial form during growth. This can cause crowding and narrow arches.
How does a tongue thrust or low tongue posture affect braces?
The effects of tongue thrusting are similar to enlarged adenoids. The pressure placed on the front teeth can aggravate protrusion and spacing of the teeth.
What is OrthoFi?
OrthoFi is an online resource designed to help you personalize an affordable payment plan that will help you attain your orthodontic goals. Many patients want to achieve the attractive smile provided by orthodontic treatment, but hesitate to seek treatment because they are discouraged by the cost of traditional orthodontia. With the innovative OrthoFi system, you can explore a variety of payment options to find one that fits both your needs and your budget! Our team is pleased to feature OrthoFi at our modern dental practice as part of our ongoing commitment to superior care and to accommodate our patients.
The online OrthoFi portal is straightforward and easy to understand and helps your orthodontic treatment become a reality. Click on the link below to create a new account or to log in to your existing account!
If you have any questions about our orthodontic services, we invite you to contact our friendly team at All Kids Dental Pediatrics & Orthodontics today! Dr. Johnson and our orthodontic staff are excited to help you reach the goals you have for your smile with our comprehensive services and individualized care! We are happy to accommodate your unique needs and provide you with the care you need and deserve!