FAQ

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Gulland Patients Reiser

  1. Is it required that my family dentist schedule my appointment with the orthodontist?
  2. At what age should I schedule an appointment for an orthodontic screening?
  3. Will my teeth straighten out as they grow?
  4. How do I schedule an appointment for an initial exam?
  5. What will happen at the initial examination appointment?
  6. What will I learn from the initial examination?
  7. Will I need to have teeth extracted for braces?
  8. How long will it take to complete treatment?
  9. How much will braces cost? Are financing options available? How does my insurance work?
  10. How often will I have appointments?
  11. Can I schedule all of my appointments after school?
  12. Can I drop my child off for an appointment?
  13. Do braces hurt?
  14. Can I return to school the day I receive my braces?
  15. Do you give shots?
  16. Do you use recycled braces?
  17. Can I still play sports?
  18. Do I need to see my family dentist while in braces?
  19. Are there foods I cannot eat while I have braces?
  20. How often should I brush my teeth while in braces?
  21. What is an emergency appointment? How are those handled?
  22. Can orthodontic correction occur while a child has baby teeth?
  23. What is Phase One (early) Treatment?
  24. Will my child need full braces if he/she has Phase One treatment?
  25. Will my child need an expander?
  26. Is it too late to have braces if I am already an adult?
  27. Can I wear braces even though I have crowns and missing teeth?
  28. Why should I choose an orthodontic specialist?

1. Is it required that my family dentist schedule my appointment with the orthodontist?

No it is not a requirement. Many of our patients are referred by their family dentist, yet many other patients take the initiative to schedule an examination themselves.  Regardless of the situation, after your initial exam we will send your family a dentist a note and copy of the Panorex xray we take.  During orthodontic treatment, your family dentist is a vital part of your treatment as routine cleanings and checkups are still needed.

2. At what age should I schedule an appointment for an orthodontic screening?

The American Association of Orthodontists recommends an orthodontic screening at age 7. By this age, several permanent teeth in most children have erupted, allowing us to effectively evaluate your orthodontic condition.  Dr. Gulland does not perform a lot of early or Phase I treatment.  He prefers if possible to wait until all the permanent teeth have erupted to do one phase of treatment.  He does have a short list of problems that should be corrected early so that is one reason to schedule an initial exam at age 7.  If a patient is not ready for treatment when seen for the first time, we have a complimentary Growth and Development program that allows us to monitor things as a patient ages.

3. Does the initial exam "hurt"?

No it does not.  We will take an xray and some photographs and Dr. G will do a thorough exam and explain everything necessary regarding treatment he recommends or which he feels may be recommended in the future.  But nothing we will do will hurt.  No shots, no drills.

4. How do I schedule an appointment for an initial exam?

If you would like to schedule a free exam for yourself or your child, simply call our office at 724-981-3950 or 724-588-2235.  We will gather some information to enter you into our system and will schedule an appointment for you.  Be sure to have any dental insurance information available.  You can also click on SCHEDULE YOUR FREE EXAM to fill out an online request and some will contact you to schedule.

5. What will happen at the initial examination appointment?

One of our friendly Treatment Coordinators will be assisting Dr. Gulland at your first appointment.  A Treatment Coordinator is specifically trained to guide you every step of the way from first visit until treatment is initiated. The Treatment Coordinator will show you around our office, take an xray and photographs, and review your medical history.  After Dr. Gulland does a thorough exam of your teeth and bite, he will sit down with you and explain his recommendations.  If treatment is indicated, the Treatment Coordinator will review fees and various payment options.  We also have time reserved to gather study models that are the next step when braces are recommended.

To read more about your first visit, see our First Visit Page.

6. What will I learn from the initial examination?

Our goal is for you to completely understand any orthodontic problem identified, the treatment recommended to correct the problem, the length of time needed, the total cost and payment options offered.  You should feel free to ask any questions you have. We are here to help.

7. Will I need to have teeth extracted for braces?

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.  In fact, many times in which teeth extraction would have been recommended in the past can now be corrected without tooth removal.

8. How long will it take to complete treatment?

Treatment time obviously depends on each patient's specific orthodontic problem.  In general, Phase I treatment last approximately 12 - 15 months and Full treatment lasts 24 - 27 months.  When treatment is recommended, Dr. Gulland will give you an estimated completion date which is based on his years of experiencing in correcting similar types of bites.

9. How much will braces cost? Are financing options available? How does my insurance work?

The cost for treatment depends on the type of treatment and appliances needed so it is impossible to give an exact amount until you are seen.  However, at the initial exam we will be able to give you exact fee for everything needed in our office.  There are no hidden charges and no surprises later on. We offer several payment options including interest free monthly payments.  If you provide insurance information when you schedule your appointment, we will be able to discuss your benefits with you at the exam. We also file all claims for you.

10. How often will I have appointments?

The majority of the time you will be seen every 6 - 8 weeks.  There will be times you may need to be seen more often.  It all depends are where you are in treatment.  Each time you leave the office we will ask you to schedule your next appointment.

11. Can I schedule all of my appointments after school?

Unfortunately, we cannot schedule all appointments for students during after-school hours. However, because most appointments are scheduled 6 - 8 weeks apart, most patients will miss minimal school due to their orthodontic treatments. We encourage you to look for times of the day where you could schedule over lunch, study hall, or "less-academic" classes. We also maintain area school calendars at our front desk so you can look for in-service days or other days off of school.   We design our schedule so that our shortest appointments are early morning and after school hours to allow us to see the most patients during this time.   We always supply you with a school excuse for any appointment in our office.

12. Can I drop my child off for an appointment?

Yes. We understand your busy schedule, and we are happy to help you make the most of your time.  We also encourage asking grandparents or other family friends to bring patients to their appointments if this helps with your work schedule.  If you are unable to attend and appointment and have questions about anything, feel free to call our office.

13. Do braces hurt?

We won't lie.  At times your teeth will be sore.  This is because your teeth are moving. This is a good thing.  It won't happen after every appointment.  Normally the day the braces go on your teeth will be sore.  This will mainly be when you eat and bite down.  We will recommend soft foods for the first few days. The soreness will last 3-5 days but will get better every day.  After that, you may experience some soreness after regular appointments, but it usually only lasts a day or two. Regardless, the soreness is nothing that Tylenol or Advil can't handle.

14. Can I return to school the day I receive my braces?

Yes. There is no reason to miss school because of an orthodontic appointment.

15. Do you give shots?

No. Shots are not necessary in orthodontic treatment.

16. Do you use recycled braces?

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

17. Can I still play sports?

Yes. We recommend a mouth guard for all sports.

18. Do I need to see my family dentist while in braces?

Yes! Regular checkups with your family dentist are important while in braces. Your family dentist will determine the intervals between cleaning appointments while you are in braces.

19. Are there foods I cannot eat while I have braces?

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.

20. How often should I brush my teeth while in braces?

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 their teeth with braces and may also provide a prescription for a special fluoride, if necessary.

21. What is an emergency appointment? How are those handled?

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.

22. Can orthodontic correction occur while a child has baby teeth?

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 for treatment to begin.

23. What is Phase One (early) treatment?

Phase One treatment, if necessary, is usually initiated on children between the ages of 7 and 10. Phase One treatment lasts about 12-15 months. The primary objective for Phase One treatment is to address significant problems to prevent them from becoming more severe and to improve self-esteem and self-image.

24. Will my child need full braces if he/she has Phase One treatment?

It is best to assume that your child will need full braces even after Phase One treatment. The period following Phase One treatment is called the "resting period," during which growth and tooth eruption are closely monitored. Throughout this period, parents and patients will be kept informed of future treatment recommendations.

25. Will my child need an expander?

At the completion of the initial examination, we will determine whether a patient will need an expander.

26. Is it too late to have braces if I am already an adult?

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!

27. Can I wear braces even though I have crowns and missing teeth?

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.

28. Why should I choose an orthodontic specialist?

Teeth, and sometimes entire facial structures, are permanently changed by orthodontic treatment. It is important that the treatment be appropriate and properly completed. Orthodontic specialists have extensive and specialized training that enables them to provide their patients with professional, personalized treatments.