How to Choose an Orthodontist

Choosing an orthodontic practice to trust with your smile is an important decision. Since braces and other alignments require regular visits for at least one year, and the results can last a lifetime, it’s important to choose the right professional for the job. Your orthodontic experience is something you will always remember - make sure it’s something to smile about! So, how do you choose an orthodontist? Carefully consider all the factors below before making your choice. 

What is the Orthodontist’s experience?

Treatment today requires a considerable amount of technical skill on the part of the doctor. Is the doctor a specialist in orthodontics? All orthodontists are dentists first and continue their education to become specialized in a very specific kind of dentistry- Orthodontics. Educational requirements for orthodontists include a 4 year undergraduate college degree, followed by 4 years in dental school and an additional 2-3 years in a graduate program requiring a Master of Science in Orthodontics. They can also choose to become Board Certified by completing a rigorous examination process to become a Diplomate of The American Board of Orthodontics, going above and beyond what is required.  You are paying for that expertise. Be sure the orthodontist is the person in the office applying the brackets to the teeth. 

What are the qualifications of the office staff?

The skill of the office staff is a critical component of your overall treatment success. You should ensure the staff is experienced and qualified in the treatment of orthodontic patients. What is the longevity of the staff? A good office will have many qualified long term employees with little turnover. 

Is the practice up to date on technology and techniques of the profession?

There have been significant advances in orthodontic treatment in recent years. Ask for an office tour and for an explanation of what technology is used to deliver excellent results. Is there a scanning system used for taking 3D models of the teeth replacing physical dental impressions? What about digital photos and x-rays? Are they done in the office? Do they use an ultra low dose x-ray machine? All of this information should be used in treatment planning before any appliances are placed in your mouth. Does the office offer clear aligners, clear brackets, self-ligating brackets and 3D appliances?

What is the philosophy of the orthodontist regarding permanent extractions and making your teeth fit together properly? What about airway philosophy? 

In the past, extraction of permanent teeth was more common. Today, extraction of normal healthy teeth just to make them fit may not be the best option. There is scientific evidence showing that keeping the teeth when possible makes for a broader, more beautiful smile and even more importantly, improves the airway. Orthodontists know much more now about airway disorders such as sleep apnea and mouth breathing. Be sure your orthodontist is aware and trained in this area. How your teeth fit together, your jaw function, facial profile, airway and cosmetics are all issues your orthodontist should consider for your result now, and also for the future as you age. 

What is the orthodontist’s experience in treating adults? 

More adults than ever before are considering orthodontic treatment. Periodontal issues, TMJ concerns and replacement teeth (such as dental implants), are important factors for the orthodontist to have experience with.  

What is the experience and philosophy of treating young patients?

Early orthodontics (called Phase I) may be recommended when skeletal issues are adversely affecting facial development. This can include a retrusive lower jaw, protruding upper teeth, crossbite and underbite. Severe crowding of the teeth in young patients should be closely monitored as well to prevent damage to the permanent teeth. Extraction of primary (baby) teeth to allow the adult teeth to come in better (called guided eruption) should be something your orthodontist is well versed in. This technique is usually a more conservative approach and should be considered before any unnecessary appliances. Palatal expanders are also a way to create more space and allow better eruption of permanent teeth, and to improve the airway. 

What about treatment costs and payment options? 

A consultation goes a long way. This gives you the chance to ask questions and see if the doctor and staff are a good fit. Quality orthodontic care is essential, and you know going in that it is going to be an investment. The treatment coordinator should give you a straightforward cost estimate. In the best office, everything in the plan will be included. Diagnostic records, appliances, brackets, retainers, emergencies and retainer checks should be in the estimate. If you have insurance, will the office file it for you? What are the payment options? Do they allow you to review or sign the contract at home? Is there a discount to pay in full? Are the down payments and monthly payments reasonable? 

What is the relationship with the orthodontist and your dentist?

While your orthodontist straightens your teeth, your dentist keeps them clean and healthy. Both are essential to an outstanding smile, so it’s important these professionals maintain good communication. If your dentist has kids, ask them where they take their own kids for ortho. 

Do you like the office? 

When you go forward with treatment, you will be visiting the office about every 8 weeks for at least a year. That’s a lot of visits! Make sure the office is comfortable and appointments are well organized. Your experience should be a good one. Does the staff seem happy to be at work? Are they interested in making your experience personalized or do you feel like “just a patient”?

Orthodontic treatment should be a positive experience and dare we say… a little fun! It is a significant investment of your time and money. A healthy beautiful smile is priceless and the long lasting relationship you build with the office should be too. 

One last thing to remember:

The technology and techniques used by the orthodontist are only tools. All offices have brackets, wires and aligners. The difference is in the education, experience and expertise of the orthodontist and the office team, and how those tools are best used for each individual smile. You get what you pay for and you deserve the best. An outstanding smile will last a lifetime!