Ask our orthodontists

Getting orthodontic treatment can be overwhelming. In fact, when we meet for the initial consultation, we tend to share lots of information with you so you can understand exactly what will happen every step of the way. It’s common for patients to leave the office and have questions that they may have forgotten to ask during the visit. And that’s okay. This section covers some of the questions our patients most frequently ask and some of the areas that often require clarification.

At what age can a child get an appointment to see about orthodontic treatment?

Children can have a consultation as early as 7 years old. In most cases, treatment doesn’t begin at that time. At that age, the orthodontist will determine if the child is predisposed to imbalances within the jaw and will recommend early action to facilitate treatment in later years.

How do I know if invisalign is right for me?

Most people are probably candidates for Invisalign. However in cases where there are extractions or surgery is required, then Invisalign may not be an option. Talk to your orthodontist.

Do I have to wear a retainer? If so, for how long?

After your teeth have been moved into their proper position and the appliance has been removed, they are still quite malleable. Retainers will help stabilize the bite. They are worn full time the first year and then, only when you sleep during the second year. We will follow your treatment during this 2-year period. After this time, you become your own orthodontist and monitor your tooth alignment. You should wear your retainer as needed to maintain your result for a lifetime.

What if I have an emergency after normal business hours?

Call our main office phone number (514-484-7225) and you will be given one of our doctor’s cell phone numbers. They will assess the severity of your emergency and help you through it.

Can I have orthodontics if I’m pregnant?

Orthodontics can be done if a woman is pregnant. However, there is usually a need to have diagnostic records taken before the start of treatment. X-rays should not be taken if you are  pregnant, but if they have already been taken, then the orthodontic process is not a problem. Furthermore, although everyone is susceptible to gingival and periodontal problems if their oral hygiene is poor, the pregnancy hormones make women more susceptible to these problems. It is even more critical during your treatment that your oral hygiene is impeccable.

Are there any new procedures in Adult orthodontics that can allow treatment to go quicker?

Yes. Please see our Latest news for information on this procedure.

What is Wilckodontics® and the AOOTM Procedure?

Over 4 years of research has culminated in the development of a new procedure by which teeth can be moved approximately 4 times faster than with conventional orthodontics. As a result, the treatment time for most orthodontic cases can be reduced to 3 to 18 months (depending on the severity of the case). It is a procedure that requires periodontal surgery with a specialist in periodontics just before the orthodontic treatment is initiated.  This new, patented method is a combination of time-tested and proven techniques from the fields of orthodontics and periodontics and is called the Accelerated Osteogenic OrthodonticsTM (AOOTM) procedure.

With the new AOOTM procedure, patients who would have declined conventional orthodontics because of the length of treatment now have a viable alternative. This group of patients has tended to include adolescents who do not want to wear braces for 1 1/2 to 3 years while in high school and adults whose social or professional responsibilities would preclude wearing braces for a long period of time. The AOOTM procedure is feasible for most patients, regardless of age, as long as their permanent teeth are present.

The trend in orthodontics over the past several decades has been to improve treatment for patients through advances in metallurgy and chemistry. This can be seen in the evolution of arch wires, bands, brackets, cements, and bonding materials. These advances have improved the manner and efficiency with which the orthodontic forces are transferred to the crowns of the teeth. In spite of all these advances, most conventional fixed orthodontic treatments still require 1½ to 3 years to complete.

The AOOTM procedure has solved this dilemma by exploiting the dynamic of bone physiology and redirecting the emphasis in tooth movement to the manner in which the supporting bone responds to orthodontic forces rather than just concentrating on the manner in which the forces are applied to the teeth. By stimulating and harnessing the innate potentials of living bone the teeth can be made to move through the bone very rapidly and when the tooth movement is completed the bone around the roots of the teeth will rebuild itself.

In May of 1998 the AOOTM procedure was introduced at the 98th Annual Session of the American Association of Orthodontics through a table clinic, doctor’s roundtable discussion, and a scientific poster board presentation. The response and interest generated by the presentations was very gratifying.

We have founded a company, Wilckodontics, Inc., which will act as teaching mechanism to train and certify clinical specialists in the proper delivery of the Wilckodontics® System, which includes the AOOTM procedure. An important part of the Wilckodontics® System is teaching the professional how to market the AOOTM procedure to the patient and parents and to supply him/her with an array of marketing materials to help them sell the procedure.

How much does orthodontics cost?

Generally speaking, the price is different for each patient. It all depends on the length and type of treatment required. Fees are based on how much treatment the teeth need. After our first assessment, the orthodontist will give you a better idea of the costs involved.

Can I pay for my treatment in instalments?

Absolutely. Most times, patients pay an initial fee and then divide the balance equally over the ACTIVE treatment time (on average 18-24 months). The good thing is, there are no taxes or interest on these payments since they are for services rendered. Your fee also includes the retention portion. Treatment will be completed when the braces are removed or you are on your final Invisalign aligner.

When are my braces coming off?

We understand how anxious you are to get your braces off however, identifying when they will be removed and the exact date the treatment ends is never easy. There are several factors that could affect the outcome including patient compliance, the general health of surrounding tissues, bone density, and cancelled or missed appointments. That being said, we can give you a rough idea of how many months of treatment you can expect.

Why do I have spaces between my teeth? There weren’t any before I started treatment.

Sometimes we may need to create spaces to help align areas that were very crowded. Rest assured, that all spaces will be closed at the end of treatment, unless otherwise specified at the beginning.

Why are elastics worn during treatment? What do they do?

Elastics help us to move teeth individually and help correct the bite by pulling teeth in one jaw against teeth in the opposing jaw. Elastics are worn full time but not always for the duration of the entire treatment. Compliance is extremely important.

What determines whether or not I’m a good candidate for invisalign?

A preliminary examination can determine if it’s right for you, but most people are good candidates for Invisalign. In cases where extractions or surgery are necessary, invisalign may not be an option.

What happens if my invisalign aligner breaks or I lose the aligner that I am wearing?

Unfortunately, we will need to replace that aligner with a new one. (An extra cost will be incurred)

What causes gum inflammation during orthodontic treatment?

The most common reason gums get inflamed during treatment is because of poor oral hygiene. It is important that you are extra diligent about brushing and flossing every day.

Can I reduce the length of my treatment by scheduling more appointments?

Not necessarily…wires need to be active for a pre-determined amount of time (as are Invisalign aligners) and changing them more frequently does not help teeth move quicker.