Patient Education


Early Treatment

Two-Phase Treatment

There are orthodontic advantages to treating certain cases in two separate stages. The goal of the Phase I treatment is to develop well-oriented jaws, healthy bones and gums, and adequate room for permanent teeth. Children sometimes exhibit early signs of jaw problems as they grow and develop. For example, an upper or lower jaw that is growing too much or not enough can benefit from early orthodontic treatment. Crowded jaws can also benefit from early observation and treatment. This early correction can prevent the removal of permanent teeth due to excessive overbite or overcrowding. If you believe a problem exists, you are most likely correct in your assessment.

Generally, we use a growth-modifying appliance for skeletal problems, limiting the need for braces, to create necessary space for patients between 8-12 years of age. In our practice, approximately 25 percent of patients evaluated between these ages undergo early treatment. Our goals for these cases are:

 

  • Influence jaw growth in a positive manner
  • Improve the width of the dental arches
  • Reduce the need to extract permanent teeth
  • Reduce/eliminate the need for jaw surgery
  • Mitigate the risk of trauma to (or breakage of) protruding front teeth
  • Correct harmful oral habits
  • Improve facial aesthetics, which translate to higher self-esteem
  • Simplify and shorten treatment time for Phase II
  • Improve speech development
  • Improve the position of erupting teeth
  • Preserve or create more space for erupting teeth
  • Guide permanent teeth into more favorable position(s)
  • Improve lip competence, keeping the lips together
  • Take advantage of increased orthodontic compliance before the busy teenage years

During Phase II treatment, our goal is to position all of the permanent teeth to maximize their appearance and improve their functional integrity. This is best accomplished by placing braces on all of the upper and lower teeth. The treatment length for Phase II is generally 18-24 months.


Adult Treatment

Orthodontics for Adults

With the growing popularity of treatment options like Invisalign, Insignia,and Damon Clear, we are treating more adult patients than ever before. We expect this trend to continue as more and more adults come to realize the benefits of orthodontic treatment. No one is ever too old for orthodontics, and we can deliver a beautiful smile in an efficient, comfortable, and discreet way.

Multidisciplinary Treatment

Dischinger maintains strong working relationships with other dentists in the area. This proves to be a tremendous asset for cases that require teamwork within different disciplines of dentistry to achieve a beautiful finished result. We make a concerted effort to work closely with family & pediatric dentists, periodontists, oral surgeons, and other dental specialists to help you achieve the perfect smile.

Check Patient Testimonial

Type of Braces

Your Smile…. As Unique as You Are


Emergencies

If you are a patient of the Dischinger Team and you are experiencing pain that cannot wait for regular hours, please call (503) 635-4439 and press 2. This will forward you to the on-call doctor or staff member.

True orthodontic emergencies are very rare, but when they do occur we are available to you. As a general rule, you should call the office when you experience severe pain or when you have a painful appliance problem that you can’t take care of yourself. We’ll be able to schedule an appointment to resolve the problem.

You might be surprised to learn that you may be able to temporarily solve many problems yourself until you schedule an appointment with our office. When working with your appliances, you need to know the names of the parts of your appliances so you are able to identify what part is broken or out of place. After alleviating your discomfort, it is very important that you still call our office as soon as possible to schedule a time to repair the problem. Allowing your appliance to remain damaged for an extended period of time may result in disruptions in your treatment plan.

When you get your braces on, you may feel general soreness in your mouth and your teeth may be tender to biting pressures for three to five days. This can be relieved by rinsing your mouth with a warm saltwater mouthwash. Dissolve one teaspoonful of salt in 8 ounces of warm water, and rinse your mouth vigorously. Placing Orabase on the affected area may help; this can be found in a pharmacy. If the tenderness is severe, take whatever you normally take for headache or similar pain.

The lips, cheeks and tongue may also become irritated for one to two weeks as they toughen and become accustomed to the surface of the braces. You can put wax on the braces to lessen this. We’ll show you how.

Using tweezers, try to put your wire back into place. If doing this and using wax doesn’t help, as a last resort use a small fingernail clipper to clip the wire behind the last tooth to which it is securely fastened. If your discomfort continues, place wax on it.

If your bracket or band is still attached to the wire, you should leave it in place and put wax on it. If the wire comes out entirely, wrap the bracket with a tissue.

Using tweezers, try to put your wire back into place. If doing this and using wax doesn’t help, as a last resort use a small fingernail clipper to clip the wire behind the last tooth to which it is securely fastened. If your discomfort continues, place wax on it.

Using a pencil eraser, push the poking wire down or place wax on it to alleviate the discomfort.

 


FAQ

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

No, it is not. Many of our patients are referred by their family dentist, yet many other patients take the initiative to schedule an examination themselves.

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.

Will my teeth straighten out as they grow?

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.

How do I schedule an appointment for an initial exam?

If you or your child can potentially benefit from orthodontic treatment, simply call our office, send us an e-mail or fill out our appointment request form online. We will be happy to schedule an appointment for you. When you call to schedule your appointment, our front office staff will request some basic information from you.

What will happen at the initial examination appointment?

Upon arriving, each patient and parent will be seen by the staff and doctor who will acclimate you to our office and prepare for the initial exam. We will take the necessary photographs and X-rays to allow us to make a proper diagnosis. The doctor will then complete a thorough exam.

What will I learn from the initial examination?

There are five essential questions that we will cover during the initial examination:

  • Is there an orthodontic problem, and if so, what is it?
  • What must be done to correct the problem?
  • Will any teeth need to be removed?
  • How long will the treatment take to complete?
  • How much will the treatment cost?

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.

How long will it take to complete orthodontic treatment?

Orthodontic treatment time obviously depends on each patient’s specific orthodontic problem. In general, treatment times range from 12 to 30 months.

How much do braces cost? Are orthodontic financing options available? How does my insurance work?

It is impossible to give an exact cost for treatment until we have examined you. We will cover the exact cost and financial options during the initial examination. We have many financing options available to accommodate your needs, and we will review these with you. We will also review your orthodontic insurance policy and help to maximize your benefit and file your claims.

How often will I have appointments?

We average 6-8 weeks between visits, though it depends on the case and treatment plan. In the beginning of treatment, some patients need to be seen more frequently, while others have long (10-12 weeks) intervals between appointments. As we get closer to finishing your treatment, appointments become more frequent. When we factor all visits together, we average about 6 weeks between appointments.

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 five to 10 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.

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. On some occasions, we may request to speak with a parent when they return, so we ask that parents check in with their patient manager before dropping off their child.

Do braces hurt?

Generally, braces do not “hurt.” After certain visits, teeth may be sore for a few days. 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! We often remind our patients, “It does not have to hurt to work!”. Our office uses orthodontic technology which utilizes light forces, which has significantly reduced treatment tenderness for our patients.

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

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

Do you give shots?

No. Shots are not necessary in orthodontic treatment.

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.

Can I still play sports?

Yes. We recommend and provide you a mouth guard for all sports.

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.

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.

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.

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.

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.

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 12-21 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.

Will my child need an expander?

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

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!

 

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.

 

Why should you 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.

Braces At Age 7? Five Reasons to consider early treatment.

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