Oral care

What to Know Before Seeing Your Orthodontist

Seeing an orthodontist for the first time can feel nerve-wracking. You likely have many questions about what to expect, what kind of treatments are available, whether braces or aligners are better, and how much it will all cost. This uncertainty is entirely normal!

Orthodontic treatment is a big decision that requires you to take in a lot of new information. To make you feel fully prepared before your initial orthodontist visit, this article will provide an overview of key things to know and ensure you get the treatment you need to achieve your goals for a healthy, beautiful smile.

What to Know Before Seeing Your Orthodontist
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1.  Reasons to See an Orthodontist

There are several common signs that indicate you may benefit from orthodontic treatment. Crowded, crooked teeth or teeth that are spaced too far apart can cause oral health issues and affect your smile’s appearance. Other oral irregularities like underbites, overbites, or crossbites may also warrant a trip to the orthodontist.

Jaw pain, frequent headaches, tooth grinding, speech impediments, and problems chewing or biting down are additional symptoms that orthodontics can address. For those wondering how to find the best professional for this crucial first assessment, searching online with keywords like top-rated orthodontist near me can provide peace of mind, ensuring you’re in capable hands.

2.  Initial Consultation and Exam

During your first visit, the orthodontist will perform a comprehensive clinical exam to assess your oral health. They will examine your bite, the position of your jaw, the spacing between teeth, and your facial profile and structure. Radiographs or other imaging scans will be taken to visualize underlying tooth alignment and jaw position. Molds of your teeth may also be made to evaluate their current positioning. Any signs of grinding, chipping, or abnormal wear and tear will also be noted.

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Your orthodontist will address all of your concerns and outline your options. They may also ask questions about your medical history, dental history, and oral habits that will provide important context. Be ready to share any previous orthodontic treatments, chronic conditions, or medications you take. Mention any difficulties you experience with chewing, biting, speech, or oral discomfort.

3.  Treatment Options Overview

Today’s orthodontic treatments are more discreet and effective than ever. Clear aligners like Invisalign straighten teeth using a series of barely visible, removable plastic trays. Traditional metal braces remain a tried-and-true option.

Your orthodontist will explain which treatment methods can best achieve your goals based on the exam findings. They can also discuss expected treatment times, costs, and payment plans.

4.  Digital Scans and Impressions

In order to create custom aligners or braces, the orthodontist will take digital scans or physical impressions of your teeth.

Intraoral scanners are wand-like devices that take 3D pictures of your smile from all angles in minutes. This technology offers greater comfort and speed versus traditional impressions.

For physical impressions, you’ll bite down into a tray filled with putty that quickly forms an exact mold of your teeth. The putty is then sent to a dental lab to construct custom aligners or braces based on the impression.

5.  Anticipating Discomfort

Feeling soreness as your teeth begin moving throughout orthodontic treatment is normal. The amount of discomfort varies from person to person. Most patients experience mild tightness and pressure for 2-3 days after braces are tightened. This is a positive sign that your teeth are shifting into better alignment.

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Over-the-counter pain relievers can help ease any tenderness. Your orthodontist may recommend ibuprofen or acetaminophen. Cold, sugar-free treats can also provide relief. The discomfort is usually worse on the first day and gradually improves by the third or fourth day. Contact your orthodontist if the pain persists beyond one week or seems severe. Staying on top of soreness early on makes treatment more comfortable overall.

6.  Oral Hygiene Needs

Proper oral hygiene is critical during orthodontic treatment to avoid tooth decay, gum disease, and white spots on teeth. Brushing and flossing thoroughly after each meal and avoiding sugary and other foods bad for your teeth become even more essential. Excellent home care helps avoid additional dental work and keeps your smile looking its best.

Your orthodontist will demonstrate special flossing tools and techniques for accessing hard-to-reach areas. Electric toothbrushes and fluoride rinses are highly recommended as well. Expect to schedule professional cleanings every three months to keep plaque and tartar at bay.

7.  Dietary Considerations

You may need to modify your diet to protect your orthodontic appliances. Hard, sticky, and crunchy foods pose the biggest risks for damage. Avoid popcorn, nuts, seeds, hard candies, ice, corn on the cob, apples, carrots, chewing gum, pizza crust, and more.

For clear aligner patients, the trays can be removed for short mealtimes to enjoy problem foods in moderation. Just be sure to brush and floss before reinserting aligners. If you choose to keep aligners in while eating soft foods, rinse thoroughly after.

8.  Appointment Frequency

Depending on your specific treatment plan, you can expect to visit your orthodontist about once every 4-8 weeks for braces tightening or aligner changes. Appointments are brief, often 30 minutes or less.

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Clear aligner patients may move to 10-12-week intervals between appointments after the initial phase of treatment. More frequent monitoring is needed at the start when teeth are moving rapidly. Braces typically require wire changes every 4-6 weeks for steady progress.

Consistent adjustment visits are key for tracking your teeth’s incremental shifts and ensuring your smile stays on track.

9.  Total Treatment Time

Treatment times range from 12-24 months on average, depending on the complexity of your case. People with mild to moderate alignment issues often achieve results in 12-18 months with clear aligners or 18-24 months with braces. More extensive bite or spacing problems can take up to 3 years to fully correct.

Your orthodontist will provide an estimated timeline and advise you on how to maximize efficiency. Wearing aligners for 20-22 hours daily or avoiding broken brackets reduces the risk of needing additional treatment time.

10. Retention Protocol

After active orthodontic treatment, retainers are required to hold teeth in their newly aligned positions. Hawley retainers or clear overlay retainers are commonly worn at night. Your orthodontist will design a customized retention plan depending on your needs.


Your first orthodontist appointment marks an exciting step toward improving your oral health and smile aesthetics. Entering the process with knowledge about contemporary treatments, lifestyle impacts, appointment schedules, and retention commitments will empower you to be an informed, confident patient.

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