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Your First Visit
At the initial consultation, Dr. Orsborn and staff will review your medical/dental history and evaluate your need for orthodontic care to determine the best time to start treatment. Dr. Orsborn will invite the patient and family into the planning process to understand their objectives and design the best treatment options to achieve those goals.
After the initial consultation, diagnostic records are made to determine the best course of treatment. Complete diagnostic records typically include plaster study models of the teeth, photos of the patient's face and teeth, and state-of-the-art digital X-rays. This information is used to develop a custom treatment plan for each patient and confirm the findings of the initial consultation. These records are also helpful in tracking the progress of treatment as the teeth move under orthodontic care.
The appointment when you get your appliances (braces, expanders, etc.) usually takes from one to two hours. On the day you get your braces, we will spend quite a bit of time going over the techniques for good brushing and oral hygiene. Many things are important to the success of your treatment, but brushing and flossing are really significant. Braces are strong, but you need to protect them from hard or chewy foods and ice. Please advise us of any broken braces at each appointment.
You'll then see us at regular intervals 4 to 12 weeks apart for an adjustment. Appointments times may vary from 20 to 60 minutes. Our regular office hours are alternate from week to week. Please consult with the front office staff on exact dates. Patients are seen by appointment only. We make every effort to be on time for our patients and ask that you extend the same courtesy to us. If you cannot keep an appointment, please notify us immediately. Cancel only if it is an emergency. It is difficult to reschedule you since most appointments are made 4 to 8 weeks in advance.
1. 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.
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.
3. 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.
4. 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.
5. 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 brief, but thorough, exam.
To read more about your first visit, see our First Visit Page.
6. 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?
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.
8. How long will it take to complete treatment?
Treatment time obviously depends on each patient's specific orthodontic problem. In general, treatment times range from 12 to 30 months. The "average" time frame a person is in braces is approximately 22 months.
9. How much will braces cost? Are 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 discuss 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 insurance policy and help to maximize your benefit as well as file your claims.
10. How often will I have appointments?
Appointments are scheduled according to each patient's needs. Most patients in braces will be seen every five to 10 weeks. If there are specific situations that require more frequent monitoring, we will schedule appointments accordingly.
11. May 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.
12. May 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 he or she returns, so we ask that parents check in with our staff before dropping off their child.
13. 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!”
14. May 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 his or her own braces to achieve the best orthodontic result possible.
17. May 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 his or her teeth with braces and use the Sonicare toothbrush that we provide to our patients.
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 immediately. In some cases, we can address these issues over the telephone. We want you to be comfortable, and we encourage you to call us anytime you have a concern.
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 every 6 months, until the time is right for treatment to begin.
23. What is Phase One (early) treatment?
Phase One treatment, if necessary, is usually initiated for 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 structural 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" or observation 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 or other orthodontic appliance.
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. May 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.
A Proxabrush is an interdental (between the teeth) toothbrush that you may use to clean underneath and around your wires and braces. Use the Proxabrush gently to avoid damaging your wires. The Proxabrush will help you to clean your braces while maintaining healthy teeth and gums.
Peroxyl, a hydrogen peroxide antiseptic mouth rinse, will reduce inflammation to your gums and cheeks. Peroxyl helps to prevent infection and decrease irritation that may develop from your braces. Rinse your mouth with two teaspoons of Peroxyl (half a capful) for one minute and then spit it out. You may use Peroxyl up to four times daily following your schedule for brushing: after meals (or after school) and before bed. Just like using peroxide for a scrape on your skin, Peroxyl helps the inside of your mouth heal. Peroxyl can be used for general irritation caused by your braces or for canker sores, cheek bites and other minor temporary injuries to the gums.
Phos-Flur is a sodium fluoride gel that helps prevent tooth decay while you are wearing braces, by killing bacteria and replacing minerals in tooth enamel that have been exposed to harmful acids. The use of Phos-Flur does not replace daily brushing and flossing but should be done following your daily schedule at bedtime. Place a small strip of Phos-Flur on a toothbrush and apply it to your teeth for one minute and spit it out. You may not eat or drink for 30 minutes after you use Phos-Flur. It is important for the active ingredient to stay on your teeth for 30 minutes, so do not wash it away by eating or drinking.
Cleaning Your Removable Appliance
Brush your removable appliance every day as a part of your regular brushing and flossing schedule. Because food particles and plaque can accumulate on your appliance just as they do on your teeth, soak the appliance daily. Dissolve a Polident, Efferdent or other denture-cleaning tablet in a glass of tap water at room temperature and soak your appliance once every day. Your appliance will taste better, and you will prevent plaque and bacterial accumulation.
Please take a minute to print and fill out the patient information form before your first appointment:
Brace Bus Forms
Please take a minute to print and fill out these Brace Bus forms before your appointment:
Upper Front Teeth Protrusion
The appearance and function of your teeth are impacted by this type of bite. It is characterized by the upper teeth extending too far forward or the lower teeth not extending far enough forward.
The upper front teeth extend out over the lower front teeth, sometimes causing the lower front teeth to bite into the roof of the mouth.
The upper teeth sit inside the lower teeth, which may cause tooth stratification and misaligned jaw growth.
Proper chewing is impacted by this type of bite, in which the upper and lower front teeth do not overlap. Openbite may cause a number of unwanted habits, such as tongue thrusting.
Crowding occurs when teeth have insufficient room to erupt from the gum. Crowding can often be corrected by expansion, and many times, tooth removal can be avoided.
Spacing problems may be caused by missing teeth, or they may only be a cosmetic or aesthetic issue.
Dental Midlines not Matched
This type of problem is caused when the back bite does not fit and match appropriately, which may negatively impact jaw and proper dental function.
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.
What to Do in Case of Emergency
Call our office as soon as possible if you break or loosen any of your appliances. Please do not come directly to the office– by calling us, you will allow us to create a time to see you. Even if you have a regular appointment scheduled, call us immediately to notify us if you need an appliance repaired.
Sometimes discomfort caused by a wire on your braces can be resolved by moving the wire away from the irritated area with a cotton swab or eraser. If the wire will not move, try covering the end of it with a small piece of cotton or a small amount of wax. If the wire is painful, you can cut it with nail clippers or scissors that have been washed and sterilized in alcohol. If you cannot resolve the wire irritation, call our office for an appointment.
Broken Brackets / Bands
In the event that a bracket or band comes loose from a tooth, it is important for you to call our office immediately. Do not wait until your next appointment to see if we can fix it then! More time is necessary to repair breakages and we need to schedule accordingly.
At your last appointment, Dr. Orsborn recorded what he was planning to do at your next appointment. They know how long it takes to perform each procedure and our office schedules accordingly to stay on time and dedicate proper time to each of our patients. That is why we will often reschedule to repair broken braces. We realize this may inconvenience your schedule and therefore we ask that we be notified in advance— even if the breakage occurs earlier in the day of your appointment.
When you have a broken bracket or band, please bring it with you to your repair appointment. Often it can be repaired, cleaned and replaced. It is our office policy to repair several breakages at no additional cost to you. If breakage becomes excessive, there is a fee for repairs.
Remember, when braces are broken, treatment completion is often delayed. Help us give you the smile you want— on time!
Loose Brackets or Bands
Call our office immediately for advice if a bracket or wire is loosened. The bracket may need to be re-fitted as soon as possible. You may have a situation that requires cutting a wire or sliding a bracket off a wire at night or over the weekend. If you need to cut a wire in case of emergency, you may use fingernail clippers that have been washed and sterilized in alcohol. Please call our office the next business day, so that we may schedule an appointment for you.
Most patients lose a separator during their treatment. Do not worry about losing a separator, but call our office to see if it needs to be replaced.
Discomfort with Orthodontic Treatment
During the first week after your braces are in place and routine adjustments are complete, you will likely feel some pain, soreness or discomfort. You may take acetaminophen or other non-aspirin pain relievers while you adjust to your new braces.
To successfully complete your orthodontic treatment plan, patients must work together with Dr. Orsborn. The teeth and jaws can only move toward their corrected positions if the patient consistently wears the required appliances as prescribed.
The following paragraphs describe the types of appliances that may be used during your treatment.
Spacers or Separators
Palatal Expander Instructions
Positioners complete the final tooth movements in your orthodontic treatment. With your full cooperation, you should only need to wear the positioner appliance for 4-8 weeks.
Elastics (Rubber Bands)
Wearing elastics (rubber bands) improves the fit of your upper and lower teeth. Wear rubber bands as instructed because the rubber bands work far more efficiently if they are worn as prescribed.
Headgear is used to treat patients whose teeth are in an “overbite,” (with the uppers forward of the lowers) or an “underbite” (with the lowers forward of the uppers). Headgear gently “pulls” on your teeth to restrict further forward growth of your upper teeth and jaw.
Hours of operation
8am - 4pm
8am - 4pm
8am - 4pm
8am - 4pm
8am - 12pm
8am - 12pm
*Hours of operation vary from month to month
Brands and Associations
Why an Orthodontist?
3890 Dunn Ave, Suite 903
Jacksonville, FL 32218
943 Cesery Blvd #E
Jacksonville, FL 32211
3890 Dunn Ave, Suite 903 Jacksonville, FL 32218 | 943 Cesery Blvd #E Jacksonville, FL 32211
Orsborn Orthodontics 2014 | Website designed by ThinkTop Media Group
Dunn Avenue Office
Cesery Boulevard Office