YOUR FIRST VISIT
During this visit the patient is examined for deviation from normal occlusion. As part of the consultation visit, a Panex is taken to reveal possible problems. lf the treatment is to be started then the impressions are taken, along with other x-ray films and photographs. It is preferred to have both parents or those financially responsible present. Treatment plans and procedures are discussed and the payment contract is usually signed at this time.
The orthodontic contract signed is a non-cancellable payment agreement with no interest charged. However, should a move to a distant area be necessary, the contract payment can be adjusted according to the services rendered. Payment is expected if the treatment objectives have been met when moving occurs. Full payment is expected if the treatment time takes less than the contract payment period, but payment may be continued at the regular rate specified in the contract. Many people receive help in financing orthodontic treatment through insurance coverage. Each carrier is different. However, most companies pay part of the initial fee and part of the monthly payment until the maximum coverage is reached. Most patients assign us the insurance payments directly, although this is usually optional. We will cooperate in any way possible.
Patients who have the fixed appliances removed at the end of the two year contract should plan to wear a removable appliance at least eight months. This will necessitate an extension of the payment contract as listed in the payment book.
There are no two orthodontic patients with exactly the same problem. Each problem must be analyzed and a course of treatment determined. At each visit, the necessary decisions will be made for continued progress. However, patient cooperation is absolutely essential. The patient cooperates by following instructions EXACTLY. When elastics (rubber bands) are used, they must be used all the time. Elastics are used to change bite relationship and effect changes in the basic jaw shape and alignment. Part time wear WILL NOT work. Twelve hours wearing, plus twelve hours not wearing, equal NO progress.
Cooperation is needed to maintain the health of the gingiva and tooth cleanliness. Proper brushing and the use of the Water-Pik up to ten minutes as often as possible is essential.
Cooperation is needed by the patient to protect the appliance from undue breakage and abuse from fingers, pencils, etc. Ice and hard candy must not be cracked as it will break the brackets. Food must be cut up extra small and chewing done lightly.
The patient is requested to keep regular check- up appointments with the family dentist.
The following pages will explain in more detail the three phases of orthodontic treatment in this office. A fixed bonded appliance is usually used during the first phase, a removable finishing appliance during the second phase and then a night retainer, which may be the same removable appliance, during the third phase.