Frequently Asked Questions About Orthodontics
Initial Visit
Do you charge for an initial visit?
No. Your first orthodontic consultation with Dr. Christopher Riolo is completely free. As a courtesy, we evaluate your orthodontic needs at no cost and review potential teeth straightening options.
At what age should children begin orthodontic care?
The American Association of Orthodontists recommends that children have their first orthodontic evaluation by age 7. Early visits help us monitor growth and catch potential concerns before they become more serious.
Why evaluate children so young during an early braces visit?
Early evaluations are mainly for observation and education. These visits allow Dr. Riolo to identify developing bite or alignment issues and decide if early treatment might help. In most cases, we simply track growth and provide helpful guidance on habits and oral health.
How long does the first visit take, and is the orthodontist consultation included?
An initial visit typically lasts 30–60 minutes, depending on your needs. It includes a visual exam, X-rays, a 3D scan, and a discussion of treatment options to correct your bite and improve your smile.
Do you accept patients transferring from out of town?
Yes. We welcome transfer patients and make the transition as smooth as possible.
Do you treat adult orthodontic patients?
Absolutely! More adults than ever are choosing orthodontics. With discreet choices like clear braces and Invisalign, achieving a straighter smile is easier and more comfortable at any age.
What is the difference between an orthodontist and a dentist, and who should I see for teeth alignment?
An orthodontist is a dentist with at least three additional years of advanced training in tooth and jaw alignment. For braces, Invisalign, or other teeth straightening options, it’s best to see a certified orthodontist like Dr. Riolo.
Can I schedule appointments after school or later in the day?
We do our best to accommodate busy schedules. While some visits need to be during standard hours, we reserve early morning and late afternoon slots for shorter appointments whenever possible.
Do you handle orthodontic emergencies?
Yes. If you have an orthodontic emergency, please contact our office right away. Emergency contact details are available on our website and voicemail.
Financial and Insurance
Can I pay for braces or Invisalign over time?
Yes. We offer flexible, interest-free payment plans to fit your budget, whether or not you have insurance coverage.
How is insurance handled for orthodontic treatment?
We’ll verify your coverage as a courtesy, and your insurance provider will reimburse you directly. If your plan changes, you remain responsible for the agreed treatment fee.
Do you accept credit cards?
Yes. Most major credit cards are accepted for your convenience.
Do you charge interest?
No. All of our payment plans are interest-free to keep braces and Invisalign treatment affordable.
Are family discounts available?
Yes. We offer special discounts when multiple family members begin orthodontic treatment.
Types of Orthodontic Treatment
What is Phase 1 treatment and how does it help with early orthodontic needs?
Phase 1 treatment begins before all adult teeth have erupted. It addresses significant issues like jaw misalignment or crossbites early, which can make later treatment easier and lead to a healthier smile.
What is Phase 2 treatment, and how does it compare braces vs Invisalign for teens?
Phase 2 treatment starts once all permanent teeth are in. It usually lasts 18–24 months and fine-tunes alignment and spacing. Both braces and Invisalign can be effective depending on your teen’s needs.
How do I know if two-phase treatment is right for my teen?
Every patient is different. Dr. Riolo may recommend a two-phase approach depending on your child’s bite, growth, and alignment goals. Diagnostic records and a consultation determine the best plan.
Moving of Teeth
Do I need pre-medication for orthodontic procedures?
Only certain procedures require pre-medication. Always check with your physician or Dr. Christopher Riolo before your appointment.
How long does orthodontic treatment take?
Most patients finish treatment in about two years, though timing varies depending on individual needs.
How do braces or teeth straightening options move teeth?
Braces and aligners apply gentle, steady force to shift teeth into alignment. Dr. Riolo monitors progress closely to ensure safe and effective movement.
Do you use recycled braces?
No. All orthodontic appliances are brand new for every patient.
Orthodontic Retainers
Do I need to wear retainers long-term after braces or clear aligners?
Yes. Retainers are worn full-time at first, then usually at night long-term to maintain results. Wearing retainers as directed by Dr. Riolo helps keep your smile healthy and aligned.
Why do teeth shift even after treatment with braces or clear aligners?
Teeth naturally try to return to their original positions. Everyday forces like chewing, muscle activity, and aging can contribute to shifting. Consistent retainer wear is essential for lasting results.
Are retainers bonded behind teeth a good option?
Yes. Fixed retainers bonded behind the teeth are a reliable way to preserve alignment, especially for patients prone to relapse. They do require excellent hygiene and regular dental checkups.
Wisdom Teeth
Do wisdom teeth cause teeth to get crooked?
No. Research does not support a direct connection between wisdom teeth and crowding.
Why might wisdom teeth need removal during orthodontic treatment?
Impacted wisdom teeth can lead to infections or gum issues. Removing them proactively may help protect your orthodontic results.
When is the best time for wisdom teeth removal?
Oral surgeons typically recommend removal when about two-thirds of the roots have formed, usually between ages 16 and 18.
Temporomandibular Disorders (TMJ)
Can braces or orthodontic treatment treat or cause TMJ problems?
No evidence links orthodontic treatment to TMJ disorders. These issues often occur independently of bite or alignment.
Health Benefits
What are the benefits of orthodontic treatment for adults or teens?
Orthodontics improves bite function, oral hygiene, confidence, and facial balance. Straight teeth are easier to clean and support long-term oral health.
How do enlarged adenoids or allergies affect braces?
Chronic mouth breathing caused by enlarged adenoids or allergies can affect jaw development, sometimes leading to crowding or narrow arches.
How does tongue posture affect orthodontic treatment?
Incorrect tongue posture places pressure on the teeth, which may cause spacing or protrusion. Addressing these habits improves orthodontic outcomes.
