Expertly Crafted Smiles

The most challenging movement depends on the patient’s teeth, roots, bone and bite. Controlling root position or correcting a complex bite can require careful planning and precise forces. An orthodontist uses examination findings and records to plan movements safely.

Patients experience discomfort differently. Pressure and tenderness are common after braces are fitted or adjusted, and when starting a new set of aligners. This usually settles as the mouth adapts. Contact the practice if pain is severe, persistent or associated with an appliance problem.

Dental anxiety varies from person to person, so there is no single procedure everyone fears most. Tell your clinician what concerns you before treatment. Clear explanations, agreed pauses and a plan for comfort can make visits easier to manage.

Temporary anchorage devices, sometimes called orthodontic screws or TADs, are placed with local anaesthetic to help control tooth movement. Pressure during placement and some tenderness afterward can occur. Your orthodontist will explain aftercare and what symptoms should prompt a call.

There is no fixed maximum that applies to every patient. Treatment length depends on the bite problem, tooth movement, growth, oral health and attendance. Complex treatment can take longer than a straightforward case. Your orthodontist should explain the estimated timeline and any changes during care.

New York Medicaid may cover qualifying medically necessary orthodontic treatment, generally for eligible patients under 21, subject to its criteria and approval process. Coverage is not automatic. Check current benefits, authorisation requirements and provider participation with your plan and the practice before treatment.

You can usually book an orthodontic consultation directly. Goodman Orthodontics offers consultations to assess your smile and discuss suitable options. If you intend to use insurance, ask your plan whether a referral or other approval is required.

This often refers to the rule of fifths, a guideline that considers the face as five vertical sections when assessing facial proportions. It is one part of a broader assessment, rather than a stand-alone diagnosis or a reason to start treatment. Ask your orthodontist how it relates to your individual plan.

The first visit generally focuses on an examination, records and a discussion of treatment choices, timing and fees. Braces are usually fitted at a separate appointment once the plan is agreed. The team will explain what is scheduled for your visit.

Orthodontists complete specialist training in tooth movement and jaw alignment after dental school. Some general dentists also provide braces or aligners. A specialist consultation can help you understand the complexity of your bite and compare the options appropriate for your care.