​When should my child be evaluated by an orthodontist?

• The American Association of Orthodontists recommends that children be evaluated at 7 years old. This does not mean that treatment should or will begin at this time. The goal is to monitor and evaluate your child’s facial growth, development and eruption of teeth. We will intervene with braces only if necessary—and you can rest assured it will be at most effective time in your child’s development.

​
My family dentist says he can apply braces. Where should I get orthodontic care?

• Unless your family dentist also holds a specialized degree in orthodontia, it is unlikely they are a board-certified, trained orthodontist. Orthodontists have graduated from dental school just like your dentist; however, a specialty in orthodontics requires an additional two to three years of education, depending on the program. One rotation in dental school is simply not enough to navigate the long-term impact of orthodontia; inexperienced dentists can not only prolong the healing and movement process, they can also fail to see the long-term impact of certain treatment choices, particularly if done too young. Only an orthodontist can provide you and your family with the customized, experienced, and professional care you and your family require.

If my family dentist is not a specialist, then why does he do orthodontics?

• The laws governing who can perform orthodontic procedures do not specifically exclude general practice dentists. We believe this does patients a disservice; a family dentist certainly has a place on your health and wellness team, but they have no business in orthodontic appliances or braces treatments if they have not been extensively trained in orthodontia. If your dentist recommends orthodontics, and that they perform them in house, get a second opinion. It comes down to this: Those of us who drive may be good at taking care of our vehicles, but when something goes wrong, we head to a trusted, professional mechanic who is well-versed in engines and automobiles. Even if we know how to change our own oil, professionals can do it better, faster, and with better performance in mind.

 

• Another important note, orthodontists consistently hone their craft with each patient they see, every single day. Trained orthodontists can spot abnormalities very quickly and adjust accordingly, saving patients (and their families) unnecessary time, expense, and discomfort. When it comes to your smile or your child’s teeth, why would you trust anyone who is not an expert?

There appears to be a lot of ways to move one’s teeth. Which one is best for me?

• That depends on your teeth, your goals, your budget, and your timeframe. With many orthodontic options comes many customized approaches. At Orthodontics by Crutchfield, we are proficient and skilled in a variety of orthodontic techniques. We will explore the options with you and select one that best fits your needs.

Almost every kid in my child’s third grade class has some sort of orthodontics going on. Why is this?

• Some third graders actually require orthodontic treatment, but the overwhelming majority of early or Phase I orthodontic treatment is not necessary. More and more kids are being pushed into orthodontia by dentists--and why? With a stagnant economy, it is easy (and profitable) to place orthodontic appliances on a young child especially if one appeals to the parental instincts and emotions. Here’s the rub, though: early orthodontia is likely to result in needing braces TWICE--that’s twice the time, twice the pain, and twice the cost. And that’s not cool.

 

• At OBC, we believe in the proper care at the proper time, which sometimes means waiting to see if braces are even necessary. Early ortho isn’t always effective or worth it, which is why we urge getting a second opinion from a board-certified orthodontist and membership to our Hangin’ Loose Club.

Can SureSmile work for adult braces?

• SureSmile can work for all ages! The active component of SureSmile’s orthodontic braces is the wire. Suresmile is a sophisticated system where Dr. Crutchfield designs each wire specifically for you. Therefore, each patient gets customized orthodontic wires that yield better results. Read more about SureSmile here.

What is Damon?

• DamonSmile is a braces system designed to provide efficient, gentle movement of the teeth without the use of elastics or metal ties. Damon braces are very comfortable, clean, and later combined with Suresmile, to provide our patients with optimum orthodontic care. Read more about DamonSystem here.

I see Invisalign advertised everywhere. Does it work and how do I know if I am a candidate?

• On the right patient, Invisalign and clear aligner therapy is a very viable alternative to braces. Though not for everyone, Invisalign can achieve acceptable results on the self-conscious patient who does not want metal braces. Read more about Invisalign here.

What should I look for in an orthodontist?

• Board certification is an important factor if you are looking for an orthodontic experience that meets every high standard. In addition, a great orthodontic office pays attention to details in the services they deliver, the products they endorse, and the environment they provide for their patients. The end result is important, but the process and products must also be comfortable, efficient and welcoming.

What should I look for an in orthodontic office?

• A great orthodontic office pays attention to detail in both product and process. Take notice of how well the staff answers the phone, responds to questions, handles appointments, and schedules follow-ups. The best orthodontic offices in Virginia not only achieve consistently good results, and they do so in a comfortable, efficient and friendly manner. You will find all of these traits and more at Orthodontics by Crutchfield, and we have the awards and recognition to support it.

Braces are braces are braces. Why is there is such a difference in cost and why does it matter where I get them?

• Orthodontic treatment are not equal, and results are highly dependent upon both the patient and the professional applying and managing the devices. Education and experience go a long way on both sides; the patient should be well informed of how to care for their teeth while in treatment, and the provider should be a licensed, board-certified orthodontist. There are many techniques that orthodontists use that sometimes cost a little more but give even better and faster results.

I am not a teenager anymore. Can adults get braces?

• No one is too old for orthodontic care. Though treatment may progress a little slower due to a slower metabolism, excellent results can be attained at any age.

Will I have to have teeth removed to have orthodontic care?
Every effort is made at Orthodontics by Crutchfield to reduce the need for tooth extraction for orthodontic treatment. However, in some cases space is needed to achieve the best orthodontic results.

I am a little self-conscious about braces. Are there alternatives to “metal mouth”?

• Yes, there are many alternatives including clear braces, clear aligners, and braces on the tongue side of the teeth. We will help you choose the best option for your smile and your lifestyle. That being said, braces are becoming more and more common for adults, and many adults would rather use braces with an external wire system if it means better, faster results. You’d be surprised at the options we have today!

Will braces hurt?

• The initiation of tooth movement may cause some tenderness in the very beginning. However, it is temporary and rarely causes any disruption of normal activities.

I am in sales and speak a lot in front of groups. Should I have a concern about wearing braces?

• It may take a couple of days to get used to your braces, but we humans are highly-adaptable creatures. They will soon become part of you and unnoticeable to both you and your audience.

I am very concerned about oral hygiene. Will I be able to floss with braces on?

• Not only can you floss, it is a requirement! Excellent oral hygiene is a must, and we will provide you with excellent tools to help you make it a part of your daily routine.

My child is involved in a lot of sports and musical theater. I am concerned about braces interfering with her performance. Should we wait until she finishes her schooling?

• For children, there is often an optimal time for orthodontic treatment, usually around puberty. Children and teens adapt easily to orthodontic devices and rarely do they interrupt sporting or performing activities.

Can I drop my child off for their appointment?

• Parents must accompany children to their appointments. Be forewarned: Our waiting room is so relaxing, you may not want to leave when the appointment is done!

Can I eat before my appointment?

• Absolutely! We have a brushing station so you can brush thoroughly when you come in. 

How much do braces cost? Are they covered by insurance?

• This is the million dollar question, but luckily braces aren’t nearly that expensive. While it’s tough to answer without a personal consultation, braces typically cost between $5,000 and $8,000. Your individual insurance and deductible allowances will play into the final costs. OBC is not a preferred provider with any insurance company; however, we are happy to provide you with the necessary paperwork to file a claim and can help you file with your insurance.

How long do people wear braces on average?

• A typical treatment lasts between 18 and 24 months, depending on the treatment plan and extent of movement required. ​

---

Have more questions? We’re here to help.  Just give us a call! 703.263.0575