The Orthodontic Process

During the initial exam, the patient's health history will be discussed and the reasons for seeking treatment will be explored. Dr. McManus will perform a thorough orthodontic exam and will make recommendations as to the need and/or timing of treatment.  Any questions up to this point will be answered. Once all questions have been answered and a treatment plan has been agreed upon, we will be ready to get started!

If treatment is indicated and you would like to proceed, an appointment can be scheduled at your earliest convenience. The diagnostic records takes about 30 minutes and involves digital x-rays, photos of the patient's face and teeth, and molds of the teeth (impressions) to fabricate study models. Most patients choose to schedule their diagnostic records on the same day that their braces are placed to avoid an additional appointment. If diagnostic records and braces are placed at the same appointment, the appointment will last approximately 2 hours. 

McManus Orthodontics First Visit

First Visit

What to Bring

At your first visit please bring the following information:

If your general dentist makes the following available, please bring to your appointment:

  • Copy of any panoramic x-ray taken within the past year
  • Copy of most recent full-mouth periapical and bitewing x-rays
  • A note indicating the date of your last cleaning and that all cavities have been restored

Before Leaving the Office

After each appointment, please complete the following steps to minimize discomfort and ensure optimum treatment results.

          Use your tongue and finger to make sure the wire ends are not poking or irritating your cheeks or tongue.
          Make sure you understand your orthodontic "homework." This includes avoiding and/or minimizing foods that could 
          damage your braces,following specific hygiene instructions and also wearing your elastics and other 
          appliances as instructed.
          Be sure you have an adequate amount of bands, cleaning aids, wax and other items you may need between visits.
          Schedule your next appointment to prevent delays in treatment.

First Day in Braces

The adhesive we use to attach your braces to your teeth cures quickly. After you leave our office, you can eat anytime, but please remember to avoid foods that could damage or break your wires and brackets. Until you get used to eating with your new braces, you may want to follow a soft foods diet.

Do Braces Hurt?

When you first get your braces, they may feel like they are "sticking out." This is normal. As you get adjusted to your new braces and as tooth alignment improves, this feeling will go away. Even though your brackets were rounded and smoothed out, until the cheek tissues "toughen up," you may place a small piece of dental wax around the bracket to relieve irritation. You may feel soreness the day your braces are placed.  Also, your teeth, typically the front teeth, may be tender. Some patients have no discomfort after braces are placed, but most experience soreness during the first eight hours. This discomfort should go away within a week. This can vary for each patient.  In the meantime, you may take over-the-counter pain medicines to alleviate discomfort. For maximum effectiveness, you may want to take the medicine before pain starts.