No. As a courtesy to you and your family dentist, we will always discuss the feasibility of braces or tooth straightening without charging a fee.
As a rule of thumb, Dr. Bronsen likes to evaluate children around the age of 7. At that time, the four 1st molars and four front teeth (two upper / two lower) have erupted. This is the perfect time to get a baseline set of records, to be used for comparison against future time points. Essentially, it allows us to see developing problems (if any) and helps us maintain our conservative treatment approach.
The purpose of early evaluation is to inform and observe, more than to start treatment. At this early age, the eventual needs may be identified, discussed, and planned, which our parents appreciate. A small percentage of this young group may need some form of intervention, to prevent a small problem from becoming a big problem. Habits are evaluated, medical issues are discussed, and an observation schedule is arranged. The value of these early appointments is incredible!
Plan on one hour for the initial exam.
Yes, we typically do. We handle a patient transferring into our office as we would a new patient.
Absolutely. Approximately 15 to 20 percent of our patients are adult. New, more cosmetic appliances (Invisalign and clear braces) are making adult treatment much more comfortable and convenient.
An orthodontist is a specialist in orthodontics and dentofacial orthopedics. Dr. Bronsen Schliep became a general dentist first. Then he completed a three-year residency to specialize in orthodontics. Orthodontics is all he does!
In order to have early and late appointments available for the majority of patients, some procedures need to be accomplished between the hours of 9 and 3. We will do our best to work with your schedules and accommodate your family needs. Our entire schedule is built around children missing as little school as possible. However, not all appointments can be accommodated in the before and after school hours, so your child will need to miss some school for orthodontic appointments.
Yes, our contact information for an emergency is posted on the website as well as on the phone answering machine.
Yes. Whether or not you have insurance or a dental plan, we will structure a convenient payment plan that will allow you to pay for necessary services over a period of time that usually coincides with your treatment plan.
After verification of coverage, we will agree to bill and collect from an insurance carrier. However, we ask patients to understand that if coverage ceases or changes, the patient is still responsible for the agreed upon fee.
Visa, Mastercard, and Discover.
Yes, we have arrangements for direct debit, charge card posting, as well as automatic payment processing.
No, we do not.
We offer discounts for multiple patients from the same family.
Types of Treatment
Phase 1 treatment is delivered early and before all permanent teeth have erupted. The purpose of this interceptive care is to start correcting harmful malocclusions (bad bites) that may be more difficult or impossible to correct later. Phase 1 treatment does not eliminate the need for conventional orthodontics done during adolescence. Examples of Phase 1 treatment include correcting individual tooth or jaw crossbites and severe underbites where function, esthetic or psychological concerns are identified.
Phase 2 treatment is conventional orthodontic treatment. It may start while the last baby teeth are falling out and continue until the 12-year molars have been evaluated or straightened. If a patient had Phase 1, it typically shortens the treatment duration for the second set of braces.
Not always. Experience and research show that early treatment achieves meaningful goals but the quality of the result is determined at the end of care. For this reason, we do not encourage early treatment unless significant benefits can be achieved.
The average treatment time for full braces at Nebraska Orthodontics is 20 months.
Quite simply, crooked teeth are gradually moved into desired positions by taking shaped wires and attaching them to brackets on the teeth.
Yes, fixed wire retainers may be bonded to the inside surfaces of the front teeth to hold them in place. Or removable retainers may be provided, which are to be worn at nighttime indefinitely to keep the teeth straight.
Teeth move throughout life whether you have worn braces or not. It is part of the natural aging process. This is why retainer wear is recommended indefinitely to maintain orthodontic results over your lifetime.
For some patients, permanent retainers are attached to the back of lower teeth to keep them in place. This requires special hygiene procedures and regular recalls to the family dentist.
Temporomandibular Disorders (TMJ)
Scientific literature has documented that there is not a direct link between orthodontic treatment or occlusion and TMJ. Problems with TMJ can be present or absent in the presence of all types of good and bad bites.
Orthodontics helps to improve the comfort of the bite, making it easier to brush and floss your teeth for good dental health, and many times helps to balance the facial musculature. The positive self-esteem benefits are immeasurable.
Mouth breathing, as a result of enlarged adenoids, tonsils, or allergies, may cause your upper and lower jaws to grow apart and elongate facial form during growth, resulting in crowding and often narrow arches.
The effects are similar to enlarged adenoids. In addition, the pressure on front teeth from the tongue thrusting can aggravate protrusion and spacing.