When you hear the word orthodontist, your first thought might be a teenager with braces and a mouth full of wires. But orthodontists work with more than just teens and more than just braces. They play a critical role in helping people of all ages improve their oral health, facial structure, and confidence.
At First Choice Dentistry, we believe orthodontic care is something worth understanding clearly. Whether you’re exploring treatment for yourself, your child, or you’re just curious about how orthodontics works, this article will walk you through what you need to know in a way that feels like a conversation, not a lecture.
What is the difference between a dentist and an orthodontist?
All orthodontists are dentists, but not all dentists are orthodontists.
Here’s how it works: a general dentist is trained to diagnose and treat issues related to teeth, gums, and general oral health. They fill cavities, perform cleanings, treat gum disease, and help maintain your dental health.
Orthodontists go through dental school just like general dentists, but they also complete additional years of specialized education focused specifically on diagnosing and correcting issues with tooth and jaw alignment. This includes training on the science of facial growth and development, biomechanics, and the use of specialized appliances.
So when you see an orthodontist, you’re seeing someone whose entire practice is built around aligning your teeth and jaws. They treat things like:
- Crowded teeth
- Gaps between teeth
- Overbites, underbites, and crossbites
- Jaw misalignment or TMJ-related issues
- Shifting teeth due to age or tooth loss
- Preventive alignment needs in children
Some patients go straight to an orthodontist when they notice something’s off with their smile or bite. Others are referred by their regular dentist. Either way, knowing the difference between the two professionals helps you get the right kind of care at the right time.
What does an orthodontist do at the first appointment?
Your first visit to an orthodontist is about assessment, clarity, and comfort. It’s not about rushing into braces or aligners. Think of it as a check-up with a specialist who understands how your teeth and jaw are working together, or not.
Here’s what usually happens during your initial consultation:
1. Evaluation and Imaging
The orthodontist will examine your teeth, gums, jaw, and facial structure. You may also get digital X-rays or 3D scans, depending on the clinic’s setup. These images help the orthodontist see what’s happening below the surface, including how your teeth are positioned and how your bite functions.
2. Discussion and Diagnosis
You’ll go over what brought you in; maybe your bite feels off, or your teeth have shifted over time. Maybe a dentist noticed crowding, or you’re exploring options for your child. Whatever the reason, the orthodontist will explain any issues they’ve identified and how those issues could affect your smile, speech, comfort, or long-term oral health.
You’ll hear terms like malocclusion (misaligned bite), crowding, spacing, or overjet. Don’t worry if you don’t know the lingo, the orthodontist will make it understandable.
3. Treatment Options
Based on the evaluation, the orthodontist will outline potential treatment options. This could include:
- Traditional metal braces
- Clear ceramic braces
- Clear aligners like Invisalign
- Retainers or space maintainers
- Jaw expansion appliances
You’ll also discuss expected treatment timelines, estimated costs, payment plans, and any insurance benefits you might have.
This appointment isn’t about pressure or sales. It’s about you understanding your smile, your options, and your path forward if you choose to take it.
What age should a child see an orthodontist?
Many parents assume that orthodontic treatment starts when their child becomes a teenager. But experts, including the American Association of Orthodontists, recommend that children have their first orthodontic evaluation by age seven.
That doesn’t mean your child will get braces in second grade. Most kids don’t start treatment until around age 11 or 12. But seeing an orthodontist early allows the doctor to spot developing problems before they become more complicated or harder to treat.
Early visits help assess things like:
- Premature loss of baby teeth
- Thumb-sucking or tongue-thrusting habits
- Narrow jaws or overdeveloped jaws
- Issues with bite alignment
- Crowding or spacing concerns
In some cases, early (phase one) orthodontic treatment may be recommended to correct or guide jaw growth, reduce the risk of tooth trauma, or prevent future complications. In other cases, your orthodontist may simply keep an eye on your child’s growth and recommend treatment when the time is right.
The benefit of early visits is peace of mind. You get a clear picture of your child’s dental development and a sense of what might be needed later. It’s also a chance for your child to become comfortable with orthodontic care before treatment begins.
Beyond the Basics: What Else Orthodontists Help With
Now that we’ve covered the foundational questions, let’s look at what else orthodontists bring to the table. Many people are surprised to learn how much orthodontic care can improve areas of their life that go beyond the cosmetic.
A Better Bite Means Better Function
A misaligned bite can make it harder to chew food properly, lead to jaw strain, and even impact the way you speak. Fixing that misalignment can make daily activities more comfortable and reduce long-term wear and tear on your teeth.
Straight Teeth Are Easier to Clean
Overlapping or crowded teeth create hard-to-reach places where plaque loves to hide. Straightening your teeth makes it easier to brush and floss effectively, lowering your risk of cavities, gum disease, and even bad breath.
It Can Help With Jaw Pain and Tension
Some people who suffer from chronic jaw discomfort, headaches, or TMJ-related issues may benefit from orthodontic treatment that brings the bite into better alignment. While it’s not a cure-all, it can provide relief for some patients.
Orthodontics Helps Teeth Stay Put
When teeth shift—whether from aging, missing teeth, or habits like grinding—it can lead to changes in your bite and appearance. Orthodontists use braces, aligners, and retainers to stabilize your bite and maintain your smile over time.
What if You Had Braces Already?
It’s more common than you’d think for adults to return to orthodontics years after having braces as a teen. Sometimes it’s because they stopped wearing a retainer. Other times, it’s because their teeth shifted due to other changes in their mouth.
The good news? Today’s treatment options are more discreet, comfortable, and customizable than ever. Adults are now the fastest-growing group of orthodontic patients for a reason—they want a confident smile, and they’re ready to prioritize it.
How Long Does Treatment Take?
There’s no one-size-fits-all answer. Mild cases may only take six months, while more complex alignment issues could take up to three years. Most patients fall somewhere in the 12–24 month range.
Clear aligners tend to offer faster results for minor spacing or crowding issues, while traditional braces are often the most effective option for major bite corrections.
The key to a successful and timely treatment? Consistency. That means attending all appointments, following your orthodontist’s instructions, and wearing any appliances or aligners as directed.
Why It’s Worth It
Some people hesitate to start orthodontic treatment because they’re focused on the short-term discomfort or cost. That’s understandable, but it’s worth considering the long-term benefits.
Straight, well-aligned teeth:
- Boost confidence and self-esteem
- Make oral hygiene easier
- Improve jaw and bite function
- Lower your risk of future dental problems
- Can prevent unnecessary dental costs later
In other words, orthodontics is an investment in your health and quality of life. It’s not just about a smile that looks good; it’s about a smile that works better and lasts longer.
Ready to Take the First Step?
At First Choice Dentistry, we take orthodontic care seriously, but we also make it comfortable. Whether you’re bringing in your child for an early evaluation or looking into clear aligners for yourself, our team is here to support you every step of the way.
We’ll take time to answer your questions, explore your goals, and design a treatment plan that fits your life. No pressure. Just smart care from a team that wants what’s best for your smile.
Schedule your orthodontic consultation today and find out what your best smile can feel like.
