At Smiles by Smith Orthodontics, we understand that choosing orthodontic care is an important decision. Our orthodontist can provide clear information, personalized guidance and experienced support for patients in Pittsburgh and Allison Park, PA. Dr. Bradley D. Smith and our team have answered some of the most common orthodontic questions we hear to help patients and families feel informed and confident about treatment.

Frequently Asked Questions About Orthodontics

When should my child have their first orthodontic evaluation?

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The American Association of Orthodontists® recommends an initial orthodontic evaluation around age 7. At this stage, our orthodontist can evaluate developing teeth, bite relationships and jaw growth and determine whether treatment is needed now or whether monitoring may be more appropriate.

Is orthodontic treatment only for children and teens?

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No. Orthodontic treatment is available for children, teens and adults. Many adults seek care to improve tooth alignment, bite function or smile appearance. Dr. Smith can develop a personalized treatment plan based on each patient’s oral health, orthodontic needs and goals.

How long does orthodontic treatment take?

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Treatment time varies depending on the complexity of the case, the amount of tooth movement needed, the treatment method and how the teeth respond. Our orthodontist can provide a more individualized estimate after completing a comprehensive orthodontic evaluation.

Can orthodontic treatment improve oral health?

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Orthodontic treatment may make some teeth easier to clean by improving crowding and alignment. It can also improve certain bite relationships and chewing function. Maintaining good brushing, flossing and regular dental care remains important before, during and after orthodontic treatment.

Will I need to visit the office often during treatment?

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Regular orthodontic visits allow our orthodontist to monitor tooth movement, evaluate progress and make adjustments when needed. During active treatment, visits are commonly scheduled about every six to seven weeks, although the exact schedule can vary based on the treatment method and stage of care.

Can orthodontic problems fix themselves over time?

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Some developing orthodontic concerns may change as a child grows, while others may become more difficult to manage as dental development continues. An orthodontic evaluation can help determine whether treatment is needed, whether growth should be monitored or whether it is better to wait.

Is orthodontic treatment painful?

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Mild pressure or soreness can occur when orthodontic treatment begins, after braces are adjusted or when a new aligner is started. This discomfort is usually temporary. Dr. Smith and our team can provide guidance for managing normal treatment-related tenderness and can evaluate discomfort that is severe or persistent.

How do I care for my teeth during orthodontic treatment?

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Good oral hygiene is especially important during orthodontic treatment. Patients should brush carefully, clean between the teeth and around appliances, and continue routine examinations and professional cleanings with their general dentist. Learn more on our oral hygiene and orthodontics page.

What orthodontic treatment options are available?

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Treatment options may include braces, ceramic braces, clear aligners, early orthodontic treatment, palatal expansion and other individualized approaches. Our orthodontist can recommend treatment based on the movements required, bite complexity and patient preferences.

How do I know whether braces or clear aligners are better for me?

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Both braces and clear aligners can be effective, but they do not provide the same advantages in every case. Our orthodontist can evaluate your alignment, bite and treatment goals and explain whether braces, aligners or another approach may be more appropriate.

Do I need a referral from my dentist to see an orthodontist?

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No. A general dentist may recommend an orthodontic evaluation, but patients and parents can also contact our office directly if they have concerns about tooth alignment, bite development, jaw growth or another orthodontic issue.

What happens after orthodontic treatment is completed?

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Retention is an important part of maintaining orthodontic results. At the completion of treatment, our orthodontist can provide a personalized retention plan. Learn more about our retainers and long-term retention care.

What should I do if I have an orthodontic emergency?

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Contact our office if you have a broken appliance, poking wire, significant orthodontic discomfort or another urgent concern. Our team can determine whether the issue requires a prompt visit or can be managed temporarily at home. Visit our emergency orthodontic care page for additional guidance.

How do I schedule an orthodontic consultation?

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Contact our office to schedule an orthodontic consultation. Our team can help arrange a visit so Dr. Smith can evaluate your orthodontic needs, discuss your goals and explain the treatment options that may be appropriate.

Where do you provide orthodontic care?

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We provide orthodontic care at our offices in Pittsburgh and Allison Park, PA. We also welcome individuals and families from nearby Fox Chapel and surrounding communities who are looking for personalized orthodontic treatment.

If you have an orthodontic question that is not answered here, contact our office. Our team will be happy to help you understand your options and determine the appropriate next step.