Appointment Types

Christopher-C.jpgHealth History Form
Parent of Patient Form

Orthodontic Consultation (usually 30 minutes):

When you arrive at our office for your consultation, our staff will greet you and ask you to fill out our health history form. Then, Dr. Kita will sit down with you and examine you. This examination consists of a Temporomandibular Joint (TMJ) exam, oral cancer screening and evaluation of your occlusion or bite. Then, Dr. Kita will discuss the problems he sees and possible solutions. Dr. Kita and the staff are always very receptive to questions so if you are not sure of something, please ask.

Orthodontic Records (usually 15-30 minutes):

This appointment is when Dr. Kita gathers all the diagnostic information to correctly identify the problems you may have. Plus, it is a great way for us to compare the beginning malocclusion to the end result after treatment. Below are the various diagnostic procedures that can be done:

  • Panoramic X-ray (always done): You sit in a special chair with your head very still, while a special x-ray machine sweeps around your head. The x-ray machine produces an image of all of your teeth, your jaw and parts of your skull. This x-ray tells Dr. Kita if the roots of your teeth are okay, whether your jaw is okay, whether the joint is okay and whether there are any other complications such as extra or missing teeth. About 5% of the population has extra teeth.

  • Lateral Cephalometric X-ray (always done): You stand with your head very still looking forward while a special x-ray machine takes a picture of the side of your head (or your profile). Dr. Kita uses this to evaluate the position of your maxilla (upper jaw) and mandible (lower jaw) in relation to each other and your skull. Dr. Kita also uses it to analyze the position of your teeth in the bones and how your facial features affect your profile.

  • Posterior-Anterior Cephalometric X-ray (sometimes done): You stand with your head very still looking forward while a special x-ray machine takes a picture of your head from the back. This x-ray can tell Dr. Kita whether your facial bones are symmetrical from right to left.

  • Hand-Wrist X-ray (sometimes done): This X-ray is used to evaluate the skeletal age of a patient if Dr. Kita thinks it may be different from the patient’s chronological age. Certain bones in your fingers show different changes depending on what stage of development the patient is in. By knowing when the patient is going to grow the most, Dr. Kita can time orthodontic treatment to take advantage of the patient’s pubertal growth spurt.

  • Photographs (always done): Facial: These pictures allow Dr. Kita to look at the patient while making his diagnosis. Intraoral: These pictures allow Dr. Kita to look at your teeth in living color.

  • Bite Registration (always done): This shows Dr. Kita how your teeth fit together in relation to each other.

  • Digital Scanning with iTero

Treatment Conference (usually 30 minutes):

Dr. Kita encourages both parents and the patient to be at this appointment. Dr. Kita will go over all the diagnostic records with you and discuss the different problems that he sees. He will also present his treatment plan and answer any questions you may have. You will also speak with one of our staff about our payment plans and orthodontic insurance.

Bonding Appointment (usually 1-2 hours):

The bands and brackets will be placed on your teeth. This is such a precise procedure that it takes time to place the brackets correctly. Once the braces have been placed, the wires will be placed and the patient can select color elastics to place on their braces. These color elastics are used to hold the wire in the slot on the bracket. We also re-emphasize the need to brush your teeth three times per day. YES! You must brush your teeth at school.

Foods to Eat and Foods to Avoid:

It’s always important to eat a well-rounded, healthy diet. Orthodontic treatment doesn’t have to prohibit you from receiving proper nutrition as long as you know what foods you can and can’t eat while wearing your braces.

  • Hard fruits, such as apples and pineapples, and hard raw vegetables, such as carrots, broccoli and cauliflower, should be cut into bite-size pieces. If you bite into one of these harder foods, a bracket could pop off your tooth.
  • Many breads are soft, but please avoid biting into hard crusts, such as pizza crust and pretzels. Always make sure to break or cut these foods into bite-size pieces. You may also heat these grain items to make them softer to chew.

  • Most dairy products are soft, which means they are safe and easy to eat while wearing braces. Cheese is a great snack, but make sure to cut it into bite-size pieces as some cheese may get stuck on your brackets.

  • Meat can sometimes cause problems because it’s typically hard to chew and tough. Lean meats are easier to eat, such as fish, chicken, lean beef and lean pork. Always cut your meat into small, bite-size pieces, and please do not eat meat from the bone, such as a chicken wing.

For most situations, common sense will tell you what to avoid. Hard foods (ice, nuts, chips, pizza crust, taco shells, hard candy), sticky foods (caramels, Starburst, toffee, Sugar Daddies, gummies, gum) and foods high in sugar must be avoided. Nail biting, pencil and pen chewing and chewing on foreign objects should be avoided.

Regular 5-8 week Adjustments (usually 15-20 minutes):

This is the appointment where we ‘tighten’ the braces. We change the colored elastics and see whether the teeth have progressed from stage to stage. These stages are:

  1. Placement of the brackets
  2. Correct rotations
  3. Level each arch
  4. Closure of space (if there is any present)
  5. Alignment of the arches in relation to each other
  6. Detailing the occlusion
  7. Removal of the appliances
  8. Placement of retainers

Most of the time, more than one of these stages are carried out simultaneously. Once one stage has been completed, the wires are usually changed but this does not happen at every appointment.

Usually this appointment lasts 15-20 minutes unless a patient has a broken bracket(s) and depending on how many questions are asked. If this is the case, then this appointment can last from 20-60 minutes depending on the amount of brackets, bands and/or wires that are broken. Dr. Kita and the staff try their hardest to be on time, but if you or your child does not cooperate then this can extend your visit. Plus, for every bracket broken you can expect your treatment to be extended one month. So do not ask when you will get your braces off if you have broken brackets in the past.

Debonding (usually 30-45 minutes):

This is done in two visits. The first stage is the removal of the bands. This is done to allow the space between your teeth with bands on them to close. Then, four to five weeks later, we remove the brackets. We will also take another set of orthodontic records so we can compare the beginning to the end, and take another set of impressions for us to make your retainers.

Retainer Delivery (usually 15 minutes):

This appointment is the same day as your deband appointment. You will be given two (2) sets of retainers to wear all the time. Dr. Kita and his staff recommend that retainers be worn for the rest of your life to maintain your beautiful smile.