If you’re thinking about braces, you might be wondering what actually happens at the first orthodontist appointment. Do you get braces the same day? Do you need a dental cleaning first? How long after your consultation does treatment begin?
In most cases, braces are not placed during the first visit. That appointment focuses on carefully evaluating your teeth and bite and creating a treatment plan tailored to your specific needs.
At Wilson & Hendrickson Orthodontics, our doctors complete additional years of specialized orthodontic training beyond dental school, with a focus on tooth movement and jaw alignment. Before recommending braces, we take time to assess your oral health, bite relationship, and jaw development to determine whether treatment is appropriate and when it should begin.
Some patients are ready to move forward quickly. Others may need a few preparatory steps first. Every smile is different, and careful planning helps support long-term results.
Your First Orthodontist Appointment
Your initial braces consultation is designed to gather information and answer your questions.
During this visit, we typically:
- Perform a comprehensive clinical exam
- Take digital X-rays or 3D imaging when appropriate
- Capture photographs of your teeth and facial structure
- Review your dental and medical history
- Discuss your goals and concerns
Advanced imaging allows us to evaluate alignment, spacing, jaw positioning, and how your upper and lower teeth fit together. This helps us determine whether braces, clear aligners, or monitoring is the most appropriate next step.
By the end of the appointment, you’ll have a clear understanding of your recommended treatment options, an estimated timeline, and the goals of your orthodontic plan. Treatment length varies depending on complexity, age, and overall oral health.
Do You Get Braces at Your First Visit?
Usually, no.
The first visit focuses on diagnosis and planning. If braces are recommended, we schedule a separate appointment for placement. This allows time to review your treatment plan, coordinate any necessary preparation, and ensure your teeth and gums are ready.
In some straightforward cases, placement may happen sooner. Timing depends on your individual situation.
Do You Need a Cleaning Before Braces?
Yes, having a recent dental cleaning is recommended before braces are placed.
Because orthodontic treatment works best when teeth and gums are healthy, we typically suggest seeing your general dentist for a cleaning and exam beforehand. If untreated cavities or gum inflammation are present, your dentist may recommend addressing those concerns before orthodontic treatment begins.
As an orthodontic specialty practice, Wilson & Hendrickson Orthodontics focuses on alignment and bite correction. Routine dental care remains important throughout treatment.
Will You Need Anything Before Braces?
Not every patient needs preparatory treatment, but in some cases, a few steps help create the best foundation for braces.
Space Considerations
If there is significant crowding, we evaluate whether there is sufficient room to align your teeth properly.
In some situations, creating space may involve monitoring growth, using orthodontic appliances, or recommending tooth removal. Tooth removal is considered carefully and only when it supports long-term alignment and stability. Many patients do not require extractions.
Palate Expansion
For growing patients with a narrow upper jaw, a palatal expander may be discussed. This appliance gently widens the upper jaw over time.
Expansion is not necessary for everyone and is most effective in younger patients whose jaws are still developing. A consultation helps determine whether this approach is appropriate.
Habit Appliances
Habits such as thumb sucking or tongue thrusting can influence tooth positioning. If needed, we may recommend an orthodontic appliance designed to discourage the habit and support proper tongue posture.
These appliances are used selectively and only when they meaningfully affect alignment.
Spacers
If molars are positioned tightly together, small separators called spacers may be placed for one to two weeks before the braces are applied. These create a slight space so orthodontic bands can fit properly.
What Happens the Day You Get Braces?
When it’s time to place your braces, the appointment usually takes one to two hours.
Here’s what typically happens:
- Teeth are cleaned and prepared
- Brackets are bonded using a specialized dental adhesive
- Bands may be placed on the back teeth when needed
- Archwires are secured to begin guided tooth movement
Braces placement itself is not painful. You may feel mild pressure as the wires are placed. In the days that follow, it’s normal to experience temporary tenderness as your teeth begin adjusting.
Before you leave, we review how to brush and floss with braces, which foods to avoid, and when to return for adjustments. Most patients return to school or work the same day.
How to Prepare for Braces
If your braces appointment is approaching, a few simple steps can help you feel prepared.
Update Your Oral Hygiene Tools
A soft-bristled toothbrush is essential. Many patients find electric toothbrushes helpful for cleaning around brackets.
Floss threaders or orthodontic flossers make it easier to clean between teeth and under wires. Good oral hygiene during treatment helps protect enamel and gums.
Plan for Mild Soreness
It’s common to feel some pressure during the first few days. Soft foods such as yogurt, pasta, eggs, smoothies, and mashed vegetables can be more comfortable at first.
Some patients choose to use over-the-counter pain relievers if needed. Always follow package directions or consult your physician.
Most soreness improves within a few days as your mouth adjusts.
How Long After Your Consultation Do You Get Braces?
The timeline varies.
Some patients begin treatment within a few weeks of their consultation. Others may complete preparatory steps first. Your orthodontist will outline the expected schedule during your visit.
On average, patients wear braces for 12 to 24 months. Treatment length depends on the complexity of your case and how your teeth respond.
FAQs About Braces Wax
Do I need X-rays before braces?
Yes. Imaging allows your orthodontist to evaluate tooth roots, jaw alignment, and developing teeth. This information supports accurate treatment planning.
Can adults get braces?
Absolutely. Orthodontic treatment is available for teens and adults. While growth patterns differ in adults, braces and clear aligners can still improve alignment and bite function.
Will I need teeth removed?
Many patients do not require extractions. When removal is recommended, it is based on spacing, alignment goals, and long-term stability.
Does everyone need a palate expander?
No. Expansion is typically considered for patients with growth patterns that affect jaw development. It is not necessary in every case.
What if I’m nervous about getting braces?
That’s completely normal. We take time to answer questions and explain each step so you feel comfortable before treatment begins.
Braces in Topeka, KS
Starting braces is a big decision. A thorough orthodontic consultation helps you understand your options and feel confident in your treatment plan.
At Wilson & Hendrickson Orthodontics, we use advanced imaging, specialized training, and evidence-based planning to recommend treatment when it supports long-term alignment and oral health.
If you’re considering braces in Topeka, KS, schedule a consultation with our team. Schedule an appointment with Wilson & Hendrickson Orthodontics today!
