I went to another orthodontist for a consultation and told him I was concerned about having teeth pulled. He told me that he extracted teeth only when absolutely necessary and that orthodontists who rarely remove teeth are treating all patients all the same. Is this true?

I am an orthodontist who rarely removes teeth, and I can assure you that all patients I treat have an individualized plan for treatment. If an orthodontist wants to extract teeth from you or your child, I always recommend that you get a second opinion from an orthodontist known for not removing healthy teeth so you can make the decision that is best for you or your child. Call 1-800-4Braces for a free consultation.

How is it that you treat almost all of your patients without taking out teeth?

I use the H4 passive self-ligation system of braces. This system allows me to use light physiologic force to move the teeth and develop the bony arch that holds the teeth in ways that a decade ago we never dreamed was possible. When a patient has moderate, or even severe teeth crowding, I am able to reshape the anatomy of the bone and make room for all of your teeth so no extractions are necessary. If you have been told that you or your child needs teeth removed for braces, call 1-800-4Braces for a free second opinion and non-extraction option.

I visited another orthodontist who wanted to put screws into my bone to fix my bite and said that a narrow smile was more stable than a wide smile. I like the look of a wide smile. He also told me I would need to wear retainers after braces to keep my teeth straight. If a narrow smile is more stable, then why do I need retainers?

There are no studies that show narrow smiles are more stable than wide smiles. Most patients prefer a wide smile because of the positive impact it can have on their overall appearance. Retainers are always required after braces are removed to ensure stability, no matter the width of the smile. I use the high-tech H4 system of braces to create wide beautiful smiles. I do not use screws or unnecessary appliances and offer straight-forward treatment plans. Call 1-800-4braces for a second opinion and free consultation.

I just got a mail advertisement from an orthodontist. It features a patient who says she got braces at age 7 to correct her cross bite. Is age seven too early?

It is best to correct a cross bite early. There are two types of cross bites: anterior cross bite, better known as an under bite, and a posterior cross bite. A posterior cross bite is when the upper back teeth bite inside of the lower back teeth. It can be on just one side or on both sides. The goal is to correct the cross bite in a year or less through braces, take off the braces, and let the child resume growth for another year or two. I find that most cross bites can be corrected with upper braces only. I correct almost all cross bites without using invasive palatal expanders. If you think your child has a cross bite call 1-800-4Braces for a free consultation.

I took my child to an orthodontist for a consultation. Before my son saw the doctor he had two x-rays taken, a panoramic x-ray and a cone beam x-ray. I didn’t think this was necessary. Is that typical?

As a parent, I would also express concern with two x-rays during an initial consultation. I understand the need for a recent panoramic x-ray, as that is typically needed for exams. My concern is unnecessary exposure to radiation. I believe a cone beam x-ray or a cephalometric x-ray should only be taken after the initial exam if the doctor feels it is necessary. There should be a difference between protocol for an initial exam and protocol for final diagnosis records. The latter is done after the doctor determines there is a need for additional records and has discussed it with the parent.

I have obstructive sleep apnea. My doctor told me my tongue is too big for my mouth and is causing the obstruction when I sleep. Can this be a result of having four teeth removed when I had braces as a teen?

Yes. Extracting four permanent teeth does reduce the volume of your mouth. In other words, your tongue had to move toward the back of the throat, reducing the airway space. The extractions can be responsible for you now having sleep apnea. Instead of extracting teeth to relieve crowding, I widen the arch of the mouth using the high-tech H4 system of braces. This increases the volume of the mouth and decreases the chances of obstructive sleep apnea. If you want to correct crowding problems without extractions, call 1-800-4BRACES for your free consultation.

My son has a palatal expander to help make room for his teeth and to fix a cross bite. Tonight I turned the expander as instructed and I heard a pretty loud pop. What was that pop?

What you heard was most likely the sound of the palate splitting down the middle. The split also occurs in other bones of the face as well. This is not dangerous and is the purpose of the expander. However, it is not the only way to fix a cross bite. Today, there are much gentler and less invasive means to gain space and fix cross bites. I have not used an expander in almost a decade. If an expander is part of your child's treatment plan, please call 1-800-4braces for a free second opinion.

I am looking for a job, and I feel that my crooked teeth are affecting my chances of getting the jobs that I want. Have you found this to be true?

A recent study asked large companies this question. The companies were asked to look at 100 photos of individuals with all types of smiles and select the ones they were most likely to hire. People with more ideal smiles were selected as being the most likely to be hired. One of the most common reasons is the companies believed they looked more intelligent. Having a good-looking smile can change a person’s perception of you. If you would like to improve your smile and overall appearance, call 1-800-4BRACES for your free consultation.

I’ve heard that you very rarely remove teeth to correct crowding. Why?

Many orthodontists remove teeth to make room for crowding because it is a relatively easy way to make space. After years of observing this practice, I agree with many other orthodontists that it negatively impacts the profile of the face. You may have noticed this yourself in adults who had teeth removed during orthodontic treatment. Their faces can seem sunken in, their noses can seem longer, their lips can look thinner, and the chin sticks out more. I believe in using a high-tech braces that allow me to create space without removing teeth and give my patients wide beautiful smiles. If you visit an orthodontist who wants to remove teeth, please call 1-800-4Braces and schedule a free consultation for a non-extraction option.

How do I know everything that was promised to me will be kept once I start braces?

Researching the orthodontic office by visiting its website is a good start. I understand that parents are busy and can’t spend a lot of time on the phone, so everything is available on our website. We list information about our fees, payment structure, what to expect at your first visit, how long it will take, etc. Word of mouth from current patients is also a great source of information – your friends will be sure to tell you if there were any hidden fees or surprises along the way. Trust is another element to choosing an orthodontist—it’s important for patients and parents to feel comfortable that their child will have a positive treatment experience.

It seems that all orthodontists offer a free consultation. What makes your consultation different?

My staff and I provide a comprehensive consultation so that patients can make fully informed decisions about their orthodontic care. You will receive all X-rays needed for me to make a comprehensive diagnosis and treatment plan specific to your needs. You will have as much time as you need with me and my staff to have all of your questions answered. I will also give you a detailed explanation of my treatment plan and the high-tech H4 system of braces. Finally, I will show you photos of my finished patients with similar orthodontic problems so that you can get an idea of your outcome. Call 1-800-4BRACES today and see for yourself why my office was voted the best in the Four Corners.

I’d like to get information about the cost for braces but don’t want to come in for an appointment right now. Can I find out the cost for braces without coming in for an appointment?

Yes! I believe in transparency in fees, so I make it easy for people to find out how much braces cost. You can get a realistic picture of your total cost with just one visit to my website. I work hard to make my website relevant and informative for my patients. Our Getting Started page includes affordable payment options and gives you an accurate picture of your cost. Our Current Promotions page features the exact cost for you to start braces for that month. You can also call our office and speak with one of our friendly team members to find out the cost of treatment. Please call 1-800-4Braces or visit Herman4Braces.com for more information.

My orthodontist said I needed two upper teeth extracted to correct my overbite. Now, I am almost finished treatment. My overbite has been fixed but I feel that my smile is narrow and too far back. Can you correct it?

Yes, but I wish that you never had your upper teeth extracted. Many orthodontists treat patients with this plan called "camouflage.” It hides the fact that the lower jaw is too small by extracting upper teeth and moving the smile backwards. This corrects the overbite but the upper lip and wide smile are sacrificed. I do not use this treatment plan. Call 1-800-4Braces if you are concerned about an upper extraction plan and want another opinion.

Can any orthodontist give you a wide beautiful smile without taking out teeth?

No. Many orthodontists remove healthy teeth to achieve a straight, but narrow smile using traditional braces. I use the high-tech H4™ system of braces which allows me to achieve wide beautiful smiles without taking out teeth. I don’t believe in removing healthy teeth from a patient’s mouth, so I rarely take out teeth. I want all of my patients to have wide, healthy smiles. You can view some of the wide smiles I have achieved on my website, Herman4Braces.com. Call 1-800-4Braces if you want to get a wide beautiful smile without having any teeth taken out.

I read a column last week about how expensive it is to get dental care. Is the same true for braces?

Surprisingly no! Orthodontic treatment has actually become more affordable over the past couple of decades. Just like electronics become less expensive over time, so has orthodontic care. Today's passive self-ligation systems of braces are more efficient. These improved braces systems and better trained technical staff now make treatment very affordable. Add that to the fact that over a decade ago, I eliminated the $1000 or more down payment that was common in the Four Corners area. This step made it easy for many more people to start treatment. Call my office at 1-800-4Braces to find out just how affordable orthodontic treatment can be for you.

I just moved here and need an orthodontist familiar with the Damon system of braces to continue my treatment. My previous orthodontist informed me that special training was needed to use Damon braces. I called a local orthodontist whose website said they offer Damon braces and low prices. The lady I spoke with said they actually mix traditional braces with Damon braces on patients. She said both braces systems achieve the same result. Is this an effective treatment plan?

I do not agree with this treatment plan. As an orthodontist specially trained in passive self-ligation technology, including the Damon System, I know that traditional braces and Damon braces do not achieve the same quality result. It is like saying that a Walkman cassette recorder is the same as an iPod. They both allow for the mobile playing of music but no one would say they are the same. I encourage you to call my office at 1-800-4Braces for a free consultation to discuss finishing your treatment most effectively.

I know that you offer high-tech braces. Why do some offices offer both traditional braces and high-tech braces?

I offer the H4™ high-tech braces at an affordable price because I believe it is better for the patient. I was an early adopter of passive self-ligation technology and have now moved to the H4™ system, the next generation of high-tech braces. The H4™ system uses light and gentle forces to move teeth, creating a more comfortable experience for my patients with high quality outcomes. Almost all of my patients can be treated without having teeth taken out. I believe all of my patients should be treated with the latest technology and do not offer traditional braces because I find it to be a step backwards. To learn more about high-tech braces, call 1-800-4Braces.