• General dentists are versatile and may offer a variety of treatments including orthodontics. However, orthodontists are masters of their field, and spend an additional 3 years of specialty training after dental school focused exclusively on orthodontics. This equips them to handle the most complex orthodontic cases with precision, safety, and accuracy. All orthodontists are dentists, but only 6% of dentists are orthodontists.

  • Orthodontic treatment addresses not only aesthetics but also function—such as improving your bite, alignment, jaw positioning, and long-term oral health. Poorly aligned teeth are more difficult to properly brush and floss, which may lead to bacterial buildup, gum disease, or cavities. An uneven bite can result in tooth or jaw pain, and rapid wear of the teeth.

  • The American Association of Orthodontists recommends an initial evaluation at age 7. This ensures major issues can be identified and corrected early with minimally invasive techniques. Treatment may begin in childhood, adolescence, or adulthood — everyone benefits from healthy, aligned teeth.

  • Dr. Pal recommends the following products (clickable links): Sonicare Toothbrush, Orthodontic Flossers, Listerine Total Care Mouthwash, WaterPik. Any major brand (Colgate, Crest, etc.) fluoride toothpastes work great.

    It is recommended to brush and floss in the morning and before bed, as well as after each meal. Using a fluoride mouthwash before going to bed will help prevent cavities. Water flossers are a great addition to your routine, but do not replace the need for traditional floss. Here is a video with oral hygiene instructions, including how to use a floss threader.

  • You may feel pressure or mild discomfort for a day or two after adjustment appointments, but significant pain is uncommon. Most patients adapt quickly after the first week of treatment. Initial placement of braces or Invisalign is completely painless and requires no injections or anesthesia.

  • Absolutely. Regular visits to your general dentist every 6 months for exams and cleanings are required throughout your orthodontic journey to maintain optimal oral health. If your dentist prefers, we are happy to remove and replace your wires for these appointments.

  • Typically, retainers are worn full-time (except while eating or brushing) for 6 months from the completion of treatment, and then worn nightly indefinitely. Failure to wear retainers as instructed may lead to shifting of your teeth, and the need for re-treatment.

  • Both can be equally effective in most situations. In some cases braces may be faster than aligners, or vice versa. Dr. Pal will recommend which option best fits your specific needs.

  • Avoid hard, sticky, chewy, or crunchy foods (e.g. nuts, ice, caramel, corn on the cob) that can damage braces or appliances. Invisalign and retainers must be removed when eating or drinking anything other than plain water.

  • The simplest way to clean your retainers is to use a toothbrush with dish soap, and scrub them under lukewarm or cold water daily. Hot water should never be used, as it may deform the shape of your retainers. Ultrasonic cleaners are also an option for patients who want a deeper clean.

  • Yes, you can still play sports during orthodontic treatment. Extra precautions should be taken with braces during sports where there may be contact to your face, as this can cause cuts to the inner cheek and damaged brackets or wires. While it is impossible to have a custom-fitted mouthguard during orthodontic treatment, as your teeth are constantly moving - many patients find the Shock Doctor comfortable.

    Invisalign and retainers should be removed while swimming.