FAQs

BEFORE VISIT  |  APPOINTMENT  |  BRACES  |  INVISALIGN  |  PROPEL

Before Visit

How do I schedule an appointment for an initial consultation?

If you or your child can potentially benefit from orthodontic treatment, simply call our office or send us an email. We will be happy to schedule an appointment for you. When you call to schedule your appointment, a member of our team will request some basic information from you.

At what age should I schedule an appointment for an orthodontic screening for my child? 

The American Association of Orthodontists recommends an orthodontic screening at age seven. By this age, several permanent teeth in most children have erupted, allowing us to effectively evaluate your orthodontic condition.

Do I need a referral from my family dentist to set up my first appointment?

No, you do not. Many of our patients are referred by their family dentist, yet many other patients take the initiative to schedule an examination themselves.

Why should I choose an orthodontic specialist?

Teeth, and sometimes entire facial structures, are permanently changed by orthodontic treatment. It is important that the treatment be appropriate and properly completed. Orthodontic specialists have extensive and specialized training that enables them to provide their patients with professional, personalized treatments.


 

Appointment

What will happen at the initial consultation appointment?

#Upon arriving, each patient and parent will be seen by team members who will acclimate you to our office, while Dr. Igel prepares for the initial exam. We will take the necessary photographs and X-rays to allow for Dr. Igel to make a proper diagnosis.

What will I learn from the initial consultation?

There are five essential questions that we will cover during the initial consultation:

  • Is there an orthodontic problem, and if so, what is it?
  • What must be done to correct the problem?
  • Will any teeth need to be removed?
  • How long will the treatment take to complete?
  • How much will the treatment cost?
How often will I have appointments?

Appointments are scheduled according to each patient's needs. Most patients in braces or aligners will be seen approximately every eight weeks. If there are specific situations that require more frequent monitoring, we will schedule appointments accordingly.

Can I schedule all of my appointments after school?

Unfortunately, we cannot schedule all appointments for students during after-school hours. However, because most appointments are scheduled eight weeks apart, most patients will miss minimal school due to their orthodontic appointments. We will, however, make a sincere effort to meet your scheduling needs.

Can I drop my child off for an appointment?

Yes. We are happy to help you make the most of your time. We ask that you let us know how to contact you while you're away so we can reach you if we have any questions. We do request to speak with a parent after each appointment, so we ask that parents check in with a member of our team before picking up their child.

What is an emergency appointment? How are those handled?

If your braces are causing extreme pain or if something breaks, you should call our office. In some cases, we can address these issues over the telephone. If you require an emergency appointment, we will set aside time for you.


 

Braces

Will I need to have teeth extracted for braces?

#Removing teeth is sometimes required to achieve the best orthodontic result. Straight teeth and a balanced facial profile are the goal of orthodontics. However, because new technology has provided advanced orthodontic procedures, removing teeth is not always necessary for orthodontic treatment.

How long will it take to complete treatment?

Treatment time depends on each patient's specific orthodontic problem. In general, treatment times range from 12-to-30 months.

How much will braces cost? Are financing options available? How does my insurance work?

It is impossible to give an exact cost for treatment until we have examined you. We will cover the exact cost and financial options during the initial examination. We have many financing options available to accommodate your needs, and we will review these with you. We will also help you maximize your insurance benefits and file your claims.

Will my teeth straighten out as they grow?

No, they will not. The space available for the front teeth does not increase as you grow. In most people, after the permanent molars erupt, the space available for the front teeth decreases with age.

Do braces hurt?

Generally, braces do not "hurt." After certain visits, teeth may be sore for a few days. In these situations, pain medications such as Advil will ease the discomfort.

Can I return to school the day I receive my braces?

Yes. There is no reason to miss school because of an orthodontic appointment.

Can I still play sports?

Yes. We recommend a mouth guard for all sports. If you need one, Igel Orthodontics will provide one for you when you get your braces.

Do I need to see my family dentist while in braces?

Yes! Regular checkups with your family dentist are important while in braces. Your family dentist will determine the intervals between cleaning appointments while you are in braces. However, Igel Orthodontics recommends cleanings every three to six months while in braces.

Are there foods I cannot eat while I have braces?

Yes. Once treatment begins, we will explain the complete instructions and provide a comprehensive list of braces-friendly foods. Some foods to avoid include: gum, ice, hard candy, raw vegetables and all sticky foods (i.e. caramel and taffy). You can avoid most emergency appointments to repair broken or damaged braces by carefully following our instructions.

How often should I brush my teeth while in braces?

Patients should brush their teeth at least three-four times each day – preferably after each meal and before going to bed. Igel Orthodontics will provide each patient with an Oral B electric toothbrush at the start of orthodontic treatment to promote great oral hygiene and we will show each patient how to floss their teeth with braces.

Can orthodontic correction occur while a child has baby teeth?

Yes. Some orthodontic problems are significant enough to require early intervention. However, if a patient is not yet ready for treatment, we will follow that patient's growth and development until the time is right for treatment to begin.

What is Phase One (Early Care)?

Phase One treatment, if necessary, is usually initiated on children between the ages of 7 and 10. Phase One treatment lasts about 12-21 months. The primary objective for Phase One treatment is to address significant problems to prevent them from becoming more severe and to improve self-esteem and self-image.

Will my child need full braces if he/she has Phase One treatment?

It is best to assume that your child will need full braces even after Phase One treatment. The period following Phase One treatment is called Phase One Retention (or the resting period), during which growth and tooth eruption are closely monitored. Throughout this period, parents and patients will be kept informed of future treatment recommendations.

Will my child need an expander?

At the completion of the initial examination, we will determine whether a patient will need an expander.

Is it too late to have braces if I am already an adult?

A surprising percentage of our patients are adults. In fact, 25 percent of all orthodontic patients are adults. Health, happiness and self-esteem are vitally important to adults. No patient is "too old" to wear braces!

Can I wear braces even though I have crowns and missing teeth?

Yes. A tooth with a crown will move just like a tooth with a simple filling. When teeth are missing, orthodontic treatment will aid in the alignment of the remaining teeth.

In the dentist office I see advertisements promoting the possibility of getting straight teeth in a single visit. Is this an orthodontic treatment?

No. Veneers, caps, and other quick-fix solutions are designed to simply cover misaligned teeth. Often, to place these restorations the dentist must grind your teeth, removing healthy tooth structure. Orthodontic treatment correctly aligns teeth to improve the look, function and health of your smile for life.


 

Invisalign

How often must I wear my aligners?

You must wear your aligners for up to 22 hours daily. You may remove them for eating, drinking and regular oral hygiene.

Are there any restrictions to what I can eat while in treatment?

No. Unlike braces, you may eat whatever you like as long as you remove the aligners before eating. Prior to placing the aligners back on, it is important to brush your teeth and the aligners after you eat.

Will wearing the aligners affect my speech?

Like any orthodontic treatment, there is a short adjustment period. The more you speak with the aligners on, the quicker you will adjust.

Is there any discomfort with Invisalign® treatment?

There will be some pressure and minor discomfort for a day or two after each initial insertion. This is a sign that your teeth are moving sequentially into their final position.

Can I chew gum?

It is recommended that you remove your aligners prior to chewing gum as the gum will stick to the aligners.

Can I smoke with the aligners in?

We discourage smoking with aligners as the cigarette smoke will tend to discolor them.

How do I keep my aligners clean?

Brushing them with toothpaste will keep them fresh and clean.

How often do I see an orthodontist while wearing Invisalign®?

Regular office visits are every eight to twelve weeks. This will ensure that your Invisalign treatment is progressing as planned.

What happens after my treatment is complete? Do I need retainers?

All orthodontic patients are instructed to wear their retainers at night indefinitely. Sleeping with your retainers in at night will ensure a healthy bite and maintain the new position of your teeth.

How long does Invisalign treatment take?

Treatment time varies depending on the severity of the misaligned teeth. Treatment time can generally take about the same amount of time as when conventional braces (brackets and wires) are used. Some published reports suggest that the time needed may be less.

Does Invisalign work for kids?

Yes, if their teeth, including second molars, have grown in completely.


 

PROPEL

Is the VPro+ waterproof?

Yes, the VPro+ device (Oscillator) is waterproof.  

Can I use the VPro+ more than once a day?

While the suggested use is one 5 minute session per day, there are no contra-indications to utilizing the device multiple times a day.  

If I am an Invisalign patient, am I supposed to wear my clear aligners while using the VPro+?

Yes, you should wear your aligners while using the VPro+ device.

Will it take time to adjust to my VPro+?

The VPro+ was designed with comfort in mind so there is a gradual ramp up to full vibration.  While you may not be familiar with the sensation right away, most people become accustomed to usage after just a few 5 minutes sessions.

How much pressure should I apply?

Bite down gently on the mouthpiece during use.  There is no need to bite down harder than as needed to support the device.

When is the best time to use my VPro+?

The VPro+ is used for just 5 minutes a day, allowing you to complete your session when it's convenient for you.  Many patients choose to use the VPro+ as part of their morning or nightly routine.  

What should I do if the VPro+ will not turn on?

Make sure that the device is charged using the charging case and wall plug.  If the VPro+ LED turns red, then the case and the VPro+ are working properly but have a low charge.  Charge the VPro+ and then begin use.  If the VPro+ LED indicator does not light up, check your case's power connection.  If the case is properly plugged in, please contact Propel Customer Service at 855-377-6735 for further assistance.

What should I do if the VPro+ will not charge?

If the VPro+ LED indicator does not light up red when placed in the case, check the case's power connection.  If the case is properly plugged in to wall power using the provided VPro+ USB cord, please contract Propel Customer Service at 855-377-6735 for further assistance.

Do I need to use the VPro+ app?

No.  You can successfully utilize your VPro+ device without downloading the mobile app.  The VPro+ app conveniently allows you to track your device usage and share that information with Dr. Igel's office or family members.

Where do I go to download the VPro+ app?

You can download the VPro+ app from the Apple Store or Google Play Store.

What if my VPro+ won't pair or sync with the app?

First make sure that you have Internet and Bluetooth connection turned on.  Next, make sure that your VPro+ is charged.  Your VPro+ must be near your mobile device to sync properly.  If your device still won't pair after following these steps, press and hold the button on the VPro+ for 10 seconds.  The bottom LED will turn red and the device will reboot.

How do I pair my device?

Open the VPro+ app and follow the onboarding screens.  Enter your name and press the "Select VPro+ Device" button.  Make sure your VPro+ is in close proximity to your new device and select it from the device selection menu.  A green check should appear next to the device you selected.  Press the "Selected VPro+ Device" below to confirm selection.  Then press "Get Started."

How do I identify which device to pair to if mulitple devices are available to pair?

Attempt to limit the number of other VPro+ devices displayed on your pairing screen by taking your mobile device and VPro+ to a space separate from other VPro+ devices.  Additionally, ensure that your VPro+ and your mobile device are in close proximity to each other.  The VPro+ displayed at the top of your app is the device with the strongest signal, meaning it is the device closest to your phone.  Pair to this device.  To ensure you have successfully paired to your device, use the "Locate Device" feature present in the Settings section of the app to vibrate your device.

Can I pair my VPro+ to multiple devices (phones/tablets)?

Yes!  You can pair your VPro+ device to as many devices as you like.  Your VPro+ needs to be in Bluetooth range of any phone or tablet you wish to pair with.  You will also need to be in range of any device you want to sync your usage with.

How can I unpair my VPro+ from my phone/tablet?

To unpair your device, navigate to settings in the VPro+app.  Select the "Reset Device" button.  Confirm your selection and your device is now unpaired.

I got a new VPro+ because my old one was lost/stolen.  How do I pair my new device?

First, unpair your old device by navigating to settings in the VPro+ app.  Select the "Reset Device" button.  Confirm your selection and your device is now unpaired.  Now you may follow the onboarding screens to pair your new device.  Please refer to the FAQ above.

How do I share my VPro+ usage data with Dr. Igel's office?

Select the Share Button located on the Weekly View and Monthy View pages of the VPro+ app.  Select 1 Month, 3 Month or 6 Month.  This represents the time period of the data you wish to share.  You will be taken to your device's email client.  You can now enter the e-mail address for Dr. Igel's office:  info@igelorthodontics.com.  Your usage data will populate as an attachment to the e-mail.  You can also share your data with other family members.  

I typically have Bluetooth turned off.  Can I still use this app?

Bluetooth does need to be enabled on your device in order for your VPro+ to sync to the app.  If you do not have Bluetooth enabled, VPro+ will store your data until it can sync with your device again.  As long as you enable Bluetooth on your devcie with your VPro+ nearby, you can successfully sync your data when you want.