
If you’ve been referred to an orthodontist, you may have questions about what to expect at your first visit and the steps involved in starting treatment. Orthodontic care can help improve the appearance, function, and health of your teeth, but before beginning, it’s important to understand the process. This guide will walk you through everything you need to know!
Why Have I Been Referred to the Orthodontist?
Your dentist has referred you to an orthodontist for a specialist evaluation of your teeth. The orthodontist will assess whether you could benefit from braces or other orthodontic treatment.
What is Orthodontic Treatment?
Orthodontic treatment involves wearing braces (removable or fixed) to correct the alignment of your teeth. In some cases, treatment may involve tooth extractions or, in rare instances, jaw surgery to achieve the best results.

Why Might I Need Orthodontic Treatment?
There are three main reasons why you may need braces:
- To improve the appearance of your teeth and smile.
- To improve function, making it easier to bite and chew.
- To promote better oral health, ensuring teeth and gums stay healthy.
What Will Happen at My First Appointment?
During your first visit, the orthodontist will:
- Examine your mouth and teeth using a small mirror and ruler.
- Take X-rays, photographs, and molds (impressions) or a digital scan of your teeth.
- Use these records to determine if treatment is necessary and, if so, what type of braces will work best for you.

What Happens Next?
After the initial examination, there are four possible outcomes:
- You are not yet ready for treatment – Your orthodontist may ask you to return when more of your adult teeth have come in.
- Your dental health needs improvement – If your toothbrushing is poor or you have tooth decay, you may need to improve your oral hygiene before treatment can begin.
- No treatment is needed – If your teeth are already well-aligned or expected to improve naturally, treatment may not be necessary.
- You are ready for treatment – If you qualify for treatment, your orthodontist will discuss the next steps with you.
What If I Am Ready to Start Treatment?
If you are ready, the orthodontist will explain:
- Your treatment options and which one is best for you.
- The pros and cons of different treatment plans.
- How long the treatment will take.
- The commitment required to ensure successful results.
- When your treatment is likely to begin.
At this point, you can ask any questions before deciding whether to proceed. If you choose to go ahead, you may be asked to sign a consent form confirming your decision.

When Will My Treatment Start?
The start of your treatment depends on several factors:
- Adult Teeth Development – Many treatments are delayed until most baby teeth have fallen out.
- Dental Health – If you need to improve your brushing or have cavities that need to be filled, treatment may be delayed.
- Waiting List – Some treatments have waiting lists depending on demand.
- Treatment Urgency – Certain cases, like severe bite issues, may be prioritized for treatment during growth phases, while others may be delayed until facial growth is complete.
Your orthodontist will give you a personalized timeline based on your specific needs.
Who Will Perform the Treatment?
Your orthodontic treatment will be carried out by the orthodontist or under their supervision. If you need tooth extractions or fillings, your general dentist will typically handle those procedures before or during treatment.
Questions? Write Them Down!
If you have any further questions, it’s a great idea to write them down and bring them to your next appointment. It’s important that you fully understand what’s involved before making a decision.
Reach out to us at your friendly LHDM
Final Thoughts
Starting orthodontic treatment is an exciting step toward a healthier, more confident smile! By understanding what to expect and following your orthodontist’s advice, you can ensure the best possible results from your treatment. If you have any concerns, don’t hesitate to ask your orthodontist—they’re here to help!