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Orthodontic FAQ

Home » Orthodontic Resources » Orthodontic FAQ

At What Age Should A Child See An Orthodontist?

The American Association of Orthodontists (AAO) recommends that children see an orthodontist by age seven for an initial examination. Dr. Sherman and Dr. Balhoff recommend that children have an initial examination between their 7th and 8th Birthdays. Although treatment is not often started at this time, conditions may be found that can be corrected at this early age by interceptive measures. This often will lessen and sometimes eliminate the need for help at an older age. That in turn can be saved in the total cost of your child’s orthodontic correction. There are definite advantages to correcting significant problems at an early age, and waiting until all baby teeth are lost can often complicate an otherwise fairly simple problem. Let Dr. Sherman and Dr. Balhoff decide the best time to intercept or correct your child’s orthodontic issues.

What Is An Orthodontist?

Each of our orthodontists are specialists who have successfully completed at least two academic years of continuous advanced studies in an orthodontic program of a dental school or institution approved by the American Dental Association. This advanced training includes such diverse studies as physics, embryology, genetics, human growth and development, biophysics, and engineering. Only those with this advanced education can announce that they are orthodontists.

What Causes Crooked Teeth?

Crowded teeth, thumb sucking, tongue thrusting, premature loss of baby teeth, and a poor breathing airway caused by enlarged adenoids or tonsils can all contribute to poor tooth positioning. And then there are the hereditary factors. Extra teeth, large teeth, missing teeth, wide spacing, small jaws – all can be causes of crowded teeth.

Why Should You Be Concerned About Your Child’s Bite?

A bad bite can be detrimental to the future of your child’s oral health. Restorations, crowns, or bridges are often impossible for a dentist to perform without prior repositioning of the teeth by an orthodontist. Properly aligned and supported teeth are healthy and easier to clean, and therefore more likely to last throughout a patient’s lifetime.

What Part Does Heredity Play?

Heredity is a complicated combination of factors. Both parents may have perfectly aligned teeth. And the first child’s teeth may erupt unevenly. Then comes the second child and it is as if hereditary factors are working against each other. The child’s teeth appear normal, but their alignment is going to cause problems in the future. So, assume neither the best nor the worst. Have your orthodontist evaluate your child’s bite and proceed from there.

How Do Our Orthodontists Straighten Teeth?

Tooth movement is actually a normal response to light pressure. Pressure is applied by using a variety of orthodontic hardware (appliances). The most common combination includes a brace or bracket attached to teeth that are connected by an archwire. Periodic changing of these archwires puts pressure on the teeth. At different stages of treatment, you may wear a variety of appliances including an expander, elastics, a positioner, or even a retainer.

Will It Hurt?

Discomfort has to result when we loosen a tooth for movement. This usually lasts about 48 to 72 hours, and then the teeth are comfortable again. Each succeeding adjustment will mean some minor discomfort although our patients report a lessening of pain as the treatment progresses.

What About Extra-Curricular Activities?

We heartily encourage all patients to pursue extra-curricular interests. Athletics can be a regular part of this routine. Certain musical instruments can actually be helpful during treatment. Speech may at first be somewhat affected, but only for a day or two. So, we tell our patients that orthodontics is a normal/temporary part of this phase in their lives and that treatment should not preclude any activities they usually pursue within their daily lives.

How Long Will Treatment Last?

Orthodontic correction can vary from the simple closing of front spaces in a few months to the realignment of unsightly and disfiguring teeth. In a young child or the adolescent, treatment is as much a critical matter of timing and guidance as anything else. The normal treatment time varies from 12-36 months depending on the complexity of the problem. Adult orthodontic treatment time also varies depending on the complexity of the problem. However, normal treatment time typically varies from 6 to 24 months.

How Often Will I Need Office Visits?

Appointments can be scheduled from 1-10 week intervals, depending on the stage of treatment. In the initial and end stages of treatment, the appointments are more frequent. Once the appliances (braces) are in place, appointments are scheduled at longer intervals. For children, every effort will be made to schedule appointments before or after school hours, but many times your child will have to come during school hours. School authorities are usually understanding.

How Much Will It Cost?

Do not assume your treatment will cost the same as someone else’s. Because no two problems are the same, treatment plans and accompanying costs will vary among patients. Those factors affecting the simplicity or complexity of your problem will be explained in detail by our team at your initial consultation. We offer reasonable payment plans, conveniently spread over the estimated treatment period.

Will My Dental Insurance Pay For It?

Today many dental policies include orthodontic benefits. For questions concerning eligibility, a pre-determination of available benefits can be requested from your insurance company representative. Some companies require submission of a diagnosis and treatment plan as well as a suggested payment schedule before treatment begins. The percentage of reimbursement varies from plan to plan.

Will The Improvement Be Permanent?

The combined experience of orthodontists across the country points to a 95% permanent improvement rate. Teeth, like all parts of the body, are constantly changing and adapting. Where growth guidance is accomplished, the results are usually permanent. Jaw relationships affecting facial contours can be expected to remain for life. However, there are certain types of facial patterns that continue to change even past adolescence. Should this be the case with your child, of course, it will be discussed thoroughly so you are made aware of any detrimental growth indications. Conscientious retainer wear following treatment will minimize minor movement or relapse.

What Are Some Common Problems That Require Braces?

  • Top front teeth protrude.
  • Top front teeth cover more than 25% of the bottom front teeth when the back teeth are biting together.
  • Top front teeth grow in behind the bottom front teeth.
  • A weak chin or a prominent chin.
  • A space exists between the top and bottom front teeth with the back teeth biting together.
  • Crowded, overlapped, misplaced teeth, or extra teeth.
  • Some teeth don’t meet at all.
  • Baby teeth falling out too early or very late.
  • The centers of the top and bottom front teeth don’t line up.
  • Often biting the cheek or roof of the mouth.
  • Finger sucking or tongue sucking habit continues after 6 years of age.
  • Difficulty chewing or biting with teeth that don’t meet evenly on both sides.
  • Teeth wearing unevenly.
  • Jaws that shift off-center when the teeth bite together.
  • Excessive spaces between teeth that persist after the top permanent canine teeth appear.

Retainer Insurance Plan 

Sherman & Balhoff Orthodontics offers a Retainer Insurance Plan to our patients to cover the cost of lost or broken retainers for 5 years after braces are removed. This $550 investment can greatly reduce the cost to parents/patients for replacement retainers. 

Key benefits of this plan include:  

  • Significant savings in the event of lost or broken retainers. This includes clear retainers or bonded fixed retainers.  
  • The plan is especially valuable for our patients that may not always take the best care of their retainers.  
  • We will provide 3D printed models showing your smile at its straightest. We encourage patients to keep this model as it will help make a replacement retainer in a timely fashion.  
  • The plan is limited to no more than 4 replacement retainers per year.  
  • You may choose to participate in the plan even after your braces are removed (with the exception of Phase 1 treatment).  
  • In the event that retainers are not worn and tooth movement has occurred, additional orthodontic treatment may be necessary to realign. A fee will be presented for additional treatment.
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patient testimonials

Every Smile Tells a Story

We love it when our patients smile, and we love it even more when want they want to tell the world! Check out what our patients have to say about their 5-star experience with us.
Jennifer T.
We love all the doctors and staff here. Experienced and friendly staff. They are always accommodating also.
Kaitlyn M.
After my 13 year old retainer snapped in half, I needed a quick solution. However, my original orthodontist retired which caused a huge problem. Who was going to fix it? I called around my hometown… no one would take outside patients. My sweet dentist did his best to glue the retainer back on temporarily, but considering this wasn’t his specialty, he failed to do it properly. My wire was now one wrong move away from slicing my lip open. As a last resort, I called Sherman and Balhoff panicking that no one would fix my retainer, and explained it was causing me pain. They booked me for the next day. Not even 24 hrs after giving them the call, my retainer was fixed. Shoutout to Roxanne who fixed it perfectly and made sure my bite wasn’t off and nothing was sticking me. This team is truly amazing. I would’ve still been panicking had it not been for them. 10/10 all around!!
darrione C.
I brought my daughter here for a consult for braces; he definitely earned our trust as a patient. He’s trustworthy, caring, and a man of God. He shows so much compassion, even for my son, who wasn’t there to see him. I am very pleased and definitely recommend this orthodontist.May God continue to bless your business! Dr.Balhoff thank you!
Heather E.
Ashley Mannino has been a huge help to our family throughout the years!!! Blessed to have her!!
Response from the owner:Thank you for your kind words, Heather! We're thrilled to hear that Ashley has made such a positive impact on your family. Your support means a lot to us!
Kaitlyn S.
My son just got his braces at the Prairieville location. Very friendly staff, Rachel did a great job explaining the financial aspects of the treatment. Roxanne and Dr. Sherman did a great job at making him feel comfortable while getting his braces put on. Thank you.
Response from the owner:Thank you for your wonderful review, Kaitlyn! We're thrilled to hear that your son felt comfortable during his treatment. Our team is dedicated to providing excellent care and support. We appreciate your trust in us!
Adelyn F.
When I came in for my consultation, I was greeted by Ashley! She was super sweet and already had all of my info up and ready! I was checked in within a minute! Absolutely amazing!!
Response from the owner:Thank you, Adelyn! We're thrilled to hear about your positive experience with Ashley. Our team strives to provide efficient and friendly service, and your feedback is greatly appreciated. Looking forward to seeing you again!
Michelle C.
Sherman & Balhoff Orthodontics has taken care of our family for years! There is no other orthodontic team that I would recommend! The staff is so friendly, especially Ashley M at the front desk. She always has a smile on her face.!
Response from the owner:Thank you for your wonderful review, Michelle! We're thrilled to have cared for your family over the years. Ashley and the entire team appreciate your kind words and look forward to continuing to serve you!
Dillon D.
We’ve had such a great experience here with my daughters braces! The whole team is amazing, and they’ve made the process so smooth and stress-free. Taylor Davis has been especially wonderful, she’s so kind and patient, and always puts my child at ease. You can tell she really cares. Highly recommend this office for any parent looking for quality orthodontic care!
Response from the owner:Thank you for your wonderful review! We're thrilled to hear about your positive experience with our team, especially Taylor. Your recommendation means a lot to us. We look forward to continuing to support your daughter's orthodontic journey!
Baelyn T.
Love this place! Everyone is super friendly and makes you feel right at home. Taylor Davis is the absolute best, she’s so sweet and always makes sure you’re comfortable. Couldn’t ask for a better experience!
Response from the owner:Thank you for your wonderful review! We're thrilled to hear you felt at home with us. Taylor truly embodies our commitment to comfort and care. We look forward to seeing you again soon!
Brinleigh M.
Amazing experience every time I visit! The whole team is professional and friendly, and the care is top-notch. Special shoutout to Taylor Davis, she’s the best! So kind, patient, and always makes me feel comfortable. Highly recommend this office!
Response from the owner:Thank you for your wonderful review! We're thrilled to hear about your positive experiences with our team, especially Taylor. Your recommendation means a lot to us. We look forward to seeing you again soon!
Jessica D.
I can’t say enough good things about this orthodontist office! From the moment you walk in, the entire team makes you feel welcomed and cared for. The environment is clean, professional, and genuinely friendly.

I have to give a special shoutout to Taylor Davis, she is truly AMAZING. Taylor is kind, gentle, and incredibly knowledgeable. She goes out of her way to make sure you’re comfortable and fully understand what’s happening during every visit. Her positive energy and warm personality always put me at ease, and I can tell she genuinely cares about her patients.

The whole office works like a well-oiled machine, and the results speak for themselves. I’m beyond happy with my treatment, and I recommend them to anyone looking for top-notch orthodontic care. If you get the chance to have Taylor as your assistant, you’re in the best hands!
Response from the owner:Thank you for your wonderful review, Jessica! We're thrilled to hear about your positive experience and appreciate your kind words about Taylor and our team. Your satisfaction is our top priority!
Alicia C.
My daughter just got braces at Sherman and Balhoff Prairieville's office. We are very pleased with the way the entire process. The staff are excellent! Very friendly, caring, and professional. They took great care of us by explaining every part of the process, and that put all our concerns to rest. I will always highly recommend Sherman and Balhoff. They're the best!!!!!
Response from the owner:Thank you for your wonderful feedback! We’re thrilled to hear that you and your daughter had a positive experience with our team. Your recommendations mean a lot to us. We look forward to seeing you again!
MDU U.
From the very first time you walk though the door, it is a wonderful experience. The staff are all friendly, kind and knowledgeable. We have a wonderful experience every time and cannot recommend this practice highly enough.
Response from the owner:Thank you so much for your kind review. Having wonderful people like you in our office makes our days spectacular!
Carly D.
After having my braces off for only 7 months from a previous orthodontist, I switched to S&B after not being happy with my results and incomplete treatment. One of the best decisions I've made. Great with time management, quick and easy appointments, friendly staff. Definitely recommend.
Response from the owner:Thank you for sharing your positive experience, Carly! We're thrilled to hear that switching to Sherman & Balhoff Orthodontics has made such a difference for you. Our team is dedicated to providing efficient and friendly service, and your recommendation means a lot to us. We look forward to continuing to support your orthodontic journey!
Allison K.
They are amazing with everyone. My daughter just had braces put on in May and they have been wonderful with questions, etc.
Response from the owner:Allison thank you for your kind words about us and our staff. We work diligently day in and day out to provide the best patient experience possible, so it’s wonderful to hear when we meet our goals!

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