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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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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.
Cassandra C.
I transferred my care to this location after moving and I’m impressed ! They’re very kind and professional. The office is so cute. I definitely recommend !
Response from the owner:Thank you for your wonderful feedback, Cassandra! We're thrilled to hear you feel welcomed and impressed by our team. Your recommendation means a lot to us. We look forward to seeing you again!
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!
Rebecca
Five of our children have received treatment from Dr. Balhoff. We wouldn’t go anywhere else. The entire staff at Sherman and Balhoff Orthodontics has been wonderful.
Response from the owner:Thank you for trusting us with your family! We love having all of you here.
Gannon B.
It was easy to make an appointment and I was seen quickly by their professional and knowledgeable staff.
I had a great experience and would highly recommend them to any family or friends.
Response from the owner:Thank you for your review Gannon!! Patients like you make our day brighter!
Jenn G.
Really great, honest people who are fantastic at what they do. The whole staff is so kind, personable and friendly.
Response from the owner:Thank you Jenn. We love what we do and people like you make our day even better!
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!
Jimbo T.
My daughter loved going to Sherman & Balhhoff. The office staff / Ashley Mannino were Awesome!
Response from the owner:Thank you for your wonderful review, Jimbo! We're thrilled to hear that your daughter enjoyed her visits and that our staff, especially Ashley, made a positive impression. Your support means a lot to us!
Sunset C.
Everything went very smooth. The atmosphere is very relaxing and welcoming! I just them 100% with daughter!
Response from the owner:Thank you for your wonderful review! We're thrilled to hear that you had a smooth experience and found our atmosphere relaxing. It's great to know you and your daughter felt welcome. We look forward to seeing you both again!
Chadwick C.
We have had the best experience. Their team has made my daughter very comfortable which is so important to us.
Response from the owner:Thank you for your wonderful feedback, Chadwick! We're thrilled to hear that your daughter felt comfortable with our team. Providing a positive experience for our patients is our top priority. We appreciate your support!
Gabriella R.
I went in for Invisalign and the process was great. We started to notice one tooth wasn’t shifting as well so they ended up trying to refit the Invisalign. When that didn’t work they offered braces to help correct what wasn’t working even though it wasn’t their fault. Start to finish was awesome. If you’re debating between orthodontics- Sherman and balhoff is the place to go because they are on your team and will do what it takes to get the results you want !!!
Although I am not a patient there anymore due to moving states, I still think about this process often and how their entire time really put the patient first even when it probably wasn’t as profitable for them.
Response from the owner:Thank you for your wonderful review, Gabriella! We're thrilled to hear about your positive experience with us and that you felt supported throughout the process. Your kind words about our commitment to patients mean a lot to our team. We wish you all the best in your new state, and thank you for recommending us!
Davia W.
The absolute best! We were recommended by my children’s dentist and the office was directly next door (Prairieville location). The entire office staff is amazing and very personable which had me sold from the consultation. My son started treatment in Aug 2024 and so did I Dec 2024. The reviews definitely match the experience and I’d recommend over and over again!!
Response from the owner:Thank you so much for your wonderful review, Davia! We're thrilled to hear that you and your son have had such positive experiences with us. Our team strives to provide exceptional service, and your recommendation means the world to us. We look forward to continuing to support you both throughout your treatment!
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!
Scott D.
I recently completed my second go-round with braces (my first was many years ago as a teenager), as a 60 year old patient of S&B.
I want to express my most sincere appreciation for the results I see when I look in the mirror...the results have exceeded my expectations.
Additionally, I was very impressed with the way I was treated (as a patient) each and every time I had an appointment.
Yet, I believe one of the most impactful (and unexpected) memories of this journey was the way I felt each time I left the building (at the end of each appointment.) With no exception, each time I was there, I felt a genuine teamwork atmosphere. To the person, they not only expressed care for me (the patient) but they expressed care for each other (the employee.)
Thank you, S&B, for not only leaving me with a visual example of success but, moreover, an emotional example of success.
Response from the owner: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!
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!
Dana G.
I used Sherman and Balhoff myself as an adult and now my daughter is a patient there. They are the best and go above and beyond for their patients. Dr. Sherman even came back after closing because my daughter was having an issue with her bite after getting her braces put on. He was so very nice and professional. I would recommend them to anyone.
Response from the owner:Dana thank you for your kind words! Your vote of confidence in our practice is why we do what we do!

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  • BATON ROUGE8311 Bluebonnet Blvd. Baton Rouge, LA 70810
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  • PRAIRIEVILLE14154 LA Hwy. 73Prairieville, LA 70769
  • CENTRAL14465 Wax Rd.Central, LA 70818

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Thursday 7:30am – 3:30pm
Friday 8:00am – 12:00pm (Admin Only)
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