Your First Visit

During your first visit to Hoch Orthodontics, a new patient exam takes place. This is typically a short appointment to evaluate the patient's teeth and need for orthodontic care.

If it is determined that orthodontics are needed, then diagnostic records are taken to determine the best course of treatment. Complete diagnostic records typically include a medical/dental history, clinical examination, plaster study models of the teeth, photos of the patient's face and teeth, and X-rays. This information is used to develop a custom treatment plan for each patient. These records are also helpful in tracking the progress of treatment as the teeth move under orthodontic care.

Please download and complete this new patient form before coming to our office.
Download New Patient Form

Consultation

After the doctor has evaluated your records, we discuss your treatment with you in detail, including the cost for your particular case.

Getting Your Braces On

After the consultation, you are ready for your appliances (braces, retainers, expanders, etc.). This usually takes an hour to an hour and a half.

Our regular office hours are Monday, Tuesday, Thursday, Friday from 8:00 AM to 12:00 PM and 1:15 PM to 6:00 PM. We are also open one Saturday per month.

Regular Appointments

Once the appliances are on, you will then see us at regular intervals 4 to 6 weeks apart for an adjustment, which takes 15 to 30 minutes.

Patients are seen by appointment only, except for emergencies. We make every effort to be on time for our patients, and ask that you extend the same courtesy to us. If you cannot keep an appointment, please notify us as soon as possible. Cancel only if it is an emergency. It is difficult to reschedule you since most appointments are made 4 to 6 weeks in advance.

Also, if you know that something is broken, please notify the office as soon as possible so that we can schedule you accordingly.

Cost

The cost of treatment depends on the severity of the patient's problem. You will be able to discuss fees and payment options before treatment begins. We have payment plans to suit different budgets. We also accept several PPO plans, and file the necessary papers to the insurance company. We work hard to make orthodontics affordable.

Fees

In an effort to keep orthodontic fees down while maintaining the highest level of professional care, we have established this financial policy:

• To fit your individual needs, financial arrangements can be made to extend your payments over a period of months.
• For your convenience, we accept payment by VISA and MASTERCARD.
• In cases of serious delinquency, treatment will be discontinued, although we will make every effort to accommodate patients with temporary difficulties.

Insurance

If you have insurance, we will help you determine the coverage you have available. Professional care is provided to you, our patient, and not to an insurance company. Thus, the insurance company is responsible to the patient and the patient is responsible to the doctor. We will help in every way we can in filing your claim and handling insurance questions from our office on your behalf.

Eating with Braces

For the first day or so with braces, stick to soft foods. Avoid tough meats, hard breads, and raw vegetables. You'll need to protect your orthodontic appliances when you eat for as long as you're wearing braces.

General Soreness

When you get your braces on, you may feel general soreness in your mouth and teeth may be tender to biting pressures for three to five days. This can be relieved by rinsing your mouth with a warm salt water mouthwash. Dissolve one teaspoonful of salt in 8 ounces of warm water, and rinse your mouth vigorously.

If the tenderness is severe, take Tylenol, Advil, or whatever you normally take for headaches or similar pain. The lips, cheeks and tongue may also become irritated for one to two weeks as they toughen and become accustomed to the surface of the braces. You can put wax on the braces to lessen this. We'll show you how!

Foods to Avoid

• Chewy foods: bagels, hard rolls, licorice
• Crunchy foods: popcorn, ice, chips
• Sticky foods: caramels, gum
• Hard foods: nuts, candy
• Foods you have to bite into: corn on the cob, apples, carrots
• Chewing on hard things (for example, pens, pencils or fingernails) can damage the braces. Damaged braces will cause treatment to take longer.

Brushing

It's more important than ever to brush and floss regularly when you have braces so the teeth and gums are healthy after orthodontic treatment. Patients who do not keep their teeth clean may require more frequent visits to the dentist for a professional cleaning. Adults who have a history of gum disease should also see a Periodontist during orthodontic treatment.

Care of Appliances

To successfully complete the treatment plan, the patient must work together with the orthodontist. The teeth and jaws can only move toward their corrected positions if the patient consistently wears the rubber bands, headgear or other appliances as prescribed. Damaged appliances lengthen the treatment time.

Loosening of Teeth

This is to be expected throughout treatment. Don't worry! It's normal. Teeth must loosen first so they can be moved. The teeth will again become rigidly fixed in their new – corrected – positions.

Retainer Instructions

• Wear your retainers full time, until the doctor instructs otherwise.
• Take your retainers out when eating... and always put retainers in their case! (Most appliances are lost in school lunch rooms or restaurants.)
• Clean retainers thoroughly once a day with a toothbrush and toothpaste. Use warm but not hot water. Brushing retainers removes the plaque, and eliminates odors. Efferdent or other orthodontic appliance cleaners can be used but do not take the place of brushing.
• When retainers are not in your mouth they should ALWAYS be in a retainer case. Pets love to chew on them!
• Initially, you may find it difficult to speak. Practice speaking, reading, or singing out loud to get used to them faster.
• Retainers are breakable, so treat them with care. If retainers are lost or broken, call us immediately.
• If you have any questions or concerns about your retainers, or your retainers need adjusting, call us. Do not try to adjust them yourself.
• Always bring your retainers to your appointments.
• Retainer replacement is expensive... with proper care they will last for years!
• Remove retainers when swimming.
• Keep retainers away from hot water, hot car dashboards, pockets, the washing machine, and napkins.

Fixed Expander Instructions

• Turn your expansion screws as instructed. Insert the key into the hole and turn toward the arrow (towards the back of the throat).
• If you are unable to keep your scheduled appointment, stop turning the expander.

Athletics

If you play sports, it's important that you consult us for special precautions. A protective mouthguard is advised for playing contact sports. In case of any accident involving the face, check your mouth and the appliances immediately. If teeth are loosened or the appliances damaged, phone at once for an appointment. In the meantime, treat your discomfort as you would treat any general soreness.

Loose Wire or Band

Don't be alarmed if a wire or band comes loose. This happens occasionally. If a wire protrudes and is irritating, use a blunt instrument (back of spoon or the eraser end of a pencil) and carefully, gently push the irritating wire under the archwire. Simply get it out of the way. If that doesn't work, you can also carefully use a nail clipper to cut the wire shorter. If irritation to the lips or mouth continues, place wax or wet cotton on the wire to reduce the annoyance. Call our office as soon as possible for an appointment to check and repair the appliances. If any piece comes off, save it and bring it with you to the office.

Emergency Care

As a general rule, an emergency appointment may be made when there is severe pain, a loose band, a broken wire or something sticking out that you can't take care of. It's important to know the names of the parts of your appliances. It will help, when you phone the office, to be able to identify what part is broken or out of place.

Hoch Orthodontics is a Certified Invisalign Provider

Consider Invisalign to get the beautiful straight teeth you've always wanted – without braces. A complimentary consultation can determine if Invisalign is right for you.

What is it?

Invisalign uses a series of invisible, removable, and comfortable aligners that no one can tell you're wearing. So you can smile more during treatment as well as after. Invisalign is made with 3-D computer imaging technology, and has been proven effective.

Why would I want it?

Not only are the aligners invisible, they are removable, so you can eat and drink what you want while in treatment, plus brushing and flossing are no problem. They are also comfortable, with no metal to cause mouth abrasions during treatment. And no metal and wires usually means you spend less time in your doctor's office getting adjustments. Invisalign also allows you to view your own virtual treatment plan when you start, so you can see how your straight teeth will look when your treatment is complete.

More than 70% of orthodontists in the US and Canada are certified to treat with Invisalign.

How does it work?

You wear each set of aligners for about 2 weeks, removing them only to eat, drink, brush, and floss. As you replace each aligner with the next in the series, your teeth will move – little by little, week by week – until they have straightened to the final position that Dr. Hoch has prescribed.

You'll visit Dr. Hoch about once every 4-6 weeks to ensure that your treatment is progressing as planned. Total treatment time averages 9-15 months and the average number of aligners worn during treatment is between 18 and 30, but both will vary from case to case.