Do you charge for an initial visit?

No. As a courtesy to you and your family dentist, we will always discuss the feasibility of braces or tooth straightening without charging a fee for the initial consultation.

Do I have to wait for my child to have lost all of their baby teeth?

This is one of the questions that parents most commonly ask Dr. Toro and Dr. Fertman.  This is not always in the best interests of patients for the following reasons. The last baby tooth to fall out is usually the lower second deciduous (baby) molar.  Although it’s a baby tooth, it’s rather large. In fact, it is considerably larger than the tooth that will replace it. This space is sufficient to eliminate lower front tooth crowding about 65% of the time. Children who are seen before they lose their second deciduous molars have a good chance of avoiding extractions, as well as more extensive treatment.

At what age do you start seeing patients?

As a rule of thumb, we like to evaluate young patients after the 6-year molars erupt and the front permanent teeth just start to appear. This is usually between the ages of 6 and 8. The American Association of Orthodontics recommends that all children be seen for the first time by age 7.

Why do you evaluate patients so young?

The purpose of early evaluation is to inform and observe, more than to start treatment. At this early age, the eventual needs may be identified and discussed. A small percentage of this young group may need some form of intervention. Habits are evaluated, medical issues are discussed and an observation schedule is arranged until the patient is ready to begin treatment.

Do you have any adult patients?

Absolutely! A growing percentage of our patients are adult. Dr. Toro and Dr. Fertman are very happy to see more and more adults every year. We treat many of our patient’s parents, and we also treat many adults that live or work in Burlington and neighboring towns. They are always very excited to know what Invisalign can do for them! New, more cosmetic appliances are making adult treatment much more comfortable and convenient. Learn more here.

How long will the first visit take?

The first visit can last anywhere between 30 minutes and 1 hour depending on how ready the patient is for treatment. We always do a thorough visual exam and then explain the findings to the patient or parents.  We may suggest one or more X-rays and complete diagnostics including impressions of the teeth with photographs to document the current position.

Do you take patients transferring from out of town?

Yes we do. We handle a patient transferring into our office from another city just like a new patient. We gather complete diagnostic records to show the current status and propose treatment to complete the work that has been started.

What is the difference between an orthodontist and a dentist?

An orthodontist is a general dentist that has had at least 2 more years of full-time training in orthodontics (Dr. Toro and Dr. Fertman have 3) resulting in a nationally accepted specialty certificate. The orthodontist then limits their practice to straightening teeth and dentofacial orthopedics.

Can I make all my appointments in the afternoon after school and late in the day?

In order to have early and late appointments available for the majority of patient appointments, some procedures need to be accomplished during the hours of 9 and 3. We will do our best to work with your schedules and accommodate your family needs.

Do you see patients for emergencies?

Yes, you will always be able to find Dr. Toro or Dr. Fertman for after hours emergencies. Our contact information for an emergency is posted on the website. Feel free to visit our emergency care page for more information.

Can we make payments?

Yes.  Whether or not you have insurance or a dental plan, we will structure a convenient and affordable payment plan that will allow you to pay for orthodontic services over a period of time that usually coincides with your treatment plan. Learn more here.

How do you handle insurance?

After verification of coverage, we will agree to bill and collect from an insurance carrier. However, we ask patients to understand that if coverage ceases or changes, the patient is still responsible for the agreed upon fee.

Do you take American Express, Master Card and/or Visa?

Yes, we accept all major credit cards.

Do you have direct debit?

Yes, we have arrangements for direct debit and charge card posting.

Do you charge interest?

No we do not.

Do you give family discounts?

We have special programs and fees for multiple patients from the same family.

Do I need to be pre-medicated for the dentist. Do I need to take my medicine for the orthodontist?

Dr. Toro or Dr. Fertman will let you know if premedication is indicated for your appointment. However, the 1st or initial appointment does not require premedication as it is mostly a visual exam.

Do retainers need to be worn after braces?

Yes, retainers are worn full-time for about 6 months followed by nighttime wear indefinitely.

Why do teeth get crooked after wearing braces or aligners?

Teeth move throughout life whether you have worn braces or not.  It is part of the natural aging process. This is why retainer wear is recommended indefinitely to maintain your orthodontic results over  lifetime.