Frequently Asked Questions

Our patients are smart and informed... we're an open book!

Here are answers to some commonly asked questions.

TOP QUESTIONS (more categories below)
What's the difference between a dentist and an orthodontist?

Orthodontists are specialty dentists that treat dental malocclusion, which includes not only crooked teeth, but also misalignment of the bite/jaw, and in some cases, issues impacting a patient's airway.

All orthodontists start as general dentists, which means they graduated from an accredited 4-year dental school. Orthodontists, however, go on to attend an additional 2-3 years of residency to build deep expertise in their specialty. These residencies are very selective; each year, the best graduating dental students compete for a limited number of residency slots across the country. Orthodontists may also pursue a Masters degree, like Dr. Piskai, who as part of hers conducted original research on palatal expansion that has been published in the major orthodontic journals.

When coordinating your care, Dr. Piskai will work closely with your primary dentist and other specialists if/as needed to ensure the very best for your overall dental health.

The bottom line is that orthodontists have the best training, experience, and professional focus to safely and effectively treat a wide variety of orthodontic cases.

When should my child see an orthodontist?

Dr. Piskai follows the recommendation of the American Association of Orthodontists that children be evaluated by an orthodontist by age 7. This may sound young, but it is very important to evaluate jaw growth along with the relationship of the primary and permanent teeth before peak growth is complete. That way, if there is a skeletal or dental issue that needs to be corrected, it can be diagnosed and treated at the proper time.

Do you treat adults? Is treatment any different (how so)?

Absolutely! Adults are some of our best candidates for Invisalign (that said, we have some awesome adults rocking LightForce custom braces as well)! Since Dr. Piskai launched the practice, adults account for a significant percentage of our patient population. Orthodontic treatment for adults is not fundamentally different than for children, whether it is re-correction of past orthodontics that have since lapsed, getting an updated set of (or replacing your old with) clear retainers, or getting orthodontics for the first time. We have treatment options that will work for your lifestyle, and financing options that will work for your budget.

How long will my treatment take?

Treatment time for Phase 1 (palatal expansion) is typically between 12-18 months and for comprehensive treatment (Invisalign or LightForce), is usually 18-24 months.

That said, each person's smile is unique! The orthodontist's job is to analyze and understand the particulars of each patient's dentition, then plan and execute treatment to the desired result. Treatment times vary by patient, and there are never any guarantees since we're working with nature. The total treatment time is carefully planned to move teeth safely, in proper sequence, and toward an ideal result.

What is a Board Certified Orthodontist?

Dr. Piskai is board certified by the American Board of Orthodontics, an achievement currently held by only 1 in 3 orthodontists.

From the ABO's website:

ABO Board Certification is a voluntary credential that represents an orthodontist’s personal and public commitment to the standards of specialty practice and lifelong learning. The ABO Certification process requires the completion of peer-developed, externally validated written and clinical examinations. A Board Certified Orthodontist has reached this level of achievement by pursuing additional voluntary education and ongoing self-assessment.

Board Certification is confirmation of an orthodontist’s personal commitment to providing lifelong quality patient care.
treatments and patient experience
What appliances are used in Phase 1 / Early Treatment?

Expanders, braces, and aligners are all typical appliances used in early treatment, and they may be used alone or in combination with one another. Each patient has different treatment needs and we will recommend the best appliances for each individual case.

That said, the Rapid Palatal Expander (RPE) is the most commonly used appliance. Learn more about it on our Early Treatment page.

cost, insurance, and financing
How much will this cost? What are my payment options?

Our guiding philosophy is to make our orthodontic treatment available to as many as possible within the reasonable constraints of running a business. Our treatment fee reflects these costs of delivering specialty healthcare, and is all-inclusive so you won't encounter any surprise charges. All of our patients pay the same fee for the same type of treatment; that fee may, however, vary by any insurance you have. Therefore, we recommend coming in for a consultation to assess your individual treatment needs and so we can obtain an insurance pre-qualification for your specific situation.

We try to be as accommodating as possible in working with your out-of-pocket portion. We offer flexible financing in-house without having to deal with any 3rd parties, and accept cash, all major credit cards, (and even bitcoin) for deposits and installments.

But my general dentist / this other orthodontist / Smile Direct Club says they'll do it cheaper?!

Your treatment fee is based on our costs to deliver patients a premium, personalized, and all-inclusive experience at the highest level of orthodontic care. We work with the best orthodontic labs in the industry, retain a highly trained staff, and push the limits with the latest evidence-based orthodontic technologies. We don't upcharge for higher-costing treatment options like Invisalign or LightForce. We don't cut corners when it comes to quality and care. And we don't charge for extras: for example, a set of premium clear retainers is included at the completion of your treatment. Dr. Piskai's name is on the sign and she stands behind the treatment of every member of our patient family.

We encourage prospective patients to investigate all options available to them and we don't pressure you to make a decision during your consultation with us.

Here are some questions you may want to ask or consider when evaluating your other options:

- Will my treatment be under the supervision of a board-certified orthodontist, from start to finish? Will it be the same orthodontist?
- Is the fee all-inclusive, with no hidden charges or upcharges? Are retainers included at the end of treatment?
- If financing my treatment, is it done in-house, or do I have to open up an account/credit card through a 3rd party/partner?
- If braces: will I be receiving stock, metal brackets? Or will my brackets be custom fabricated just for me (in aesthetic materials)?
- If clear aligners: are the aligners printed in-house, or by Invisalign?

What if I don't have any dental insurance?

By definition, the cost of your treatment will be out-of-pocket. However, we offer flexible financing and down payment terms in an effort to make treatment at our practice affordable for everyone (see above).

During your consultation we will review any and all available options with you.

Book your appointment

Your visit includes a comprehensive examination, digital x-ray imaging, assessment of your individual case, and review of treatment options.

We accept insurance, offer 0% in-house financing over the course of your treatment, and our fee is all-inclusive. Our consultations are 100% complimentary and we never pressure you to make a decision.
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