Your Treatment

What Will Happen At The Initial Exam?

During your first visit to our office, you will be greeted by one of our friendly staff members. You will be asked to complete a new patient form and guided to our private consultation room. After meeting either Dr. Stieg or Dr. Wachtel, a complete orthodontic examination will take place. The doctor will then discuss your possible treatment options. The time you spend with our staff will allow you to fully understand your current orthodontic health and needs.

Diagnostic Records

If treatment is indicated at your initial visit, diagnostic records will be necessary to develop the most appropriate treatment plan. Diagnostic records include impressions, digital photographs and digital x-rays. These images and models will be used by Dr. Stieg and Dr. Wachtel to determine your specific needs and create an individualized treatment plan.


Consultation Visit

After Dr. Stieg and Dr. Wachtel have evaluated your records, you are ready for your consultation appointment. During the consultation appointment, specific treatment options will be discussed as well as treatment time frames and financial arrangements. It is our goal to have our patients leave the consultation with a preliminary plan, understanding their specific orthodontic problems and the steps involved to resolve them. We will do our best to give you all of the information needed to make an informed decision about your orthodontic care.

Appliance Installation

Every appliance installation will be fully customized to you. Whether it is traditional braces or Invisalign trays we will schedule an appointment to deliver and install your appliances with the appropriate amount of time to review instructions, care and answer any questions that you may have. Some appliances take a significant amount of in office time to install, such as traditional braces or a Herbst appliance, while other appliances, such as Expanders or Holding Arches require minimal time. The appliance installation appointment will be explained in detail at the consultation visit or when booking the appointment and we will do our best to schedule the appointment to work with your other commitments. The office always tries to accommodate you or your child’s schedules however there are occasions that we would ask you to schedule a morning appointment to accommodate a longer appointment.

Adjustment and Management

Appliance adjustments and management of the appliances is also something unique and customized to each patient. Traditional braces and most appliances, including Invisalign require follow up visits every 3-8 weeks depending on your specific treatment plan. Each of those visits typically last approximately 30-45 minutes. On occasions, the doctors will require a longer appointment to be scheduled to complete different types of adjustments. We schedule these in advance so you are able to plan accordingly.



When we remove your braces or appliances, we will begin the retention stage of your treatment. The retention phase lasts for a minimum of 24 months. The stability of your final orthodontic result depends on your retainers, so follow through with the hard work you have put in so far. Remember to remove your retainer before brushing, and brush your retainer before placing it back in your mouth.

We often use a clear form fitted retainer, called a Trutain. We also use a more traditional retainer that fits onto the roof of your mouth and surrounds the teeth with a wire, called a Hawley Retainer. There are also indications to use fixed or bonded retainers. The type of retainer used is to address the specific indications for each individual patient.

Should you break or lose your retainer, please contact our office and we will schedule an appointment for a new retainer or repair.

Learn more about the different types of braces available.