Before we begin...

Our service to you starts when you first call.

During our telephone conversation, we will ask you to provide us with your or your child's personal data. Following up to this call, you will receive a welcome letter with some important forms, including the registration form and the driving directions to our practice. If you have an e-mail account, you can provide us with your address, and we will be happy to send you the forms via e-mail, if you prefer it this way. Please fill in the forms and bring them to your first appointment with us.


Short-Text-Message-Service

We offer our patients a free-of-charge text message recall service. This means that you will receive a automated reminder text message on your mobile phone one day before your next appointment. Should you wish to benefit from this service, we ask you to fill in and sign the corresponding form, authorising us to send you the text messages. You may also take the form home with you and send it to us via normal mail.

 

 

>>You may  Download a handout with interesting information on your orthodontic treatment and beyond.

 

1. Consultation


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Please bring the completed registration form to your first appointment with us. If you have any questions, please feel free to ask.

The first clinical examination will give us information on your or your child's tooth position and the position and functional status of your jaw.  We also check for lip or tongue habits, breathing patterns, facial musculature, the jaw joints and the periodont.

After that we discuss with you if and when treatment appears necessary. Please note that we have no contract with your insurance, so the responsibility to check back on your insurance and your tariff and coverage - and to file your claim - rests with you. If you need any advice, however, Mrs. Lizy Vidal will be happy to assist you in matters of book-keeping and insurances. We have been dealing with US health care providers for many years and are familiar with the dental programs, such as TRICARE, for instance. Please note that Mrs. Vidal is available on THURSDAYS only, from 10 am to 3 pm. You may also e-mail her at tollortho@aol.com.

A first consulation may take up to one hour, depending on the complexity of an individual case. Please kindly plan your time accordingly.

 

2. Diagnostic set-up

 

Exact clinical diagnostics are indispensable for optimal treatment. This explains the importance of taking initial records (imaging, manual examinations). Experience shows that such an appointment usually takes 45 – 60 minutes.

A full diagnostic set-up includes:

 

Introral examinations

Mainly, that examination provides information on the condition and health of the patient’s teeth and gums.


Extraoral photos

Those photos are used to assess facial built and profile, and, later, to document treatment progress.


Impressions
Those are taken to make plaster models of your teeth, to provide us with information pertaining to the way the jaws and the teeth fit together, and how much space is available for the teeth.


X-rays

 

- Panoramic x-ray or Panorex (Orthopantomogramme, OPG)

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A panoramic x-ray (Panorex, OPG) provides us with information on the position and number of teeth, the status of tooth eruption and of anatomical changes (such as alterations of the jaw joints or TMJs).

 

 - Lateral headplate (Lateral cephalogramme)

 

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The lateral view allows exact evaluation and measurements pertaining to the craniofacial built, axial orientation of the front teeth, and the relative position of upper and lower jaw.

 

 

Additional diagnostic procedures:

 

If the normal clinical examination indicates problems with your or your child’s TMJs, additional diagnostic examinations may become necessary.

 

a. TMJ diagnostics/ Manual Functional Analysis (MFA):
A manual, orthopaedic examination diagnoses the condition of the chewing apparatus (mobility, joint capsules, ligaments,…).

 

b. Magnetic Resonance Imaging (MRI) of the TMJs:

An MRI constitutes an examination not done in our own practice, but by one of the few specialised radiological practice in our area that we will recommend to you. MRIs are made to visualise soft tissues like cartilage or ligaments.

 

3. Final treatment plan
All planned treatment steps will be discussed thoroughly on this appointment. Appliances and procedure will be explained. We will make regular progress reports (during treatment and one year into treatment) for the patient’s and parents’ convenience.

 

We offer professional dental hygiene ("tooth cleaning") to our paients with brackets. Also, please ask us about professional tooth bleaching after debanding, if you would like your newly aligned teeth bright and shiny.