FAQ

Have questions? We have answers!

We know you may have questions about orthodontics and periodontal care, and we're here to help! If you don’t find what you're looking for, don’t hesitate to contact us—we’re always happy to assist you.

Clinical FAQ - Orthodontics

What age should my child have their first orthodontic visit?

It's recommended that an orthodontic evaluation be scheduled by age 7 to monitor growth and any early signs of alignment issues.

How long does orthodontic treatment take?

Treatment time varies depending on the type of treatment, but most people wear braces for 18 to 24 months. Clear aligners may take a similar amount of time, depending on the case.

Are orthodontic treatments painful?

While some discomfort is normal after adjustments, most patients find the process manageable with over-the-counter pain relievers.

How often do I need to visit the orthodontist during treatment

Typically, patients come in every 8 to 12 weeks for adjustments and progress checks.

Will orthodontic treatment affect my daily life?

Treatment may require some lifestyle adjustments, like avoiding certain foods, but we work to make the process as convenient as possible.

Can I switch from braces to clear aligners during treatment?

This depends on your case. Dr. Chong will assess your progress and determine if switching to clear aligners is feasible. Additional fees apply.

How do I know which type of braces or treatment is right for me?

During the consultation, Dr. Chong will help you determine the best option based on your specific needs, whether it's traditional braces, clear aligners, or other specific appliances.

How can I maintain good oral hygiene with braces?

Brushing after every meal, flossing regularly, and using a water flosser are essential to keeping your braces and teeth clean.

Can I still play sports with braces or clear aligners?

Yes, but we recommend wearing a mouthguard during sports to protect your teeth and appliances.

How can I pay for orthodontic treatment?

We offer flexible financing options, including no-interest in-house plans, and accept most major PPO insurances.

What are the differences between traditional metal braces and ceramic braces?

Ceramic braces blend better with your natural teeth color, while metal braces are more durable and cost-effective. Both provide effective treatment.

What are clear aligners, and how do they work?

Clear aligners are a series of removable trays that gradually move your teeth into alignment. They are less noticeable than traditional braces and can be removed for eating and cleaning.

What is Phase I treatment?

Phase I treatment is designed for children around age 7 to address early orthopedic issues that will affect jaw and teeth development that can result in facial asymmetries and impede natural eruption of all permanent teeth.

What are the benefits of Spark Clear Aligners over other aligners?

Spark Aligners are clear, comfortable, and made with high-quality material that offers greater precision for faster results

Clinical FAQ - Periodontics

What is a frenectomy, and why would it be needed?

A frenectomy is a surgical procedure to remove the tissue that connects the upper lip or tongue to the gums to improve function, especially if a lip or tongue tie is causing speech or eating difficulties.

What is gum grafting, and when is it necessary?

Gum grafting is a procedure to cover exposed tooth roots and protect them from further damage, often needed when gums have receded due to periodontal disease or aging

What is crown lengthening, and why would I need it?

Crown lengthening is a surgery to expose more of the tooth, typically done to fix a "gummy" smile by creating a more harmonious contour of the gumline.

When should I consider periodontal treatment?

Periodontal treatment may be necessary if you have signs of gum disease, such as bleeding gums, bad breath, bone loss or gum recession. Regular checkups with your general dentist can help detect and prevent issues early.

What is TAD (Temporary Anchorage Device) and how does it help with orthodontic treatment?

TADs are small screws placed in the bone to help with tooth movement during orthodontic treatment, particularly in complex cases where traditional methods may not be enough.

Insurance FAQ - Orthodontics

When does insurance get billed for orthodontic treatment? How much of the total fee is billed?

The total case fee for your orthodontic treatment is submitted to your insurance company when treatment begins. The “banding date” is the date on which treatment officially begins; this is the day bands or brackets are placed on the teeth. Placing spacers or separators does not constitute treatment starting.

How are insurance payments disbursed?

Insurance payments are paid to the orthodontic office either monthly, quarterly, or annually throughout the duration of active treatment. It is a rare exception that a one-time payment for the entire lifetime maximum is made initially.

What if me/my spouse loses insurance coverage midway through active treatment?

During orthodontic treatment, if insurance coverage is interrupted for any reason, (i.e. a job change, your employer changes insurance companies, your coverage is dropped, or treatment ends) insurance payments stop. If an insurance change occurs during treatment, it is the patient’s responsibility to inform the office. A new insurance company will not know you are in orthodontic treatment. A new claim must be filed with the new insurance company because they won't pay if they don’t know about it.

Are orthodontic insurance benefits guaranteed? What happens if the insurance company does not pay out the full “estimated” benefit?

When our office confirms orthodontic benefits, the insurance company is very clear that the benefit information we are given is an estimate and no guarantee of payment. In our orthodontic financial agreement, the insurance allowance we take assignment for is an “estimate.” We never know for sure how long or even if we will be paid until it actually happens. If for any reason the total insurance assignment is not paid as expected, it becomes the responsibility of the patient or responsible party. If the insurance company retains a portion of the benefit to cover your deductible, you will be responsible for reimbursing that deductible to our office.

What is a common reason that some insurance companies pay out less to the orthodontist than the indicated orthodontic benefit?

Some insurance companies use orthodontic benefits to pay for procedures done at other providers' offices, especially oral surgery related procedures like wisdom teeth extractions. If a procedure from another provider's office is paid for with orthodontic benefits, you will be responsible for the difference not paid to our office by the insurance Company.

Do all insurance plans have orthodontic benefits?

Some insurance plans have special clauses that prevent payout of the orthodontic benefit such as an age restriction, waiting time or non-duplication of benefits (see below for dual insurance). Some insurance companies also place a contingency of medical necessity on orthodontic claim payments. If your insurance company determines that your treatment is not medically necessary, you will be responsible for the estimated insurance portion.

Is dual insurance coverage guaranteed?

Dual insurance coverage is not guaranteed. Some insurance companies place a non-duplication of benefits on orthodontic treatment, which means you will not receive benefits if another insurance carrier has paid out their estimated benefit.

Primary insurance processing takes approximately 6-8 weeks, after the date of placement or delivery of your appliance. For secondary insurance, processing times are approximately 12 weeks after the primary insurance has been completed. Please note these processing times are an estimate and can vary.

Insurance FAQ - Periodontics

When are insurance claims submitted for periodontic services?

Insurance claims for all surgeries are submitted on the date of service of the surgical procedure. Our office will submit your total surgical fee to all insurance plans which you are actively subscribed to on the date of service.

How do I know how much insurance will cover for my surgical procedure?

Since every insurance plan is different, we strongly encourage patients to call their insurance companies and verify “periodontic benefits” as well as any “deductibles, coverage limitations, annual caps” that may exist on their plan. We will be happy to provide you the ADA insurance code for the relevant procedure so you may provide this to your insurance company. Cosmetic related surgical procedures are typically not a covered benefit. Based on your benefit plan, insurance companies may cover a portion of your surgery if it is related to active gum disease.

Does a pre-authorization guarantee payment?

No, a pre-authorization does not guarantee payment. Insurance companies reserve the right to modify any payouts as they deem necessary.

How long do I need to wait for reimbursement from my insurance company?

Once your claim has been submitted, it can take anywhere between 6-8 weeks for insurance companies to process and claim and mail you a physical check. Please ensure your address is updated with our office so the check is mailed to the correct location.

Let’s get started on your smile journey!