Frequently Asked Questions

Orthodontic treatment quality and comfort have improved significantly over the years. As a baseline, braces may leave you sore for a few days, but they shouldn’t be painful. Whatever soreness you experience can be relieved with simple OTC pain relievers.
Cost will vary, of course, depending on the nature of the treatment plan. You may be surprised to discover that orthodontics is less expensive than you thought. We offer flexible payment options with various finance plans to help meet individual treatment needs. 0% finance (subject to credit approval)
Orthodontics can boost a person’s self-image as the teeth, jaws and lips become properly aligned — but an attractive smile is just one of the benefits. Alleviating or preventing physical health problems is just as important. Without treatment, orthodontic problems may lead to tooth decay, gum disease, bone destruction and chewing and digestive difficulties. A “bad bite” can contribute to speech impairments, tooth loss, chipped teeth and other dental injuries.

Early Treatment

The American Association of Orthodontists recommends an orthodontic screening at age 7. By this age, several permanent teeth in most children have erupted, allowing us to effectively evaluate your orthodontic condition.
Untreated orthodontic malocclusions can lead to a variety of oral health issues including difficulty with brushing and flossing, increased chance of chipped and broken teeth, uneven teeth wear from crossbites, and even speech impediments from openbites.
Early evaluation of your child’s orthodontic situation can prevent severe orthodontic issues down the road.  When orthodontics are needed and used, they can guide the growth and development of your child’s smile, giving them the best opportunity to live life smiling.


During Invisalign treatment, you will receive a set of custom aligner trays. Each aligner will make slight adjustments to the position of your teeth. This process is mapped out ahead of time by Dr. Narula .When the aligners are worn on the teeth, they gradually shift your teeth to the correct position. Each aligner is work for approximately one to two weeks, and replaced with the next aligner in the set.
Invisalign uses clear thermoplastic aligners that are developed to be a virtually invisible alternative to traditional braces.  They look similar to teeth whitening trays, and are custom-made especially for you. Invisalign aligners are FDA approved.
Invisalign treatment cost the same as braces.

Invisalign Teen

Invisalign Teen is an effectively invisible way for your teenager to straighten their teeth without the restrictions of traditional metal braces. Wire and bracket braces are a thing of the past. Invisalign uses a set of clear plastic aligners that are worn over the teeth during the course of treatment.
Invisalign Teen is available for teens who have erupting or erupted permanent dentition.  Dr. Narula evaluates your teen’s unique orthodontic needs to determine candidacy for Invisalign Teen treatment.
Yes. When patients follow the careful instructions of Dr. Narula Invisalign Teen can be as effective as traditional braces for common teeth-straightening issues. This includes treating mild-to-severe cases, including underbite, overbite, crowding, and gaps between teeth.

Adult Braces

No, its never too late because healthy teeth can be moved at any age. Orthodontists can improve the smile of practically anyone. In fact, orthodontists regularly treat patients in their 40′s, 50′s and older!
Certainly not the estimated 1 million adults in the United States who have chosen orthodontic treatment as the route to better oral health and emotional well-being.
Braces can be incredibly effective for adults by improving their overall periodontal health.
Orthodontic emergencies are very rare, but when they do occur, we are available to you. As a general rule, you should call the office when you experience severe pain or when you have a painful appliance problem that you can’t take care of yourself. We will schedule an appointment to resolve the problem. There are temporary solutions to many problems that you can take care of yourself.
During the first week after your braces are in place and routine adjustments are complete, you may feel some soreness and discomfort. We generally recommend that you take an analgesic such as acetaminophen (e.g. Tylenol) or ibuprofen (e.g. Advil, Motrin). This, of course, is the protocol only if there are no known allergies to these medications. If you have an open sore, you can rinse with warm salt water to soothe the area.
If a brace comes loose from a tooth, it usually remains connected to the main wire and is not cause for an emergency visit. Tweezers can be used to reposition the braces if it flips around the wire and becomes a source of irritation. Call our office at your earliest convenience, as it may be necessary to schedule a separate visit to repair the loose brace(s), since repairs of this nature usually take additional time.
Sometimes a wire can cause irritation. To resolve the discomfort, push the wire away from the area using the eraser end of a pencil or a cotton swab. If the wire cannot be tucked away, cover the end of the wire with a small piece of wax or a cotton ball. If the wire is sticking you and wax does not help, the wire can be cut with a small wire cutter or nail clipper close to the back of the last brace. If you cannot resolve the wire irritation, please call our office for an appointment.

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