FAQ

Curious about orthodontic treatment or how braces work? You’re not alone. We’ve gathered answers to the questions we hear most often from patients in Lone Tree and Greenwood Village, CO, to help you feel informed and comfortable before your first visit.

No. The exam is complimentary unless it’s specifically for a TMJ/TMD evaluation or if the patient is already in orthodontic treatment with another Denver-area orthodontist. Your first visit includes photos, an exam, and a discussion of treatment options.

As a rule of thumb, we like to evaluate young patients after the 6-year molars erupt and the front permanent teeth just start to appear. This is usually between the ages of 6 and 8. Children with underbites and thumb/finger-sucking habits should be evaluated no later than age 7.

Early evaluations are about observation, not rushing into treatment. By seeing children around age seven, we can monitor jaw growth, tooth development, and oral habits that might affect future alignment. Most kids don’t need immediate care, but regular checkups help us catch issues early when they’re easiest to treat.

An orthodontist is a specialist in orthodontics and dentofacial orthopedics.  Dr. TherouxDr. Barefoot, and Dr. Donahue all became general dentists first.  Then, they each completed a two-year residency to specialize in orthodontics.  That is all they do…orthodontics!

Yes! We provide emergency care for our current patients if you have a broken bracket, poking wire, or discomfort. Just call our main office line, and we’ll guide you on what to do and schedule a time to see you quickly.

Usually, antibiotics are not required. However, if your physician recommends them due to certain heart or joint conditions, please inform our team so we can coordinate your care safely and responsibly.

Yes, we frequently welcome patients transferring from other orthodontic offices. Simply provide your treatment records or allow us to contact your previous orthodontist so we can ensure a smooth transition and continue your care without disruption.

We do our best to offer early morning and late-day appointments for busy families. However, some procedures require longer visits that are best scheduled between 9 a.m. and 3 p.m. We design our schedule so patients miss as little school or work as possible, even our doctors’ own kids occasionally had to miss a little!

Yes! Wearing retainers after braces is essential to keep your teeth from shifting. We also offer lower fixed (bonded) retainers to help prevent relapse especially since lower front teeth tend to move the most. We believe in “one and done,” and retention is key to maintaining your beautiful new smile.

Teeth naturally shift over time due to aging, biting forces, and even small changes in your gums or bone. This happens whether or not you’ve had braces. That’s why we recommend wearing retainers indefinitely to preserve your results and why we love using lower-bonded retainers for extra stability.

Many patients benefit from permanent retainers, which are small wires bonded behind the lower front teeth. These retainers hold teeth securely in place, preventing unwanted shifting over time. They’re discreet, comfortable, and easy to maintain with regular hygiene.

Breathing issues like allergies or enlarged adenoids can influence how the jaws and teeth develop, especially in children. Here’s how they can affect orthodontic care:

  • Mouth breathing: Chronic mouth breathing can narrow the upper jaw and affect tooth position.

  • Facial growth: Limited nasal breathing can alter jaw growth patterns over time.

  • Treatment coordination: We may work with your ENT or pediatrician to manage airway health.

  • Better results: Addressing airway concerns supports more stable and comfortable orthodontic outcomes.

Tongue habits play a big role in tooth position and bite alignment. A tongue thrust can interfere with orthodontic progress by:

  • Creating open bites: Pressure from the tongue can push front teeth forward or apart.

  • Slowing treatment: Continuous tongue pressure may delay tooth movement.

  • Causing relapse: Without retraining, teeth can shift after braces are removed.

  • Improving results: Exercises or simple appliances can help correct posture for long-term stability.

Scientific literature has documented that there is not a direct link between orthodontic treatment or occlusion and TMD. Problems with TMD can be present or absent in the presence of all types of good and bad bites.