Scheduling your first orthodontic consultation is an exciting step toward a healthier, more confident smile. But if you’ve never been to an orthodontist before, it’s completely normal to wonder what the appointment will be like.
Will your child need braces? Will X-rays be taken? How long will the visit last? Will you leave with a treatment plan?
At Pioneer Orthodontics, we believe the first visit should answer your questions—not create new ones. Whether you’re bringing your child in for an early evaluation or you’re an adult exploring braces or Invisalign®, our goal is to help you understand your options and feel confident about the next steps. Your consultation with us is at no cost to you, so it’s a very easy way to gather information about your options!
Key Takeaways
If you’re short on time, here’s what you can expect during your first orthodontic consultation:
- The appointment typically lasts about 45–60 minutes.
- We’ll take digital photos and any necessary digital X-rays.
- Dr. Tewes will perform a comprehensive orthodontic evaluation.
- You’ll discuss treatment options, timing, and whether treatment is recommended now or later.
- You’ll receive a personalized treatment plan and have plenty of time to ask questions.
- If treatment is appropriate and you’re ready, many patients can even start treatment the same day.
Do I Need a Referral to See an Orthodontist?
Can I Schedule an Orthodontic Consultation Without My Dentist?
Yes. While many patients are referred by their family dentist, you do not need a referral to schedule an orthodontic consultation.
Many families contact us because they’ve noticed crowded teeth, spacing concerns, or changes in their child’s bite. Others simply want peace of mind that everything is developing normally.
Whether you’ve been referred or are reaching out on your own, we’re happy to help.
When Should My Child Have Their First Orthodontic Evaluation?
The American Association of Orthodontists recommends that children have their first orthodontic evaluation by age 7.
This doesn’t mean every seven-year-old needs braces.
In fact, many children simply benefit from monitoring their growth and tooth development. An early evaluation allows us to identify potential concerns before they become more difficult to treat and helps us determine the ideal timing for treatment if it’s needed.
How Long Does an Orthodontic Consultation Take?
Most first consultations take 45 to 60 minutes.
During that time, you’ll meet our team, learn about your smile, and receive a personalized recommendation from Dr. Tewes.
Our goal is never to rush the appointment. We want you to leave feeling informed—not overwhelmed.
What Happens During the Appointment?
Step 1: Getting to Know You
Every smile has a story.
We’ll begin by reviewing your health history, discussing any concerns you have, and talking about what you’d like to improve.
Parents often ask questions about timing, while adult patients may be interested in discreet treatment options like clear aligners.
Step 2: Digital Photos and X-Rays
Next, we’ll take digital photographs of your teeth and smile.
If needed, we’ll also take digital X-rays to evaluate tooth position, jaw development, and any concerns that aren’t visible during a clinical exam.
Digital imaging allows us to gather valuable information while using significantly less radiation than traditional X-rays.
Step 3: A Comprehensive Examination
Dr. Michael Tewes will carefully evaluate:
- Tooth alignment
- Bite relationship
- Jaw growth and development
- Tooth eruption patterns
- Available space for permanent teeth
- Overall oral health considerations
Every treatment recommendation is based on your unique needs—not a one-size-fits-all approach.
Step 4: Reviewing Your Treatment Options
Once the examination is complete, Dr. Tewes will explain what he sees and answer your questions.
Depending on your situation, the recommendation may be to:
- Begin treatment now
- Monitor growth for a period of time
- Return for periodic observation
- Delay treatment until more permanent teeth erupt
If treatment is recommended, we’ll discuss the available options, which may include traditional braces, clear braces, or Invisalign®, depending on your needs.
Will I Find Out If Braces Are Needed?
Yes.
Before you leave, you’ll have a clear understanding of whether orthodontic treatment is recommended and, if so, why.
We’ll explain our recommendations in everyday language, review your options, and answer any questions you have along the way.
Many parents tell us this conversation gives them tremendous peace of mind, even if treatment isn’t needed right away.
Will We Talk About Cost?
Absolutely.
If treatment is recommended, our treatment coordinator will review:
- Your personalized treatment plan
- Estimated treatment length
- Insurance benefits
- Flexible monthly payment options
- HSA and FSA eligibility
We believe finances should never be confusing, so we take time to explain everything clearly before you make a decision.
By the way, your consultations are free, always!
Can Treatment Start the Same Day?
In many cases, yes.
If treatment is appropriate and your schedule allows, many patients choose to begin treatment during the same visit.
For busy families, this can save an additional trip and help get treatment started sooner.
If you’d rather take time to think about your options, that’s perfectly fine too. There’s never any pressure.
What Questions Should I Ask During My Consultation?
Consider asking:
- Is treatment needed now or later?
- What treatment options do you recommend?
- How long will treatment take?
- Will my child need Phase 1 treatment?
- Are braces or Invisalign® a better option?
- How often are appointments?
- What happens if we wait?
There are no bad questions. We want you to leave feeling informed and confident.
Frequently Asked Questions
Is an orthodontic consultation painful?
No. Your first visit is comfortable and non-invasive.
Should my child brush before the appointment?
Yes. Clean teeth make it easier to perform a thorough examination.
Can adults schedule orthodontic consultations too?
Absolutely. Orthodontic treatment is effective at any age.
Will I know the cost before leaving?
Yes. If treatment is recommended, we’ll review your personalized treatment plan and financial options before you leave.
Do I need braces if my teeth look straight?
Not necessarily. Bite issues aren’t always visible without an orthodontic evaluation.
What if treatment isn’t needed yet?
Many children simply join our observation program (which is free!) so we can monitor growth and recommend treatment at the ideal time.
Your First Visit Is About Education—Not Pressure
Choosing orthodontic treatment is an important decision, and we believe it should never feel rushed.
Whether you’re bringing your child for their first evaluation or exploring treatment for yourself, our goal is to provide honest recommendations, answer your questions, and help you understand all of your options.
At Pioneer Orthodontics, we’re proud to serve families throughout Lincoln, York, and surrounding southeast Nebraska communities with personalized orthodontic care designed around each patient’s unique smile.
If you’ve been wondering whether it’s time for an orthodontic consultation, we’d love to meet you and help you take the next step with confidence.


