Upon your first visit to Caroline Manuel Orthodontics you will receive a thorough and complete examination. This initial screening visit is free of charge. The examination includes the following:

  • Full set of digital photographs & x-rays
  • Should treatment be necessary, a complete set of diagnostic records will be recommended.
    Treatment estimate also provided.
  • Analysis of facial & skeletal type
  • All findings & recommendations will be explained to in easy to understand terms
  • Assessment of facial growth
  • Cosmetic & functional goals are tailored to the specific needs of each patient.
  • Examination of the bite
  • Alignment of the teeth, health of the soft tissues, function of the jaw joints and adjacent supporting structures

Should you have a problem with your braces, please see the Problem & Solution boxes below. 


Loose Bracket or Loose Band


If the bracket or band is still attached to wire, leave in in place. If it becomes uncomfortable, cover with wax. If it comes out completely, bring it with you to the next appointment. Call for an appointment. Do not connect headgear or elastics to a loose band.


Lost tie or bumper


Please call to ask if an appointment is necessary. Notify the assistant at your next appointment.


Headgear or appliance doesn’t fit


Call for an appointment


Soreness from braces


Rinse mouth with warm salt water (for lip and cheek soreness.) Anti-inflammatory for pain.


Wire out of tube


Try to place wire back into tube with tweezers. Place wax if uncomfortable and call for an appointment.


Poking tie wire


Bend with pencil eraser. Cover with wax if necessary.


Poking archwire


Cover with wax or wet cotton. Call for an appointment.


Accidents involving teeth


Call immediately to make an appointment.

Q & A

What is an orthodontist?2019-03-18T21:39:08-05:00

A dental specialist who diagnoses and treats dental and facial irregularities. An orthodontist is trained to straighten and align teeth and jaws with braces.

When should my child see an orthodontist?2019-03-18T21:39:13-05:00

The American Association of Orthodontists recommends that age 7 is an appropriate time for a child’s first examination by an orthodontic specialist. Early diagnosis and treatment by the orthodontist can help tooth eruption, guide facial growth, eliminate habits that can interfere with proper function and therefore, prevent more serious problems from occurring.

Am I too old for braces?2019-03-18T21:39:18-05:00

Over 20% of our patients are adults. Age is not a factor in orthodontic care. This trend is expected to continue as adults become aware of the benefits of modern orthodontic therapy.

What is the benefit of braces?2019-03-18T21:39:22-05:00

Contrary to popular belief, straight teeth are only ONE of the reasons to get braces. Teeth which are aligned properly are easier to clean, especially for children, which improves oral hygiene and dental health for the rest of their lives. Correcting the bite also reduces stress on the teeth, which prevents them from wearing down over the course of years. Finally, properly supported jaw bones and jaw joints decrease oral pain and suffering, both in children and adults.

Can I brush my teeth before my appointment?2019-04-09T09:08:19-05:00

Yes, we have a brushing station in our office.

How can I find out when my next orthodontic appointment is?2019-03-18T21:39:31-05:00

Please provide our office with your best way to reach you. You will receive notification the day before your scheduled appointment.

Why do my gums bleed sometimes when I brush or floss my teeth?2019-03-18T21:40:10-05:00

It is possible that you may not be brushing along your gum line as well as needed or you are not flossing frequently. Flossing is very important for the maintenance of good gum health. Healthy gums typically do not bleed when you brush and floss.

Why does my bite feel different throughout my orthodontic treatment?2019-03-18T21:40:16-05:00

During your orthodontic treatment, your teeth will go through many different stages. You will have a series of wires that increase in size as your teeth become straighter. When you begin wearing elastics, to correct your bite, your teeth may become sore at times. Continue to wear the elastics so that your teeth will get used to them. Keep in mind for every hour you don’t wear your elastics, you lose the previous ten hours of elastic wear!

When do I get my braces off?2019-03-18T21:40:21-05:00

Inquire with your orthodontist at your next scheduled appointment.

Why won’t the wax stay on my braces?2019-12-11T10:19:23-06:00

Make sure both your tooth and bracket are dry before applying wax. A good way to do this is to use your finger to pull your cheek out, suck in air and then place the wax on desired location. You can also use a cotton ball or paper towel to dry off the area.

Will I need to have my wisdom teeth removed?2019-03-18T21:40:31-05:00

Towards the end of your orthodontic treatment, your wisdom teeth will be evaluated and your orthodontist will decide if it is necessary to refer you to a general dentist to make the final decision.

What determines what kind of retainer I get when I get my braces off?2019-03-18T21:40:36-05:00

Your orthodontist will recommend the best retainer for your specific treatment needs.

How long will I wear my retainers?2019-03-18T21:40:41-05:00

Your orthodontist will determine how long you will need to wear them full time.You will have appointments to check the and monitor your retainer retention. Based on your orthodontist’s recommendations you will get to stop wearing them during the day, but we suggest wearing them at night time for a lifetime.