Frequently Asked Questions

Have questions about braces, Invisalign, or orthodontic care? At A Smile by Design, Dr. Phillis and our team want you to feel informed and confident before and during treatment. Below are answers to some of the most common questions we receive from patients and families.

What Is the Difference Between an Orthodontist and a Dentist?

A dentist focuses on general oral health, including cleanings, fillings, and preventive care. An orthodontist completes additional specialized training after dental school to diagnose and correct bite alignment, jaw discrepancies, and crooked teeth using braces, clear aligners, and other orthodontic appliances.

When Should My Child First See an Orthodontist?

The American Association of Orthodontists recommends that children have their first orthodontic evaluation by age 7. At this stage, permanent molars and front teeth have typically erupted, allowing Dr. Phillis to identify potential concerns with crowding, bite alignment, or jaw growth.

Do Adults Really Benefit From Orthodontic Treatment?

Yes. Many adults choose orthodontic treatment to correct crowding, spacing, bite problems, or shifting that occurred after previous braces. Straight teeth are easier to clean and maintain and can improve both oral health and smile confidence.

How Long Does Orthodontic Treatment Usually Take?

Treatment time depends on the complexity of the case and the type of orthodontic appliance used. Most patients complete treatment within 12 to 24 months, although minor alignment cases may take less time.

Are Clear Aligners as Effective as Braces?

Clear aligners are very effective for many mild to moderate orthodontic concerns. However, traditional braces may provide greater control for complex bite corrections. Dr. Phillis will recommend the most effective option for your needs.

Do Braces Hurt?

You may feel mild pressure or soreness for a few days after braces are placed or adjusted. This is a normal sign that teeth are moving. Discomfort typically fades quickly and can be managed with soft foods and over-the-counter pain relief.

How Often Will I Need Appointments?

Most braces patients visit approximately every six to eight weeks for adjustments and progress checks. Clear aligner patients may have slightly fewer visits depending on their treatment plan.

What Happens If I Break a Bracket or Lose an Aligner?

If a bracket breaks, a wire becomes loose, or an aligner is lost, contact our office during patient hours. These issues are usually not emergencies but should be addressed promptly to avoid delaying treatment.

Will I Need to Wear a Retainer After Treatment?

Yes. After braces or aligners are removed, retainers are essential for maintaining the new position of your teeth and preventing shifting over time.

Does Orthodontic Treatment Improve More Than Just Appearance?

Yes. Properly aligned teeth are easier to clean, may reduce uneven wear, and can improve bite comfort. Orthodontic treatment also supports long-term oral health and jaw function.

Can I Still Play Sports or Musical Instruments With Braces?

Yes. Most patients continue normal activities during treatment. A protective mouthguard is recommended for contact sports to protect both teeth and orthodontic appliances.

Do I Need a Referral to Schedule an Appointment?

No referral is required. You can contact A Smile by Design directly to schedule a consultation with Dr. Phillis.

How Do I Choose Between Braces and Invisalign in Durango, Cortez, or Pagosa Springs?

The best option depends on your specific needs, lifestyle, and treatment goals. Braces may be better for complex cases, while Invisalign offers a more discreet option for mild to moderate alignment. Dr. Phillis will evaluate your smile and recommend the most effective treatment for you.

How Do I Know If I Need Orthodontic Treatment in Durango, Cortez, or Pagosa Springs?

Common signs include crowded or spaced teeth, bite issues, jaw discomfort, or shifting teeth over time. A consultation with Dr. Phillis can help determine if treatment would benefit your oral health and smile.

What Factors Affect the Cost of Braces or Invisalign in Durango, Cortez, or Pagosa Springs?

Treatment cost can vary based on the complexity of your case, the type of appliance used, and the length of treatment. Our team will review all costs, insurance options, and payment plans so you can make an informed decision.