Your First Orthodontist Visit

You’re in Good Hands!

The timing of your treatment is very important. You or your child may or may not be ready for treatment. Therefore, an examination of your teeth and bite will allow us to better understand your needs. The first appointment will take approximately 45 minutes. This will be an opportunity to meet with us and gather information. We will utilize this time to perform a limited evaluation of your dental and orthodontic issues, discuss possible orthodontic treatment options that will be appropriate, and the optimum time to start treatment. We will also take into account your own concerns, your dental development and your oral hygiene. Patients who are not ready to start treatment will be advised to be reevaluated every 6-12 months. For those who are ready to start immediately, we will make an appointment to take orthodontic records which includes digital study models, photographs and the necessary radiographs. These orthodontic records will be necessary to provide you with appropriate and definitive treatment options from which to choose.

Your comfort and addressing your concerns is our priority. Therefore, we want to ensure that you are well informed of the orthodontic process and your particular situation. We will make every effort to answer all of your questions at your initial visit. However, should we need more diagnostic information to be able to present treatment options, we will recommend taking orthodontic records to adequately provide you with appropriate treatment alternatives.

Our objective is to make sure your visits with us will be pleasant and informative. Your initial appointment will consist of an examination and a discussion of potential treatment options. This important visit will address the orthodontic needs of you or your child.

Please assist us by providing the following information at the time of your first visit:

  • Any radiographs  (x-rays, if applicable)
  • Information regarding your dental insurance provider and policy information
  • Completed online or printed patient registration forms found in our website under “Intake Forms”

Please alert the office if you have a medical condition that may be of concern (i.e. diabetes, high blood pressure, artificial heart valves and joints, rheumatic fever, etc.) or if you are on any medication (i.e. heart medications, aspirin, anticoagulant therapy, etc.)

Broken Appointments: If for some reason you cannot make it to your appointment, please contact our office at Vancouver Phone Number 360-695-1356. By doing so you allow another patient to use that time as well as reschedule your appointment. If it is after hours, please call, text or email us and leave your name, number, a brief message, and preferred method of contact (call, text, or email). We will contact you as soon as convenient.


If it is determined that treatment is indicated, you will be scheduled for diagnostic records. These records usually consist of digital study models, diagnostic photographs and orthodontic radiographs (x-rays). Once these orthodontic records have been obtained, Dr. Retoma will review them and determine appropriate treatment options for you or your child.


Periodic visits are an important part of orthodontic treatment. Generally, we will want to see you every 6 to 8 weeks to check your progress and make adjustments to your braces or deliver your next set of aligners.  During this time, you will need to keep appointments, follow instructions, eat nutritiously and practice good oral hygiene. Also continue to visit your dentist regularly.

Once your braces are removed, retainers are utilized to hold your teeth in their new positions until your bone, gums and muscles adapt to the new teeth positions. The retention period is an important part of your overall treatment and should not be neglected!


Braces or Aligners may be on between 6 months to 30 months or longer depending on the age of the patient, the severity of the problem, the patient’s cooperation and the degree of movement possible.


Before any orthodontic treatment, your family dentist should make certain that all cavities have been treated and the health of your gums and underlying bone are free of periodontal disease.

In addition, your dentist or an oral surgeon will remove any teeth that Dr. Retoma prescribed to eliminate crowding and correct your bite. Your family dentist should also schedule cleaning and cavity checkup visits during your orthodontic care. We would like to reinforce the need to keep your regular visits with your family dentist because we are only an aid to your family dentist and not a replacement.

We thank you for visiting us!

Upon completion of your limited exam but prior to departure, we will sit down with you to discuss in detail what to expect if you proceed with orthodontic treatment with our enthusiastic team. If a determination for treatment is able to be provided by Dr. Retoma, Ashley will then be able to provide you with the costs associated with treatment and any orthodontic benefit you may have.

We enjoy meeting all prospective patients and their families. It is our hope that we will assist you in understanding your orthodontic needs and that we will be a part of your orthodontic journey.

Retoma Orthodontics Invisalign Provider