Common questions about orthodontics

Must my family dentist refer me to Dr. Ruchlin & Dr. Rouff for orthodontic treatment?

No. Although their family dentists refer most patients to us, many others simply take their health and appearance into their own hands and Request an Appointment.

Back To Top

What is the best age to schedule my child's first orthodontic screening?

The American Association of Orthodontists recommends an orthodontic screening at age seven. By this time, the six-year molars, as well as several permanent teeth have erupted, allowing us to effectively evaluate most potential orthodontic problems. Often times, no treatment is indicated, but Dr. Ruchlin & Dr. Rouff will monitor the growth and development of the patient and place them observation recall.

Will my child's teeth straighten out on their own?

No. The available space for front teeth does not increase as a child grows. In most people, with the emergence of the permanent 6-year molars, the space available for the front teeth actually decreases with age.

How do I schedule an appointment for an initial consultation?

Simply call our office manager, Cathy Hurst, at (716)693-9077 or Request an Appointment and we will be happy to schedule one that's convenient for you or your child.

Is there a cost for the initial consultation?

No, your first visit is complimentary.

Back To Top

What will happen at the initial consultation?

At your first visit to our office, you will be greeted by our Office Manager, and will be asked to complete a brief health form and HIPIAA Compliance form.

What will I learn from the initial consultation?

The purpose of the initial consulation is to determine if there is an orthodontic problem (and if so, what it is). An estimate of treatment type and cost will be provided. Dr. Ruchlin & Dr. Rouff will also answer any and all additional questions you might have. If following the consultation, you are interested in orthodontics, an appointment for records will be made.

What can I expect at the records visit?

Proper diagnosis and treatment planning requires a couple sets of orthodontist records. This includes impressions of the teeth, special orthodontic radiography, and photographs. After review of the records, Dr. Ruchlin and Dr. Rouff will provide you with the cost of care and treatment fee.

Will I have to have any teeth removed for braces?

Maybe. Removing teeth is sometimes needed to achieve the desired orthodontic result. However, because of the state-of-the-art orthodontic treatments and technologies at our office, the need to remove teeth has been greatly reduced.

How long does it take to complete an orthodontic treatment?

Although it depends on the individual, in general, treatment times range from 12 to 36 months. An average time a person is in braces is approximately 22 months.

What is the cost of braces in Buffalo? Are financing options available? How does my insurance work?

Unfortunately, it is impossible to provide the precise cost of braces prior to a thorough consultation at our practice. At that time, we are happy to review any applicable fees, as well as discuss the many financing options. We do file insurance on your behalf. Proper orthodontic treatment to correct a problem early on is often less costly than the additional dental care required to treat the more serious problems such as gum disease that can develop later in life.

Back To Top

What are your office hours?

Patients are seen Monday through Thursday from 7:30 AM - 5 PM, but it depends on the individual case. We recommend the patient be seen every 6-10 weeks for about 15-20 minutes for checkups.

Can all of my child's appointments be scheduled after school?

Please note, we make every attempt to meet the scheduling needs of our patients. Unfortunately it is not always possible, but because appointments are typically scheduled 6 to 10 weeks apart, most patients miss very little school.

Can I drop my child off for an appointment?

Yes, although on occasion, Dr. Ruchlin or Dr. Rouff may need to speak with you before or after treatment. Therefore, we request that you check in with our office manager when dropping off your child.

Do braces hurt?

Braces don't have to hurt to work! And, generally, braces are not painful, although following some appointments, some patients might experience sore teeth for a few days. Over-the-counter pain medications such as Advil® or Tylenol® can be used to ease any discomfort.

Can I return to school the same day I receive my braces?


Back To Top

Do you give shots?

No. Shots are not necessary for an orthodontic treatment.

Do you use recycled braces?

Absolutely not! Our practice believes that each patient should be provided with their own braces to achieve the very best orthodontic result possible. Dr. Ruchlin and Dr. Rouff have never and will never use worn, used or recycled braces.

Can I still play sports?

Yes. A mouth guard is recommended, and one can even be customized upon request.

Do I need to see my family dentist while in braces?

Absolutely. Regular checkups are very important while in braces. Your family dentist will determine how often you should be seen for regular cleanings.

Are there foods I should avoid while in braces?

Yes. A comprehensive list will be provided, but includes ice, hard candy, raw vegetables and all sticky food items such as caramel and taffy. Many emergency appointments to repair broken or damaged braces can easily be avoided by carefully following instructions regarding the foods to avoid.

Back To Top

How often should I brush my teeth while in braces?

Living with braces doesn't require much more maintenance than living without them. You should brush your teeth at least four times a day: after breakfast, lunch (or as soon you get home from school), dinner and before going to bed. Additionally, you will receive instruction as how to properly floss teeth with braces. Finally, you may be provided with a prescription for a special fluoride gel to further protect teeth.

What is an emergency appointment and how is one handled?

Although unlikely, should a situation arise where your braces break or become damaged, resulting in pain, please call our office at 716-693-9077. In most cases, we can address the issue remotely.

Can orthodontic correction occur while a child still has some baby teeth?

Yes. Some orthodontic problems are significant enough to require early intervention. However, if your child is not yet ready, we can follow his or her development to determine the perfect time to begin orthodontic treatment.

What is Phase One (early) Treatment?

In those children that could benefit from it, Phase One treatment is initiated between the ages of 7 and 10, with treatment usually lasting 12 to 21 months. There are several primary objectives for Phase One treatment: address significant problems early so as to prevent severe corrections later; to develop jaws with crowding concerns and modify jaw growth for an improved jaw relationship; and, to improve self-esteem during a child's formative years.

Will my child need full braces if he/she has Phase One treatment?

It is best to assume that your child will need full braces even after Phase One treatment. The period of time following Phase One treatment is called the "resting period," during which growth and tooth eruption are closely monitored. Throughout this period, you will be kept informed as to any potential future treatments.

Back To Top

Will my child need an expander?

At the completion of the initial consultation, Dr. Ruchlin and Dr. Rouff will determine whether or not your child will benefit from an expander.

I'm an adult. Is it too late for me to have braces?

Absolutely not! There are braces for adults because no patient is too old to benefit from the health, happiness and self-esteem that can result from healthy teeth and gums.

Can I wear braces even though I have crowns and / or missing teeth?

Yes and yes. A tooth with a crown moves just like a tooth with a filling. Also, an orthodontic treatment can aid in the alignment of remaining teeth, filling in the gaps left by missing ones.

Why should I choose an orthodontic specialist such as Dr. Ruchlin or Dr. Rouff

Teeth and even entire facial structures are sometimes permanently altered by orthodontic treatment. Therefore, it is imperative that the treatment be, first, appropriate and then, properly administered. Both Dr. Ruchlin and Dr. Rouff have extensive experience and specialized training enabling each to provide patients of any age in Buffalo and surrounding areas with the professional and state-of-the-art orthodontic treatment they deserve.

Back To Top

It's never too late and it's rarely too early to enjoy the many benefits associated with braces. You don't have to live with less than perfect teeth. Regardless of your age, our offices located at 495 Delaware St in Tonawanda, and 9386 Transit Rd in East Amherst, has an orthodontic treatment that is sure to put a smile on your face. Set up an appointment for a free complimentary initial consultation.