Your First Visit at Westwalk Orthodontic Group


Before your first visit, we will send you an introductory email to welcome you to our practice. We will also send you paperwork to complete, including dental and medical questionnaires. If you have not filled out everything beforehand, we kindly ask you to arrive 15 minutes prior to your scheduled appointment to complete the forms.

Our practice consists of board-certified orthodontists Drs. David and Gary Romeo, and Dr. Steve Cagliostro. Please feel free to read through their backgrounds on our website. Also, when you initially call our office, we will provide more information about each. You can schedule your evaluation appointment with the orthodontist you feel most comfortable with.

When you walk into Westwalk Orthodontic Group, you will always be greeted by one of our friendly team members. At your first visit, you and your child will then meet with the orthodontist for a comprehensive clinical evaluation. During this evaluation, the doctor will discuss with you any orthodontic issues at hand, and the potential for orthodontic treatment at that time or in the future.

If treatment is recommended, the orthodontist will explain the reasoning for the decision and optimal timing of initiating treatment.

If starting treatment should be delayed, the orthodontist will schedule a follow-up visit in three to 12 months. Postponing treatment is often advised to allow further eruption of adult teeth or to allow further jaw development.

If you are ready for orthodontic treatment, the next step would be to schedule an appointment for diagnostic records, followed by a second appointment for a consultation to discuss the plan of treatment in detail. The diagnostic records appointment will consist of radiographs, intraoral and extraoral pictures, and models of the upper and lower teeth.

At the consultation appointment, the orthodontist will discuss all the diagnostic information and a detailed sequential plan of treatment.

When should you schedule your first visit at Westwalk?

A key to successful orthodontics is deciding on the optimal time to start treatment. The American Association of Orthodontics recommends that children see an orthodontist for an initial consultation at seven years old. In our practice, we typically prefer to see patients at eight years of age.

The vast majority of eight-year-olds are not ready for treatment, but a brief exam enables us to evaluate the eruption of the permanent teeth, loss of baby teeth, and any other potential discrepancies in the bite that may need to be monitored or addressed. This first appointment provides a baseline for the orthodontist to be able to monitor the permanent teeth as they erupt in future visits, as well as growth and development of the upper and lower jaws.

On the other end, we find that patients often wait too long to see an orthodontist. Please do not delay in scheduling a consultation until all the baby teeth are lost. Also, please do not delay seeing us until all the adult teeth are in your mouth. At that point in time, potential orthodontic treatment options may be limited, because the peak of jaw growth will likely have passed.

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