Lionville Professional Center
145 Dowlin Forge Road
Exton, PA 19341

Gap Business Center
Route 30
Gap, PA 17527
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Do you offer Invisalign Treatment?

We sure do. As you probably already know, Invisalign Orthodontic treatment is a technique that can straighten and improve your smile without the use of braces. Yes, you read that correctly without the use of braces. Invisalign is a newer, more esthetic way to perform Orthodontic treatment. While Invisalign treatment is unable to do everything that braces can, for limited (simpler) treatment needs, this can be a great treatment alternative. Invisalign Treatment is very popular with our adult patients, and it can help child patients as well. Because each patient has unique treatment needs, the best way to learn if you might be a candidate is to schedule an initial appointment with us.

How much will treatment cost?

Each patient comes to us with unique concerns and conditions, so the fee is based on the patient's treatment needs. Thus it is in everyone's best interest to avoid giving inaccurate fees before meeting the patient. We offer a free initial exam to all new patients. At that first visit, we will be able to present a fee and treatment plan alternatives.

Do you charge for an initial visit?

Our initial visit is complimentary, so there is no charge.

How long will the first visit take?

Your first visit typically lasts between 40 and 60 minutes. For your convenience, we set aside extra time in case there are further questions, or if you'd like to start treatment right away.

Do you treat adult patients?

We enjoy treating adult patients very much. In fact, Dr. Virgulti's experience with adult patients is quite extensive - he's treated well over one thousand adult patients.

Does wearing braces hurt?

Braces and other Orthodontic therapies work by delivering energy to certain teeth at certain times - it is this selective energy that creates the tooth movement you need for correction. Because your teeth are moving, some pressure is normal. It usually lasts about 2-3 days and is tolerable. To minimize soreness, taking Tylenol or Advil is helpful.

What are the names of the different parts of the braces?
  • A: End of archwire
  • B: Elastics hook
  • C: Tie back wire
  • D: Bands. These are thin bands of metal which allow us to hold and control the tooth.
  • E: Housebrace tube
  • F: Elastic. This will provide force that will cause the teeth to move.
  • G: Brackets on bands
  • H: Bonded bracket
  • I: A-ties
  • J: Archwire
  • K: Energy chain

Will I need teeth removed to have Orthodontic treatment?

Many adults who had treatment years ago had permanent teeth removed for their Orthodontic treatment, so this is a legitimate question. Twenty-five years ago, about 3 out of 4 people who had full treatment had permanent teeth removed. According to recent surveys, the national average has reversed about 25-35% of orthodontic patients have teeth removed for treatment. In our office, less than 15% of all patients require permanent tooth extractions. Because of early evaluation, recent hi-tech treatment options, we are proud that our patients require permanent tooth extractions at a rate less than one-half of the current national average.

How do you handle fees for transfer patients?

If treatment is progressing on schedule, we try to keep the fees the same or very similar. If your treatment is ahead of or behind schedule, we would adjust the fee accordingly.

Can I eat with my retainer and bite plate in?

With retainers, we almost always recommend not eating with it in, as it could break or become distorted. The bite plate should always be in for eating, unless Dr. Virgulti has specifically asked for it to be removed at that time.

What is the difference between an orthodontist and a family (general) dentist?

The main difference is the advanced specialty training. To become an orthodontist, a general dentist must undergo at least two additional years of rigorous full-time training. It's similar to an internship a family physician undergoes to become a heart or plastic surgeon.

Do you do lingual braces (braces behind the teeth)?

At one time we worked with these braces that are placed on the tongue side of the teeth, but we stopped for good reasons. The first is their comfort - tongue side braces are difficult to tolerate for most people. Also, the treatment lasted 6 to 18 months longer, so the fee is much higher. The third reason is that excellent, non-staining tooth-colored braces are now available, and so is Invisalign. Treatment is shorter with these, and esthetics are very nice, so results are quicker, more predictable, and carry a much lower fee.

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