Treatment

When to Schedule Your First Visit

The American Association of Orthodontics recommends that an initial orthodontic evaluation should occur at the first sign of orthodontic problems or no later than age 7. At this early age, orthodontic treatment may not be necessary, but the best time to begin treatment can be anticipated at this point. By age 7, the first adult molars erupt, establishing the back bite. During this time, Dr. Schulten can evaluate the front-to-back and side-to-side tooth relationships. For example, the presence of erupting incisors can indicate possible overbite, open bite, crowding or gummy smiles. Timely screening increases the chances for an incredible smile.

Recognize any of these early warning signs? It might be time to schedule an orthodontic evaluation.

  • 1. Early or late loss of baby teeth
  • 2. Difficulty chewing or biting
  • 3. Mouth breathing
  • 4. Finger sucking or other oral habits
  • 5. Crowding, misplaced or blocked-out teeth
  • 6. Jaws that shift, make sounds, protrude or are recessed
  • 7. Speech difficulty
  • 8. Biting the cheek or biting into the roof of the mouth
  • 9. Protruding teeth
  • 10. Teeth that meet in an abnormal way or don't meet at all
  • 11. Facial imbalance or asymmetry
  • 12. Grinding or clinching of teeth
  • 13. Recommendation from general dentist or physician
  • 14. Feeling self conscious about your smile or appearance

Your First Visit

Your first visit to our office is a free orthodontic consultation. This visit includes diagnostic records which consist of digital x-rays, photographs and sometimes impressions. Dr. Schulten will evaluate your individual orthodontic needs and answer any questions you may have regarding your diagnosis and treatment options. We will cover insurance benefits and financial options including an interest free monthly payment plan. Finally, for those ready to begin treatment we will coordinate the necessary appointments to get you on your way to a beautiful smile.


Interceptive Treatment

Interceptive treatment is orthodontic treatment for children who still have their primary teeth or are in transitional dentition (a mix of primary and permanent teeth). The most common uses of interceptive treatment are:

  • Creating room for crowded, erupting teeth
  • Creating facial symmetry through influencing jaw growth
  • Reducing the risk of trauma to protruding teeth
  • Preserving space for unerupted teeth
  • Reducing the need for tooth removal
  • Reducing treatment time with braces

Comprehensive Treatment

Comprehensive treatment refers to the treatment of both the upper and lower teeth and sometimes consists of multiple phases and appliances. We have three options when it comes to comprehensive treatment:

  • Metal braces - these are the most common type. They are made of high-grade stainless steel. Colored ligature on each bracket can be changed at each appointment.
  • Ceramic braces - these are made of translucent (clear) material. They are popular due to their cosmetic appeal.
  • Invisalign - The Invisalign System is a series of clear overlay templates, called aligners, that have been generated by computer simulation to gradually move the teeth. Invisalign is available to teens and adults on a case by case basis. Dr. Schulten will be able to tell you if you are a candidate for Invisalign.

Adult Treatment

Orthodontics isn't just for kids anymore. Currently 20% of people in treatment are adults. With healthy gums and bone support, teeth can be moved at any age and today's technology makes it easier, more comfortable, and less noticeable than ever!


Common Questions

Is it necessary to have a referral from my dentist before I call Dr. Schulten for an appointment?

No, it's not. Many of our patients have been referred to us by their family dentist, however many patients take the initiative to schedule an examination themselves.

At what age should I schedule an appointment to see the orthodontist?

The American Academy of Orthodontists recommends an orthodontic screening at age 7. By this age, several permanent teeth in most children have erupted, allowing us to effectively evaluate your orthodontic condition.

Will my teeth straighten out as they grow?

Generally not. Sometimes spacing of the upper front teeth improves as the canine teeth erupt, but if the teeth are crowded they usually get even worse with age.

What information do I need to schedule an appointment for an initial exam?

When you call our office, our staff will be happy to schedule your free initial consultation. You will be asked some basic questions to start your patient profile. You will also be asked if you have orthodontic benefits attached to your insurance plan, so it may be helpful to have your insurance card handy when you call. If you are not sure about your orthodontic coverage our staff will be happy to assist you by calling the insurance company for you.

What will happen at the first appointment?

At your first visit, you will be seen by both the staff and by Dr. Schulten. The staff will show you around the office and take any necessary x-rays and photos needed for a proper diagnosis. Dr. Schulten will then complete a brief, but thorough, exam. He will then discuss with you the diagnosis and treatment plan. If orthodontic treatment is recommended, a staff member will discuss the treatment fees with you as well as our payment options and any insurance benefits you may have. We allow an hour for each new patient exam in order to make sure all of your questions and concerns can be properly addressed.

How often will I have an appointment?

Appointments are scheduled on an individual basis. Most patients in braces will be seen every 5 to 8 weeks. If there is a specific situation that requires more frequent monitoring, we will schedule appointments accordingly.

Can all of my appointments be scheduled after school?

Unfortunately, we cannot accommodate all of our students during the after-school hours. Sometimes longer appointments are necessary and may need to be scheduled in the mornings. We do this because these longer appointments often require more 1-on-1 time with Dr. Schulten and we want to accommodate as many people as possible during the after school hours. However, because most appointments are scheduled 5 to 8 weeks in advance, most patients will miss minimal amounts of school and will have time to plan accordingly. We will, however, make a sincere effort to meet your scheduling needs.

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

Yes, you will need to have a regular cleaning and exam every six months with your family dentist.

Why Choose Schulten Orthodontics

At Schulten Orthodontics, we are committed to providing our patients with the highest quality orthodontic treatment in a friendly, caring, and professional atmosphere.  We believe that your decision to have orthodontic care will be one of the best you will ever make. We look forward to meeting you and introducing you to our office and staff.


Experience

Dr. Schulten:

  • Graduated from the University of Louisville School of Dentistry in 1993
  • Served as a Dentist for 7 years active duty in the United States Air Force where he also completed a one year Advanced Education in General Dentistry program
  • Pursued specialty training in orthodontics at the University of Louisville and received a Master of Science degree in Oral Biology in 2002
  • Active member of the American Dental Association, American Association of Orthodontists, Southern Association of Orthodontists and the Kentucky Dental Association.
  • Schulten Orthodontics was opened in 2005 and has proudly served the Louisville area for over 11 years and counting

Excellent Patient Care

  • We strive to exceed your expectations by providing the highest quality care in a fun, caring atmosphere
  • We offer complimentary initial examinations and no-cost recall observation visits
  • Parents and family are welcome in the treatment area or can enjoy a cup of coffee, bottle of water and some television in the comfy waiting room
  • Our clinical and administrative staff has an average of over 15 years experience in the dental field

Location

  • Our office is easily accessible from any part of Jefferson and Bullitt Counties
  • Our main office - Commerce Crossings - is just off of I-65 and I-265 (Gene Snyder), easy access from all parts of the county
  • Our satellite office – Poplar Level – is on Poplar Level Road, between I-264 and Eastern Parkway

Family & Friends

  • The majority of our referrals come from family and friends confirming their satisfaction and loyalty
  • We love when parents and children take their journey through orthodontics together
  • Free exams and recall observation appointment for all family members
  • Each additional family members receive an additional 10% full treatment discount

Where the Dentists’ Families Go

  • Our referring dentists not only trust us with the care of their patients, but also with the care of themselves and their loved ones
  • Over a dozen local dentists have chosen Schulten Orthodontics for treatment for themselves, their family or staff members. We consider this a complement to our quality of care and commitment to excellence.

We Love Technology

We strive to use the most state-of-the-art technology to ensure you receive optimum results. Some of our latest innovative technologies we utilize include:

  • Invisalign
  • Propel – Accelerated Orthodontic Treatment
  • Digital x-rays
  • TADs (Temporary Anchorage Devices)
  • Fully computerized systems
  • Email and text appointment reminder system

Prevention is Priceless

We recommend that a child receive their first orthodontic screening no later than age 8. Phase I interceptive treatment proves beneficial for preventing/correcting potentially severe problems such as:

  • Impactions, crossbites, underbites, overbites, crowding, spacing, etc.
  • Unfavorable tooth eruption
  • Unfavorable jaw growth
  • Protruding front teeth
  • Harmful thumb, tongue or breathing habits

Adult Orthodontics Specialist

It’s never too late to receive the smile you’ve always wanted. A large number of our patients are adults. Dr. Schulten is highly skilled in treating adult orthodontic problems, ranging from minor tooth movement to very complex issues. We offer a full range of services including:

  • Invisalign (clear aligners)
  • Fixed braces (metal or clear)
  • Propel – Accelerated Orthodontic Treatment
  • Minor corrections using retainers

Flexibility and Affordability

We offer a variety of payment options to meet your needs, including:

  • No interest payment plans
  • Care Credit
  • Discount for cash/check payment in full
  • VISA, MasterCard, Discover
  • Most insurance plans accepted

Family Fun

Adults and kids alike will have lots of fun with our office:

  • Monthly drawings and giveaways
  • Summer Party for the whole family
  • Handheld video games to play while waiting
  • Coffee and TV in the waiting room
  • Fun and friendly atmosphere

Scheduling Goals

During orthodontic treatment you will typically see us every 4-10 weeks. Some of these appointments will inevitably conflict with work or school schedules. Our goal is to minimize these inconveniences as much as possible. In order to achieve this goal, we have established the following scheduling guidelines:

Adjustment Appointments:

The adjustment appointment is a shorter appointment, usually 20-40 minutes long. Most of our patients schedule at various times throughout the day, however we do reserve the after school hours for this type of appointment in order to maximize the number of patients that can be seen after school hours. These appointments will occasionally occur during work or school hours and we are happy to provide you with an excuse slip.

Longer Appointment:

Appointments over 40 minutes and appointments that require impressions of the teeth to be taken are scheduled in the morning and early afternoon, prior to 3:00. This allows us to maximize the number of patients we can accommodate after school and work hours. We are happy to provide you with an excuse slip to give school or your employer upon returning.

Keep your Treatment on Schedule:

  • Keep regular scheduled appointments
  • Maintain good oral hygiene
  • Be careful what you eat
  • Wear rubber bands, headgear, appliances as instructed
  • Follow through with recommended treatment and referrals
  • See your General Dentist for a cleaning and exam every 4-6 months

Appointment Reminders:

We provide our patient with a printed appointment slip when scheduling the next appointment before leaving the office. We also send email/text reminders 2 days and 1 hour before appointments. Please keep us current with your phone numbers and email addresses.

Emergencies:

True orthodontic emergencies are rare, and most problems such as broken wires or loose brackets can be handled by scheduling a repair appointment, many problems can be addressed at your next appointment. Please contact us with the nature of your problem so we can guide you in an appropriate action and make you comfortable as quickly as possible. Also, please visit the “Life With Braces” tab above to see if a temporary solution is available at home.

What is Invisalign?

Invisalign is the clear way to straighten teeth without braces, using aligners. Aligners are removable and virtually invisible, which means you can straighten your teeth without everyone noticing; and you can still eat and drink what you want. Also, you can brush and floss normally to maintain healthy gums and teeth; there are no metal wires or brackets to cause mouth abrasions. Invisalign is custom-made for your comfort.

How does Invisalign work?

  • Wear each set of Aligners for 2 weeks (or as instructed by Dr. Schulten)
  • Remove Aligners only to eat, drink, brush and floss.
  • Your teeth will move gradually each week.
  • Visit us every 6-10 weeks as instructed.

What do I need to do to get started?

  • Call us to schedule your complimentary consultation, which includes x-rays, photos and exam at no charge.
  • If treatment is indicated, we will schedule your Invisalign impressions as soon as possible and send them to Invisalign and start your orthodontic treatment.

If you are interested in decreasing your treatment time, ask if Propel is right for you.

PROPEL Orthodontics

We are excited to offer PROPEL technology in our practice. PROPEL works with the patient’s own biology by stimulating the bone surrounding the teeth, allowing the teeth to move faster and more predictably into their ideal position. This means less time in treatment and fewer appointment visits for patients in either traditional braces or Invisalign.

How does PROPEL Work?

The PROPEL System used a procedure called Alveocentesis to make invisalign and traditional braces more efficient. Alveocentesis is used to accelerate the stimulation of bone production and repair in the upper and lower jaw. In order to accomplish this, Dr. Schulten will make micro-invasive “dimples” in strategic areas of the upper and/or lower jaw, allowing the teeth to shift and tissue to heal faster than they ever could with orthodontic treatment alone. PROPEL is completed chair-side in minutes by Dr. Schulten and yields little to no discomfort to the patient. There is zero recovery time and the patients are able to return to their normal daily routine immediately.

With PROPEL Orthodontics, Dr. Schulten can help:

  • Move teeth faster
  • Stimulate alveolar bone development
  • Cut your orthodontic treatment time in half!