First Visit

At your first visit to Dr. Pulispher’s office, you will be welcomed and given a tour or the office. Dr. Pulsipher will examine you or your child and explain his diagnosis as well as different treatment options. He will be more than happy to address any concerns or questions you may have. Following your exam, the treatment coordinator will go over all of the related fees.

Your fee is dependent upon the severity of your case. We offer a variety of payment options in order to suit your situation and we will file all claims to your insurance carrier in order to obtain the maximum benefit.

Scheduling Your Initial Appointments

Depending upon your treatment plan, there may be two to three initial appointments to get started. Following your exam, your next appointment is for a set of diagnostic records. These typically include plaster study models of your teeth, photos of your face and teeth, and two x-rays. This information is necessary for Dr. Pulsipher to develop a custom treatment plan for you as well as ensure there are no major issues beneath the gum line.

Your next appointment is 5-7 days later, when the braces will be placed on your teeth. Please plan one to two hours for this appointment. If an expander if needed, there will be a third appointment scheduled one to two weeks later. Thereafter, you will see Dr. Pulsipher every four to six weeks, for appointments ranging from 30-60 mins, for the duration of your treatment.

Common Frequently Asked Questions (FAQs) Include:

Aren’t braces just for cosmetic purposes?

Not really. There are also health reasons for them. Misaligned teeth can result in jaw problems. Crowded teeth can be difficult or impossible to clean properly, which can lead to severe tooth and gum problems.

Does it hurt to have braces?

This depends on how complicated your case is. If you have a lot of twisting and gaps and over/under biting to correct, there can be a lot going on. HOWEVER, overall braces today are a lot less painful than they were 20 years ago. There isn’t “tightening” of wires – instead they put in progressively larger wires that fit in the brackets more closely. And most of the archwires are heat sensitive so that not only does drinking something cold relieve your discomfort, it also relaxes the wire a bit.


Why should children be seen before all of their permanent teeth have erupted?

Early orthodontic treatment is effective and desirable in certain situations. Some of the problems which do require early orthodontic treatment include:

  • A crossbite of the back teeth (posterior crossbite).
  • A crossbite of the adult front teeth (anterior crossbite, permanent dentition).
  • An extremely narrow upper dental arch (severe bilateral maxillary constriction).
  • Inadequate growth and development of the midface (midface hypoplasia).
  • Severe crowding which prevents the normal eruption of adult teeth.
  • Tipping of teeth which prevents the normal eruption of adult teeth.
  • A six-year molar which cannot erupt because it is caught underneath a baby tooth (ectopic eruption of the first permanent molar).
  • Adult front teeth which are protruding excessively, and are therefore in danger of being hit or traumatized (extremely flared maxillary incisors).
  • An adult tooth which is erupting in the wrong direction (ectopic canine eruption).
  • A front tooth having a very receeded gum line due to its unfavorable position in the arch (extreme gingival recession secondary to protrusion).
  • A child with a cleft palate who is about to have a bone graft done (presurgical orthopedic expansion).