Pittman Family Orthodontics
Explore our Different Treatment Options
Fuquay-Varina Orthodontic Services
Fuquay-Varina Orthodontist Dr. Pittman will Help You Love Your Smile
We offer a range of orthodontic services to meet your unique needs, including Damon Metal and Clear Braces, and Invisalign and Spark Aligners. We use a digital scanner and 3D printer for accurate and comfortable appliances and retainers. Our team will work with you to determine the best personalized treatment plan.
Damon Clear Braces
Damon Metal Braces
Child & Adult Orthodontics
Soft Tissue Laser
Serving Fuquay-Varina, Angier, Holly Springs, Willow Spring, Lillington, Raleigh, and other nearby locations in NC.
At Pittman Family Orthodontics, we provide premium adult orthodontic care that ensures you have a confident and healthy smile. Our adult orthodontic treatments involve the use of orthodontic appliances, such as clear aligners or braces, to correct misaligned teeth, jaws, and bite problems.
Despite being commonly associated with children and teenagers, many adults undergo orthodontic treatment to improve their dental health, function, and aesthetics.
Child & Teen Orthodontics
Every child deserves a healthy and happy smile. As parents, we want the best for our children and that includes their dental health. We develop customized treatment plans with the family to create healthy and beautiful smiles.
Orthodontic surgery is a great augment procedure to orthodontics to address underlying skeletal disharmony. The primary goal of the surgery is to enhance the function and aesthetics of the teeth, jaws and facial structure. It may involve several methods, including repositioning of the upper and lower jaws, reshaping the chin or cheekbones, or correcting a cleft palate.
Kids, Teen & Adult Braces
Metal braces use a system of brackets, wires, and elastic bands to gradually shift your teeth into the correct position. This method is highly effective in correcting a wide range of orthodontic issues, from overcrowding to misaligned bites.
While some may shy away from metal braces due to their reputation for being noticeable and uncomfortable, advancements in orthodontic technology have made them more comfortable and discreet than ever before. Plus, metal braces are often a more budget-friendly option compared to other orthodontic treatments.
Ceramic braces are a great options for patients who prefer or need braces, but hope to make it inconspicuous. Ceramic brackets are made of a porcelain material that will not stain.
Pittman Family Orthodontics is pleased to offer our patients passive self-ligating Damon braces. These brackets have small doors which means we don’t need to use o-rings that deteriorate over time. By combining tie-less brackets and high-tech archwires, we minimize discomfort by reducing the amount of pressure being placed on the tooth and require fewer adjustments because there are no elastics to replace.
Invisalign and Spark Aligners
Invisalign and Spark Aligners for Teens & Adults
At Pittman, we understand that traditional braces can be inconvenient for adults who wish to straighten their teeth. That’s why we offer Invisalign & Spark aligners treatment, which is the clear choice for discreet teeth straightening. With transparent plastic aligners custom-fitted over your teeth, the treatment is comfortable and gentle, gradually moving your teeth to the desired position. The treatment plan involves wearing a series of aligners, each for a specific period of time. Typically aligners require less office visits compared to traditional braces. The best part is, the aligners are removable, making them incredibly convenient for your lifestyle.
Schedule your complimentary consult below
New Patient Appointments
We are excited to meet you at your new patient appointment! We reserve an hour for this appointment in order to have plenty of time to get to know you and answer any questions you may have. Our new patient exam is complimentary. At this appointment, we take photos, radiographs, and a digital scan of your teeth. Dr. Pittman will complete an exam and review your personalized treatment plan with you. Our treatment coordinator presents financial, insurance, and scheduling information. We send a summary home with you as well as a copy to your dentist. There is time to ask questions. Our goal is for you to get to know us well and feel comfortable with our office since orthodontics is a big decision!
How do I schedule?
We offer a few convenient ways to schedule your new patient appointment. You can call our office line during business hours at 919-762-3001. You can also schedule online through our website at the ‘Book Online’ link.
What do I need to do before my appointment?
Prior to your appointment, we need you to complete an online health history. You can find the link on our website or we are happy to email you the link. When booking your appointment online, a link to the questionnaire is included in the confirmation page. We will ask for information about the patient’s dental insurance so have that information ready.
Will Dr. Pittman discuss my case with me?
Yes! After Dr. Pittman performs an exam and reviews your records, he will discuss the findings and present your treatment options. He will explain the advantages and disadvantages of the different options and answer any questions you may have.
How much radiation is in the radiographs?
Fortunately, the radiographs required for orthodontic treatment have minimal radiation when taken with modern radiograph units. The amount of radiation is roughly equivalent to riding on an airplane.
Are you in-network with my insurance?
We are in-network with most dental insurances and file claims for all dental insurance networks except Medicaid. Prior to your visit we will check your insurance benefit and review this information with you at your appointment. We typically receive payments directly from your insurance company throughout treatment. Unfortunately most dental insurance orthodontic benefits do not cover the full cost of braces, but we do offer interest-free financing.
Do you offer financing?
Yes! Some patients choose to pay in full, but most take advantage of our in-house financing. We offer a low down-payment and a bank draft or credit card automatic monthly payment.
Do you accept HSA (Health Savings Account) or FSA (Flexible Spending Account)?
Absolutely. We are happy to work with you to ensure you are utilizing these accounts as much as possible.
Do I choose how I would like to be treated?
Yes. Most patients have a few options for treatment. Our goal is to help you choose by giving you the information you need to make a wise decision. Of course, if one specific treatment approach will be more effective, we will let you know.
If I’m ready to move forward with treatment, can I get started the same day?
Usually we are able to begin treatment the same day as your new patient appointment if you are ready to move forward!
How do I know which orthodontist to choose?
We realize it’s a big decision! And it can be confusing if you’ve received a different treatment plan from another provider. Consider these questions. Am I comfortable with the provider’s communication style? Do the credentials of the provider indicate they practice evidence-based orthodontics? Is the provider board-certified? Do I like the treatment plan? Were my questions answered? Do the scheduling options work for me? Will the care be consistent? Is the administrative work done at the office or at another center? Fortunately there are a lot of great orthodontists in our area. However, we are proud of the excellent experience you will have at our office.
Growth Observation and Management
Many of our patients have their first orthodontic visit years before we begin treatment. For most kids, these checks are quick and once all the permanent teeth have erupted we discuss orthodontic treatment. By monitoring growth and tooth exfoliation during the mixed dentition stage we are able to correct or minimize problems early and begin comprehensive orthodontic treatment at the most optimal time. For the kids that benefit from early intervention, this may mean doing interceptive orthodontic treatment or having a few primary teeth removed early.
This sounds expensive. How much do these appointments usually cost?
Our new patient exams and growth and observation checks are complimentary!
An orthodontist recommended my child have baby teeth removed. Why?
There are a few reasons why we have primary, or baby, teeth removed. Primarily it is done to facilitate better eruption of the successive permanent tooth. Other times it is done as a way to temporarily manage severe crowding.
Does an orthodontist extract teeth?
Extracting teeth falls outside the parameters of the orthodontic specialty. Your dentist or pediatric dentist will typically extract primary teeth, although you have the option to see an oral surgeon.
My child is really crowded but still has a lot of baby teeth. Should we see an orthodontist?
Yes! We may still decide it makes the most sense to monitor growth and eruption versus addressing the crowding early. However, it is good to explore your options. More importantly, sometimes addressing crowding early will make future treatment much easier.
Interceptive Orthodontic Treatment
Certain orthodontic problems need to be addressed early. Typical problems that necessitate early treatment are crossbites, severe crowding, underbites and misalignment that is causing psychosocial problems. Early treatment at our office is typically for a year or less and is targeted to address the specific problem that requires early intervention.
Do all children need interceptive treatment?
No! In fact most kids do not.
If my child has interceptive treatment, will they need orthodontic treatment again?
Usually yes. Early treatment is done as efficiently as possible to address specific problems that need to be corrected early. Comprehensive orthodontic treatment is more holistic in it’s goals and as a result takes more time and is more effective when all permanent have erupted. Some patients do have amazing transformations with early orthodontic treatment and we are honest in letting you know if comprehensive treatment is elective. Generally it is best to assume comprehensive treatment will be required.
When do children have interceptive or phase 1 treatment?
Most kids have early treatment sometime between the ages of 7 and 10.
How long does interceptive treatment last?
Early orthodontic treatment usually lasts a year or less.
My child sucks their thumb. Should we see an orthodontist?
Yes! Or discuss your concerns with your pediatric dentist. We have a detailed blog post on some strategies to use as a parent to address this habit. We recommend beginning with some at-home strategies such as sticker charts or sleeping with gloves or socks on your hands. If those approaches are unsuccessful we recommend seeing an orthodontist for a habit appliance.
After finishing phase 1, when do I start phase 2 treatment?
Phase 2 treatment is typically done when all permanent teeth have erupted or when a patient is entering their pubertal growth spurt. The best time to begin really depends on the patient. For most teens it is between the ages of 11 and 13 and most patients have 1-3 years between their two phases of treatment.
Comprehensive Orthodontic Treatment
Most patients receive comprehensive treatment, meaning we are moving all the patient’s teeth with a goal of creating the most ideal result. After a thorough and holistic exam, we decide together with the patient on the best treatment technique after discussing their unique presentation and the advantages and disadvantages of various approaches. After the shared decision-making process, Dr. Pittman creates a custom treatment plan that details the expected length of treatment, specific orthodontic techniques and other important details. We can make changes to our plan throughout treatment but it serves as a helpful roadmap during the orthodontic journey. Comprehensive treatment can be done with braces or aligners and can include appliances. Also, adults and teens receive comprehensive treatment.
How is phase 2 treatment different than comprehensive treatment?
Phase 2 treatment is comprehensive orthodontic treatment that is done on a patient that received phase 1 treatment. Other than that they are the same!
Are all patients treated the same way with comprehensive treatment?
Definitely not! A thorough understanding of the patient’s chief complaint, orthodontic problems, dental health, goals for treatment and lifestyle are all factors in deciding the best approach to their case.
How long does it usually take?
Since comprehensive treatment is comprehensive in its goals, treatment is longer than other types of orthodontics and varies significantly based on the treatment plan. Treatment usually lasts between 1 and 2 years.
I just have one tooth that bothers me. Why would I do comprehensive treatment?
Limited orthodontic treatment addresses specific problems and is typically done on either the top or bottom arch. For example, lower incisor crowding or spacing between the front teeth. If limited treatment is an option we let patients know; however, usually patients require or choose comprehensive treatment. Comprehensive treatment is often necessary for us to fully correct the patient’s chief complaint even if it is just one tooth. This is because the top and bottom teeth fit together like a puzzle. The technical term for this is occlusion. In limited treatment we must work within the existing occlusion since we are only moving teeth in one arch. In many patients this can compromise the results since misalignment on the opposing arch, deep bites and overjet issues can prevent tooth movement or cause unstable results. Also most patients choose comprehensive treatment even if limited treatment is an option. You’ll be coming to see us anyways and following the rules on being an all-star orthodontic patient. Most adhere to the logic that if you’re going to do it, do it right!
Will I need to have teeth extracted?
Possibly but unlikely. For a minority of patients, extractions during orthodontic treatment will lead to the most ideal result. We thoroughly review complete records and if extractions will be best, discuss the rationale when finalizing our plan. We realize when we recommend extractions, patients are NOT excited. Fortunately not many require extractions and patients that need extractions are not surprised. More often, patients are surprised they do not need extractions! Keep in mind that at the end of treatment, only you and your dentist will be able to tell teeth were removed since we close those spaces during orthodontic treatment.
I have wisdom teeth. Does that matter?
Typically wisdom teeth do not impact our orthodontic treatment plan. As part of the diagnostic records we take a panoramic radiograph and review their position. Occasionally we recommend their removal if they will prevent alignment of other teeth, have a cavity or are positioned in a way that makes it difficult to keep them clean.
Do I still see my dentist during treatment?
Most definitely yes! It is even more important to have professional cleanings while in orthodontic treatment because it is more difficult to keep your teeth clean. Maintain your normal cleaning schedule or consider increasing the frequency of cleanings. It is also important for your dentist to continue to check for cavities during treatment.
My dentist said I need to have some work done. Is that completed before or after orthodontist treatment?
It depends. Any active decay or disease is almost always addressed prior to orthodontic treatment. Typically crowns, veneers and removable appliances are done after orthodontic treatment. We stay in communication with your dentist before, during and after orthodontic treatment so that the sequence is clear and everyone is on the same page.
Limited Orthodontic Treatment
Limited treatment is Orthodontics that is focused on a specific orthodontic issue like posterior spacing, impacted molars or localized crowding. Limited treatment is usually shorter and less costly, and is sometimes a great option for patients.
Am I a candidate for limited treatment?
Not everyone is a candidate for a limited treatment, and a thorough exam with records will answer your question. Sometimes it is not possible to address a patient’s chief complaint without correcting other orthodontic problems.
Are results from limited treatment stable?
For a limited treatment, it is important that the final position of the teeth is harmonious with the bite. When occlusion is proper the results are more stable. With all orthodontic treatment we recommend a few months of full-time retainer wear and then wearing your retainers at night for life.
Retention is an important component of successful orthodontic treatment. This can refer to creating retainers for a new patient at our office or transitioning into retainers after active orthodontic treatment. The fibers around the teeth need time after treatment to remodel to the new position of the teeth, which is why retainers after treatment are so important. Additionally, soft tissue pressures on teeth change with age so teeth continue to shift without retainers. There are two main categories for retainers: bonded retainers and removable retainers.
What kind of retainers do you recommend?
There are a lot of different types of retainers, each with advantages and disadvantages. For certain types of cases, one style of retainer may be better. At our office we customize retainers based on your case, and will give you the option to choose as well. Clear retainers provide the most stability for front teeth, but are least durable. Hawley retainers hold width changes well, can be adjusted for new crowns or fillings and are most durable. However, some patients find them uncomfortable and they are not invisible. Bonded retainers require the least compliance but can break and are difficult to clean.
How many retainers do I receive after treatment?
For comprehensive treatment, we include four retainers at the end of treatment.
What if I break or lose my retainer?
It is important to take good care of your retainers so that they last as long as possible. However, at some point you will need replacement retainers. It is much cheaper to get new retainers than to let your teeth shift and need orthodontic treatment again! We include four retainers in our comprehensive package so you have a replacement if one breaks or is lost. If you do not have a replacement, see an orthodontist as soon as possible!
How often do I need to wear a retainer?
After comprehensive treatment, we recommend four months of full-time wear. During full-time wear you should have your retainer in your mouth for about 20-22 hours/day. Remove your retainer if you are eating or drinking anything other than water and when brushing and flossing. After the full-time wear period, you will transition to night-time wear, which means wearing your retainers at night while you are sleeping. Maintaining your ideal results is a lifetime commitment. Pressures on teeth change with age which can lead to relapse. That’s why we recommend nighttime for lifetime. Once you are in the habit of wearing a retainer at night it will feel weird to sleep without them!
Can I use my retainer to whiten my teeth?
Clear retainers often work great as bleaching trays for whitening!
Can I still floss with a glued-in retainer?
Yes, and you should! It requires more effort since you have to thread the floss under the wire. We typically place lower bonded retainers that are only glued to the canines as opposed to every tooth. As a result, they are much easier to clean.
I need a night guard. What about my retainer?
Nightguards typically function as a retainer for one arch. Keep in mind though that the opposing arch will still need a retainer to maintain alignment.
I missed some retainer wear and now it feels really tight. What does that mean?
A tight retainer either indicates the retainer was distorted or your teeth have shifted. Often increasing the frequency and length of retainer wear will help your teeth shift back to their correct position!