Terms of service.

APPOINTMENT CHANGES

We request 48 business hours notice for changes to scheduled appointments.

This allows us enough time to give your appointment to another patient who would be most appreciative to see us sooner.

Appointment changes made with less than 48 hours notice will attract a $50 administration fee*

Appointment changes made with less than 24 hours will attract a fee of 50% of the estimated fee for that appointment*

* If you're genuinely ill and have a medical certificate we'll happily waive the cancellation fees.

PAYMENTS

Payments are required at the time of the appointment.

We have HICAPS for immediate co-payments by participating Health Funds. Please check with your health fund prior to booking an appointment with us to find out your own level of rebates, as we're unable to give you this information ourselves.

We accept all major credit cards. Credit cards may attract a small surcharge.

COST ESTIMATES

We're very happy to provide you with cost estimates for any treatment we plan for you following a consult.

YOUR WELLBEING IS OUR PRIORITY

If we believe you are intoxicated in a way that could affect your treatment by us, or we believe that you are not well enough to have the planned treatment with us, for example overly high or low blood pressure or blood sugar level, or for any other reason we deem relevant, we reserve the right to cancel your appointment or change the planned treatment for the visit. Any remaining work will be rescheduled to a future appointment when you have your doctor's medical clearance for dental treatment. 

Australian Society of Orthodontics Consent to Treatment guidelines

Orthodontic Treatment

Orthodontic treatment promotes a healthy smile, healthier teeth and gums and a better bite for normal chewing. Orthodontic treatment depends for much of its success on the under-standing and co-operation of the patient. This form covers the usual material risks associated with orthodontic treatment. Other factors may also be described by your orthodontist. You may ask your orthodontist to explain anything you do not understand. While recognising the benefits of healthy teeth and a pleasing smile, you should also be aware that orthodontic treatment has limitations and potential risks and there may be alter-native treatment options. You should clarify what is expected of you as a patient, or as the parent of a young patient, to achieve excellent results. Keep in mind that with orthodontic treatment, like other healing arts, results cannot be guaranteed. The unknown factor in any orthodontic correction is the response of the patient to the orthodontic treatment. Should you have any questions please ask.

Benefits

Orthodontics plays an important role in improving overall oral health and achieving balance and harmony between the face and teeth for a healthy smile, which may enhance one’s self esteem. The correct bite of the teeth with healthy muscles and jaw joints will provide optimal chewing function. Properly aligned teeth are easier to brush and so the tendency to decay may be decreased, as may the likelihood of developing disease of the gums and supporting bone. Correctly aligned teeth are less likely to experience abnormal wear. Because of the individual conditions present and the limitations of treatment imposed by nature each specific benefit may not be attainable for every patient.

Risks

All forms of medical and dental treatment including orthodontics, have some risks and limitations. Fortunately in orthodontics complications are infrequent and when they do occur they are usually of only minor consequence. Nevertheless, they should be considered when making the decision to undergo orthodontic treatment. The principal risks in orthodontic treatment pertain to:

1. Oral Hygiene

Orthodontic appliances do not cause tooth decay. Gum disease, tooth decay and permanent markings (decalcification) on the teeth can occur if orthodontic patients eat food containing excessive sugar or do not brush their teeth frequently or properly. These same problems can occur without orthodontic treatment but the risk is greater to an individual wearing braces. It is imperative during orthodontic treatment that extra care be taken with oral hygiene and tooth brushing in particular.

2. Relapse

Teeth may have a tendency to change their positions after treatment. The long term, faithful wearing of retainers should reduce this tendency. Teeth can however, move any time, whether or not they have had orthodontic treatment. This is especially true during the late teen period when active growth of the facial bones is coming to an end. The most vulnerable teeth are those at the front. Throughout life the bite can change adversely from various causes such as eruption of wisdom teeth, growth or maturational changes, mouth breathing, playing of musical instruments and other oral habits. Very occasionally tooth movements will be severe enough to merit a further course of treatment to ensure a satisfactory result.

3. Periodontal Health

The health of the bone and gums which support the teeth may be affected by orthodontic tooth movement if a condition already exists, and in some rare cases where a condition does not appear to exist. In general, orthodontic treatment lessens the possibility of tooth loss or gum infection due to misalignment of the teeth or jaws. Inflammation of the gums and loss of supporting bone can occur if bacterial plaque is not removed daily with good oral hygiene.

4. Root Shortening

In some patients the length of the roots of the teeth may be shortened during orthodontic treatment. Some patients are prone to this happening, some are not. It is nearly impossible to predict susceptibility. Usually this shortening does not have significant consequences, but on very rare occasions it may become a threat to the longevity of the teeth involved.

5. Jaw Joints

Occasionally patients may suffer pain or dysfunction in the jaw joints (TMJ). This may present as joint pain, headaches or ear problems. These problems may occur with or without orthodontic treatment. Any of the above noted symptoms should be reported to the orthodontist. Some patients are susceptible to TMJ problems and some are not. Numerous studies have shown that the movement of the teeth during orthodontic treatment is unrelated to the onset of TMJ problems. Just as for painful conditions in other joints, discomfort in TMJ can last from a few days to several weeks or longer.

6. Tooth Vitality

Sometimes a tooth may have been traumatised by a previous accident or a tooth may be decayed or have fillings which can cause damage to the nerve of the tooth. Orthodontic tooth movement in some cases aggravates this condition and in rare instances may lead to loss of tooth vitality and discolouration of the tooth requiring root canal treatment and other dental treatment to restore the colour of the tooth.

7. Loose appliances and discomfort

The gums, cheeks or lips may be scratched or irritated by newly placed appliances or by loose or broken appliances or by blows to the mouth. You will be given instructions on minimising these affects. Very rarely loose orthodontic appliances may be accidentally swallowed or aspirated. You should inform your orthodontist of any unusual symptoms, or broken or loose appliances, as soon as they are noted. Usual post adjustment tenderness should be expected and the period of tenderness or sensitivity varies with each patient and the procedure performed. (Typical post adjustment tenderness may last 24 to 48 hours)

8. Atypical Growth

Insufficient excessive or asymmetrical changes in the growth of the jaws may limit the orthodontist’s ability to achieve the desired result. If growth becomes disproportionate during orthodontic management the treatment may be prolonged. Growth changes that occur after orthodontic treatment may alter the quality of treatment results and may require further orthodontic treatment. In some cases of atypical growth, the bite may change so much that oral surgery is required to achieve the best possible result.

9. Headgear

If improperly handled, headgear may cause injury to the face. Patients are warned not to wear the appliance during times of boisterous or competitive activity.

10. Treatment Time

The total time required to complete treatment may exceed the estimate. Poor co-operation in wearing the appliance or the elastics the required hours per day, poor oral hygiene, broken appliances and missed appointments can lengthen the treatment time and affect the quality of the results.

11. Co-operation

Co-operation throughout treatment is your best guarantee of achieving a pleasing smile and a good bite. Failure to co-operate could force the orthodontist to change the procedures and goals of your treatment. As a last resort treatment might have to be suspended. The consequences of early suspension may be worse than no treatment at all.

12. Complementary Aesthetic Dentistry

If your teeth vary from normal in the number size or shape of the teeth, achievement of the ideal result (for example, complete closure of excessive space) may require restorative treatment. The most common types of complementary treatment are cosmetic bonding, crown and bridge restorative dental care and periodontal therapy.

13. General Health

General medical problems can affect orthodontic treatment. You should keep your orthodontist informed of any changes to your medical health.

You will be required to sign a copy of these terms of service prior to commencing orthodontic treatment at Smile and Function Orthodontics.

Last updated July 2019.