Most families only choose an orthodontist once or twice in a lifetime, so it makes sense that the process can feel unfamiliar. Maybe your dentist mentioned that your child’s bite is worth watching. Maybe you have been thinking about straightening your own teeth for years and finally feel ready to do something about it. Either way, knowing what to look for makes the decision much easier. This guide explains what orthodontists do, when to book a first visit, and the questions worth asking before you commit to treatment.
What Is an Orthodontist, Exactly?
An orthodontist is a dentist who has completed additional years of accredited university training focused on diagnosing and correcting the position of teeth and jaws. In Ontario, the Royal College of Dental Surgeons of Ontario (RCDSO) registers qualified dentists as certified specialists in orthodontics, and only those specialists may use the title orthodontist.
That distinction matters more than most people realize. General dentists provide excellent everyday care, and many offer some orthodontic services. A specialist, however, spends every working day on tooth movement, jaw growth and bite correction. When your treatment involves years of planning and adjustment, that focused experience is valuable. You can confirm any clinician’s specialist status through the RCDSO public register, which is free to search online.
When Should a Child First See an Orthodontist?
The Canadian Association of Orthodontists recommends that children have a first orthodontic assessment no later than age seven. Most children this age will not need treatment right away. The purpose of an early visit is to monitor how the jaws and adult teeth are developing so that any concerns can be addressed at the ideal time.
By age seven, enough adult teeth have arrived for an orthodontist to spot patterns such as crowding, crossbites or habits like thumb sucking that may affect development. In many cases the recommendation is simply to check in periodically as your child grows. When early treatment is helpful, starting at the right moment can simplify or shorten the care your child needs later.
Is Orthodontic Treatment Only for Children?
Not at all. Adults now make up a significant share of orthodontic patients, and there is no upper age limit for treatment as long as the teeth and gums are healthy. Options such as clear aligners and less visible braces have made treatment practical for busy adults, and many people in their thirties, forties and beyond complete treatment comfortably around work and family life.
What Should You Look for in an Orthodontic Practice?
In my work as a Richmond Hill orthodontist, I encourage families to weigh a few practical factors before starting treatment anywhere:
- Specialist registration. Confirm the clinician is a certified specialist in orthodontics registered with the RCDSO. It takes two minutes on the public register and completely settles the question of credentials.
- A thorough first consultation. Your first visit should include a proper examination, imaging where appropriate, and a clear explanation of what the orthodontist sees in your case.
- Straight answers about fees. Ask for a written treatment fee that explains what is included, from initial records through to retainers.
- Options explained without pressure. Braces and clear aligners each suit different situations. A good consultation covers the choices that genuinely fit your case, along with the reasons behind the recommendation.
- Convenience you can sustain. Orthodontic treatment involves regular visits over many months. A location near home, school or work makes the routine far easier to keep.
- Care for the whole family. If you have young children, a practice that also offers pediatric dentistry can simplify appointments and keep everyone’s care under one roof.
Questions to Ask at Your First Consultation
A consultation works best as a conversation, not a sales pitch. These questions will tell you a great deal about how a practice operates:
- Are you a certified specialist in orthodontics registered with the RCDSO?
- What do you see in my case, and what are my options?
- What is the total fee, what does it include, and are payment plans available?
- How long do you expect treatment to take, and how often will I need appointments?
- What happens after treatment ends, and how are retainers managed?
A trustworthy practice welcomes these questions and answers them plainly. If anything feels rushed or vague, it is reasonable to take your time or seek a second opinion.
Frequently Asked Questions
Do I need a referral to see an orthodontist in Ontario?
No. You can book a consultation with an orthodontist directly, although many patients are referred by their family dentist.
How much does orthodontic treatment cost in Richmond Hill?
Fees depend on the complexity of your case and the type of treatment. Reputable practices provide a written fee after your consultation, and many offer monthly payment plans that spread the cost over the course of treatment.
Which is better, braces or clear aligners?
Neither is better in every case. Both can address a wide range of concerns, and the right choice depends on your bite, your habits and your preferences. A certified specialist can explain which options suit your situation.
How long does orthodontic treatment take?
Treatment time varies with each case. Some limited treatments finish within months, while comprehensive treatment often takes between one and three years, followed by retainers to hold the result.
The Bottom Line
Choosing an orthodontist comes down to verified credentials, clear communication and a plan that fits your family’s life. Book a consultation, bring your questions, and take the time you need to feel confident in the answers. Whether it is a first assessment for your child around age seven or treatment you have been considering for yourself, a conversation with a certified specialist is the right place to start.
About the Author
Dr. Roozbeh Rashed is a certified specialist in orthodontics at Smiles on Yonge in Richmond Hill, Ontario, where he provides orthodontic care for children, teens and adults. He practises alongside pediatric dentist Dr. Leila Raziee, and the clinic serves families across Richmond Hill and the surrounding communities of York Region.
