Let’s be honest: deciding to fix your teeth is exciting, but it can also trigger a little bit of “what am I getting myself into?” worry. Will it hurt? How long am I going to be doing this? Will I sound funny when I talk?
If you’re feeling a bit nervous, take a deep breath—that is completely normal. At Richmond Virginia Orthodontics, we know that half the battle with dental anxiety is simply not knowing what comes next. That’s why we’re breaking down the entire process, step by step, so you can walk in feeling confident and totally in control.

Step 1: The First Visit (Zero Pressure, Zero Stress)
If you’re picturing sharp tools, needles, or heavy sales pitches, you can let that go right now. Your first visit is really just an informal get-to-know-you session.
What We Actually Do:
- A Quick 3D Scan: No gaggy, goopy impression trays here. We run a quick digital wand over your teeth to create a clean 3D picture of your mouth in under two minutes.
- Clear Photos & X-Rays: We take a couple of quick pictures to see what’s going on underneath your gums and check your root alignment.
- A Real Chat with the Doctor: You’ll sit down with Dr. Jason Gladwell or Dr. Chad Schanilec. We’ll talk about what you actually want to change about your smile and lay out your options—like whether Invisalign clear aligners or braces fit your lifestyle better.
- Straightforward Pricing: No hidden fees. Our team walks you through insurance coverage, payment plans, and our flexible financing options before you commit to anything.

Step 2: Kickoff Day (Getting Your Braces or Aligners)
Once you’ve decided on a path forward, it’s official kickoff time. This appointment is easy and completely painless.
- If You’re Going with Invisalign: We handed over your first set of clear aligner trays, show you how to pop them in and out effortlessly, and go over basic care. We might place a few tooth-colored “attachments” (tiny bumps on your teeth) to help your trays guide tricky movements.
- If You’re Going with Braces: We clean and dry your teeth, apply a gentle bonding material, and carefully place each bracket before connecting them with a lightweight archwire. The whole thing takes under an hour, and you won’t feel a thing while you’re in the chair.

A Quick Reality Check on Soreness: A few hours after you leave, your teeth will start to realize they’re on the move. You’ll likely feel a dull, tight ache for 2 to 4 days. Stock up on smoothies, ice cream, or pasta, and rely on standard over-the-counter pain relievers—it passes quickly!
Step 3: The Cruising Phase (Routine Check-Ins)
Once you’re in the rhythm, orthodontic care becomes a quick, background part of your normal routine. You’ll pop in to see us every 6 to 10 weeks so we can check your progress and give you your next sets of aligners or adjust your brace wires.
How Long Will Treatment Take?
Here is the honest truth: every single mouth moves at its own pace. Your personal timeline depends heavily on a few real-world factors:
- How Complex Your Bite Is: Minor front-tooth crowding might take just 6 to 9 months. If we are adjusting a deep bite or severe crowding, it might take 18 to 24+ months. (Want a deeper dive? Read our guide on Invisalign treatment timelines.)
- Wearing Your Aligners (The 22-Hour Rule): If you choose clear aligners, wearing them for 20 to 22 hours every single day keeps your treatment moving right on schedule. Leaving them out on the counter too long will pause your progress!
- Your Natural Biology: Bone reshapes around teeth at different speeds for different people. We never rush the process, because moving teeth safely yields permanent results.

Step 4: Graduation Day (Taking Them Off!)
This is the day you’ve been waiting for! When Dr. Gladwell or Dr. Schanilec gives the green light, active treatment is done.
Taking off braces or aligner attachments is fast and surprisingly satisfying. We gently pop off the brackets, polish away any residual adhesive, brush your teeth clean, and take final photos. Looking in the mirror for the first time without hardware on your teeth is an unforgettable moment.
Step 5: The Retainer Era (Keeping What You Earned)
You’ve put in the time and effort—now it’s time to protect that investment. Teeth have a stubborn memory and love trying to drift back to where they started (a annoying phenomenon called relapse).
How to Keep Your Smile Perfect:
- Custom-Fit Protection: Right after your braces or attachments come off, we make custom clear retainers molded perfectly to your updated smile.
- Full-Time First, Then Nighttime Only: You’ll wear your retainer full-time for a short stretch while your jawbone settles around your newly positioned roots. After that, you’ll switch to wearing it only while you sleep.

Common Questions We Hear Every Day
I am really nervous about dental visits. How does your office handle anxiety?
We treat you like a human being, not just a set of teeth! Tell our team right away if you feel anxious. We work at your speed, explain everything before doing it, and make sure you feel completely safe and comfortable throughout your visit.
What if something breaks or feels weird?
Don’t sweat it—minor hiccups happen! If an aligner cracks or a bracket pops loose, just give us a call. We’ll walk you through a quick home fix or bring you in for a fast adjustment.
Where are your offices located?
We make fitting appointments into your busy work or school week easy with two convenient options across Greater Richmond:
- Our Short Pump / Richmond location in the Greengate Shopping Center.
- Our Midlothian location on Winterview Parkway.
Ready to Take the First Step?
You don’t have to guess what your treatment path looks like or worry about the unknown. Our friendly team is here to listen to your goals, answer your questions, and design a custom treatment plan that actually fits your life. Whether you visit our primary clinics in Richmond (Short Pump) and Midlothian or live in one of our surrounding communities, top-tier orthodontic care is always close to home. We proudly serve families across Central Virginia with customized treatments—including custom braces from a trusted orthodontist in Chester, VA, clear aligner solutions from a skilled orthodontist in Mechanicsville, VA, and specialized smile transformations from an Invisalign specialist in Tuckahoe, VA. Ready to begin your journey? Schedule your complimentary consultation with our team today!
Let’s talk about your smile! Hop over to our consultation page or give us a call at (804) 884-9906 to set up a stress-free evaluation today!
