First Visit

Your first visit will be calm, gentle and informative. It is an opportunity for Dr.Brown to evaluate and make suggestions about your unique case as well as for us to get to know each other. Before your appointment, our office will contact you to collect some initial information, including some paperwork and details about your insurance policy. 

At your appointment, our treatment coordinator will talk to you about your case, including your medical and dental history, your concerns and questions. She will take photographs and x-rays which show us how the jaws are forming or have formed, how the teeth are developing, bone level and oral health. 

Next, Dr. Brown will do an evaluation of your records, taking into account your unique case. She may discuss findings such as potential sleep disturbances and the affect of mouth breathing on overall health and development. She will make recommendations for treatment, ranging from waiting and observing to specific orthodontic suggestions. In addition, as needed she will make referrals to ENT physicians, speech pathologists, myofunctional therapists, general dentists, osteopathic physicians, craniosacral therapist and other healthcare and body workers. The overall process takes about 1 hour and you will leave our office with a full understanding of any treatment recommendations as well as financial options and insurance breakdown.


Before your appointment, we ask that you fill out paperwork. These will be sent to you before the appointment. For reference, you can access them below. 

Adult Medical History

Child Medical History

Informed Consent

Privacy Form

If you're ready to improve your smile, please fill out the form below or call us at 434-990-5722 to schedule a consultation!

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Emergency Info

True orthodontic emergencies are rare, but if they occur we are always here to help! Below are solutions to common orthodontic concerns. If you are experiencing severe pain or are unable to resolve the problem yourself, please give our office a call. 

Loose bracket

If your bracket is still attached to the wire we recommend leaving it in place and placing wax over it to keep it from moving. Please call our office during normal business hours to let us know that a bracket is loose or has come off. We will either schedule you to come in before your appointment (Monday-Wednesday) or add time to your upcoming appointment to allow time to replace the bracket if needed. If a loose bracket comes off the wire, please place it in a plastic bag and bring it with you.

Lost color

Sometimes the colored ring around a bracket can come off from brushing and eating. Generally this is not a problem and can be corrected at your next appointment.

Lost Separator/Spacer

Sometimes before we put in an appliance or put on braces, we put in what we call spacers or separators on your back teeth. As the space is created, spacers can come loose. If your next appointment is within one day, you do not need to let us know ahead of time and may just notify us at your appointment. If your appointment is more than 24 hours away, please call and let us know that the spacer has come out. Spacers are able to be replaced during our normal business hours Monday-Thursday. Ideally, we will ask you to come in 1 - 2 days before your appointment to have it replaced. However, if it comes out on the weekend, we will still keep your next appointment and may be able to fit your appliance even without the spacer being in place. 

Loose wire

Using your fingers or tweezers, try to place the wire back in place.  If you need to secure the wire, you may use floss to tie the wire to bracket. As a last resort, you can clip the wire with a small pair of fingernail clippers. If you do clip the wire, make sure to give us a call to schedule an appointment Monday-Thursday to have the wire replaced. 

Wire Poke

Nothing is more irritating than a wire poking. There are some things you can do at home to relieve the annoyance. You can use nail clippers to clip the wire as close to the back bracket as possible (if you end up doing this, please call us at our next business day and we'll schedule you to come in and replace the wire). We also recommend using a pencil eraser to help push the wire into a more comfortable place. You may also dry the area with a tissue and place a piece of wax over the offending part of the wire. If none of these work for you, you can call our office and we'll schedule you to come in Monday - Thursday and we'll clip the wire for you.

Forsus Springs

Forsus springs attach to the top back molars and the lower wire. Occasionally, they can come off the lower wire or come disengaged when opening the mouth very widely (for example, when yawning). We recommend tying the spring to the wire and calling our office to have it replaced during our next patient day (Monday - Wednesday). If the spring comes off the wire, please place it in a bag and bring it with you to when you are scheduled to have the spring replaced. 


Soreness is common when you first start headgear because your teeth are moving. If you are having continued trouble putting on your headgear, please call the office for assistance.  We may have you come in at our next patient day (Monday - Wednesday) so that we can check it.


Soreness is a common but short lived result of moving the teeth. Whenever your teeth are sore you should eat primarily soft food. If discomfort persists, you can take Ibuprofen or Tylenol (whichever you normally take for a headache) as needed. 

Cuts on lips or mouth

It is common to get a small sore inside your mouth shortly after braces are placed. After healing, most patients do not develop sores again. To facilitate healing, place a small ball of wax over the offending bracket or wire to allow your tissue to heal.