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Orthodontics of Hospitality Dental Group
We offer early and evening appointments to accommodate our patients’ busy schedules.

office hours:
Tuesday from 8:00AM - 6:00PM
Monday, Wednesday, Thursday and Friday from 8:00AM - 5:00PM

164 W. Hospitality Lane, Suite 9
San Bernardino, CA 92408

Driving directions to San Bernardino office

(909) 888-6630
(888) 33-SMILE

What can I expect at my initial orthodontic exam appointment?

During the initial examination for each new patient, we will address the following questions that cover the basics of orthodontic treatment. We encourage you to ask questions as well.

  • How much will it cost? Treatment time and treatment options contribute to the overall cost quoted. If you simply want a second or third opinion about treatment and/or costs, please understand that we have over 25 years of experience and our costs are comparable to most other orthodontists in the geographical area. Your decision to proceed with treatment should be based on overall care, not just cost.
  • Is treatment needed now or should treatment be delayed until appropriate growth, tooth eruption or other factors have occurred?
  • What treatment procedures will be used to correct the problem?
  • Do any permanent teeth need to be removed?
  • How long will treatment take?
  • What are my payment options?
  • Will I need to see my general dentist prior to orthodontic treatment?

We know your time is valuable, so to expedite treatment, we may suggest that you allow us to reserve time following the exam for diagnostic records. The records include special X-rays and photos and are necessary for developing the appropriate treatment plan. Impressions can be taken on the same day.

Below are common problems that orthodontic treatment will address:

  1. Upper Front Teeth Protrusion: The appearance and function of your teeth are impacted by this type of bite. It is characterized by the upper teeth extending too far forward or the lower teeth not extending far enough forward.
  2. Overbite: The upper front teeth extend out over the lower front teeth, sometimes causing the lower front teeth to bite into the roof of the mouth.
  3. Crossbite: The upper teeth sit inside the lower teeth, which may cause tooth stratification and misaligned jaw growth.
  4. Openbite: Proper chewing is impacted by this type of bite, in which the upper and lower front teeth do not overlap. Openbite may cause a number of unwanted habits, such as tongue thrusting.
  5. Crowding: Crowding occurs when teeth have insufficient room to erupt from the gum. Crowding can often be corrected by expansion, and many times, tooth removal can be avoided.
  6. Spacing: Spacing problems may be caused by missing teeth, or they may only be a cosmetic or aesthetic issue.
  7. Dental midlines not matched: This type of problem is caused when the back bite does not fit and match appropriately, which may negatively impact jaw and proper dental function.

FAQs for ORTHODONTICS

  1. Is it required that my family dentist schedule my appointment with the Orthodontist?
  2. At what age should my child see an orthodontist?
  3. If I have treatment diagnosed by my family dentist, should I complete that first?
  4. Why should I choose an orthodontic specialist?
  5. Will my teeth straighten out as they grow?
  6. Will I need to have teeth extracted for braces?
  7. How long will it take to complete treatment?
  8. How often will I have appointments?
  9. Can I schedule all of my appointments after school?
  10. Can I drop my child off for an appointment?
  11. Do braces hurt?
  12. Do you use recycled braces?
  13. Can I still play sports
  14. Do I need to see my family dentist while in braces?
  15. Are there foods I cannot eat while I have braces?
  16. How often should I brush my teeth while in braces?
  17. What is an emergency appointment? How are those handled?
  18. Can orthodontic correction occur while a child has baby teeth?
  19. What is Phase One (early) treatment?
  20. Will my child need full braces if he/she has Phase One treatment?
  21. Will my child need an expander?
  22. Is it too late to have braces if I am already an adult?
  23. Can I wear braces even though I have crowns and missing teeth?


Is it required that my family dentist schedule my appointment with the Orthodontist?

No, it is not. Many of our patients are referred by their family dentist, yet many other patients take the initiative to schedule an examination themselves.   (back to the list)


At what age should my child see an orthodontist?

The American Association of Orthodontists recommends that children have an initial examination at 7 years old.   (back to the list)


If I have treatment diagnosed by my family dentist, should I complete that first?

Yes, it is important to your overall dental health to see your family dentist every 6 to 12 months and complete treatment such as hygiene, periodontal exams, fillings and root canals. We may contact your dentist to see if crown and bridge work may be postponed until after your braces are removed.
If you have not seen a dentist in the last 6 months, we suggest that you make an appointment today to determine how much general dental treatment you need to complete prior to getting braces.
If you are new to the area or need to select a new family dentist, please click on this link to schedule an appointment at one of our affiliate offices.   (back to the list)


Why should I choose an orthodontic specialist?

Teeth, and sometimes entire facial structures, are permanently changed by orthodontic treatment. It is important that the treatment be appropriate and properly completed. Orthodontic specialists have extensive and specialized training that enables them to provide their patients with professional, personalized treatments.   (back to the list)


Will my teeth straighten out as they grow?

No, they will not. The space available for the front teeth does not increase as you grow. In most people, after the permanent molars erupt, the space available for the front teeth decreases with age   (back to the list)


Will I need to have teeth extracted for braces?

Removing teeth is sometimes required to achieve the best orthodontic result. Straight teeth and a balanced facial profile are the goal of orthodontics. However, because new technology has provided advanced orthodontic procedures, removing teeth is not always necessary for orthodontic treatment.   (back to the list)


How long will it take to complete treatment?

Treatment time obviously depends on each patient's specific orthodontic problem. In general, treatment times range from 12 to 30 months. The "average" time frame a person is in braces is approximately 22 months.   (back to the list)


How often will I have appointments?

Appointments are scheduled according to each patient's needs. Most patients in braces will be seen every five to 10 weeks. If there are specific situations that require more frequent monitoring, we will schedule appointments accordingly.   (back to the list)


Can I schedule all of my appointments after school?

Unfortunately, we cannot schedule all appointments for students during after-school hours. However, because most appointments are scheduled five to 10 weeks apart, most patients will miss minimal school due to their orthodontic treatments. We will, however, make a sincere effort to meet your scheduling needs   (back to the list)


Can I drop my child off for an appointment?

Yes. We understand your busy schedule, and we are happy to help you make the most of your time. On some occasions, we may request to speak with a parent when they return, so we ask that parents check in with their patient manager before dropping off their child.   (back to the list)


Do braces hurt?

Generally, braces do not "hurt." After certain visits, teeth may be sore for a few days. In these situations, pain medications such as Advil or Tylenol will ease the discomfort. However, after most visits, patients do not feel any soreness at all! We often remind our patients, "It does not have to hurt to work!"   (back to the list)


Do you use recycled braces?

Absolutely not! It is our belief that each patient should be provided with their own braces to achieve the best orthodontic result possible.   (back to the list)


Can I still play sports?

Yes. We recommend a mouth guard for all sports.   (back to the list)


Do I need to see my family dentist while in braces?

Yes! Regular checkups with your family dentist are important while in braces. Your family dentist will determine the intervals between cleaning appointments while you are in braces.   (back to the list)


Are there foods I cannot eat while I have braces?

Yes. Once treatment begins, we will explain the complete instructions and provide a comprehensive list of foods to avoid. Some of those foods include: ice, hard candy, raw vegetables and all sticky foods (i.e. caramel and taffy). You can avoid most emergency appointments to repair broken or damaged braces by carefully following our instructions.   (back to the list)


How often should I brush my teeth while in braces?

Patients should brush their teeth at least four times each day - after each meal and before going to bed. We will show each patient how to floss their teeth with braces and may also provide a prescription for a special fluoride, if necessary.   (back to the list)


What is an emergency appointment? How are those handled?

If your braces are causing extreme pain or if something breaks, you should call our office. In most cases, we can address these issues over the telephone. If you require an emergency appointment, we will set aside time for you.   (back to the list)


Can orthodontic correction occur while a child has baby teeth?

Yes. Some orthodontic problems are significant enough to require early intervention. However, if a patient is not yet ready for treatment, we will follow that patient's growth and development until the time is right for treatment to begin.   (back to the list)


What is Phase One (early) treatment?

Phase One treatment, if necessary, is usually initiated on children between the ages of 7 and 10. Phase One treatment lasts about 12-21 months. The primary objective for Phase One treatment is to address significant problems to prevent them from becoming more severe and to improve self-esteem and self-image.   (back to the list)


Will my child need full braces if he/she has Phase One treatment?

It is best to assume that your child will need full braces even after Phase One treatment. The period following Phase One treatment is called the "resting period," during which growth and tooth eruption are closely monitored. Throughout this period, parents and patients will be kept informed of future treatment recommendations.   (back to the list)


Will my child need an expander?

At the completion of the initial examination, we will determine whether a patient will need an expander.   (back to the list)


Is it too late to have braces if I am already an adult?

A surprising percentage of our patients are adults. In fact, 25 percent of all orthodontic patients are adults. Health, happiness and self-esteem are vitally important to adults. No patient is "too old" to wear braces!   (back to the list)


Can I wear braces even though I have crowns and missing teeth?

Yes. A tooth with a crown will move just like a tooth with a simple filling. When teeth are missing, orthodontic treatment will aid in the alignment of the remaining teeth.   (back to the list)

 

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Joanie James
Manager


Joanie James graduated from Cal State University San Bernardino with a BA in Liberal Studies. She recently returned to Hospitality Dental Associates after a 13-year absence. Joanie started with the organization in 1984, departed in 1997 to explore the corporate world and spent a number of years with a private university. Her prior experience with Hospitality Dental Associates includes marketing, orthodontic manager and regional manager.

A resident of Yucaipa and a life-long resident of the Inland Empire, Joanie's interests include spending time with family on Lake Havasu, the beach and sharing travel adventures with her family and close friends. She likes the challenge of Sudoku and loves to garden.

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Jady Chiakowsky, D.D.S., M.S. (San Bernardino)
Orthodontist


Dr. Chiakowsky attended Loma Linda University and graduated with his DDS in 1989 and his Masters Degree in Orthodontics in 1992. He was in private practice for 15 years in Northern California and is proud to join the Hospitality Team.

Dr. Chiakowsky enjoys hockey, golf, and snow skiing with his wife and 2 children.

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James Farrage, D.D.S. (Riverside)
Orthodontist


Dr. Farrage is on staff at Loma Linda University School of Dentistry as a Professor of Orthodontics and was also a Professor at Creighton University School of Dentistry. He is a graduate of Loyola University School of Dentistry and has over 10 years of experience with his own private practice.

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Alana Saxe, D.M.D (Las Vegas)
Orthodontist

Dr. Alana Saxe has been serving the Las Vegas medical community since 1995.
She graduated at the top of her class earning a Doctorate of Medical Dentistry from UNLV’s School of Dental Medicine where she also received her Specialty Certificate in Orthodontics and Dentofacial Orthopedics. She is certified in the most advanced treatments available and continuously researches and studies the latest developments in her field.

Dr. Saxe initially moved to Nevada from California to accept a position at University Medical Center’s Burn Intensive Care Unit as a registered nurse. Her devotion to patients extended far beyond the hospital setting. She spent several years volunteering at burn camps to help people, especially children, cope with and embrace their life-changing injuries.

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Carter Lane, D.D.S., M.S. (Rancho Mirage and Palm Desert)
Orthodontist


Dr. Lane graduated from Andrews University, Michigan in 1985 with a degree in Accounting. In 2000, he graduated from Loma Linda University School of Dentistry and finished the Loma Linda University School of Dentistry’s Orthodontia program in 2005.

Dr. Lane is married to a pediatrician and they have 2 sons, ages 3 and 7. Dr. Lane also has a Real Estate Brokers License.

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Terri Neufeld, D.D.S., M.S. (Rancho Cucamonga)
Orthodontist


Dr. Neufeld received her D.D.S. Degree in 1991 from the University of Colorado School of Dentistry. In 1995, she received her Masters Degree in Orthodontics from Loma Linda University. She joined Hospitality Dental Associates in November 2003 to care for our patients with Orthodontic needs.

Dr. Neufeld enjoys riding ATVs, snow skiing, snow boarding, and water skiing with her husband and son.