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What Does an Orthodontist Really Do? A Look Into Specialized Smile Care

Live Life Smiling

Three orthodontists in black polo shirts smiling in front of a group of staff on a white railing, surrounded by greenery, representing Holmes & Palmer Orthodontics in Charleston, WV.
  • Holmes and Palmer Orthodontics
  • June 5, 2026

What Is an Orthodontist?

An orthodontist is a dental specialist who has completed two to three years of advanced training beyond dental school. This additional education focuses specifically on diagnosing, preventing, and correcting misaligned teeth, jaws, and bites. So what an orthodontist does goes far beyond what most people picture. While all orthodontists are dentists, not all dentists are orthodontists.

These specialists earn certification through the American Board of Orthodontics after demonstrating expertise in their field. At Holmes & Palmer Orthodontics, Dr. Holmes and Dr. Palmer bring this specialized knowledge to patients of all ages, drawing on a combined 60+ years of orthodontic experience. Parents concerned about a child’s developing bite and adults considering Invisalign both find that orthodontists have the training to create effective treatment plans for every situation.

The scope of orthodontic care goes well beyond straightening teeth. Orthodontists evaluate how your upper and lower jaws fit together, assess facial growth patterns in children, and identify issues that could affect chewing, speaking, or long-term oral health. This broader view is one reason why patients often see meaningful improvements in daily function after working with an orthodontic specialist. What an orthodontist does, in short, is treat the full picture of how your smile works, not just how it looks.

How Does Orthodontic Treatment Work: From Consultation to Retention

Orthodontic treatment works in four stages: evaluation, planning, active treatment, and retention. A thorough evaluation captures images and bite data. Custom treatment planning then builds a roadmap around your goals. Active treatment moves teeth into position using braces, Invisalign, or specialized appliances. The retention phase keeps your new smile stable for the long haul.

What Happens at the Initial Evaluation?

Your first visit includes a thorough exam. You’ll receive digital scans, X-rays, and photographs to assess your teeth and jaw structure. A bite analysis reveals how your upper and lower teeth come together. This creates a complete picture of your alignment needs.

You’ll also discuss your goals and concerns. Our team explains what they observe and answers your questions about treatment options.

How Is a Custom Treatment Plan Created?

Based on the evaluation, our orthodontists develop a plan designed specifically for you. The plan considers:

  • Current alignment and bite patterns
  • Jaw structure and facial growth (especially important for younger patients)
  • Your lifestyle preferences and treatment goals
  • The most effective approach for your specific situation

What Does Active Treatment Involve?

Once the plan is set, active treatment begins. Depending on your needs, this might include braces, Invisalign, or specialized appliances. Regular adjustment appointments allow our team to monitor progress and make changes as needed.

According to the American Association of Orthodontists, most timelines range from 12 to 24 months. Cases involving heavy crowding or significant jaw correction may take longer, while smaller spacing cases often wrap up sooner.

Why Is the Retention Phase Important?

After active treatment ends, retention keeps results stable. Most patients wear retainers to prevent teeth from shifting back. You’ll get specific guidance on retainer wear based on the treatment you received.

What Are the Benefits of Seeing a Specialized Orthodontist?

Choosing a specialist for orthodontic care brings real differences to how your treatment feels and how it ends up looking.

How Do Specialists Diagnose Complex Issues?

Orthodontists see alignment and bite concerns daily. This focused experience means they can identify subtle issues that might be missed during a general dental exam. They understand how small concerns today can become bigger ones later. Dr. Holmes and Dr. Palmer hold advanced specialty training and active membership in national orthodontic associations, which sharpens that diagnostic eye every day in practice.

What Technology Do Orthodontic Practices Use?

Specialized practices invest in technology designed specifically for orthodontic treatment. 3D imaging, digital treatment planning, and the latest clear aligner systems are standard tools in an orthodontist’s practice. Holmes & Palmer Orthodontics is a diamond provider of Invisalign, reflecting extensive experience with clear aligner treatment.

How Does Orthodontic Care Improve Oral Health?

Properly aligned teeth are easier to clean and maintain. When teeth fit together correctly, you reduce wear on enamel and stress on jaw joints. Many patients notice better chewing function and even clearer speech after treatment.

A Better Smile Can Boost Confidence

A smile you feel good about affects how you present yourself in personal and professional situations. Orthodontic care delivers lasting results. Patients tell us it shapes how they show up in everyday moments, from job interviews to family photos years down the road.

Why Does Personalization Matter in Treatment?

No two mouths are identical. Orthodontists create individualized plans rather than applying one-size-fits-all solutions. Your treatment addresses your specific concerns and works with your unique anatomy.

Orthodontist vs General Dentist: Key Differences

Understanding when to see each type of provider helps you get the right care for your needs.

Aspect General Dentist Orthodontist
Education Dental school (4 years) Dental school plus 2-3 years specialty residency
Primary Focus Overall oral health, prevention, restoration Tooth alignment, bite correction, jaw positioning
Common Procedures Routine cleanings, preventive care, general dental treatments Braces, Invisalign, retainers, specialized appliances
Daily Practice Variety of dental treatments Alignment and bite correction exclusively

When Should You See Each Provider?

Your general dentist handles routine care: cleanings, preventive treatment, and overall oral health monitoring. They’re often the first to notice alignment concerns and may recommend an orthodontic evaluation.

An orthodontist becomes your provider when treatment involves:

  • Straightening misaligned or crowded teeth
  • Correcting overbites, underbites, or crossbites
  • Addressing jaw alignment concerns
  • Creating space for teeth that haven’t erupted properly
  • Improving how your teeth fit together when you bite

Many patients see both providers during orthodontic treatment. Your dentist continues routine care while your orthodontist manages alignment correction. This team approach helps make sure every part of your oral health is supported throughout your time with us.

What Affects the Cost of Orthodontic Treatment?

Orthodontic treatment cost depends on five factors: case complexity, treatment type, duration, insurance coverage, and practice location. Two people with similar smiles can end up with different totals because each of these elements shifts the math. Here’s a closer look at what shapes the final number.

Complexity of Your Case

Simple spacing issues typically require less time and fewer appointments than heavy crowding or noticeable bite issues. More involved cases need more resources and expertise.

Treatment Type

Different approaches come with different costs. Braces, Invisalign, and specialized appliances each have their own pricing structures. Our orthodontists recommend options based on effectiveness for your situation, not just cost.

Treatment Duration

Longer treatment timelines mean more appointments and adjustments. A 12-month case costs less than one requiring 24 months of active treatment.

Insurance and Payment Options

Many dental insurance plans include orthodontic benefits, though coverage varies widely. Holmes & Palmer Orthodontics offers a payment calculator and low payment options that spread costs over manageable monthly amounts. A complimentary consult can clarify costs specific to your situation.

Practice and Location

Orthodontic fees vary by geographic region and individual practice. Factors like technology investments, team expertise, and office amenities all play a role.

The best way to understand your investment is through a thorough evaluation. You’ll get accurate numbers, not averages.

Who Is a Good Candidate for Orthodontic Care?

Orthodontic treatment benefits people at many life stages. Here’s who typically seeks care and why.

When Should Children See an Orthodontist?

The American Association of Orthodontists recommends children visit an orthodontist around age seven. At this age, adult teeth are starting to come in, but there’s still enough development happening to address concerns early. Many young patients start early orthodontic evaluations right around this age.

Early evaluation doesn’t always mean early treatment. Sometimes monitoring growth is the best approach. When intervention helps, it can guide jaw development and create space for permanent teeth.

Why Do Teenagers Pursue Treatment?

The teen years remain the most common time for braces or Invisalign. Most permanent teeth have erupted, and jaw growth is still occurring. This combination makes treatment efficient and effective.

Teens today have more options than ever, including Invisalign and less visible bracket styles. Our team helps find an approach that fits your teen’s lifestyle and preferences.

Adults Benefit From Orthodontics, Too

It’s never too late. More adults pursue orthodontic treatment now than in previous generations, and we love seeing the excitement when an adult patient finally gets the smile they’ve wanted for years. Discreet options like Invisalign make treatment practical for professionals and anyone concerned about appearance during treatment.

Adults seek care for various reasons: addressing concerns that weren’t treated earlier, correcting shifting that occurred over time, or preparing for other dental work that requires better alignment. We see firsthand that orthodontic treatment is for everyone, regardless of age or stage of life.

Who Has Functional Concerns That Need Treatment?

Beyond aesthetics, orthodontic treatment addresses functional concerns. Jaw discomfort, TMJ issues, difficulty chewing, and speech concern can all improve with proper alignment. If your bite affects daily function, an orthodontic evaluation makes sense.

Frequently Asked Questions About Orthodontists

Is an orthodontist a real doctor?

Yes, absolutely. Orthodontists complete dental school and earn a Doctor of Dental Surgery (DDS) or Doctor of Dental Medicine (DMD) degree. They then complete two to three additional years of specialty training focused entirely on orthodontics. Dr. Holmes and Dr. Palmer carry that advanced training along with active membership in national orthodontic associations.

Do I need a referral to see an orthodontist?

No referral is necessary. You can schedule directly with an orthodontic practice. Many patients do receive recommendations from their general dentist, but this isn’t required. Holmes & Palmer Orthodontics offers a complimentary consult for new patients.

How long does orthodontic treatment take?

Most orthodontic treatment takes 12 to 24 months. Your specific timeline depends on the type of correction needed. Simpler cases may resolve faster, and more involved cases may run longer. You’ll receive a personalized timeline estimate during your consultation.

Can orthodontists address concerns other than misaligned teeth?

Yes. Orthodontists treat overbites, underbites, crossbites, open bites, spacing issues, crowding, and jaw alignment concerns. They also address functional issues affecting chewing, breathing, and speech.

At what age should a child first see an orthodontist?

The American Association of Orthodontists recommends a first orthodontic evaluation around age seven. This allows the orthodontist to monitor development and identify any concerns early. Early evaluation doesn’t mean early treatment. It simply means informed monitoring so families can plan ahead.

What’s the difference between Invisalign and braces?

Braces use brackets bonded to teeth with wires that apply pressure to move teeth. Invisalign uses a series of clear, removable aligners that gradually shift teeth into position. Both are effective for many cases. Our team recommends the best option based on your specific alignment needs and lifestyle preferences.

Curious what orthodontic care can do for your smile? Reach out to Holmes & Palmer Orthodontics to schedule a consultation and talk through your options. Our team is here to help you find treatment that’s right for you so you can live life smiling.

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Patient reviews

EVERY SMILE TELLS A SPECIAL STORY

We are thankful for the opportunity to serve our community with excellent care and take pride in our mission of having a patient-centered philosophy. Check out what our patients are saying about us!

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amy H.
I’m very pleased with the service. The staff was friendly and welcoming right from the start, which helped to put my daughter at ease. The doctor was thorough, took time to explain everything clearly and made the whole appointment comfortable and stress-free.
Super professional and efficient, Highly recommend.
amy H.
I’m very pleased with the service. The staff was friendly and welcoming right from the start, which helped to put my daughter at ease. The doctor was thorough, took time to explain everything clearly and made the whole appointment comfortable and stress-free.
Super professional and efficient, Highly recommend.
Amanda S.
We haven’t visited this office in person but over the phone they have been very helpful. If they are anything like the Hurricane office they definitely deserve 5 stars!

Finally made it to the Charleston location…great experience.
Amanda S.
We haven’t visited this office in person but over the phone they have been very helpful. If they are anything like the Hurricane office they definitely deserve 5 stars!

Finally made it to the Charleston location…great experience.
Casey C.
My daughter had top tier service from the very first second we stepped in the office!!
Rachel F.
Everyone is so nice and friendly! They really go above and beyond to make you feel welcome and comfortable. The wait times are minimal and their workflow is impressive. Dr. Signorelli, Emma, and Tiffany, to name a few have been great! I will be turning 40 next month and never dreamed I would be wearing braces again but I look forward to seeing the finial results and am thankful Dr Signorelli suggested it. I highly recommend Holmes and Palmer in Hurricane!
Rachel F.
Everyone is so nice and friendly! They really go above and beyond to make you feel welcome and comfortable. The wait times are minimal and their workflow is impressive. Dr. Signorelli, Emma, and Tiffany, to name a few have been great! I will be turning 40 next month and never dreamed I would be wearing braces again but I look forward to seeing the finial results and am thankful Dr Signorelli suggested it. I highly recommend Holmes and Palmer in Hurricane!
Matt K.
this place is cool they have hot chocolate in the waiting room. the people are nice. /owen
Matt K.
this place is cool they have hot chocolate in the waiting room. the people are nice. /owen
Mckinley E.
Great service! Clean building and everyone was so kind while they were helping me through the process of getting braces! Thank you so much!!
Mckinley E.
Great service! Clean building and everyone was so kind while they were helping me through the process of getting braces! Thank you so much!!
Clayton G.
So this morning we had braces put on my youngest daughter. We went to the Charleston everyone was friendly and open to questions that we had. On the way home we had a situation that happen so we ended up in the Hurricane office where we had to have bracket taken off for it popped. Thank you to Tiffany for coming back early from lunch to help us and she was more amazing than anyone. I would recommend anyone to this business.
Clayton G.
So this morning we had braces put on my youngest daughter. We went to the Charleston everyone was friendly and open to questions that we had. On the way home we had a situation that happen so we ended up in the Hurricane office where we had to have bracket taken off for it popped. Thank you to Tiffany for coming back early from lunch to help us and she was more amazing than anyone. I would recommend anyone to this business.
Amy L.
Today my daughter started her orthodontic journey with this office. She immediately felt at ease when she spotted her name on the “welcome board” and was greeted by the friendly staff. I was very impressed with how professional and knowledgeable everyone was. They definitely made it a great first experience for her.
Amy L.
Today my daughter started her orthodontic journey with this office. She immediately felt at ease when she spotted her name on the “welcome board” and was greeted by the friendly staff. I was very impressed with how professional and knowledgeable everyone was. They definitely made it a great first experience for her.
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  • Charleston, WV
  • 867 Oakwood Road
    Charleston, WV 25314
  • (304) 343-3672
Orthodontist office exterior with signage, landscaped surroundings, and trees in the background, representing Holmes & Palmer Orthodontics.
  • Hurricane (Teays Valley), WV
  • 3659 Teays Valley Road Suite 200
    Hurricane, WV 25526
  • (304) 201-3672
Holmes & Palmer Orthodontics office exterior with parked vehicles and signage, representing the orthodontic practice where team member Amber Koerber works.
  • Huntington, WV
  • 451 Kinetic Drive Suite 200
    Huntington, WV 25701
  • (304) 343-3672
Exterior view of Holmes & Palmer Orthodontics office building featuring modern architecture, landscaped entryway, and signage for orthodontic services.
  • Ashland, KY
  • 2000 Carter Ave.
    Ashland, KY 41101
  • 606-388-2561
Holmes & Palmer Orthodontics building exterior with signage, featuring a blue logo and clear sky backdrop.

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