31 The Boulevard St. Louis
St. Louis, Missouri 63117
Phone: 314-727-6162 | Fax: 314-727-7259
Richard J. Nissen D.D.S., M.S., P.C.
Gregory R. Hoeltzel D.D.S., M.S
Monday, Tuesday and Wednesday
7:45 A.M. - 12:00 P.M.
2:00 P.M. - 4:45 P.M.
7:45 A.M. - 11:00 A.M.
1:00 P.M. - 4:45 P.M.
8:00 A.M. – 12:30 P.M.
Don't forget to download your forms, print them and fill them out before your first visit. It will save you time when you arrive.
It is helpful if you schedule your next appointment as you leave each visit; this will enable us to offer selections that best suit your busy schedule
Appointments that require more time (i. e. bandings, removals, longer adjustments) may be scheduled between 7:45am and 11:00am, and between 2:00pm and 2:30pm.
Please be considerate and contact our office in advance if you need to reschedule your appointment time or date.
We now offer an email appointment reminder service. To subscribe please FOLLOW TIS LINK.
We thank you for choosing our office for your orthodontic care and we would like to make visits here as pleasurable as possible. Please feel free to approach us with any comments you might have regarding your dental care.
Download, Print, and Fill out your required medical forms before your first visit:
You can elect to fill in your PDF forms online and use the SUBMIT button to send them to us via email:
(Requires Acrobat Reader)
You will need the most recent version of Acrobat Reader to use these forms properly. You can download this free reader on Adobe.com by following this link.
We've tried to anticipate your questions based on what our clients typically want to know about orthodontics before they visit us. All you need to do is click on a question and your answer will be provided.
If we haven't answered something that is on your mind, just contact us by using our web site contact form or call the office, 314-727-6162. We're looking forward to helping you "Brace Yourself For a Beautiful Smile".
Class II and Class III Correction:
Abnormalities in bite relationship between the upper and lower jaw.
Crossbite is when the lower teeth are located outside of the upper teeth. This irregular condition can involve a single tooth or a group of teeth. It can be classified as anterior or posterior.
Crowding of teeth occurs when there is insufficient room for the permanent teeth.
Spacing between teeth is a common problem which can result from unusually small teeth, impacted teeth as well as missing teeth.
The American Association of Orthodontists recommends that all children have an orthodontic examination by age seven. Each child is different, therefore early screening can determine appropriate timing for intervention based on your child’s dental development. Orthodontic care during your child’s pre-adolescent growth stages can be beneficial in preventing more serious problems. Children with serious orthodontic problems should be treated early on, which can begin at age seven. Minor orthodontic problems which are less complicated to treat can be deferred until all permanent teeth are present.
Straight teeth are an asset to maintaining good dental health. They are less prone to dental decay and gum disease as straight teeth collect less plaque. It is much easier to clean straight teeth as opposed to crowded teeth. Well aligned teeth and a normal bite will prevent premature wear of the dentition encouraging healthy normal functioning jaw joints.
Most children at age 7 have a mixed dentition, in which both primary and permanent teeth are present. At this stage in dental development interceptive treatment can be beneficial in creating more space, holding space, correcting crossbites, breaking oral thumb and finger sucking habits, as well as guiding permanent teeth into their desired positions. Interceptive orthodontic treatment can prevent more serious problems and shorten comprehensive treatment length.
A malocclusion refers to the misalignment of teeth and/or incorrect relation between the teeth of the dental arches. Malocclusion commonly known as a “bad bite” can cause premature wear of teeth and jaw joint problems if left untreated.
Each individual’s orthodontic problem is different and deserves personalized attention. Your consultation is an important opportunity for us to get to know you and what you want to accomplish with your orthodontic treatment.
The first step in determining your treatment plan is learning as much about your orthodontic condition as possible. Your initial consultation will consist of a thorough examination during which your teeth and jaw alignment will be evaluated. During the exam, we will take orthodontic records which may include photographs, x-rays and impressions for study models to help communicate your treatment needs. The doctor will explain in detail his recommendations for treatment and the length of treatment based on your specific needs.
Our administrative staff will assist you with methods of payment, insurance and any flex plan questions you may have. It is our goal that you have a clear understanding of your treatment and payment options.