• Phase 1 Debond Form

  • Congratulations on completing this phase of treatment!

    Your braces are scheduled to be removed today. By signing this form below you are authorizing Dr. Zeifman to remove your orthodontic appliances and confirming that you are completely satisfied with the orthodontic treatment at this time. If you have any concerns, please let Dr. Zeifman know before appliances are removed.

    As discussed at the time of the consult, this was the first phase of treatment. Dr. Zeifman will continue to evaluate your teeth as they erupt and will advise if and when Phase II is needed/necessary. We will give you a retainer to wear and monitor eruption of permanent teeth as they erupt. Retainers should be worn at home and while sleeping. Please do NOT bring your retainer to school. Remove your retainer while eating and drinking and place it in the case provided. Keep retainers away from pets (they love saliva). Clean retainers with room temperature water and dawn dish detergent soap with a q-tip or you can purchase retainer brite cleaner.

    Please remember retention is very important. In this phase of your orthodontic treatment as permanent teeth start erupting the retainer may not fit. Please contact the office if this happens. Should you lose or break retainers please contact us to make an appointment.

    Please remember to visit your dentist for your routine dental maintenance.

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