Your Orthodontic Treatment

Your First Visit

New Patient Consultation


Please allow approximately one hour for your first visit. The purpose for your first visit with us is to determine:


  1. Whether there are orthodontic problems that can be corrected with particular types of orthodontic treatment
  2. What would be the most appropriate timing for any required treatment?


At the first visit to the orthodontist, we take digital photos of the patient’s face and teeth and do a clinical examination. As well, we review the patient’s medical and dental history to make sure orthodontic treatment can be performed. Based on that preliminary information, we can normally outline the possible orthodontic treatment and the length of time needed. We do not take radiographs (x-rays) at this appointment, but if your dentist has a recent “Panoramic” X-ray it would be helpful if it were forwarded to us.


After the consultation, the next step is to take diagnostic records to determine the best course of treatment. Complete diagnostic records normally include study models of the teeth and digital x-rays. This information is used to develop a custom treatment plan for each patient, as well as allowing us to track the progress of treatment as the teeth move under orthodontic care.


Please remember that the consultation fee is $50. At this initial visit we can usually give you an approximate idea of what orthodontic treatment fees would apply. The consultation fee will be applied towards your treatment costs with us.

Regular Appointments


The appointment when you get your appliances (braces, expanders, etc.) usually takes from one to two hours. You’ll then see us at regular intervals 4 to 8 weeks apart for an adjustment, which takes 15 to 30 minutes. Patients are seen by appointment only. We make every effort to be on time for our patients and ask that you extend the same courtesy to us. If you cannot keep an appointment, please notify us within 48 hours if possible. Cancel only if it is an emergency. It is difficult to reschedule you since most appointments are made 4 to 8 weeks in advance.

Payment Policies


The cost of treatment depends on what type of treatment is needed and the length of time the treatment will take. You will be able to discuss fees and payment options before treatment begins. We offer a variety of financing options to help meet your needs, and we work hard to make orthodontics affordable.


In an effort to keep orthodontic fees down while maintaining the highest level of professional care, we have established this financial policy:


  • To fit your individual needs, payment plans can be arranged to extend your payments over a period of months. These payments are interest-free, and can be customized to suit you.
  • If you decide to pay the full amount at the onset of treatment, we will offer a fee discount of 5%.
  • We also offer a discount for additional family members that begin treatment (i.e. siblings, parents, children).
  • For your convenience, we accept payment by cheque, debit or credit card.

Orthodontic Screening

The Canadian and American Associations of Orthodontists recommends that all children have an orthodontic screening no later than age 7. In some cases, your family dentist makes this referral as they have been monitoring your child’s tooth and jaw development. Other times, parents contact us directly because they themselves can see problems occurring. Orthodontists are dentists with years of additional training and not only align teeth but effect changes to the facial framework. By age 7, the first molars and possibly the incisor teeth are present. Dr. Heckler can identify problems with the bite relating to dental or skeletal alignment issues and recommend the best timing and course of action.


What is it?

Invisalign uses a series of invisible, removable, and comfortable aligners that no one can tell you’re wearing. So, you can smile more during treatment as well as after. Invisalign is made with 3-D computer imaging technology and has been proven effective. More than 70% of orthodontists in the US and Canada are certified to treat with Invisalign.

Why would I want it?

Not only are the aligners invisible, they are removable, so you can eat and drink what you want while in treatment. Plus, brushing and flossing are no problem. They are also comfortable, with no metal to cause mouth abrasions during treatment. And no metal and wires usually means you spend less time in your doctor’s office getting adjustments. Invisalign also allows you to view your own virtual treatment plan when you start so you can see how your straight teeth will look when your treatment is complete.

How does it work?

You wear each set of aligners for about 2 weeks, removing them only to eat, drink, brush, and floss. As you replace each aligner with the next in the series, your teeth will move — little by little, week by week — until they have straightened to the final position Dr. Heckler has prescribed. You’ll visit Dr. Heckler about once every 8 weeks to ensure that your treatment is progressing as planned. Total treatment time averages 12-18 months and the average number of aligners worn during treatment is between 25 and 35, but both will vary from case to case.




Self-ligating Clear and Metal Braces

At Annex Orthodontics, we utilize a very unique type of self-ligating bracket or brace to move teeth. It is one of the smallest, most advanced orthodontic brackets available, from SPEED® System Orthodontics. This allows for a number of significant advantages:


  • The unique self-ligating design permits significant appliance miniaturization. This allows the brackets to be up to 50% smaller than traditional metal brackets. SPEED® patients appreciate the superior aesthetics and jewel-like appearance of the SPEED appliance.
  • SPEED® permits the use of extremely light forces by eliminating the high frictional resistance of traditionally-designed braces. In addition, the smooth rounded design minimizes soft tissue irritation.
  • Shorter treatment times can often be obtained via the use of self-ligating brackets versus conventional appliances due to their greater efficiency
  • Fewer office visits are one other reason why our patients prefer self-ligating appliances, as they can often require fewer adjustment visits.
  • All of the above translate into greater comfort and convenience for our patients

Lingual Braces

Discover a completely different way to wear braces!

Incognito® Orthodontic Braces are placed behind your teeth, so no one will even know you are wearing braces unless you want them to! These unique braces are created using state-of-the-art technology and are the only 100% customized, invisible, fixed braces system on the market today. Incognito Braces can give you a beautiful smile, even while you’re wearing them!

Braces made just for you

Because no two people are alike, no two sets of Incognito Braces are alike. Unlike other braces, Incognito Braces are 100% customized to the shape of your teeth and to your individual dental situation. These advances are designed to minimize the amount of time your doctor spends making adjustments and results may be seen more quickly than with traditional braces. You get efficient, effective tooth movement and great aesthetics.

Who can wear Incognito Braces?

Just about anyone. Men and women, teenagers or adults, from 13 years to over 60 years of age, from students to professionals, all can choose invisible braces. Odds are, if you can be treated with traditional braces, you are a good candidate for Incognito Braces.


Incognito Orthodontic Braces might be right for you if:

  • You are concerned about wearing braces that are visible;
  • You want to maintain a professional image while getting a great smile;
  • You want to avoid damage to the front surfaces of your teeth and inner lips
  • You play a wind instrument
  • You play contact sports


Call us to set up a consultation with Dr. Heckler or for more information. Look great while you straighten your teeth invisibly!