In order to obtain the best possible results in your orthodontic treatment, you must understand that your cooperative efforts are just as important as the efforts of Dr. Cooke and her team.  We request that you accept responsibility and agree to the following:

Oral Hygiene

I will clean my teeth and gums properly each day; especially after eating meals or snacks and at bedtime.  I will visit my dentist every six months (or as otherwise directed) for a professional cleaning and examination.  I will limit my intake of soda pop and high sugar content foods.  I will use my fluoride rinse daily (or as otherwise directed).

Wearing Appliances

I will wear my elastics and other removable appliances faithfully as directed by Dr. Cooke.

Care of Appliances

I will not eat hard, sticky, chewy food, bite on pens, pencils, fingernails or involve myself in activities which will damage my appliances or delay treatment.  I understand that each loosened bracket, band or broken wire can add a month to my total treatment time.

Appointments

I will do my best to keep all scheduled appointments and arrive on time.  I will call as soon as possible if I must change my appointment and I will always call ahead of time if I have something broken or loose.  I will make my construction appointments during school/work hours.  I realize that rescheduling may take a few weeks and could extend treatment time if I change appointments often.

Retainers

I understand the importance of retainers and I will wear them as directed.  I understand that if I lose or break my retainer there will be a charge for replacement or repair.

Dr. Cooke has an excellent record of creating beautiful healthy smiles.  I am aware that I must be a cooperative willing partner with Dr. Cooke and her specially trained team to accomplish the best results.

I agree to cooperate by following the above instructions.  Should I have difficulty with any of these, I will discuss them promptly and honestly with Dr. Cooke and her team.