UMKC Department of Orthodontic Treatment Information

Thank you for considering our clinic for orthodontic treatment. Your visit today is for a screening. The
fee for this service is $25.00 and is due at the beginning of this appointment. An orthodontic resident
who is under the direct supervision of an orthodontic faculty member will examine you. An
orthodontic resident will also provide orthodontic treatment if you are accepted for treatment. The
purpose of the appointment is twofold: first, your orthodontic condition will be discussed with you
and, second, should treatment be indicated, you will be advised whether you are eligible for
acceptance (this does not guarantee assignment. We are a teaching clinic therefore! all ca"e" are
"elected ba"ed on o#r teaching need" at the time! not beca#"e of $o#r need or de"ire for
treatment. We "elect o#r ca"e" thro#gho#t the $ear and do maintain a %aiting li"t. !f you are
assigned but you choose to wait, you will be eligible for re"screening here at #$%& in '( months)
however, the original rules apply regarding your acceptance for treatment.
&cceptance for treatment doe" not g#arantee treatment. You will be re*uired to meet #$%&
+chool of ,entistry financial re*uirements before treatment starts. $edicaid is currently not accepted
for orthodontic treatment. The resident who examines you will answer *uestions about your treatment.
If &ccepted'
(rior to the 2
nd
appointment' -lease see your family dentist for a dental exam for cavities and a
cleaning. .egular dental cleanings must be maintained throughout orthodontic treatment and are not
provided through the orthodontic department.
2
nd
&ppointment' )ecord" *ee $+00.00 / 0"rays, impressions, photographs of the patient are needed
for the resident so a treatment plan may be developed. The records fee must be paid at the beginning of
the appointment. If $o# are not appro,ed for a pa$ment plan! the record" fee pl#" the treatment
fee %ill be d#e in f#ll at thi" appointment. !f the patient is '1 or younger the treatment fee is
23334.55, due in full at this appointment. !f the patient is '6 or older the treatment fee is 23414.55,
due in full at this appointment. +hould your treatment be rendered in two separate phases, the fee for
-hase !, due at this appointment, is 2'665.55. The patient will be assigned to a specific resident who
will be responsible for your care. A specific faculty member will also be assigned to your case and will
supervise care during treatment. ,uring the course of treatment, you will be assigned to a new resident,
should your resident graduate prior to the completion of your treatment.
+
rd
&ppointment' Con"#ltation / ,uring this appointment the resident will discuss your treatment
and what is recommended. You will need to sign a contract permitting the resident to start treatment.
The treatment fee for a patient under '1 years of age is 23534.55. !f you are approved for a payment
plan, the down payment will be 27'4.55 (due at this appointment with (3 monthly payments of
2'55.55 and one payment of 2'(5.55. The fee of 23534.55 will include the cost of the first set of
retainers. 8or patients '6 years of age and older the treatment fee will be 23(14.55. !f you are
approved for a payment plan, the down payment will be 2774.55 (due at this appointment with (3
monthly payments of 2'56.55 and ' payment of 2''3.55. +hould your treatment be rendered in two
separate phases, the fee for -hase ! is 2'765.55. !f you are approved for a payment plan, the down
payment will be 2397.55 with '( monthly payments of 2''(.55. -hase !! treatment is 2'1'5.55 if you
are approved for a payment plan, and need -hase !! treatment. The down payment will be 23:5.55, due
at the time of -hase !! consultation, and '4 monthly payments of 267.55. !f you were not approved for
a payment plan, the -hase !! fee of 2'1'5.55 will be due in full at the beginning of treatment.
(lea"e note the bl#e "heet in $o#r regi"tration pac-et i" an application for credit. & credit report
%ill be obtained from /0#ifa1. (lea"e fill o#t the bl#e form in the re"pon"ible part$2" name.
Thi" per"on m#"t be 34 $ear" or older. (lea"e be a%are that nonpa$ment of fee" %ill re"#lt in the
"#"pen"ion of treatment e1cept for emergenc$ care.
.etainers are used at the end of treatment to retain the desired position of the teeth. The first set of
retainers is included in the cost of treatment. !f retainers need to be replaced, or are lost, an additional
charge will be made. This fee is due at the time of impressions.
;e are concerned about your dental health and want your smile to be as nice as possible. Therefore,
you must maintain excellent oral hygiene throughout your orthodontic treatment. If oral h$giene i"
poor or if ca,itie" "tart to de,elop! %e maintain the option of remo,ing the brace" and
di"contin#ing $o#r orthodontic treatment.
!t is also important to your dental health that you keep your appointments, comply with treatment
re*uests, and not have fre*uent breakage of appliances. All of these problems can result in a longer
time in braces and unwanted movement of teeth. If appointment" or appliance" are bro-en
fre0#entl$ or if $o# do not compl$ %ith nece""ar$ treatment re0#e"t"! %e maintain the option of
remo,ing the brace" and di"contin#ing treatment or recommending that $o# "ee- care %ith
another orthodonti"t. You are responsible for calling the clinic to make appointments if you break,
cancel or do not schedule another appointment following treatment 5reminder call" are a co#rte"$6.
-lease understand appointments will be rescheduled if you are more than '4 minutes late for any
appointment. You are also responsible for informing the clinic if you are moving and need to
discontinue future charges. You are responsible for all past charges if you discontinue treatment. Any
monies paid or owed, up to the time orthodontic treatment was discontinued, will not be refunded.
You will be assigned to a faculty member who is here one half day every two weeks. That is the
O789 day that you will be treated. This may interfere with your child<s school and=or sports
schedule. (lea"e e1pect appointment" d#ring "chool and:or "port" ho#r". -lease indicate which
half days you can come in and we will try to accommodate you, but we cannot promise that because of
our schedules.
It i" UMKC Dental ;chool polic$ that onl$ the patient i" allo%ed in treatment area". !t is
important that the orthodontist and assistant devote their full attention to the patient during treatment.
There is a limited space in the clinic area. Therefore, if the orthodontic patient is a child, the child
must be capable of sitting in the dental chair without a parent next to them.
;e are happy you choose #$%& for your orthodontics, and we will try to give you the best and
healthiest smile possible. Thank you for your cooperation.
#>!?@.+!TY A8 $!++A#.!"%A>+A+ &!TY
+chool of ,entistry
745 @. (4
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+t., .oom '15
%ansas &ity, $issouri 79'51
-hine: 1'7"(34"('9' B 8ax: 1'7"(34"49:9
www.umkc.edu=dentistry
An e*ual opportunity institution