Patient Info

We look forward to meeting you and helping you settle into our fun and pleasant office atmosphere. Orthodontic Treatment for Adults. If you or your child would benefit from orthodontic treatment, simply call our office at (540) 667-5446 or send us an email from our Request a Free Exam page and we will be happy to schedule an appointment for an initial examination. When you contact our office, our front office staff will request some very basic information concerning you or your child. After this, you will receive a welcome package in the mail.

Upon arrival for your initial examination, our treatment coordinator will eagerly greet you and guide you through your initial office visit. Then, a brief but thorough exam will then be completed by orthodontic specialist Dr. Garrett. A significant goal of the initial exam is building a comfortable and trusting relationship with Dr. Garrett and his team.

After the initial exam, you will be on your way to a premier smile and healthy bite. We strive to ensure that your time with us will be enjoyable from the beginning through the end of your course of treatment and that we will meet your highest expectations.

New Patient Forms

Once you have scheduled your appointment you can download our New Patient Forms from the links below. You can print and complete these in the comfort of your home prior to your first visit. If you have made your appointment and cannot print these forms please contact us as soon as possible.

Adult Patient Form   Under-18 Patient Form

Financial Information

Orthodontic treatment for adults, kids and teenagers is an excellent investment in an individual’s overall dental, medical and psychological health and well being. Because of this, we believe financial considerations should not be an obstacle to obtaining this important health service. To see your options please visit our Financial Information page.

Being sensitive to the fact that different patients have different needs in fulfilling their financial obligations, we provide the following orthodontic financing options:

  • Low Monthly Payment Plans
  • Prepayment Courtesy
  • Initial Payment Plan
  • Flex Plan
  • Insurance Coverage

Low Monthly Payment Plans

We strive to work with each patient and family to arrange affordable payment plans. We make it easy using our autodebit Orthobanc system so you never have to worry about missing a payment.

CareCredit is a convenient, low minimum monthly payment program for your entire family specifically designed to pay for healthcare and elective treatment not covered by insurance. CareCredit is a leader in patient financing. It can be used to pay for treatment for you and your entire family at over 65,000 participating healthcare practices nationwide. Dr. Garrett and his staff are excited to make this plan available to you.

Applying for CareCredit is quick and easy. Simply choose from Standard Application, Online Application at, or Automated Phone Applications at (800) 365-8295

Prepayment Courtesy

A prepayment courtesy of 4% is given for payment in full prior to treatment by cash or check.

Initial Payment Plan

A down payment may be made at the start of treatment, with the balance paid monthly over approximately 75% of the treatment time. This is financed at no interest but is automatically withdrawn from your checking, savings or credit card account.

Flex Plan

Company Orthodontic Flexible Financing Plan – Your company may offer a medical spending account, which allows you to set aside pre-tax dollars to pay for your medical expenses. Please contact your employer for more details.

Insurance Coverage

Our practice will be happy to assist you in determining whether your insurance company will cover your orthodontic treatment. If your company does provide orthodontic insurance, our staff will be happy to assist you in filing your claim. In most cases, we will accept assignment of orthodontic insurance benefits and make arrangements with you for the balance of the professional fee. If you do not have orthodontic coverage, we will work with you to come up with a financial plan to fit your budget.

Please feel free to contact our practice at (540) 667-5446 to discuss any of the options listed above.

Visit Our Office

Office Hours

Monday: 7:30 am – 4:30 pm
Tuesday: 7:30 am – 4:30 pm
Wednesday: 7:30 am – 4:30 pm
Thursday: 7:30 am – 4:30 pm

Winchester Office

1841 West Plaza Drive
Winchester, VA 22601

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Invisalign braces are a type of custom made clear, plastic, removable teeth aligners that are nearly invisible on the teeth. Invisalign appeals to adults and teens who want something different than the traditional metal braces. It is a great option for adults and teens who are compliant and motivated. Dr. Garrett will answer any question for you individually and make the most appropriate recommendations.

Advantages of Invisalign for Adults and Teens

Invisalign braces are nearly invisible and are not obvious to anyone that you are wearing them, which heightens the esthetic appeal.

Garrett Orthodontics uses a scanner to determine the most advanced diagnostic information as well as eliminating the need for messy impressions.

Invisalign Teen

Like Invisalign for adults, Invisalign Teen is a series of custom-made, clear plastic aligners that provide a teeth-straightening alternative to more traditional metal braces. Invisalign Teen is designed to help teenagers maintain their self-confidence and accommodate their active lifestyles during orthodontic treatment, giving them a reason to smile!

Invisalign Teen combines the benefits of the Invisalign system with new features, such as the Blue Dot Wear Indicator that fades when the aligner becomes worn and is ready to be changed; Eruption Tabs to accommodate the growth of second molars; and other features to address clinical needs common to teens.

Invisalign Teen Treatment: What’s Involved?

Invisalign Teen can be used to correct some overly crowded teeth, widely spaced teeth and overbite. Only an experienced orthodontic specialist, like Dr. Garrett, can determine if Invisalign Teen is the right orthodontic treatment for you.

During your consultation, pictures and of the teeth are taken and a panoramic x-ray is made to discuss treatment with Invisalign. Then the computer scanner is made and 3D technology maps tooth movements from the beginning to end of treatment, creating your customized aligners. Treatment time varies with every patient but an estimate may be advised as a reference since every patient’s needs are different.

The clear aligners must be worn every day for 22 hours which means all the time except for when eating, brushing or attending special occasions. A new set of aligners are provided every one or two weeks to strategically straighten teeth.

Advantages of Orthodontic Treatment for Teenagers

During Invisalign Teen treatment, teenagers can play sports, play musical instruments and keep up their active social lifestyle with a spontaneous smile. Removable aligners promote better oral hygiene, as well as less irritation to the gums and mouth. Extra office visits for broken braces or wires are eliminated.

Traditional Braces

We welcome our traditional braces patients from Stephens City, Strasburg, Berryville, Winchester, Front Royal and surrounding areas of Jefferson County, Warren County, Frederick County and Clarke County in VA and WV.

Metal Braces

Metal brackets can be silver or golden. The are very strong and can withstand most types of treatment. At first, gums and cheek tissue may become irritated, but there are several first aid tricks to deal with the discomfort such as saltwater rinses and applying wax to the metal brackets.

Most traditional metal braces require an elastic O-shaped rubber band, called a ligature, to hold the arch wire onto the bracket. Sometimes metal tie wires (wires that twist around the bracket) are used in place of elastic ligatures.

Years ago, metal braces were not just brackets, but a band that wrapped around each individual tooth. Today, small metal brackets are glued to the front of each tooth (much less fuss). The old type of bands are usually reserved for molars or teeth with fillings that overlap to the outside surface of a tooth. Metal brackets tend to be less expensive than other types of brackets. And now, choices of colorful ligatures are available in a rainbow of colors to individualize personal style.

Advantages of Metal Braces

Advantages of Metal Braces

Ceramic Braces

Ceramic brackets are made of composite materials. They are very strong and usually do not stain. Adults like to choose ceramic because they are more in color harmony with the teeth and are less noticeable than metal.

Advantages of Ceramic Braces

Disadvantages of Ceramic Braces

E-Arch (Expansion Arch)

e-archThe E-arch is used to widen the upper and or lower jaws to make room for permanent teeth. The appliance has two crowns or bands usually positioned on the baby molars or permanent 6-year molars. From the crown on one side is an L-shaped sleeve, and on the opposite side is an L-shaped arm which is attached to the opposing crown.

Between the two “arms” is a spring, which widens the arch by “gently” adding force.

The patient is seen about every 8 to 10 weeks. The arch width is measured and the spring is usually re-activated by adding “crimp stops” to hold the compressed spring in place. This appliance is very effective and requires little attention other than keeping it and the surrounding gums and teeth very clean.

Dr. Garrett recommends a fluoride rinse every night. Sometimes the teeth on which the E-arch is attached may loosen, allowing the arms of the appliance to position themselves over the biting surface of the teeth.

If this should happen, please call our office for an adjustment. Occasionally, the teeth to which the appliance is attached may come out. If this should happen, remove any parts possible and call us. Fortunately, in most cases, the E-arch has usually served its purpose by the time this could happen.

It is recommended that wax or EZO denture cushions be placed around any parts that may be irritated.

The Distal Jet

This appliance is a fixed appliance used to distalize (move back) molars to alleviate crowding. By making room, it allows Dr. Garrett to straighten the teeth without having to extract them. A TAD (Temporary Anchorage Device) is placed in the roof of the mouth The appliance has four “bands”, which are rings of metal that fit over 2 bicuspids and 2 molars. The front bicuspids are attached to the TAD  as an “anchor.” From the anchor there are two more “arms” which have springs that push against the button to move the molars back.

The patient is seen about every 8 to10 weeks and the springs are activated by adding, “crimp stop” to hold back the compressed springs.

Once the molars are in position, the bicuspids will be pulled back and then front braces are applied for overall alignment.

As with all fixed appliances, the important issue is good oral hygiene. It is extremely important to keep the appliance, teeth and surrounding gum tissue very clean to prevent infection. It is also important to keep the tissue under the acrylic button clean.

Once the appliance is placed; the technician will give instructions on how to clean under the button and around all the parts.

As always, Dr. Garrett recommends the use of a fluoride rinse every night

Rapid Palatal Expander (R.P.E.)

palatal-expanderThe R.P.E. is an all-metal expansion appliance able to deliver expansion up to 12 mm in the upper arch in a short period of time.

The appliance is turned, or activated daily with the use of a small wrench and is usually attached to either 2 or 4 teeth.

After the insertion of the appliance, the patient is instructed on the care and cleaning of it. Soft foods are recommended for the first couple of days and should be cut into small pieces, so that food will not get “caught” in the appliance and cause gagging, such as spaghetti dangling down the throat.

It is recommended that wax or EZO Denture cushions be placed over any irritating parts and warm salt water be used to smooth the gums, should they become irritated. It is quite common for a large gap to develop between the upper front teeth. This is normal. The appliance will be checked every 3 to 4 weeks until desired expansion is achieved.

Herbst Appliance

herbstThe Herbst Appliance is used in the treatment of jaw discrepancy (i.e., overjet, when the upper front jaw protrudes over the lower front jaw). In growing patients, it allows lower jaw growth. In older patients, it retrains the action of certain muscles. The average treatment time is approximately 9 months to 1 year, during which time the lower jaw is advanced initially about 3-4mm, and then incrementally, until the desired resting position is achieved.

The Herbst has telescopic arms which are attached to 4 crowns and by 4 hex screws. When the appliance is initially cemented into the mouth, it will have the lower jaw in an advanced position. Dr. Garrett will measure the progress approximately every 8 to 16 weeks and most likely continue to advance the appliance by adding “shims” to the arms to keep the jaw forward for continued correction.

Shims are small sleeves (or rings) of metal between 1 and 3 mm in length. The appliance is unhooked and the shims will slide on the arms for advancement and then the appliance is put back together.

There are times when a patient may open too wide and cause the arms to come out of the sleeves, if this should happen, the patient need only to open wide again and put the arms back. This may be a little tricky the first time or two, but most patients become proficient at this.

It is also recommended that the screws on the upper and lower portion of the Herbst be checked once a day to make sure they remain in place. This can be done with the small allen wrench provided.

When the Herbst is initially cemented, there is an adjustment period of about one-week. The limited range of motion for the jaw becomes “annoying” at first until the patient learns how to eat and talk with the Herbst.

Sometimes, there is extra saliva for a couple of days until the brain figures out that this is not food and then the extra saliva will subside.

The Herbst has some protrusive parts that may cause irritation, with the help of wax, cheek pads (which we provide) or EZO Denture Cushions. The initial discomfort can be managed with some helpful hints.

The most important item to remember with the Herbst appliance is cleanliness. It is extremely important for patients to brush the appliance, their teeth, and gums. Leaving any plaque on the teeth will result in irritation and infection.The appliance should look very shiny and not milky white (this is plaque). A nightly fluoride rinse is recommended.

Lingual Arch or Palatal Bar

lower-lingual-archThis wire is usually attached to the permanent 6-year molars. It can be removable, but it is sometimes soldered to the molar bands. It is used primarily to “anchor” the molars while continuing the change and correcting the teeth bite.

Did you know flicking the lingual wire up and down with your tongue could break the wire and possibly loosen bands?

Tongue Crib

tongue-cribThe Tongue Crib is used to inhibit the tongue from “pushing” the (front) anterior teeth when speaking. It is used to “retrain” the tongue posture in conjunction with speech therapy to aid in correction of the open bite. It also helps to break a thumb sucking habit.

Did you know playing with the tongue crib can cause the solder joints to break? OUCH!

The Bonded Bite Plane

bonded-bite-planeThe bonded bite plane is used to prevent the lower front teeth from “biting” into the tissue behind the upper front teeth thus causing damage to the tissue and teeth. By “opening” the bite in the front of the mouth, it allows the back teeth to erupt more in order to correct this problem.

The bonded bite plane is also used to correct a severe over-bite (the upper front teeth closing too far over the lower front teeth) in the same way.

The bonded bite plane is made by placing a small amount of bonding material to the backside of the upper teeth to create a triangular plane. They can also be placed on the molars. After correction, the doctor removes the plane by “polishing” it away with a special high-speed instrument.

It is important for patients to keep the tissue area surrounding the bite planes very clean. Watching out for hard foods that could break off these planes is also important. There are times when one of the planes may come off. This is okay, because as long as there is one remaining, the job can be accomplished.


elasticsRubber bands or elastics contribute a lot to straighter teeth. They are marvels of physics. Attached to your braces or Invisalign aligners , elastics exert the force that creates the right amount of pressure to move teeth in directions that the braces alone can’t. They don’t work without you. It’s important to wear your elastics as prescribed.

Shannon Lockhart, Treatment Coordinator

Shannon has been with Garrett Orthodontics since Oct 1989. She assists Dr. Garrett during the initial consultation appointment as well as the coordination of all aspects of enrolling our new patients. She enjoys spending time with her husband, two grown daughters and grandchildren. Her hobbies include gardening and vacationing at the beach.

Amanda Tapscott, Clinical Technician

Amanda started her career in orthodontics with Dr. Garrett in May 2008. She enjoys interacting with the patients and assisting in treatment to create a beautiful smile. Amanda is highly skilled as an orthodontic clinical technician and also proficient in making the retainers for our patients. In her spare time she enjoys spending time with her family.

Paola Phillips, Clinical Technician

Paola joined Garrett Orthodontics in February 2012 with ten years of experience in orthodontics. She is married and has two young sons She enjoys spending time with her family and riding their motorcycle. Paola likes to get to know her patients personally and see their smiles before and after orthodontic treatment.

Pam Frye, Financial Coordinator

Pam is our experienced financial coordinator and has been with Garrett Orthodontics since Sept 2005. Patients and parents meet with Pam at the beginning of treatment and at that time she assists them in setting up individual financial arrangements. Pam also monitors all patient accounts and assists with Treatment Coordination. Pam is a Winchester native and Handley graduate. She enjoys spending time with Lance her son and reading, cooking and going to the beach.

Michele Sherer

Michele is originally from Michigan and has six years of clinical orthodontic experience. Michele spends her free time on the weekends racing her road bike in the Mid Atlantic region. She is currently the Women’s Cat ½ Virginia State Time Trial Champion and holds various other titles within the Mid Atlantic Region.

Susie Garrett, Accounts Payable Supervisor

Susie has been the accounts payable and payroll supervisor since 1979. She was a graduate of the Medical College of Virginia School of Pharmacy in 1976 and practiced as a licensed pharmacist until 1990. Susie enjoys tennis, reading, traveling and especially spending time with her family. Susie and Dr. Garrett now have a new granddaughter Autumn Jane to spoil therefore grand parenting is her primary job.