Wilmington orthodontic center offers a Complimentary Initial Consultation. It’s a chance for us to get acquainted, and for you to learn about the treatments and services we offer.

You should plan to spend at least an hour with us the first time. That’s to ensure that no one has to rush, and that you get plenty of time to ask any questions you may have. You will meet one of our receptionists or patient coordinators, who will take some information from you and bring you through the office.

Your very first visit with us is an interesting and informative appointment. Dr Pancko will discuss with you your reasons for seeking an orthodontic appointment and any concerns you may have with your teeth and/or bite. She will conduct a detailed clinical examination of your face, jaws, teeth and occlusion (bite), and advise you of her findings. Besides looking in the mouth, she may also ask questions, such as whether the jaws make noise when the mouth is opening or closing, or if there are any problems chewing or swallowing. Dr Nancy Pancko will discuss possible orthodontic treatment options and time frames for treatment. You will have the opportunity to ask any questions you may have about orthodontic treatment.

If orthodontic treatment is indicated at this time, an appointment for Diagnostic Records is scheduled to help the orthodontist plan the best treatment plan for each individual patient. If time allows, these diagnostic records can be taken at the initial visit.

Diagnostic Records includes photographs of the teeth, radiographic (X-ray) images and molds of the teeth. The photographs show us the position of the teeth relative to your face. The x-rays are so that we can evaluate the position and growth of bones and joints, and the teeth that are still below the gum line. The molds of the teeth lets us make an exact replica of the bite so we can address the problems that you have with your bite. With all the information, Dr. Pancko will study the diagnostic records and determining the best course of treatment.

Following the exam, we may tell you that things are just fine — or, we may recommend treatment. Treatment might begin right away or at a later time, depending on the developmental stage of the teeth and jaws. Many times, we’ll advise you to return for a periodic checkup, until we determine that it’s the best time to start.

The cost of treatment depends upon the severity of the patient’s problem. The treatment coordinator will discuss fees and payment options, during the initial exam, if treatment is required. We have different payment plans to suit your budget and accept assignment from most insurance plans. We work hard to make orthodontics affordable.

Our orthodontic treatment includes the following:


One set of final retainers after treatment

There is a replacement fee for each additional retainer that is lost or broken.

Active treatment with our recommended treatment appliances

If appliances require replacement due to loss, breakage, misuse or failure to eliminate foods that cause damage, we reserve the right to charge an additional replacement fee.

Orthodontic records and our diagnostic evaluation

Orthodontic treatment does not include the following:

Work performed at other dental offices outside our orthodontic practice

If an accident or injury occurs during treatment

which results in TMJ (Temporo-Mandibular-Joint) complications, additional orthodontics, orthognathic surgery, etc, a fee adjustment may be required to complete treatment under these unusual circumstances.


We accept the benefits for most insurance plans. By doing this, the cost of treatment is much lower to the patients.


We aim to see you, on time, for your appointment. Time is scheduled to complete the necessary procedure, give information about the treatment and answer any questions you may have. In order for us to maintain a schedule that runs in a timely manner, we request that patients arrive on time to avoid delays, as the day progresses. Your cooperation and consideration with appointments is greatly appreciated by our office and the patients that are seen after your appointment.

Our greatest goal is to give you the healthy, straight, beautiful smile that you’ve always wanted. We understand that choosing to receive orthodontic care is a big decision, and we respect your reasons for wanting to improve the way you look and feel. Our practice will work with you every step of the way to make sure that your orthodontic care is as comfortable, convenient, and rewarding as possible. We’ll use the latest technology, offering a variety of safe and gentle treatment options, giving you the customized, individual care that you deserve.