Specialist Orthodontic Practice in Victoria, BC
Specialist Orthodontic Practice in Victoria, BC
Orthodontics Victoria is an independent specialist practice in Victoria, BC, led by Dr. Moldez, a certified orthodontic specialist with Master of Science degrees in Orthodontics and in Orofacial Pain and Oral Medicine.
Care is provided for patients throughout Greater Victoria, including Saanich, Oak Bay, Esquimalt, and the Westshore communities such as Langford.
A diagnostic consultation includes specialist evaluation of dental alignment, skeletal relationships, growth status, periodontal support, and oral function. The consultation may conclude with a recommendation for treatment, monitoring, no orthodontic intervention when treatment would not improve long-term stability or oral health, or referral to a medical or dental provider.
Patients may request a second opinion regarding an existing orthodontic recommendation. A second opinion consultation includes a clinical examination and review of available records. Findings are discussed in relation to growth status, biologic limits, and long-term stability.
Clinical Process
Medical and dental history and patient-reported concerns are reviewed to establish the context for assessment.
Clinical examination evaluates dental alignment, occlusion, skeletal relationships, dentition stage, periodontal support, jaw function, breathing, and swallowing.
Diagnostic records, including digital scans, photographs, and radiographic imaging, are obtained when required to support diagnosis and treatment planning.
The consultation concludes with one of three outcomes: a defined orthodontic treatment plan, a monitoring protocol with reassessment timing, or referral to a medical or dental provider.
Orthodontic treatment is provided within biologic limits, including bone support, periodontal health, growth pattern, and functional tolerance.
Care is delivered under specialist oversight with appropriate sequencing across all phases of treatment. Coordination with general dentists or other healthcare providers may be recommended.
Care Across Different Stages of Development
Orthodontic needs change over time. Growth status, dental development, and skeletal maturity influence both treatment timing and treatment approach.
Care may involve observation, phased treatment, or comprehensive correction depending on individual presentation and developmental stage.
Each stage focuses on appropriate timing, sequencing, and scope of care based on individual findings.
Treatment Approaches
Fixed appliance-based care
Braces may be used to guide tooth movement and address bite relationships when clinically indicated.
Treatment mechanics are selected based on individual findings, biological limits, and defined treatment objectives.
Removable appliance-based care
Removable appliances and aligner systems may be used in selected cases to address alignment or bite concerns, depending on case complexity and individual orthodontic considerations.
Growth-directed care
In growing patients, appliances may be used to guide jaw relationships and dental development when clinically indicated. Such approaches are undertaken within recognized biological limits and do not eliminate the need for future orthodontic treatment.
Airway Considerations
Airway and breathing patterns may be screened as part of orthodontic assessment, particularly in growing patients. Assessment focuses on craniofacial and dental findings within orthodontic scope, including maxillary width, palatal morphology, and oral posture patterns when clinically relevant.
Patients seeking consultation for concerns such as mouth breathing or craniofacial development may schedule an assessment. When findings suggest possible medical or sleep-related concerns, referral to a physician or otolaryngologist is recommended for appropriate evaluation.
Temporomandibular Disorders
Patients seeking consultation specifically for TMJ-related concerns may schedule an assessment to determine the source of symptoms and appropriate next steps. Management may include conservative measures, monitoring, or referral to the appropriate medical or dental provider depending on clinical findings.
Orthodontic treatment is not initiated solely for the purpose of managing temporomandibular disorders unless supported by diagnosis and clearly defined treatment objectives.
Consultation and Clinical Evaluation
An orthodontic consultation is a clinical assessment to determine whether treatment is appropriate and to define next steps based on individual findings.
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The evaluation includes examination of dental alignment, bite relationships, jaw relationships, growth status where relevant, oral health considerations, and functional factors that may influence treatment planning or risk management.
Treatment planning, appliance selection, projected timelines, and associated fees are determined through diagnostic records and specialist clinical evaluation. In some cases, active treatment is not recommended, and monitoring or referral may be advised.
The purpose of the consultation is to provide diagnostic clarity and support informed decision-making.
For common questions about consultations, including what to expect and how decisions are made, please refer to our Consultation FAQs.
We review your consultation request and contact you to schedule your appointment.
Treatment Fees and Financial Clarity
Treatment recommendations and associated fees are based on defined treatment objectives and the required level of management.
When treatment is indicated, the total fee, payment structure, and retention protocol are provided in writing prior to initiation of care. The quoted fee includes the orthodontic appliances outlined in the treatment plan, routine adjustment visits during active treatment, and one retainer per treated arch at completion of active care. Services outside the defined treatment plan are addressed separately when indicated.
Our office will submit the insurance predetermination on your behalf. The insurance provider will communicate directly with you. Predetermination does not guarantee payment and does not obligate treatment.
Financial discussions are conducted separately from diagnostic evaluation to maintain a clear distinction between clinical decision-making and financial planning.
Continuity of Care
Orthodontic treatment is delivered under direct specialist supervision during both the active phase of tooth movement and the retention phase that follows. Diagnosis, treatment planning, appliance placement, and clinical adjustments are performed by the orthodontic specialist to ensure that tooth movement remains consistent with defined objectives and biologic response. Clinical progress is evaluated at defined intervals throughout care.
Dental assistants provide structured clinical support within defined scope of practice, including digital scanning, documentation, instrument preparation, and patient instruction. Clinical decisions and treatment modifications remain the responsibility of the orthodontic specialist.
Retention is considered an essential phase of orthodontic care. Early retention is supervised to monitor stability and retainer integrity. Continued dental examinations with the family dentist support overall oral health during retention. Management of orthodontic retainers and retention protocols remains under orthodontic supervision. Recommendations regarding long-term retention are individualized based on growth status, occlusion, and risk of relapse.
Technology and Diagnostic Tools
Advanced diagnostic tools are used when clinically indicated to support orthodontic evaluation and treatment planning. i-CAT® CBCT imaging and digital intraoral scanning with iTero® may be utilized to assess dental alignment, skeletal relationships, periodontal support, and craniofacial structure within orthodontic scope.
Three-dimensional modeling and printing are used in the fabrication of selected orthodontic appliances to enhance accuracy of design and fit. Technology supports documentation and monitoring throughout care; treatment decisions remain based on specialist evaluation and biologic response rather than automated or appliance-driven systems.
Next Steps
Submit a request for a diagnostic consultation to determine whether specialist orthodontic assessment is appropriate at this stage. Our clinical team will review your information and contact you to coordinate scheduling.
Consultations focus on clinical evaluation and diagnostic discussion. Treatment recommendations and associated fees are based on appropriate records and comprehensive clinical findings.