It is a MUST to:• Maintain oral hygiene always. Plaque removal must be done if detected• Sugars, hard and sticky foods and between meal snacks must be avoided. Decalcification (permanent markings), caries and gum disease can occur if patients neglectfully brush their teeth. Genetics, problems with growth and development and patient cooperation are some of the hindrances that may affect the achievement of the functional occlusion and an esthetically acceptable result.Tooth position is constantly changing whether the patient undergoes orthodontic treatment or not. Post-orthodontic patients are subject to the same changes that occur in non-orthodontic patients. As discoloration and/or dead teeth are a rarity to orthodontic treatment, such may occur. The tooth that has been traumatized from a minor blow or from a deep filling can die or become non-vital with or without orthodontic treatment. An endodontic therapy (root canal) can be a treatment of choice to maintain and preserve the tooth. Root resorption (shortening of root ends of the teeth), in some cases, may occur. It should be noted that not all root resorption arises from orthodontic treatment. It may be caused by the following: trauma, impaction, endocrine disorders or unknown. On the onset of gum disease root resorption can reduce the longevity of an affected teeth. However, under healthy circumstances, the shortened roots are of little disadvantage. The possibility of a Temporomandibular Joint Disorder (TMD) may also be a risk factor. Everyday stress and tension may play a role in it’s multifactorial reasons of existence. Not in all cases, tooth alignment or bite correction may improve tooth related causes of TMJ pain. There are appliances that patients will be asked to wear and must be followed carefully (headgear, elastics, expansion) if incorrectly applied these may cause serious injury to the face, to the molars and to other teeth. Instructions must be followed strictly.Retention phase will follow after the active orthodontic treatment. It is paramount that wearing of retainers be followed as instructed by your dentist. We ask of your cooperation on this matter. Let’s make every effort to do this right. We thank you in advance for your willingness to create a smarter smile. I fully understand the nature of the orthodontic problem and the possible reason for treatment. The alternatives have been also explained to me, some of which is no treatment, and the possible results if nothing is done. I have had the opportunity to ask all questions which I have, and they have been fully answered to my complacency. I have read and understood the above consent to treatment. Hereunto I affix my initials.