The first step is getting a referral, usually from a dentist. Your first meeting with the orthodontist will be the consultation. He will look at your teeth and determine what needs to be done in order to straighten your teeth, or if you would even benefit from an orthodontic treatment. After the consultation, the orthodontist will design a treatment that is specific to your needs. Not every person has an underbite or an overbite,and not every person has gaps in their teeth or overcrowding. This initial appointment will be much longer than any of the future appointments. It involves conditioning the surface of the teeth, to provide a place to cement on the brackets, cementing the brackets in place, and placing the first wire.