Fixed braces can be made of metal, plastic or ceramic. Metal brackets are generally used
on the NHS.
What is headgear?
It is sometimes necessary to wear headgear as well as a fixed or a removable
appliance. You usually only need to wear it in the evenings or at nights. Your
orthodontist will discuss whether it is necessary. It is very important to wear
it in the way the orthodontist tells you, otherwise treatment may not progress
correctly.
What are elastics?
It may be necessary to attach delicate elastic bands to a fixed brace to help
move the teeth. Your dentist or orthodontist will tell you if you need elastics.
How long will it take?
The length of treatment depends on how severe the problem is, and may take
anything from a few months to two and a half years. Most people can be treated
in one to two years.
What happens when the teeth are in the right
position?
When treatment is finished the teeth need to be held in position for a time.
This period is called retention, and the appliances that hold the teeth in place
are called retainers.
The retainers hold newly straightened teeth in position while the surrounding
gum and bone settles. The retainers can be removable or fixed depending on the
original problem.
How many visits will it take?
Orthodontic appliances usually need adjusting every 4 to 6 weeks. Your
orthodontist will tell you how often your appliance will need adjusting.
Will it hurt?
All appliances may feel strange to begin with and can cause discomfort. If the
problem doesn’t go away the dentist or orthodontist may be able to carry
out adjustments to help. Teeth are usually uncomfortable immediately after
adjustment but this will settle.
How successful will it be?
Success depends on a partnership between the skills of the dentist or
orthodontist, the enthusiasm and help of the patient, and parents if applicable.
It is important to attend regularly and carry out any instructions given by the
orthodontist.
The success of the treatment also depends on the commitment of the patient. For
children’s orthodontic treatment it is very important that the patient is
as keen as the parent.
Is orthodontic work permanent?
Even after retention, it is normal for minor tooth movements to happen
throughout life, so no permanent guarantee can be given. However, it is unusual
for teeth to alter enough to need further treatment.
How do I go about getting orthodontic
treatment?
The first thing to do is to book a check up with us. We will do an
orthodontic assessment and provide you with the various alternatives.
If it is appropriate, we will refer you an orthodontist.
How much does it cost?
A This depends entirely on the nature of the treatment required. After
your examination, you will be given a full treatment plan and estimate by us or
the orthodontist.
Q How do I care for my brace and teeth?
It is important to continue to have your teeth checked by your dentist while
having orthodontic treatment. You also need to take extra care of your teeth and
mouth:
1. Clean your teeth carefully every day, including between your teeth where you
can. Your dentist or hygienist will be able to show you the special techniques
to use depending on the appliance you are wearing.
2. Keep sugary foods and drinks to a minimum. Avoid ‘snacking’ with
foods or drinks containing sugar, especially fizzy drinks. Your dentist will
help. Also, sticky and hard foods may damage the delicate orthodontic
appliances.
3. Always a fluoride toothpaste and mouthwash. Your dentist or hygienist may
recommend a fluoride toothpaste or application for you to use.
Can orthodontics damage my teeth?
Your teeth can be damaged if they are not properly looked after during
treatment. Appliances will not in themselves cause damage, but poor cleaning and
too many sugary drinks and snacks can cause permanent damage.