What is orthodontic treatment?
Orthodontic treatment is a way of straightening or moving teeth, to improve the appearance of the teeth and how they work. It can also help to look after the long-term health of the teeth, gums and jaw joints, by spreading the biting pressure over all the teeth. Top

Why should I have orthodontic treatment?
Many people have crowded or crooked teeth. Orthodontic treatment will straighten the teeth or move them into a better position. This can not only improve their appearance but also the way the teeth bite together, while also making them easier to clean.

In some patients the upper front teeth can stick out and look unsightly. These ‘prominent’ teeth are more likely to be damaged, but orthodontic treatment can move them back into line. In others, the way the upper and lower jaws meet can cause teeth to look unsightly and lead to an incorrect bite. Orthodontic treatment may be able to correct both.

When the teeth don’t meet correctly, this can put strain on the muscles of the jaw, causing jaw and joint problems and in some cases headaches. Orthodontic treatment can help you to bite more evenly and reduce the strain. Top

What is a removable appliance?
Simple treatment may be carried out with a removable appliance (a plate that can be taken out to be cleaned). It has delicate wires and springs attached, which move the teeth using gentle pressure. Top

What is a functional appliance?
It is sometimes possible to change the way the jaws grow, using orthodontic appliances. These functional appliances use the power of your jaw muscles and can help with certain types of problem.Top

What is a fixed appliance?
Often, teeth need to be guided more accurately than they can be using a removable plate. So fixed appliances are used. These have brackets and bands temporarily stuck to the teeth. A flexible wire joins all the brackets and allows the teeth to be moved. It is not possible for the patient to take the appliance out and so it is called a fixed appliance. Top

What are ‘invisible braces’?
They are tough, clear plastic ‘aligners’ (moulds) that are used to straighten teeth. Several sets of specially moulded, slightly different aligners are made for each patient. Each set is worn for four weeks before being replaced with the next one. They are made from clear plastic, so they are nearly invisible. This means that no one need know you are straightening your teeth.

The aligners should be worn for 22 to 23 hours a day for the best results. They can be easily removed for eating, drinking, brushing and flossing. You need to have all your adult teeth before you can have this treatment. Top

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 much does it cost?
You can have orthodontic treatment under the National Health Service or as a private patient. National Health treatment is free for children up to the age of 18. Patients aged 18 and over will be seen on a Private basis only.

Under 18's will only be entitled to treatment under the NHS if your condition is serious. Minor problems may be classed as cosmetic and would therefore be charged privately.

If you decide to have treatment privately, the orthodontist will be able to estimate the cost of your treatment and give you details. It is always a good idea to discuss the cost fully before treatment and, if necessary, have the cost confirmed in writing to avoid any confusion. Top

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:

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