Orthodontic treatment helps move teeth into a better position.

It can improve your smile, make teeth easier to clean and help your bite work properly.

Teeth may need straightening if they are crowded, stick out, or if the upper and lower jaws do not meet correctly. A poor bite can sometimes lead to jaw strain, headaches or difficulty chewing.

---

What orthodontic treatment involves

You will usually start with an assessment by an orthodontist.

At this visit, they may:

• Examine your teeth and jaws.
• Take X-rays and photographs.
• Take moulds or digital scans of your teeth.

They will explain your treatment options, how long treatment may take, and the costs.

If teeth need removing to make space, this is usually done by your regular dentist before braces are fitted.

During treatment you normally see the orthodontist every 6 to 8 weeks for adjustments.

---

Types of braces

There are several types of orthodontic appliances.

• Removable appliances – Plates that can be taken out for cleaning.
• Clear aligners – A series of clear plastic trays that gradually move teeth.
• Functional appliances – Used in growing children to guide jaw development.
• Fixed braces – Brackets attached to teeth with wires that move teeth into position.
• Headgear – Sometimes used with fixed braces to guide jaw and tooth movement.
• Elastics – Small rubber bands worn with fixed braces to help move teeth.

Your orthodontist will recommend the best option for you.

---

How long does treatment take?

Treatment time depends on how complex the problem is.

It can range from several months to around two and a half years.

Will it hurt?

Braces can feel strange at first and may cause mild discomfort for a few days, especially after adjustments. Soft foods and over-the-counter pain relief can help.

---

Keeping teeth straight after treatment

After braces are removed, you will need to wear a retainer to keep teeth in their new position.

You may need to wear it:

• Day and night at first.
• Then usually at night long-term.

If retainers are not worn as advised, teeth can move back.

---

Caring for teeth and braces

Good oral hygiene is essential during orthodontic treatment.

• Brush last thing at night and at one other time during the day with a fluoride toothpaste.
• Clean carefully around brackets and wires.
• Clean between teeth daily with interdental brushes.
• Avoid sugary and fizzy drinks.
• Limit hard or sticky foods that can break braces.
• Avoid chewing gum.
• Attend regular check-ups with your dentist as well as orthodontic visits.

Your orthodontist may recommend a high-fluoride toothpaste to help protect your teeth from tooth decay.