NHS fixed braces comprise of metal brackets which are attached directly to the surface of the teeth with a dental adhesive. Thin metal wires are inserted through the brackets and held in place with elastics. Over time this wire is bent and shaped to encourage your teeth to move. As the wire slowly returns to its original shape it pulls the teeth with it moving them slowly to the desired position. In the first year of treatment the crown of your tooth is moved first while in subsequent years, treatment focuses on the root- moving these so that they are in line.

For a more discreet type of fixed brace, lingual braces can be attached to the inside surfaces of the teeth.

Removable braces:

• More suited to less complex issues.
• Generally only used on the top teeth.
• Often used on baby teeth or where a change in jaw growth is required.

In a removable brace a plastic arch fits into the top of the mouth with wires attached as required. As the wires hold the teeth, the plastic arch expands slowly overtime pushing teeth to their desired positions. It is important that removable braces are worn for as long as possible during the day (at least 22 hours). You should only remove them for cleaning, eating, sports or playing musical instruments.

Treatment with braces:

Before treatment: Your teeth will be thoroughly checked for any decay and/or gum problems before fitting to make sure they are all strong and healthy. It’s likely that x-rays, photos and impressions will be taken for use before and during your treatment. If removal of a tooth or teeth is required this will be done prior to the fitting of your brace. Elastic separators may also be placed in advance to create space around your teeth.

During treatment: You will need to attend regular check-ups (at least every 4-8 weeks) so that your brace can be checked and adjusted. Regular check-ups will also help ensure that your treatment is on course to finish as and when expected.

After treatment: While every case is different, the average treatment time for fixed braces is between 2 and 3 years. When treatment is finished you will be invited along to a de-banding appointment where your fixed brace will be removed. After the brackets and wires are removed your teeth will be cleaned and polished. Average treatment time for removable braces is generally less. Remember to wear your retainer for as long as advised in order to keep your smile looking great.

Other things to consider:

Fixed brace accessories:

Occasionally the need for alternative accessories such as face masks, headgear and biteplates is required in order to positively enhance your treatment. Always use these items as instructed in order to ensure your treatment progresses in the correct way.

Retaining your beautiful new smile:

Teeth continue to move after any orthodontic treatment- any adult with relapsed straightened teeth will agree with this! For this reason, it is always recommended you wear a retainer. We will advise you on the type required and the length of time you will need it. A removable appliance can be supplied for use at night or a permanent lingual brace can be fitted to the inside surface of your teeth as a suitable and discreet long-term option.

Do braces hurt?

A brace can feel a little uncomfortable at times but normal painkillers should help with this. You may find that a softer diet helps. Please get in contact with us if the pain continues or gets worse. With fixed braces, the wires and brackets can rub slightly on the inside of your cheeks and lips. Dental wax can be provided to help.

Looking after your teeth when you have braces

It is really important to look after your teeth well during any orthodontic treatment. Particularly with fixed braces, there is the increased risk of tooth decay and gum disease as food can get trapped and missed when cleaning your teeth.

• Brush your teeth at least twice a day (or after every meal if possible). If you can’t brush teeth after a meal then ‘rinse’ out your mouth with water.
• Interdental brushes can be used to clean around the wires, brackets and elastics. A disclosing solution can help to highlight any missed plaque.
• Remember that very hard foods can damage wires. Avoid particularly hard or sticky items and cut fruit into small pieces so that it is easier to chew.
• Avoid chewing gum which can get stuck in wires.
• Avoid sugary food and drinks which can rot or discolour your teeth.
• Always attend your regular brace check-ups and dental appointments.