Routine Fixed Orthodontic FAQs
What is Orthodontics?
Orthodontics is the specialist branch of dentistry, which uses braces to move teeth so that the bite and the cosmetic appearance of the smile can be improved.
What is an Orthodontist?
Dr McCance and his specialist team have devoted three years of full time comprehensive orthodontic training at an accredited University program in addition to five years of dental school and a further three years gaining experience in the Hospital service of Surgery and Children’s Dentistry.
Why have orthodontic treatment?
  • To improve the appearance of the teeth and smile
  • To enable easier tooth and gum cleaning
  • To improve the bite of the teeth
Does treatment hurt?
Having a brace fitted is a painless procedure. It is likely to ache for about 2 days following fitting. Your normal painkillers can help this. Sipping iced cold water helps to lessen the pulling sensation on the teeth. Most problems subside within 48 hours.
What does orthodontic treatment cost?
If the treatment is provided on the National Health Service, then the treatment is paid for. We have two other groups of patients. These are either totally Private patients or Independent Fees for children under the age of 16 years.
How long does treatment take?
An 'average' course of orthodontic treatment with fixed braces takes between one and two years for the active treatment. There will then be a phase of retention treatment depending on the nature of the work.
How often are the appointments ?
Fixed braces are generally adjusted every 8-10 weeks. Removable braces may be seen more frequently. Appointments for National Health Service patients will be restricted to school hours and will be limited during school holidays. Private patients can be seen outside these times wherever possible.
What do I do if my brace breaks?
If it is not painful, please contact the surgery on the next working day to arrange a repair. Apply wax (supplied in the starter kit) to any sharp areas which are sharp, including long wires and broken brackets. Please telephone the surgery number for advice on out of hours emergencies.
What can I do if my brace rubs?
The wax supplied in your starter kit can be applied to a fixed brace. Try to dry the area first with a piece of tissue to help the wax stick. If a removable brace is rubbing, wear it as much as possible but contact the surgery as soon as possible to have it looked at.
What can I do if the brace hurts?
Painkillers can be taken if necessary in the first few days. Sipping iced cold water helps to lessen the pulling sensation on the teeth. Most problems subside within 48 hours.
Will treatment affect my speech?
It is likely that your speech will be affected for the first few days. Most people have very few problems after this time. A removable brace should be worn as instructed. If it is continually removed, then it is unlikely that the speech will adapt. Lingual braces take longer to adapt to, but as the appliance is fixed, things should improve in a few days. We can supply braceguard™ which is recommended for wind instrument players.
I play a woodwind / brass instrument. Will it affect my playing?
The effect on playing is variable. Some people have no problems, whilst others will be affected for the whole course of treatment. Please ask your music teacher what they feel. If music is to be your career then perhaps you should think of ClearStep. It is removable and comfortable and would be the ideal treatment for you.
If I need to have teeth removed, who will do this?
Your own dentist will arrange for teeth to be removed, usually under a local anaesthetic. If the extractions are likely to be more complicated, your Orthodontist may refer you to a specialist dental surgeon (Oral and Maxillofacial Surgeon). Most extractions are done at the dentist with injections to make the procedure painless. However if you are very nervous tell your dentist and they can refer you to the local sedation clinic where they can give you a sedation so you feel nothing and all the necessary extractions can be done at the same time.
Will I still need to go to my regular Dentist?
Yes, this is very important. Although we are seeing you regularly, your own Dentist needs to monitor the health of the teeth and gums throughout treatment.
Will the brace damage my teeth?
There are risks to teeth during orthodontic treatment. Many of these can be reduced or eliminated by following the advice you are given. This is primarily related to oral hygiene and diet.
When can I start?
Your treatment can commence as soon as your teeth and gums are healthy. Sometimes it is better to wait for baby teeth to fall out before starting treatment with fixed appliances.
Will the shape of my face change?
There is a relationship between extractions and profile but this is not usually significant if treatment has been planned correctly and completed properly. Many of our patients have treatment without the need for extractions.
Can I have braces that don't show?
The ClearStep Centres specialize in Invisible Braces and we offer treatment with lingual braces and ClearStep. We can also provide aesthetic braces which are less conspicuous than metal braces.
What happens at the first appointment?
At your first appointment your orthodontist may take x-rays, moulds of your teeth and photographs. These are taken to measure the size and shape of your teeth and jaws and help the orthodontist to provide the best advice and the most appropriate treatment. If treatment is needed you will be given the opportunity to ask any questions you may have.
Will my teeth stay straight?
At the end of treatment the orthodontist will provide you with retainers. These will guarantee the stability of your teeth in their new position and prevent relapse.

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