Tooth straightening treatments for children, teens, and adults

What is Orthodontics?

Orthodontics is the teeth-straightening speciality. Although teeth are held stationary in the bone, they can be moved with small constant forces; this is how braces work. However, it is not only braces that can move teeth. Any constant force can do this, with the most common causes that we see being use of a dummy or thumb sucking in children. This, for example, causes a narrower palate to develop, resulting in a more crowded and narrow upper arch, with the teeth becoming overlapped, and failing to meet properly.

Why Consider Orthodontic Treatment?

There are many reasons for pursuing orthodontic treatment, including:

• Appearance
• To improve the bite (how teeth meet and function)
• Easier cleaning of crowded teeth
• Improved speech
• Improved facial contours
• Confidence

Orthodontics for Children

Orthodontic treatment is commonly initiated in children once all the adult teeth have erupted, and we can arrange referral to an orthodontic specialist at the appropriate time. In children, the timing is important, as facial growth can often be harnessed to adjust the facial contours and correct issues such as a narrow palate. In addition, children’s bone is softer, meaning that teeth usually move faster, resulting in shorter treatment times.

Orthodontics for Adults

Orthodontics is not limited to children. An increasing number of adults are taking advantage of modern dentistry to improve their smiles.

The Importance of Retainers

It is critical to understand that the long-term success of all orthodontics, whether in children or adults, is linked to the use of retainers. These are issued at the end of orthodontic treatment and need to be worn, typically at night long-term, to prevent the teeth from drifting out of place. They are usually clear, and look like the retainer in the Invisalign picture below.

Types of Orthodontics

Removable Appliances

As the name suggests, these can be taken out of the mouth, so good compliance is required from the patient. They are used typically to tilt teeth, although there are also appliances used to modify the growth of the jawbones. Occasionally at the end of treatment, the retainers may be made in this format.

Fixed Braces (“Train Tracks”)

These are the most commonly used orthodontic appliances, and are very effective, as they can be used to move a whole tooth through the bone, rather than just tip it as with removable appliances.

• Systems vary, and your specialist will select the most appropriate one.
• Some rapid fixed systems (e.g. Six Month Smiles) can reduce treatment time, often aimed at adults.
• Brackets and wires are traditionally metal, but clear porcelain brackets and white-coated wires are now available to reduce visibility.
• Braces can sometimes be fitted to the inside of the teeth (lingual braces) to make them less visible.

Clear Aligners (Invisalign)

Invisalign is the most established clear aligner system. It involves a series of virtually invisible clear trays that fit over the teeth.

• Each aligner makes a small adjustment to tooth position
• Aligners are worn for about 2 weeks each before moving to the next
• Suitable for overcrowded teeth, widely spaced teeth, and other bite issues
• No brackets or wires required

Retainers

These are critical for long-term stability after treatment.

• Usually clear sheaths, worn at night
• Prevent teeth from drifting back into old positions
• Some patients may have a thin wire bonded behind the teeth as an additional fixed retainer

With modern techniques and experienced care, Heathwood Dental Practice offers orthodontic treatments designed to improve function, appearance, and confidence for the long term.