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Understanding the Different Phases of Braces Treatment

Posted on January 9, 2024

Are you considering getting braces to achieve that picture-perfect smile? Before you begin your braces treatment, it’s important to understand the different phases involved. From the initial consultation to the final retainer stage, each phase plays a crucial role in transforming your smile.

Braces have become an essential part of orthodontic treatment, helping millions of people achieve straighter teeth and improve their oral health . However, many individuals are unsure about what to expect during their braces journey. Understanding the different phases of braces treatment can help alleviate any anxieties and ensure a smooth and successful experience.

Embarking on a braces journey with Smilebliss is an exciting and transformative process. It’s not just about achieving a beautiful smile; it also involves improving your dental health and overall quality of life.

By being aware of the different phases of brace treatment, you can make informed decisions and fully embrace the transformation that awaits you. Contact us now for more information about dental braces!

Phase 1: Preparing for Braces

The first step in preparing for braces is to consult with an orthodontist. During this initial consultation, the orthodontist will examine your teeth and determine if braces are necessary. They will also discuss the various treatment options and create a personalized treatment plan for you. Once you’ve decided to move forward with braces, the next phase is the preparation phase.

Here are the key steps involved in this phase:

• X-Rays and Impressions : Your orthodontist will take x-rays and impressions of your teeth and jaws. These images will help them assess the alignment of your teeth and determine the best course of treatment. Impressions are typically taken by having you bite into a soft and gooey substance that hardens into a mold of your teeth.
• Dental Cleaning : Before the braces can be applied, it’s important to have a thorough dental cleaning. This ensures that your teeth are free of any plaque or debris that could interfere with the bonding process.
• Placement of Spacers : In some cases, spacers may be needed to create space between certain teeth. These small rubber bands or metal appliances are placed between the teeth a few days before the braces are applied. They gently push the teeth apart, allowing enough room for the placement of the braces.

By following the steps outlined above, you can ensure a smooth and successful start to your braces experience. Remember to be patient and diligent with your treatment, as it can take several months or even years to achieve your desired results.

Phase 2: Braces Installation and Adjustment

The brackets are carefully positioned to create the ideal alignment for the teeth. Once the braces are installed, regular adjustments are necessary to gradually move the teeth into the proper position.

These adjustments may involve tightening the wire, changing the bands, or making other modifications to the braces. This initial phase is crucial for laying the foundation for a successful braces treatment and setting the stage for the subsequent phases.

Your orthodontist will also provide you with instructions on how to brush and floss your teeth while wearing braces. It’s important to maintain good oral hygiene throughout your treatment to prevent any complications or issues.

Phase 3: Mid-Treatment Progress

During phase 3 of braces treatment, also known as mid-treatment progress, significant progress is made in aligning the teeth and correcting any bite issues. This phase typically occurs several months into the overall treatment plan and can vary in length depending on individual needs.

As the teeth gradually shift into their desired positions, patients may notice improvements in their smile and bite alignment. Regular check-ups and adjustments are crucial during this phase to ensure the braces are effectively guiding the teeth into their correct positions.

Any necessary adjustments to the braces or treatment plan will be made at this stage to address any specific challenges or concerns. Phase 3 marks an important milestone in braces treatment , bringing patients one step closer to achieving a straight and healthy smile.

Phase 4: Nearing the Finish Line

Phase 4 of braces treatment is an exciting stage as it indicates that the finish line is near. After months or even years of wearing braces, patients can finally see the changes and improvements in their smiles.

During this phase, the orthodontist will fine-tune and make any necessary adjustments to ensure that the teeth are in their desired positions. This may involve changing wires or bands and making small tweaks to achieve optimal alignment.

The orthodontist will also educate the patient on the importance of maintaining the results achieved by wearing retainers after the braces are removed. Phase 4 signifies the end of the braces journey and the beginning of a beautiful, confident smile.

Final Phase: Retention and Smile Maintenance

This phase is crucial as it ensures that the investment made in braces pays off in the long term and the patient can enjoy a beautiful and properly aligned smile. Regular visits to the orthodontist and consistent use of retainers are essential in this phase for successful retention and smile maintenance.

Discover Your Perfect Smile: Experience the Magic of Smilebliss Braces for Straighter, Radiant Teeth

The journey of braces treatment is a long and complex one, but the result can be well worth the effort.

By following the phases outlined above, patients can achieve the beautiful and straight smile they have always wanted. Regular visits to the orthodontist, proper brushing and flossing techniques, wearing retainers as instructed, and overall dedication are all necessary for successful brace treatment.

Embark on your journey to a perfect smile with Smilebliss . Understand the phases of brace treatment, from consultation to retention. Trust us for a smooth and successful experience, guiding you through each step.

Ready to achieve your dream smile? Choose Smilebliss and embrace the transformation today! Book your appointment now !

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The Stages of Braces: What To Expect

Beginning the orthodontic treatment journey with braces may seem daunting at first, but having a roadmap of the stages ahead can alleviate uncertainty and prepare you for the process. At Dischinger Orthodontics, we prioritize guiding our patients through each phase of their orthodontic experience, ensuring they are well-informed and supported every step of the way.

In this article, we’ll delve into the various stages of braces treatment, spanning from the initial consultation to the final retention phase. By gaining insights into the progression of orthodontic care, you’ll gain a clearer understanding of what to anticipate and how Dischinger Orthodontics can assist you in achieving the smile you’ve always desired. So, let’s embark on this journey together and explore the stages of braces treatment!

1. Pre-Treatment Phase

Before braces placement, patients undergo a comprehensive examination and consultation with our experienced orthodontic team at Dischinger Orthodontics. This pre-treatment phase is crucial as it allows us to assess the current condition of the patient’s teeth and jaws, discuss treatment objectives and options, and address any queries or concerns they may have.

Typically, the pre-treatment phase kicks off with a thorough evaluation of the patient’s oral health, which includes x-rays, photographs, and impressions of the teeth. These diagnostic assessments enable us to formulate a personalized treatment plan tailored to the unique needs of each patient.

At Dischinger Orthodontics, we place great emphasis on open communication and collaboration with our patients. We take the time to comprehensively explain the proposed treatment plan, covering aspects such as the various stages of braces treatment, the anticipated duration of treatment, and the types of braces that may be recommended.

During this phase, patients are encouraged to ask questions and share any preferences they may have regarding their orthodontic treatment. Our team is dedicated to ensuring that patients feel empowered and well-informed throughout the entire process, from the initial consultation to the completion of treatment.

2. Placement Phase

Once the pre-treatment phase concludes and the treatment plan is finalized, patients are prepared to enter the placement phase of braces treatment. This stage officially initiates orthodontic treatment and involves the actual attachment of braces to the teeth.

At Dischinger Orthodontics, we utilize cutting-edge techniques and materials to ensure a comfortable and efficient braces placement process for our patients. Our orthodontic team boasts extensive skill and experience in performing this procedure, enabling us to achieve optimal outcomes with minimal discomfort.

During the placement phase, patients visit our office for the installation of their braces. The process commences with a thorough cleaning and drying of the teeth to ensure proper adhesion of the bonding materials. Subsequently, each bracket is meticulously positioned on the tooth’s surface, and a specialized dental adhesive is utilized to secure the brackets in place.

Following the attachment of all brackets, the orthodontist affixes the archwire onto the brackets using small elastic bands or metal ligatures. This archwire applies gentle pressure to the teeth, progressively guiding them into their desired positions over time.

Throughout the placement phase, our team closely monitors the patient’s progress and makes any necessary adjustments to ensure the braces function effectively. Recognizing that this phase represents a significant milestone for many patients, we strive to deliver a supportive and positive experience at every juncture.

3. Adjustment Phase

Following the placement of braces, patients transition into the adjustment phase, which entails regular visits to our orthodontic office for adjustments and progress monitoring. This phase plays a pivotal role in ensuring the braces’ effectiveness and the alignment of teeth according to the treatment plan.

During each adjustment appointment, the orthodontist will perform any necessary modifications to the braces, such as tightening the archwire or replacing elastic bands. These alterations help maintain consistent pressure on the teeth, crucial for achieving optimal outcomes.

At Dischinger Orthodontics, we recognize the uniqueness of each patient’s orthodontic journey, tailoring our treatment approach to address their specific needs. Our team is dedicated to providing personalized care and guidance throughout the adjustment phase, empowering patients with confidence in their treatment progress.

Throughout this phase, patients may experience some discomfort or soreness following adjustments, which is normal and typically resolves within a few days. Our team offers advice on managing any discomfort, ensuring patients remain comfortable throughout their treatment.

The adjustment phase typically spans several months to years, contingent on the case complexity and treatment objectives. During this period, patients witness gradual movement of their teeth into the desired positions, resulting in a beautiful and functional smile.

In summary, the adjustment phase is integral to the braces treatment process, and our team at Dischinger Orthodontics is dedicated to delivering exceptional care and support at every stage.

4. Progress Monitoring Phase

Once braces have been adjusted and treatment is underway, patients transition into the progress monitoring phase. This phase entails regular check-up appointments to assess how the teeth are responding to treatment and to make any necessary adjustments to the treatment plan.

During progress monitoring appointments, our orthodontic team evaluates the movement of the teeth and the alignment of the bite using various tools and techniques, such as X-rays and 3D imaging. This enables us to track progress accurately and make informed decisions about the next steps in treatment.

At Dischinger Orthodontics, we recognize the significance of closely monitoring progress to ensure that treatment remains on track and that patients achieve the best possible results. Our team is committed to providing comprehensive care and support throughout the progress monitoring phase, addressing any questions or concerns that patients may have along the way.

Throughout this phase, patients continue to visit our office regularly, typically every 4 to 8 weeks, depending on their individual treatment plan. These appointments allow us to make any necessary adjustments to the braces and to address any issues or concerns that may arise.

The progress monitoring phase plays a crucial role in the braces treatment process, enabling us to ensure that treatment progresses as planned and that patients achieve their desired results. Our goal at Dischinger Orthodontics is to deliver exceptional care and support to our patients throughout their orthodontic journey, assisting them in attaining a healthy, beautiful smile that lasts a lifetime.

5. Finalization Phase

The finalization phase marks the culmination of the braces treatment journey. During this phase, the focus is on fine-tuning the results achieved in the previous stages and ensuring that the teeth are in their optimal positions.

In this phase, the orthodontist may make some final adjustments to the braces to perfect the alignment of the teeth and bite. This could involve tightening or loosening specific wires or making changes to the placement of brackets to address any remaining alignment issues.

Alongside these adjustments, the orthodontist evaluates the overall health of the teeth and gums to ensure they are in excellent condition. This may include performing a thorough cleaning and polishing of the teeth to remove any plaque or tartar buildup that may have accumulated during treatment.

Once the orthodontist is satisfied with the results and the teeth are in their ideal positions, the braces are removed. This is an exciting moment for patients, marking the end of their braces journey and the start of a new chapter with a beautiful, straight smile.

After the braces are removed, patients are usually fitted with a retainer to help maintain the new position of their teeth. The orthodontist provides instructions on how to care for the retainer and how often to wear it to ensure the results of treatment are maintained over the long term.

The finalization phase is crucial as it ensures patients achieve the best possible results and enjoy a healthy, beautiful smile for years to come. At Dischinger Orthodontics, we are dedicated to providing exceptional care and support throughout every stage of our patients’ orthodontic journey, from the initial consultation to finalization and beyond.

6. Retention Phase

After the braces are removed, patients transition into the retention phase of their orthodontic treatment. While braces have successfully straightened the teeth, it’s vital to maintain these results and prevent any shifting back to their original positions. This is where retainers step in as crucial players.

Retainers are custom-made devices crafted to hold the teeth in their new positions. Usually made of clear plastic or wire, they are worn over the teeth, typically at night, to prevent any movement. Retainers are essential for ensuring the long-term stability of the results achieved with braces.

During the retention phase, patients receive instructions from their orthodontist on how often to wear their retainers and for how long. Initially, retainers may need to be worn full-time, including during the day and at night, to thwart any unwanted shifting of the teeth. Over time, as the teeth stabilize in their new positions, the wearing schedule may be adjusted, and patients may only need to wear their retainers at night.

Following their orthodontist’s instructions diligently during the retention phase is crucial to maintaining the results of braces treatment over the long term. Failure to wear retainers as directed can result in relapse, where the teeth start to move back towards their original positions. This can reverse the progress achieved with braces and may necessitate additional orthodontic treatment to rectify.

At Dischinger Orthodontics, we recognize the significance of the retention phase in ensuring the success of orthodontic treatment. That’s why we offer personalized care and guidance to our patients to help them navigate this final stage of their braces journey effectively. By adhering to our orthodontist’s recommendations and wearing their retainers as instructed, our patients can enjoy a healthy, beautiful smile for years to come.

The journey through the stages of braces is a transformative one, leading to a healthier and more confident smile. Each stage, from the initial consultation to retention, plays a crucial role in achieving this goal.

During the pre-treatment phase, thorough evaluations lay the groundwork for personalized treatment plans tailored to each patient’s unique needs. The placement phase marks the beginning of active treatment, where braces are installed to realign teeth, and regular adjustments are made to ensure progress.

Throughout the monitoring phase, the movement of teeth is closely tracked, and any necessary fine-tuning is performed to achieve the desired results. Finally, the finalization phase unveils a beautifully aligned smile, marking the completion of active treatment.

The retention phase then comes into play, maintaining the achieved results and preventing any relapse. At Dischinger Orthodontics, we are dedicated to guiding our patients through each stage of their braces journey with expertise and care, helping them achieve their dream smile and long-term oral health.

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What to Expect: Almost Done with Braces

When I started this braces journey a year and a half go in November of 2017, I knew absolutely nothing about braces. I had no idea what I was getting into and what to expect.

I have written a few posts over time , sharing things that I learned along the way and tips and tricks I found useful .

My son Rennon has been a real trooper. He’s not completely done with his treatment yet, he still has a few months left, but I wanted to write this post about all the things I’m learning about what to expect in the last few weeks and life after the traditional metal braces are off.

We even have some signs your braces are coming off soon to help you prepare for what’s ahead with the braces finishing stages!

This post is sponsored by E&S Orthodontics. All opinions are my own. 

For most tweens and teens, a normal braces total treatment time is approximately 2 years. If starting at an early age, you may to wear braces longer to wait for your baby teeth to all fall out and be replaced by the adult teeth.

But starting early, can also be a good thing to help with self esteem and take advantage of early intervention on any problem areas like overcrowding teeth or creating a more open bite.

Consider starting braces sometime between the ages of 10 and 14.

8 Things to Know When You’re Almost Done with Braces

1. Finishing Elastics- Toward the end of the treatment, before the traditional braces come all the way off, they use finishing elastics. Finishing elastics are little rubber bands that hook to the metal brackets.

They usually zigzag on the outside in between the teeth and connect onto the braces. They help close the bite together and put on the last finishing touches to perfect teeth.

2. Retainer- I did not know this, but after the braces come off, you still have to wear a retainer.

When treatment is over, you get fitted for a retainer for the bottom and top. The retainer needs to be worn for about 8 hours a day to help keep teeth straight. Most people choose to wear them at night.

If you go more then a day or so without wearing the retainers, your upper teeth especially will start to shift back and your retainer will no longer fit anymore.

There are clear aligners available for this step at some orthodontics offices.

3. Retainer Insurance – Because retainers wear out and break, they need to be replaced. For people that grind in their sleep or clench, they can wear out and break faster.

Retainers cost around $250 per each top or bottom. Some practices will offer retainer insurance or give you one free replacement set of retainers – so make sure you ask!

With retainer insurance, you’ll pay one upfront fee to get replacement retainers top or bottom or whole new sets of both a top and a bottom for a period of time, determined by the plan.

Most retainer insurance plans will let you pay in installments. It really helps out with the large surprising cost of having to replace a lost, broken or no longer fitting retainer.

4. Permanent Retainers- This was new to me also. Permanent retainers are little wire bars that are permanently glued behind the lower teeth. They help to keep teeth straight after the braces come off.

They are used in conjunction with the removable retainers. Permanent retainers are mostly used on the bottom teeth to keep your teeth in the desired position.

They use permanent retainers on the top teeth usually only if there is a gap in the front teeth to help keep the gap closed.

5. Whitening- Sometimes after wearing braces for a year or more, teeth can become discolored. A lot of people like to get their teeth whitened after the braces come off.

It’s the perfect finish to a new perfectly straight smile. Orthodontics offices generally offer after braces whitening to make sure your new beautiful smile is looking its best.

6. Teeth Contouring- Some people choose to get teeth contouring done after they get their braces off. This is where they shape the teeth to make sure they are evenly shaped everywhere.

As teeth are moved and straightened to the correct position with braces, teeth can become uneven in their bite or across the front. To make sure your bite is good and your teeth look even and straight across the front, some people like to get contouring done.

It’s definitely an optional service, but just keep in mind that your orthodontist may bring up teeth contouring when the braces come off.

7. Big dental work Issues- If at any time in life you get big dental work done, you’ll need to see your orthodontist again. I’m talking about things like crowns that change the shape of your adult teeth in a big way.

The orthodontist will also likely want to complete panoramic x-rays to get a good look at all the teeth towards the end of wearing braces to help take care of any issues while you’re still making last minute adjustments.

After you get big dental work done, your retainer may not fit anymore. You may need to go be fitted and get a new retainer made.

8. Warning! Keep up with Dental hygiene- I’m sad to report that my teenage son is not very good with dental hygiene. It has caused some issues with his braces treatment.

I even had him watch a video when he first got his braces on about what can happen to your teeth if you do not take good care of them. He obviously didn’t listen.

He was prescribed a special fluoride toothpaste to help with protecting his teeth against cavities and such. There has even been talk about shortening his time with braces on and not completely finishing to perfection, in lieu of making sure his teeth stay healthy.

So if you have braces or will be getting them, make sure that you stay on top of dental hygiene or your teeth could end up worse than before braces.

Our Experience with E&S Orthodontics

My braces journey with E&S Orthodontics has been great. The staff is nice, quick, efficient and knowledgeable. I really appreciated that we didn’t have to go through a two-phase treatment.

The goal of phase braces is to widen palettes or shift teeth that are majorly misaligned, but it means a lot of years in braces or other dental appliances, broken up over a series of years as your child grows up. There are some benefits, and it may work best for some children.

They try to get you in and out as quickly as possible. They really care for their patients and try to make coming to the orthodontist as fun and painless as possible.

They give back to their patients several times a year with free jump parties and food trucks or other events.Their waiting room is always festively decorated and stocked with cookies and coffee.

Orthodontics is a long term commitment. When choosing which orthodontist you’re going to see, choose one like E&S Orthodontics that will give you a great experience on your journey to a  pretty new smile.

Thursday 24th of October 2019

This is awesome! My daughter is about to get braces and I have been doing some reading just so I can be prepared for it as I didn't have braces when I was growing up. Never even thought about post braces let alone retainer insurance!

Tuesday 20th of August 2019

I’ve had my braces off for 3 years now and I still wear my retainer. I can’t wait to see the finished look!

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May 11, 2023

Related category

Before and After Braces: Transforming Smiles

Embarking on the journey towards a healthier, straighter smile with braces is a significant milestone. It's a transformational process that not only alters the aesthetics of your smile but also boosts your confidence and enhances oral health.

In this blog post, we will guide you through the before and after braces journey, showcasing the transformative power of orthodontic treatment.

Before Braces: Identifying the Need

The first step in any orthodontic journey begins with recognizing the need for intervention. This could be due to various dental issues such as overcrowding, gaps, misalignment, or bite problems. Visiting an orthodontist for an initial consultation is crucial to understand the complexity of your case and determine the right treatment plan. This process includes a thorough examination, X-rays, and sometimes a 3D scan of your teeth.

Choosing the Right Braces

Once it’s determined that braces are needed, the next step is selecting the right braces that fit your lifestyle and dental needs. You'll consider options like traditional metal braces, clear ceramic braces, or high-tech solutions like Invisalign. Remember, each type of treatment has its advantages and specific care instructions, so it's important to discuss these factors with your orthodontist.

The Journey with Braces

The journey with braces involves routine adjustments and maintenance, ranging from a few months to a couple of years, depending on the case's complexity. During this period, it's essential to maintain good oral hygiene and adhere to dietary guidelines to avoid potential issues such as staining or damage to the braces. Regular visits to the orthodontist for adjustments are also a critical part of ensuring your teeth are moving in the right direction.

After Braces: The Big Reveal

The 'after braces' phase is the moment everyone eagerly awaits. It's when the braces come off, and you see your new, straight smile for the first time! But the journey doesn't end here. Retainers are typically required post-braces to maintain the new position of your teeth. It's also the time to celebrate and flaunt your transformed smile!

Before and After: The Transformation

The transformation from before to after braces is more than just physical. Yes, you'll enjoy a straighter, more aligned smile. But beyond that, braces can help improve oral health by making it easier to clean your teeth, potentially reducing the risk of decay and gum disease. Not to mention the significant boost in confidence from having a smile you're proud to show off.

The before and after braces journey is transformative from an aesthetic and health perspective. It requires patience, commitment, and a bit of adjustment, but the results are well worth it. At docbraces, we are committed to guiding you through each stage of this journey, ensuring a comfortable and rewarding experience.

Don't forget to use our Before and After Braces gallery to explore real-life transformations and understand what braces can achieve. Remember, every smile tells a story – start your transformation story with us today.

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Health Begins in the Mouth | Dr. Mark Burhenne

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Braces: Types, What to Expect, How They Work & Care (Kids + Adults)

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1. traditional metal braces, 2. ceramic braces, 3. lingual braces, 4. damon braces, 5. clear aligners (invisalign), at what age should you get braces, wires, tubes, and ties, damon braces, clear aligners (like invisalign), pain with braces: what’s normal, what’s not, braces cost (by type), does insurance cover braces, eating with braces, problems with wires or brackets, wearing retainers after braces, how to brush and floss with braces, braces before and after, gum problems, teeth concerns, other issues, dentists vs. orthodontists for braces, faqs on braces, key takeaways: dental braces.

If you’ve noticed shifting in your teeth, having bite issues, or wondering if braces are a good decision, you may have questions about braces.

Whether you have dental braces now or they’re an option you’re considering, here’s a comprehensive guide on what kinds of braces are available, what to expect, and how to care for them.

What are braces for teeth?

Braces for teeth come from a special field of dentistry called orthodontics . This area of dental work was developed to treat problems with the positioning of the teeth and jaw. Even though each mouth is different, several bite issues necessitate orthodontic treatment.

The first type of problem we encounter is malocclusion, or bite misalignment . The most obvious forms of this issue is what we know as an underbite or overbite. However, many other forms of malocclusion can occur.

Overcrowding, spacing issues, missing or crooked teeth, an overjet, or even an open bite can also occur as teeth grow in. Unfortunately, these conditions can cause patients to be self-conscious. Worse, these problems can affect eating, smiling, and even speaking.

Good news—while there are many forms of bite issues, there’s always a solution to these misalignments.

Braces were developed to bring the teeth and jaw into proper alignment, so there’s hope for your malocclusion woes. In fact, this treatment has an overall high satisfaction rate and effective results .

You may notice a bite problem on your own, or a dentist may point it out during a visit. Once a malocclusion has been diagnosed, you have many options in the world of braces.

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Types of Braces

Today, there are more types of braces available than ever before. These options leave many patients wondering, “Which braces are right for me?” That answer and resulting treatment plan can depend on everything from cost to appearance. The pros and cons of each type of braces can help you decide which variety suits you best.

These are the classic variety of braces that most people think of when they hear the term. This option shifts alignment using metal brackets attached to the front of the teeth. The teeth are guided by an archwire that slowly repositions the bite.

Some braces utilize elastic ties to support the movement of teeth, while self-ligating braces have a custom-made clip that replaces elastic ties.

For patients allergic to nickel, the metal used in traditional braces might cause concern. Not to worry! Alternative options are available, such as gold-plated stainless steel or titanium. Be sure to discuss any metal allergies with your dental care provider before taking the plunge.

• Pros: fun color choices for kids, usually have the lowest price point, fast-acting
• Cons: most conspicuous choice, white calcifications can develop around brackets

Ceramic braces are similar in appearance to traditional metal braces. However, there’s one major exception—the brackets are clear or match the individual’s teeth. This provides similar treatment to metal braces, but without a metallic mouth look that might deter some patients.

• Pros: less obvious than traditional metal braces, act much faster than other clear options like Invisalign .
• Cons: staining is very possible due to the light color, higher cost than the metal option, calcifications are possible

Dental professionals refer to the inner side of your teeth as the “lingual” surface. These braces are located on the back of the tooth, against the tongue. Lingual braces are made of metal, like traditional models.

• Pros: not visible in everyday wear
• Cons: tough to clean thoroughly, higher cost than regular metal braces, can hurt teeth and tongue in early months, not an option for severe malocclusions, adjustments are more frequent and complex

These are a newer option for braces that don’t use the elastic or metal ties of traditional braces. Damon claims to reduce pain and require fewer adjustment visits than a classic model. This option comes in both a metal bracket and clear version.

• Pros: Damon claims faster treatment times, less conspicuous than traditional metal braces, and less pain than braces that need to be tightened
• Cons: relatively new method, not all orthodontists offer this option, higher price point

Clear aligners are potentially the mildest option out of the types of braces. However, don’t be fooled by these clear braces: they can accomplish great results over time.

Each aligner you’re given is choreographed for just 1-2 weeks at a time, gently moving your teeth to the desired position.

Patients with interproximal reduction or severely rotated teeth will not be good candidates for at-home treatment (like SmileDirect or Candid), but they can almost always get their desired results when using Invisalign under the care of a dentist or orthodontist .

• Pros: almost invisible, easily removable, no calcifications, and use safe and patented plastic (free of BPAs and carcinogens)
• Cons: higher price, process may take longer, easier to lose with costly replacement fees

One downside of beginning treatment in your adult years is that it will likely take about twice as long to get results.

That’s why I advise parents to consider orthropics, a school of orthodontic thought that seeks to correct growth issues starting as early as two years of age.

Orthropics has an emphasis on prevention and also strongly avoids extracting teeth.

Professionals separate orthodontics into Phase 1 and Phase 2 treatments. In an ideal scenario, a child would receive an orthodontic and orthotropic consultation between the ages of two and five, in Phase 1. From there, they would receive monitoring and any necessary adjustments between ages 4-10 to optimize jaw and palate growth.

Phase 2 treatment refers to orthodontic treatment stated during or after early adolescence. If Phase 1 treatment has been completed, it can reduce or eliminate the need for orthodontics in this stage. However, if you missed out on early intervention, don’t worry. Age should never prevent you from getting the treatment you need.

While it’s clear from the data that earlier orthodontic intervention yields better results , it’s never too late. Though your bite may not have the same flexibility and responsiveness as you age, change is still possible.

Living with a malocclusion can increase your chances of bruxism , make brushing and flossing harder, and impact your confidence. Even if early treatment is no longer an option for you, there’s hope.

How Dental Braces Straighten Teeth

Not all braces straighten teeth the same way, but all are working toward the same goal of aligning the teeth and jaw. The type of braces you choose determines the way your teeth are straightened. It will also establish the frequency of adjustments needed throughout the process.

Though some components can be changed to suit individual needs, the basic mechanisms are the same. Here’s how the many parts of braces work together to straighten teeth.

Brackets are cemented to each tooth and may be metal, tooth-colored, or ceramic. These can attach to the front or back of the tooth, depending on if the braces are traditional or lingual. Bands that wrap around the tooth are put on the back molars in some cases, while self-ligating braces don’t require rubber bands.

Archwires are attached to the brackets and will guide the teeth as they move. This wire applies steady pressure to the jawline and teeth, slowly moving their position. The archwire is adjusted to continue to realign the teeth and jaw throughout the treatment period.

The orthodontist will fasten archwire to the brackets using small rubber or metal ties, which they will change periodically. A small tube holds the wire in place at the last tooth on each side. In more serious cases, rubber bands, elastics, or springs may be necessary.

These pieces all work together to move the teeth into alignment, and to shift the bite into its proper placement. As the teeth move, guided by the arch wire, the brackets act like little handles to assist in pulling the teeth along. As the braces are tightened during regular adjustments, the teeth and jaw continue on this path.

This method is similar in some ways to traditional braces, but with a few modern changes. Damon braces do not use metal or elastic ties, and treat alignment issues without needing to be tightened. Instead, their shape-memory wires create movement, and they are self-ligating.

These models work a little differently. Unlike other forms of braces, a clear aligner is removable and provides a gentler adjustment. Instead of regular visits to tighten the archwire and ligatures, a new aligner is used every two weeks to continue moving the teeth.

In more severe cases, headgear may be needed. This removable gear typically attaches to the upper back molars in order to correct jaw alignment and create more space in the teeth. While this one of the largest orthodontic appliances, it’s rarely necessary and can typically be worn at home to prevent self-consciousness.

Getting Braces: What to Expect

Getting braces isn’t a mysterious process, and knowing what to expect can calm your nerves. Here’s what’s in store before, during, and after getting braces for your teeth.

Before you get braces, there are some important preparation steps to take.

I never advise braces until all decay and gum issues, like cavities or gingivitis , have been addressed.

If left untreated, these can cause major problems down the road that could undo the progress your smile has made through braces.

In some cases, surgery may be required for braces. Orthognathic , or jaw, surgery is occasionally needed for more serious alignment issues. Your dentist or orthodontist will let you know if you need this step to correct TMJ, jaw closure problems, facial imbalances, or other concerns.

Palatal expansion or serial extraction may also be necessary if teeth are overcrowded. This measure works best in Phase 1 because the growth plates in the mouth are still developing at this age.

This process may look different for adults or adolescents since their palate is formed. These patients may need teeth pulled to make space for proper alignment, or spacers put in between teeth to make room for bands before braces. Spacers and expanders may cause some soreness, but it’s not long-lasting.

Once the mouth is ready for treatment, your orthodontist will take x-rays and photos of the teeth. These images will guide them in designing braces to fit your individual needs. They will also take an impression (or mold) of your mouth to ensure a good fit when the braces are put on.

So now that you’ve cleared up any tooth decay or gum issues, pulled teeth or expanded the palate if needed, and prepared with your orthodontist, it’s time to finally put on those braces! The good news is that this typically only takes as long as a movie—1 to 2 hours. Having your braces put on can take one or two visits, depending on the type you’ve chosen.

Braces are made to fit you individually, so no two cases of putting on braces will be exactly the same. However, the procedure for traditional metal or ceramic braces typically follows these steps:

• Cleaning: a proper cleaning and drying will occur before any braces are put on.
• Brackets: each tooth will need a bracket placed in the center, which will be held in place by glue. Your orthodontist will place the glue on the tooth, dry it with a blue light, and then apply the bracket. Don’t worry if the glue tastes a little unpleasant; the taste is only temporary.
• Bands: these help to secure the braces in your mouth. These bands will be slipped around the back molars on both the upper teeth and lower teeth. The bands are secured with glue and chosen based on your impression, and you may feel some pressure as they are secured firmly. Let your orthodontist know if you feel any significant pinching, as they may want to readjust the band to a more comfortable position for you.
• Archwires : you’re in the home stretch! These are the last step in putting on your new braces. The orthodontist will attach these metal wires to your brackets using a rubber band. If you are using traditional metal braces, you can choose the rubber band color, but ceramic braces will use ligatures that are clear or tooth-colored.

Lingual braces are applied in an extremely similar way, but to the inner side of the teeth. This requires more time and a specially trained orthodontist to ensure proper care.

Invisalign and other clear retainers are a very different form of braces. For more information about how they are put on and what treatment might look like, check out my guide to Invisalign .

While each mouth is an individual case with individual needs, there are a few things I always recommend doing during your dental braces treatment :

• Try remineralizing toothpaste. While most people are familiar with fluoride toothpaste, I recommend the road less traveled: hydroxyapatite (Ha or NHa) toothpaste. This can help remineralize teeth, which means rebuilds enamel and reversing tooth decay. Fluoride can have some undesirable side effects , but remineralizing toothpaste doesn’t share those same potential drawbacks. (I love this toothpaste ; use code ASKTHEDDS for 10% off.)
• Avoid alcohol-based mouthwash. Traditional mouthwash can kill the good bacteria in your mouth, lead to overgrowth of bacteria that can damage your teeth, and pave the way for inflammation and decay. On the other hand, an oil pulling mouthwash like this one can do more good than harm.
• Mouth tape for nighttime protection. Many people breathe through their mouths at night, and it can wreak havoc on your oral health. Mouth taping prevents the growth of harmful bacteria, improves your sleep and gut health, and boosts immune response .
• Brush and floss intentionally. Brush your teeth in the morning, before bed, and 30-45 minutes after any meal that contains decay-promoting foods. Braces can act like a magnet to food and bad bacteria.

As we’ve discussed, braces work by guiding the teeth along the wires into their healthy new position. With traditional metal braces, ceramic braces, or lingual braces, you will need to see your dentist every 3-6 weeks for an adjustment to keep moving your teeth along their journey.

This will involve tightening the wires, springs, or elastic bands on your braces to increase the tension and continue to shift the teeth and jaw into correct alignment. After these visits, you may experience some soreness as the teeth move into their new position.

Removing your braces is much less painful and time consuming than putting them on.

Your orthodontist will remove the brackets and bands, and snip the archwire. It’s common to need the glue removed, and your dentist may polish it off with a special tool. This process is relatively quick and you should only feel a little pressure.

S/he will also take new photos and x-rays to see how the mouth has changed . This will help them in future treatment and show you how your teeth are aligned. At this stage, you’ll probably want to show off your beautiful smile and malocclusion-free mouth.

You’ll also be given a new retainer. Be sure to wear your new retainer consistently to keep the results you worked so hard for. If your teeth aren’t quite ready for a retainer, a pre-finisher may be advised first.

Rarely, surgery will be needed after braces for optimal results. Some patients need headgear after braces. Others will need a fiberotomy to prevent their teeth relapsing and rotating, or a gum lift to ensure the teeth are uniform after being moved.

Braces may not always be comfortable, but they should never be seriously painful. The most common times to experience soreness are after an adjustment and the first several days after braces are put on.

Over the counter pain relievers can help, but my favorite recommendations are CBD oil , coconut water, or clove oil . Their anti-inflammatory properties may help control these symptoms, and the pain should lessen as time passes.

If you are experiencing severe pain, contact your orthodontist. It’s possible for a wire to be pushing into your gums, a bracket to be loose, or other concerns. Also, if you are consistently experiencing high levels of pain after an adjustment, be sure to communicate that as well. Your orthodontist may be able to alter the way s/he adjusts your teeth to put you at ease.

The pricing of braces is determined by the length, amount, and type of orthodontic treatment needed. Also, braces can cost less depending on what part of the country the orthodontist is located in, and if they’re based in a rural or urban area.

• Traditional metal braces: $3,000-$7,000
• Ceramic braces: $4,000-$8,000
• Lingual braces: $8,000-$10,000
• Clear aligners: $4,000-$7,000
• At-home clear aligners: $1,500-$3,000

Some costs happen up front. X-rays range from $50-$250, while an initial consultation with the orthodontist can commonly run up to $200. After treatment, a retainer can cost anywhere between $150 and $1,000, depending on the type you get.

It depends—some types of medical insurance cover braces only if they are medically necessary, such as for restoration after a major incident. It’s common for some dental insurance plans (if orthodontics is included) to pay for 50% of braces and cap at $1,500 total per child. Most plans won’t pay for braces for adults over 18-21 except in special circumstances.

However, all plans are different, so be sure to speak to your provider.

If you’re reeling from sticker shock, there’s good news. Braces can typically be broken down into installments at most orthodontist’s office. Also, if the braces are medically necessary, they should be tax deductible.

Look for more tips on saving on dental care in my article on living with no dental insurance .

How to Care for Your Braces

What you eat can make or break your braces…sometimes literally.

Popcorn, sticky candy, and gum can pull a bracket or wire free from their carefully placed alignment. Furthermore, don’t eat foods that will promote decay while your have braces, especially since the teeth will be harder to clean.

This includes sugar rushes such as sweets and soda, and carb-loaded treats like bread and pasta.

You should also eat foods that promote your oral health. Diets like Paleo and keto are full of foods that your teeth and gums will love. This eating plan can help remineralize your teeth and reduce gum inflammation from the inside out.

If you encounter any orthodontic problems with wires or brackets, let your dentist know right away. They can give you an adjustment to fix any wires of brackets that have detached or shifted.

In the meantime, try dental wax, which is made to put on protruding wires or brackets in a pinch.

For immediate relief, be sure to wash your hands and pinch off a pea-sized portion, then apply the wax to the fixture that’s prodding you.

Once the braces are removed, you’ll need to wear a retainer to ensure your teeth stay where they are. It’s crucial to wear your retainer at least 22 hours a day for the first year, then nightly for the rest of your life.

Otherwise, your teeth may shift back to their original position, causing you to lose your hard-earned results!

Sometimes, an orthodontist may recommend a bonded retainer, which is a metal retainer permanently bonded to the backside of the teeth. I generally advise against these for most patients, as they collect tartar and calculus and make flossing harder.

Pro tip: check out my handy guide on how to clean retainers to get the longest life out of yours.

It’s not surprising that braces can make brushing and flossing more difficult; braces can add a lot to navigate around while practicing oral hygiene. Taking special care to keep your teeth pristine during the process can save you from developing decay and gum inflammation.

I recommend a sonic toothbrush as my toothbrush of choice for patients with braces.

My favorites are the Philips Sonicare DiamondClean and Risewell .

When brushing, take special care to brush around brackets, wires, and bands. These can harbor plaque, tartar, and food particles, and need particular attention.

Flossing is a bit trickier with braces. Here’s how to do it:

Thread a piece of waxed floss under the archwire before gently and gently move it up and down. Once finished, pull it back out through the wire and move on to the next tooth.

Still having issues? Try a water flosser like Waterpik , dental tape, or a floss threader .

While this process may feel tedious, it will save you from major dental work down the road if your braces lead to decay.

Want some examples of what results you might expect with braces? Check out these success stories.

https://www.instagram.com/p/Bp5fVofH0B2/?utm_source=ig_embed&utm_medium=loading

https://www.instagram.com/p/By5B3T3gZ9X/?utm_source=ig_embed&utm_medium=loading

https://www.instagram.com/p/B0YvJNRhLQ8/?utm_source=ig_embed&utm_medium=loading

https://www.instagram.com/p/B0R-EIcJCEA/?utm_source=ig_embed&utm_medium=loading

Risks of Dental Braces

While metal braces can transform a malocclusion into a beautiful smile, there are still risks associated. Traditional metal braces have a list of hazards, which many orthodontists don’t mention.

Here are some of the often unforeseen risks of dental braces, namely, traditional metal or ceramic braces.

Unfortunately, traditional braces come with an increased risk for gingivitis and gum disease . This comes with inflammation of the gums, and gum recession.

While braces may help your teeth, they may not do the same for your gum line. It’s imperative to take good care of your gums while you have braces and watch for developing issues.

The teeth are also a concern in traditional braces treatment. There is a danger of root resorption, where bone structures or a tooth’s roots begin to break down.

You may also notice white calcifications on teeth after your braces are removed—unfortunately, those can’t be corrected with teeth whitening .

Finally, braces can make brushing and flossing more difficult, which can lead to excessive plaque buildup and potential cavities .

Due to shifting of the upper and lower jaw, you are more likely to develop TMJ disorders if you have traditional braces. Heavy metal toxicity is also possible due to the metallic contents of braces.

Also, archwires may be coated in Teflon. This contains many chemicals that have been traced to hormonal imbalances and an increased risk of cancer . Long exposure to this material in braces can harm your endocrine and immune systems.

While general dentists are able to provide most types of orthodontic treatment, it’s usually better to go to an orthodontist. Orthodontists have completed 2-3 years of additional training to become specialists in treating malocclusions.

Also, if you can, begin bringing your child as young as two to a dentist and orthodontist who practices orthotropics. This will help guide the development of the child’s mouth and bite and prevent the need for serious malocclusion treatment.

An orthodontist will likely be more expensive than your general dentist, so that’s a factor to consider as you choose.

How long does it take to move teeth with braces?

Can i play sports with braces, what happens if my wisdom teeth come in during or after my braces, can i get braces for free, when were braces invented.

Dental braces are an excellent solution for bite problems, overcrowding, and other common issues. The type of braces you choose can determine many factors, from length of treatment and risks to cost. After choosing your variety of braces, there are many foods to eat, brushing and flossing methods, and preventative measures that will help you to take care of them.

Be sure to consistently wear your retainer and to keep your dentist updated on any changes like shifting or wisdom teeth, even after your braces are off. Don’t forget to enjoy smiling, biting, and living malocclusion-free on the other side of orthodontic braces.

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About Mark Burhenne, DDS

I’m on a mission to empower people everywhere with the same evidence-based, easy-to-understand dental health advice that my patients get. You can read my story here. I have been a dentist in private practice for 35 years. I graduated from the Dugoni School of Dentistry in San Francisco, CA in 1987 and am a member of the American Academy of Dental Sleep Medicine (AADSM), Academy of General Dentistry (Chicago, IL), American Academy for Oral Systemic Health (AAOSH), and Dental Board of California.

Dr. Mark is the author of the best-selling book 8-Hour Sleep Paradox