Teeth Straightening

Teeth straightening, Invisalign & orthodontics

ORTHODONTIC TREATMENT AT BOSTON HOUSE by DR NATASHA WRIGHT

Orthodontic treatment is all about straightening teeth  –  gently moving them into the right place.

Straight teeth not only look better, but they function better too, and are much easier to keep clean.

Orthodontic treatment has changed enormously for the better over the years, and now rarely causes any discomfort.  Treatment duration is often shorter than it used to be too.

Natasha, our specialist orthodontist, re-aligns teeth with:

  • removable aligners
  • fixed natural shade ceramic brackets bonded to the lip side of the teeth
  • metal brackets bonded to the tongue side of the teeth

Your first appointment with Natasha will always be for a relaxed consultation and discussion.  There will be time for you to explain what you don’t like about your teeth and how you would like them to look, and she will explain what the treatment options would be for you.

She will probably take a low-dose digital panoramic x-ray to show all your teeth and the bone around the roots.

Natasha will advise which type of treatment she recommends, and most people are given the choice of treatment with aligners or fixed brackets.  As a guide, fixed brackets are usually the most effective when fairly major changes are needed, and give results in a shorter time period.  Treatment with aligners usually takes slightly longer, and is excellent for less complex movement.

 

Treatment with removable aligners:

Orthodontic treatment with aligners is ideal for people who would prefer not to have brackets on their teeth.  When the aligners are in place they are invisible  –  they just make your teeth look shiny.  They need to be worn night and day except for meal times and for cleaning.

Impressions are taken so that models of your teeth can be made  –  these are then sent to an orthodontic laboratory specializing in this type of treatment.  A technician then produces a computer generated assessment (called a ClinCheck) to show the results that would be achieved.  When you have seen this and are happy with the new computerised look the required sets of aligners are made in the laboratory and sent to us.   Wimbledon or Invisalign?

The aligners are made in a series, each set being worn for 2 weeks, then as the teeth move the aligners start will start to feel increasingly loose so you progress to the next set for the next stage of movement.

The treatment duration will depend on the complexity of the treatment, and therefore how many sets of aligners are needed, but it usually takes slightly longer than treatment with fixed brackets.  Natasha usually sees her patients who have aligners about every 8 weeks.

 

Treatment with labial fixed brackets:

The brackets are usually natural shade ceramic ones and are bonded onto the lip side of the teeth.  The appearance is good as they blend with the colour of the teeth.  A wire (silver or white) connects all the brackets  –  it’s the wire that does the actual work of moving the teeth.

The treatment is carried out very gently and carefully and most people find the fixed brackets entirely acceptable with very little (if any) discomfort during the treatment.

Natasha usually likes to see patients every 4 – 6 weeks for adjustments.  As the teeth move, the wire will need to be changed.  These appointments are usually 15 – 30 minutes each.

 

Treatment with lingual brackets

Brackets can be bonded to the tongue side of the teeth for completely invisible realignment.   For this type of treatment impressions are taken and sent to an orthodontic technician to set up the brackets in the correct position before they are bonded to the teeth at the next appointment.  Adjustments are needed every 4 – 6 weeks.   This type of treatment usually takes a little longer than with brackets on the lip side.

 

Possible discomfort

You may experience some very minor discomfort for a few days following your adjustment appointments or when a new set of aligners is fitted.  This usually just a feeling a pressure and is a sign the treatment is working.

 

Care during orthodontic treatment

Excellent oral hygiene is essential during treatment, both in terms of your own home care and also regular treatment with your hygienist.

 

FEES & PAYMENTS

As a guide treatment with Invisalign or ceramic brackets varies from £3,200.00 – £3,600.00.   Treatment with lingual (tongue side) brackets is in the region of £7,500.00.  After the consultation the fees for the treatment options open to you will be given to you in writing.

Payment is usually made with a first deposit and the balance in instalments during the course of the treatment.  We have financing options available which many patients take advantage of.  A discount is offered for full payment of the fee in advance.

 

Frequently Asked Questions:

What is Orthodontics?

This is the dental speciality involved with straightening and moving teeth.

Why have Orthodontic treatment?

  • To Improve your smile
  • To straighten the teeth before further dental treatment.
  • Improving chewing ability.
  • Improving the way chewing forces are distributed between the teeth and so reduce risks of tooth fracture.
  • Improved gum health by making difficult to reach places more accessible to tooth brushing and flossing.

What are the estimated treatment fees?

Invisalign Full Treatment £3600

Invisalign lite Treatment £3200

Upper /Lower Ceramic Braces £3600

Upper/Lower Lingual Braces 7500 to 9500

Upper Lingual/Lower ceramic Braces £7500

 

What is and is not  Included in the fee?

What’s included? What’s not included?
·         The price quoted is what you will be paying for your brace treatment and includes the supply of the agreed braces and all necessary adjustment appointments.

·         Necessary X-rays including Dental Panoramic Tomogram (DPT)

·         Photos of your teeth

·         Orthodontic Emergency appointments during treatment (at the practice)

·         Fixed and Removable Retainers (Essix Type)

·         End of treatment Home Whitening (up to 4 syringes of 10% Carbamide peroxide)

·         2 review appointments within the first year of finishing your orthodontic treatment

·         Additional benefits for your general dental care (see below)

Any dental procedures including:

·         Vivera Retainers

·         Lost or Broken Appliances

·         Fillings & Dental Restorations

·         Tooth Extractions

·         Gum treatment and Hygienist appointments

 

What are some of the steps before starting Orthodontic treatment?

  1. You will need a Dental panoramic Tomogram (DPT) – This will help to assess pathology or periodontal condition, root size and morphology, existing restorations and possible dental decay.
  2. To ensure the long term success of orthodontic treatment you will need to be dentally fit. You are not dentally fit if you suffer from such conditions as gum disease, dental decay or have broken or inadequate restorations and fillings. If you have a regular dentist, the examination and any subsequent work can be carried out by them otherwise we can provide the required treatment at a reduced fee at Boston House.