A specialist approach to orthodontic care
Braces move teeth through bone. Done well, that is a precise, planned biological process. Done carelessly, it damages roots, destabilises bites and produces results that relapse within a couple of years. This is why orthodontics is one of the 13 dental specialties recognised by the GDC, and why we think it matters who plans your case.
Your treatment here is planned and delivered by Dr Sanjana Sudarshan, who is on the GDC specialist list in orthodontics, supported by Mrs Farah Anad, our orthodontic therapist, who carries out adjustments and reviews.
How do braces work?
Brackets are fixed to the teeth and connected by a wire. The wire applies continuous, gentle force, and the bone around each tooth remodels in response, dissolving on one side and rebuilding on the other. That biology is why treatment takes months rather than weeks, and why it cannot safely be rushed.
What braces offer over aligners is control. Because the bracket is bonded to the tooth, the orthodontist can move each tooth in three dimensions with precision, including the rotations, root movements and vertical changes that clear aligners struggle with.
Your options
Fixed metal braces
The most efficient and most versatile option, and the most affordable. Modern brackets are considerably smaller than the ones adults remember from school. From £4,495 for a single arch.
Clear ceramic braces
The same mechanics with tooth-coloured brackets, far less noticeable at conversational distance. Slightly more expensive and slightly more fragile than metal. From £5,495 for a single arch.
Lingual braces
Fixed to the inside surfaces of the teeth, so they are genuinely invisible from the front. The most technically demanding option and the most expensive, and the one to consider if appearance during treatment is the deciding factor but your case is too complex for aligners. From £7,495 for a single arch.
Clear aligners
Invisalign is removable and virtually invisible, and it suits crowding, spacing and mild to moderate bite problems. It is not a universal substitute for fixed braces. Where your case needs significant rotation, root movement or vertical change, fixed braces will do it better and often faster.
Who should have braces?
Braces suit both children and adults. In children, timing matters: some problems are far easier to correct while the jaw is still growing, which is why an early orthodontic assessment is worthwhile even if treatment is years away. In adults, there is no upper age limit provided the gums and bone are healthy, and treating gum disease first is not optional.
Braces are the right answer where teeth are crowded or spaced, where the bite does not meet correctly, where teeth are significantly rotated, or where previous orthodontic work has relapsed. If your case is straightforward and appearance during treatment matters most, aligners may serve you better, and we will say so.
How long do braces take?
Anywhere from around three months for minor corrections to two years for complex cases. The honest answer depends on how far the teeth have to travel and whether the bite needs correcting as well as the alignment. You will get an indicative timeline once your case is planned, based on your teeth rather than an average.
What can you eat with braces?
Most things, with sense. Avoid hard foods that can break a bracket, such as boiled sweets, nuts and ice, and sticky foods such as toffee and chewing gum that pull at the wire. Cut apples, carrots and crusty bread into pieces rather than biting into them with your front teeth. Broken brackets add appointments and can add weeks to your treatment time, so the restraint pays for itself.
Hygiene matters more with fixed braces than at any other time. Brackets create places for plaque to accumulate, and decalcification around them leaves permanent white marks on the enamel once the braces come off. Interdental brushes, careful cleaning around every bracket and regular hygiene appointments are what stop a straightened smile arriving with marks on it.
Retention
Teeth move for the rest of your life, and braces do not change that. Retention is what makes the result permanent, and it is a lifetime commitment rather than a final appointment. A removable retainer is £250 per arch and a fixed retainer is £300 per arch. Budget for it from the start.