HOW LONG DO I NEED TO WEAR BRACES FOR?Typical orthodontic treatment with NDOrtho lasts between 12-24 months, depending on the work that needs to be done and the type of braces chosen. Your orthodontists will be able to give you an approximate time scale at the beginning of treatment.
DOES IT HURT?Some patients do find that their mouth is uncomfortable for a few days after having braces fitted or adjusted. Usually taking mild pain relief (as long as you aren’t allergic to it) such as paracetamol or ibuprofen relieves this discomfort. Sometimes braces may rub your gums for a while and we provide soft wax to stick on your braces to avoid rubbing if this is the case.
DO I NEED TO KEEP SEEING MY NORMAL DENTIST?YES! Although your orthodontist is also a fully qualified dentist, at NDOrtho we only treat patients orthodontically. That said, if your orthodontist spots a dental matter that needs addressing, he will contact your general dentist (GDP) and inform them of the matter.
WHAT HAPPENS AT THE FIRST APPOINTMENT?It is an information gathering appointment. The orthodontist looks in your mouth, assesses the position and health of your teeth and gums and then discusses with you what sort of changes (if any) you want. Usually a set of photographs are taken of the mouth, teeth, gums and sometimes x-rays too. There is then a discussion of what sort of braces you might need, how long the treatment might take and whether you might need teeth taken out (not all patients do). Our orthodontists are clear; they will not treat anyone who doesn’t want treatment, they will make recommendations and you will make the final decision. At the end of the appointment you will either receive an appointment to have braces fitted or we will ask you to come back in a few months to review your teeth (maybe you still have some baby teeth present). Certain cases may be referred to the hospital for treatment and some patients will be discharged as not needing or possibly wanting treatment.
HOW DO I CLEAN MY BRACE?We advise you to clean your teeth and brace thoroughly twice a day with a good fluoride toothpaste and a small headed toothbrush, preferably electric. It is also necessary to clean your teeth after each meal to avoid food staying caught in the brace and causing gum inflammation. Make sure you clean above and below the bracket, around the gum line. Disclosing tablets are useful to ensure all the plaque is removed during brushing. It is a good idea to invest in some small interdental brushes, which allow you to gently clean under the wire. Using a fluoride mouthwash regularly as per the instructions on the bottle is also a good idea. We sell these oral hygiene products at reception. If you have a removable brace, this should be taken out to be cleaned.
CAN I EAT NORMALLY WITH MY BRACE?You should be careful with very hard food like apples, raw carrots and crusty bread as these can cause a breakage. For the same reason, sticky and chewy foods should also be avoided. Finally you should follow the usual dental advice and and avoid sugary foods, sweets and fizzy drinks as these cause decay and erosion. Teeth are more susceptible to decay while you are wearing a brace and this can lead to permanent staining on the surfaces of your front teeth that only your dentist can deal with later. For the first few days after having your brace fitted or adjusted, your teeth may be sore and if this is the case we advise sticking to soft foods that require minimal chewing. For most people this soreness settles down within a few days.
WHAT HAPPENS IF I BREAK MY BRACE?Don’t panic! This does happen occasionally and most patients will experience at least one breakage during their treatment with us, usually a broken bracket or a digging in wire. The thing to do is to give NDOrtho a ring as soon as possible and we will advise you on whether you need an emergency appointment and how you can make your brace more comfortable. NDOrtho – 01271 343688
I’VE GOT RETAINERS, HOW LONG DO I NEED TO WEAR THEM FOR?Each patient has different needs but as a rule you must wear your retainers every night for the first six months to a year after treatment. After this your orthodontist will instruct you on frequency of wear. Remember that your retainers are your guarantee that your teeth stay straight and it is important you follow the instructions given to you by your orthodontist. If you do not wear your retainers and your teeth move then it may be necessary to have the teeth straightened again with a brace, which will need to be self-funded. So if you have any questions or if you have forgotten what the instructions are then please call our reception team for advice – 01271 343688
IVE LOST/BROKEN MY RETAINERSTo avoid loss or breakage, it is important that you look after your retainers as instructed. However sometimes mishaps do happen. If you do have any problems regarding your retainers, our friendly reception team are there to help you. – 01271 343688. Please note that the NHS does not routinely cover the cost of lost or broken retainers, so you will need to pay a charge for repair or replacement.
OUT OF HOURS TREATMENTWe are open:
At all other times you should call Devon Doctors: 01392 823682. Further details are given out of hours on NDOrtho answerphone: 01271 343688