18 Beckenham Road, Beckenham,
Kent, BR3 4LS
Private: 020 8658 8090
NHS: 020 8650 8713
Your common questions answered
On this page we aim to provide answers to questions commonly asked by people considering orthodontic treatment, such as ‘what is an orthodontist?’. If you have a question that is not answered on our site, please contact us. Your question and its answer will anonymously be added to this page if we feel it would help other prospective patients.
Click on a question to be taken to the answer…
For advice on wearing and looking after your brace or retainer, click here
A. Orthodontics is a dental speciality concerned with the diagnosis, prevention and treatment of facial irregularities such as crooked, crowded or protruding teeth, for which the technical term is ‘Malocclusion’ meaning ‘bad bite.’ The practice of orthodontics involves the design, application and control of removable and/or fixed appliances (commonly called Braces), to treat and correct these problems.
Back to top of page
A. An orthodontist is a specialist dentist involved in the practice of orthodontics, improving the health and appearance of teeth and faces by constructing braces and retainers for wearing by their patients. After qualifying as a General Dental Surgeon, an orthodontist will undertake a further three years of post-graduate study at a recognised Orthodontic Institute before becoming a specialist practitioner. Seeing an orthodontist does not remove the need for patients to see their regular dentist.
Back to top of page
A. Everybody wants to have a beautiful smile and this is one of the best reasons for choosing to have orthodontic treatment. An attractive smile boosts self-esteem, which can improve the quality of your life. But there are other equally good reasons for considering orthodontic treatment. Major orthodontic problems can exist without you knowing it, so even if you have the perfect smile, these problems can, if left untreated, severely jeopardise the health of your teeth, gums and jaws. Teeth that are too crowded are difficult to clean and can decay and cause gum problems. Premature loss of teeth can cause the surrounding teeth to tilt and can cause other unerupted teeth to be held back. Teeth that stick out are not only unattractive but can cause abnormal wear of the tooth surfaces and excess strain on the supporting jaws, because they do not meet properly when chewing. And misalignment of the jaws can result in the abnormal position of the jaw joint, which can cause headaches, migraines or other pain in the face and neck.
Back to top of page
A. The main goal of orthodontic treatment is an improved facial appearance along with the correction of tooth positions, which in turn makes teeth easier to brush and makes the jaws function better when biting or chewing. Strain on the jaw joints is reduced leading to better overall long-term health in the jaw and facial region.
The degree of improvement possible in all malocclusions will depend on a number of factors, including:
A. No. Surveys have shown that roughly one in three British children would benefit from orthodontic treatment.
A. Absolutely not. Treatment can be carried out in a healthy mouth at any age.
A. Potentially, yes, because they are more difficult to clean and are therefore prone to decay and gum disease.
A. For children, a first appointment is recommended between the ages of 9 and 10. The best time for treatment to start depends on the problem. An early examination allows your orthodontic specialist to decide when treatment should begin for maximum improvement with the least inconvenience and expense to the patient. Early intervention can prevent later problems developing. Age is no barrier to orthodontic treatment and at Grosvenor Orthodontic Clinic we treat many adult patients as well as children and teenagers. Treatment should start when the majority of the patient’s permanent teeth have erupted.
Once we know you are ready to proceed, we will send you a letter with the recommended treatment plan and and if appropriate an outline of costs.
Back to top of page
A. No. Braces (called ‘appliances’) are typically split into two categories - fixed braces and removable braces. Please visit our Braces & Appliances page for more information
A. The type of brace you will be required to wear will depend on what treatment we recommend to you. At your first consultation at Grosvenor Orthodontic Clinic one of our specialist orthodontists will discuss with you what you would like to achieve. After taking X-rays in order for us to gain a complete understanding of how your jaw functions, we will recommend a course of treatment.
A. Removable braces must be worn 24 hours a day except when eating, swimming or playing contact sports and fixed braces are worn at all times as they are glued directly onto the teeth. Braces are usually worn for a minimum of 6 months but may in some cases be worn for up to 2 years. This will depend on your progress under the treatment and also on how co-operative you are as a patient.
A. A retainer is a brace which gives teeth the necessary support in order to remain in their new position. Retainers are worn at the completion of the active phase of orthodontic treatment.Retainers can again be fixed or remaovable and sometimes a combination of the two types is employed to guarrantee a degree of stability.The removable retainer is usually worn through the night every night for at least 12 months and often for much longer.A fixed retainer is glued to the inside surfaces of the teeth so that it remains invisible and is then usually left in place for a minimum of 3 years and often for its lifetime which can be 5,10 or even 20 years.
Back to top of page
A. Removable retainers should be worn for a minimum of 1 year and fixed retainers can sometimes be worn for a number of years (usually a minimum of 3). If you are happy with the position of your teeth after having worn a fixed retainer for the recommended 3 years, you can have the retainer removed. Even after 3 years, there is always the risk that your teeth could more back into their old position, so at Grosvenor Orthodontic Clinic we often recommend that patients wear a fixed retainer until it should fail.
A. Grosvenor Orthodontic Clinic offers full orthodontic treatment programmes, facilities and after-care to our private orthodontic patients, along with comprehensive NHS treatment in line with NHS guidelines. It is not possible to ‘top up’ the NHS system and medical insurance policies such as from BUPA/Denplan do not cover orthodontics.
A. NHS appointments are subject to a short waiting list, whereas private patient appointments are usually possible within a week of contacting us.
A. The total cost of orthodontic treatment varies from approximately £1,800 for single arch treatment or £2400 for both upper and lower dental arches. And then depending of the type of braces used and the complexity of treatment these fees can extend upwards to approximately £6000.
A. Absolutely. The cost of orthodontic treatment is well worth it when you consider the long term benefits it brings to the lives of patients, such as enhanced smiles, improved confidence and better health of the mouth, jaw and other related parts of the body. It has to be remembered that treatment only takes up 1 or 2 years of a patient’s life, which in the case of children is when they are still growing and developing. The 12 to 24 months wearing a brace is well worth the long term benefits.
A. We are happy to help you spread the cost of treatment, we offer patients the choice of paying by standing order or in instalments over 12-18 months. At Grosvenor Orthodontic Clinic we accept Mastercard, Visa, American express credit/debit cards as well as cheques or cash.