What to Expect During Orthodontic Treatment

Step 1: Initial Consultation

Your orthodontic journey begins with a comprehensive consultation, typically offered free of charge.

During Your Consultation

• Examination - The orthodontist will examine your teeth, bite, and jaw alignment
• Imaging - X-rays, photographs, and possibly 3D scans of your teeth
• Discussion - Your goals, concerns, and questions are addressed
• Treatment plan - Initial recommendations and treatment options
• Costs - Estimated cost, insurance coverage, and payment options

Step 2: Treatment Planning

After your consultation, the orthodontist creates a detailed treatment plan tailored to your needs.

What's Involved

• Analysis of your X-rays and scans
• Determining the best treatment approach
• Estimating treatment duration
• Planning the sequence of tooth movements

Step 3: Getting Your Braces or Aligners

For Braces

The appointment to get braces typically takes 1-2 hours. The process is painless, though you may feel some pressure.

• Teeth are cleaned and prepared
• Brackets are bonded to each tooth
• Archwires are threaded through the brackets
• Rubber bands or ties secure the wire

For Invisalign

You'll receive your first sets of aligners along with instructions for wearing and caring for them.

• Small attachments may be bonded to teeth
• You'll learn how to insert and remove aligners
• Instructions on wear time (20-22 hours daily)
• Schedule for changing to new aligners

Step 4: The Adjustment Period

The first few days with braces or aligners involve an adjustment period.

What to Expect

• Mild discomfort - Teeth may feel sore as they begin moving
• Soft diet - Stick to softer foods for a few days
• Speaking changes - Slight lisp with aligners initially
• Cheek adjustment - Lips and cheeks adapting to braces

Managing Discomfort

• Over-the-counter pain relievers as needed
• Orthodontic wax for braces irritation
• Cold foods like ice cream or smoothies
• Rinsing with warm salt water

Step 5: Regular Appointments

Throughout treatment, you'll have regular appointments to monitor progress and make adjustments.

For Braces

Adjustment appointments are typically every 4-6 weeks. The orthodontist will:

• Check your progress
• Tighten or replace wires
• Add or adjust rubber bands
• Address any issues or discomfort

For Invisalign

Check-up appointments are usually every 6-8 weeks. You'll:

• Receive your next sets of aligners
• Have your progress evaluated
• Have attachments adjusted if needed
• Discuss any concerns

Step 6: Treatment Completion

When your teeth have reached their final positions, it's time for removal.

Braces Removal

• Brackets are carefully removed
• Adhesive is cleaned from teeth
• Teeth are polished
• Final photos and impressions for retainers

Invisalign Completion

• Attachments are removed
• Teeth are polished
• Retainers are fitted

Step 7: Retention Phase

Retainers are essential for maintaining your results. Without them, teeth can shift back toward their original positions.

Types of Retainers

• Removable retainers - Clear or traditional wire retainers worn at night
• Permanent retainers - Thin wire bonded behind front teeth

Retainer Care

• Wear as directed by your orthodontist
• Keep retainers clean
• Store safely when not wearing
• Replace if lost or damaged

Tips for Treatment Success

• Follow your orthodontist's instructions carefully
• Maintain excellent oral hygiene
• Attend all scheduled appointments
• Wear rubber bands or aligners as directed
• Protect your mouth during sports with a mouthguard
• Contact your orthodontist if something feels wrong