Choosing orthodontic treatment as an adult often feels like standing at the edge of a long journey. Exciting, slightly nerve-wracking, and full of questions. As a specialist orthodontist, with years of postgraduate training and experience managing complex cases referred by general dentists, I see adults every day who want clear, honest answers before they take the first step. This article answers the most common questions about orthodontics, so you can picture the road ahead with confidence and clarity.
An orthodontist is a dentist who has completed several additional years of specialist training focused solely on tooth movement, bite correction, and facial growth. All orthodontists are registered with the General Dental Council, but not all dentists are orthodontists.
General dentists provide excellent routine care, but complex orthodontic cases are often referred to a specialist orthodontist because of the depth of expertise required. This advanced training allows access to the widest range of orthodontic treatment options and the ability to manage more challenging cases safely and predictably.
Brace cost varies because no two mouths are the same. Think of orthodontic treatment like tailoring a suit rather than buying one off the rack. The type of braces, the complexity of tooth movement required, and the length of treatment all influence the final figure.
However, typical treatment plans can be offered with finance of around £73* per month. Unless you want to, there’s no need to view treatments as a single one-off payment of thousands of pounds.
Fixed braces, including traditional metal or more discreet tooth coloured options, are often more affordable than advanced systems like lingual braces, which sit behind the teeth. Clear aligners may also vary depending on how many stages are needed.
A specialist orthodontist will always create a detailed treatment plan before starting. This allows you to understand not only the cost, but also the value of what you are investing in. Straight teeth, a stable bite, and long-term oral health are benefits that last well beyond the months you spend wearing braces.
For adults, orthodontic treatment is not free on the NHS. NHS funding is generally limited to children with significant orthodontic need. Adults who choose to improve their smile typically do so through private orthodontic treatment.
Many adults see this as an investment in confidence and comfort. Much like improving posture or vision, orthodontics can quietly transform how you feel every day. Private treatment also gives access to a wider type of braces and more personalised care than NHS options allow.
When braces are fitted, the appointment itself is usually straightforward. Most fixed braces are placed within one to two hours.
You may feel mild discomfort for a few days afterwards, similar to the dull ache after starting a new exercise routine. This is simply your teeth responding to gentle pressure. Over the counter pain relief and soft foods usually see patients through this initial phase comfortably.
Absolutely. Before starting orthodontic treatment, it is essential that your teeth and gums are healthy. Braces create more surfaces where plaque can hide, so excellent oral hygiene becomes even more important.
Patients are advised to brush your teeth thoroughly and attend any necessary hygiene appointments before treatment begins. Starting with clean, healthy foundations sets the tone for a smooth orthodontic journey and helps prevent problems along the way.
The length of treatment depends on how much tooth movement is required. Some adults with minor crowding may see results in as little as six months, while more complex cases can take 18 to 24 months.
Teeth move at a biological pace that cannot be rushed safely. As frustrating as it can feel at times, slow and controlled movement protects the roots of the teeth and the surrounding bone. A specialist orthodontist carefully monitors progress at every visit to keep things moving efficiently and safely.
Most adults wear braces between one and two years. After braces are removed, retainers are essential to maintain the result. Think of retainers like the final chapter of the story. They protect all the hard work that came before.
Wearing braces is only part of the process. Long-term success depends on following advice and committing to retention once treatment ends.
Braces can still be an option, but decay must be treated first. Orthodontic treatment should never begin if active dental disease is present. Decayed teeth or gum problems need stabilising before braces are fitted.
This is where collaboration with general dentists is vital. Once dental health is restored, orthodontics can proceed safely. Addressing decay first also improves comfort and ensures the best possible outcome from treatment.
Tooth extraction is sometimes recommended to create space and achieve a balanced result. While the idea can sound daunting, extractions are carefully considered and only suggested when truly necessary.
Removing a tooth can allow the remaining teeth to align more naturally, improving both function and appearance. Your specialist orthodontist will explain the reasoning clearly and discuss all alternatives before proceeding.
Many adults worry about lifestyle limitations, but most continue normal routines with ease. You can play sports, including contact sports, with the help of a protective mouthguard. Fixed braces are robust, and modern designs are more comfortable than ever.
Socially and professionally, discreet options like tooth coloured braces or lingual braces help treatment blend into daily life. The goal is to straighten teeth without putting life on hold.
Questions about orthodontics are natural, especially as an adult. Orthodontic treatment is not just about straighter teeth. It is about confidence, comfort, and long-term health. With the right guidance and a personalised treatment plan, the process becomes less intimidating and far more empowering.
If you have been quietly considering braces, now is the moment to explore your options with a specialist orthodontist and take the first step with a free consultation toward a smile that feels as good as it looks.
*Representative example
A typical treatment value loan of £3,500.00 over 60 months would cost you £72.89 per month at a representative 9.9% APR.
The total amount of credit would be £3,500.00, to which we would add £873.41 (9.9% p.a.). This means the total cost of your treatment after 60 months would be £4,373.41.
If you were take out the loan today, you’d pay the first £72.90 upfront, and then 59 payments of £72.89 each month.
This can’t be more than your treatment cost