Orthodontics is a dentistry specialty that addresses the diagnosis, prevention, and correction of mal-positioned teeth and jaws, and misaligned bite patterns. It may also address the modification of facial growth. Orthodontic Treatment may require several months to a few years, and entails using dental braces and other appliances to gradually adjust tooth position and jaw alignment

What Are Braces?

Braces are dental tools that help correct problems with your teeth, like crowding, crooked teeth, or teeth that are out of alignment. Many people get braces when they’re teenagers, but adults get them too. As you wear them, braces slowly straighten and align your teeth so you have a normal bite. Some people get braces to adjust their smile.

If you have crooked teeth and/or a misaligned bite (an underbite or overbite), there are a variety of treatments that can help straighten teeth, including braces and retainers, custom-made, removable or fixed tools that cover the outside of your teeth and help keep them in position. Learn more about how to tell if you have an overbite.

Many general dentists do basic alignment and treat other tooth problems, but orthodontists specialize in correcting issues with your teeth. An orthodontist has 2 to 3 years of advanced orthodontic education and training beyond dental school. They specialize in straightening teeth, correcting misaligned bites, and jaw problems.

The dentist or orthodontist you choose will ask questions about your health, do a clinical exam, take a digital scan of your teeth, take photos of your face and teeth, and order X-rays of the mouth and head. They’ll come up with a treatment plan based on this information

You might only need a removable retainer. If you have an extreme overbite or underbite, you could need surgery. But most people need braces. Learn more: Can your overbite return after you wear braces?

Types of Braces

Braces are the most popular way to straighten teeth and correct misaligned bites in children. They’re not the shiny mouthful of metal of years past. Many more options are now available.

If braces are indeed the solution for you, the dentist or orthodontist will prescribe an appliance specific for your needs. The braces may consist of bands, wires, and other fixed or removable corrective appliances. No one method works for everyone.

Metal/traditional braces: Traditional braces are made of metal. They include brackets that are attached to the front of your teeth or bands that fit around each tooth, as well as flexible wires or arch wires that hold the brackets or bands together. Some braces also include rubber bands or metal ties that link the brackets to the wire. These bands create more pressure to help straighten and align your teeth. Sometimes, your orthodontist will have you wear a device called headgear at night. It provides added pressure to help straighten your teeth. You can put it on and take it off.

Ceramic braces:  The brackets in traditional braces are now also made in tooth-colored ceramic, so you don’t notice them as much.

Lingual braces:  The brackets on these braces are attached to the backs of your teeth, facing your tongue. Lingual braces are harder to see.

Clear aligners:  You might also hear them called invisible braces. These are clear plastic trays that fit snugly onto your teeth. They use pressure to gently move your teeth into the correct positions and straighten your smile. You remove the aligners to eat, brush, or floss, but you should keep them in at least 22 hours each day for them to work. The orthodontist may also place tooth-colored attachments onto your teeth to hold the aligners in place. Find more information on dental aligners and how to straighten teeth at home.

Invisalign Braces:  Invisalign is a clear set of hard plastic aligners that are fitted for your mouth. They must be checked and replaced over the course of the first couple of months while they work at aligning your teeth into proper position. Invisalign is a preferred choice for adults and teens because they are practically invisible due to being clear.

Self-ligating braces:  Self-ligating braces look like conventional braces and are placed relatively the same way. The exception is that self-ligating braces don’t use elastics (rubber bands), or metal ties. Instead this system uses special clips or brackets with a spring-loaded door. The brackets maintain pressure on the archwire, helping move your teeth along at a steady pace. Self-ligating braces are capable of correcting certain complex malocclusion (misaligned bite) issues and may be a viable option for patients with unique circumstances.