Most orthodontic treatments are performed during adolescence, once the process of replacing baby teeth is complete or nearing completion.
It’s important to understand that no two orthodontic cases are alike.
In some cases, it’s recommended to start treatment before the peak growth age, while in others, it’s better to wait until growth is complete to achieve a stable result.
In one case, the recommended method may be clear aligners, while in another, traditional braces (brackets) may be necessary to straighten the teeth.
During the consultation, a comprehensive clinical examination will be conducted, and referrals for X-rays and imaging will be made as needed. Ultimately, decisions will be tailored specifically to each case.

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FAQs at This Stage:

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What is needed for the first orthodontic examination?

For the first examination, it is recommended to bring all existing documentation:

• Current X-rays

• A referral from a general dentist or pediatric dentist, if available

• Any other relevant  documentation related to medical, orthodontic or dental treatment

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What happens after the first orthodontic examination?

After the examination, the patient will be referred for the completion of an orthodontic file, which includes a full set of X-rays of the teeth and jaws, facial and dental photographs, and a 3D scan. Once the file is complete, a precise treatment plan can be determined.

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What if additional questions arise after the examination?

You can schedule another consultation.

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Should I straighten my teeth?

There are aesthetic, functional, and medical reasons for orthodontic treatment:

• Aesthetics: The need is determined by the patient and their parents.

• Functional: Orthodontic treatment can help resolve issues such as open bite, improper swallowing, and improper breathing. In some cases, orthodontic treatment needs to be accompanied by additional treatments, such as speech therapy, ENT consultations, surgical advice, and more.

• Medical: Orthodontic treatment can address issues like tooth crowding, which makes cleaning difficult and increases the risk of dental and gum diseases, jaw deviation due to a poor bite, and more.

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What is the recommended age for orthodontic treatment in adolescents?

The age for orthodontic treatment is individual and depends on several factors:

1. The main problem to be treated – Whether the goal is merely moving teeth or also influencing jaw growth. If jaw growth needs to be influenced, treatment should start relatively early.

2. The stage of dental development – Treatment usually begins around the time of the final replacement of baby teeth, slightly before or after. The average age is around 12–14 for boys and slightly earlier for girls. In specific cases, such as delayed or accelerated tooth replacement, the start age may vary.

3. The patient’s motivation – Adolescents with high motivation to start treatment are often influenced by aesthetic concerns. At this age, aesthetics play a significant role, and improving facial aesthetics can boost confidence and improve overall function.

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Can treatment be postponed to a later age?

The answer depends primarily on the type of treatment required:

• Treatments involving influence on jaw growth or eruption of impacted teeth should be done at a relatively young age.

• Treatments aimed solely at moving teeth can be performed later, but the problem may worsen, and treatment may take longer.

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How long will it take to straighten my teeth?

The average orthodontic treatment takes about 18–24 months. More complex cases may take longer.

Cases that typically take longer include:

• Straightening teeth with impacted tooth eruption

• Treating crossbite involving multiple teeth (reverse bite where the lower tooth is positioned outside the upper tooth)

• Straightening teeth in cases of significant crowding or large initial gaps

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Which treatment method should I choose?

This depends on the case and the patient’s preferences. Some cases can be treated with various appliances, while others require brackets (traditional braces). After an examination, the appropriate device for the patient can be determined.

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What is clear aligner treatment?

This is a recently developed method using custom-made aligners made of clear plastic.
The aligners are created based on a 3D scan performed by the patient. This method is precise and highly aesthetic since the aligners are almost invisible. Additionally, the treatment is comfortable and gentle for the patient. Most orthodontic cases are suitable for treatment with clear aligners.

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What type of retention will be used after treatment?

There are two types of retention:

1. Bonded retention – A metal wire bonded to the inner surface of the front teeth (facing the tongue).

2. Removable retention – A plastic appliance that can be worn and removed independently.

In many cases, both types of retention are recommended after treatment. Proper maintenance and regular checks of the retainers are crucial.

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Why is it important to maintain retention for years after orthodontic treatment?

During orthodontic treatment, teeth are moved from their stable position to a new one. After treatment, teeth naturally tend to return to their original position, so it’s necessary to maintain bonded and removable retainers for the long term.

The forces that cause teeth to continue moving persist throughout life, so discontinuing retainers increases the risk of tooth movement later on.