Question 1

What is the best age to get braces?

Accepted Answer

The American Association of Orthodontists recommends children have their first orthodontic evaluation by age 7, when a mix of baby and permanent teeth allows orthodontists to spot developing problems. However, the best age for treatment varies by individual. Some children benefit from early intervention (Phase 1 treatment) between ages 7-10 to guide jaw growth or create space for erupting teeth. Most comprehensive treatment with braces begins between ages 11-14 when most permanent teeth have erupted. Adults can get braces at any age - orthodontic treatment works well throughout life, though adult treatment may take slightly longer as bone is denser.

Question 2

How long does orthodontic treatment take?

Accepted Answer

Treatment duration varies based on the complexity of your case, your age, the treatment method used, and how well you follow your orthodontist's instructions. Average treatment times are 12-18 months for mild cases, 18-24 months for moderate cases, and 24-36 months for complex cases. Factors that can extend treatment include severe crowding, significant bite problems, and poor compliance with wearing elastics or aligners as prescribed. Some accelerated treatment options using devices like Propel or AcceleDent can reduce treatment time by up to 50% in some cases.

Question 3

Are clear aligners like Invisalign as effective as traditional braces?

Accepted Answer

Clear aligners have advanced significantly and can now treat approximately 90% of orthodontic cases that braces can treat. They are highly effective for mild to moderate crowding, spacing, and many bite issues. However, traditional braces may still be preferred for complex cases including severe bite problems, significant tooth rotations, or cases requiring precise vertical tooth movement. Clear aligners require excellent patient compliance - they must be worn 20-22 hours per day to be effective. Your orthodontist will recommend the best option based on your specific needs, lifestyle, and treatment goals.

Question 4

Do braces hurt?

Accepted Answer

Braces should not be painful, but you will experience some discomfort. When braces are first placed, you may feel pressure and general soreness for 3-5 days as your teeth begin to move. This discomfort returns for 1-2 days after each adjustment appointment. Over-the-counter pain relievers like ibuprofen can help, as can eating soft foods during adjustment periods. The brackets themselves may initially irritate your cheeks and lips, but orthodontic wax provides relief while your mouth adapts. Most patients find the discomfort very manageable and say it decreases significantly after the first few weeks.

Question 5

Will I need to wear a retainer after treatment?

Accepted Answer

Yes, retainers are essential for maintaining your results. Teeth have a tendency to shift back toward their original positions, especially in the first year after braces are removed. Most orthodontists recommend wearing retainers full-time for the first 3-6 months, then transitioning to nighttime wear indefinitely. Some patients receive permanent (bonded) retainers - thin wires attached to the back of the front teeth - which provide continuous retention without requiring daily compliance. Failing to wear retainers as prescribed is the most common cause of orthodontic relapse.

Question 6

What is the difference between an orthodontist and a dentist who offers braces?

Accepted Answer

While general dentists may offer some orthodontic treatments like clear aligners, orthodontists are specialists who have completed 2-3 additional years of residency training focused exclusively on moving teeth and aligning jaws. Orthodontists see only orthodontic patients and treat complex cases daily, giving them extensive experience. They are trained in all treatment options and can handle complications. Only orthodontists can be members of the American Association of Orthodontists. For straightforward cases, a dentist with orthodontic training may be appropriate, but for complex cases or growing children, an orthodontic specialist is recommended.

Question 7

Can adults get braces?

Accepted Answer

Absolutely! About 25% of orthodontic patients today are adults. There is no age limit for orthodontic treatment - healthy teeth can be moved at any age. Adults often choose less visible options like ceramic braces, lingual braces, or clear aligners. Adult treatment may take slightly longer than treatment for teenagers because adult bone is denser, but the results are equally successful. Many adults who could not get orthodontic treatment as children are now achieving the smiles they always wanted. Some considerations for adults include existing dental work, gum health, and in some cases, coordination with jaw surgery for severe bite issues.

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