What are the steps in the orthodontic treatment process that follow medical standards?

The orthodontic process typically lasts from 12 to 36 months, with each phase having a different duration. Every stage significantly impacts the final result. Understanding the orthodontic process helps patients know what to expect and prepare mentally for changes during treatment. Let's explore with Herident what a standard medical orthodontic procedure entails in this article!

1. Why is orthodontics favored?

Orthodontics is becoming increasingly popular as a way to improve your smile and oral health. Some of the key reasons why orthodontics is favored include:

Long-lasting results

Studies show that the results of orthodontics are often long-term if the patient adheres to regular oral care and uses retainers properly. A study published in the American Journal of Orthodontics and Dentofacial Orthopedics (2020) showed that the retention rate of tooth positions after braces is very high. Approximately 90% of patients experienced stable tooth positioning within 5 years after completing their orthodontic treatment (Haas et al., 2020).

Flexibility in methods

With the development of dental technology, orthodontics now offers many different options, from traditional braces to clear aligners (Invisalign). This advancement helps patients choose the method that best suits their needs and lifestyle, creating favorable conditions for a more comfortable and less noticeable treatment journey.

Improved oral health

Orthodontics is not only a cosmetic solution but also plays an important role in enhancing oral health. Teeth are realigned to fit properly with the bite, making them easier to clean and reducing the risk of cavities and gum disease. In addition, orthodontics helps prevent problems related to temporomandibular joint disorders and jaw misalignment.

Increased self-confidence

When teeth are properly aligned, patients often feel more confident in social situations. This boost in confidence doesn’t come solely from a beautiful smile but also from improved oral health. This is further supported by the habit of taking better care of oral hygiene.

2. What does a standard orthodontic process look like?

The standard orthodontic process at dental clinics includes several basic steps to ensure effective treatment:

Step 1: General oral health examination and X-ray imaging

This is the first step in the orthodontic process. During this step, the doctor will thoroughly examine the condition of your teeth, oral health, any current diseases or abnormalities, and evaluate your jawbone and bite.

Patients will be prescribed X-rays to get a clear picture of the entire jaw structure and teeth. The types of X-rays typically used are panoramic (Panorama) and cephalometric (Cephalometric) films to assess bite alignment, bone structure, and jaw joints.

Notably, at some advanced clinics, 3D imaging can be performed using equipment like 3D TRIOS scanners, giving doctors a comprehensive and accurate view of the patient's jawbone. This allows for a precise diagnosis and treatment plan.

Step 2: Consultation and development of a personalized treatment plan

After the health assessment and review of the X-ray results, the doctor will explain the results and advise on a suitable treatment plan tailored to the patient's dental condition and jaw structure.

This is also an important step in building trust between the patient and the doctor. From here, the doctor will propose the most suitable treatment method for the patient's specific orthodontic condition.

Consultation on orthodontic treatment methods

The doctor will introduce and explain to the patient which orthodontic methods are currently available.At present, the most popular orthodontic methods include:

• Traditional metal braces: This method uses stainless steel or ceramic brackets attached to the teeth. According to statistics, around 8–9 out of 10 patients choose this fixed orthodontic method. This is the most common method and is widely applied due to its effectiveness for misaligned teeth.
• Self-ligating braces: A modern variation of traditional braces, this type includes braces and archwires but without elastic ligatures. This helps reduce friction and shortens treatment time.
• Clear aligners (Invisalign): The Invisalign treatment involves using transparent removable trays. It’s especially suitable for people with mild to moderate misalignment and who don’t want visible metal braces during treatment.

In addition, the doctor may also recommend pre-orthodontic treatments like wearing expanders or using appliances to improve tooth position and bite alignment.

Moreover, key factors the doctor may consider when designing your treatment plan include:

• Oral condition: Based on clinical exams and X-rays, the doctor will identify issues that need correction, such as misaligned teeth, etc.
• Treatment goal: Patients will be consulted on what they want to achieve and expect from orthodontics. This helps doctors better understand the desired outcome and determine suitable methods.
• Age factor: Age can affect the rate of tooth movement and the patient’s ability to cooperate during treatment.
• Overall health: Patients with certain health conditions may need special considerations during the orthodontic process.
• Budget: The doctor will provide options suitable for your financial situation.

Personalized Treatment Plan

Based on the collected data, the doctor will formulate a personalized treatment plan. This plan includes:

• Treatment plan design: The treatment method is chosen depending on your oral condition, tooth movement rate, and any pre-orthodontic devices needed. It also factors in your health status and the best treatment option for your case.
• Estimated treatment duration: Most orthodontic treatments last between 12 to 36 months, depending on the complexity of the case. Your doctor will give you a timeline that fits your needs.
• Follow-up schedule: You will receive regular follow-up appointments for adjustments to your braces or aligners, typically every 1–2 months.
• Cost estimation: The treatment plan will clearly state the estimated cost, including consultation fees, braces, aligners, and other related expenses.

Step 3: Bracket Placement

For patients choosing fixed orthodontic methods like braces, the next phase involves bracket placement. This step is crucial for the success of the treatment. The process includes:

 Tooth cleaning and preparation:

Before placing brackets, your doctor will clean and prep your teeth, especially at the sites of bracket attachment, to ensure optimal bonding.

Fitting braces

The dentist uses special dental adhesive to attach the brackets to your teeth. The position must be precise to ensure effective movement.

Accuracy check:

Once the brackets are placed, the doctor will double-check their positioning. This ensures proper bonding and patient comfort.

Archwire installation:

After bracket bonding, the archwire is placed to exert gentle force that moves your teeth. This is the mechanism behind tooth alignment.

Step 4: Re-examinations and Adjustment Appointments

After your braces are placed, you’ll regularly return to the dental clinic for check-ups and adjustments. These appointments are important for evaluating tooth movement and ensuring that everything is progressing as planned.

For example, at the Dental – Department of Odonto-Stomatology, Hanoi Medical University, appointments are usually scheduled every 4–8 weeks. During these visits, the dentist may replace the archwire, adjust the brackets, or modify force application as necessary.

Step 5: Retention Phase (Retainers)

The final phase of orthodontic treatment is the retention period. Even when your teeth look straight, they can still shift back if retainers are not used.

The dentist will instruct you to wear retainers either full-time or part-time, depending on your needs. After some time, the retainers will only be needed at night.

After braces are removed, the jawbones are still adapting. Wearing retainers helps stabilize the teeth in their new positions and prevents relapse.

3. Notes to Keep in Mind Before Getting Braces

Understand Your Oral Health Condition

Before starting orthodontic treatment, it’s crucial to clearly understand your current oral health. You should:

• Have a dental check-up: Visit a dentist to get a full overview of your oral condition and receive accurate assessments of your dental health.
• Identify existing issues: Your dentist will help you detect any problems such as crooked teeth, misaligned bite, or other dental diseases like cavities or gum inflammation. This allows you to address these issues early before beginning treatment.
• Assess the complexity of your condition: Depending on your dental condition, your doctor will determine the level of difficulty of your treatment and suggest the most suitable method.

Learn About Orthodontic Methods

There are several different orthodontic methods, and researching them beforehand will help you choose the one that fits your needs and lifestyle. Some common methods include:

• Traditional metal braces: The most widely used method, involving metal brackets or ceramic ones bonded to the teeth.
• Self-ligating braces: Help shorten treatment time and offer better comfort.
• Clear aligners (Invisalign): Aesthetically pleasing and easy to remove and wear.

Each orthodontic method has its own pros and cons, so it’s best to discuss with your doctor to find the most optimal option.

Learn More: What are self-ligating braces? What are their advantages and disadvantages?

Find a Reputable and Qualified Dental Clinic

Choosing the right clinic is one of the most important steps in your orthodontic journey. A good clinic not only ensures effective treatment but also helps you feel more comfortable and at ease. Here’s what you should look for:

Quality and Experience of the Dentist

The dentist plays a key role in determining the safety and effectiveness of your treatment. Your doctor must have professional training and rich experience in orthodontics.

If you're considering braces, Herident Dental is a trusted destination. At Herident, all doctors are trained and certified in orthodontics. Especially, the clinic’s doctors are former lecturers and graduates of Hanoi Medical University – Faculty of Odonto-Stomatology.

Modern Equipment

The clinic is fully equipped with modern and advanced technology to effectively carry out treatment methods. This ensures not only quality treatment but also minimizes risk.

Frequently Asked Questions (FAQs)

How long does braces treatment take?

According to the National Institute of Odonto-Stomatology (NIH), braces treatment usually lasts from 12 to 36 months, though this may vary depending on the complexity of each individual case. Your dentist will also give an estimated duration after your initial check-up and assessment of your oral condition.

Is getting braces painful?

During the braces process, patients often feel some discomfort or tightness when the brackets and wires are applied. This feeling usually decreases after a few days. If it persists, you should consult with your dentist.

Is it necessary to have regular check-ups?

Yes, regular check-ups are essential throughout the braces process. On average, patients visit every 4 to 8 weeks for adjustments and to monitor treatment progress.

Are retainers really necessary?

Yes, retainers are crucial after braces to maintain the new position of the teeth and prevent them from shifting back. Your dentist will advise you on the proper type and duration of use.

How do I choose the most suitable braces method?

Choosing the right braces method should be based on advice from an orthodontic specialist. After assessing your condition, they will recommend the most appropriate treatment plan. Currently, there are several options such as traditional metal braces, ceramic braces, and clear aligners (Invisalign) – all with distinct advantages.

We understand choosing where to get braces is just as important as choosing the right treatment method. At Herident Dental, we pride ourselves on having a team of highly qualified orthodontists and top-tier equipment to ensure the best results for our patients. So what are you waiting for? If you're still unsure, visit Herident for a free consultation today!