Smile Creation Gallery
Below are examples of what we do to give our patients the smile they deserve.
Most of our work is done with a combination of fixed and removable appliances. You can see close-ups of our typical cases and explanations of the types of appliances we use.
Thanks to all of the patients featured for giving us permission to use their images.
Our goal is always to achieve straight teeth and a correct bite that is in harmony with the face. These are just a few of the thousands of smiles we have created over the years, with the inset showing the starting point. The satisfaction and confidence that orthodontic treatment can produce is obvious.
Before and After 1
This patient had a severe irregularity which needed the extraction of four teeth and treatment with a removable brace and then upper and lower fixed appliances.
Before and After 2
Prominence of the upper teeth is often made worse by the position of the lower jaw and teeth. The treatment for this patient involved removable appliances to bring the lower teeth forward, and then upper and lower fixed appliances to complete the alignment.
We often use removable appliances as a first stage in treatment, before going on to fixed appliances. Despite the name, they are intended to be worn all the time! The appliance in the top pictures is being used to expand the patient’s arch to make space for the unerupted teeth. It does this with a small screw device in the palate which the patient opens a small amount every week with a special key.
The appliances in the lower pictures are “twin blocks”, which are separate upper and lower braces which are being used to bring the lower teeth forward and correct the discrepancy between upper and lower teeth.
Most of our patients are treated with Fixed Appliances at some stage. These photographs are taken of the same patient a few months apart, to demonstrate how the appliances work. The coloured parts are changed every visit. We often use elastics to help with the tooth movements and to establish the correct bite between upper and lower teeth.
Recent advances in technology have made it possible to make the fixed appliance brackets out of porcelain material rather than metal. The appliance is still visible, but does look less obvious and some patients prefer this to the conventional appliances
Because of the high cost of the tooth coloured components, we are only able to offer these for our private patients.
We fit these once the fixed appliances have been removed, to keep the teeth in their corrected positions for at least a year afterwards. Patients normally have a combination of an upper removable appliance and a wire fixed onto the back of the lower teeth, although this can vary.
Removable retainers are normally worn all the time for the first few weeks, and then on a part time (eg night time) basis. They can sometimes be in the form of a clear plastic splint like the patient in the top left picture is wearing. These are virtually invisible and very easy to wear, but are not suitable for every case and do break much more often.
Modern lingual appliances represent the latest and most technically advanced system for moving teeth.
Lingual Appliances are not available on the NHS, but please ask us for a free consultation if you are interested in finding out more. We can also give you information about fees and payment options. You can also find out more about by looking on lingualsystems.com or Hidden Braces.com.
Sometimes we can move the teeth using a sequence of up to 5 clear plastic “aligners”, which are almost invisible when fitted. The aligners are changed every 2-3 weeks, each aligner moving the teeth by a small amount.
We only use aligners to treat very small irregularities; for more severe irregularities we prefer to use lingual appliances. Treatment with aligners is only available for private patients. Please ask us in the practice if you are interested in finding out more.