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Children / Teens – Common Questions


A large number of orthodontic patients are of school age and orthodontic treatment can have an impact on the school day. Below are some FAQs which may provide useful background information. 

What is orthodontic treatment?

Orthodontic treatment is treatment to correct irregularities of the teeth or developing jaws and to improve the function and appearance of the mouth and face.

Why do so many children seem to be having treatment?

About one third of all children have a demonstrable need of orthodontic treatment and a further third are borderline cases. The causes of these widespread dental anomalies are still somewhat unclear and controversial.

How is treatment carried out?

Orthodontic treatment is carried out with braces of various types. Widespread correction of the teeth to modern standards requires braces fixed to the teeth – “train tracks”, usually in the early teens. Some simple movements of the teeth can be carried out with removable appliances, which should be worn full time. Although they cover the palate, interference with speech after the first day or two is uncommon and may be a sign of intermittent wear. Treatment to correct the growth of the jaws is often started earlier and is carried out using more complicated removable appliances (“functional appliances”) which engage with both upper and lower teeth.

Why are appointments so frequent?

At the outset, several appointments may be required to assess the problem, take impressions, arrange for any extractions and fit the appliances. Subsequently the patient may need to be seen as often as every 6-8 weeks to assess progress and to have adjustments carried out.

Are the appointments sometimes in school time?

Dr Cox does whatever possible to see every patient at a time convenient to them however reasonable consideration should be given to this and discussed at the initial consultation stage.

Should I expect children to be in pain during treatment?

When an appliance is first fitted it is unfamiliar and the pressure on the teeth can cause some discomfort or pain for the first few days; this can normally be expected to wear off quite rapidly. Simple pain killers such as paracetamol or ibuprofen are helpful. If there is irritation to the lips and cheeks the orthodontist will usually have provided soft wax to place over the brace in the offending spot to help relieve problems until they settle.

How long will the treatment go on?

Active treatment typically lasts between 12 and 18 months. Some simple treatment may take a lot less than this but long treatments are often associated with repeated missed appointments, or repeated breakages of the brace. When the brace has been removed, retainers are then fitted to hold the position of the teeth while they settle.

What if the Brace breaks?

If the appliance breaks the patient should contact the orthodontic practice as soon as possible to arrange an appointment. Patients are given instructions on care of the appliance and what to do if the appliance is broken.

How does orthodontic treatment affect sport?

There is more risk of cutting the inside of the mouth during contact sports with an orthodontic appliance in place. It is recommended that removable appliances are removed for contact sports, and that mouth guards should be worn over fixed appliances. We recommend SISU sports mouth guards.

How does orthodontic treatment affect playing musical instruments?

Orthodontic appliances can certainly affect the playing of wind instruments. If the appliance is removable, its removal during playing may be advisable and the absence of the appliance for the limited periods in question will not normally have any adverse effect on treatment. Fixed appliances can cause some initial difficulty during playing especially for brass players; however, with persistence, most players find they can overcome any problems successfully. If necessary the orthodontist can provide soft wax or a guard to place over the appliance to help with the problem.

What else should I know?

Some teenagers can feel self-conscious about wearing an appliance at least in the early stages. It is helpful if teachers can be discreetly supportive particularly if the child becomes shy or withdrawn. Any teasing or bullying on the part of other pupils obviously needs to be dealt with appropriately.

Can Braces look cool?

YES DEFINITELY!! check out “Go ahead and smile Teen coloured braces

Brush DJ

brush-djThere is a multi-award winning and free, NHS-approved app on the market called ‘brush DJ’. The app has already been downloaded by millions in 171 countries!

It has been created by a Dentist called Ben Underwood with the intent to help and encourage people with their daily oral hygiene routine and to improve oral health. Dr Underwood hopes that his app will help towards reducing the estimated £1.5 billion of NHS dental budget in England that is spent on the treatment of preventable disease. He also hopes Brush DJ will ultimately make cleaning and flossing your teeth fun!

The app motivates its users to brush for two minutes whilst listening to songs taken at random from their device. It also includes animated videos showing how to floss and brush your teeth using interdental brushes and a manual toothbrush.

The ‘how to’ videos are very clear and easy to follow and there is also written information which is categorised into age specific sections, again which is very clear and easy to understand.

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Dr Shirley Cox

BDS(Hons), FDS RCS (Eng), MSc(Lond), M Orth RCS(Eng), FDS Orth RCS (Eng)
GDC: 68425

Shirley qualified in Dentistry from The Royal London Hospital in 1992 and she achieved her M Orth specialist qualification in orthodontics in 2000. Shirley was appointed as Consultant Orthodontist at Bart’s Health Trust in 2004 and now works as an Orthodontic Consultant at the new Royal London Hospital site.

At the Wapping Dental Centre, Shirley is able to offer the very latest treatments available, enabling her to treat adult and child patients who have simple, moderate and complex needs and to improve both the appearance and the function of their teeth.

“Patients in my care receive my personal attention at all times and are treated solely by me. I love to treat patients and help them achieve and keep for life the Beautiful, Healthier and Happier smiles they desire. I look forward to meeting you and helping however I can.”

Shirley Cox

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