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Your Orthodontic journey


The First Visit – Initial Consultation

You should allow 20 minutes for this visit, it is free and without obligation.

Please don’t worry or become concerned as your first visit/consultation/assessment will only consist of an examination of your mouth (teeth and jaws) and your face. This together with information about your medical history and dental history will be followed by a discussion between yourself and Dr Cox. At your initial consultation we will discuss with you what you would like to achieve and try and answer as many of your questions as possible. These will include the reasons for having treatment, the type of braces required that we can offer and associated costs and if any dental extractions or other work is required before treatment can start. Photographs and pre-fabricated models of the recommended braces will be shown to you.

We will confirm the treatment options and costs (with the option of payments spread over the course of treatment for your comfort and convenience) to you.

If after your initial consultation you wish to proceed to the next stage, you will need to have an OPG x-ray which takes less than a minute at a convenient location for you. Specialist Orthodontists cannot confirm and start treatment without the x-ray to ascertain tooth and jaw growth.

Your 2nd visit, Your Records Appointment

At your records appointment, we will take some further measurements, clinical photographs of your face and teeth, Some impressions (detailed record of your teeth and bite) and review your X-rays

At this visit we plan the treatment, take your consent and arrange the Third Visit – Fitting the Braces. This also gives you an opportunity to ask any final questions you may have before treatment begins.

Consultation is not with a Nurse, Therapist or Treatment Coordinator, they will not have the training ,experience or qualifications to provide guidance as to whether and which Orthodontic Treatment is appropriate for you. Your initial Consultation is with Dr Cox a Specialist Orthodontist who is experienced, trained and qualified. It is important that at your first Consultation you are examined by a Specialist Orthodontist. The General Dental Council only allows those who have completed a recognised post-graduate orthodontic training course (3 years after qualifying as a dentist) to use this title as evidence of their higher qualification.

Please note, if you are under eighteen, you will need to be accompanied by a parent or guardian for your initial consultation and any subsequent review appointments that may be necessary before treatment is commenced.

Before a brace is fitted, we may ask you to see your Dentist/Hygienist for professional cleaning of your teeth and gums.

Note. We are able to fit your braces at the Records appointment if you wish to start your treatment as soon as possible and you should allow 1 hour for this.

Your 3rd and 4th Visits – Fitting the Braces

These are longer appointments, lasting about 30 minutes. We will stick the brackets onto your teeth with some tooth glue. Some metal rings (called “bands”) will be stuck around your back teeth and, finally, we will tie the wires onto the brackets with coloured elastic rings.

We usually put the braces on the upper teeth on the 3rd visit and the lower teeth on the 4th visit allowing you to get used to one set at a time and to enable you to familiarise yourself with cleaning techniques.

Note. We are able to fit both your braces on the 3rd visit if you wish and you should allow 1 hour for this.
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Subsequent visits

After the braces have been fitted, we will need to see you every six to eight weeks to have them tightened (or “adjusted”). These visits are about 20 minutes long.

On these visits, we may just replace the elastics or we may replace the wires as well. You will be able to change your colours if you want.

At each adjustment visit, we will let you know how your treatment is progressing and try to give you some idea of when the braces can be taken off, although this can be difficult to estimate in the early stages. After each visit, your teeth may feel a little tender again!

Getting your braces taken off (de-bonding)

About 30 mins appointment.

When your teeth are straight and you are happy with them, we will arrange for the braces to be taken off. The braces are easily taken off, the teeth polished (and whitened if requested) and impressions of your mouth are then taken.

A fixed retainer can now be fitted or we will fit your retainers soon after.
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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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