Fixed Braces include metal braces, ceramic brackets,  elastics, palatal expander and retainers:

Metal braces
Traditional metal braces are the most common type of orthodontic appliance. They are more comfortable than ever before due to their smaller size, lower profile on your teeth and the reduced friction seen in many of the modern brackets. The modern archwires which run through each bracket move teeth more quickly and comfortably. Modern archwires are thinner, gentler and more flexible, so the pain and discomfort of previous years is largely gone.

Ceramic brackets
Ceramic brackets made of clear or tooth-coloured  materials are less visible on your teeth than metal brackets. However, they do require more care and attention to oral hygiene and therefore they are possibly better suited to adult patients. As they are a little larger than metal brackets, they tend to be used mainly on the upper front teeth.

Elastics (rubber bands)
Wearing elastics helps improve the fit of your upper and lower teeth. It is important to wear them as instructed to allow them to work more efficiently.

Palatal expander
The palatal expander widens the upper jaw by putting gentle pressure on the back teeth. The desired amount of expansion is usually achieved in 4-8 weeks. In most cases, it is best to leave this expansion appliance in place for a further 3-6 months to solidify the expansion and avoid regression.

Retainers
Whether they are fixed or removable, retainers hold your teeth in their new correct position once treatment is completed and braces have been removed.

It is crucial to wear your retainers as directed to prevent relapse.

Designed for treatment of the front 6 teeth only. There is minimal disruption of your bite and in the right cases they are a simple and elegant way of achieving a great smile in the minimum time. Clear braces are the ideal accompaniment to this quick and less invasive approach.

What is Invisalign?
Invisalign are invisible braces that are removable, that no one can tell you are wearing and which can be fitted by Dr Ryan. They are made using 3-d computer imaging technology and are most effective in mild to moderate orthodontic cases. Because they are removable, you may eat and drink as you choose during treatment. There are no arch-wires or brackets to impede your normal brushing and flossing. Invisalign clear braces allow you to view your own virtual treatment plan when you start so that you can see how straight your teeth will look when your treatment is complete.

How do Invisalign clear braces work?
Each upper and lower aligner is worn for two weeks. You remove them only to eat, drink (if necessary) brush and floss. As you progress from one aligner to the next every two weeks, your teeth will move until they have straightened to the optimum position.

Treatment time averages nine to fifteen months and the number of aligners needed varies according to the complexity of your initial orthodontic problem.

Ceramic brackets made of clear or tooth-coloured materials are less visible on your teeth than metal brackets. However, they do require more care and attention to oral hygiene and therefore they are possibly better suited to adult patients. As they are a little larger than metal brackets, they tend to be used mainly on the upper front teeth.

Orthognathic surgery is required to correct significant skeletal discrepancies in the jaws and teeth in adults only. It is rarely indicated in growing children or teenagers. In these latter age groups facial growth can reverse any surgical correction. Orthognathic surgery requires a general anaesthetic and significant aftercare.

During the consultation we will advise if orthognathic jaw surgery would be beneficial. Any patient for whom Orthognathic jaw surgery is indicated will also require orthodontic treatment with fixed appliances.

Treatment times range from three months to three years depending on the severity of the problem and the growth available in a patient’s mouth and face. Patients grow at different rates and will respond differently to treatment and thus, the time to case completion varies. Other important factors in the duration of treatment are how careful a patient is not to lose or break their braces, to attend all their appointments and to follow the orthodontists recommendations regarding wearing elastics and other removable appliances.