In every culture the universal language of the smile is an immediate sign of greeting and friendship.
Our aim at Richard Fisher & Associates is to help you get the message across.

Orthodontics

NHS orthodontic care

NHS orthodontic care is available to under 18s who require orthodontic treatment for dental health reasons like significant crowding or protrusion of the teeth. Unfortunately treatment for more mild or cosmetic problems is not usually available on the NHS.

Anyone under the age of 18 is eligible for a free consultation to determine whether they qualify for NHS orthodontic treatment.
We are only given a limited amount of NHS funding each year and those who do qualify for treatment may have to join a waiting list before treatment can begin.

NHS orthodontic treatment is available to you by referral from your dentist to us or you may contact us directly.

Private orthodontic care

You may choose your orthodontic treatment to be carried out privately with us. This route benefits those patients who either do not qualify for NHS treatment or who wish to start treatment as soon as possible.
Treatment privately allows the following benefits:

  • Immediate start
  • Flexible appointments including Saturday mornings
  • Aesthetic (clear crystal sapphire) ceramic bracket option
  • Hygienist visits included if needed
  • Easy payment options over the course of treatment

Private orthodontic care is available by referral from your dentist or by  contacting us directly.

What to expect

We will begin by discussing your concerns and wishes before carrying out a full assessment of your teeth. This is likely to include x-rays, impressions (moulds of the teeth) and photographs. Treatment can sometimes take more than two years so it is important you are happy from the outset with what is recommended. Braces are almost always needed. Those which are used most often are:

A fixed brace – this is the most common type of brace today, often known as “train tracks”. Brackets are glued onto the teeth and linked by wires. Small elastic hoops (modules) are often used to hold the wire in position. The wires exert gentle pressure to move the teeth into a new position. The brackets can be metal or clear ceramic and the modules come in many colours.

A removable brace – this is sometimes used for correcting a simple problem, such as moving a single tooth or expanding the dental arch. It has a plastic baseplate with wires and springs attached. Removable braces need to be worn all the time except for cleaning or sport.

Functional appliances – these are used to harness the growth of the jaws and improve way the upper and lower teeth meet. There are several designs all of which fit on to both the upper and lower teeth and hold the lower jaw forward. They are mostly removable but should be worn as near to full-time as possible

Clear alignersthese are clear ‘ invisible’ plastic braces, like very thin gumshields which are suitable for simple tooth movements. They are particularly favoured by adults, but have limitations to the extent to which they can move teeth.

Retainers – at the end of treatment, all patients should wear retainers to hold their teeth in the new position. These can be removable or fixed and are an important part of treatment.

When we have agreed the treatment with you, we will ensure you fully understand the procedure, the commitments to the time scale, the retention period after active treatment is completed and the need for excellent tooth brushing during treatment. This is the process of obtaining your consent to proceed.

If you require orthodontic extractions and you are registered elsewhere, we will normally write to your own dentist to request they undertake this.