Specialist Dentistry
Consultant & Specialist in Orthodontics
GDC No: 85845
Orthodontic Treatment
Family & Specialist Dental Practice in Twickenham
Orthodontic treatment is a way of straightening or moving teeth, to improve the appearance of the teeth and how they work. It can also help to look after the long-term health of the teeth, gums and jaw joints, by spreading the biting pressure over all the teeth.
Dr Chris David Donaldson
MBBS, BDS, MFD RCS (Ire), MSc, FDS RCS (Ed)
Dr Chris David Donaldson is a fully certified, Consultant trained, Specialist Orthodontist and Medical Doctor working in London and the South East of England.
Chris trained in Orthodontics at Guy’s & St Thomas’ Hospital & Kingston Hospital in London. During his training he was awarded with an MSc from King’s College London and Membership in Orthodontics from the Royal College of Surgeons in Edinburgh. Dr Donaldson then completed higher specialist training in managing more complex orthodontics and was awarded the Fellowship in Orthodontics from the Royal College of Surgeons in Edinburgh.
Dr Donaldson has been working as a Consultant in the NHS at a London Hospital since 2021, where he leads, trains and assesses a team of trainee orthodontists. His sub-specialist interests in the Hospital are in dento-facial orthopaedics and the digital virtual surgical planning of jaw surgery.
Dr Donaldson is a member of the European Orthodontic Society and the American Association of Orthodontists.
Chris’ work has been presented at national and international conferences and published in medical and orthodontic research journals; he is also the author of a chapter in a popular orthodontic textbook. Chris also reviews submissions to the Journal of Orthodontics and is an MSc Research Project Supervisor.
Chris’ clinical focus is on the use of orthodontics & dento-facial orthopaedics to enhance aesthetics and oral health outcomes through the delivery of precise and efficient care in a comfortable, relaxed environment.
The following treatments are available at Claremont Dental Practice:
- Clear Braces / Metal Braces
- Clear Aligners
- Temporary anchorage devices / Mini-implants
- Maxillary expanders
- Growth modification
- Early Intervention Orthodontics (< 12 years)
Why should I have orthodontic treatment?
Many people have crowded or crooked teeth. Orthodontic treatment will straighten the teeth or move them into a better position. This can not only improve their appearance but also the way the teeth bite together, while also making them easier to clean.
In some patients the upper front teeth can stick out and look unsightly. These ‘prominent’ teeth are more likely to be damaged, but orthodontic treatment can move them back into line. In others, the way the upper and lower jaws meet can cause teeth to look unsightly and lead to an incorrect bite. Orthodontic treatment may be able to correct both.
When the teeth don’t meet correctly, this can put strain on the muscles of the jaw, causing jaw and joint problems and in some cases headaches. Orthodontic treatment can help you to bite more evenly and reduce the strain.
At what age should I have orthodontic treatment?
Orthodontic treatment is generally best carried out in children, but adults can have orthodontic treatment too – and more and more are doing. Age is less important than having the proper number of teeth. In children it may be necessary to wait for enough teeth to come through before starting treatment.
What does orthodontic treatment involve?
The most important thing is to have a full examination. This will usually involve looking at your teeth, taking x-rays and making plaster models of your teeth.
Your dentist or orthodontist will then discuss what treatment is possible. Once you are sure you want to go ahead, the treatment can begin as soon as you have enough permanent teeth.
You may not have enough room for all your permanent teeth and so it may be necessary to take out some permanent teeth to make space. Your dentist will tell you whether this is the case. Sometimes space can be created using other forms of treatment.
Orthodontic treatment can be done by many sorts of appliances, which most people know as ‘braces’.
Removable and fixed appliances
Simple treatment may be carried out with a removable appliance (a plate that can be taken out to be cleaned). It has delicate wires and springs attached, which move the teeth using gentle pressure.
Often, teeth need to be guided more accurately than they can be using a removable plate. So fixed appliances are used. These have brackets and bands temporarily stuck to the teeth. A flexible wire joins all the brackets and allows the teeth to be moved. It is not possible for the patient to take the appliance out and so it is called a fixed appliance.
Fixed braces are not always made of metal. Plastic and ceramic can be used, especially for adults.
What are ‘invisible braces’?
See Invisalign.
At what age should I have orthodontic treatment?
Orthodontic treatment is generally best carried out in children, but adults can have orthodontic treatment too – and more and more are doing. Age is less important than having the proper number of teeth. In children it may be necessary to wait for enough teeth to come through before starting treatment.
How long will orthodontic treatment take?
The length of treatment depends on how severe the problem is, and may take anything from a few months to two and a half years. Most people can be treated in one to two years.
Orthodontic appliances usually need adjusting every 4 to 6 weeks. Your orthodontist will tell you how often your appliance will need adjusting.
All appliances may feel strange to begin with and can cause discomfort. If the problem doesn’t go away the orthodontist may be able to carry out adjustments to help. Teeth are usually uncomfortable immediately after adjustment but this will settle.
How much does orthodontic treatment cost?
The cost is dependent on the complexity of your treatment and the type of appliances you require to straighten teeth. Dr He and Dr Donaldson will give you a tailor made treatment plan before any treatment is started.
It may be possible for your treatment to be payed for on an interest free payment plan. Please ask reception for more details
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