The “ugly” teeth can be caused by many possible problems:

• imperfect tooth shape. They are either too bit or too small, showing too much gum or too little and this might offer a look you are not pleased with
• there might be cavity problems, tooth colorations and other issues that need the dentist’s attention
• the teeth are not aligned as they should and this causes that “ugly” look.

As you can see here, there are more possible issues you might face and more causes for your imperfect smile. Orthodontics takes care of your tooth alignment and bite, the others (if they are to be blamed too) will be fixed to provide you the look you want.

Even if we think that orthodontics is meant for beauty (and this is the idea we get from all those perfect smile advertisements), in the end this is a “side” result of the teeth being aligned in a healthy way. Your orthodontist is concerned with your crooked teeth since this is a health problem, but the result is a very good looking one.

So .. yeah, orthodontics and braces if you will can fix your ugly teeth. Any system you’ll use (you already have the information here about all kinds of braces and aligners) will straighten your teeth and give you that perfect smile. And, if needed, the other issues will be taken care of (if the “ugly” teeth weren’t only caused by the orthodontic treatment).

The dental care and cosmetics area is so well developed now, that you’ll always achieve excellent results.

I have worn braces as a kid and still now my teeth are crooked again. I can’t understand why. I was under the treatment, it was all looking good. And still in some years my teeth look ugly again.

This is the story of some orthodontic treatment patients who just can’t understand how their teeth are not looking good anymore. Others are scared to even try the braces since they know their teeth will get crooked again. Will my teeth get crooked again?

Well, it’s POSSIBLE.

How does this happen? How did others have this issue?

Simple: the teeth move to a new position once the braces are on. These braces “tell” your teeth how to be placed now and they move the teeth from the “right” position (the one they were used to, the natural one for them). Sure, the new position is the CORRECT one and the healthy one, but the teeth don’t “see” it like this.

There is something called “tissue memory” that makes teeth tend to move back to their previous position once the treatment is over. Sure, this would make the entire ordeal of wearing braces not worth it, since we’d straighten the teeth, they’d get crooked again, we’d straighten them and so on.

Don’t worry, in reality the problem is not like this. In order for the teeth to remain in their new position and get “used” to it, our orthodontic specialists came with something called “retainer”. This is a small device that looks like an Invisalign aligner, or a small wire device or even a “wire” that’s bonded in the lingual side of the teeth. In all cases your orthodontist will help you make the best decision.

Some patients require the retainer for some months, others for 1-2 years, while the most complex cases might require a longer time (lifetime even). If the retainer is worn properly and without too many “pauses” the chances to have crooked teeth go very very low. Most people who have respected their orthodontics treatment have absolutely no problems and have that superb smile for a lifetime.

So, if your teeth will get crooked again DEPENDS ON YOU. Just do as your doctor advises you and, after 1-2 years of braces, you’ll have the most amazing smile ever. Perfect teeth, aligned properly that will remain in that new great position for as long as you exist. Millions of people straighten their teeth and they have that great smile for a lifetime.

HOW MUCH WILL I HURT? IS IT PAINFUL TO WEAR BRACES?

“Not too much” and “so so” would be the 2 fast answers. Before you just renounce the idea of having straight teeth, let me try to explain this better. There are millions of people who treat their crooked teeth (many kids or teenagers), it shouldn’t be so painful. And it’s not.

I can tell you about my own experience in 2 systems: Damon (metal braces) and Invisalign. I got my metal braces 1 year ago. The entire process was scarier when reading about it, than the real thing. The braces got on my lateral teeth (we only braced these) on both arches and I was ready to go. With my dental wax too and the new life ahead of me. I was told to use Kethonal or any other painkiller if I couldn’t cope with the pain, prepare for few hard days and then it will be better. And it was.

After 2-3 hours I was already feeling some pressure on my teeth. It was something like my finger was in my mouth and I was pushing them a bit. Nothing too serious, sure, I didn’t take any medication. I ate with care and then went to sleep.

Morning came: I got up and accidentally clenched my teeth. AUCH! The pain almost made me scream. After getting some nice swearing done (that was the least I could do), I got to the kitchen to eat something. Yeah, sure. I wasn’t able to press my teeth against anything since it was painful. I didn’t hurt if they didn’t touch anything (so I just had my mouth slightly open as to have the teeth not touch). The pressure was still there, but the pain would appear ONLY when I clenched my teeth. So, I stopped doing this and didn’t take medication at all either. It really wasn’t the case.

I started eating mashed potatoes and all kinds of soft foods. For 2-3 days I was just like an old woman, even my grandma ate better (and you can imagine she didn’t miss the chance to observer how “old” I was).

In few days the pain wasn’t that big anymore and I started eating bread (not anything hard) and some foods that weren’t as soft as a newly born’s menu anymore. I was able to clench my teeth without kicking anyone and my brushing was more pleasant. I did try to keep a perfect hygene in the pain days and it was pretty nice.

After 1 week I was able to ditch the wax too (for few days I made my fill with dental wax and was certain I’d need some special deliveries, maybe a truck of wax, due to the huge need I had) and eat like a normal person. My doctor told me it would be a good idea to not try anything too hard (nuts or something like that) so that I don’t damage my braces, but God is my witness I could eat if I wanted to.

After each adjustment I’d have 1-2 days of some pain (not huge one, never took medication for this) and then it was all OK. The first days are the worse (when you get braced in), afterwards your teeth get adjusted to the braces so that you’d be able to “recover” faster from each adjustment.

Now I have Invisalign and still expect that pain. Maybe I got used to the metal braces that are a bit more “strong” or maybe I am just lucky. After getting the Invisalign trays on I got home and started eating fast (so that I can then eat soft foods again because of the possible pain). Waited for some hours, no pain. Just a slight pressure on my teeth. Next day: one incisor hurt. “Thank God, I’m normal.” Nothing else. In few hours the incisor stopped hurting while I was able to eat normally, even if I was prepared for another “old woman menu” for some days at least.

1 week into the treatment: I really doubt I’ll see pain anymore. I still feel that slight pressure on the teeth (more like a tickle) and nothing more. Looks like my life now will be pain-free. So .. the painkillers can remain untouched.

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My conclusion would be that you should expect SOME pain. There are patients who are more sensitive and need some medication, at least in those first days, while others are “dancing” through the treatment. Just don’t fear this pain that much since it doesn’t last and in some cases it might not even appear. Just schedule that meeting with your orthodontist and DO IT. I tell you I don’t regret this, even if I was in pain for weeks. My treatments were so easy that I would be crazy not to finish this or not think that it’s too bad I didn’t do this earlier.

I am 30 this year, was 28 and a half when I started my treatment. For a kid or a teenager this treatment is easier since there are more chances of being able to straighten the teeth without extractions. For a kid an expander can be used and this will widen the arch so that the teeth can align (if he/she has a small “mouth” and large teeth, as in my case for instance). For a 30 year old such as I am, this cannot be done since my bones are formed and there can’t be changes. But still with premolar extractions I now have enough space for my teeth to align and, in the end, my teeth will look PERFECT and no one would be able to notice I had extractions.

I had the huge chance of personally meeting Jochen Meirowski (one of the representatives from Invisalign) and he told me an almost unbelievable story of their oldest patient:

You know, we had an old lady come to our clinic. She was over 80 years old, with her teeth in place. She told us she is a widow (her husband died some years ago), but she is ready to start a new life. She’s getting married and going on a cruise, but she’d also like to solve her teeth problem. She wants them straight, so we gave her Invisalign.

So, to conclude: NO, you are not too old for braces. I was able to read some excellent stories from people who are 40 or 50 and have now some great smiles because of braces. You need to want to make this change and you’ll be able to see some amazing results.

The “nerd” or “geek” who has eyeglasses and those braces that make talking and smiling so difficult. What most movies fail to show us is how that “geek” will look in just months after the treatment is over. Metal braces and any kind of orthodontic devices in the end do look funny and might be uncomfortable, but the results are always stunning. In 1-2 years (maybe a little more for some very complex orthodontic cases) that metal mouth will sport an amazing smile, just great to use to advertise a new brand of toot-paste or any other product that requires a lot of smiling.

Even if most orthodontic patients fear braces, we do advise you to use them and do the treatment. After some months you won’t recognize your teeth, you’ll have a perfect smile and a new face to show.

We used that “time machine” analogy since today things are different in orthodontics. Now we have more than just metal braces. We can use ceramics, lingual braces, even invisible plastic ones that really don’t show. Did you think that you don’t have what to chose from? Think again.

And now, to the goal of our article: HOW DO I CHOSE THE ORTHODONTIC TREATMENT?

• the severity of your orthodontic case. If your teeth are too crooked you might not qualify for the Invisible braces (Invisalign). In this case your orthodontist can advise you to use another system: Damon or Lingual (Incognito)
• the need for extractions (or not). Some braces types (Damon comes to mind) might not require extractions, others might do
• what your orthodontist can provide. Not can provide you with Incognito, Invisalign or Damon. Most of them have just “regular” metal braces (with ligatures), while others are licensed to use all systems.
• price. Some orthodotic treatments are more expensive while others cost less. Not to mention some are not covered by your health insurance.
• the need to wear other devices: headgear for example.
• treatment time: some systems work faster, some slower
• diction: in some cases the lisp the patient faces (at least in the first days) is more noticeable. For a radio DJ for instance or a public speaker, this can become a problem
• looks. Some might not love the “metal mouth” look (for a 30-40 year old this might be harder), while others don’t care about aspect too much and can settle for anything.
• allergies. Some people might develop allergic reactions to Nickel.

So, here you have some things to consider when chosing an orthodontic treatment. It’s not that simple anymore and thank God we have some excellent systems to chose from. There are good solutions or even combinations so that we can straighten our teeth the way we want.