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NHS patients, who pay for their treatment, pay 80% of the treatment  costs (including any x-rays), up to a maximum of ?384 per course of treatment. Not all treatments are available on the NHS, only treatment that is justified, appropriate and required. Latest technology has introduced an all porcelain crown which can be fabricated in office called a CEREC crown. IntroductionOrthodontic treatment is used to improve the appearance, position and function of crooked or abnormally arranged teeth. The length of treatment will depend on how complicated the problem is, but it's usually between 18 and 24 months. In some cases, abnormal development of the teeth and jaw can affect the shape of the face. Many people with appliances find it difficult to keep their teeth clean, so additional brushing is essential during treatment. To reduce your risk of enamel decay, your orthodontist may recommend using toothpaste with high levels of fluoride or a mouthwash that contains fluoride. Orthodontic treatment is most commonly used to improve the appearance and function of misaligned or crooked teeth. The improved appearance of your teeth or jaw might also help boost your self-esteem and self-confidence. Orthodontic treatment will usually only be started after all of a child's adult teeth have started to come through.
TreatmentFree orthodontic treatment is sometimes available on the NHS, although you can also pay for private treatment. NHS orthodontic care is not usually available for adults, but may be approved on a case-by-case basis if needed for health reasons. A rating system known as the Index of Orthodontic Treatment Need (IOTN) is used to assess your eligibility for NHS treatment. In some parts of the country, there currently aren't enough trained NHS specialist orthodontists to meet patient demand. Depending on your local Health Board, waiting times for orthodontic treatment can range from six months to two years or more. A private orthodontist will give an estimate of the treatment cost after an initial assessment of the problem. How is it performed?There are many different types of orthodontic treatment, depending on the exact problem with your teeth or jaw. The first stage of treatment is to assess the state of your teeth and their likely development. If you're using a fixed appliance and you play a contact sport such as rugby, you should wear a gum shield to protect both your mouth and the appliance.


Fixed braces are usually made out of metal, so will be noticeable on the front of your teeth. Removable braces can be used to correct minor problems, such as slightly crooked teeth.
These braces should only be taken out of the mouth for cleaning or as a precaution during certain activities, such as cycling or playing a wind instrument. Functional appliances can be used to treat problems with the position of the upper jaw and teeth, and the lower jaw and teeth. Headgear is used to correct the position of the back teeth or to keep them in position while the front teeth are being treated. Under the NHS, your orthodontist is responsible for your care for 12 months after normal treatment ends.
Changes in the position of your teeth can continue throughout life and are part of the normal ageing process. In some cases, it may be necessary to remove a tooth to correct the position and appearance of nearby teeth. However, if baby teeth have been extracted, there is a greater likelihood that adult teeth will need to be extracted as part of orthodontic treatment. The information on this page has been adapted by NHS Wales from original content supplied by NHS Choices. Most NHS treatment is free but charges are made for some things which includes NHS dental charges. NHS Medical Exemption and Pre-Payment certificates only cover prescription charges, not dental charges.
You are named on a Tax Credit NHS Exemption Certificate; You are named on an NHS HC2 certificate for full help with health costs. If you continue without changing your settings, we'll assume that you are happy to receive all cookies on the NHS Direct Wales website. You can find a list of all specialist orthodontists registered in the UK on the General Dental Council (GDC) website.
It's thought around a third of 12-year-olds would benefit from some degree of orthodontic treatment. This can happen because orthodontic appliances can sometimes stimulate the production of saliva, which leads to plaque and causes the enamel to decay. An orthodontist can make a dental appliance similar to a gum shield, which can help prevent the airway closing while you sleep. For adults, orthodontic treatment can begin at any age, but what can be done is more limited. This means there may be a long wait for treatment, even if your child qualifies for NHS orthodontic treatment.


This usually involves taking X-rays, making plaster models, and taking photographs of your teeth. However, you should avoid certain foods and drinks, such as toffee, hard sweets and fizzy drinks, because they can damage the appliance and your teeth. Many private orthodontists now offer ceramic or clear plastic braces, although they are usually more expensive. Most people only need to wear headgear for a few hours during the evening or when they are sleeping.
You will need to discuss them with your orthodontist to see whether they can be used for your problem. Retainers hold newly fixed teeth in place while the surrounding gum and bone adjusts to the new position of the teeth. After this period, you will have to pay privately for continuing care, re-treatment, and any replacement or repair of retainers.
The only way to have permanently straight teeth is to wear a retainer on a part-time basis for life. But, as a result of recent advances in orthodontic treatment, removing teeth has become much less common.
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CEREC crowns enable us to provide you with high quality ceramic crowns (metal-free) with outstanding marginal fit. For example, all ceramic or porcelain crowns tend to cost more than other types of dental crowns because they are more time-consuming and require greater skill to be applied correctly. Also, your ability to speak clearly, chew properly, and bite down without fear or pain will get better.
This is a computer simulated program which enables us to capture a picture of your tooth after it has been prepared. Bhoot designs your crown chair-side with a computer program so that you can see the shape and anatomy that is being created in your tooth.



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