Orthodontic treatment starts with a pre-braces phase that involves a medical and dental evaluation. The treatment phase includes brace placement, learning proper care, and sometimes additional steps like expanders or tooth extractions. Routine appointments keep progress on track, followed by brace removal and retainer use to maintain results.

Keep reading to learn more about the different stages of braces.

1. Pre-Braces

Before you get your braces, you will go through a series of important steps to prepare for treatment. The first few visits may include several evaluations that help us plan your orthodontic care. Depending on your needs and orthodontist, this phase may be shorter or longer.

Medical and Dental Evaluations

The process begins with a review of your dental and medical history. This ensures that any existing issues are managed before braces are applied.

Study Models

For study models, we use an iTero scanner that gently moves around the teeth to capture detailed 3D images. These digital scans allow us to create precise virtual models, which are used to plan orthodontic treatments such as braces. This technique eliminates messy impressions and provides faster, more comfortable, and more accurate results for patients.

X-Rays

Orthodontic x-rays give a clear view of your teeth roots, jawbone, and bite alignment. They also reveal any teeth that are stuck in the jaw or signs of joint issues. In some cases, a more advanced X-ray may be recommended for a more detailed view.

Computer-generated Images

Digital imaging is used to map out your treatment and visualize how it might affect your smile, jawline, and facial balance.

Photographs

Photos of your teeth and face are taken before treatment starts. These images are compared to photos taken during and after treatment so you can see your progress over time.

Treatment Plan

The orthodontist will review their findings, explain your options, and discuss possible risks. They will also outline the stages of your treatment, answer your questions, and review fees and insurance coverage.

Types of Braces

You can choose from several orthodontic options based on your goals and preferences. For example, here are some of the options that Dr. Andy Skorobatckyj offers:

• Metal or traditional braces – A reliable and affordable option that has been used for years. It uses metal brackets and wire to straighten your teeth.
• Ceramic braces – Work similarly to metal braces but are less noticeable, blending with your teeth for a more subtle solution.
• Hidden or lingual braces – Placed behind your teeth for a discreet look. An option that is comfortable and very effective.
• Clear braces or aligners – Removable trays that gradually move your teeth.

Learn more about the different types of braces.

2. Treatment

Once planning is complete, the most extensive of all the braces stages begins: the treatment phase.

Brace Placement

The process begins with carefully attaching the brackets to your teeth. For traditional metal braces, each bracket is positioned and cemented to the front of your teeth. The archwire is then threaded through the brackets. Small elastic bands hold the wire in place, and you can often choose from a variety of colors for a more personal touch.

For lingual braces, the process is very similar. Your teeth are cleaned and prepared, and a special adhesive secures the brackets. The archwire is then placed into the brackets.

Learning

After your braces are installed, you will receive instructions on how to care for them and a list of foods to avoid. You will also learn about changes in your oral hygiene routine, including how to brush and floss effectively to keep your teeth healthy during treatment.

Learn more about whatfoods to avoid with braces.

Additional Considerations

In some cases, additional steps are needed before or during treatment. These may include:

• Palate expanders – Used for patients whose palates have not fully fused, these devices widen the jaw to create more space for the teeth.
• Tooth extractions – Recommended for patients with severe crowding. Extractions are done by your dentist, and a short healing period is needed before braces can be applied.
• Separators – If needed, small rubber bands are placed between your posterior teeth to create space for the metal rings used in metal braces.

3. Routine Appointments

Routine appointments usually take place every four to seven weeks and last about 30 minutes. During these visits, the orthodontist checks your progress, makes adjustments, replaces rubber bands, and any broken brackets.

It is important to be consistent with your scheduled appointments and to contact your orthodontist right away if any part of your braces breaks or becomes damaged to ensure a smooth and timely treatment.

4. Brace Removal

This stage is an exciting milestone where your braces are removed, and you can finally see your new smile without any metal in the way. This appointment usually takes about an hour, and most of the time is spent cleaning away any remaining adhesive and giving your teeth a thorough polish so they look and feel their best.

5. Retainers

After your braces are removed, molds of your teeth are taken to create removable retainers. These devices keep your teeth from shifting back to their original positions.

You will need to wear your retainer for a set amount of time each day, for as long as your orthodontist recommends. Consistent wear is essential to protect your results and avoid repeating treatment.

Follow-up visits are scheduled every few months at first, then less often, to check that your retainers fit properly and your teeth remain in place. Always bring your retainers to every appointment.

Additional Considerations

There are a few additional things to know before starting orthodontic treatment.

Cost and Payment Options

According to Dr. Andy Skorobatckyj, the cost of treatment depends on the nature and severity of your orthodontic issues. The exact cost and available financial options are discussed during the initial examination. The good news is that several financing plans are available.

Treatment Duration

Treatment time varies for each patient. In general, Dr. Andy suggests that orthodontic treatment lasts between 8 and 30 months, with most patients averaging 18 to 24 months.

Importance of Follow-Up Care After Treatment Ends

Even after braces are removed, teeth can shift naturally due to growth, muscle forces, and normal wear. To prevent this, follow your orthodontist’s instructions, wear your retainers as directed, be consistent with your appointments, and maintain excellent oral hygiene.

These visits also help monitor your overall oral health, catching problems like cavities or gum disease before they progress, so you can protect both your smile and your investment.

Frequently Asked Questions

Here are some common questions patients have about the different stages of braces.

At What Stage of Braces Do You Get Rubber Bands?

Rubber bands are usually introduced during the initial placement of braces.

What Stage of Braces Hurts the Most?

Discomfort is typically highest during the first few days after braces are placed or after an adjustment.

What is Usually the Last Step of Orthodontic Treatment?

The last step is the removal of braces, followed by teeth polishing and retainer use.

What Happens If You Skip Your Orthodontic Appointments?

Missing scheduled appointments can create various complications, including:

• Delayed progress
• Increased discomfort
• Unnoticed issues
• Hygiene risks
• Aligners may no longer fit properly
• The treatment plan may become outdated

How Soon Will I Start to See Results?

Braces start working immediately, with noticeable changes typically appearing within one to two months.

Schedule a Free Consultation

Our team of experienced orthodontic specialists in Parma, Ohio, is ready to help you achieve your best smile. To schedule your free consultation, contact us online or call us at 440-842-8015.