Orthodontic treatment moves teeth into healthier, more functional positions and may improve how the upper and lower teeth fit together.
Mackenzie Smiles Dentistry provides orthodontic assessments for children, teenagers, and adults in Richmond Hill who want to address crowding, spacing, tooth position, or bite concerns.
Treatment recommendations depend on oral health, alignment needs, age, treatment goals, and the ability to follow the care plan. An assessment can help determine whether clear aligners, dental braces, another approach, or a referral may be appropriate.
What Does Orthodontic Treatment Address?
Orthodontic care focuses on tooth position and the way the upper and lower teeth meet.
A dentist may recommend an orthodontic assessment when a patient has:
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Crowded or overlapping teeth
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Noticeable spaces between teeth
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Teeth that have shifted after earlier treatment
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An overbite, underbite, or crossbite
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Teeth that are difficult to brush or floss around
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Uneven tooth contact
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Concerns about smile appearance or function
These signs do not automatically mean that treatment is necessary. A clinical examination and appropriate dental records help determine whether orthodontic care may benefit the patient.
Why Tooth and Bite Alignment Matters
Straightening teeth may support more than smile appearance. Better alignment can make brushing and flossing easier, reduce areas where food collects, and improve how teeth meet during chewing.
Orthodontic treatment cannot prevent every dental problem. Patients still need consistent home care, routine dental visits, and professional cleanings.
Existing cavities, gum inflammation, or other oral-health concerns may need attention before tooth movement begins.
Orthodontic Treatment Options
Orthodontic treatment may use removable or fixed appliances. The appropriate option depends on the type and complexity of movement required.
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Clear Aligners
Clear aligners use a planned series of removable trays to move teeth gradually. Patients generally remove the trays for meals and oral hygiene.
Aligners may appeal to patients who prefer a less noticeable appliance, removable trays, fewer food restrictions, and easier access for brushing and flossing.
Consistent wear is essential. Removing trays too often may delay progress or affect the planned result.
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Dental Braces
Dental braces use brackets and wires to apply controlled forces to the teeth. Because braces remain fixed during treatment, patients do not need to insert an appliance each day.
Braces may be considered when treatment requires more complex movement, significant rotation or crowding correction, detailed bite adjustment, or continuous appliance wear.
Patients must clean carefully around brackets and wires and follow any food restrictions provided by the treating dental professional.
Learn more about Dental Braces
Clear aligners and braces do not suit every patient or every type of tooth movement. Treatment availability and suitability must be confirmed during an assessment.
Clear Aligners or Braces: How Do They Compare?
| Consideration |
Clear Aligners |
Dental Braces |
| Appearance |
Clear trays are less noticeable |
Brackets and wires remain visible |
| Removability |
Patients remove trays for meals and cleaning |
Braces remain fixed during treatment |
| Oral Hygiene |
Trays allow regular brushing and flossing after removal |
Cleaning requires added care around brackets and wires |
| Food Choices |
Patients remove trays before eating |
Some foods may need to be limited |
| Patient Compliance |
Consistent daily wear is essential |
The appliance works without daily insertion |
| Treatment Suitability |
May suit selected alignment and bite concerns |
May suit a wider range of complex movements |
| Final Decision |
Requires a clinical assessment |
Requires a clinical assessment |
Neither option is automatically better. The dentist considers tooth movement, bite relationships, oral health, lifestyle, age, and patient preferences before recommending treatment.
What Happens During an Orthodontic Assessment?
An orthodontic assessment begins with a discussion of the patient’s concerns and treatment goals. The dentist then examines the teeth, gums, bite, and jaw relationships.
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Review Dental and Medical History
Relevant health information, previous treatment, and current dental concerns are reviewed.
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Examine Tooth Position and Bite
The dentist assesses crowding, spacing, tooth relationships, and how the upper and lower teeth meet.
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Check Oral Health
Cavities, gum inflammation, enamel concerns, and other conditions that may affect treatment are reviewed.
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Collect Diagnostic Records When Needed
Photographs, scans, X-rays, or impressions may be recommended when clinically appropriate.
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Discuss Suitable Treatment Paths
The dentist explains possible options, responsibilities, limitations, and next steps.
When Should a Child Have an Orthodontic Assessment?
A dentist can monitor jaw development and tooth eruption during regular dental visits.
An earlier orthodontic assessment may be useful when a child has significant crowding, a crossbite, early or delayed loss of baby teeth, protruding teeth, or another developing bite concern.
Approximately age seven is often used as a general benchmark for an initial orthodontic evaluation. This does not mean every child needs treatment at that age. Some children require only monitoring as more permanent teeth emerge.
Learn more about routine oral-health monitoring on our
Kids Dentistry
page.
How Long Does Orthodontic Treatment Take?
Treatment time varies. The timeline depends on the type of movement required, bite complexity, appliance used, oral health, appointment attendance, and patient compliance.
Minor alignment concerns may require less time than complex bite correction. An individualized estimate can be provided after assessment and review of the necessary records.
Any treatment timeline should be treated as an estimate rather than a guaranteed completion date.
How Do Patients Keep Their Teeth Clean During Treatment?
Good oral hygiene remains essential throughout orthodontic treatment.
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Cleaning With Clear Aligners
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Remove trays before eating or drinking anything other than water unless instructed otherwise
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Brush before reinserting trays
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Clean trays according to professional instructions
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Avoid exposing trays to heat that could distort them
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Keep scheduled cleanings and examinations
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Cleaning With Dental Braces
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Brush carefully around brackets and along the gumline
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Use floss threaders, interdental brushes, or recommended tools
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Follow food restrictions provided by the dental team
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Contact the clinic when a bracket or wire breaks
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Continue preventive dental visits
Orthodontic appointments do not replace routine preventive dental care.
Will I Need a Retainer After Treatment?
Most patients require some form of retention after active orthodontic treatment. Retainers help limit unwanted tooth movement while the tissues surrounding the teeth adapt.
Retainer type and wear schedule depend on the treatment plan. Some patients begin with more frequent wear and later move to a maintenance schedule.
Teeth can continue to shift over time, so long-term retention may be recommended. Patients should follow the instructions provided by their treating dental professional rather than changing the schedule independently.
Orthodontic Assessments in Richmond Hill
Mackenzie Smiles Dentistry provides orthodontic assessments for children, teens, and adults in Richmond Hill.
An assessment can help clarify what is causing an alignment or bite concern and which treatment paths may be appropriate.
The dentist can explain whether clear aligners, braces, monitoring, another dental treatment, or referral should be considered.