Have you ever looked at celebrities with perfect smiles and wondered how their teeth are so beautifully aligned? Behind every dazzling smile is often significant work from both orthodontists and patients.
A beautiful set of straight teeth isn’t just aesthetically pleasing—it’s a confidence booster that enhances quality of life.
Achieving and maintaining the perfect smile requires collaboration between orthodontist and patient.
Read more: Smile Makeovers in Singapore: Costs, Procedures, and Benefits
If you’re considering orthodontic treatment in Singapore, this comprehensive guide will help you understand everything you need to know about orthodontists, treatments available, costs, and how to choose the right specialist for your needs.
What Do Orthodontists Do?
The term orthodontics stems from two Greek words:
- “Orthos” meaning normal
- “Dontos” meaning teeth
Orthodontists are dental specialists who focus on diagnosing, preventing, and correcting misaligned teeth and jaws. They address tooth and jaw malocclusions (misalignments) and guide facial growth.
Their work serves several important purposes:
- Improving the appearance of teeth
- Correcting bite issues so you can chew and speak properly
- Maintaining overall dental health
- Enhancing psychological well-being and self-confidence
Orthodontist vs. Regular Dentist: Understanding the Difference
To become a fully qualified orthodontist in Singapore, one must complete four years of undergraduate dental school followed by a three-year full-time residency training program. This specialized training is what sets orthodontists apart from general dentists.
While most general dentists have the skills to treat minor orthodontic problems, complex cases are typically referred to specialists.
Here’s a comparison of dentists and orthodontists:
| Dentist | Orthodontist |
|---|---|
| Dental degree | Dental degree + 3-year residency program |
| Provides overall dental healthcare | Specializes in teeth alignment and jaw correction |
| Performs procedures such as checkups, fillings, cleanings, root canals, extractions | Focuses on correcting crooked teeth, bite issues, and monitoring facial growth |
| Can handle basic orthodontic cases | Treats simple to complex orthodontic cases |
| Primarily focuses on general dental treatment | Trained to handle complex cases that may require jaw surgery |
Is Orthodontic Treatment Necessary?
Every patient has different needs. Some may simply want to correct a single crooked tooth to improve their appearance, while others may have multiple dental and jaw issues that could lead to serious problems if left untreated:
- Severe misalignment can lead to tooth decay and gum disease
- Jaw misalignments may cause bone destruction and chewing difficulties
- A “bad bite” can result in dental trauma, tooth loss, speech impairments, and eating difficulties
An orthodontist can evaluate your specific situation and recommend the most appropriate treatment plan.
Types of Orthodontic Treatments
Fixed Appliances
Fixed appliances, commonly known as braces, are the gold standard for orthodontic treatment. They provide precise, controlled movement of teeth in three dimensions. Treatment usually begins when all permanent teeth have erupted and typically lasts 18-24 months.
1. Conventional Metal Braces
Metal braces are made of medical-grade stainless steel. They’re attached to each tooth using tooth-colored filling material (composite resin) and connected by an archwire and colored elastic rings.
Read more: The Complete Guide to Braces in Singapore
As treatment progresses, the orthodontist uses progressively thicker wires to apply greater force, moving teeth toward their ideal positions.
2. Ceramic Braces
Ceramic braces can be made of ceramic, sapphire, or composite material. They’re becoming increasingly popular as they blend with natural tooth color, making them less noticeable than metal braces.
Read more: Invisalign Vs Braces: Which Is Best? An Orthodontist Discusses
Although ceramics are more brittle and may present challenges during removal, they’re just as effective as metal braces in achieving tooth movement.
3. Self-Ligating Braces
These appliances feature an integral self-locking system that eliminates the need for elastic rubber ties on individual brackets. Self-ligating braces can significantly reduce discoloration between visits since elastics aren’t used to hold the wires and brackets together.
4. Lingual Braces
Lingual braces are made of stainless steel or gold and are attached to the inner (lingual) surfaces of teeth, making them invisible from the outside. While aesthetically pleasing, patients often experience initial difficulties with eating, speaking, and maintaining oral hygiene.
These braces are typically more expensive as they must be custom-made in a dental laboratory and require more frequent, precise adjustments.
Removable Appliances
1. Clear Aligners/Invisalign
Clear aligners have become increasingly popular as an aesthetic alternative to fixed braces. They’re effective for mild orthodontic treatments that don’t require tooth extractions.
Read more: An Orthodontist’s Comprehensive Guide to Invisalign in Singapore
However, treatment with clear aligners may take longer (12-18 months for mild cases) compared to fixed appliances, as they don’t provide the same level of three-dimensional control.
Read more: Invisalign vs Zenyum: Which is Better?
2. Sports Mouthguards
Studies show that children whose front teeth protrude more than 3mm have twice the risk of traumatic dental injury when playing sports. Sports mouthguards, made of flexible thermoplastic material, minimize potential injuries to teeth and supporting structures. Orthodontists can create custom-made mouthguards that fit perfectly for maximum comfort and protection.
3. Functional Appliances
Functional appliances correct Class II malocclusions (where top teeth significantly overlap bottom teeth) by guiding the lower jaw downward and forward. They can be fixed or removable.
The most common removable functional appliance is the Twin Block, consisting of upper and lower components. When biting down, the lower block positions in front of the upper block, achieving forward movement in the lower jaw. These appliances are generally well-tolerated and worn full-time (except when eating) for 9-12 months.
It’s important to note that functional appliances serve a different purpose than braces—they correct jaw growth disharmonies rather than straighten crooked teeth.
4. Orthodontic Mini-Implants (OMIs)
Orthodontic Mini-Implants provide three-dimensional anchorage for precise tooth movements. These mini screw implants are placed between tooth roots and connected to braces to help move teeth in the desired direction.
The procedure is performed under local anesthesia and research shows these implants are well-accepted by both adults and adolescents. The duration these implants remain in place varies based on the treatment plan, ranging from several months to years.
5. Jaw Surgery (Orthognathic Surgery)
Orthognathic surgery is a multi-disciplinary treatment combining orthodontics and maxillofacial surgery to address jaw, facial, and dental abnormalities.
Common issues treated with this approach include:
- Facial asymmetry
- Protruded or retruded chin
- Obstructive sleep apnea
- Cleft lip and palate
- Severe deep bites
- Post-traumatic facial injury
A successful outcome requires comprehensive planning by both orthodontist and maxillofacial surgeon.
Read more: Orthognathic (Jaw) Surgery in Singapore: Costs, Risks, Recovery
Most patients undergo 9-18 months of pre-orthodontic treatment before surgery, followed by 4-6 weeks of recovery, and finally 5-11 months of orthodontic treatment to finalize tooth alignment.
Private vs. Public Sector Orthodontics
Public Sector
Patients seeking treatment in government-funded hospitals should expect longer waiting times due to higher patient volumes, typically ranging from 1-3 years. The primary advantage is the subsidized cost of approximately $3,500-$4,000 for conventional braces.
Private Sector
In private practice, patients can usually be seen and treated within a few weeks. Treatment costs start from $3,500, varying based on case complexity and specific needs. Some clinics offer discounted plans for students or National Service Full-time (NSF) personnel for traditional metal braces.
Cost Comparison
Orthodontic treatment costs vary across clinics and are influenced by:
- Age at treatment initiation
- Treatment type (fixed vs. removable)
- Materials used
- Treatment complexity
- Orthodontist’s expertise
- Insurance benefits
Average costs in private clinics:
| Type of Treatment | Cost Range (SGD) |
|---|---|
| Invisalign | $5,500 – $10,000 |
| Metal Braces | $3,500 – $7,000 |
| Ceramic Braces | $4,200 – $8,000 |
| Self-Ligating Braces | $4,500 – $8,000 |
| Lingual Braces | $7,000 – $15,000 |
Other appliances:
| Appliance Type | Cost Range (SGD) |
|---|---|
| Custom Sports Mouthguards | $300 – $500 |
| Twin Block | $800 – $1,500 |
| Orthodontic Mini-Implants | $700 – $1,500 per implant |
| Orthognathic Surgery | $8,000+ |
Most practices offer installment plans to make treatment more affordable. For dental insurance covering orthodontic work, look for plans covering major dental treatments such as braces, periodontal surgery, and dentures.
Every plan offers varying coverage levels, so carefully review the policy details.
Your Orthodontic Journey: What to Expect
1. Planning Stage – Initial Consultation and Assessment
During your first appointment, you’ll discuss your concerns and treatment goals with the orthodontist. The initial examination includes:
- Review of your medical and dental history
- Examination of facial patterns, lip line, jaw position, gums, and oral hygiene
- Assessment of tooth protrusion/retrusion, missing teeth, alignment issues, and bite
- X-rays to check for tooth decay
The orthodontist will use this information to present treatment recommendations, costs, duration, and possible need for extractions. Before beginning orthodontic treatment, all teeth must be free of gum disease and cavities, with adequate oral hygiene.
2. Planning Stage – Treatment Plan and Records
After selecting an orthodontist, the specialist will gather additional information to refine your treatment plan:
- Study models (plastic molds of upper and lower teeth)
- Dental radiographs (to study facial profile)
- Extra and intra-oral photographs
- Intra-oral scans of your teeth
If tooth extractions are necessary due to severe crowding, the orthodontist will refer you to a general dentist. After several weeks of healing, treatment can begin.
3. Active Phase – Treatment Commences
In this phase, the orthodontist begins moving teeth into proper alignment using fixed or removable appliances. For traditional braces, bands are cemented and brackets bonded to teeth, then connected with an archwire. For removable appliances like Invisalign, the first set of trays is fitted and wear instructions provided.
4. Active Phase – Subsequent Visits
For fixed braces, adjustments occur every 4-8 weeks and may include:
- Changing wires
- Adding elastics
- Adding molar bands or other accessories
- Ensuring continuous pressure on the teeth
For removable appliances like Invisalign, new trays are fitted at each visit.
Maintaining good oral hygiene is crucial during treatment, as fixed appliances can trap plaque and increase risk of decay and gum disease. Regular dental check-ups every 6 months are recommended.
5. Retention Phase
When teeth are successfully aligned, appliances are removed. However, the journey isn’t complete—the orthodontist will take final impressions to create custom retainers that maintain alignment. Retainers must be worn as directed, typically for life, to preserve your new smile.
Ideal Age for Orthodontic Treatment
For Children
The American Association of Orthodontists recommends children have an orthodontic evaluation at ages 7-8. This early assessment helps identify potential problems with:
- Jaw growth
- Thumb-sucking habits
- Missing teeth
- Tooth eruption
Most children begin orthodontic treatment when most permanent teeth have erupted, typically around ages 12-13.
For Adults
Adult teeth can also be successfully moved, though treatment may take longer since jaw bones have stopped growing. Adult orthodontic treatment typically lasts at least 2 years.
Managing Orthodontic First Aid
If you experience issues like:
- Lost elastic bands
- Loose brackets
- Wires causing discomfort
Contact your orthodontist to schedule an appointment as soon as possible. If immediate care isn’t available, general dentists can provide temporary solutions until your next orthodontic appointment.
Choosing the Right Orthodontist
Since you’ll be seeing your orthodontist regularly over a substantial period, careful selection is important. Consider these factors:
1. Knowledge and Expertise
- Research the orthodontist’s credentials, reviews, and patient testimonials
- During consultation, assess their treatment plan explanation and approach
- Ask to see before/after photos of similar cases
- Get recommendations from friends and family
2. Technology
Evaluate whether the practice uses modern technology and equipment, which often indicates a commitment to providing optimal care.
3. Cost
Request a comprehensive treatment plan with all costs from initial consultation and X-rays to retainers. Take notes to compare options before making your decision.
4. Location and Office Hours
Consider the practice’s accessibility, as you’ll need visits every 3-4 weeks. Some practices offer extended evening hours to accommodate working professionals.
5. Rapport with the Orthodontist
Find someone you trust who listens to your concerns. A good professional relationship between doctor and patient from the start yields better results.
Conclusion
Orthodontic treatment is an investment in your health and confidence. While it may seem like a long journey, the results—a beautiful, healthy smile—are well worth the time and effort. Stay motivated and follow your orthodontist’s instructions to achieve the best possible outcome. The right orthodontist will be as eager to see your wonderful smile at the end as you are!
Frequently Asked Questions
What is the difference between an orthodontist and a dentist?
An orthodontist is a dental specialist who has completed additional training (3 years of residency) beyond dental school.
Read more: Periodontist vs Orthodontist: Who You Should See
While general dentists focus on overall oral health, performing procedures like fillings and cleanings, orthodontists specialize in correcting teeth alignment and jaw irregularities.
How much do braces cost in Singapore?
The cost varies based on the type of braces and whether you choose public or private care. In private clinics, metal braces range from $3,500-$7,000, ceramic braces from $4,200-$8,000, and Invisalign from $5,500-$10,000. Public sector treatment is subsidized, with conventional braces costing about $3,500-$4,000.
How long does orthodontic treatment take?
Treatment duration varies by case complexity, but typically ranges from 18-24 months for traditional braces. Adults may require longer treatment (at least 2 years) as their jaw bones have stopped growing. Clear aligners for mild cases may take 12-18 months.
Is orthodontic treatment painful?
Some discomfort is normal, especially after adjustments, but it’s usually manageable with over-the-counter pain relievers. Most patients adapt to their appliances within a few weeks.
Can adults get braces or is it just for children?
Adults can absolutely get orthodontic treatment. Modern options like Invisalign and ceramic braces provide more discreet alternatives for adults concerned about appearance during treatment.
Are there any foods I should avoid with braces?
With fixed braces, avoid hard, sticky, or chewy foods that could damage brackets or wires. These include hard candies, nuts, popcorn, chewing gum, and chewy caramels. With removable aligners like Invisalign, you can eat normally but should remove the aligners before eating.
How often will I need to visit the orthodontist during treatment?
For fixed appliances, expect adjustments every 4-8 weeks. For clear aligners, visits are typically scheduled every 6-8 weeks to monitor progress and receive new trays.
Can I use Medisave to pay for orthodontic treatment?
Medisave can be used for orthognathic (jaw) surgery and impacted teeth/wisdom tooth surgeries. However, non-surgical orthodontic procedures like braces and aligners are generally not Medisave-claimable.
What happens after my braces are removed?
After active treatment, you’ll enter the retention phase where you’ll wear custom-made retainers to maintain your new alignment. Retainers may need to be worn full-time initially, then typically at night indefinitely to prevent teeth from shifting back.
What’s the difference between Invisalign and traditional braces?
Invisalign uses a series of clear, removable aligners that gradually move teeth, while traditional braces use brackets and wires fixed to the teeth. Invisalign is nearly invisible, removable for eating and cleaning, and often more comfortable, but may not be suitable for complex cases and requires disciplined wear (20-22 hours daily).