` Braces | 牙齿矫正
Patients & Visitors
What Causes Malocclusion?
Malocclusions occur when the jaws and teeth do not meet right.
  • Skeletal malocclusion occurs when one jaw does not line up with the other, or when the jaw is too big or too small for the teeth.
  • Dental malocclusion occurs when the teeth are out of line, crowded, turned or spread out. This can happen with or without a jaw problem.
    • Malocclusion may be inherited or acquired.
      • Inherited malocclusion
        A child may inherit jaw from one parent and teeth from the other parent. This may lead to crowding, spacing or extra or missing teeth.
      • Acquired malocclusion
        Such condition may be due to poor dental care leading to early loss of deciduous (milk) teeth, traumatic injuries, habits such as thumb sucking and chronic airway obstruction such as enlarged adenoids.
      • Other types of malocclusion may be congenital in nature such as cleft lip and palate deformity and other syndromes.
Common type of malocclusion/bad bites
Why Is Treatment Important?
These irregularities, if not treated, may lead to more problems as follows:
  • Tooth decay and tooth loss as misaligned teeth are difficult to clean and maintain.
  • Gum diseases.
  • Abnormal wear of tooth surfaces.
  • Excess stress on supporting bone and gum tissues.
  • Misalignment of the jaw joints, resulting in chronic headaches or pain in the face or neck.
  • Lower self esteem as the facial appearance is affected.
When Should Treatment Start?
A child should have his/her teeth checked at about age seven, when the permanent teeth start to grow. Although adolescents (11 to 15 years of age) are most responsive to orthodontics treatment, this early examination will alert the dentists to any potential problems. Orthodontics treatment is also suitable for adults and about 25% of patients today are adults. In general, treatment with braces will take approximately 1 to 2.5 years depending on a few factors such as the growth of the patient's face and mouth, co-operation of the patient and the severity of the problems.

For children, the best time to start depends on the type of malocclusion. Sometimes treatment is done in 2 phases:
  • Phase 1
    If the child's jaws are not aligned right or too small, the orthodontist may start treatment while the jaws are growing. This is called growth modification and is usually carried out between ages 7 to 12 and takes about 1 year. Subsequently, the orthodontist will review the child 6-monthly or yearly to monitor the development of the permanent teeth.
  • Phase 2
    If the child's adult or permanent teeth are not properly aligned when they erupt (usually between ages 11 to 13), they will need to be straightened and this is called Phase 2. Most children who have undergone Phase 1 treatment also need Phase 2.
Before Treatment Begins
During the first visit, the orthodontist examines your teeth and jaws and advises you whether you need treatment and what treatment will involve. You are under no obligation to proceed if you think you need more time to decide.If you decide to proceed with treatment, the orthodontist will carry out further analysis of your condition by means of X-rays, dental models (study models) and sometimes photographs before making a treatment plan. Informed consent is necessary prior to treatment so that you are fully aware of what treatment will involve.
After Treatment
The position of our teeth continues to change throughout life. This is a long term process that can lead to changes in the bite or in the alignment of the teeth. In addition, teeth have the tendency to return toward their original position after orthodontic treatment. This is called relapse. Therefore, retainers are provided to minimize this and ensure stability of the treatment outcome. The orthodontist will provide you with instructions on care and use of the retainers.
Types Of Braces
Braces can be divided into removable or fixed type.

Removable appliances are usually used for growth modification (phase 1) and mild irregularities.

Clear aligners are available for correction of mild to moderate malocclusion and post-treatment relapse.

Invisalign® treatment consists of a series of custom-made removable aligners. Each aligner is individually made using the latest advances in 3-D computer technology. You wear each set of aligners for about two weeks, moving your teeth gradually week by week, until you have achieved the planned optimum result.

Unlike conventional braces, these aligners can be removed when you eat or drink and during your daily routine brushing and flossing.


What is Invisalign®?*
The Invisalign System is a virtually invisible treatment that uses an innovative approach to gently yet effectively straighten your teeth. Through a series of custom-made removable aligners made with unique SmartForce technology, the Invisalign system gradually and predictably moves your teeth to an ideal position.

How does the Invisalign® System work?*
  • During your first appointment, your Invisalign-trained doctor will take photos, X-rays, and digital scans or dental impressions to create your treatment plan.
  • Using Align Tech’s proprietary Clincheck software, your doctor creates a customized 3D treatment plan based on your dental records. Your 3D treatment plan will depict the expected final position of your teeth and also gives you an indication of the likely length of the treatment.
  • The customized aligners will be manufactured and shipped to your doctor’s office.
  • Your series of custom-made aligners will be given to you (typically 3-4 sets at a time) for you to wear every day, and change approximately every 2 weeks.
  • You will visit your Invisalign-trained doctor approximately every 6-8 weeks to monitor your progress, and receive the next series of aligners.
  • Congratulations! You have finished your Invisalign treatment! Maintain your newer, better smile with the use of retainers.

The advantages of Invisalign® Treatment.*
  • Invisalign aligners are removables, making it easier to brush and floss to maintain your oral health during treatment.
  • Invisalign treatment may give you visible results from as early as the first month of treatment.
  • Attend functions and events in confidence with Invisalign aligners. Virtually invisible, nobody would notice you’re having your teeth straightened.
  • Get straighter teeth more comfortably and predictably thanks to innovative SmartForce and SmartTrack technologies in Invisalign aligners.
  • Invisalign aligners are suitable even for an active lifestyle since there are no metal brackets cutting your mouth.
  • With doctor visits only every 6-8 weeks, Invisalign aligners are ideal even for a hectic lifestyle, allowing you to spend more time doing the things that you love.
  • Craving a snack? Since Invisalign aligners are easily removable, you have the freedom to eat, chew and drink whatever you like.

Treatable cases*
Invisalign aligners are clinically proven to treat cases from minor teeth straightening to moderate and severe malocclusions.
  • Gapped Teeth: Gaps between the teeth.
  • Crossbite: Upper and lower jaws are misaligned.
  • Deepbite: Protruding upper teeth.
  • Underbite: Protruding lower teeth.
  • Overcrowding: Not enough room for the teeth.
  • Openbite: Vertical spacing between the front teeth.

*The above information is provided by Invisalign®.

Fixed appliances:
  • Metal Braces
    The most efficient type of braces. Instead of winking metal, colours may be added to make your braces more attractive and they can be changed upon monthly adjustment visits. Self-ligating braces such as Damon, Smart Clip, Innovation etc. are also available.

  • Plastic or Ceramic Braces
    Made with translucent brackets, these tooth-coloured braces will not attract as much attention as metal.

    • After Treatment

      The position of our teeth continues to change throughout life. This is a long term process that can lead to changes in the bite or in the alignment of the teeth.

      In addition, teeth have the tendency to return toward their original position after orthodontic treatment. This is called relapse. Therefore, retainers are provided to minimize this and ensure stability of the treatment outcome.

      The orthodontist will provide you with instructions on care and use of the retainers.

Frequently Asked Questions On Orthodontics (Braces)
  1. When is the best age for orthodontic treatment?
    Although adolescents (11-15 years of age) are most responsive to orthodontics, treatment is sometimes provided for younger patients to intercept a developing malocclusion. Orthodontic treatment can also be done on adults and there is no age limit.
  2. How long must I wear braces?
    Usually 1-2.5 years but some cases may need shorter or longer duration. If you always fail or cancel your appointments, it may take even longer. Retainers will be fitted to hold your teeth in their new positions after your brace is removed. If these are not worn, your teeth may slip back.
  3. Is orthodontic treatment painful?
    During the first few days your teeth may be a little tender. This will soon pass off as you get used to your brace. If necessary, take a mild painkiller. The brace may rub your lips, cheeks or tongue and cause ulcers initially. Your orthodontist can give you some wax and a mouth ulcer gel.
  4. How do I care for my brace / teeth?
    Brush your teeth well using a small head orthodontic toothbrush. Use a mouthwash at night. It is very important to maintain good oral hygiene as teeth may discolor and/or decay and gum disease may develop. Regular 6 monthly cleaning are required during treatment. More frequent cleaning may be required depending on patient’s overall oral hygiene.
  5. What food or drinks should I avoid?
    Avoid sticky or hard food e.g. chewing gums, toffees, apples, carrots or crusty bread as these may break and bend the wires. Avoid sweets, mints and sugary or fizzy drinks since these may dissolve the enamel.
  6. How will braces affect my lifestyle?
    You may lisp for the first few days. Only by wearing your braces full-time will your speech return to normal. If you play contact sports or a musical instrument, let your orthodontist know.
  7. What to do If I notice broken braces or wires?
    Braces and wires should be checked daily after cleaning. If you find something loose or broken, please call the clinic immediately to fix an appointment. Do not wait until your next appointment. Broken wire or braces can cause teeth to move in the wrong direction and hence prolong the treatment time unnecessarily.
  8. How much do you charge for braces?
    The estimated cost for braces treatment is FROM $4,066/-. An initial deposit of about $1,605.00 is payable upfront with the remaining sum to be paid via monthly instalment of $107.00-$160.50 over 18-24 months period usually. This is for braces treatment ONLY and does not include charges for other procedures, for instance x-ray, extractions, if required.