Orthodontic Treatment: Complete Guide for Beginners
- Elana Miller
- Nov 19
- 11 min read
Have you ever wondered why millions of people choose orthodontic treatment each year? Whether you're dealing with crooked teeth, bite problems, or simply want a more confident smile, orthodontic treatment offers life-changing benefits that go far beyond aesthetics. In this comprehensive guide, we'll explore everything you need to know about orthodontic treatment—from what it is to why it's necessary, the different types available, and when you should start. By the end, you'll have all the information needed to make an informed decision about your dental health and discover why straight teeth matter more than you might think.

What is Orthodontic Treatment?
Orthodontic treatment is a specialized branch of dentistry that focuses on diagnosing, preventing, and correcting misaligned teeth and jaws. At its core, what is orthodontic treatment designed to do? It gradually moves your teeth into their proper positions using gentle, controlled forces applied through various appliances like braces or clear aligners. The process works through consistent pressure over time, encouraging your teeth to shift into alignment while your body naturally remodels the bone supporting them.
The journey of what is considered orthodontic treatment has evolved dramatically over the past decade. Modern orthodontics combines cutting-edge technology with time-tested principles to deliver faster, more comfortable results than ever before. An orthodontist—a dental specialist with additional years of training beyond general dentistry—performs this specialized care, evaluating your unique dental situation and developing a customized treatment plan.
Orthodontic treatment addresses various alignment issues including overbites, underbites, crossbites, open bites, crowded teeth, and gaps between teeth. These problems don't just affect how you look; they can significantly impact your ability to chew properly, speak clearly, and maintain good oral hygiene. Modern treatment options range from traditional metal braces to nearly invisible clear aligners, giving patients unprecedented flexibility in choosing the solution that works best for their lifestyle and preferences.
Why Orthodontic Treatment is Necessary
Understanding why orthodontic treatment is necessary goes beyond cosmetic concerns. While a beautiful smile is certainly a benefit, the real question is: is orthodontic treatment necessary for your health? The answer is often yes, and here's why. When teeth are properly aligned, they're easier to clean, reducing your risk of tooth decay and gum disease. Additionally, correct bite alignment prevents excessive wear on your teeth and reduces strain on your jaw joints, helping you avoid painful problems later in life.
Health Benefits of Orthodontic Treatment
The health advantages of receiving orthodontic treatment are substantial and backed by dental research. Properly aligned teeth create spaces that are easier to clean with a toothbrush and floss, significantly reducing your risk of cavities and gum disease. When your bite is correctly aligned, you can chew food more effectively, which improves digestion and nutrient absorption. Furthermore, proper alignment relieves stress on your jaw joints, preventing conditions like temporomandibular joint disorder (TMJ), which can cause chronic pain, clicking sounds, and difficulty chewing.
Misaligned teeth can cause uneven pressure distribution during chewing, leading to premature wear and damage. Orthodontic treatment corrects these issues before they become expensive problems requiring crowns, root canals, or tooth extraction. By addressing alignment issues early through orthodontic treatment, you're investing in long-term oral health and preventing complications that could plague you for decades.
Aesthetic and Psychological Benefits
Beyond health, the psychological impact of orthodontic treatment cannot be overstated. A straight smile significantly boosts confidence and self-esteem, improving your social interactions and professional opportunities. Studies show that people with straight teeth are perceived as more competent, trustworthy, and attractive. The transformation that occurs during orthodontic treatment often extends beyond teeth—patients frequently report feeling more confident in all areas of their lives after completing treatment.
Long-Term Cost Savings
While orthodontic treatment requires an upfront investment, it saves you money in the long run. Untreated dental misalignment often leads to more serious problems requiring expensive interventions like extractions, implants, bridges, or complex restorative work. By investing in orthodontic treatment now, you're preventing costly dental procedures later and potentially saving thousands of dollars over your lifetime.
Types of Orthodontic Treatment Available
Modern dentistry offers several types of orthodontic treatment to suit different needs, budgets, and lifestyles. Understanding your options helps you make an informed decision about which approach aligns best with your goals and circumstances.
Traditional Metal Braces
Traditional metal braces remain the most effective and versatile form of orthodontic treatment, particularly for severe cases involving complex bite issues. These braces consist of small metal brackets attached to each tooth, connected by a thin arch wire that gradually guides teeth into proper alignment. Specialized wires and elastics apply consistent, gentle pressure to move teeth over time. Metal braces are highly visible, but they're incredibly effective, can treat virtually any dental problem, and often cost less than other options. Monthly adjustments ensure consistent progress, with most comprehensive orthodontic treatment using metal braces requiring 18-24 months.
Ceramic and Clear Braces
For those concerned about appearance, ceramic or tooth-colored braces offer a more discreet alternative to traditional metal braces. These braces work identically to metal braces but use tooth-colored or clear brackets that blend with your teeth. While less noticeable than metal braces, they're slightly more fragile and can cost $1,000-$2,000 more than metal options. They're ideal for adults and image-conscious teenagers who want effective orthodontic treatment without the obvious metal appearance. you can check our more
blogs about the Choosing Between Braces and Invisalign.

Clear Aligners (Invisalign)
Clear aligners represent the newest frontier in orthodontic treatment technology. These virtually invisible plastic trays gradually shift your teeth into alignment through a series of customized trays that you change every one to two weeks. Invisalign and similar systems offer unmatched discretion and convenience—you remove them for eating, drinking, and oral hygiene, maintaining your normal lifestyle without dietary restrictions. However, they work best for mild to moderate cases and require disciplined wearing (20-22 hours daily) to be effective. Treatment typically takes 12-18 months, and they cost comparably to traditional braces ($4,000-$8,000).
Lingual Braces
Lingual braces represent the ultimate in discreet orthodontic treatment—they're attached to the back surfaces of your teeth, making them completely invisible from the front. These specialized braces require extra skill to place and adjust, making them more expensive ($8,000-$10,000) and time-consuming. Treatment takes longer than conventional methods, and many patients experience initial speech difficulties. They're ideal for professionals or image-conscious individuals willing to pay premium prices for complete discretion.
What is Comprehensive Orthodontic Treatment?
Comprehensive orthodontic treatment addresses all alignment and bite issues for both upper and lower teeth, creating complete occlusal harmony. Unlike limited treatment that focuses only on visible front teeth or aesthetic concerns, what is comprehensive orthodontic treatment designed to achieve? It corrects the entire bite, jaw alignment, and tooth positioning for optimal function and health. Comprehensive treatment typically takes 18-30 months and costs $5,000-$10,000. This approach is recommended when bite problems could affect long-term health or when severe crowding or spacing exists. Most comprehensive orthodontic treatment is performed on teenagers or adults seeking complete dental transformation.
When to Start Orthodontic Treatment
One of the most common questions parents and patients ask is: when to start orthodontic treatment? The answer depends on your age and specific dental concerns, but timing can significantly impact both the effectiveness and duration of treatment.
For Children: Early Evaluation and Intervention
The American Association of Orthodontists recommends a first orthodontic evaluation by age 7, even if all primary teeth haven't fallen out. Early evaluation identifies developing problems and allows orthodontists to monitor jaw growth and tooth eruption patterns. But is early orthodontic treatment necessary for every child? Not always. However, early intervention (Phase 1 treatment) can prevent more serious problems from developing and may reduce overall treatment time during comprehensive orthodontic treatment later.
Signs that your child needs evaluation include crowded teeth, difficulty chewing, mouth breathing, jaw clicking or popping, and teeth that don't meet properly when biting. Early interceptive treatment typically lasts 6-12 months, with a rest period following to allow permanent teeth to erupt. After eruption, Phase 2 comprehensive treatment may be recommended. This two-phase approach often results in faster overall orthodontic treatment and sometimes eliminates the need for tooth extraction.
For Teenagers: The Ideal Treatment Age
Teenagers represent the ideal age group for comprehensive orthodontic treatment. Jaws are still growing, allowing orthodontists to leverage growth patterns for faster tooth movement. Most teenagers complete orthodontic treatment within 18-24 months, faster than adults typically achieve. The teenage years are also psychologically important—many teens feel self-conscious about their appearance, and orthodontic treatment completed during these formative years can significantly boost confidence during crucial social development years.
For Adults: Never Too Late
Is early orthodontic treatment necessary, or can adults benefit equally? The good news is that orthodontic treatment works effectively at any age. Adult bone is no longer growing, so treatment takes slightly longer (24-30 months typical), but the principles remain the same. Adults often appreciate clear aligners for their discretion in professional settings, though traditional braces work just as well. Many adults delay treatment for decades, only to realize they should have invested in their smile years earlier. The best time to start orthodontic treatment is whenever you decide to prioritize your dental health.
The Orthodontic Treatment Process
Understanding what to expect during orthodontic treatment helps reduce anxiety and set realistic expectations about your journey to a straighter smile.

Step 1: Initial Consultation and Examination
Your orthodontic journey begins with a comprehensive consultation where the orthodontist evaluates your teeth, jaws, and bite. They'll discuss your concerns, goals, and treatment options, answering questions about how long orthodontic treatment takes and what results you can expect. This appointment is typically free and helps you determine whether treatment is right for you.
Step 2: Treatment Planning
If you proceed with orthodontic treatment, your orthodontist takes detailed X-rays, photographs, and impressions of your teeth and jaws. Advanced 3D imaging technology creates a precise blueprint of your unique dental situation, allowing your orthodontist to develop a customized treatment plan showing exactly how your teeth will move and how long orthodontic treatment will take.
Step 3: Placement of Braces or Aligners
During the placement appointment, your orthodontist bonds brackets to your teeth and inserts the initial arch wire. This process is painless, though you may feel slight pressure during adjustment. If you're using clear aligners, you'll receive your first set of trays along with detailed instructions on proper wear and care.
Step 4: Regular Adjustments and Monitoring
Throughout your orthodontic treatment, you'll visit your orthodontist every 4-8 weeks for traditional braces or every 6-12 weeks for aligners. These appointments involve adjusting wires, changing elastics, and monitoring progress. Your orthodontist ensures treatment stays on schedule and makes adjustments based on how your teeth are responding.
Step 5: Active Treatment Phase
The active phase of orthodontic treatment typically lasts 12-30 months, depending on your starting condition and chosen treatment method. During this time, your teeth gradually shift into proper alignment. You may experience some discomfort during the first few days after adjustments, but modern techniques minimize this. Maintaining excellent oral hygiene and following your orthodontist's instructions about diet and care ensures efficient progress.
Step 6: Removal and Retention
Once your teeth have reached proper alignment, your orthodontist removes your braces or you stop wearing aligners. But orthodontic treatment doesn't truly end here. Your teeth have a "memory" and want to shift back to their original positions. To prevent this, you'll wear retainers indefinitely—typically a removable clear retainer that you wear nightly. Some patients receive bonded retainers attached to the back of their teeth for permanent retention. This crucial retention phase ensures your orthodontic treatment results last a lifetime.
Orthodontic Treatment Cost and Insurance
Understanding costs helps you plan financially for orthodontic treatment and explore available options.
Average Cost Ranges
Traditional metal braces typically cost $3,000-$7,000 for comprehensive orthodontic treatment. Ceramic braces run $4,000-$8,000, while clear aligners cost $4,000-$8,000. Lingual braces represent the premium option at $8,000-$10,000. Limited treatment addressing only front teeth typically costs $2,000-$4,000. Geographic location, orthodontist experience, case complexity, and treatment duration all affect final costs.
Insurance Coverage
Most dental insurance plans cover 50% of orthodontic treatment expenses, with many imposing annual maximums ($1,500-$2,000 typical). Some plans cover only comprehensive orthodontic treatment and exclude cosmetic-only cases. Contact your insurance provider before starting treatment to understand your specific coverage. Many orthodontists offer flexible payment plans, allowing you to spread costs over your treatment duration.
Payment Options
Beyond insurance, many orthodontists accept payment plans with little or no interest, making treatment accessible even without insurance coverage. Some offices offer discounts for upfront payment or discounts for multiple family members receiving orthodontic treatment simultaneously.
What Happens If You Don't Get Orthodontic Treatment?
Understanding the risks of untreated dental misalignment emphasizes why orthodontic treatment matters.
Increased Tooth Decay and Gum Disease
Crooked teeth create tight spaces difficult to clean with a toothbrush, allowing plaque and bacteria to accumulate. This increases your risk of cavities and gum disease, potentially leading to tooth loss if left untreated. Proper alignment from orthodontic treatment prevents these problems by making teeth easy to clean.
Jaw Pain and TMJ Disorders
Bite misalignment strains your jaw joints, potentially causing temporomandibular joint disorder (TMJ) characterized by pain, clicking, and difficulty chewing. This condition can develop gradually over years and become increasingly painful and difficult to treat. Orthodontic treatment corrects bite problems before they cause TMJ damage.
Excessive Tooth Wear and Damage
Misaligned teeth distribute biting forces unevenly, causing excessive wear on certain teeth. Over time, this leads to enamel erosion, sensitivity, and weakened teeth requiring crowns or other restorations. Orthodontic treatment distributes forces evenly, preserving tooth structure.
Speech and Swallowing Difficulties
Severe misalignment can affect speech clarity and swallowing function, particularly with significant overbites or open bites. Orthodontic treatment corrects these issues, improving function and quality of life.
Lower Self-Esteem and Social Impact
Beyond physical health, untreated misalignment often damages self-esteem and social confidence. People with crooked teeth frequently avoid smiling, affecting their personal and professional relationships. Orthodontic treatment provides the confidence boost that comes with a beautiful, healthy smile.
How Effective is Orthodontic Treatment?
The effectiveness of orthodontic treatment is well-documented and supported by extensive research.

Treatment Success Rates
Approximately 88-90% of patients achieve successful tooth alignment with orthodontic treatment, with proper bite correction in the vast majority of cases. These impressive success rates reflect both improved technology and refined techniques developed over decades of orthodontic practice.
Treatment Duration
Average orthodontic treatment duration ranges from 12-30 months depending on the severity of misalignment and chosen treatment method. Most patients complete treatment within 18-24 months. Factors affecting duration include starting severity, bone density, age, and patient compliance with instructions.
Long-Term Stability
Studies show that 75-90% of patients maintain their orthodontic treatment results long-term with proper retention. The key to success is consistent retainer wear. Patients who neglect retainers often experience some relapse, particularly in the lower front teeth where natural shifting tends to occur.
Importance of Retainers
Your orthodontist will emphasize that retainer wear is crucial to maintaining your investment. Most orthodontists recommend wearing retainers indefinitely, at minimum nightly. This commitment ensures that years of orthodontic treatment investment produces permanent results.
Conclusion: Take Action for Your Smile
Orthodontic treatment represents one of the best investments you can make in your long-term health and confidence. Whether you're a parent considering whether your child needs early evaluation, a teenager ready to transform your smile, or an adult finally pursuing the straight teeth you've always wanted, orthodontic treatment offers proven results backed by decades of dental science.
The decision to pursue orthodontic treatment shouldn't be delayed. Every day you wait is another day living with misaligned teeth that could affect your health, function, and confidence. Modern treatment options offer unprecedented flexibility—whether you prefer traditional metal braces, discreet ceramic options, or nearly invisible clear aligners, there's a solution perfectly suited to your lifestyle and preferences.
Don't let cost concerns prevent you from pursuing treatment. Payment plans, insurance coverage, and flexible financing make orthodontic treatment accessible to virtually anyone motivated to improve their smile. The real cost comes from delaying treatment and facing expensive restorative procedures later in life to address problems that orthodontic treatment could have prevented.
Schedule your orthodontic consultation today.
When it comes to your smile, experience matters. Dr. D’Avanzo, the Board Certified Orthodontist behind Belle Mead Orthodontics, combines advanced education—degrees from Albright College, Fairleigh Dickinson, and Temple University—with years of hands-on expertise and award-winning care. Every treatment plan is tailored to your unique needs, so you achieve the confident, healthy smile you deserve.
Ready to get started? Contact Belle Mead Orthodontics and schedule your free consult with Dr. D’Avanzo today!





