At Manchester Rd Dental Surgery, we provide a variety of orthodontic options for clients of all ages.We understand the importance of straight teeth for proper function in eating and speaking, improved self-esteem, ease of cleaning, and healthier gums and teeth. We hope to be the familiar face you’re comfortable to deal with for not only orthodontic needs but also for your ongoing general dental care.

For children, we recommend an initial orthodontic assessment when they are 7-9 years of age as this is when we can assess the jaws as well as the teeth that are present and those that are yet to erupt. At this early stage we can determine to risk or presence of problems such as malocclusions or “incorrect bites”, crowding, impacted teeth, deep bites, open bites, cross-bites.

There are a few signs indicating your child may benefit from early orthodontic treatment:

  • Baby teeth lost early, late, or at an irregular time, this includes baby teeth that have required extraction
  • Teeth that do not meet properly when biting, including underbites and overbites
  • Protruding teeth
  • Crowded or crooked teeth
  • Jaws or teeth that are out of proportion to the face
  • A family history of any of the above
  • Habits such as thumb sucking after the age of 5, extended dummy use, teeth sitting in front of the lower lip
  • Mouth breathing/sleeping with their mouth open/ snoring

Detecting these issues early has the benefit of being able to address them whilst the jaws are still developing and the bone is soft. This means that treatment can be easier, faster and more effective than when carried out solely in teens or as adults where more complex and costly treatment or surgery may be required. Often treatment may not need be carried out immediately but the window of opportunity of early treatment is not lost, and we are happy to continue monitoring the situation closely during their regular dental check ups to ensure ideal timing of orthodontic treatment.

Our aims for early treatment are to:

  • Guide the jaw’s growth
  • Ensure there is enough space for the adult teeth to come through reducing the need for tooth removal
  • Minimise the risk of trauma to protrusive teeth
  • Reduce emotional stress if teasing is occurring
  • Aid better oral hygiene
  • Minimise the likelihood that complex treatment or surgery is required later down the track
  • Continue long term care when we see your children for their regular dental examinations


In the majority of 12-13year olds, all the adult teeth minus the wisdom teeth are through, and any problems with crowding, spacing, or the bite will be obvious. This makes it an ideal time to address the positioning of teeth. There are a number of options available to cater for different priorities.

Braces are an efficient and the most common option to move teeth. Brackets are bonded to the teeth and are joined with a flexible wire to gently move teeth into an ideal position. At Manchester Rd Dental Surgery we offer small metal braces to make it easier to clean, and light forces to ensure a more comfortable experience. Clear/invisible braces are also available, however not every case may be suitable for them.

Invisalign Teen is a virtually invisible option to straighten teeth. Rather than wires and brackets, a series of clear, removable aligners are custom-made to your teen’s teeth. Invisalign aligners need to be worn at least 22hours a day and changed every 1-2 weeks to gradually straighten teeth. There are multiple benefits to aligner use:

  • They are removed during meal times so unlike braces there are no food restrictions.
  • Being removable it is easy to brush and floss to maintain good oral hygiene
  • They can be removed during sport so there is no worry of serious trauma from sport accidents
  • It is less likely to require emergency appointment as there are no broken wires or loose brackets to fix
  • They can be removed for special occasions Considerations
  • It requires compliance and wear for results
  • Lost aligners require replacement
  • May not be suitable for cases requiring complex movements


It is never too late for straight teeth! A beautiful smile is a powerful asset in both personal and professional life, not the mention the functional benefits of improved speech and chewing, and health benefits gained when teeth and gums are easier to clean.

We understand that there are many adults who would love to improve their smile and oral health, but feel they have passed the ideal time to consider orthodontics especially when factoring in lifestyle, time, and aesthetics. It is worthwhile remembering that there are a variety of options available, some more discreet and subtle that traditional metal braces, that can also be lifestyle friendly for adults.

Braces, both metal and clear, are still an option despite growth having finished, and remain an efficient option for tooth movement.

Invisalign is a visually subtle option where a series of custom-made clear aligners are worn to gradually straighten your teeth. They require daily 22hour wear, and are changed fortnightly to move your teeth into position. As an adult …

  • You can still smile with confidence as they are virtually invisible
  • They are low maintenance – there are no breakages from wires or brackets, and may not require visits as frequently
  • Being removable, they will not affect an active lifestyle, and can be removed for special occasions
  • They are removed for cleaning so brushing and flossing can be done more effectively and efficiently

Combined Treatment

Sometimes combinations of treatment modalities are required to achieve an ideal smile. In adults, we frequently see teeth that are misshaped, missing, worn, or filled. There are times this can be fixed restoratively i.e. with fillings, veneers, crowns. Other times, a better result may be achieved by moving the teeth into an ideal position to work with first.

As your treating practitioner, we are in the best position to plan the entire process in detail knowing what outcome you’d like to achieve before you even start should you require both restorative and orthodontic work.