Fixed braces for predictable, lasting results
Fixed braces remain one of the most reliable ways to achieve a beautifully straight smile - and modern systems are far more discreet and comfortable than the braces you might remember.
What are fixed braces?
Fixed braces use small brackets bonded carefully to the surface of your teeth, connected by a thin wire that gently guides them into position over time. The "fixed" part simply means they stay on throughout treatment - which is what makes them so reliable for more complex cases.
Why fixed braces still matter
Despite the popularity of clear aligners, fixed braces remain the gold standard for certain cases - particularly more complex bite issues, significant rotations, and patients who'd rather not be responsible for taking aligners in and out. For these cases, fixed braces deliver the most predictable, long-lasting results.
Caring for Richmond families for over 30 years
We've been guiding patients through orthodontic treatment for three decades, and our experienced team has seen countless smiles transform across that time. Many of our adult patients are now bringing their teenagers in for the same treatment they had themselves.
Your fixed brace options at Richmond Hill Dental
We offer four different fixed brace systems, each suited to slightly different needs and preferences:
- Metal braces - the classic, time-tested option, beautifully effective and our most affordable system
- Ceramic braces - tooth-coloured brackets that blend in far more discreetly than traditional metal
- Iconic braces - a refined system using gold-coloured brackets for a subtle, elegant finish
- Lingual braces - fitted to the back of your teeth, completely invisible from the front
When fixed braces might be the better choice
Fixed braces are particularly well-suited to:
- Complex bite issues that aligners can't fully address
- Significant tooth rotations
- Cases needing precise control over individual teeth
- Patients who'd prefer not to manage removable aligners
- Teenagers, where compliance with aligners can be tricky
How do fixed braces work?
Each bracket holds the wire in a slightly different position, applying gentle, continuous pressure that gradually moves your teeth into alignment. Every six to eight weeks, we'll adjust the wire to progress treatment. The clever bit is in the planning - your dentist designs the entire movement before a single bracket is bonded.
Your fixed brace journey at Richmond Hill Dental
We'll guide you carefully through every step of your treatment. Here's exactly what to expect.
Step 1 - Orthodontic consultation
You'll have a 30-minute consultation with one of our dentists for £65, where we'll examine your teeth and bite, discuss your goals, and explain which system would suit you best.
Step 2 - Digital scan and treatment plan
For an extra £50, we'll take a detailed iTero scan and design your personalised treatment plan. You'll receive a clear timeline and full written estimate before agreeing to anything.
Step 3 - Fitting your braces
On fitting day, your teeth are gently cleaned and brackets are carefully bonded into place. The whole process takes around an hour, and there's no discomfort during fitting itself.
Step 4 - Regular adjustments
You'll come in every six to eight weeks for short adjustment visits, where we tighten or change the wire to progress your treatment. Each visit usually takes 20 to 30 minutes.
Step 5 - Brace removal and retainers
Once your teeth are beautifully aligned, your braces are gently removed - usually one of the most exciting visits we do. We'll then fit you with custom retainers (from £300) to protect your new smile for the long term.
Late evening orthodontic appointments for teenagers in Richmond
We know how busy school and work schedules can be. We reserve later weekday slots specifically for our orthodontic patients - so brace adjustments don't have to mean missing lessons or leaving work early.
Refining your results with cosmetic dentistry
Many patients combine fixed braces with subtle finishing touches once treatment is complete. Professional teeth whitening lifts the underlying shade beautifully, and composite bonding can refine any teeth that finish slightly uneven. The combination can be genuinely transformational.
How much do fixed braces cost in Richmond?
We're a fully private practice with transparent, upfront pricing:
- Orthodontic consultation - £65
- iTero scan and digital treatment plan - £50
- Metal braces - from £3,000
- Ceramic braces - from £4,000
- Lingual braces - from £6,000
- Retainers - from £300
Frequently asked Questions
How long does fixed brace treatment take?
It varies considerably depending on your case. Simple cases can finish within 9 to 12 months, while more complex cases typically take 18 to 24 months. We'll give you a realistic timeline at your initial consultation.
Will my fixed braces be uncomfortable?
You'll feel some tenderness and pressure for a few days after fitting and after each adjustment - mostly when biting or chewing. It eases quickly, and most patients adjust well within the first week or two. Soft foods and over-the-counter pain relief help during these settling periods.
How often will I need adjustment visits?
Every six to eight weeks throughout treatment. Each visit takes around 20 to 30 minutes, and we offer late afternoon and early evening slots to fit around school and work schedules.
Are ceramic braces really more discreet?
Yes - the brackets are made from a tooth-coloured ceramic that blends in remarkably well. From a normal conversational distance, most people simply don't notice them. They're a beautiful middle ground between traditional metal and fully invisible lingual braces.
What can't I eat with fixed braces?
You'll need to avoid hard, sticky and very chewy foods - things like toffee, chewing gum, hard sweets, ice, and biting directly into apples or crusty bread. Most everyday foods are still completely fine, with a little care.
Will I need to see a hygienist more often during treatment?
Yes, usually. Brackets and wires create more places for plaque to gather, so most patients benefit from hygiene visits every three months during treatment. We'll always plan this carefully alongside your orthodontic schedule.