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FIXED BRACES

Straighten your smile with complete confidence.

  • Specialist orthodontist on-site
  • Metal & ceramic options available
brace consult

Fixed braces have been straightening teeth for decades, and for good reason. Where some misalignments, rotations, or complex bite issues require precise, continuous force applied over months of treatment, fixed braces remain the most clinically reliable and predictable option available.

At Berkhamsted Dental Practice, we offer fixed brace treatment for both teenagers and adults, and we are well used to the fact that wanting straighter teeth is not something that diminishes with age.

Traditional metal braces use small brackets bonded to the front of the teeth, connected by a wire that is periodically adjusted to apply gentle, consistent pressure. Over the course of treatment, typically twelve to twenty-four months depending on complexity, the teeth move gradually into their ideal positions.

Ceramic (tooth-coloured) braces work on the same principle but use less visible brackets, making them a popular choice for adult patients who want the clinical performance of fixed braces with a more discreet appearance.

For more information regarding this treatment
Contact Us OR Call 01442 865 646
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About treatment

Which type of fixed brace is right for you?

Fixed braces are particularly well suited to more complex orthodontic cases, significant crowding, bite discrepancies, or cases where multiple aspects of the smile need to be addressed together. Where a patient is suitable for clear aligner treatment with Invisalign, we will always present both options and help you choose the approach that is right for your teeth, your lifestyle, and your goals.

Which type of fixed brace is right for you

The most versatile and widely used orthodontic appliance, highly effective for a broad range of misalignments, bite issues, and crowding. Metal brackets are small, smooth, and more comfortable than older generations. The gold standard for complex cases.

Suitable for: Complex orthodontic cases; teenagers; patients prioritising clinical outcome over aesthetics.

Tooth-coloured ceramic brackets that offer the same clinical performance as metal braces, with a significantly more discreet appearance. Ceramic brackets blend with the natural shade of the teeth and are far less noticeable in everyday life.

Suitable for: Adult patients wanting a less visible fixed brace option; patients who are not suitable for Invisalign but prefer a subtler look.

Metal fixed braces

The most versatile and widely used orthodontic appliance, highly effective for a broad range of misalignments, bite issues, and crowding. Metal brackets are small, smooth, and more comfortable than older generations. The gold standard for complex cases.

Suitable for: Complex orthodontic cases; teenagers; patients prioritising clinical outcome over aesthetics.

Ceramic fixed braces

Tooth-coloured ceramic brackets that offer the same clinical performance as metal braces, with a significantly more discreet appearance. Ceramic brackets blend with the natural shade of the teeth and are far less noticeable in everyday life.

Suitable for: Adult patients wanting a less visible fixed brace option; patients who are not suitable for Invisalign but prefer a subtler look.

Is Invisalign® AN OPTION?

Clear aligners and fixed braces, we offer both.

If you are exploring orthodontic treatment, it is worth knowing that we also offer Invisalign®, the market-leading clear aligner system that straightens teeth discreetly without brackets or wires. For many patients, particularly those with mild to moderate misalignment, Invisalign is an excellent option.

At your consultation, we will assess your teeth and advise honestly on which approach- fixed braces, Invisalign®, or a combination- is most appropriate for your situation.

clear aligner

Your treatment Journey

From consultation to a confident new smile.

journey-process-consultation

Consultation

A thorough assessment of your teeth and bite, with honest recommendations on fixed braces and whether Invisalign® is also an option.

journey-process-preparation

Preparation

Scans, impressions and photographs are taken to produce a full treatment plan — so you know the expected outcome before anything begins.

journey-process-treatment

Treatment

Your brace is fitted at one appointment. Every six to eight weeks, a brief adjustment visit keeps your tooth movements on track.

journey-process-results

Results

When treatment is complete, the brace is removed, and retainers are provided to hold your new smile long-term.

journey-process-consultation

Consultation

A thorough assessment of your teeth and bite, with honest recommendations on fixed braces and whether Invisalign® is also an option.

journey-process-preparation

Preparation

Scans, impressions and photographs are taken to produce a full treatment plan — so you know the expected outcome before anything begins.

journey-process-treatment

Treatment

Your brace is fitted at one appointment. Every six to eight weeks, a brief adjustment visit keeps your tooth movements on track.

journey-process-results

Results

When treatment is complete, the brace is removed, and retainers are provided to hold your new smile long-term.

Fees

Fees & pricing.

Fees for orthodontic treatment depend on the type of appliance, the complexity of the case, and the extent of treatment required. In all cases, a full treatment plan and fee breakdown will be provided at your consultation before any work begins. There are no surprises, and no obligation after your initial appointment.

Frequently asked questions

1. About the treatment

Am I too old for braces?

Not at all. A significant proportion of our orthodontic patients are adults, and we welcome this. Teeth can be moved at any age, provided the gums and supporting bone are healthy. Many adults find that straightening their teeth in their 30s, 40s, or 50s is one of the most rewarding investments they have ever made. We will always carry out a full assessment to determine the most suitable treatment approach for your age, dental health, and goals.

How long does brace treatment take?

This depends on the complexity of your case. Mild to moderate misalignment may be resolved in twelve months; more complex cases can take eighteen to twenty-four months or longer. Your dentist will give you a realistic treatment timeline at your consultation based on your individual clinical assessment, and your commitment to attending adjustment appointments and wearing retainers as directed will have a direct impact on the outcome.

What is the difference between fixed braces and Invisalign®?

Fixed braces use brackets bonded to the teeth and a wire to apply continuous pressure, making them highly effective for complex cases, rotations, and bite correction.

Invisalign® uses a series of custom-made clear aligners that are removable and virtually invisible. Both can produce excellent results; the best choice depends on your specific case, your lifestyle, and your preferences. We offer both at the practice and will give you an honest comparison at your consultation.

Is the treatment painful?

Most patients experience some tenderness for the first few days after the brace is fitted, and again after each adjustment appointment, as the teeth begin to respond to the pressure.

This is normal and usually settles within two to three days. Over-the-counter pain relief is sufficient in most cases.

2. During treatment

Can I eat normally with braces?

You will need to avoid some foods, particularly hard, sticky, or chewy things that could dislodge brackets or bend wires. Most everyday foods are perfectly manageable; it is more about being a little careful than making dramatic changes to your diet. Your dentist will give you a clear list at the start of treatment.

How do I clean my teeth with braces?

Cleaning thoroughly is especially important during orthodontic treatment, as food can easily get trapped around brackets and wires. We recommend brushing after every meal, using interdental brushes to clean around each bracket, and using a fluoride mouthwash regularly.

3. After treatment

Will I need to wear a retainer after braces?

Yes, retainers are an essential part of orthodontic treatment. Teeth have a natural tendency to drift back toward their original positions after braces are removed, and retainers hold them in place while the supporting bone stabilises around them.

We provide both fixed (bonded behind the teeth) and removable retainers; your dentist will advise on the most appropriate option. Wearing retainers as directed is the only way to ensure your result lasts.

How long do I need to wear retainers?

We advise wearing removable retainers every night, indefinitely. This becomes completely routine and is the surest way to protect the investment you have made in your smile. Fixed retainers, bonded behind the teeth, work continuously without any effort on your part.

Get in touch

contact us

We’d love to hear from you

Whether you’re booking your first appointment, have a question about our treatments, or simply want advice on your dental care — our friendly team is here to help.

Opening Times

Monday
08:00 AM - 06:00 PM
Tuesday
08:00 AM - 06:00 PM
Wednesday
08:00 AM - 06:00 PM
Thursday
08:00 AM - 06:00 PM
Friday
08:00 AM - 01:00 PM
Saturday
09:00 AM - 01:00 PM

Opening Times

Monday
08:00 AM - 06:00 PM
Tuesday
08:00 AM - 06:00 PM
Wednesday
08:00 AM - 06:00 PM
Thursday
08:00 AM - 06:00 PM
Friday
08:00 AM - 01:00 PM
Saturday
09:00 AM - 01:00 PM
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  • Site last updated: 3 November 2026
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Berkhamsted Dental Practice

5.0 164 reviews

  • Great service and lovely staff! Emily on reception was fantastic :)

  • Greeted warmly by everyone. Treated respectfully by my dentist with step by step explanations regarding my treatment. Consequently, I was able to feel more relaxed having been reassured that all was going well. Thank you for an excellent outcome.

  • Very happy with my Invisalign process with Kish. He kept me well informed throughout and always took time to answer all my many queries. The price was reasonable compared to others in the area and it has all been completed within the original time advised.… Read more

    Very happy with my Invisalign process with Kish. He kept me well informed throughout and always took time to answer all my many queries. The price was reasonable compared to others in the area and it has all been completed within the original time advised. I'm yet to have my composite bonding done but hope to have a transformed smile in the end. Would thoroughly recommend BDP if you're considering Invisalign.

  • Berkhamsted dental practice have been amazing and so helpful. Other dentist didn't want to help me with my treatment as needed alot of work but they have taken one look and gone above and beyond to help me. The staff are friendly helpful and quick to respond… Read more

    Berkhamsted dental practice have been amazing and so helpful. Other dentist didn't want to help me with my treatment as needed alot of work but they have taken one look and gone above and beyond to help me. The staff are friendly helpful and quick to respond to any questions I may of had after treatment. I still need a lot of treatment but very grateful for the help i have received so for and looking forward to the final outcome down the line

  • I have just completed the main part of my Invisalign journey followed by composite bonding and could not be happier. Having been told by my previous dentist that it wasn’t worth doing ( due to my age and small change I would achieve) I had a consultation with… Read more

    I have just completed the main part of my Invisalign journey followed by composite bonding and could not be happier. Having been told by my previous dentist that it wasn’t worth doing ( due to my age and small change I would achieve) I had a consultation with Dr Kish to start a programme of Invisalign to straighten out my front teeth which had moved over time and now had a very slight overlap. Once complete, I saw Dr Ventsi for bonding to the edges of 6 teeth, which, as a heavy tooth grinder, were chipped and uneven. Both Drs were knowledgeable and lovely to deal with. I could not be happier with the result! A little change has made a huge difference !

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