Every 4 to 6 weeks
What happens at an adjustment visit
The appointment is usually short, often 20 to 30 minutes. This is the normal order of things.
- 1A quick check. The dentist looks at how far the teeth have moved since the last visit and compares that with the plan.
- 2The ties come off. The elastic ties are removed so the archwire can be lifted out. With self-ligating brackets, the clips simply open.
- 3Teeth and brackets are cleaned. Any plaque built up around the brackets is cleared while the wire is out.
- 4A new wire, or the same one adjusted. Early in treatment the wire is changed to a slightly thicker or stiffer one. Later it may just be re-bent or re-tied.
- 5Extras if needed. Small springs, elastics running between the upper and lower teeth, or a repair if a bracket has come loose.
- 6The next appointment. Usually 4 to 6 weeks later, so the pressure stays in the range that actually moves teeth.
Once the new wire is in, the pressure builds again and the teeth start moving. That pressure fades over the following weeks, which is exactly why the visits are spaced the way they are. Miss appointments and the movement simply stalls, so turning up is honestly the biggest thing you can do to keep treatment on track.
It is normal for teeth to feel tender or a little achy for two or three days after an adjustment. Soft food helps. If something is sharp, poking your cheek, or genuinely painful, call the clinic instead of waiting for the next appointment.