Tooth alignment affects more than just how your smile looks. When teeth are crowded, gapped, or sitting at the wrong angle, everyday tasks like chewing and speaking can become genuinely uncomfortable. Over time, a misaligned bite can also put uneven stress on the jaw, leading to wear and tension that compounds with age.
At Tremaine Dental, our orthodontist in Milton provides braces for children, teens, and adults, with care plans shaped around each patient’s specific alignment needs. Whether you’re looking into orthodontic treatment for your child or considering it as an adult, this page covers everything you need to make an informed decision.
Braces are capable of correcting a wide range of concerns that affect both function and appearance:
Not enough space for teeth to sit in alignment, causing overlap or twisting.
Unwanted gaps between teeth that affect bite and appearance.
Upper teeth extend too far over the lower teeth when biting.
Lower teeth sit in front of the upper teeth.
Some upper teeth fall inside the lower arch when the mouth closes.
Teeth do not touch when the mouth is closed.
Teeth don’t make contact when the mouth is shut.
Addressing these concerns — whether caught early or treated in adulthood — improves chewing efficiency, makes oral hygiene more effective, and reduces long-term wear on teeth and jaw joints.
Before any treatment starts, we carry out a full evaluation. Rushed assessments lead to plans that need to be revised — we’d rather take the time upfront to understand what’s actually going on.
We examine the health of your teeth, gums, and bite relationship to establish a clear starting point. Gum health in particular matters here — orthodontic treatment works better on a stable foundation, so any existing concerns are addressed first.
X-rays and digital scans let us see what’s happening beneath the surface — root positions, jaw bone structure, and how teeth are developing. This step is especially important for younger patients receiving care through our children’s dentistry program, where growth patterns significantly influence treatment timing.
These give us a precise visual and dimensional record to plan tooth movement and track progress at every stage of treatment.
Once we’ve reviewed all records, we put together a plan that accounts for:
If you’re unsure whether your dental coverage applies, our team can also walk you through the Canadian Dental Care Plan (CDCP) to help clarify your eligibility before committing to a plan.
Braces use a deceptively simple mechanical system: brackets bonded to each tooth are connected by a wire, and that wire is gradually adjusted to apply gentle pressure in the direction teeth need to move. Over weeks and months, the bone around each tooth remodels in response — locking the new position in place.
This process is called bone remodelling, and it’s why orthodontic treatment takes time. Trying to move teeth faster than the bone can adapt risks root damage and relapse. The gradual pace isn’t a limitation — it’s how the results hold.
Small brackets are bonded to the front surface of each tooth.
A flexible arch wire threads through each bracket and is secured with small ties.
The wire exerts continuous, planned force on each tooth.
Every few weeks, the wire is tightened or replaced to keep progress moving.
Surrounding bone tissue adapts as teeth shift, stabilising each new position.
Once teeth reach their final positions, a retainer holds them there while the bone fully consolidates.
Most orthodontists recommend a first evaluation around age 7. At this point, a mix of baby and adult teeth are present — which makes it the ideal window to spot patterns like crowding risk, jaw asymmetry, or habits affecting tooth development.
Early evaluation doesn’t always mean early braces. In many cases, monitoring is all that’s needed. But identifying concerns at this stage can prevent more complex treatment later, and in some situations, guiding jaw growth early produces results that simply aren’t possible once growth is complete.
Signs it’s worth booking an orthodontic check for your child:
Our children’s orthodontic care works alongside the broader children’s dental program at Tremaine Dental, so everything stays coordinated under one roof.
The teenage years are when most orthodontic treatment happens — and with good reason. By this stage, most adult teeth have come in, which makes it the most effective window for correcting alignment concerns that would otherwise follow someone into adulthood.
Common goals for teen orthodontic treatment include:
Teens generally adapt well to braces and often see consistent, visible progress at each adjustment — which helps maintain motivation over the course of treatment.
There’s no upper age limit on orthodontic treatment. The biology of tooth movement works at any age — the timeline may differ slightly for adults, but the results are just as achievable.
Adults most commonly pursue orthodontic care when:
Adult treatment plans often need to account for existing dental work. In those cases, we coordinate with our family dentistry services first to ensure any underlying concerns are stable before orthodontics begins.
The most widely used option — and for good reason. Metal braces offer precise control across a wide range of alignment cases, from minor crowding to complex bite corrections. They’re durable, predictable, and tend to require fewer complications over the course of treatment.
Ceramic brackets match the natural shade of your teeth, making them significantly less visible than metal. They work exactly the same way mechanically, but blend in better — a popular choice for teens and adults who want effective orthodontic care without a prominent appearance.
For patients who prefer a near-invisible approach, Invisalign braces use a series of removable, custom-made clear trays to gradually reposition teeth. Invisalign suits mild to moderate alignment concerns and is particularly popular with adults and image-conscious teens. Because the trays are removable, there are no food restrictions and oral hygiene stays easier throughout treatment.
During your consultation, we’ll help you understand which option fits your alignment complexity, your lifestyle, and your budget. No single approach is right for everyone — and we won’t push one over another without a clinical reason.
A lot of patients especially those bringing a child for the first time — aren’t sure what to expect. Here’s how a typical first visit works at Tremaine Dental:
We go over your dental history, any concerns you have, and what you’re hoping to achieve from treatment.
A thorough look at teeth, gums, and bite. No pressure, no rushed decisions.
X-rays or digital scans are taken if the clinical exam indicates they’re necessary.
We explain what we found, what treatment could address it, which options are suitable for you, and realistic timelines.
We leave time for this. No question is too basic, and we won’t move forward until you feel comfortable with the plan.
Most first consultations take around 45 to 60 minutes. You won’t be rushed into any decision, and you’re free to go away, think about it, and come back.
Braces require a slightly more attentive daily routine, but it becomes second nature quickly. Here’s what keeps treatment on track:
food traps around brackets; a small interproximal brush helps clean between the wire and gumline.
use a floss threader or water flosser; standard flossing is harder with a wire in place.
these can snap brackets or bend wires, adding extra appointments.
each visit keeps the treatment timeline moving; gaps slow everything down.
teeth naturally drift back without retention. A retainer prevents relapse and protects the result.
Our teeth cleaning service is available throughout your orthodontic treatment to keep gum health in check. We recommend coming in for a professional clean every 3 to 4 months while braces are in place, rather than the usual 6.
Completing active orthodontic treatment is only part of the story. The retention phase that follows is what actually locks the results in for the long term.
When braces come off, the bone around your teeth is still in the process of consolidating. Without a retainer, teeth will drift back toward their original positions — sometimes quickly, sometimes gradually over years. This isn’t a flaw in the treatment; it’s just how bone tissue works.
We’ll discuss which retainer type suits your situation at the end of treatment. Many patients use both — a fixed wire on the lower teeth and a removable tray on the upper.
The most common reason orthodontic results don’t hold is inconsistent retainer wear. Wearing your retainer as directed is the single most effective thing you can do to protect your investment in treatment.
Orthodontic treatment is a meaningful commitment of time and money. Patients across Milton choose Tremaine Dental because we take that seriously.
For patients who want to address other aspects of their smile alongside orthodontics, we offer cosmetic dentistry, dental crowns and bridges, teeth whitening, and sedation dentistry for patients who experience dental anxiety — all in the same practice.
Most children benefit from an orthodontic evaluation around age 7.
Treatments vary from one to three years depending on alignment needs.
Mild soreness after adjustments is common but temporary.
Yes. Braces are suitable for adults of many ages.
Yes. Braces can close gaps and improve spacing.