Fixed Metal Braces Case Study: Improving Side Bite Alignment

Whites Dental Waterloo

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Whites Dental Marble Arch (W2)

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Fixed Metal Braces Case Study | Marble Arch

This fixed metal braces case shows how uneven side bite alignment can be improved with carefully planned orthodontic treatment.

The patient came to Whites Dental wanting to improve the way their teeth met together from the side. Before treatment, the side view showed an uneven bite relationship, with the upper and lower teeth not meeting as evenly as expected.

Treatment was planned and carried out by Dr Ravinder Varaich at our Whites Dental Marble Arch clinic using fixed metal braces. Over 18 months, the teeth were gradually guided into a more balanced bite relationship, with review appointments taking place approximately every six weeks.

Patient Concern

Uneven side bite alignment

Treatment Used

Fixed metal braces

Why This Option

Controlled tooth movement and bite improvement

Treatment Time

18 months

Reviews

Approximately every 6 weeks

Clinic

Whites Dental Marble Arch

Clinician

Dr Ravinder Varaich

Aftercare

Retainers provided after treatment

Journey summary: Dr Ravinder recommended fixed metal braces to improve the side bite relationship, support controlled tooth movement and create a more balanced orthodontic result. Treatment was completed over 18 months with reviews approximately every six weeks, followed by retainers to help preserve the result.

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Treatment Used

Fixed metal braces were used to improve uneven side bite alignment, guide tooth movement and create a more balanced relationship between the upper and lower teeth over 18 months.

Why metal braces? Metal braces gave Dr Ravinder strong control over the planned tooth movements. This was important for improving how the teeth met together from the side and supporting a stable final bite.

Example of fixed metal braces used for orthodontic treatment at Whites Dental

🧭 Jump To:

Initial Concern
Treatment Journey
Why Metal Braces Were Chosen
Treatment Goals
Outcome
Before & After
FAQs

Initial Concern: Uneven Side Bite Alignment

In this case, the before image shows an uneven bite relationship from the side. The upper and lower teeth do not appear to meet as evenly as expected, and the visible side teeth appear less balanced before treatment.

Side bite cases need careful orthodontic assessment because the concern is not always limited to how the front teeth look. The clinician also needs to understand how the teeth come together, how much movement is needed and how the final bite can be kept stable after treatment.

The main concerns visible before treatment included:

  • Uneven side bite alignment
  • Upper and lower teeth not meeting as evenly from the side
  • Irregular tooth positioning around the visible side teeth
  • A less balanced side profile bite relationship
  • Reduced visual symmetry through the side teeth

Although the side bite imbalance is visible in the photograph, cases like this still need a full orthodontic assessment. The clinician needs to understand the bite, the planned tooth movements and how retainers will help maintain the final result.

Before fixed metal braces treatment showing uneven side bite alignment at Whites Dental Marble Arch

What We Could See Before Treatment

  • Uneven bite relationship from the side view
  • Upper and lower teeth not meeting as evenly
  • Irregular positioning through the visible side teeth
  • A less balanced side profile alignment before treatment
  • A bite relationship that needed controlled orthodontic movement

Treatment Process At Our Marble Arch Clinic

This treatment was carried out at Whites Dental Marble Arch. The patient first attended a consultation with Dr Ravinder Varaich, where the side bite relationship, tooth alignment and smile goals were assessed.

The findings and treatment options were discussed with the patient, including why fixed braces treatment was recommended, how metal braces would be used to guide tooth movement and what the review process would involve during treatment.

The treatment journey included:

  1. Consultation and assessment: The patient’s teeth, bite relationship and smile concerns were assessed at Whites Dental Marble Arch.
  2. Treatment planning: Dr Ravinder planned the tooth movements needed to improve the side bite relationship and create a more balanced alignment.
  3. Treatment discussion: The fixed metal brace plan was discussed with the patient, including expected stages, review appointments and the importance of retainers after treatment.
  4. Brace fitting: Fixed metal braces were fitted to begin gradually moving the teeth into improved alignment.
  5. Regular reviews: The patient returned approximately every six weeks for progress checks and brace adjustments.
  6. Bite improvement: The braces were adjusted over time to guide the upper and lower teeth into a more even side bite relationship.
  7. Treatment completion: After 18 months, the planned tooth movements had been completed and the braces were removed.
  8. Retention: Retainers were provided to help preserve the final alignment and reduce the risk of teeth gradually moving back.

Why Metal Braces Were Chosen

Metal braces are often recommended when teeth need controlled, planned movement. Because the brace is fixed to the teeth throughout treatment, it allows the clinician to guide tooth movement carefully over time.

For this type of case, fixed metal braces can help by:

  • Improving how the upper and lower teeth meet
  • Guiding uneven tooth positions into better alignment
  • Supporting controlled bite correction
  • Helping create a more balanced side bite relationship
  • Supporting a more stable orthodontic result after treatment

In this case, metal braces were chosen because they gave Dr Ravinder strong control over the planned tooth movements. This was important for improving the side bite relationship and guiding the visible teeth into a more balanced position.

Treatment Goals

The main aim in this case was to improve the way the upper and lower teeth met together from the side and create a more balanced orthodontic result.

The treatment goals included:

  • Improving uneven side bite alignment
  • Guiding the upper and lower teeth into a better relationship
  • Improving tooth position through the visible side teeth
  • Creating a more balanced side profile bite relationship
  • Supporting a stable result after treatment with retainers

Good fixed braces treatment is not only about making teeth look straighter from the front. It also involves planning how the teeth meet from the side, how the bite changes during treatment and how the final result can be maintained after braces are removed.

Outcome: A More Balanced Side Bite Relationship

The after image shows a clear improvement in the side bite relationship. The upper and lower teeth appear to meet more evenly, the visible side teeth look better aligned and the overall bite relationship appears more balanced.

After fixed metal braces treatment showing improved side bite alignment at Whites Dental Marble Arch

Before And After: What Changed?

Before treatment After treatment
Uneven side bite relationship More balanced side bite alignment
Upper and lower teeth not meeting as evenly Improved upper and lower tooth relationship
Irregular visible side tooth position Better side tooth alignment
Less balanced side profile appearance Cleaner and more balanced orthodontic result

Visible improvements include:

  • Improved side bite alignment
  • A more even relationship between the upper and lower teeth
  • Better positioning through the visible side teeth
  • A cleaner and more balanced side profile bite relationship
  • A more stable-looking orthodontic result

This is the type of result many patients are hoping for when they begin orthodontic treatment: teeth that meet more evenly, feel better aligned and are easier to maintain with the right aftercare.

Could Metal Braces Help Similar Bite Alignment Concerns?

Metal braces may be suitable if your upper and lower teeth do not meet evenly, or if you have visible bite alignment concerns that need controlled tooth movement.

They can be especially useful for patients who:

  • Have an uneven bite relationship
  • Feel their upper and lower teeth do not meet comfortably
  • Have visible side bite alignment concerns
  • Need controlled tooth movement
  • Prefer a fixed treatment that does not need to be removed during the day
  • Have been advised that fixed braces may be more suitable than removable aligners

The best treatment depends on your teeth, bite and smile goals. A braces assessment can help confirm whether metal braces, ceramic braces or another orthodontic option may be suitable for your case.

Before And After Comparison

For patients who want to see the full change together, the original before and after comparison below shows the starting position and final result in one image.

Fixed metal braces before and after comparison showing improved side bite alignment at Whites Dental Marble Arch

Please note: Every orthodontic case is different. Treatment suitability, treatment time and final results depend on your teeth, bite, oral health and the type of movement required. A braces assessment is needed before advice can be given for your own case.

Considering Metal Braces In London?

If your teeth do not meet evenly, or you have concerns about your bite alignment, a braces assessment can help show what treatment may be suitable.

Whites Dental provides metal braces treatment and fixed braces treatment from our private dental clinic in Marble Arch and Paddington W2. Our braces in London team can assess your teeth, explain your options and help you understand what may be possible.

  • ✅ Metal braces for bite alignment and tooth position concerns
  • ✅ Fixed brace treatment carried out at Marble Arch in Central London
  • ✅ Regular review appointments during treatment
  • ✅ Retainers provided to help preserve results after treatment

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FAQs

Can metal braces improve side bite alignment?

Yes, metal braces can often be used to improve side bite alignment by gradually guiding the upper and lower teeth into a more balanced relationship. Suitability depends on the starting bite, tooth position and type of movement required.

Can fixed braces help if my teeth do not meet evenly?

Fixed braces may help if the teeth do not meet evenly, depending on the cause of the bite issue. A braces assessment is needed to understand the bite, tooth position and most suitable treatment options.

How long did this metal braces treatment take?

This fixed metal braces treatment was completed over 18 months, with review appointments taking place approximately every six weeks during the treatment journey.

How often are metal braces reviewed?

Metal braces are usually reviewed regularly during treatment. In this case, the patient attended review appointments approximately every six weeks so Dr Ravinder could check progress and make adjustments.

Do you need retainers after metal braces?

Yes. Retainers are an important part of orthodontic aftercare. After the braces are removed, retainers help preserve the final tooth position and reduce the risk of teeth gradually moving back.

Are metal braces suitable for adults?

Metal braces can be suitable for adults as well as younger patients. They may be recommended when controlled tooth movement is needed, especially where bite alignment or more detailed tooth movement is required.

Why were metal braces chosen for this case?

Metal braces were chosen because they gave Dr Ravinder strong control over the planned tooth movements. This was important for improving the side bite relationship and guiding the teeth into a more balanced position.

Was this treatment carried out at Marble Arch?

Yes, this fixed metal braces case was treated by Dr Ravinder Varaich at Whites Dental Marble Arch in Central London.

Author

Dr Deepa Chopra Author Of Whites Dental Blog

Dr Deepa Chopra
Principal Dentist & Clinic Founder
GDC registration number: 124489

Membership of the Faculty of Dental Surgery from the Royal College of Surgeons of Edinburgh
Membership of the British Dental Association
Restorative Dentistry from Tipton
Align Invisalign profile
LinkedIn profile

Areas of Expertise: 20+ Years Dentistry Experience. General Dentistry, Cosmetic Dentistry, Restorative Dentistry, Invisalign, Composite Bonding, Veneers, Root Canals, Crowns, Dentures, Gum Disease, Hygienist Services, Emergency Dental Services & Teeth Whitening.

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