Examinations Before Getting Braces: What to Expect

Nov 7, 2024Dr. Julia Steinmaierapprox. 4 min read

Do you or your child need braces? When do you know whether this correction is necessary or not? And what can patients expect during a visit to the orthodontist? All these questions are of burning interest to those affected. We are happy to show you in this article which examinations are necessary before braces are fitted.

Determining treatment need: the initial examination before braces

Whether braces are necessary or not can only be determined by an orthodontist. The process always begins with an initial examination to assess the treatment need. First, the specialist obtains a detailed overview of the teeth using various examination methods.

This is not only relevant to determine whether treatment is necessary. It is also essential to know which type of correction is advisable and what the teeth need so that misaligned teeth can be corrected.

Examinations for diagnosis before braces are fitted

In order for the orthodontist to determine whether braces make sense in an individual case, the jaw and teeth are examined thoroughly. The following are relevant:

  • Tooth position

  • Bite

  • Function of the chewing apparatus

The examinations carried out for this purpose are varied and comprehensive. At JUST KFO , we analyze the upper and lower jaws of our patients very precisely before fitting braces. This way, we lay the foundation for thorough and sensible treatment planning.

Impressions for dental models

First, impressions of the dentition are taken. These are important in order to create dental models, to identify any misalignments, and to be able to adapt the braces individually to the dentition. However, we often dispense with conventional impression material and instead create digital impressions using an intraoral scanner.

Photographs

Photographs are essential for examining and documenting the teeth and gums. We also create these.

X-rays

Before braces are fitted, two X-rays are taken in total:

  • the panoramic X-ray (panoramic radiograph or OPG)

  • the lateral cephalometric X-ray (FRS or Ceph)

X-rays allow the treating doctor to see in detail which areas are problematic.

Especially in adult patients, a three-dimensional X-ray (DVT) may be necessary under certain circumstances.

Functional analysis

At JUST KFO, we specialize in orthodontic therapy that takes the temporomandibular joint situation into account, and we place great emphasis on performing a functional analysis before treatment.

Through a functional analysis in orthodontics, it can be determined whether an incorrect bite is present. Therefore, even with teeth that appear straight and correct, it may be necessary to prescribe braces. An incorrect bite can have long-term negative effects on health.

More on this topicFixed Braces in Cologne

Which bracket systems we use, how the treatment path looks and what to expect in everyday life with fixed braces.

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What Happens After the Examinations?

Once these important examinations have been conducted at the orthodontist to determine treatment needs, a treatment plan is developed. This plan includes the measures that will be taken to correct the misaligned teeth.

This plan is discussed with the patient or parents. In many cases, there are alternatives that are also presented during this process. This way, the individually best solution can be found that everyone feels comfortable with.

This consultation also serves to clarify all pricing matters. This way, you know what costs to expect and the application to your health insurance can be submitted soon.

Preparation for Fixed Braces

When the patient arrives for their bonding appointment for fixed braces, another examination is conducted before placement. In addition, the teeth are thoroughly cleaned again and specially prepared by applying a diluted acid. This ensures that the bonded brackets adhere properly.

The brackets are bonded according to the treatment plan and the wires are engaged. This orthodontic treatment takes approximately 1.5 hours. Depending on the complexity, it may of course be shorter or longer.

Which Examinations Are Important Before Braces

In order to make a correct and complete diagnosis, it is important to perform several examinations before placing braces. These are also essential for treatment success — after all, this is the only way orthodontists can develop a sensible treatment plan. We at JUST KFO offer our patients individualized and competent therapy for misaligned teeth.

Sources:

  • Batista, K. B. S. L., Thiruvenkatachari, B., Harrison, J. E., & O’Brien, K. D. (2018). Orthodontic treatment for prominent upper front teeth (Class II malocclusion) in children and adolescents. Cochrane Database of Systematic Reviews, (3), CD003452. https://doi.org/10.1002/14651858.CD003452.pub4
  • Schupp, W., Funke, J., & Haubrich, J. (2020). Der digitale Workflow in der In-Office-Alignertherapie. Informationen aus Orthodontie & Kieferorthopädie, 52(4), 289–300. https://doi.org/10.1055/a-1241-9967
  • Rossini, G., Parrini, S., Castroflorio, T., Deregibus, A., & Debernardi, C. L. (2015). Efficacy of clear aligners in controlling orthodontic tooth movement: A systematic review. The Angle Orthodontist, 85(5), 881–889. https://doi.org/10.2319/061614-436.1

FAQ – Frequently Asked Questions About Examinations Before Braces

What Happens at the First Appointment with the Orthodontist?

First, the teeth and jaw are thoroughly examined. The orthodontist forms an impression of the tooth position, bite, and function of the chewing apparatus. Based on this, the next steps are discussed.

What Are the Requirements for Braces?

Braces make sense when there are misaligned teeth. Both adults and children can get braces.

What Is Done Before Braces?

Immediately before braces are placed, the orthodontist prepares the tooth surface with a special diluted acid.

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About the Author

Dr. Julia Steinmaier

Specialist in orthodontics. Owner of JUST KFO in Cologne, sought-after speaker and author who regularly appears in professional publications and media.

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Dr. Julia Steinmaier
JUST KFO

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Reviewed by Dr. med. dent. Julia Steinmaier, specialist in orthodontics · Last reviewed on June 21, 2026

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