Claremont at Fortyfive is a private orthodontic centre for Tim McDonogh. It is the ideal centre to deal with the increasing demand

Fixed Appliance Instructions

Can I eat normally with fixed braces?

For the first few days it is best to keep to soft foods in order to prevent damage to your teeth and brace. You should avoid:

  • Sticky, chewy foods such as toffees, boiled sweets, chewing gum, chewy chocolate bars.
  • Hard foods which might damage the brace such as carrots, tough meats, hard pizza bases and crusty bread. Try cutting up food into small pieces and chewing on your back teeth.
  • Fizzy drinks(includingfizzywater) and excessive amounts of fresh fruit juices-these can cause decay and dental erosion. Milk, water and dilute squash are the safest drinks.
  • Nail biting and pen chewing as this can damage the brace.

What about brushing my teeth?

The teeth, gums and braces must be kept completely clean. lt is important that you brush your teeth thoroughly at least twice a day and ideally take a spare brush to school/work to brush after lunch. lf the teeth are not kept clean then permanent staining of the teeth (decalcification) can result. This is the first indication of tooth decay and the braces will be taken off before the end of treatment to minimise the damage.

Will I be able to speak normally?

Lisping may be a problem at first but most people soon adapt and quickly begin to speak clearly within a few days.

Will it be painful?

The brace may feel rough to the inside of your lips and cheeks for the first week - soft wax is provided and this can ease the initial discomfort. We also recommend you buy some 'Brace-Eze'from the reception. The teeth are likely to be tender for the first few days due to the pressure put onto them by the brace, this is also the case after each adjustment. Painkillers, such as the ones you would normally take for a headache, may help.

What you will need to clean your brace-brushing essentials?

  • Small, soft/medium bristled toothbrush and a fluoride toothpaste.
    Pay particular attention to brush where the gums and teeth meet. Try and have an ordered sequence of brushing so you don't forget to brush the front, back and biting surfaces of the teeth - it is time consuming but essential.
  • lnter-dental brush
    The inter-dental brush helps clean in between the brackets and around them.
  • Fluoride mouthwash
    A daily fluoride mouthwash is advisable as this can help prevent decay and decalcification - your orthodontist will advise you.

How often wili I need to see my Orthodontist?

You will need to be seen every 6-8 weeks for the brace to be adjusted.

Do I still need my regular dentist?

Yes - you must continue regular check ups with your dentist so your teeth can be checked for decay.

Can I wear a mouthguard for sports?

Yes but it will have to be a special orthodontic one to fit over your fixed brace, ask your orthodontist. Mouthguards should be worn for sports such as rugby, hockey, football etc.

At the end of treatment a dentist-made custom fit mouthguard is recommended.

What if my brace breaks ?

Please contact the surgery without delay. An appointment will be made for you to have it repaired. Place wax over any sharp areas or 'Brace-Eze' (available at recepion).

Breakages can slow your treatment or may result in damage to your teeth. Please be careful with the braces.

What happens at the end when the braccs are removed?

When the fixed braces are taken off, lmpressions of the teeth are taken and retainers are made. Retainer braces are either removable or fixed behind the teeth. Removable retainers are usually worn just at night to hold your teeth in the new position - your orthodontist will advise you. lf you don't wear your retainers as instructed your teeth may start moving back towards where they started!

Orthodontic Emergencies and further information...

It is our aim to offer treatment with maximum comfort as possible. If you are experiencing pain that cannot wait to be treated or a wire digging in - not just a broken brace outside of practice hours. You can call the Croydent on 020 8401 3443.

We have provided some information about some commonly asked questions which may be of help to you:

General Soreness:

It is normal to experience some soreness during your orthodontic treatment. This can last three to four days after an adjustment. To alleviate discomfort, we recommend that patients eat softer foods and rinse after each meal. Pain relievers may also help (To be taken in line with instructions).

Sore spots:

Occasionally patients may develop ulcers while wearing braces. To help relieve any discomfort we suggest placing wax on the problematic area of the braces. Wax can be puchased from our practice. Please contacts for further infomation and advice. Ulcers generally heal within 10 days. Please seek further information from us if your situation continues.


Orthodontic appliances can be damaged when a patient sustains injury to the face or mouth. Call for an appointment if the teeth feel loose or if the appliance is broken. If you choose, we can create a customized mouthguard to protect your teeth and appliances during contact sports.

Loose teeth:

It is perfectly normal for teeth to feel loose during treatment. Teeth need to loosen before they can move into their new positions.

Rubber bands:

Rubber band wear will cause sore teeth when you first begin wearing them (approximately the first 3 – 4 days). Once the teeth begin to move, this soreness will go away. Continue to wear the rubber bands during this initial period of soreness and take pain relievers if necessary. Do not continue wearing the rubber bands if you are unsure how they are to be worn. Call us during practice hours and we will let you know how to wear your elastics.

Broken Archwire:

Call us during practice hours to arrange an emergency appointment. Place wax over the area if the wire digging in or causing discomfort.

Loose band or bracket:

Call us during practice hours and arrange a repair appointment. If the loose band or bracket is irritating the gums or cheek, place wax over the area. Remember to brush very well around the loose appliance, as it may tend to trap plaque.


Gaps may appear between your teeth during your treatment, this is quite normal. All gaps will be closed prior to the end of your treatment.

We are members of the Good Practice scheme, BDA , CODE, British Orthodontic Society, American Association of Orthodontists, World Federation of Orthodontists, British Practice Managers Association.

Useful links for further information relating to Orthodontic treatment

British Orthodontic Society

12 Bridewell Place
London EC4V 6AP
Tel: 020 7353 8680
Website :

The British Orthodontic Society is a charity which aims to

  • promote the study and practice of orthodontics
  • maintain and improve professional standards in orthodontics
  • encourage research and education in orthodontics
British Dental Association

Website :
The British Dental Association (BDA) is the professional association and trade union for dentists in the United Kingdom and was founded in 1880.

General Dental Council

37 Wimpole Street,
London W1G 8DQ
Telephone: 020 7887 3800
Fax: 020 7224 3294


There purpose is to protect the public by regulating the dental team. We do that by:

  • Registering qualified professionals
  • Setting standards of dental practice and conduct
  • Assuring the quality of dental education
  • Ensuring professionals keep up-to-date
  • Helping patients with complaints about a dentist or dental care professional
  • Working to strengthen patient protection

Purley Orthodontic Practice
Code of Practice for patients Complaints

In this practice we take complaints very seriously indeed and try to ensure that all patients are please with their experience of our service. When patients complain they are dealt with courteously and promptly so that the matter is resolved as quickly as possible. This procedure is based on these objectives.

Our aim is to react to complaints in the way in which we would want our complaints about services to be handled. We learn from every mistake that we make and we respond to patients concerns in a caring and sensitive way.

  • The person responsible for every dealing with any complaint about the service is Mrs. Emma Stubbington ( Practice Manager )
  • If a patients complains on the telephone or on the reception desk we will listen to his or her complaint and offer him or her to Mrs. Stubbington immediately.
  • If Mrs. Stubbington is not available at the time, then the patient will be told when she/he will be available to talk to the dentist and arrangements will be made for this to happen.

    The member of staff will take brief details of the complaint and pass them on. If we cannot arrange this within responsible period or if the patient does not wish to discuss the matter, arrangements will be made for someone else to deal with it.
  • If the patient complains in writing the letter will be passed immediately to Mr. Timothy McDonough.
  • If the complaint is about any aspect of clinical care or associated charges it will normally be referred to the dentist, unless the patient does not want this to happen.
  • We will acknowledge the patients complaint in writing and enclose a copy of this code of practice as soon as possible, within to working days. We will seek to investigate the complaint within ten working days of the complaint being received to give an explanation of the circumstances which led to the complaint. If the patient does not wish to meet us, then we will attempt to talk to him or her on the telephone. If we are unable to investigate the complaint within ten working days we will notify the patient, giving reason for the delay and a likely period within which the investigation will be completed.
  • We will confirm the decision about the complaint I writing to the patient immediately after completing our investigation.
  • Proper and comprehensive records are kept of any complaint received.
  • If patient are not satisfied with the result of the procedure then a complaint may be made to:

The General Dental Council
37 Wimpole Street

The Dental Registration Body

Orthodontics in Purley - Private orthodontic centre provides all treatments related brief information for patients.