Teenagers and adults · Uccle, Brussels

Orthodontics in Uccle for teenagers and adults

Crowding, gaps or an uneven bite: treatment cannot be chosen from a photograph alone. It takes account of your mouth, your priorities and your daily life.

The first assessment is designed to establish what is realistic in your case — and then compare the options before you decide.

Portrait of Varsik Hakopian at Clinique Apolline in Uccle
Varsik Hakopian · Orthodontic care

Clinical cases at Clinique Apolline

Before and after: three different goals

These examples show why there is no single ‘orthodontic outcome’. Tap a photograph to enlarge it; more cases are available just below.

Correcting an open bite

Open bite before orthodontic treatment
Before
Open bite after orthodontic treatment
After

The space between the upper and lower front teeth was reduced to achieve a more balanced closure.

Aligning severe crowding

Severe dental crowding before orthodontic treatment
Before
Severe dental crowding after orthodontic treatment
After

Alignment improved the position of the teeth and made certain areas easier to clean each day.

Closing a diastema

Diastema before orthodontic treatment
Before
Diastema after orthodontic treatment
After

The space between the incisors was closed while taking the overall distribution of tooth contacts into account.

View 7 more before-and-after cases

Edge-to-edge bite

Edge-to-edge bite before orthodontic treatment
Before
Edge-to-edge bite after orthodontic treatment
After

View the progress in a video ▶

Moderate crowding

Moderate dental crowding before orthodontic treatment
Before
Moderate dental crowding after orthodontic treatment
After

View the progress in a video ▶

Crossbite

Crossbite before orthodontic treatment
Before
Crossbite after orthodontic treatment
After

View the progress in a video ▶

Deep bite

Deep bite before orthodontic treatment
Before
Deep bite after orthodontic treatment
After

View the progress in a video ▶

Position of an incisor

Misaligned incisor before orthodontic treatment
Before
Incisor realigned after orthodontic treatment
After

View the progress in a video ▶

Multiple gaps

Multiple gaps between teeth before orthodontic treatment
Before
Dental gaps reduced after orthodontic treatment
After

View the progress in a video ▶

Protruding incisors

Protruding upper incisors before orthodontic treatment
Before
Upper incisors after orthodontic treatment
After

View the progress in a video ▶

These results are individual and cannot predict your own outcome. A consultation and diagnosis remain essential.

Your priorities, followed by the diagnosis

What would you like to improve?

Your smile, bite, wear or cleaning: the assessment begins with your priorities.

  • Tooth alignment

    Crowded teeth, protruding incisors, gaps or a diastema: the assessment determines whether space should be created, certain gaps closed or space redistributed.

  • Bite balance

    An open bite, deep bite or crossbite changes the way the upper and lower teeth meet.

  • Impacted tooth or space preparation

    Guiding a tooth or creating the space required for an implant, bridge or another treatment.

A photograph shows what is visible; the assessment looks for the cause. That cause may be dental, skeletal or a combination of both — and the options can differ considerably.

Three discreet approaches

Which appliance suits your daily life?

The technique that looks most discreet in a photograph is not necessarily the easiest to live with. We compare the movements required, oral hygiene and the practical demands of each option.

Clear orthodontic aligner held in front of a patient’s smile

Removable

Clear aligners

They are removed for eating and brushing. Their effectiveness depends on consistent wear, often close to 22 hours a day; attachments and elastics may be visible.

Learn about Spark aligners

Fixed orthodontic appliance with ceramic brackets on the teeth

Fixed

Ceramic braces

Placed on the outer surfaces of the teeth, the brackets work continuously. They are discreet but visible at close range and require careful cleaning.

View discreet orthodontic options

Dental model showing gold lingual orthodontic brackets behind the teeth

Inner surface

Lingual orthodontics

Placed behind the teeth, the brackets are almost invisible from the front. The tongue and speech may need time to adjust; this technique is not suitable for every case.

Understand lingual orthodontics

From the first assessment to retention

The treatment journey is built around four stages, with only the examinations that are useful for your case.

01 · The assessment

Discuss and examine

We begin with what concerns you, then assess your teeth, gums, smile and the way your jaws close.

Panoramic X-ray used during an orthodontic assessment
An X-ray may complement the clinical examination when it provides useful information.
02 · Relevant records

Record what matters

Depending on the case, photographs or a digital impression complement the examination so that the dental arches can be analysed accurately.

Digital impression taken with an intraoral scanner at Clinique Apolline
The digital impression records the dental arches in 3D without conventional impression material.
03 · The decision

Compare before starting

Before you make any decision, we explain the recommended option, possible alternatives, their practical demands, the estimated duration and the quotation.

Digital dental model obtained from a digital impression
The simulation helps us plan and explain the proposed treatment; it does not guarantee the final result.
04 · Follow-up

Treat, monitor, stabilise

Review appointments monitor tooth movement and allow the treatment to be adjusted when necessary.

Retention is not a final detail: it helps to limit relapse and requires maintenance and monitoring.

What matters during treatment

The outcome depends on the planned movements, as well as oral hygiene, wear of aligners or elastics and regular attendance at appointments.

Wear as instructed

Aligners and elastics need to be worn as prescribed. Repeated lapses can slow tooth movement or change the treatment schedule.

Thorough oral hygiene

Active decay and gum disease must be treated or stabilised. Regular check-ups with your usual dentist continue during orthodontic treatment.

Reviews and unexpected problems

Appointments allow the treatment to be adjusted. If an appliance breaks, causes an injury or you have severe, persistent pain, contact the clinic without waiting for your next review.

Risks you should be aware of

Inadequate oral hygiene increases the risk of tooth decay, marks on the enamel and gum inflammation. Tooth movement may also be accompanied by some shortening of the roots, which is usually limited. An incomplete result or relapse remains possible. The risks specific to your case are explained before treatment begins.

Guide fees

Aligners€2,500–€7,000
Ceramic or lingual applianceQuotation provided

The fee depends on the complexity, duration and stages required. A quotation is explained before any treatment begins. View Apolline’s fees.

Reimbursement in Belgium

For standard orthodontic treatment, compulsory health insurance generally requires treatment to begin before the age of 15. If treatment begins later, the required notification must have been submitted before that age. No compulsory orthodontic reimbursement is available after the age of 22.

For adults who did not previously establish entitlement, compulsory health insurance does not contribute. A mutual health fund or supplementary insurer may nevertheless offer some cover. Check your individual position with your provider and consult the official Belgian/INAMI information.

Questions our patients ask us

Yes. Age alone is not a contraindication. The teeth and gums must, however, be healthy or stabilised. Some significant jaw discrepancies cannot be corrected by an appliance alone and may require combined orthodontic and surgical treatment.

As a guide, the British Orthodontic Society often gives a range of 12 to 30 months for fixed-appliance treatment. Some treatments are shorter or longer depending on the case, the biological response and adherence to instructions. Review intervals are personalised and often range from six to ten weeks.

Pressure or tenderness for a few days is common after an appliance is fitted or adjusted, or after changing aligners. Severe or persistent pain, swelling, an injury or a broken appliance should, however, prompt you to contact the clinic.

Aligners are removed for eating and for drinking anything other than water. With a fixed appliance, very hard, crunchy or sticky foods should be avoided or cut into small pieces to reduce the risk of brackets coming loose. In both cases, fluoride brushing and interdental cleaning require particular attention.

Not routinely. Space can be created in different ways. In some cases, an extraction or limited reduction between teeth forms part of the plan. This decision is made only after a full assessment and an explanation of the alternatives.

Teeth continue to change naturally. Fixed, removable or combined retention reduces the risk of relapse. It must be worn, maintained and checked in accordance with the advice you receive.

Clinique Apolline · Uccle, Brussels

Do you need to choose your appliance before the appointment?

No. Bring your questions: the assessment is there to compare the options suited to your case.