Have you ever thought about how your teeth bite together? We do all the time, because if your bite is not right then your teeth will wear irregularly over time, so your dentist can not repair the wear damage, because of the bite, and chewing is not as effective for you.
That’s why people come and see us rather than someone that just aligns the teeth without considering or controlling the bite.
At David Gale, The Specialist Orthodontic Referral Centre, our expertise lies precisely in mastering these intricate cases at the same time as managing any case.
Led by specialist orthodontist David Gale, our Hampshire practice is dedicated to transforming smiles burdened by the most difficult malocclusions, offering a level of precision and strategic intervention that extends far beyond conventional alignment only treatment boundaries.
Many individuals seek orthodontic treatment for aesthetic improvements, but for severe overjets (Class II malocclusions), pronounced underbites (Class III malocclusions), and intricate crossbites, the impact extends deeply into oral health and long-term well-being.
These are not merely cases of crooked teeth; they represent fundamental misalignments of the upper and lower jaws, or individual teeth within those arches
Addressing these complex dental issues requires more than routine orthodontic treatment.
It demands a profound understanding of craniofacial growth and development, advanced biomechanics, and the foresight to predict tooth movement and jaw remodelling over time.
If left unaddressed, these complex bites can lead to a cascade of debilitating consequences:
Sadly, orthodontic treatment on its own has not been shown to reliably treat TMJ pain and clicks in large randomised studies, however some dentists on a lower opinion based level of evidence feel that orthodontics can help.
As there is no robust evidence for this opinion the British Orthodontic Society does not support the claim that orthodontic treatment can treat TMJ pain and clicks reliably. If you have been previously told that orthodontics can help your jaw joint issues, then please book an opinion appointment with us so that David can discuss the evidence with you to assess what benefits orthodontics may have for you aside of the jaw joint issues.
Maintaining good oral hygiene becomes a constant battle. Straightening the teeth does make cleaning the teeth much easier and quicker.
The specialist orthodontics we do here allows us to move a root into the bone to reduce the risk of gum recession long term.
With 24 years of focused experience, David Gale's orthodontic practice operates as a true referral centre for these challenging scenarios. His extensive background, including training as a Hospital Orthodontic Consultant in the UK, provides him with a unique perspective on the most difficult cases, even those that might require multidisciplinary approaches.
David's 29,000+ successfully treated patients stand as testament to his capability in not just straightening teeth, but fundamentally rebuilding a stable and functional bite for lasting health.
Book a consultationAt David Gale, The Specialist Orthodontic Referral Centre, our approach to complex bites is rooted in meticulous diagnosis and the deployment of a comprehensive range of advanced orthodontic appliances.
We don't just offer treatment options; we engineer solutions designed for the most demanding cases, precisely tailoring the approach to your unique anatomical structure and specific dental issues:
David Gale's expertise focuses on leveraging the biomechanics of brackets and wires to achieve significant arch development and tooth movement necessary for resolving severe overbites, underbites, and posterior crossbites, affecting both front teeth and back teeth.
These braces provide the precise control needed to move entire segments of the jaw or reposition multiple teeth simultaneously into their desired positions, often where simpler aligners systems would falter due to the sheer force or intricate movements required.
David Gale's use of Invisalign treatment extends to custom made protocols with precision attachments, power ridges, and inter-arch elastics strategically placed to execute highly complex tooth movements that address significant skeletal discrepancies, not just minor rotations. Combining aligners with sectional fixed appliances also overcomes some of the limitations of aligners not gripping the teeth fully (loss of tracking and control).
This involves sophisticated digital treatment planning and monitoring to ensure each aligner sequence contributes precisely to the overall bite correction.
This makes Invisalign aligners a viable option for some challenging cases, even for most adults seeking a discreet path to a straighter smile without traditional braces.
This advanced technique demands exceptional skill and specialised training to manage the biomechanics effectively and ensure precise control over tooth movement.
These appliances can be used independently or in conjunction with fixed braces or aligners to achieve specific jaw remodelling or tooth position changes, contributing to comprehensive bite resolution.
For instance, functional appliances can guide jaw development in adolescents to correct an upper or lower jaw discrepancy without the need for jaw surgery later in life.
David and his team treat many cases in this way especially to close an anterior open bite where the front teeth can not bite together to incise food as the back teeth contact together first. By using mini-implants David and his team have saved many patients from needing jaw surgery to correct their bites.
David’s skill as a past Hospital Consultant Orthodontist is to assess where orthodontics can be successful and where surgery is needed and then understand in your case what advice you should follow. This expertise is not available in standard orthodontic treatments you may undergo with dentists and orthodontists who do not have specialist and consultant level training.
David Gale's mastery lies in his ability to select and combine these powerful appliances, creating a highly personalised treatment plan.
This ensures that every nuance of your bite is addressed, moving beyond merely aesthetic adjustments to deliver fundamental, long-term functional stability.
Our goal is to reconstruct your bite, providing straight teeth that support lasting oral health and a truly beautiful smile.
Book a consultationAt David Gale, The Specialist Orthodontic Referral Centre, your journey begins with a meticulous initial consultation.
This isn't just a brief check-up; it's a comprehensive first visit where David Gale dedicates time to thoroughly assess your individual dental issues, discuss your aspirations for a new smile, and conduct a detailed examination of your teeth, jaws, and facial profile. After 29,000+ cases David is very used to quickly identifying issues and finding solutions.
This includes advanced digital imaging and precise measurements to build an accurate picture of your unique anatomy and the intricacies of your bite.
Following this detailed assessment, David will present a comprehensive, personalised treatment plan. This involves explaining all viable treatment options, outlining the expected duration (which for complex cases might be two to three years), discussing potential challenges, and providing a clear, total cost for private treatment.
Our transparent approach ensures you have all the information needed to make an informed decision with complete peace of mind.
Once your treatment plan is underway, you will have regular appointments, typically every 6-10 weeks.
These visits are crucial for monitoring progress, making necessary adjustments to your appliances, and ensuring your treatment remains on track.
Our friendly team provides ongoing guidance on brace wear, dietary considerations, and maintaining optimal oral hygiene throughout your orthodontic treatment. We work collaboratively with your general dentist to ensure holistic dental care.
Book a consultationGeneral dentists frequently refer their patients to David Gale, The Specialist Orthodontic Referral Centre, because they recognise the critical need for an orthodontic specialist in complex scenarios.
They trust David's ability to handle cases that fall outside the scope of general dentistry, ensuring their patients receive the highest level of specialist orthodontic care.
Our adherence to the rigorous standards set by the General Dental Council (GDC) in the UK further assures patients of our unwavering commitment to clinical governance and ethical practice.
If you've been told your case is challenging, or if you suspect your bite issues are more profound than simple misalignments, we invite you to experience the in-depth diagnostic precision and advanced treatment capabilities available at our centre.
Your journey toward mastering complex bites begins here. Discover the profound benefits that true specialist expertise offers in transforming your smile – not just aesthetically, but functionally, for a lifetime of oral health.
For more information and to schedule your consultation, please get in touch.
Book a consultationLet us help you with our specialised orthodontic care.
Our friendly and welcoming team are waiting to hear from you!
