04/06/2026
Who needs orthodontic treatment?
It’s a great question, and the answer depends on how we define “need.”
In the strictest medical sense, few people need orthodontic treatment to survive. Most can eat, speak, and function well without it. Aside from certain congenital conditions and significant developmental issues, orthodontic treatment is rarely life-saving.
But healthcare is about more than survival—it’s about quality of life.
Many benefits of orthodontic treatment are difficult to measure. Confidence, self-esteem, social comfort, and feeling happy to smile all matter deeply to patients. Research continues to highlight the positive impact a healthy, attractive smile can have on overall wellbeing.
Orthodontic treatment can also support a healthier environment for the teeth, bite, jaw joints, and airway. While no orthodontist can guarantee improvements in TMJ symptoms, airway function, tooth wear, or long-term oral health, a more balanced and stable bite may benefit some patients.
This patient is a great example of how orthodontic treatment can make a meaningful difference beyond strict clinical criteria.
The patient did not meet the HSE criteria for orthodontic treatment, and from a public healthcare perspective, that decision was appropriate.
However, she was concerned about her smile and experiencing ongoing jaw joint discomfort. Examination revealed a narrow upper jaw, a developing crossbite tendency, and a bite that was not fitting together comfortably.
Treatment involved widening the upper jaw with a hybrid two-screw MARPE appliance, followed by comprehensive braces to align the teeth and refine the bite.
Total treatment time was 16 months.
The result was a broader smile, improved dental arch form, and a more comfortable bite. Most importantly, the jaw discomfort resolved and her confidence improved significantly.
Cases like this remind us that treatment need and treatment benefit are not always the same. While healthcare systems must prioritise care based on clinical need, many patients seek orthodontic treatment for reasons beyond those criteria.
At Lusk Orthodontics, our role is to listen, understand your concerns, and help you achieve the healthiest, most confident smile possible.