Adult Orthodontics

From £2500

Open Monday - Saturday 9am to 6pm

Adult Orthodontics at Twoth

An adult orthodontic session with Dr. Neil Counihan includes an initial consultation, treatment plan discussion, financial overview, preparatory steps, orthodontic treatment (braces or aligners), follow-up appointments, retention phase, and a final evaluation for overall progress and post-treatment care.


From £2500


6 -36 month

Discomfort Level

1 out of 5



Average Sessions

6 -36 month

Before and After Airflow GBT Hygiene

A friendly, one-stop dentist, so your child is at ease, happy, smiling and laughing

Proud Mother Explains Son’s commitment with his Braces 🤓

Mum chooses Twoth for her kid’s Dental Health ❤️

Benefits of Adults Orthodontics

There are several benefits to Adults Orthodontics, which is why it’s such a popular option with many patients in our London practice. We’ve gone over just a few of the Adults Orthodontics below.

Enhanced Smile

Achieve a straighter, more aesthetically pleasing smile.

Improved Oral Health

Reduce the risk of dental problems such as tooth decay, gum disease, and uneven wear.

Increased Confidence

Boost self-esteem and feel more comfortable with your appearance.

Personalized Treatment

Receive a customized treatment plan tailored to your unique dental needs.

Why Have Adults Orthodontics At Twoth

Choosing Twoth ensures unparalleled care and exceptional results. With a world-class team of professionals and personalized treatment, trust us for transformative dental and facial aesthetic treatments. A CQC registered clinic, Twoth combines expertise, advanced techniques, and a luxurious environment for the smile or rejuvenation you deserve.

Meet Your Specialists...

Specialist in Orthodontics

Dr Neil Counihan

BDS (Kings College University of London), Cert Orth (New York University), Msc. Stem cells. Distinction (Kings College University of London)

A leading orthodontic specialist, Dr Neil Counihan has over thirty years’ experience in transforming the smiles and confidence of young people and adults. Trained in London and New York, he brings a wealth of expertise to all his patients. Neil is passionate about early intervention orthodontics, and focuses on delivering a diagnosis and treatment plan that’s right for the individual. Importantly, he takes into account the growing face of a child or teen. He specialises in treatment plans that avoid tooth extractions and help create healthy teeth for life.

Orthodontic Therapist

Bhavnita Patel

Diploma in Orthodontic Therapy Royal College of Surgeons of Edinburgh 2009National Certificate NEBDN 1996

Bhavnita Left school at 16 and started a beauty therapy course which was part time for 3 years. Whilst she was training, She needed an income and found a part time job training as a dental nurse, which she really enjoyed and found fascinating. Once she completed my beauty therapy diploma she did the dental nursing course. This opened up lots of options for further education. then went on do her oral health educator diploma, following this she went to Hatfield university to obtain her dental radiography qualification.


Become a New Patient Today!

From general to cosmetic to specialist dentistry, we provide 0% payment plans to help separate the fees of your treatment.

Two Orthodontic Treatment Types

Invisalign First Clear Braces For Children In London

Invisalign First is a clear aligner treatment designed for young children and can be used to correct issues with arch development and expansion, tooth crowding and spacing, tooth protrusions, and the overall appearance of a child’s smile.‍ As a child grows, their smile grows with them. And even with baby teeth, it may be the perfect time for your child to start orthodontic treatment. This is known as Phase 1 treatment. At this stage, orthodontists can see issues that may need early treatment to address a developing problem.

Fixed Braces For Children In London

Fixed braces consist of a series of small square attachments (brackets) cemented to the teeth. These brackets are highly sophisticated as every tooth has its own bracket design engineered to achieve optimal final tooth position and angulation.They are available as either ceramic or mini metal brackets. The cosmetic brackets blend in with the colour of the teeth.

What Happens At A Adults Orthodontics Appointment

Your Adults Orthodontics treatment will be tailored to your exact requirements; therefore, one treatment can be very different from the next. However, we’ve provided a basic overview of a Adults Orthodontics below.

First step


At the initial consultation, Dr Neil Counihan, Specialist in Orthodontics conducts a comprehensive examination, assessing the condition of the patient's teeth, jaw, and overall oral health. Advanced diagnostic tools, such as panoramic OPG X-rays and 3D Itero scans, provide a detailed analysis of the dental structures. During this session, the patient discusses their dental history, concerns, and treatment goals with Dr Counihan and Senior Orthodontic Therapist, Bhavnita. Following the examination, Dr Counihan will write a personalised treatment plan, explaining the advised options and suitability for orthodontic treatment.

second step


There will be a detailed discussion about the benefits of fixed braces and Invisalign, allowing the patient to make an informed decision based on their preferences and lifestyle. The patient will also be informed about the expected timeline for the treatment, outlining its duration and key milestones Additionally, digital photographs of the patient's teeth and facial structure are obtained for diagnostic purposes.

third step


The treatment phase begins with the placement of appliances, and for those choosing fixed braces, a follow-up appointment is scheduled for the placement of brackets, bands, or any necessary adjustments. Throughout the active treatment phase, regular follow-up appointments are scheduled to make adjustments, assess progress, and address any concerns that may arise.

When you are done


Following the active treatment phase, the patient enters the after-care stage, where regular follow-up appointments continue to monitor the results and make any necessary adjustments. Dr Counihan provides comprehensive guidance on maintaining excellent oral hygiene, tailored to the specific needs of fixed braces or Invisalign aligners. The patient will enter a retention phase, involving the use of retainers to preserve the corrected alignment achieved during the treatment. This comprehensive after-care approach ensures the longevity and stability of the orthodontic results.

Fee Guide



Orthodontics Consultation£225
(A full clinical assessment, digital photographs, OPG Xray, 3D Scan & treatment plan by Specialist in OrthodonticsDr Neil Counihan)
Cosmetic BracesFrom £3,500
Adult Fixed applianceFrom £5550
Invisalign For Adults£2500 – £5000

After Care of Adults Orthodontics

Brush your teeth

Brush your teeth thoroughly after every meal using a soft-bristle toothbrush.

Floss Daily

Floss daily to remove plaque and food particles from between your teeth.

Wear your retainers

Wear your retainers as instructed to maintain the alignment achieved by the treatment.

Attend regular dental check-ups

Attend regular follow-up appointments as scheduled by your orthodontic specialist.

Meet The Dental Team


I have now visited Twoth on three different occasion... The first time was to take my son (8 years old) to see Dr Counihan for a braces consultation and my son absolutely loved the entire experience from start to finish. In fact, he was so excited and relaxed about it all he wanted to get started immediately.

The second time around, I went to see Dr Counihan myself for a second opinion and found the experience just as good as my son did

Karin Thyselius

Before I found Dr Neil Counihan I had a long history of dental trauma and sadly I repeatedly was subjected to very poor dentistry. I was scared to let anybody near my mouth and teeth. I had lost hope!

Dr Counihan made me the promise, with the right care I can keep my mouth healthy and definitely keep my teeth for the rest of my life.

And most importantly he made me feel safe and listened to

Neil M.

Frequently Asked Questions

Find the answer to the most common questions. Everything you need to know about Adult Orthodontics

While you may experience some discomfort initially, it is generally manageable and diminishes over time.

The duration of treatment varies depending on the complexity of your case. It can range from several months to a few years.

Yes, but it’s important to avoid certain foods that can damage the braces. Our orthodontic specialist will provide you with dietary guidelines.

Yes, options like clear aligners are available, providing a more discreet alternative to conventional braces.

Yes, wearing retainers is necessary to maintain the alignment achieved. Your orthodontist will advise you on the duration and frequency of use.

Yes, Dental Adult Orthodontics treatment can effectively address gaps and other spacing issues.

Coverage varies depending on your insurance plan. We can assist you in determining your coverage and exploring payment options.

Absolutely! Dental Adult Orthodontics treatment is specifically designed for adults seeking to improve their smiles and oral health.

Initially, you may experience slight changes in your speech, but with practice, any effects on speech are typically temporary and minimal.

Yes, you can engage in sports and play musical instruments; however, it’s important to take precautions and use mouthguards if necessary. Consult with our team for specific recommendations.

Patient care is our top priority