On my first consultation, Dr Lam gave me a thorough dental check-up and took an X-ray. Once it was decided which teeth would be moved, the images were emailed to the SureSmile headquarters in Texas where the wire is cut and shaped. So as not to overwhelm the patient, the braces are fitted in stages - the bottom front first, the top front and then the rest. Each fitting takes around 45 minutes and is not so much painful as unusual. Metal clamps are glued to the tooth's surface, the wire clipped into the clamps which are then tightened.