Quick answer
A dentist looks after general oral health, including check-ups, cleaning, fillings, extractions and gum care, while an orthodontist is a dentist who has completed further specialist training in straightening teeth and correcting bite problems with braces, aligners and other appliances.
In South Africa both are registered with the HPCSA, and orthodontists are registered as dental specialists. Many people see a dentist first, who then refers them to an orthodontist.
Step-by-step guidance
- For pain, check-ups, cleaning, fillings or a broken tooth, book with a general dentist.
- For crooked teeth, crowding, gaps or a bite that does not close properly, ask your dentist whether you should see an orthodontist.
- Check your medical aid rules for orthodontic treatment and whether a referral is needed.
- At the orthodontic consultation, ask about the treatment options, how long treatment may take and how often you will need appointments.
- Keep up regular dental check-ups and cleaning during orthodontic treatment, because brackets and wires make it harder to clean around the teeth.
What to check
- HPCSA registration, and specialist registration for orthodontists
- Whether your medical aid covers orthodontic treatment
- What the treatment plan includes, such as retainers afterwards
- A written quote before treatment starts
Common mistakes to avoid
- Assuming every dentist is an orthodontic specialist
- Skipping dental check-ups while wearing braces
- Not wearing retainers as instructed after treatment
- Starting treatment without understanding the full plan
Related nearby services
NearMe lists 1,722 dentists across South Africa, with the most in Gauteng (659), Western Cape (381) and KwaZulu-Natal (269). 98% include a phone number, so you can check before you go.
This guide gives general information only. Rules, fees and requirements can change, so confirm details with the provider or the relevant authority. NearMe is an independent directory, not the provider.
Frequently asked questions
Can a general dentist fit braces?
Some dentists offer limited orthodontic treatment, but complex cases, such as significant bite or jaw problems, are usually referred to a specialist orthodontist.
At what age should a child see an orthodontist?
It varies. Your dentist can advise whether an early assessment is useful for your child.
How do I check an orthodontist is a specialist?
Search the HPCSA's online register, which shows a practitioner's registration category.