How Much for Second Round Braces? Is Tooth Extraction Needed?
All About Braces Retreatment for Shifting Teeth

Are you feeling concerned about having to look up information for second round braces again? We completely understand that no one wants to spend time and money twice. However, teeth shifting and orthodontic relapse are common issues that can be successfully corrected. Whether you are browsing online reviews for braces retreatment or wondering if second round braces are worth it, our English-speaking dentist and team at CDC Dental have summarized everything you need to know—including costs—to ensure this time is truly your last.
Check Now! Why Do Many People Need Second Round Braces?
Seeking second round braces is not just about aesthetics; it is vital for proper chewing functions and oral health. If you experience any of the following symptoms, it is best not to leave them unaddressed:
- Not wearing retainers regularly: Causing teeth to shift, create gaps, or twist back to their original crowded positions.
- Protruding teeth or profile concerns: Having completed prior treatment but feeling that your facial profile or teeth alignment is still unsatisfactory.
- Changes in jaw structure: Especially for those who had orthodontic treatment during childhood; as the jaw continues to mature, teeth can naturally become crowded again.
The Medical Reality: Why Do Teeth Shift? (It's Not Just Because You Forgot Your Retainer)
Many individuals going through orthodontic relapse tend to blame themselves entirely. While retainer neglect is a primary cause, specialized orthodontists recognize that natural physiological factors also play an unavoidable role:
- Periodontal Ligament Memory: The tiny fibers surrounding your tooth roots act much like rubber bands. When teeth are moved to a beautifully aligned position, these elastic ligaments constantly try to pull them back to their old spots. This is why the first year after debonding is the most critical.
- Late Mandibular Growth: For patients who finish braces during their teenage years, the lower jaw can still grow slightly forward between the ages of 18 and 21. This subtle growth can push the lower front teeth, causing crowding even after excellent initial treatment.
- Oral Muscle Habits: Unconscious habits like reverse swallowing (tongue thrusting) or nocturnal teeth grinding (bruxism) exert continuous force, gradually shifting teeth out of alignment over time.
Is Braces Retreatment Safe? An Honest Discussion on "Root Resorption"
Every orthodontic movement carries a minor, natural risk of shortening the tooth roots (Root Resorption). During your initial treatment, your roots may have experienced a small amount of resorption, which is usually normal and safe. However, applying orthodontic forces for a second time requires extreme precision to avoid increasing the risk of tooth mobility or structural damage.
This is why our clinical team always performs a comprehensive Digital X-ray analysis to evaluate the exact length and health of your roots before starting. If your roots are assessed to be too short, our specialist may advise against retreatment or carefully customize a plan using the gentlest forces possible.
How Many Months Does Braces Retreatment Take?
A very common question among patients is: How long does it take for second round braces? The great news is that it is often faster than your first treatment, as the teeth have already undergone prior movement.
- Minor Relapse Cases (Gaps/Slight Shifting): Approximately 12 to 18 months.
- Complex Relapse Cases (Severe Crowding/Bite Correction): May take about 18 to 24 months, depending on the corrections required.
Naturally, the exact timeframe depends on clinical compliance and your individual bone response.
Is Tooth Extraction Required for Second Round Braces?
The answer depends entirely on your ultimate treatment goals.
- No Extractions Needed: If you only want to align minor crowding, close small gaps, or straighten recently shifted teeth.
- Extractions May Be Recommended: If no teeth were extracted in your first treatment and you still present with notable protrusion or wish to improve your facial profile by creating space to pull the front teeth back.
Which Type of Braces is Best for Your Retreatment?
1. Traditional Metal Braces
The timeless choice for patients seeking an affordable option for their second round braces while focusing on excellent clinical outcomes.
Advantages: Superb structural control, highly effective for intricate teeth alignment.
Best Suited For: Significant relapse issues or cases requiring extractions.
2. Clear Aligners (Invisalign / Spark)
The premium, preferred choice for working professionals who prefer a subtle option without going back to traditional brackets.
Advantages: Virtually invisible, fully removable for dining and easy brushing.
Best Suited For: Those seeking comfort, aesthetic discretion, and busy lifestyles.
Cost of Second Round Braces & Promotions (2026)
When researching braces retreatment costs, many worry about encountering hidden fees or inflated expat prices. At CDC Dental, our English-speaking dentist and team are proud to offer the exact same price as locals for all long-term residents. Our structured payment plans help break down the investment, with every single case meticulously guided by a university-certified orthodontist.
*Please Note: Because orthodontic care requires continuous monthly monitoring and consistent clinical check-ups, our braces retreatment packages are exclusively available for long-term residents, students, and expats working here in Thailand, and are unfortunately not available for short-term tourists.*
STEP 1
Initial Records & Consultation Booking
✓ Clinical Photos & Facial Analysis ✓ Dental Impressions / 3D Scanning
3,500.- (~$100 USD) 999.- (Approx. $28 USD)
Save 2,501.- (~$72 USD)
+
✓ Digital Orthodontic X-Rays (2 Essential Views)
1,200.- (~$34 USD) 1,000.- (Approx. $28 USD)
Save 200.- (~$6 USD)
Total Day 1 Cost: 1,999.- THB (Approx. $56 USD) (No hidden medical fees)
STEP 2
Select Your Braces Retreatment Plan (Fixed Brackets)
Premium Metal
USA Systems
Most Budget-Friendly Plan

Month 1 5,000.- (~$140)
Month 2 5,000.- (~$140)
Months 3-16 1,600.-x14 (~$45)
All-Inclusive Cost*
48,000.- (~$1,340)
32,400.-
(Approx. $900 USD)
Self-Ligating System
Damon Empower
USA
Less Friction & Faster Teeth Movement

Installment 1 12,000.- (~$335)
Installment 2 12,000.- (~$335)
Installments 3-14 3,000.-x12 (~$84)
All-Inclusive Cost*
72,000.- (~$2,000)
60,000.-
(Approx. $1,670 USD)
Metal Plan
USA Components
For Cases Requiring Extractions

Month 1 5,000.- (~$140)
Month 2 5,000.- (~$140)
Months 3-24 1,600.-x22 (~$45)
All-Inclusive Cost*
64,000.- (~$1,780)
45,200.-
(Approx. $1,260 USD)

Once the package is fully paid, any remaining treatment months require "Zero Additional Fees" until completion.
OR
Alternative Option: Premium Clear Aligners for Braces Retreatment
Clear aligner tiers are based entirely on bite complexity and structural shifting. Our specialist will help select your ideal plan.
Certified Orthodontist
FOR MILD RELAPSE
SPARK 10


High clarity, gentle forces (USA System)
Standard 90,000.- (~$2,500)
59,000.- (Approx. $1,640 USD)
- Optimized for second round braces
- Up to 10 Aligner Pairs
- Premium TruGEN™ Material (USA)
Certified Orthodontist
PREMIUM MATERIAL
FOR MODERATE SHIFTING
SPARK 20


Corrects advanced crowding effectively
Standard 120,000.- (~$3,340)
79,000.- (Approx. $2,200 USD)
- Broader tracking capabilities
- Up to 20 Aligner Pairs
- Premium TruGEN™ Material (USA)
Certified Orthodontist
MODERATE SOLUTION
Invisalign Essentials


Globally trusted alignment brand
Standard 80,000.- (~$2,220)
79,000.- (Approx. $2,200 USD)
- Addresses relapse and bite misalignments
- Up to 20 Custom Pairs
- SmartTrack EX30 Material
FREE GIFTS
Book Today & Receive Our Full Promotional Set!
(Included fully regardless of whether you choose metal brackets or clear aligners)
- ✓ Free Comprehensive Specialist Planning & Consultation
- ✓ Free Clinical X-Rays during care (Up to 4 views)
(Value 2,400.- / ~$67 USD)
- ✓ Free Loose Bracket Rebnding (Unlimited times)
(When bringing the same loose bracket back)
- ✓ Free Regular Cavity Screenings during adjustments
- ✓ Free Debonding & Equipment Removal upon completion
(Value 2,900.- / ~$80 USD)
- ✓ Free Post-Treatment Dental Records (Value 3,500.- / ~$100 USD)
- ✓ Free Medical Clear Retainers (1 Pair) (Value 4,000.- / ~$112 USD)
(Applicable with consistent, monthly appointment compliance)
Total Included Perks Valued Over 12,800.- THB (~$360 USD)
Promotional Duration: Valid until December 31, 2026
Book an Appointment or Speak to Our Team
Connect with us instantly on messaging platforms or phone lines.
Our English support desk responds promptly.
Certified Orthodontists Available Daily
Clinical Hours: Open Daily from 10:00 AM - 8:00 PM
Braces Retreatment Journey: Turning Shifting Teeth into Renewed Confidence
Patient Transformation: Safely addressing severe dental relapse to perfectly align alignment lines without unnecessary extractions. (Individual treatment results vary depending on teeth health and personalized specialist advice.)








Words From Our Shifting Teeth Recovery Patients
★★★★★
"I had orthodontic work years ago but completely stopped wearing my retainers, causing my lower teeth to twist out of place. I hesitated for ages because I didn't want to spend money again. Coming here was an excellent decision. The English-speaking team explained the physiological reasons behind my relapse clearly, gave me a transparent quote identical to local rates, and designed a highly focused plan. Choosing metal braces for my retreatment was smooth and straightforward."
Jib A. (Braces Retreatment Patient)
#SecondRoundBraces #CertifiedOrthodontists #ExpatDentalBangkok #SaphanKhwai #Ladprao
Our English-Speaking Certified Orthodontist Team at CDC Dental
In Thailand, while there are many general practitioners offering orthodontic options, the number of clinical dental practitioners who hold formal, advanced university-accredited postgraduate degrees specifically in Orthodontics is highly limited. To safeguard your smile and guarantee accurate structural forces, it is strongly advised to choose a formally trained specialist. Our clinical practitioners have completed specialized orthodontic master's degrees or advanced academic diplomas directly in orthodontics, offering world-class standard care for complex structural adjustments.
Dr. Prinya Tunksook (Dr. Maeow)
Lic. 3717
Cert. Diploma, Orthodontics
Dr. Jurailuck Tunksook (Dr. Joob)
Lic. 4319
Cert. Diploma, Orthodontics
Dr. Pitipat Tunksook (Dr. Jam)
Lic. 17030
M.Sc. Master of Science, Orthodontics (Mahidol University)
Dr. Parinda Tunksook (Dr. Mamm)
Lic. 18860
Residency Certification, Orthodontics (Mahidol University)
Clinic Locations for Expat Orthodontic Care in Bangkok
Selecting a conveniently accessible location for your second round braces near me is essential for maintaining monthly active appointments. CDC Dental provides modern clinical rooms across two major transit-friendly zones in Bangkok:
- Saphan Khwai - Chatuchak - Ari Hub:
- Located at our Chatuchak Dental Complex (Directly near BTS Saphan Khwai). Exceptionally easy to travel to from central working hubs; ideal for residents based along Phahonyothin Road, Pradipat, or Ari.
- Ladprao - Bang Kapi Area:
- Located at our Ladprao 109 Branch (In close proximity to RBAC). Well-suited for residential zones, international university members, or residents situated around Lat Phrao and Bang Kapi.
Why Choose Our Orthodontic Care?
Our objective goes beyond basic alignment. We aim to design custom clinical profiles that align beautifully with your facial structure, combining digital mapping tools with specialized orthodontic care.
Certified Orthodontic Specialized Planning

All treatment phases are continuously monitored by university-certified orthodontists with extensive structural relapse case portfolios.
Imported USA Materials & Diverse Elastics

We utilize specialized brackets imported from premium USA dental manufacturers to ensure reliable performance.
Digital X-Ray Structural Analysis

We perform absolute tracking of root placements and bone densities to eliminate treatment errors and secure faster treatment results.
Consistent Quality Over Both Branches

Seamless check-ins across both Saphan Khwai and Ladprao setups, with matching dental standards across all desks.
How to Prevent the Need for a "Third Round" of Braces
The core goal of our team at CDC Dental is to ensure this braces retreatment is the absolute last time you ever need corrective forces. To avoid dental relapse in the future, our certified orthodontist team will configure a custom long-term retention plan matching your daily lifestyle:
- Medical Clear Retainers: Comfortable, lightweight, and offering great stability. They secure teeth across all coordinates without affecting your appearance (One pair is included for free in our retreatment promotional bundles).
- Classic Hawley Retainers: Highly durable, long clinical lifespan, and extremely easy to clean, though a slim wire passes across the front enamel.
- Fixed Retainers: A specialized, ultra-fine wire bonded hidden behind your front teeth. Highly recommended for severe historical shifting or individuals prone to forgetting removable models (Available as an additional add-on; please consult your orthodontist during your visit).
Frequently Asked Questions About Braces Retreatment
Q1: Am I a suitable candidate for second round braces if I am visiting Thailand as a short-term tourist?
A: Because safe braces retreatment requires precise monthly physical tracking and clinical adjustments by an orthodontist over 12-24 months, it is exclusively restricted to long-term residents and working expats. We cannot offer fixed braces to short-term tourists for safety reasons.
Q2: Does braces retreatment carry a higher risk of root resorption?
A: Moving teeth a second time does require advanced tracking to manage root resorption risks. At CDC Dental, our certified orthodontist team—including Dr. Prinya Tunksook, Dr. Jurailuck Tunksook, Dr. Pitipat Tunksook, and Dr. Parinda Tunksook—always utilizes advanced Digital X-Rays first to determine root safety and apply highly controlled, gentle forces.
Q3: Will I be charged higher pricing as an expat for second round braces?
A: No. We believe in strict pricing transparency. All working expats and long-term resident individuals receive the exact same price as locals across both our Saphan Khwai and Ladprao branches, with flexible medical installment structures.
Article by
Dr. Pitipat Tunksook (Dr. Jam)
Orthodontist