You do not need a specialist for every dental problem — but for the right ones, it makes all the difference. A dentist handles the full picture of your oral health. An orthodontist specialises in one thing: how your teeth and jaw line up. If you are trying to figure out which one you need — or whether Apple Tree Dental in London, Ontario can help you — this guide gives you a straight answer.
Orthodontist vs. Dentist: Which One Do You Actually Need in London, Ontario?
Most people see a dentist regularly. Far fewer have seen an orthodontist. That is fine — not everyone needs one. But knowing the difference helps you make a smarter decision when something feels off with your bite, your alignment, or your overall smile. Picking the wrong provider just delays the care you actually need.
What Does a Dentist Do vs. What Does an Orthodontist Do?
The clearest way to understand the difference is to look at what each professional actually treats day to day.
A general dentist is your first point of contact for oral health. They handle the full range of everyday dental problems — cavities, fillings, crowns, gum disease, root canals, broken teeth, and routine checkups. They also perform cosmetic work like teeth whitening and veneers. Think of them the way you think of a family doctor: broad knowledge, regular contact, and the person who spots problems early and sends you to the right place when needed.
An orthodontist does one thing extremely well: correcting how your teeth and jaw are positioned. That includes crooked or crowded teeth, overbites, underbites, crossbites, gaps, and jaw alignment issues. They use braces, clear aligners like Invisalign, retainers, and other fixed or removable appliances to move teeth into the right position over time.
The Canadian Dental Association confirms that orthodontics is a post-graduate specialty — meaning an orthodontist is a dentist who completed an additional accredited university program in tooth and jaw alignment, typically two to three years beyond dental school. That extra training is what makes them the right choice for complex alignment cases.
Training and Qualifications: How Are They Different?
Both start in exactly the same place. To become either a dentist or an orthodontist in Canada, you need a bachelor’s degree, then four to five years at one of the ten accredited dental schools in the country. After dental school, you sit the National Dental Examining Board of Canada exams and register with your provincial licensing body — in Ontario, that is the Royal College of Dental Surgeons of Ontario (RCDSO).
That is where the paths split. A general dentist is fully qualified at that point and can begin practising immediately. An orthodontist continues for two to three more years in a university-based residency program focused entirely on tooth movement, jaw development, facial growth, and bite correction. After that residency, they sit the National Dental Specialty Examination to gain specialist licensure.
The Orthodontists’ Association of Ontario notes that roughly 10 percent of licensed dentists in Canada are orthodontic specialists — which means they are a smaller, more targeted group. That specialist focus is exactly why their training qualifies them for cases that general dentistry cannot fully address.
What to Expect: How the Process Works Step by Step
Step 1: Start with your dentist
For most people, the process begins at a regular dental checkup. Your dentist examines your teeth, gums, and bite. If everything is healthy and properly aligned, you leave with a cleaning and a return date. If they spot alignment concerns — overcrowding, bite issues, or jaw problems — this is where they flag it and talk to you about next steps.
Step 2: Referral or self-referral to an orthodontist
In Ontario, you do not legally need a referral to see an orthodontist. You can book directly. That said, most patients come through their dentist, who can give the orthodontist relevant background on your oral health history. If you are already at Apple Tree Dental, the team can point you in the right direction quickly — no guesswork, no phone tag between providers.
Step 3: Orthodontic assessment
At your first orthodontic appointment, the specialist does a thorough assessment. This includes a visual examination, digital X-rays, photographs, and sometimes a 3D scan or mould of your teeth. The goal is to map exactly what needs to move, and by how much. From that, they build a personalised treatment plan — including the type of appliance recommended, the estimated length of treatment, and a cost breakdown.
Step 4: Active treatment
Treatment begins once your teeth and gums are confirmed to be in good health — which is why your dentist’s involvement matters. If there are cavities or gum issues, those get treated first. Braces or clear aligners are then fitted and adjusted at regular intervals, typically every four to eight weeks. Most adults wear braces for 18 to 24 months, though shorter cases exist depending on complexity.
Step 5: Retention
Once active treatment ends, retainers are fitted to hold your teeth in their new position. Teeth have a natural tendency to shift back. Wearing your retainer as directed prevents that. Your orthodontist monitors this phase, and your general dentist continues with routine care throughout — both providers work in parallel, not in competition.
Orthodontic and Dental Treatment Cost in London, Ontario — What You Will Actually Pay
Cost is one of the biggest reasons people delay getting treatment — and one of the most common sources of unnecessary anxiety. Here is a realistic picture of what to expect in London, Ontario.
General dental care — checkups, cleanings, fillings — is the most affordable end of the spectrum and is typically covered in full or in part by most private insurance plans. Orthodontic treatment is a larger investment. Full braces or clear aligner treatment in Canada generally ranges from several thousand dollars, depending on the complexity of your case, the type of appliance, and the length of treatment. The Canadian Dental Association does not set fixed national fees — prices vary by clinic and city. Contact Apple Tree Dental directly for a personalised estimate.
Can a General Dentist Do Orthodontic Work? What Patients in London Need to Know
This question comes up a lot — and the honest answer is: it depends on the case.
Some general dentists offer basic orthodontic services, including certain clear aligner brands. For mild cases of crowding or minor cosmetic alignment issues, a well-trained general dentist may handle this appropriately. However, the Orthodontists’ Association of Ontario (OAO) notes that a general dentist offering orthodontic treatment does not carry the same specialist training, depth of knowledge, or experience as a certified orthodontist.
For moderate to complex cases — significant bite issues, jaw misalignment, crowded arches, or cases involving growing children — a certified orthodontic specialist is the safer and more effective choice. Specialist orthodontists also offer a wider range of appliance options because their entire practice is built around alignment. A general dentist may offer only one brand of aligner. An orthodontist evaluates all options and recommends the one that actually fits your specific problem.
The bottom line: your general dentist is the right first stop. They assess your overall health, identify alignment concerns, and help determine whether a specialist is needed. That collaboration between dentist and orthodontist is how the best outcomes happen.
Do You Need a Dentist, an Orthodontist, or Both? Signs to Act On
You do not need multiple symptoms to act. One consistent sign — especially jaw discomfort, bite misalignment, or crowding that affects your confidence — is enough reason to book a consultation. Starting with your dentist is almost always the right move. They will tell you honestly whether you need a specialist.
Frequently Asked Questions: Orthodontist vs. Dentist in Canada
What is the main difference between an orthodontist and a dentist?
A dentist provides general oral health care — cleanings, fillings, gum treatment, and more. An orthodontist is a dental specialist who completed two to three extra years of training in tooth and jaw alignment. All orthodontists are dentists, but a general dentist is not automatically qualified to perform complex orthodontic treatment. For bite and alignment issues, an orthodontist is the specialist you want.
Do I need a referral to see an orthodontist in Ontario?
No. In Ontario, you can book directly with an orthodontist without a referral from your dentist. That said, going through your dentist first is usually the smarter path — they can confirm your oral health is in good shape before alignment treatment starts, and they can share your history with the orthodontist so nothing gets missed.
Can a dentist do braces or Invisalign instead of an orthodontist?
Some general dentists offer clear aligner treatment for mild cases. However, a certified orthodontist has deeper, more focused training in tooth movement and is better equipped to handle moderate or complex cases. If your case involves significant crowding, a bite problem, or jaw issues, an orthodontist will deliver safer, more predictable results than a general dentist providing orthodontic services.
At what age should a child first see an orthodontist?
The Canadian Dental Association recommends that children see a dentist by age one — and that orthodontic screening can begin around age seven if alignment concerns arise. At this age, the jaw is still developing, and early intervention (called interceptive orthodontics) can reduce the complexity of treatment later. Your family dentist is typically the one who identifies the need and coordinates the referral.
Is orthodontic treatment covered by dental insurance in Canada?
Many private dental insurance plans in Canada include a lifetime orthodontic benefit — typically a fixed amount per insured person, with a percentage of treatment costs covered. Coverage varies widely between plans, so it is worth checking your policy before booking. Some plans cover children only, while others extend benefits to adults. The Canadian Dental Care Plan (CDCP) covers preventive and restorative dental care for eligible Canadians without private insurance. Contact Apple Tree Dental to confirm what applies to your situation.
How do dentists and orthodontists work together?
They complement each other. Your dentist monitors overall oral health — gums, decay, hygiene — throughout the entire period of orthodontic treatment. Cavities and gum problems need to be managed even while braces are on. Your orthodontist handles tooth movement and jaw positioning. The two providers communicate and coordinate so your treatment progresses safely and efficiently. This collaboration is standard in Canadian dental care.
Ready to Find Out Which Care You Need in London, Ontario?
Apple Tree Dental in London, Ontario provides general dental care for adults and families — and can help you determine whether your situation calls for a specialist referral or can be handled right here. If your teeth, bite, or smile are on your mind, a checkup is the fastest way to get clarity. Book your appointment today and leave with a clear answer.










