Dr. Adrian Carbajosa reading a dental book

Orthodontic clinic · Marbella

Face-driven Orthodontics
in Marbella.

Dr. Adrian Carbajosa

Specialist orthodontist with university teaching experience.

Master’s in Orthodontics and Dentofacial Orthopaedics

Specialist postgraduate training University teaching in Seville Face, bite and function Meet Dr. Adrian

01 / The thinking behind your smile

The appliance is a tool.
Expertise shapes the outcome.

Straight teeth are part of the picture. How they fit your face—and how they meet when you bite—matter too.

Face-driven orthodontics considers your facial proportions, smile, tooth position and bite together. Dr. Adrian’s experience guides which teeth to move, how far and in what sequence, with a plan built around you.

Clinical judgement matters throughout treatment. Long-term stability also depends on biology, patient cooperation, healthy supporting tissues and carefully planned retention.

02 / Specialist-led care

Why patients choose
Dr. Adrian.

A foundation in orthodontics

A master’s in Orthodontics and Dentofacial Orthopaedics provides the specialist training behind his assessment of teeth, bite relationships and facial development.

Experience that informs teaching

His professional background includes teaching orthodontics at the University of Seville and contributing to postgraduate dental education.

Face-led orthodontic design

As a cosmetic dental clinic, we plan for beauty as well as function. Dr. Adrian considers how your teeth sit within your lips and how your smile looks when you speak and smile, shaping the treatment around your face.

Explore Dr. Adrian’s qualifications and experience

03 / Your treatment options

Different appliances.
One carefully considered plan.

Compare the options, then choose with clinical guidance. The right approach depends on your teeth, your bite and your priorities.

Invisalign

Invisalign

Removable clear aligners, with suitability assessed individually.

Explore Invisalign

04 / Understanding the details

Brackets and wires.
See the differences.

The design and material of an appliance affect how it is used. These details support the treatment plan; they do not replace the skill of the clinician.

R&HOther clinics
Self-ligating brackets

Self-ligating brackets

An integrated clip holds the wire in place.

Conventional brackets

Conventional brackets

A separate metal or elastic tie secures the wire.

White-grey wire appearance

White-grey wire appearance

A lighter appearance can make the wire less conspicuous.

Darker metal wire appearance

Darker metal wire appearance

A more visible metallic appearance. Wire selection also depends on its clinical role.

Heat-activated wires

Heat-activated wires

Some wires respond to temperature. Dr. Adrian selects their use according to the stage of treatment.

Conventional wires

Conventional wires

Other wire materials and forms serve different stages and movements. The wire is chosen for the job it needs to do.

05 / From assessment to retention

Your orthodontic journey.

A clear sequence, with the timing and appliance tailored to your case. The stages below describe the fixed-braces pathway.

  1. 01

    A comprehensive orthodontic study

    Gather the diagnostic records needed to understand your starting point.

  2. 02

    Bite analysis and face-driven planning

    Consider your teeth, bite relationships and facial proportions before selecting the approach.

  3. 03

    Placement of upper braces

    Begin the planned correction. Fitting and timing depend on your case.

  4. 04

    Placement of lower braces

    Coordinate upper and lower treatment according to the plan.

  5. 05

    Progress reviews and adjustments

    Monitor tooth movement and adapt treatment where needed. The review interval is individual.

  6. 06

    Retention and long-term stability

    Protect the result with the prescribed retainers and ongoing care.

Removable orthodontic plate shown on the R&H orthodontics page

06 / Children’s orthodontics

Guidance for a
growing smile.

Removable orthodontic plates have specific roles in selected growing patients. An assessment establishes whether an appliance is appropriate, what it aims to achieve and when to begin.

Early assessment does not automatically mean immediate treatment. Sometimes the right next step is to monitor development.

Explore questions about children’s orthodontics

Transparent Pricing

Clear treatment prices, with an initial payment followed by monthly instalments.

Simple removable-appliance casesFrom 700€
Typical orthodontic treatmentAround 3,800€
Very complex fixed-brace cases4,000€–4,900€
Invisalign2,990€–4,750€
Orthodontic consultation60€
Comprehensive orthodontic study100€

Fixed-brace guidance is for upper and lower arches with metal braces. Ceramic braces carry a surcharge. Invisalign First for children can cost less than the range above.

After an initial payment, many patients pay around 150€ per month. The total will not exceed the amount stated in your initial quotation. Your written plan confirms your treatment and payment schedule.

Book an Appointment

08 / Answers before you decide

Your orthodontic
questions, answered.

Open one of six topics to explore its ten questions.
Practical answers for planning treatment and looking after your smile.

01Your consultation & treatment plan10 questions
Who will plan my orthodontic treatment at R&H Dental?

Dr. Adrian Carbajosa plans orthodontic care at R&H. He holds a master’s in Orthodontics and Dentofacial Orthopaedics and has taught orthodontics at the University of Seville. Your consultation connects the changes you want to an assessment of your teeth, bite and facial proportions.

What is the difference between the 60€ consultation and the 100€ study?

The consultation is the first step to discuss your concerns and suitability. If you proceed, the separate 100€ comprehensive orthodontic study provides the records and analysis needed before treatment can begin. Our study also includes an appointment to explain the results and proposed plan.

What records are taken for the orthodontic study?

Our study gathers photographs of your face and teeth, together with the imaging needed to assess the case. These let Dr. Adrian look beyond the visible front teeth. The clinician selects the appropriate X-rays; a 3D CBCT scan should have a clinical reason rather than be automatic.

Will someone explain the study before I commit to braces?

Yes. Our orthodontic study process includes a results appointment. This is where you can understand the recommended appliance, the intended changes and the treatment quotation. Bring any concerns about visibility, appointments or cost so they can be addressed before treatment starts.

What does face-driven orthodontics mean for my smile?

It means planning tooth positions in relation to your smile and face as well as the bite. Photographs of your face and teeth help us consider these together. Explain whether your concern is crowding, teeth that appear prominent, or how your smile looks in photographs.

What should I bring to my first appointment?

Bring a list of your concerns, relevant medical history and details of previous orthodontics. If you have recent dental records or X-rays, ask whether you can supply them securely. Tell the clinician about any tooth injuries, even if they happened years ago and no longer hurt.

Can I discuss my treatment in English?

Yes. R&H’s orthodontic enquiry service is designed for English-speaking patients, including Marbella’s expat community. You can discuss the plan and practical arrangements in English, and contact the team by phone, WhatsApp or email. Tell us which contact method works best for you.

Can I get a second opinion on a plan from another clinic?

You can book an orthodontic consultation to discuss your options. Bring the proposed treatment and quotation, plus any available records. Comparing the actual movements, appointments and retention plan is more useful than comparing appliance names alone; a new assessment may still be needed.

Why do I need a study if I only want one crooked tooth straightened?

A visible crooked tooth is your starting concern, but the plan also needs to account for the surrounding teeth and how the two arches meet. The study helps establish whether a limited correction is suitable and what compromises it would involve.

How do I book an orthodontic consultation?

Use the booking link on this page or contact R&H on 952 81 44 44. Tell us the appointment is for orthodontics, whether it is for an adult or child, and your preferred day and time. The orthodontic consultation costs 60€.

02Braces, aligners & choosing an appliance10 questions
Which types of orthodontics are available at R&H?

Our orthodontics service includes metal braces, white ceramic braces, braces behind the teeth and clear aligners, including Invisalign. Removable appliances have a role in selected cases. Dr. Adrian recommends a suitable option after assessment; the least visible appliance is not automatically suitable for every bite.

How should I choose between fixed braces and clear aligners?

Start with the correction needed, then consider daily life. Fixed braces stay attached; aligners must be removed for meals and worn consistently the rest of the day. Complex movements may require additional techniques or fixed appliances. Compare the full treatment plan, not just how the appliance looks.

Are ceramic braces completely invisible?

White ceramic brackets are less conspicuous than metal brackets, but the brackets and wire can still be seen. They remain a fixed appliance. Our published pricing states that ceramic braces carry a surcharge, so compare both appearance and the quoted difference before choosing.

What are inside or lingual braces?

These are fixed brackets fitted to the backs of the teeth, making them less visible from the front. R&H offers gold inside braces among its orthodontic options. Ask Dr. Adrian whether they suit your bite and request a quotation specifically for that system.

What is different about self-ligating brackets?

They hold the wire with a built-in clip instead of a separate elastic tie around each bracket. You can compare the two designs in the photographs above. The clip changes how the wire is held; careful cleaning and planned review appointments are still necessary.

What is the “smart wire” shown on this page?

The “smart wire” is a temperature-responsive orthodontic wire. It is one tool used during treatment, rather than a separate type of braces. Ask which wire is being used at your stage; ongoing or worsening pain should be reported rather than managed by relying on cold water.

Does R&H offer Invisalign as well as other aligners?

Yes. We offer Invisalign and SureSmile clear aligners. Your consultation should establish which system and treatment scope are appropriate. When comparing quotes, check the named system and what the complete course covers, including reviews and the retention stage.

How many hours a day do Invisalign aligners need to be worn?

Invisalign generally advises 20–22 hours a day, with removal for eating, drinking anything other than water, and cleaning. A routine of frequent snacks or long meals can reduce wear time. Follow your clinician’s prescribed schedule and tell the team if you cannot maintain it.

Can clear aligners correct every bite problem?

No single appliance is suitable for every case. Aligners may need additional techniques for severe crowding, extraction cases or more complex movements. The consultation should identify the problem being corrected and whether braces, aligners or a combination gives a suitable route.

Can I compare the appearance of the options before choosing?

Yes: this page shows metal, ceramic, inside braces and aligners, along with bracket and wire comparisons. Use these as a starting point for your consultation. Ask which of the pictured options are suitable for you and how each changes your quotation and daily routine.

03Children, teenagers & adult treatment10 questions
When should my child first have an orthodontic assessment?

The American Association of Orthodontists recommends a first check by age seven, or earlier if a problem is noticed. This is an assessment milestone, not a rule that every seven-year-old needs braces. R&H can discuss the appropriate timing for your child.

Should I wait until all the adult teeth have come through?

Not if you have noticed a bite or eruption concern. Some problems benefit from assessment while baby teeth remain. An early appointment can identify whether to act now or monitor development; it does not automatically mean starting a full course of braces.

What signs are worth mentioning at a child’s appointment?

Mention a bite that seems reversed, teeth that do not meet, crowding, missing or unusually placed teeth, and persistent thumb or finger sucking. These observations help focus the assessment. You do not need to work out the diagnosis yourself before booking.

What are removable orthodontic plates used for?

We use removable plates for selected growing children and simpler corrections. They are prescribed for a specific purpose, such as helping create space or guiding development. Ask what the appliance aims to change and how its progress will be assessed.

Will early treatment prevent my child needing braces later?

Not necessarily. Early treatment may address a particular developing problem, with a second phase needed after more adult teeth appear. Before agreeing, ask what this first phase is intended to achieve and whether another course is likely.

What is a maxillary expander?

It is an appliance used in selected cases involving a narrow upper jaw. An expander has a different purpose from simply straightening teeth with braces or aligners. Your child needs an assessment of the problem and growth stage before a particular appliance can be recommended.

Is Invisalign First the same treatment as adult Invisalign?

Invisalign First is the children’s option mentioned in our published pricing. Its scope differs from a full adult course, so the adult price range should not be treated as a child’s quotation. Ask what is covered now and whether later treatment may be needed.

How do we choose braces or aligners for a teenager?

At R&H, both fixed appliances and discreet aligners are considered where appropriate. Discuss the teenager’s preferences alongside the practical responsibility of wearing a removable appliance consistently. The recommended treatment still needs to match the bite correction required.

Am I too old for orthodontics in my forties, fifties or later?

Age alone does not rule it out. Adults can have orthodontic treatment when their teeth and gums are suitable. Mention previous dental treatment and any gum problems at the consultation so the assessment reflects your whole mouth, rather than your age alone.

Can I start if I have gum disease or untreated decay?

These problems need assessment and control before orthodontic treatment. Moving teeth while oral health is poor risks damage. If cleaning is difficult, establish a workable routine first; the dental and orthodontic plan should address the disease as well as the alignment.

04Timing, appointments & everyday life10 questions
How long does orthodontic treatment usually take at R&H?

Treatment typically takes around 12–24 months. Your estimate depends on the correction and progress, and may fall outside that range. Ask for a case-specific timescale after the study, especially if you are planning around a wedding or move.

How often will I need to come back to the clinic?

R&H’s published process describes adjustments approximately every one to three months. Your actual interval depends on the appliance and treatment stage. Book around the schedule you are given; having aligners does not mean that clinical reviews can simply be skipped.

Are upper and lower braces fitted at the same appointment?

Our treatment journey shows upper and lower placement as separate stages. The sequence for you depends on the plan. Before your fitting appointment, confirm which arch is being treated and when the next stage is expected, so you know what to anticipate.

Can I finish orthodontics during a short holiday in Marbella?

Orthodontics generally requires repeated reviews over months. If you are visiting, tell us where you normally live and how often you can return before starting. Agreeing a realistic follow-up arrangement is part of deciding whether treatment here will work for you.

What if I move away or split my time between countries?

Tell the team before treatment starts, or as soon as your plans change. You need a clear arrangement for reviews and unexpected appliance problems. If a transfer is necessary, the receiving clinician will need your records and may reassess the remaining treatment and fees.

Will braces hurt after fitting or adjustment?

Tenderness for a few days can happen. Softer foods can make eating easier while you adjust. Contact the clinic if pain persists beyond a few days, worsens, or your gums become very swollen or painful; these symptoms should not simply be assumed to be normal pressure.

What foods should I avoid with fixed braces?

Hard, crunchy and sticky foods can damage brackets or wires. Cut firmer foods into small pieces instead of biting directly into them, and avoid chewing gum. Limit sugary drinks and snacks too: preventing decay matters throughout the course, even when the braces stay intact.

How should I clean around braces?

Use fluoride toothpaste and brush morning, night and after meals. Clean between teeth and underneath the wire daily with an appropriately sized interdental brush. Ask for a demonstration around your own brackets; an orthodontic adjustment does not replace cleaning or a general dental check-up.

What if I miss an adjustment appointment?

Contact the team to rearrange rather than waiting for the next scheduled visit. Give any travel restrictions when rebooking. Repeated missed appointments or appliance breakages can extend treatment, and the orthodontist needs to review whether the current appliance is working as intended.

What should I do if a bracket breaks or a wire is rubbing?

Contact R&H promptly and describe what has changed; a clear photo can help the team advise on the next step. Arrange advice before travelling if possible. Do not wait weeks for a routine adjustment with a broken appliance or try to glue a bracket back yourself.

05Prices, payment plans & what is included10 questions
What treatment prices does R&H publish for orthodontics?

Our treatment price guidance is: simple removable-appliance cases from 700€, many cases around 3,800€, and very complex fixed-brace cases around 4,000€–4,900€. These describe different levels of treatment, not interchangeable packages. Your study determines the appropriate plan and quotation.

How much does Invisalign cost at R&H?

Our published range is 2,990€–4,750€, with potentially lower prices for Invisalign First for children. The fee reflects the case and the agreed treatment scope. A child’s early phase and a full adult course should not be compared as if they cover the same work.

Can I pay for orthodontics in monthly instalments?

Yes. Payment plans are our usual arrangement for orthodontic treatment, including braces and Invisalign. Typically there is an initial payment followed by monthly instalments; many patients pay around 150€ a month. Your written plan sets out the actual payments.

Is 150€ a month the total price of treatment?

No. It is a typical monthly instalment after an initial payment, not the overall treatment price or a universal offer. Compare the full agreed total and the number of payments. The total will not exceed the amount stated in your initial quotation.

How much is the initial payment?

The initial payment is set out in your individual payment plan. We have not published a single deposit that applies to every case. Before starting, you should have the initial amount, monthly amount, payment dates and agreed total in writing.

Do ceramic braces cost more than metal braces?

Yes. Our fixed-brace price guidance covers metal braces on the upper and lower arches; ceramic braces carry a surcharge. Request a comparison for the same treatment scope so you can see what choosing ceramic changes.

Is the orthodontic study included in the consultation fee?

No. The orthodontic consultation is 60€; if you proceed, the comprehensive study is a separate 100€. The study is essential before treatment begins and includes the appointment to discuss its results. These are assessment fees, distinct from the active treatment quotation.

Are retainers, replacements and repairs included in my quotation?

The quotation should identify your retention provision and any separate charges for replacements or repairs. Do not assume a price for active treatment covers every future appliance. Ask for these items to be clear before agreeing, so you can budget beyond the day braces are removed.

Why is a simple removable appliance cheaper than a full braces course?

The 700€ starting point refers to simpler cases using removable appliances. It does not mean every adult can have a full correction for that amount. Appliance type, treatment objectives and case complexity explain why the page also shows much higher ranges.

How can I compare two orthodontic quotations fairly?

Compare the same treatment objectives and the full amount payable. Identify diagnostic fees, appliance type, reviews, retention and any separate dental treatment. Then compare the payment schedule. A smaller monthly payment alone does not tell you which course is more economical or more suitable.

06Retainers, risks & protecting your result10 questions
Why do I need retainers after braces or aligners?

Teeth can move again after active treatment, including after aligners. Retainers help maintain the new positions while the surrounding tissues adapt and over the longer term. Plan for retention as part of treatment rather than deciding about it only when the braces come off.

How long do I have to wear retainers?

Retention is long term. Your orthodontist sets the initial wearing schedule and any later change. R&H’s guarantee conditions require prescribed removable retainers to be worn every night. Do not stop because the teeth look straight or because the written guarantee period has ended.

What is the difference between a fixed and removable retainer?

A fixed retainer is bonded behind the teeth and needs careful cleaning and checks for loose bonding. A removable retainer depends on following the wearing schedule. The treatment journey above shows both types; the orthodontist recommends the arrangement for your result.

What if a fixed retainer comes loose?

Contact the clinic promptly, even if the wire is still partly attached. A tooth may start moving where the bond has failed. Keep the area clean and arrange advice rather than assuming that a retainer attached to some teeth is protecting them all.

What if my removable retainer is lost, broken or no longer fits?

Contact R&H as soon as you notice the problem so the fit and need for a replacement can be assessed. Do not force a retainer that no longer seats properly. Delaying can allow more movement and make maintaining the result more complicated.

Do I still need check-ups and hygiene visits during orthodontics?

Yes. Orthodontic reviews monitor the appliance and tooth movement; general check-ups and professional cleaning address other dental needs. R&H’s guarantee policy requires six-monthly check-ups and maintenance cleanings at R&H, or three-monthly maintenance cleaning for patients with a history of periodontal disease.

What lasting damage can orthodontic treatment cause?

Risks include root shortening and gum recession. Poor plaque control can damage the teeth and gums during treatment. These risks need to be discussed for your mouth before starting, particularly when there are existing gum problems or a history of tooth injury.

What does R&H’s orthodontic guarantee cover?

Orthodontics is listed in the two-year category of our written guarantee policy, subject to its full conditions. These include maintenance requirements, keeping fixed retainers bonded, wearing prescribed removable retainers nightly and attending advised orthodontic reviews. Read the linked policy before relying on coverage.

Does a two-year guarantee mean I only need retainers for two years?

No. The guarantee period and the retention schedule serve different purposes. Teeth can shift after the guarantee has ended. Continue the retainer routine prescribed for you; the policy does not promise that teeth become permanently fixed in place at the two-year mark.

What should I do if my teeth start moving after treatment?

Contact the clinic with details of the change and whether your retainers still fit or remain bonded. An assessment can establish whether retention needs attention or further treatment should be discussed. Do not assume that an old retainer can safely correct any amount of movement.

Further patient guidance: NHS brace care · British Orthodontic Society: aligners · BOS: treatment and retention · AAO: children’s assessment · Treatment risks · R&H written guarantee

At R&H Dental Marbella

A specialist orthodontist.
An experienced dental team.

Dr. Adrian’s specialist orthodontic care sits within a team of English-speaking dentists and specialists, bringing your smile, bite and wider dental needs together.

Dani García at R&H Dental R&H Dental Marbella

Book a Marbella Orthodontic Consultation

Meet Dr. Adrian to plan your treatment. Consultation: 60€. If you proceed, the comprehensive orthodontic study costs 100€.
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Your next step

Straighten your smile in a way
that matches your face.

Meet Dr. Adrian and explore a plan for your teeth, bite and face.

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