Dr Shivika shah: BDS PGDip Clear Aligners

Early Care. Early Change: Orthodontics for Adults & Early Years

When it comes to interceptive orthodontics, the best time to act is usually earlier than most people think.

For children, that window is now.
For adults, it is never too late.

400+

ortho cases

2025

case of the year

100%

aligner-focused
Orthodontic treatments: an overview

Early Years Orthodontics

The growth window matters. Children aged 7–11 in mixed dentition are often the ideal time to act, before problems compound and options narrow.

Clear Aligner Therapy

Discreet, removable treatment for adults and teens — delivered with postgraduate clinical expertise and honest case selection.

Smile Design Makeovers

Alignment before aesthetics. The right sequence — orthodontics first, then bonding — produces results that look natural and last.

Orthodontic treatments: an overview
Dr Shivika shah: BDS PGDip Clear Aligners

The window that closes.

Children aged 7–11 are in a growth phase that cannot be replicated later. The mixed dentition period — when baby and adult teeth coexist — is the single most important window in a child’s orthodontic development.

Most are told to wait. I have spent three years of postgraduate training learning exactly when waiting is a mistake — and what to do about it. Acting now does not mean more treatment. It usually means less.

why early matters

“A narrow arch, a crossbite, a habit pattern — these are not cosmetic problems waiting to be fixed. They are functional issues shaping the face. The jaw responds to guidance during growth. After growth, the options narrow considerably.”

01. Narrow arches & crowding

Arch expansion during growth can create room naturally — reducing or eliminating the need for extractions later. The jaw responds to guided forces at this age in ways it simply cannot afterwards.

02. Crossbites with a jaw shift

A crossbite that causes the lower jaw to shift on closing is not just a dental problem — it affects the developing joint. Early correction eliminates the shift before it becomes structural.

03. Mouth breathing & habit patterns

Tongue thrust, thumb sucking, mouth breathing — habits during growth change the shape of the jaws. Addressing them early alters the trajectory. Leaving them changes the outcome permanently.

04. Protruding front teeth

Upper teeth that protrude significantly are at greater risk of trauma and affect confidence early. Reducing the overjet during the growth phase is efficient, stable and straightforward.

Is your child in the assessment window?

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What I Offer

Find the right Invisalign® treatment for you

Every treatment plan begins with a proper conversation. Not a sales consultation — a clinical one. What you want, what is realistic, what the right order of treatment looks like and why.

Invisalign First®

For children aged approximately 7–11

Early orthodontic treatment for children who still have a mixture of baby and adult teeth. Invisalign First can help create space for developing teeth and address crowding, crossbites, narrow arches and certain bite concerns while your child is still growing.

children
mixed dentition

Invisalign® for Teens

For teenagers aged approximately 12–17

Clear aligner treatment designed around teenage life. Treatment can address crowding, spacing and bite concerns, with planned monitoring and support to help teenagers stay on track around school, sport and social activities.

teens

Invisalign® for Adults

Discreet orthodontic treatment at any stage of adulthood

Clear aligner treatment for adults with mild to complex orthodontic concerns, including crowding, spacing and bite problems. Every treatment plan is individually designed around your smile, oral health and long-term goals.

adults
clear aligners

Alignment Before Implants, Veneers or Bonding

Orthodontic treatment carefully coordinated with your restorative dental plan. By improving tooth position and creating the right amount of space first, we can help achieve more conservative, balanced and predictable final results.

adults
restorative planning

Composite Bonding & Smile Design

Conservative aesthetic treatment to refine tooth shape, proportions and symmetry. Where appropriate, bonding is planned after alignment to create a natural-looking finish while preserving as much healthy tooth tissue as possible.

adults
smile makeoversi

Second Opinions & Consultations

Already been advised that you need treatment—or that clear aligners are not suitable? Receive a detailed second clinical opinion, with an honest explanation of your options and no pressure to proceed.

teens
adults
clinical approach

“The best time to assess a child’s bite is during the mixed dentition phase — not after all the adult teeth have come through. By then, the window has often closed.”

- dr shivika shah

Honest. Considered. Clinically led.

Good orthodontic outcomes start with good case selection and honest conversations about what treatment can and cannot achieve. I will not take a case I cannot deliver well.

01. The consultation is clinical, not commercial

We discuss your goals, take clinical records and I give you my honest assessment — including whether treatment is appropriate, and why.

02. Treatment is planned in the right sequence

Orthodontics before aesthetics. Growth before alignment. The order matters, and I will explain why yours is structured the way it is.

03. You are involved at every stage

No surprises. You will know what is happening, why, and what the next step is. Especially for children — parents are central to the process.

who i treat

The right patients at the right time.

Orthodontics is not one-size-fits-all. Each age group has a different biology, different priorities and different windows of opportunity. I work across all of them.

Adults considering clear aligners

There is no upper age limit for orthodontic treatment. Adults in their 30s, 40s and beyond regularly achieve excellent results — from straightforward cases to severe crowding and complex bite correction.

  • Crowding — from moderate to severe
  • Spacing, gaps and midline shifts
  • Complex bite issues and extractions
  • Relapse from previous treatment
  • Pre-restorative alignment

Children aged 7 to 11 in mixed dentition

The growth phase is an active window, not a waiting room. Early assessment identifies cases where acting now makes treatment simpler, shorter and more stable than waiting.

  • Narrow arches and crowding
  • Crossbites with a jaw shift
  • Mouth breathing and habit patterns
  • Proclined or protruding front teeth

Anyone considering a smile makeover

Alignment before aesthetics. Composite bonding planned in the right sequence produces results that look natural and last longer. The foundation matters as much as the finish.

  • Smile design consultation
  • Aligner treatment first where indicated
  • Composite bonding and refinement
  • Conservative and reversible where possible
For Practice Owners

You already have the patients.

NHS general dental practices have a structural advantage in clear aligner therapy and early interceptive orthodontics that private specialist practices cannot replicate. You see these patients before anyone has identified a problem.

I am available for sessional work across Bucks and Herts — bringing the clinical expertise, the postgraduate training and the case experience. You provide the chair.

01. No setup costs to your practice

I bring the clinical skill, the training and the case management. Your team refers internally. Your patients access a service they cannot easily find elsewhere.

02. Your NHS list is full of suitable patients

Children in mixed dentition at routine recall. Adults who have mentioned their teeth for years. Teens who have been told to wait. They are already in your chairs.

03. Postgraduate-trained and actively building

Diploma in Clear Aligner Therapy, City of London Dental School. Growing patients and advanced diploma training. This is my entire clinical focus.

The Case for Early Action

"The children who need early interceptive care are already sitting in GDP chairs across the country. The question is whether the clinician has the training to act on what they see."

Practices I work with

NHS and mixed practices in Buckinghamshire and Hertfordshire looking to offer clear aligner therapy and early interceptive orthodontics to their patient base. No setup cost. Sessional availability.

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About Dr Shivika Shah

Built case by case.

I qualified in India in 2009, came to the UK, passed my licensing exams, and have spent the years since building a clinical career grounded in general practice. Over 400 orthodontic cases later — across multiple systems — my focus has narrowed to what I do best: clear aligners, primarily Invisalign®, and early interceptive orthodontics for children.

I am a mother. My daughter is six. In a couple of years she will be exactly the age where early orthodontic assessment starts to matter. I want to be the clinician I am building toward — for her, and for every child whose parents are looking for the same thing.

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2009

Bachelor of Dental Surgery (BDS)

Government Dental College, Mumbai
GDC-registered 2012
No. 228522

2015-16

Six Month Smiles: Level 1 & Level 2

Fixed and removable short term orthodontics

2018

Invisalign® Certification

Align Technology
Provider since 2018

2023

Diploma in Clear Aligner Therapy

City of London Dental School
Completed July 2023
APEL recognised by University of Greater Manchester

2024

Mini Smile Makeover

Dipesh Parmar

2024

Complete Aligner Programme

Aligners (CAP)
February 2024

2025

Case of the Year Award

Aligner Dental Academy
February 2025

2026

Young Adults & Teenagers Course

Aligner Dental Academy
April 2026

2026

Growing Patients Programme

Aligners (CAP)
Vancouver
May 2026

2026

Advanced Diploma in Clear Aligners

Commencing September 2026
Aligner Dental Academy

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Ready to find out what is possible?

Whether you are a patient considering clear aligner treatment, a parent wondering about early assessment for your child, or a practice owner thinking about what we could offer together — I would like to hear from you.

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