Lingual Braces: Pros, Cons, Costs and Comparisons

Dr Rockson Samuel

13 mai 2022

Lingual Braces: A Comprehensive Guide to Invisible Orthodontic Treatment

Are you seeking a discreet way to straighten your teeth without the noticeable appearance of traditional braces? Look no further than lingual braces! Lingual braces work similarly to regular braces but with the advantage of being much less visible. This makes them an ideal choice for adults and individuals who feel self-conscious about wearing braces.

Understanding Lingual Braces

When we think of braces, the image of metal brackets and wires on the front surface of teeth often comes to mind. Traditional braces involve elastic bands that hold the wire in place on these brackets. Over a period of 6 months to 3 years, the wire applies gentle pressure, gradually moving the teeth into their desired positions.

Lingual braces, also known as invisible braces, are a unique alternative. Unlike traditional braces, lingual braces are placed on the back surface of the teeth, making them virtually invisible. Instead of using premade brackets, dentists can customize lingual brackets using computer-aided design (CAD) software.

Determining Eligibility for Lingual Braces

Lingual braces are a suitable option for individuals who desire straight teeth without the noticeable appearance of traditional metal braces. Many people opt for lingual braces because they don't want their braces to show when they smile. However, it's important to note that lingual braces may not be suitable for everyone.

Individuals with smaller teeth or severe malocclusion (bite misalignment) might not be ideal candidates for lingual braces. To determine if lingual braces are a suitable option for you, it is best to consult an orthodontist. Many orthodontists offer initial consultations at little to no cost, providing an opportunity to discuss your specific needs and eligibility for lingual braces.

Pros and Cons of Lingual Braces

As with any orthodontic treatment, lingual braces come with their own set of advantages and disadvantages:

Pros of Lingual Braces:

  1. Nearly Invisible: Lingual braces are fixed to the back surface of your teeth, making them highly discreet.

  2. Effective Treatment: Lingual braces can effectively correct a wide range of orthodontic issues, similar to traditional braces.

  3. Customizable: Lingual brackets can be fully customized to meet your specific needs, offering personalized treatment.

  4. Potential for Less Discomfort: Lingual braces may be less painful than other types of braces.

  5. No Limitations: Lingual braces do not restrict your ability to participate in sports or play wind instruments.

Cons of Lingual Braces:

  1. Longer Treatment Time: Compared to traditional braces, lingual braces may require a longer treatment duration.

  2. Potential Lisp: Some individuals may experience a temporary lisp when first wearing lingual braces. However, this typically resolves within a few days.

  3. Higher Cost: Lingual braces are generally more expensive than other types of braces due to their customization and specialized training required for installation.

  4. Limited Availability: Not all orthodontists offer lingual braces, making it more challenging to find a provider.

  5. Cleaning Challenges: Cleaning lingual braces can be more difficult due to the closer proximity of the brackets compared to traditional metal braces.

Comfort with Lingual Braces

Adjusting to lingual braces may take some time. Initially, your tongue may come into contact with the brackets, causing discomfort. Your orthodontist can provide special wax to minimize this discomfort by applying it to the areas that rub against the soft tissues inside your mouth.

Similar to other braces, lingual orthodontics may cause a dull ache in the teeth as they begin to move. Over-the-counter painkillers such as ibuprofen or acetaminophen can usually alleviate this discomfort.

Addressing the Lisp Concern

It is not uncommon for some individuals to develop a temporary lisp when first wearing lingual braces. However, this issue typically resolves within a few days. Dentists often recommend scheduling the fitting of lingual braces before a weekend or during time off work to allow for practice in speaking with the newly installed braces.

Studies suggest that it may take up to a month to become accustomed to speaking with lingual braces, longer than the adjustment period for traditional metal braces. However, the more you practice speaking, the faster your lisp will resolve.

Cost of Lingual Braces

The cost of lingual braces typically ranges from $5,000 to $13,000, nearly twice the cost of traditional metal braces. Factors influencing the cost include your location, the expertise of your orthodontist, insurance coverage, and the duration of treatment.

To find the best deal for your needs, it is recommended to consult multiple orthodontists and inquire about their payment plans. Many orthodontists offer flexible payment options, including monthly installments or discounts for upfront payments.

Insurance Coverage for Lingual Braces

If you have dental insurance, your orthodontist can check your insurance plan to determine if lingual braces are covered. However, it is important to note that some insurance policies only cover traditional braces and may require you to pay the difference out of pocket if you choose a more expensive treatment option like lingual braces.

For children under 18, most dental insurance policies cover orthodontic treatment to some extent if it is deemed medically necessary. Flexible spending accounts (FSAs) or health savings accounts (HSAs) can also be utilized to cover the costs of orthodontic treatment.

Exploring Other Payment Options

In addition to insurance coverage, FSAs, and HSAs, you can inquire about payment options offered by your orthodontist. Many orthodontists provide affordable monthly payment plans or discounts for those who pay in full.

Lingual Braces vs. Other Treatment Options

Every individual has unique orthodontic needs, and various types of braces are available to address them. Here are some alternatives to lingual braces:

  1. Traditional Metal Braces: These are the most common type of braces, characterized by their noticeable appearance. They are the most affordable option and involve brackets and wires placed on the front surface of the teeth.

  2. Ceramic Braces: Ceramic braces, often referred to as clear braces, utilize tooth-colored ceramic brackets, making them less noticeable than traditional metal braces. However, they typically cost slightly more than metal braces.

  3. Clear Plastic Aligners: Clear aligners are removable appliances made of a transparent plastic material. Invisalign, a popular brand of clear aligners, offers a virtually undetectable treatment option. Patients receive a new set of aligners approximately every two weeks.

In Summary

Lingual braces, also known as invisible braces, provide a discreet alternative to traditional braces by being placed on the back surface of the teeth. While they offer many advantages, such as their nearly invisible appearance and customization options, there are also considerations to keep in mind, such as longer treatment time and potential challenges with cleaning.


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