What is the best orthodontic appliance? My personal Take

28 September 2024

As an orthodontist trained in both traditional braces, clear aligners, and lingual braces (braces on the inside of the teeth), I’m often asked, “What’s the best type of braces?” The truth is, there’s no one-size-fits-all answer. Every patient’s needs are different, and the right choice depends on several factors. Let me share my experience to help explain how different types of braces work in different situations.

Clear Aligners: Convenient but With Some Limitations

Clear aligners, like Invisalign, are very popular because they are clear, removable, and easy to use. Many patients like that they don’t have to change their diet or worry about braces being visible. However, while aligners are convenient, they aren’t always the best choice for more complicated tooth movements. It’s important to note that aligners are clear, but not completely invisible.

For example, if a patient has an anterior open bite (when the front teeth don’t touch), clear aligners can often fix this problem well. But if a patient has a deep bite (where the upper front teeth cover the lower teeth too much), aligners don’t work as well. In deep bite cases, traditional braces or lingual braces (on the inside of the teeth) offer better control and faster results.

Traditional Braces: Tried and Tested

Traditional braces, whether they’re metal or clear ceramic, have been used for years because they consistently deliver great results. They are particularly helpful in more complex cases where we need to move the teeth with precision.

One big advantage of traditional braces is that they give us more control, especially when we need to remove teeth to correct crowding. When teeth are extracted, traditional braces make it easier and faster to close gaps and move the teeth exactly where they need to go. Aligners can also do this, but the process tends to be slower and less predictable.

Lingual Braces: Hidden but Precise

Lingual braces are another option. These are braces that are placed on the inside of the teeth, making them completely invisible from the outside. While they are less common, they are extremely precise because the braces and wires are custom-made to fit your teeth perfectly. This allows for very controlled tooth movement, which is especially helpful in more complicated cases, like fixing a deep bite or severe misalignment.

While lingual braces are highly effective, they can take a little getting used to because they are closer to the tongue, and adjustments require more specialized care.

No One-Size-Fits-All Answer

There isn’t one perfect type of braces. Clear aligners, traditional braces, and lingual braces all have their own advantages and limitations. The best choice depends on your individual needs, the complexity of the case, and what fits your lifestyle.

Sometimes, orthodontic appliances alone aren’t enough to achieve the best results. For more complicated problems, we may need to use additional devices like TADs (temporary anchorage devices), which provide extra support for tooth movement, or palatal expanders, which help widen the upper jaw. In some cases, jaw surgery (orthognathic surgery)may be necessary to correct more severe issues with the alignment of the jaw.

Conclusion

In the end, the “best” type of orthodontic appliance is the one that fits your needs and provides the best result for your specific case. Whether it’s clear aligners, traditional braces, or lingual braces, the right solution is based on a careful diagnosis and understanding of your goals and lifestyle.

As your orthodontist, I’m here to guide you through the process, helping you choose the option that will give you the best possible outcome and a smile you’ll love.

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I recommend and prescribe orthodontic treatments to my patients as if they were my own family and I value meaningful relationships based on communication, confidence and trust.

Dr Erfan Salloum

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