In the evolving world of orthodontics, patients no longer have to choose between effective teeth straightening and visible metal brackets. One of the most innovative and discreet solutions available today is braces that go behind the teeth, formally known as lingual braces. These hidden braces offer the power and precision of traditional orthodontics without affecting your smile’s appearance during treatment.
Whether you’re a professional who frequently interacts with clients, a performer, or simply someone who wants to correct their teeth without the world knowing, lingual braces may be the perfect solution for you.
What Are Lingual Braces?
Lingual braces are custom-made orthodontic appliances placed on the back (lingual side) of your teeth, facing the tongue. Because of this location, they are virtually invisible when you talk, laugh, or smile—offering a level of discretion unmatched by conventional front-facing braces.
Despite their hidden placement, lingual braces work similarly to traditional metal braces. They use a system of brackets and wires to gradually move teeth into proper alignment. However, because the shape of the back of each tooth is more irregular than the front, lingual braces require special customization and expertise.
Who Can Benefit from Braces Behind the Teeth?
Lingual braces are a versatile solution suited for many patients. They are often recommended for:
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Adults and professionals who want discreet orthodontic treatment
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Teens who feel self-conscious about wearing visible braces
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Performers and public speakers who need to maintain a confident smile on stage
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People with mild to complex orthodontic issues, including bite correction, crowding, or gaps
However, they may not be suitable for everyone. Individuals with small teeth or certain bite conditions may need alternative treatment options. An experienced orthodontist can determine if lingual braces are the right choice based on your dental structure and needs.
How Do Lingual Braces Work?
The process of getting lingual braces begins with an in-depth consultation. Here’s what you can expect:
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Digital Impressions
Using 3D imaging technology or detailed dental impressions, your orthodontist maps the inside surfaces of your teeth. -
Custom-Fabricated Brackets
Because the back of each tooth is uniquely shaped, custom brackets are designed and manufactured to fit your individual dental anatomy. -
Bonding and Wire Placement
Your orthodontist carefully attaches the brackets behind your teeth and threads a wire through them to apply the right amount of pressure for movement. -
Ongoing Adjustments
Like all braces, lingual braces require periodic adjustments to tighten wires and continue progress.
Treatment times vary depending on the severity of your condition but typically range from 18 to 36 months.
Advantages of Braces Behind the Teeth
1. Aesthetics
The most obvious benefit of lingual braces is that they are completely hidden from view. If you’re concerned about how traditional braces might affect your appearance, this solution allows you to undergo treatment without anyone knowing.
2. Effective for Complex Cases
Lingual braces are not just about looks—they’re highly effective, even for advanced orthodontic issues like deep overbites, significant crowding, and large gaps.
3. Custom Fit
These braces are individually crafted for each tooth, offering better comfort and efficiency for many users.
4. No Risk of Visible Staining
Unlike clear aligners or ceramic braces on the front teeth, any discoloration that may occur won’t be visible, since the braces sit behind the teeth.
5. Confidence Boost During Treatment
Whether it’s for work, school, or social settings, patients often report greater confidence throughout their orthodontic journey with lingual braces because their appearance remains unaffected.
Considerations and Potential Drawbacks
While lingual braces offer many benefits, it’s important to be aware of their potential challenges:
1. Speech Adjustment
When first installed, some patients experience a temporary lisp or difficulty speaking clearly. This typically resolves within a few weeks as the tongue adjusts.
2. Tongue Discomfort
Because the brackets are near the tongue, they may cause irritation or soreness, especially in the early stages of treatment.
3. Cleaning Challenges
Maintaining oral hygiene can be more challenging with lingual braces. Patients must be diligent with brushing and flossing, often using special tools like interdental brushes and water flossers.
4. Higher Cost
Due to their customization and complexity, lingual braces are generally more expensive than traditional braces or clear aligners.
5. Longer Appointment Times
Applying and adjusting lingual braces takes more time and expertise, leading to longer and potentially more frequent orthodontic visits.
Lingual Braces vs. Other Options
| Treatment Type | Visibility | Removability | Suitable for Complex Cases | Comfort Level | Cost |
|---|---|---|---|---|---|
| Lingual Braces | Invisible | No | Yes | Moderate | $$$$ |
| Traditional Braces | Visible | No | Yes | Moderate | $$ |
| Clear Aligners | Nearly Invisible | Yes | Limited (for mild/moderate) | High | $$$ |
| Ceramic Braces | Slightly Visible | No | Yes | Moderate | $$$ |
When choosing between these options, consider factors like lifestyle, budget, aesthetic preferences, and treatment complexity.
Cost of Lingual Braces
Lingual braces are one of the more premium orthodontic treatments, with prices typically ranging from $8,000 to $13,000 depending on:
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The severity of the orthodontic issue
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Treatment duration
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The expertise of your orthodontist
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Geographic location
Some dental insurance plans may cover a portion of the cost, and many orthodontic offices offer flexible financing options or payment plans.
Are Braces Behind the Teeth Right for You?
If you value discretion, comfort, and advanced customization in your orthodontic journey, lingual braces may be an ideal fit. They’re especially attractive for adults and working professionals who want to straighten their teeth without drawing attention to the process.
However, the only way to be sure is to schedule a consultation with a qualified orthodontist. They can assess your bite, discuss your goals, and help you weigh the pros and cons of lingual braces compared to other available treatments.
Final Thoughts
Braces that go behind the teeth offer a blend of function, discretion, and personalization that is hard to beat. With the ability to tackle even complex alignment issues while remaining invisible, they stand out as a top-tier solution in modern orthodontics.
Whether you’re preparing for a wedding, stepping into a leadership role at work, or simply want to improve your smile without anyone knowing, lingual braces give you the freedom to transform your teeth—quietly and confidently.
