For individuals who desire a straighter smile without the appearance of traditional braces, lingual braces—also known as braces on the back of teeth—offer a discreet yet highly effective solution. Unlike traditional braces, which are affixed to the front surfaces of teeth, lingual braces are placed on the inner side of the teeth, making them virtually invisible to the outside world.
This treatment is especially appealing to adults and teens who want to maintain a natural appearance during their orthodontic journey. In this guide, we’ll explore everything you need to know about braces on the back of teeth, including how they work, their benefits and drawbacks, who they’re best suited for, and how they compare to other orthodontic options.
What Are Braces on the Back of Teeth?
Braces on the back of teeth are a type of orthodontic treatment designed to straighten teeth and correct bite issues discreetly. The brackets and wires are bonded to the tongue-facing surfaces of the teeth, which makes them invisible when you smile or speak.
Lingual braces work in the same way as traditional braces by applying gentle, continuous pressure to gradually shift teeth into their desired positions. However, because they are positioned on the inner surfaces of teeth, they require specialized training and customization to ensure a comfortable fit and effective treatment.
The Process: How Do Lingual Braces Work?
1. Consultation and Evaluation
The first step in getting lingual braces is scheduling a consultation with an experienced orthodontist. During this appointment, your orthodontist will evaluate your teeth, bite alignment, and overall oral health to determine if lingual braces are the right option for you.
2. Custom Impressions or Digital Scans
Lingual braces are custom-made to fit the unique contours of your teeth. Your orthodontist will take impressions or digital scans of your teeth to design brackets and wires that align perfectly with your smile.
3. Fabrication of Custom Braces
The impressions or scans are sent to a specialized dental lab, where the custom brackets are created. This step ensures that the braces fit snugly on the back surfaces of your teeth.
4. Placement of Lingual Braces
Once the custom brackets are ready, your orthodontist will bond them to the back of your teeth using dental adhesive. The wires are then threaded through the brackets and adjusted to begin the process of shifting your teeth.
5. Regular Adjustments
Like traditional braces, lingual braces require periodic adjustments to ensure your teeth are moving according to plan. These appointments typically occur every 4–6 weeks.
Who Is a Good Candidate for Braces on the Back of Teeth?
Lingual braces are suitable for most individuals looking to straighten their teeth discreetly. They are particularly beneficial for:
- Adults and Professionals: Those who want orthodontic treatment without drawing attention to their braces.
- Teens: Teenagers who are self-conscious about their appearance during treatment.
- Athletes: Especially those in contact sports, as lingual braces are less likely to cause mouth injuries.
- Musicians: People who play wind instruments often find lingual braces less intrusive than traditional braces.
- Complex Cases: Lingual braces can handle severe orthodontic issues, including bite problems and significant misalignments.
While lingual braces are versatile, they may not be the best option for individuals with very small teeth, significant tongue habits, or severe overbites. Consulting with an experienced orthodontist is the best way to determine if this treatment is right for you.
Benefits of Braces on the Back of Teeth
1. Invisibility
The most obvious benefit of lingual braces is their invisibility. Since they are placed behind the teeth, they are completely hidden from view, allowing patients to smile and speak with confidence throughout their treatment.
2. Custom Fit
Lingual braces are custom-made to fit the unique shape of each tooth, ensuring optimal comfort and effective results.
3. Effective for Complex Cases
Unlike some other discreet options like clear aligners, lingual braces can address complex orthodontic issues, including severe crowding, gaps, and bite problems.
4. Minimal Impact on Lifestyle
For adults and teens who value discretion, lingual braces allow them to continue their daily activities without feeling self-conscious about their appearance.
5. No Risk of Visible Stains
Since lingual braces are positioned on the inner surfaces of teeth, they are not exposed to foods and drinks that can cause staining, making them a low-maintenance choice.
Challenges of Braces on the Back of Teeth
1. Cost
Lingual braces tend to be more expensive than traditional braces or clear aligners due to their customization and the expertise required for placement.
2. Speech Adjustment
Some patients experience a temporary lisp or difficulty speaking clearly as their tongue adapts to the braces. This typically resolves within a few weeks.
3. Tongue Irritation
The brackets and wires can irritate the tongue, especially during the initial adjustment period. Orthodontic wax can help alleviate this discomfort.
4. Cleaning Challenges
Maintaining oral hygiene can be more difficult with lingual braces. Patients must be diligent about brushing and flossing to prevent plaque buildup and tooth decay.
Cost of Braces on the Back of Teeth
The cost of lingual braces varies depending on factors such as the complexity of your case, the length of treatment, and your orthodontist’s expertise. On average, lingual braces cost between $8,000 and $13,000, which is higher than traditional braces or clear aligners.
Many orthodontic practices offer payment plans to make the cost more manageable, and some dental insurance plans may cover part of the expense. Be sure to discuss financing options during your consultation.
Lingual Braces vs. Other Orthodontic Options
| Feature | Lingual Braces | Traditional Braces | Clear Aligners |
|---|---|---|---|
| Visibility | Invisible | Visible | Nearly invisible |
| Customization | Fully custom | Standard brackets | Custom trays |
| Effectiveness | High | High | Moderate to high |
| Cost | Higher | Moderate | Moderate to high |
| Comfort | Moderate tongue irritation | Cheek irritation | Most comfortable |
Lingual braces are an excellent option for those seeking a combination of discretion and effectiveness.
How to Care for Braces on the Back of Teeth
Proper care is crucial to ensure the success of your treatment and maintain good oral hygiene:
Brush Thoroughly
Use a soft-bristled toothbrush and fluoride toothpaste to clean all surfaces of your teeth, including the backs where the braces are located.Floss Daily
Flossing is essential to remove food particles and plaque. Use floss threaders or water flossers for easier access.Rinse with Mouthwash
Antibacterial mouthwash can help prevent gum disease and reduce plaque buildup.Avoid Certain Foods
Sticky, hard, and sugary foods can damage your braces or increase the risk of cavities.Attend Regular Appointments
Frequent visits to your orthodontist are necessary for adjustments and to monitor progress.
Final Thoughts
Braces on back of teeth offer a discreet, effective, and customized solution for individuals seeking orthodontic treatment without compromising their appearance. While they may come with a higher price tag and an adjustment period, their benefits often outweigh the drawbacks for patients who prioritize invisibility and versatility.
If you’re considering lingual braces, consult with an experienced orthodontist to explore your options and create a personalized treatment plan. With the right care and commitment, you can achieve a beautifully straight smile while maintaining your confidence throughout the process.
