Braces Vs Aligners - Which one to choose?

When people come to me for aligners and braces treatments, many of them have already done some research. But most of the time that information leave them confused between braces vs aligners.

That's why people coming to my clinic, seminars and dental camps would often hear me suggesting to consult an orthodontist to avoid any misinformation or anxiety about the orthodontic treatment.

With that said, a lot of people would still want to do their research on internet before the dental visit. So, that's why I am writing this detailed blog to share the right information straight from an orthodontist. But once you are done reading this blog, I would highly recommend that you visit an orthodontist :)

So without wasting any more time, let's dive in!

Why do you even need braces or aligners?

Often, the main reason people consider orthodontic treatment is to straighten their teeth or enhance the appearance of their smile. While these are certainly important reasons, they're not the only ones!

The primary function of your teeth is to help you with chewing, speaking, and maintaining the natural shape of your jaw. If your bite is off, it can put unnecessary stress on your teeth, make chewing difficult, and even affect the way your face looks.

Different types of bites lead to different jaw alignments, which ultimately shape the appearance of your face. With orthodontic treatment these can be adjusted to give you normal bite (normal occlusion). Here's an illustration.

 Face shape based on the malocclusion

So you need an orthodontic treatment not only to correct misaligned teeth but also to correct your jaw alignment, speech issues and other dental problems like tooth decay, gum disease, and difficulty chewing.

Here are some of the major malocclusion you can get fixed with an orthodontic treatment.

• Overbite: Upper teeth extend too far over the lower teeth.

• Underbite: Lower teeth protrude beyond the upper teeth.

• Deep Bite: The upper teeth excessively cover the lower teeth, leading to a deep overlap.

• Crossbite: Misalignment where upper and lower teeth do not meet correctly.

• Excessive Space: Gaps between teeth due to missing or small teeth. Large spaces between teeth can affect chewing and aesthetics.

• Crowding: Insufficient space in the mouth causing teeth to overlap or shift.

• Open Bite: Front teeth do not touch when biting down.

  
  

Human Teeth Malocclusions

Malocclusion is a term used in orthodontics to describe when the upper and lower teeth are misaligned or do not fit together properly

What Are Braces and Aligners?

Braces

Braces are fixed orthodontic appliances that consist of brackets, wires, and bands. Together, these components work in unison to apply continuous pressure, gradually moving teeth into their ideal positions over time.

Key Features:

• Highly effective for correcting complex dental alignment issues.

• Available in multiple variations such as metal, ceramic, and lingual braces.

• Require regular visits to an orthodontist for adjustments.

Aligners

Aligners are transparent, removable trays custom-designed to fit snugly over your teeth. These trays progressively adjust your teeth's positioning, with brands like Invisalign leading the market.

Key Features:

• Nearly invisible, offering a discreet option for orthodontic treatment.

• Can be removed during meals and while brushing teeth, adding convenience.

• Customized for each stage of your treatment plan, ensuring precise alignment.

  
  

Key Differences Between Braces and Aligner

Factor	Braces	Aligners
Appearance	Often visible, but ceramic and lingual versions offer more discreet alternatives.	Virtually invisible, great for individuals seeking subtlety.
Comfort	Can cause discomfort, especially when brackets rub against the inside of the mouth or during wire adjustments.	Generally more comfortable, though slight pressure may occur as teeth shift.
Convenience	Fixed appliances prevent misplacement but require diligent cleaning.	Removable, offering flexibility, but need to be worn for over 18-20 hours a day.
Effectiveness	Highly effective for severe misalignment, including jaw corrections.	Highly effective for all type of alignment issues in all age groups.
Maintenance	Cleaning around brackets and wires can be challenging and requires specialized tools such as ortho brush.	Easy to clean, but trays need to be rinsed and brushed after meals.

Pros and Cons of Braces

Advantages

• Suitable for all types of dental alignment challenges, from minor crowding to severe jaw issues.

• Durable and fixed, ensuring uninterrupted treatment.

• Effective for addressing both aesthetic and functional orthodontic problems.

  
  

Disadvantages

• Highly noticeable, potentially causing aesthetic concerns.

• Can lead to irritation in the mouth and discomfort during adjustments.

• Requires food restrictions and a meticulous oral hygiene routine.

Pros and Cons of Aligners

Advantages

• Nearly invisible, making them a discreet option for orthodontic care.

• Easy to remove for eating and oral hygiene, offering greater flexibility.

• Fewer orthodontist visits are needed compared to braces.

Disadvantages

• Requires high compliance from patients' side.

• Requires strict adherence to wearing them for the recommended duration daily.

• Often comes with a higher price tag than traditional braces.

Factors to Consider When Choosing Between Braces and Aligners

Factors	Braces	Aligners
Dental Needs	Necessary for severe dental misalignment and jaw issues.	Effective for mild to moderate and severe alignment needs.
Budget	Often more affordable upfront, but costs vary with complexity and duration.	Typically more expensive upfront, but prices vary based on treatment complexity.
Lifestyle	Ideal for those who prefer a fixed solution with less responsibility for daily adherence.	Best for individuals seeking discretion and flexibility.
Age	Suitable for all ages.	Commonly chosen by adults and teens seeking subtle treatment.
Timeline	Treatment duration depends on the complexity of the case.	Often delivers quicker results for simpler alignment issues. But in aligners as well the complex cases takes more time.

Cost Comparison of Braces vs Aligners

1. Initial Costs

• Braces: Typically starts from Rs. 25,000, depending on the type and duration of the treatment.

• Aligners: Usually the cost starts from Rs. 75,000.

  
  

2. Additional Expenses

• Braces: Repairs for broken brackets or wires can add to the cost.

• Aligners: Replacing lost or damaged trays may incur additional expenses.

What to Expect During Braces & Aligners Treatment

Braces

• Frequent visits (typically once in a month) to the orthodontist for adjustments and tightening.

• Initial soreness and an adaptation period as teeth begin to shift.

• Tools like water floss and interdental brushes are essential for proper cleaning.

Aligners

• Regular tray changes every 1-2 weeks, ensuring gradual movement.

• Less frequent orthodontist appointments.

• Requires consistent usage for optimal results. I advice patients to wear aligners typically 18-20hrs/day.

FAQs - Braces vs Aligners

What is better, braces or aligners?

The answer depends on your dental needs and requirements.

How do I know if I need braces or aligners?

Consult your orthodontist for a detailed evaluation of your alignment concerns and lifestyle preferences.

Are aligners as painful as braces?

Aligners are generally less painful than braces. However, slight discomfort is expected as teeth shift into position.

Can aligners work as braces?

Yes, both are equally effective, if planned in a meticulous manner to give the desired and predictable results.

Braces and aligners each have their unique advantages and limitations. Choosing the right option involves considering your dental needs, lifestyle, and budget. Whichever path you choose, consistency and collaboration with your orthodontist are key to achieving the desired results.

Ready to start your braces/ aligner's journey? Visit Dental Sanctuary today to take the first step toward a healthier, more confident you!