Lingual Braces

Lingual Orthodontics: What Is It? How Is It Applied?

Lingual orthodontics is a method used for dental alignment treatment. In this method, brackets and wires are placed on the inner surface of the teeth, toward the tongue. Unlike traditional orthodontic treatment, where brackets and wires are affixed to the front surface of the teeth visible on the face, lingual orthodontics positions these materials on the tongue side. Therefore, lingual orthodontics is often referred to as “invisible” or “hidden” dental alignment.

While standard brackets and wires can be used in this treatment method according to the dentist’s preference, custom-made brackets and wires tailored to the severity of the individual’s misalignment can also be utilized. Studies have shown that the personalized fabrication of this system enhances patient comfort and reduces the risk of decay due to leakage by six times, attributed to the bracket’s precise fit on the tooth surface.

After the initial examination session, measurements and all necessary records are taken to determine the treatment requirements. The brackets are prepared in the laboratory for adhesion, and during the subsequent session, they are affixed using a single mold. Residual adhesives are thoroughly cleaned, and wires are placed into the brackets. Patients are briefed on the maintenance process, and control appointments are scheduled at intervals set by the dentist. Similar to the adjustments made with conventional front-facing wires, specific forces are applied to the teeth based on the treatment needs, gradually shifting them. Once the ideal outcome is achieved, the brackets are removed, and follow-up reinforcement treatment is administered.

Who Can Benefit from Lingual Orthodontics?

Lingual orthodontics can be applied to individuals of any age with healthy dental surrounding tissues, essentially anyone who can have external wires applied. The crucial factors include good gum health and sufficient bone structure around the teeth. Once these conditions are met, orthodontic treatment can be administered regardless of age.

Lingual Orthodontic Treatment Process

During the initial week of treatment, mild discomfort might occur due to the movement of the teeth, similar to the discomfort experienced with externally attached brackets. Individuals may experience minor mouth sores on the tongue due to contact with the lingual wires. With the dentist’s recommendations and maintaining oral hygiene, the adaptation process is usually swift. For maintaining oral hygiene, a toothbrush suitable for wires or an electric toothbrush can be used. Interdental brushes and mouth shower applications are recommended.

Duration of Treatment

The duration of treatment varies depending on the severity of the misalignment, typically ranging from 1 to 2 years on average. During this period, the patient’s compliance with treatment requirements is crucial. Adherence to proper hygiene practices and collaboration with the dentist, if necessary, for using rubber bands or other appliances is imperative.

Could Lingual Orthodontics Cause Various Discomforts?

Lingual orthodontics generally does not cause specific discomforts like other treatment options. However, in some cases, individuals might experience temporary discomfort during or after the treatment process. These may include:

Tongue and Gum Discomfort:

Sensitivity in the tongue and gums may arise during lingual orthodontic treatment. Initially, slight pain, discomfort, or injuries may occur due to tongue contact. However, this is usually temporary and diminishes over time.

Changes in Speech and Eating Habits:

At the beginning of treatment, some individuals may experience alterations in speech or eating habits due to the wires being placed on the tongue side. However, most people adapt quickly, and these discomforts reduce.

Would Lingual Orthodontic Treatment Affect Social Life?

Lingual orthodontic treatment may impact social life, although the effect varies from person to person. In certain situations, the following effects might be observed at the beginning or during the treatment process:

Adaptation Period:

Initial stages of treatment may involve an adaptation period for the tongue. This might cause short-term alterations in speech or eating habits.

Aesthetic and Confidence:

Unlike traditional wires, lingual orthodontics might not be noticed by others. This can make the treatment process more aesthetic and personally significant, potentially boosting individuals’ confidence.

Challenges in Oral Hygiene

The brackets and wires on the tongue side might pose more challenges in terms of cleaning compared to traditional treatment, potentially leading to temporary issues for individuals struggling with oral hygiene. However, these difficulties can be overcome with appropriate brushing and oral care habits.

Advantages and Disadvantages of Lingual Treatment

 Lingual orthodontics may offer several advantages and disadvantages compared to traditional external orthodontic treatment. However, these factors can vary from person to person, so individuals considering this treatment option should take into account their specific circumstances and preferences. Here are the advantages and disadvantages of lingual orthodontics:

Advantages

Invisibility and Aesthetics:

Others may not notice the dental wires of a person undergoing lingual orthodontic treatment, making the process more special.

Comfort Compared to Traditional Wires:

Some individuals report less irritation and discomfort in the tongue and lips with lingual orthodontic wires due to their placement, compared to traditional wires.

Lower Risk of Decay:

Studies have shown a lower risk of decay due to the brackets being on the inner surface of the teeth, allowing more exposure to saliva, compared to traditional treatment.

Disadvantages

Cost:

Lingual orthodontic treatment is generally more expensive than traditional wires. This might be due to the specialized training required for dentists to administer this treatment and the use of brackets specially manufactured abroad.

Adaptation Period:

It might take some time for individuals to get used to lingual orthodontic wires and for the tongue to adapt. At the beginning of treatment, there might be challenges in speaking and eating.

Maintenance Challenges:

Maintaining lingual orthodontic treatment might be more challenging due to limited access to brackets and wires on the tongue side compared to traditional treatment.