In today’s appearance-conscious world, many individuals want straighter teeth but hesitate at the thought of wearing noticeable metal brackets. Fortunately, modern orthodontics offers an innovative solution: braces behind the teeth, also known as lingual braces. These discreet orthodontic appliances are virtually invisible, offering all the benefits of traditional braces without the visible hardware.
This article explores everything you need to know about braces behind the teeth, including how they work, who they’re for, pros and cons, cost, and how they compare to other options like Invisalign.
What Are Braces Behind the Teeth?
Braces behind the teeth—technically called lingual braces—are custom-made orthodontic appliances placed on the back side (lingual surface) of the teeth, facing the tongue. Unlike traditional braces, which are fixed to the front of the teeth, lingual braces are completely hidden from view when you smile or speak.
Despite their unique position, they function much like conventional braces. They use brackets, wires, and gentle pressure to gradually move teeth into their desired positions.
How Do Lingual Braces Work?
The process of getting braces behind the teeth is similar to other orthodontic treatments but involves more customization. Here’s what to expect:
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Consultation & Evaluation:
Your orthodontist will evaluate your bite, alignment, and overall oral health to determine if you’re a good candidate. -
Custom Molding:
Because lingual braces must conform precisely to the contours of the back of your teeth, impressions or digital scans are taken to create custom brackets. -
Placement:
The braces are bonded to the back of the teeth and connected with a wire that applies controlled pressure over time. -
Adjustments:
You’ll visit the orthodontist regularly for adjustments, just as you would with front-facing braces.
Who Is a Good Candidate?
Braces behind the teeth are suitable for many teens and adults who:
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Want a completely invisible treatment
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Have mild to moderate crowding or spacing
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Are concerned about the appearance of front-facing braces
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Work in professional settings or public roles
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Cannot or prefer not to use removable aligners like Invisalign
However, lingual braces may not be ideal for:
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People with very small teeth
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Individuals with a deep bite, where the lower teeth may interfere with the brackets
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Those with certain speech concerns or sensitive tongues
A skilled orthodontist can help determine if lingual braces are appropriate for your specific case.
Benefits of Braces Behind the Teeth
1. Truly Invisible
Because they’re mounted on the back of your teeth, lingual braces are completely hidden from others. They’re the most discreet form of fixed orthodontic treatment.
2. Effective for Complex Cases
Unlike some clear aligner systems, lingual braces can correct complex orthodontic issues, including significant crowding, rotation, and bite misalignments.
3. Fixed and Convenient
You won’t have to remember to put in or take out aligners. Lingual braces are always working, offering consistent progress.
4. Customized Fit
Each bracket is custom-made for your mouth, improving comfort and efficiency during treatment.
5. No Risk of Front-Tooth Stains
Because there are no brackets on the front of your teeth, there’s less chance of visible staining or discoloration on the tooth surface.
Challenges and Considerations
1. Speech Adjustments
Some patients experience a temporary lisp or difficulty pronouncing certain words when first adjusting to the brackets behind the teeth. This usually improves within a few weeks.
2. Tongue Irritation
The tongue may rub against the brackets, causing soreness early in treatment. Orthodontic wax and time can help reduce this issue.
3. Cleaning Difficulty
It can be more challenging to brush and floss with lingual braces. Using special flossers, water flossers, and brushing tools can help maintain oral hygiene.
4. Higher Cost
Due to their custom design and specialized installation, braces behind the teeth are generally more expensive than other options.
5. Limited Provider Availability
Not all orthodontists offer lingual braces. It requires special training and expertise, so you may need to visit a specialist.
How Much Do Braces Behind the Teeth Cost?
Lingual braces are often the most expensive type of orthodontic treatment, typically costing between $6,000 and $10,000 depending on:
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Treatment duration
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Complexity of the case
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Provider experience
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Geographic location
Many orthodontists offer monthly payment plans, insurance support, or accept FSA/HSA funds to help make the cost manageable.
Lingual Braces vs. Invisalign
| Feature | Lingual Braces | Invisalign |
|---|---|---|
| Visibility | Completely hidden | Nearly invisible |
| Removability | Fixed (not removable) | Removable |
| Suitable for Complex Cases | Yes | Mild to moderate cases |
| Comfort | May cause tongue irritation | Smooth and comfortable |
| Oral Hygiene | More difficult | Easier (can brush/floss normally) |
| Cost | $6,000–$10,000 | $3,500–$8,000 |
Which is better?
It depends on your needs. If you want a completely hidden treatment and don’t mind a fixed appliance, lingual braces are a fantastic option. If comfort and removability are more important, Invisalign might be the better choice.
Tips for Managing Braces Behind the Teeth
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Use orthodontic wax to protect your tongue during the adjustment phase.
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Practice speaking aloud (reading or singing) to adjust faster to any lisp.
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Brush after every meal using a small-headed toothbrush or electric brush.
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Floss with tools like threaders or water flossers to reach tight areas.
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Stick to soft foods during the first few days after adjustments.
Conclusion
Braces behind teeth offer a discreet, effective way to achieve a beautifully aligned smile—without the visible hardware of traditional braces. Though they may come with a higher cost and a brief adjustment period, many adults and teens find the benefits well worth it.
If you’re looking for a solution that provides the power of traditional braces with the aesthetics of invisible aligners, lingual braces might be the perfect fit. Schedule a consultation with an experienced orthodontist to find out if this option is right for you and begin your journey toward a confident, radiant smile—hidden in plain sight.