What is Lingual Orthodontics? Advantages/ Disadvantages

Lingual orthodontics basically means fixed braces using Lingual/palatal surfaces of teeth, making them less visible when fitted.

  1. The lingual brace works in exactly the same way as a traditional brace, just in a different position.
  2. This treatment is suitable for correcting the position and bite of both the upper and lower jaws.

This YouTube video will explain it well.

The treatment process will begin with checking eligibility of the case for Lingual procedure.

What is Lingual Orthodontics ? Ideal Case and Complications

The best (and really only) way to find out if lingual braces can be used in a particular patient is bite consideration.

  • “Bite” considerations.

It’s been argued that a patient must have a bite relationship that can accommodate their braces.

The idea is that with “deep vertical overbite” might place heavy forces on their brackets when they chew or close their teeth together and dislodge them. It’s debatable about how much of a problem this really tends to be.

Quality of Results – Lingual Orthodontics

  • Despite insinuations voiced decades ago, there’s nothing inherently lacking about lingual technique. Results on par with conventional braces can be expected.
  • The application of sophisticated CAD/CAM and robotic wire-bending technology to this technique have only made its results more predictable.
  • Lingual Braces are an ideal solution for patients who are slightly more image conscious, the positioning makes them barely noticeable however the technology is very closely linked to traditional braces providing superb control over tooth movement.

Complications – Lingual Orthodontics

  • Unlike other braces the molds/Cast that have been taken are more important in Lingual cases as everytime you have to change arch wire, you need to custom make it, because of positions of premolars.
  • Lingual orthodontics are suited to all types of malocclusion, however may not be suitable in extremely complicated cases as the brackets may be under more pressure from biting or because there is simply less space on the back of the teeth.
  • Although it is suggested treatment can take slightly longer with Lingual braces there is still quite a large range from 6 months to 2 years depending on the complexity of each case.
  • Also sometimes patients will delay starting orthodontic treatment as they have a special event coming up, with lingual braces there is no need as they are virtually invisible.

Advantages of Lingual Orthodontics

  • The chief advantage of having lingual treatment lies in the fact that your braces are non visible.
  • If someone carefully looks into your mouth they may catch a glimpse of your appliance (especially if you’re wearing them on your lower teeth). But otherwise they’re not easily detected.
  • If you feel that wearing conventional braces would simply be too embarrassing, this is one of the “invisible” orthodontic methods that you might consider.

Disadvantages of Lingual Orthodontics

  • The biggest issue is that lingual braces can be difficult to get used to and wear.
  • And, in general, each periodic office appointment you have during your treatment process takes longer than it would with conventional braces.
  • Cleaning can be slightly trickier than a traditionally placed brace but with practice there is no reason why good oral hygiene cannot be maintained.
  • However they can take slightly longer to get used to as braces are in close proximity with the tongue.

However, with continued advancements in the design of lingual systems these points have become less and less of an issue.


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