Aligners vs braces: the main differences and which method to choose

People of varying ages may need to start orthodontic treatment for any number of reasons: dental crowding, bite problems, gaps, etc. However, today there are many options on the market and sometimes it can be difficult to understand the differences between the different types of orthodontics. Here we’ll talk about the main differences between braces and aligners, two types of orthodontic treatments that, though equally effective, have many different characteristics.

 Braces vs clear aligners

Before getting into the differences between braces and aligners, we’ll start by explaining a little bit about each of these orthodontic methods.

First off, we have braces. Braces are small metal pieces that are attached to the dental surface and are joined by a metal arch. Said arch works by connecting and applying continuous pressure on the dental pieces so that they progressively move the teeth into their correct position. There are several types of braces: metal, clear, lingual and self-ligating. But their common feature is that they’re fixed.

In contrast, clear or invisible aligners - also known as dental or teeth aligners - are removable splints that are placed on top of the teeth and perform the same function as braces: correct dental malpositions by applying pressure.

When it comes to dental aligners vs braces effectiveness, aligners are just as effective as braces in correcting orthodontic problems. In other words, rather than discussing the distinction between the capabilities of clear aligners vs metal braces, it’s more relevant to consider the method each uses to achieve said goal and the characteristics of each product. Below we’ll explain these disparities so that you are equipped with all the information you need to decide which option is better for you.

Discreteness

Braces

The first point to consider when comparing removable invisible aligners vs braces orthodontics is their level of discreteness. In general, braces are less discreet than aligners, since they can be visible from the outside when a person smiles or opens their mouths. That’s because they are placed on the vestibular side (visible part of the tooth), so whether they are metal (traditional or self-ligating) or clear (ceramic or sapphire brackets), they will always be less discreet than aligners.

Lingual braces, on the other hand, are the single exception to visible braces. They are placed on the lingual side (part of the tooth facing inside the mouth), so they are not as visible from the outside.

Aligners

As for the aligners, they tend to be more discreet than traditional braces. Why? Well, because instead of pieces attached to the teeth, they are splints that adapt completely to the anatomy of the teeth, and since they’re transparent, they’re almost imperceptible by others. Aligners allow you to talk and smile without anyone noticing that you wear orthodontics, making them perfect for people who work with their image or simply for those who want to maintain their usual appearance while undergoing treatment. This feature is extremely important to many patients deciding between dental aligners vs braces. 

Removability

Braces

As mentioned, braces are a type of fixed orthodontics. Therefore, patients are unable to stop wearing them at any time until the treatment is finished. What are the drawbacks of being fixed? Well, they can’t be removed to practice sports with a risk of impact, nor can they be removed for dental hygiene or the consumption of certain foods, all of which we’ll address later. Their inability to be removed for convenience is important when comparing braces vs clear aligners.

Aligners

On the other hand, we have aligners, which are fully removable. This makes things much easier, since you can take them off whenever you want, such as to eat or brush your teeth, or play sports. However, it should be noted that specialists recommend wearing the aligners for a minimum of 22 hours a day in order to successfully carry out all the necessary movements.

Comfort

Braces

When comparing clear aligners vs metal braces, comfort is another important point to consider. Braces usually cause some discomfort since there can be chafing in the soft tissues on the inside of the cheek that can end up forming canker sores or on some occasions, even deeper wounds that if the wire become displaced and protrudes into the tissue. Luckily, some of these discomforts are avoidable thanks to special waxes that can block pokes and scratches.

Patients also tend to notice some pressure on the teeth after each adjustment. This is another difference between aligners and braces, because the movements with braces are more abrupt than those made by the aligners, they can lead to discomfort in the dental arches and even minor headaches or earaches.

Aligners

The aligners are made of a rigid and robust medical quality plastic, so their surface is smooth and delicate with the mouth’s soft tissue. Because of this, it’s usually more difficult for chafing and sores to form with invisible aligners vs with braces.

As for the pressure, it’s possible to notice some when changing from one aligner to another. However, since the changes are very frequent, this sensation is hardly noticeable and is very light.

Hygiene

Braces

Maintaining oral hygiene is another major concern for those who undergo orthodontic treatment and another key difference between aligners and braces. With braces, daily oral hygiene is a bit more difficult. When we wear braces, the dental surface is no longer normal and requires more attention to detail when cleaning. In addition, another dental hygiene essential is floss. Flossing becomes much more difficult with a metal arch blocking the spaces between the teeth.

Aligners

If you’re still asking if clear aligners are better than braces, this section might answer your questions. The complications of good oral hygiene don’t exist with aligners. When you brush your teeth and floss, it's as simple as removing the aligners: leaving the teeth fully accessible for brushing just as before.

Eating habits

Braces

With braces you have to be especially careful with certain hard foods such as some breads, candies and any other food that is eaten by tearing with incisors and canines, such as apples. This is due to the fact that braces are glued to the dental surface with a special glue so if you apply too much force, they can come off. If this happens you’ll have to go to the clinic to glue them again and, therefore, lengthening the duration of orthodontic treatment.

In addition, the consumption of sticky foods such as candies or sweets can also be an issue since they’re difficult to clean. Finally, there are certain foods that should be avoided when wearing clear, ceramic or sapphire braces. Orthodontics with colored braces that mimic the natural shade of tooth enamel can easily be stained by the consumption of tea, coffee or certain spices.

This restricted diet is another reason more people are choosing invisible orthodontics when contemplating teeth aligners vs braces.

Aligners

This is another major difference between braces and aligners - with aligners you can enjoy any type of food, no problem. When you eat food, you only have to take out the aligners and store them in their box until it’s time to put them back in after brushing your teeth.

The only time we recommend being a little extra cautious is when the treatment involves the use of attachments, since these can also come off when chewing very hard food. However, treatment can continue without problem for a few days even if an attachment has become dislodged with teeth aligners vs with braces where they need to be fixed immediately. Regardless, it’s important to notify your orthodontist and fix any broken pieces as soon as possible.

Clear aligners vs metal braces: what type of orthodontic treatment is best for me?

However, you should bear in mind that, before deciding between invisible aligners vs braces and starting treatment, it’s best to consult with an orthodontic specialist to discover which is the most appropriate treatment type for your case, since each patient is different.

Braces have been the most common and well-known orthodontic option for many years. So it is not surprising that many people opt for braces vs. clear aligners when they’re unaware of the alternatives. However, today orthodontics has evolved drastically and you should consider all the options on the market.

As we’ve mentioned, the effectiveness of aligners vs braces ends up basically the same, but aligners have many additional advantages.

Impress: specialists in invisible orthodontics

If you plan to start an invisible orthodontic treatment, you’ll be in good hands at Impress. In addition to all the advantages mentioned above, with Impress you can enjoy other benefits. Like having the chance to follow your treatment from the comfort of your sofa with the Impress app. With this revolutionary method, follow-ups are done by monitoring your progress through the app alongside clinic visits. This way, face-to-face visits are reduced, avoiding the bother of frequent commutes.

At Impress we offer different types of treatments, depending on your needs and the complexity of your case, each with fixed prices and no surprises. Additionally, we also have financing options in case you’d prefer to pay for your orthodontic treatment in instalments.

At Impress we are committed to using state-of-the-art technology, so on your first visit we’ll take several X-rays and a 3D scan of your oral cavity to check the health of your mouth. And not only that, but before you start your treatment we’ll send you a video simulation of what the final results of your treatment will look like, so you get to see your future smile!

If you want to know for sure if clear aligners are better than braces for you personally, and if you’re interested in learning more about our treatment plans for adults or adolescents, get in contact with us by phone or WhatsApp at +44 20 3808 1072 or, book an appointment online through our website.

Visit us at your nearest Impress clinic to evaluate your case and discover the treatment that’s best for you. We can’t wait to meet you!