Lingual braces are a type of invisible orthodontic treatment that is placed behind the teeth instead of the front, making them completely hidden from view. They function similarly to traditional metal braces but offer a discreet solution for people who want to straighten their teeth without visible braces.
If you’re considering lingual braces, here’s everything you need to know before starting your orthodontic journey.
Lingual braces work just like traditional metal braces by using brackets and wires to apply gentle pressure to move teeth into the desired position. However, they are custom-made and attached to the inner (lingual) surface of the teeth.
Brackets: Small metal brackets are bonded to the back of each tooth.
Archwire: A thin wire runs through the brackets, applying pressure to shift the teeth.
Elastic Bands (If Needed): Small rubber bands may be used to fix bite issues.
Since lingual braces are customized for each patient, the brackets are shaped to fit the unique curves of your teeth, making them more comfortable and effective.
Lingual braces are ideal for:
✔ Adults and teens who want a completely hidden orthodontic treatment
✔ People with mild to severe misalignment
✔ Individuals with spacing issues, overbites, underbites, or crowding
✔ Professionals, actors, or public speakers who need a discreet treatment option
✔ Completely Invisible – Placed behind the teeth, making them undetectable.
✔ Effective for All Cases – Can fix severe misalignment, just like metal braces.
✔ No Risk of Front Teeth Staining – Unlike traditional braces, lingual braces don’t stain the front of teeth.
✔ Custom-Made for Comfort – Each bracket is uniquely shaped for the patient’s teeth.
❌ More Expensive Than Other Braces – Costs NPR 150,000+ due to customization and special expertise required.
❌ Longer Adjustment Period – May take more time to get used to speaking and eating.
❌ Can Cause Tongue Irritation – Brackets at the back of the teeth may irritate the tongue in the beginning.
❌ Difficult to Clean – Requires extra effort in brushing and flossing.
Lingual braces are one of the most expensive orthodontic treatments due to their customization and the specialized training required for orthodontists to apply them.
📌 Average Cost: NPR 150,000+
📌 Initial Deposit: NPR 20,000 – NPR 30,000 (during bonding of braces)
📌 Monthly Installments: NPR 4,000 per visit until the total cost is covered
📌 X-Rays Required: OPG and Lateral Cephalogram (NPR 1,000 each, done externally)
The duration of treatment depends on the severity of misalignment:
📅 Mild cases: 12 – 18 months
📅 Moderate cases: 1.5 – 2.5 years
📅 Severe cases: 2 – 3 years
Lingual braces may take longer than traditional braces because they apply force from behind the teeth, which can slow tooth movement.
1️⃣ Consultation & X-Rays – The orthodontist examines your teeth and takes X-rays to create a treatment plan.
2️⃣ Teeth Cleaning & Preparation – Your teeth are cleaned before applying brackets.
3️⃣ Brackets Bonding – Custom lingual brackets are glued to the back of the teeth.
4️⃣ Archwire Placement – A metal wire is inserted through the brackets.
5️⃣ Final Adjustments – The orthodontist checks everything before you leave.
📌 Total Time: 1.5 to 2 hours
📌 Mild Pain or Discomfort: You may feel discomfort and tongue irritation for the first few weeks.
📌 Speech Changes: A temporary lisp may occur, but speech returns to normal in 1-2 weeks.
📌 Eating Adjustments: Eating soft foods is recommended in the beginning to avoid discomfort.
📌 Brushing & Flossing Difficulty: Requires special flossers and interdental brushes to clean around brackets.
🦷 Brush After Every Meal – Use a soft-bristled toothbrush or an electric toothbrush for thorough cleaning.
🦷 Floss Daily – Use a floss threader or a water flosser to remove trapped food particles.
🦷 Use Mouthwash – Helps prevent plaque buildup around brackets.
❌ Hard foods (nuts, popcorn, ice, hard candies) – Can break brackets.
❌ Sticky foods (chewing gum, caramel, toffee) – Can get stuck behind the brackets.
❌ Sugary foods (soft drinks, sweets) – Increases the risk of cavities.
Patients must visit their orthodontist every 4 to 6 weeks for adjustments. During these appointments:
✔ The orthodontist tightens the wires to continue tooth movement.
✔ Broken brackets or wires are repaired.
✔ Oral hygiene is checked.
Missing appointments can delay treatment progress.
Once treatment is complete, the orthodontist will:
Remove brackets and wires using special tools (painless process).
Clean off remaining glue from your teeth.
Take impressions for retainers to maintain your new smile.
📌 Time Taken: 30 – 60 minutes
Since teeth have a tendency to shift back, retainers are necessary after treatment.
📅 Wear Schedule:
Full-time for 6 months
Night-time for several years
📌 Types of Retainers:
✔ Fixed Retainers (Permanent) – A thin wire bonded behind your teeth.
✔ Removable Retainers (Clear or Hawley) – Worn at night to maintain alignment.
If you’re looking for a completely invisible orthodontic solution that delivers effective results, lingual braces are an excellent choice. They may take longer to adjust to and require extra care, but they provide discreet teeth straightening for those who prioritize aesthetics.
✅ Adults & Teens who need a 100% hidden orthodontic solution
✅ Professionals, public speakers, and performers
✅ People who want an alternative to clear aligners but need strong correction
With patience and proper care, lingual braces can give you a perfect, straight smile without anyone even noticing! 😁
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