iStomatolog > Orthodontic treatment > Lingual braces

Лингвальные брекеты

Classic braces are noticeable during a smile, and many young people feel that their appearance has become less attractive. In fact, people quickly get used to the changed appearance and do not notice the defect. But there are people who feel uncomfortable wearing visibly noticeable orthodontic structures. These include professionals in public professions - artists, tour guides, educators, and television presenters.

To correct defects in such cases, hidden braces are used. Lingual braces are also chosen by those who consider external structures to be insufficiently aesthetic.

What is a lingual bracket system?

A lingual bracket system is an orthodontic construction fixed on the lingual (inner) side of teeth. It is completely invisible to others. The system consists of the same elements as vestibular apparatuses, but its installation requires special skills.

To make the inner bracket system, manufacturers use several types of metals characterized by certain properties. The components for creating alloys are titanium, chromium, nickel, cobalt, stainless steel, platinum, and gold.

Like vestibular constructions, the lingual bracket system is designed to correct dental defects, including improper bite, improper tooth positioning in the row, and some other flaws.

Advantages of lingual constructions

The main advantage of lingual braces is their invisible placement. Preserving aesthetic appearance is the basis for psychological comfort for public and shy people. Other advantages include:

  • the ability to predict the course of orthodontic treatment and make changes if necessary;
  • the patient can see the final result through computer 3D modeling;
  • the inner surface of the cheeks and lips is not traumatized;
  • high durability of the construction;
  • neutral composition of alloys (does not cause allergies).

Lingual braces are often chosen by athletes engaged in contact sports (boxing, all types of wrestling). The hidden structure will not be damaged in case of mechanical impact on the face.

Disadvantages

Disadvantages include the high cost of the construction, a longer adaptation period (braces cause increased salivation), and changes in speech in the first ten days. In the first few days after installation, lingual braces may irritate the tongue. Over time, unpleasant sensations go away.

 

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    Indications for lingual bracket system

    Indications for lingual bracket system installation include:

    • malocclusion;
    • incorrect tooth alignment in the dental arch;
    • anomalies in the relationship between dental arches;
    • other defects that can be corrected with orthodontic construction.

    The effectiveness of lingual braces is comparable to vestibular systems, but the correction period is longer, approximately by 4-5 months.

    Contraindications for using lingual bracket system

    There are several contraindications for installing lingual braces, including:

    • age under 12 (all permanent teeth must have erupted);
    • excessive crowding of teeth in one jaw;
    • narrow jaw;
    • inadequate height of tooth crowns;
    • bruxism;
    • presence of implants;
    • some temporomandibular joint disorders.

    Lingual braces are not installed in people who cannot independently perform oral hygiene procedures. The construction requires regular and thorough care.

    Stages of installing a lingual bracket system

    The procedure for installing lingual bracket systems is not fundamentally different from fixing vestibular appliances. The preparatory period includes diagnosis (CT scan, X-ray), professional cleaning, and sanitation of the oral cavity.

    Next, based on diagnostic conclusions, computerized 3D modeling of the system is carried out, and an orthodontic apparatus is made for the correct fixation of the brackets. Personalization of each bracket unit is a priority.

    Next, the following actions are performed:

    • polishing and processing of enamel on the inner surface of the teeth;
    • fixation of special pads connected to each other;
    • attachment of brackets to the pads using adhesive composition;
    • extension of the force arch into the bracket slots and its fixation on the locks.

    If the brackets are ligated, elastic rubber bands are used to connect them to the arch. In a self-ligating system, special clips located on the locks are provided for attaching the brackets to the force arch.

    Lingual bracket designs

    Several manufacturers produce lingual brackets, and each branded design has its own set of features related to the technologies and materials used. The leaders in this field are US and German companies.

    The STB system is produced by the US company Ormco. The brackets have a smooth anatomical shape and are made of a cobalt-nickel alloy. The thickness of the elements is 1.5 mm, and the length is 4.57 mm. The design is in the budget class and is template-based, unlike other lingual systems where each element is custom-made.

    The In-Ovation L design is a development of the company GAC Dentsply. The brackets have a round shape, fit closely to the teeth, and have miniature dimensions. The system is made of a hypoallergenic alloy.

    Incognito is a premium-class orthodontic construction from the German company Top Service. The braces are made of a biocompatible lightweight alloy of gold and platinum. The arch wire applies precise pressure to problem areas. The brackets have a thickness of 2mm, so the construction hardly protrudes beyond the teeth. The basis for designing the Incognito system is three-dimensional modeling, taking into account all the nuances of jaw structure. The lingual construction is manufactured using CAD/CAM milling technology. The construction is suitable for correcting all types of correctable defects, including all degrees of malocclusion.

    The Win system from Top Service is characterized by its small size and flat shape of the brackets. Patients quickly get used to the orthodontic construction, and it hardly creates any discomfort even at the initial stage. The system is highly effective, and its cost is significantly lower than that of Incognito braces.

    The 2D system from the German company Forestaden is characterized by small bracket thickness and a very smooth surface, providing fast adaptation and allowing for normal speech.

    Care for lingual braces

    Teeth should be cleaned twice a day for at least three minutes each time, and after every meal. Cleaning is done using two brushes with a V-shaped cut and a single tuft (monotuft). An irrigator must be used to irrigate the oral cavity, wash away food particles from the gaps between the teeth and braces. In addition to the irrigator, dental floss, interdental brushes, special orthodontic toothpaste, foam for cleaning braces, and mouthwash should be part of the routine. The brushes are available in several models, including cylindrical, conical, and curved shapes. The orthodontist will advise on which cleaning tools and braces should be purchased and will help to compile an orthodontic kit.

    What foods should be avoided during orthodontic treatment?

    Sticky, fibrous, hard meat, nuts, seeds, and other types of food that can scratch or deform orthodontic elements should be excluded from the diet. Pigmented drinks, ice cream, and excessively hot food should also be avoided.

    Benefits of the iStomatolog clinic

    Our clinic uses cutting-edge orthodontic techniques, advanced equipment and materials. We value your trust and always demonstrate high professionalism, based on our deep knowledge of the field, ability to choose the most effective treatment method, and careful attention to the patient's needs.

    How is the price for lingual braces calculated?

    The cost of orthodontic treatment depends on the complexity of the pathology and the chosen model of the bracket system. It is also necessary to take into account the need for diagnosis, teeth sanitation, professional cleaning, visits to the orthodontist for activation of the construction, removal of the bracket system, production of retention caps and retainers.

    Full Price list of dental clinic services is available at the following link 

    FAQ

    The speech apparatus adapts fairly quickly to the changes. As a rule, difficulties in pronunciation (especially with fricatives) are observed for 7-10 days, after which speech is restored.
    Using a regular brush is useless as it does not clean the structure in hard-to-reach areas. Electric brushes can be used, but only with orthodontic attachments and soft bristles.
    Lingual braces are made of special alloys with a mesh base surface that provides a very tight fit to the enamel. Cases where the brace comes off are very rare.
    To maintain proper tooth position after braces are removed, thin wire devices called retainers are used. They are fixed to the inner side of the teeth and prevent tooth shifting.
    Tight-fitting braces do not damage teeth. The appearance of cavities can be caused by negligent or improper oral care during orthodontic treatment.
    Adapting to lingual braces takes 7-10 days. All unpleasant sensations will pass, and a beautiful smile is worth enduring a little discomfort.
    Lingual braces

    Article author:

    Olena Daynetska, chief Doctor of iStomatolog Dental Center

    During a consultation at iStomatolog dental clinic, you have the opportunity to receive digital and video diagnostics, a detailed treatment plan, as well as the overall cost of all stages of treatment.

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    Стоматология супер! Обслуживаемся всей семьёй уже 13 лет. В основном у Ирины и Елены на м. Дарница. Качеством очень довольны! Персонал опытный и приятный) Однозначно рекомендую !!! Спасибо вам за ваш труд!
    Досвід лікування моїх зубів і приведення у задовільний стан мою посмішку має чималу історію (для інформації, мені за 50). Це пломби у більшості зубів, брекет системи і навіть спроби змінити форму зубів. Щось виходило, але не з першого разу, щось не виходило і намагання повернутись до цієї проблеми не сприймалися схвально. У додаток до всього цього сам процес лікування затягувався на довгі місяці.
    Що мене очікувало в центрі iStomatolog.
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    2. Відсутність зайвого. Персонал і лікарі тебе не обтяжують. Їх стільки, скільки має бути.
    3. Без сумніву професіоналізм. Тебе вислухать, і обов'язково запропонують варіанти лікування. Що безцінно, це те, що тобі в першу чергу будуть пропонувати максимально зберегти свої зуби.
    4. Відсутність бажання затягнути процес лікування на рік (якщо у тебе проблема не одного чи двох зубів). Головне, щоб дозволяли працювати ясна (їх стан).
    5. Матеріали з якими працюють лікарі. Це виключно японський виробник.
    І нарешті результат, який я навіть вже і не очікувала.
    Лена, дякую тобі ВЕЛИЧЕЗНЕ за твою роботу. Тобі і твоїй команді.
    Nice clinic. Very attentive doctors, very nice people. Competent in their job. All procedures, implantation, crown installation in 1 day, filling - everything is absolutely performed according to the protocols. The clinic is clean, tea and coffee will be offered. Protection against covid is carried out - everyone is wearing masks, shoe covers, the temperature is measured. Thank you very much to Maxim Valerievich, Elena Dainetskaya, Lidia Vladimirovna. We wish you prosperity!
    Якби мені раніше хтось сказав що я полюблю ходити до стоматолога, то я б не повірила)
    Але тут працюють дуже відповідальні, приємні і турботливі професіонали! Дякую всій команді цієї стоматології, і окремо дякую моєму стоматологу Пекарському Віталію за прекрасну роботу. Тепер я і солодке їм без болі, і більше посміхаюсь ☺️
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    I would like to express my deep gratitude to Elena Sergeevna Dainetskaya. We have been treating teeth with the whole family for more than 10 years and we thank God that we have fallen into these wonderful hands! A very professional and competent doctor, kind, sensitive and always worried about his patient. There would be more such doctors in our medicine!I wish you health, success and prosperity in your work.I RECOMMEND iStomatolog clinic and Dr. Elena Sergeevna to everyone.
    С 2007 года iStomatolog наша семейная стоматология. Почему? Потому что кто лучше делает своё дело, если оно семейное и уже в третьем поколении. Я пришёл по рекомендации моего друга Антона на приём к Ларисе Викторовне. Она сказала мне сразу: «я не вырву не одного зуба если за него можно бороться» Пол года лечения и сейчас у меня только раз в 6 месяцев профилактика. Супруга, дочь, моя мама (83 года) все доверили свои зубки iStomatolog. Правда уже Елена Сергеевна (старшая дочь Ларисы Викторовны) руководит клиникой. Строгая, но наверно так и надо, а то мы всегда пытаемся отсрочить, откладываем на потом профилактику, а потом выкладываем огромные деньги что бы спасти уже гнилой зуб. В этой стоматологии принцип очень простой: делай качественно, относись к людям по человечески, предупреди заранее (ну ведь забываем и «забиваем» на это). Многие подумают заказная статейка. Нет, просто мне повезло, я нашёл тех кому не безразлично мое здоровье и посчитал своим долгом перед Вами, рекомендовать стоматологию iStomatolog.
    Так случилось, что в "iStomtolog", я попал по настоятельной рекомендации побратима. Имея, без преувеличения, огромные проблемы с зубами, могу вас уверить, это место где вам реально помогут! Теперь по выполненным работам: поснимали камни и налет, пролечили каналы, поставили 8 коронок и 1 винир, 3 импланта. Объем работ просто огромный. Хочу поблагодарить Елену Дайнецкую и всю ее команду за профессионализм, позитив и замечательную домашнюю атмосферу в клинике.
    Все мы знаем, как сложно выбрать хорошего врача, но могу с уверенностью сказать, приходите в клинику “IStomatolog”- здесь Вы найдете лучшего доктора Виталия . Очень хороший доктор-внимательный, доброжелательный, настоящий профессионал своего дела. Спасибо за Ваш труд, желаю Вам благополучия и успехов! А еще в кабинете чистота, комфорт, свежий воздух и приятная музыка. Рекомендую☝️
    Отличная стоматология. Быстро и качественно оказывают услуги, ничего лишнего не навязывают. Вежливый и обходительный администратор. Очень рекомендую. Теперь по всем зубным вопросам только туда.
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    Всі лікарі уважні, професійні, з щирою турботою про пацієнта. Запам'яталось, як мені років п'ять тому довго і терпляче спасали майже безнадійний зуб, зіпсований в іншій клініці — спасли, стоїть свій зуб, а міг би вже бути імплант.

    Дуже рекомендую.

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