The concept of orthodontics has been around for thousands
of years. Some Egyptian mummies were founding with crude metal bands around
their teeth. Writings by ancient Greek historical figures Hippocrates and
Aristotle also contained references to teeth structure and anomalies.
As we know it today, modern orthodontics believes to have
begun with the work done by Pierre Fauchard in the 18th century. Fauchard
invented the bandeau, a horseshoe-shaped metal appliance designed to
correct the alignment of teeth. Since then, devices used to correct crowded and
misaligned teeth or jaws have evolved dramatically. Today, we have the
privilege of orthodontic brace design options that are as close to perfect as
possible.
While traditional metal orthodontic braces have been the
most popular option available to patients over the last few decades, the search
for more innovations in orthodontia never stopped. In recent years, the
constant search yielded the Invisalign, an orthodontic device made of
transparent plastic meant to be an alternative to traditional metal braces.
Today, Invisalign for adults and kids are growing in popularity, but
are they better than conventional metal braces, or is it the other way around?
Let’s compare traditional metal braces with Invisalign to
see how both would fare in specific areas.
Braces
vs Invisalign
Cleaning
and Patient Compliance
Invisalign aligners are removable, which many people find to be one of
its more attractive features. Over a series of months, patients who opt for
Invisalign will use a series of removable plastic trays to move their teeth
into their intended position.
With Invisalign aligners, cleaning your teeth becomes so much easier,
since you won’t have to brush or floss your way around metal wires in your
mouth. Whenever you need to clean your teeth and gums, you can remove your
Invisalign aligners, do your oral hygiene routine, and pop them back in once
you’re finished.
Traditional metal braces, on the other hand, cannot be removed by the
person wearing them. They will stay in place for the entire duration, which
could take as long as two years. Some people see it as a downside of wire-based
dental appliances, but it’s one of the best things about them.
With traditional braces being unremovable, their job of continuously
shifting misaligned teeth to their proper positions will never be interrupted,
not even for a second. The fact that removal is not an option with braces
ensures 100% patient compliance, which is crucial to getting the best results
possible. The same cannot be said of Invisalign, which requires replacing
periodically.
Many parents choose traditional metal braces for their kids precisely
because they cannot remove them on a whim. They’re also a much more practical
option for adults who are likely to take out any teeth straightening appliance
from their mouth whenever they want.
Appearance
Let’s face it: people tend to make fun of people with conspicuous metal
wires and elastic bands tying them together inside their mouths. Some may be
able to take all the ribbing in stride, but some simply cannot.
If you belong to the latter group and need to straighten your teeth
without being at the receiving end of jokes, Invisalign aligners would be more
suitable. After all, the plastic trays are transparent and are practically
undetectable when you wear them. With Invisalign, you won’t have to smile with
your mouth closed anymore!
Tooth Movement
An Invisalign tray exerts much of its
pressure on the upper part of your tooth. On the other hand, traditional metal
braces apply pressure on the entire tooth, including the root. That means
braces push the teeth into the target position from top to bottom.
Food Options
One of the more common complaints people have about traditional dental
braces is that food particles often get caught in their wires and brackets
whenever they eat. Carrots, apples, bagels, nuts, celery, and any other type of
food that requires a lot of biting and chewing to eat are typical no-nos for
those with braces.
With Invisalign, you can eat all of the food mentioned above, and more.
All you have to do is remove them when you eat, then brush and floss afterward
before putting your aligners back on.
Complicated Cases
Not all tooth alignment issues are the same. Some are simple, while
others can be a bit more complicated.
A prime example of a complicated tooth alignment problem is
severely-rotated teeth. Invisalign trays will have a hard time holding onto a
rotated molar, especially if the rotation is at or over 20 degrees. With that
kind of difficulty gripping it without slipping, Invisalign trays will not be
able to move it.
There would be no such problems with traditional dental braces since
they are firmly affixed to the tooth.
Comfort
When it comes to comfort, Invisalign has a distinct advantage, if only
for the fact that it’s made of clear and smooth plastic and not metal. The
absence of brackets that can cause mouth sores and even cuts also has it going
for Invisalign trays.
Since traditional braces cannot be removed, the teeth’ pressure is
constant, which can be quite uncomfortable for the wearer if they still haven’t
gotten used to it. Some even complain of headaches. Invisalign wearers,
meanwhile, can relieve some of the pressure on their teeth by removing them
from time to time, which, of course, is not recommended.
Longevity
The traditional metal brace has been around long enough to evolve into
the near-perfect dental appliance we use today. Over the centuries, it has
helped countless people straighten their teeth. There is little to nothing left
to question its effectiveness at its job.
Invisalign, meanwhile, only hit the market in 1998. While it has shown a
lot of promise in several aspects, it does have several limitations.
Aside from severely-rotated teeth, Invisalign is also not considered the
best option for teeth that are angled over 45 degrees from ordinary, crowded
teeth, larger-than-usual tooth spacings, and severe deep overbites.
Then again, Invisalign, like traditional braces, is likely to evolve
some more in the years to come. With new technologies, Invisalign’s idea of
overcoming its limitations in the future won’t be far fetched.
Cost
Traditional metal braces generally cost less than Invisalign aligners.
Depending on the complexity or severity of your orthodontic problems, the
orthodontist’s office’s location, and the level of the orthodontist’s
expertise, braces can cost you anywhere between $2,500 and $6,000.
As for Invisalign, the same factors mentioned above also matter, plus
the number of Invisalign trays required throughout the recommended treatment
period, which could last six months or up to 18. Invisalign treatment can set
you back $3,500 to $8,000.
Which One Is Best For You?
When you’re deciding between traditional metal braces and Invisalign,
take the pros and cons mentioned above into account, and more importantly, go
with whatever your orthodontist recommends for your particular case.
Discuss your case with your orthodontist, make your specific needs,
aesthetic concerns, and motivations very clear. It would help if you also were
upfront about how committed you are because wearing dental appliances for an
extended period requires a certain level of commitment.
As long as you follow your orthodontist’s orders to the letter, your
teeth will end up better-aligned, regardless of the teeth-straightening
technique you choose.