Metal vs Lingual Braces: Pros, Cons & Comfort

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  • Ezabell Turner

    Ezabell Turner

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    Meet Emma Turner, a creative mind with a flair for design and an ardent supporter of SmilePath’s mission. Emma's journey intertwines her...

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  • Dr. Narmeen

    Dr. Narmeen

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    Dr. Narmeen is a dedicated and passionate orthodontist at SmilePath Australia, committed to creating confident smiles through exceptional orthodontic care. With her...

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An illustration shows the distinction between metal and lingual braces

Getting that dream smile has never been more within reach, and braces still stand out as one of the best ways to get there. Thanks to significant advancements in dental technology, traditional bulky metal braces are no longer your only option. Today, you have more subtle options like lingual braces, ceramic braces, etc. that cater to different needs in comfort, visibility, and effectiveness. But which one is the right fit for you?

In this guide, we’ll compare lingual and metal braces. We’ll explore comfort, pros and cons, and what adults especially need to think about when choosing braces. Whether you’re picking for yourself or helping someone close to you, we’ll walk you through everything you should know about traditional braces and the nearly invisible kind that hide behind your teeth.

Metal Braces: The Go-to Classic

A girl is wearing metal braces
Metal braces

Metal braces have been the trusted choice for generations. They use stainless steel brackets and wires placed on the front of your teeth, and regular adjustments gently move your teeth into place over time.

Pros of Metal Braces

Proven Track Record

Millions have successfully used them—they’re great for tackling even the trickiest dental issues.

Effective for All Ages

Although commonly associated with teenagers, many adults choose metal braces for their effectiveness and faster, more visible results.

Cost-Effective

Metal braces are generally cheaper than other options and more likely to be covered by dental insurance.

Durable

Made from high-grade stainless steel, they’re built to last and withstand wear and tear.

Fast Results

Their strength allows for precise movements, often meaning faster progress.

Cons of Metal Braces

Aesthetic Drawback

They’re noticeable, which might be a turn-off if you’re self-conscious about your smile during treatment.

Discomfort

The brackets and wires can irritate the inside of your mouth, especially right after an adjustment.

Food Restrictions

You’ll have to avoid sticky or crunchy foods that could break your braces.

Maintenance

Cleaning around the wires and brackets takes extra time and care to avoid plaque buildup.

Exploring Lingual Braces: The Invisible Alternative

A close-up of a girl wearing lingual braces
Lingual braces

Lingual braces work just like traditional braces—but with a twist. They’re attached to the back of your teeth (the lingual side), making them almost impossible to see. That’s why people often call them “behind-the-teeth” braces.

Pros of Lingual Braces

Practically Invisible

Since they’re tucked behind your teeth, no one will know you’re wearing braces unless you tell them.

Effective for Complex Cases

Just like metal braces, they can fix crowding, spacing, and bite problems.

Custom-Made

These braces are designed specifically for your mouth, which can improve both fit and comfort.

No Risk of Visible Discoloration

Since they’re hidden, any minor staining during treatment stays out of sight.

Cons of Lingual Braces

Adjustment Period

At first, they might feel strange and can cause your tongue to feel sore or affect your speech.

Higher Cost

Because of the custom design and trickier placement, lingual braces cost more.

Harder to Clean

Since they’re on the back side of your teeth, brushing and flossing takes more effort.

Limited Availability

Not every orthodontist provides lingual braces—it takes special training to put them on properly.

Common Adult Braces Options: Metal, Lingual & More

Here’s a quick overview of popular types:

1. Metal Braces
  • Best for: Major crowding or bite correction
  • Pros: Affordable, efficient, proven results
  • Cons: Highly visible
2. Lingual Braces
  • Best for: Adults prioritizing aesthetics
  • Pros: Hidden from view, effective
  • Cons: Pricier, affects speech initially
3. Ceramic Braces
  • Best for: Those wanting a balance between subtlety and strength
  • Pros: Tooth-colored, less noticeable
  • Cons: More delicate, can stain
4. Clear Aligners

Are aligners a good alternative? Let’s see:

  • Best for: Mild to moderate alignment issues
  • Pros: Removable, nearly invisible, comfortable
  • Cons: Not ideal for more complex cases

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Consult an orthodontist who understands your lifestyle and smile goals. Sometimes, a combination of different types can offer the best outcome.

Lingual vs Metal Braces Comparison

Let’s dive into a detailed comparison of lingual vs. metal braces to help you determine which option aligns best with your lifestyle and orthodontic goals.

Feature Metal Braces Lingual Braces
Visibility Highly visible Hidden behind teeth
Comfort Moderate, can irritate cheeks Initially uncomfortable for the tongue
Customization Standard brackets Custom-made for each patient
Treatment Time Often shorter Can be similar or slightly longer than traditional braces
Complex Cases Very effective Equally effective
Speech Impact Minimal May cause a temporary lisp

Are Lingual Braces More Comfortable than Metal Braces?

Comfort varies depending on individual preferences, mouth anatomy, and treatment plan. So, are lingual braces more comfortable than metal ones?

At first, many people find metal braces easier to get used to because they don’t impact the tongue. But over time, lingual braces can feel more comfortable since they don’t irritate the cheeks or lips.

That said, people with lingual braces sometimes experience:

  • Tongue irritation or ulcers
  • Difficulty pronouncing certain words
  • A longer adjustment period

Meanwhile, those with metal braces often report:

  • Soreness on the inside of the lips and cheeks
  • Wires poking occasionally
  • Tightness after adjustments

Bottom Line: Both types need an adjustment period. If you value discretion more than initial comfort, lingual braces may be a better option.

Invisible Braces behind Teeth: A Subtle Solution for Adults

If you're an adult hesitant about wearing visible braces, behind the teeth braces (lingual braces) can be a game-changer. They deliver effective results with barely any visible hardware.

Why Adults Lean toward Lingual Braces:

  • Work-Friendly: They don’t interfere with your look at work or in social settings.
  • Low-Key Smile Makeover: Your teeth straighten without anyone noticing.
  • Customized Fit: Each set is tailored, often making them fit adult mouths more precisely.

Still, metal braces remain a viable choice for adults. Many opt for ceramic brackets as a less noticeable middle ground, offering the reliability of metal with a softer appearance.

Cost Breakdown: Lingual vs. Metal Braces

Here’s a look at the average price range of both braces:

Braces Type Average Cost
Metal Braces $3,000 - $7,000
Lingual Braces $8,000 - $10,000

These prices vary depending on:

  • Treatment duration
  • The complexity of your case
  • Your location and orthodontist’s experience
  • Insurance coverage

While lingual braces cost more, many adults see the added discretion and personalization as a worthwhile trade-off.

Traditional Orthodontic Appliances vs Modern Needs

Metal braces are evolving, but the demand for discreet, lifestyle-friendly treatments is reshaping the orthodontic landscape. Behind-the-teeth options meet these modern expectations without compromising results.

What Adults Typically Look For

  • Discreet treatments
  • Shorter treatment time
  • More comfortable appliances
  • Predictable, visible progress
  • Reasonable costs

The good news? Whether you choose metal or lingual braces, modern orthodontics gives you options to suit your needs.

Expert Opinions: What Orthodontists Say?

Dr. Erfan Salloum on Lingual Braces

Dr. Erfan Salloum, a specialist orthodontist based in Dublin, emphasizes the importance of seeking experienced professionals for lingual braces:

"While some may shy away from lingual braces, experienced orthodontists who specialize in this technique can offer exceptional results. With extensive training and hundreds of successfully treated cases, these professionals are well-equipped to provide customized lingual braces that are discreet and effective.”

Dr. Greg Jorgensen on Lingual Braces Effectiveness

Dr. Greg Jorgensen, a certified orthodontist, discusses the effectiveness of lingual braces:

"Teeth move when force is placed upon them. That force can arise from braces on the outside of the teeth, plastic aligners, thumbs, and yes... even braces on the inside. The choice of where the braces are placed is only determined by the experience of the orthodontist."

Which Braces Are Right for You?

Ask yourself:

  • Do I care if people can see my braces?
  • What’s my budget?
  • Can I keep up with cleaning around complicated appliances?
  • How much time can I realistically commit?

If appearance is your main concern and you’re okay with the price, lingual braces could be perfect.

If practicality and affordability top your list, metal braces are probably a better fit.

Final Take: Metal vs. Lingual Braces

Your ideal braces come down to what matters most to you: looks, cost, comfort, and how much you’re willing to adapt.

Quick Recap:

  • Go with metal braces if you want reliable results at a lower cost and don’t mind them being visible.
  • Choose lingual braces if you want your treatment to stay out of sight and are willing to adjust to the higher cost and learning curve.

Either way, today’s orthodontic tools are better than ever—more effective, more comfortable, and more suited to your lifestyle.

FAQs

Are lingual braces better than metal?

Lingual braces are better for those seeking discreet treatment, as they’re placed behind the teeth. However, metal braces are generally more affordable and easier to maintain, especially for complex orthodontic issues.

Are lingual braces more comfortable?

While lingual braces are less visible, they can initially feel less comfortable than metal braces due to tongue irritation and speech difficulties. Most users adjust within a few weeks.

What are the disadvantages of lingual braces?

Lingual braces can cause tongue discomfort, affect speech, be harder to clean, and are often more expensive than traditional metal braces.

What is the most comfortable type of braces?

Clear aligners are generally considered the most comfortable, followed by ceramic braces. Lingual and metal braces may take longer to get used to.

Citations:

Fujita, K. (1979). New orthodontic treatment with lingual bracket and mushroom archwire appliance. American Journal of Orthodontics, 76(6), 657–675. https://doi.org/10.1016/0002-9416(79)90227-8

Echarri, P. (2006). Lingual Orthodontics: A New Approach Using STb Light Lingual System and Lingual Straight Wire. Journal of Clinical Orthodontics, 40(9), 544–553.

Khattab, T. Z., Farah, H., & Al-Sabbagh, R. (2013). Effectiveness, acceptability, and adverse effects of lingual versus labial fixed orthodontic appliances: A systematic review. European Journal of Orthodontics, 35(5), 629–637. https://doi.org/10.1093/ejo/cjs096

Wu, A. K., McGrath, C. P., & Wong, R. W. (2010). A comparison of pain experienced by patients treated with labial and lingual orthodontic appliances. European Journal of Orthodontics, 32(4), 403–407. https://doi.org/10.1093/ejo/cjp131

Pauls, A., Nienkemper, M., & Wiechmann, D. (2013). Oral discomfort, function impairment, and pain in patients with conventional and lingual orthodontic appliances: Randomized controlled trial. American Journal of Orthodontics and Dentofacial Orthopedics, 144(6), 799–806. https://doi.org/10.1016/j.ajodo.2013.07.010

Scuzzo, G., & Takemoto, K. (2007). Invisible orthodontics: Current concepts and solutions in lingual orthodontics. Quintessence Publishing.

Papageorgiou, S. N., Konstantinidis, I., Papadopoulos, M. A., & Eliades, T. (2014). Efficiency of non-conventional orthodontic treatment modalities: A systematic review and meta-analysis. Journal of Dentistry, 42(8), 953–969. https://doi.org/10.1016/j.jdent.2014.04.018

Long, H., Wang, Y., Jian, F., Liao, L. N., Yang, X., Lai, W., & Hu, J. (2011). The effectiveness of fixed orthodontic appliances: A meta-analysis. American Journal of Orthodontics and Dentofacial Orthopedics, 139(3), 317–322. https://doi.org/10.1016/j.ajodo.2010.08.023

  • Ezabell Turner

    Ezabell Turner

    Content Contributor

    Meet Emma Turner, a creative mind with a flair for design and an ardent supporter of SmilePath’s mission. Emma's journey intertwines her...

    Read More
  • Authored by
  • Dr. Narmeen

    Dr. Narmeen

    Medical Reviewer

    Dr. Narmeen is a dedicated and passionate orthodontist at SmilePath Australia, committed to creating confident smiles through exceptional orthodontic care. With her...

    Read More
  • Reviewed By
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