Clear braces
Ceramic clear braces work like metal braces but are less visible. How they differ, what they cost, and whether they suit your case. CDZ Ortho, Johns Creek.
What they are
Clear braces use ceramic brackets in a tooth-colored or translucent material instead of stainless steel. The mechanics are the same as metal braces: brackets bonded to the teeth, a wire running through them, the same tooth movement.
The term “clear braces” is sometimes used loosely to mean clear aligners. They are different treatments. Clear braces are fixed to the teeth. Aligners are removable. If you are comparing the two, the Invisalign® versus braces page covers the differences.
How they differ from metal
Visibility. The brackets blend with the tooth. At conversational distance they are noticeable but not obvious. The wire is still visible.
Durability. Ceramic is more brittle than steel. Brackets can chip or fracture under heavy force, which means an extra appointment to replace one.
Placement. Because of that fragility, clear brackets are often used on the upper teeth only, with metal on the lower where they are less visible and the bite forces are higher.
Cost. Clear braces cost more than metal. The difference is given to you at the consult.
Treatment time. Similar to metal for most cases. Some complex movements are slower because lower forces have to be used.
Staining
The ceramic brackets themselves do not stain. The elastic ties around them can, particularly with coffee, tea, red wine, and curry. Ties are changed at every adjustment visit, so any discoloration is temporary.
Some bracket systems use a built-in clip instead of elastic ties, which avoids this.
Who they suit
Adults and older teenagers who want a fixed appliance but would prefer it to be less visible. Patients whose case is not well suited to aligners but who care about appearance during treatment.