The Pros and Cons of Braces vs. Aligners

Sometimes our teeth don’t come in quite straight, or other medical or dental issues occur that can cause gaps or misalignment. Crooked teeth can impact both your smile and your oral health. Orthodontics can give you a permanent solution, and today there are more options than ever before. We’ll focus on the two most popular—braces and clear aligners.

What are orthodontics?

Orthodonture is the branch of dentistry dealing with the correction or prevention of irregularities in tooth alignment. Many dental practices also offer orthodontic treatments, so you don’t have to find another practice.

Orthodontic treatments are more than just a cosmetic solution. In addition to affecting confidence, misaligned teeth can affect oral and gum health, and can also aggravate the jaw or cause other issues. Straightening the teeth through orthodonture can help improve both the beauty and health of your smile, making it a worthwhile investment.

Things to consider in deciding on an orthodonture treatment are the level of correction needed, patient age, lifestyle, and price.

Braces and aligners are both FDA-approved orthodontic treatments, are often covered by dental insurance, and may be eligible expenses for FSAs and HSAs. The cost is usually comparable for each option, but you should consult your dentist or orthodontist.

Source: What Is an Orthodontist? What They Do, What Conditions They Treat, and What to Expect (

The case for braces

Braces is the term we use to refer to orthodontic treatment that uses metal bands, brackets, and wires to guide teeth to the desired position. Treatment with braces can also involve use of appliances such as headgear and retainers. Braces are put on by an orthodontist and require regular check-in and adjustment visits.


Whether the traditional metal braces or new lingual (behind-the-teeth) or ceramic kind, braces are effective for almost every type of case requiring orthodontic treatment. Since they adhere directly to teeth, they exert more force and are more powerful than aligners.


Braces can also move teeth into alignment fairly quickly, typically averaging a year or two. They don’t require patients to remember to do anything—they’re a “set-it-and-forget-it” treatment (other than orthodontist appointments for adjustments). This makes braces an ideal option for younger patients who may not have the discipline to monitor wearing time or to keep track of an appliance.


Today there are more options than the traditional “tin grin” option of years ago. Lingual braces are placed behind the front teeth, so they are not less visible. And ceramic braces are close to the natural color of teeth, so are less noticeable from a distance.


Braces: The Cons

Aesthetics and discomfort

Many people would rather find an alternative to traditional braces because of the aesthetic. There’s no denying that metal braces are more noticeable. Often food can get lodged in brackets on the teeth, which is unsightly. The brackets and wires can rub against the inside of the mouth, which can be uncomfortable or painful

Brushing and flossing

Similarly, brushing and flossing can be more difficult with braces, which can lead to bad breath and cavities. Your dentist can give you tips for effective brushing and flossing.

Food restrictions

Braces wearers are told to avoid certain foods, like hard candy, popcorn, and bagels. Hard, crunchy, or chewy foods can break or otherwise damage the bands and wires comprise braces.

The case for aligners


Aligners are removable, custom-made clear plastic pieces that are worn over the teeth. The dentist or orthodontist will perform a 3D scan of the patient’s mouth and then create a set of aligners out of medical-grade plastic that will move the teeth into position over time.


Aligners are a great option for patients who need relatively minor corrections. Worn correctly and for the appropriate amount of time, aligners can make a difference in patients’ smiles in 6 months to 2 years.

Nearly invisible and painless

Most aligners are clear, so are almost impossible to detect from even short distances. Since they are flush against the teeth, there is no abrasion on the inside of the mouth. There may be some pain at the start of treatment and when switching to a new aligner, but this is usually short-lived.

Easy to brush and floss

Since aligners are removable, patients can brush and floss as they normally would.

Aligners: The Cons

Requires discipline

Aligners must be worn 20-22 hours per day in order to be effective. The patient also needs to keep track of their appliances when removing them for eating, as replacements can be expensive.

Warping and staining

Since the aligners are removable, there are no food restrictions. However, the plastic they are made of can stain easily, and can also warp with heat, so certain beverages should be avoided.

More oral care

While there are no impediments to brushing and flossing, patients who wear aligners need to brush more often—after every time they eat, even snacking—to avoid bad breath and cavities.


If you or your teen are looking for orthodontic solutions in the Stafford area, come see us at Garrisonville Dental. We have options to help you get a healthy, straight smile without the discomfort or inconvenience of metal braces. We have payment plans available, and most dental insurance plans are accepted at our office. Contact us today to schedule your orthodontic appointment.