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What Are Lingual Braces?

Lingual braces work exactly like traditional metal braces — using metal brackets and an archwire to apply controlled pressure that gradually moves teeth into their correct positions. The key difference is that lingual brackets are bonded to the back surface of the teeth rather than the front, making them completely invisible when you smile or speak. They are one of the only fixed orthodontic options that offers full correction with zero visible hardware, making them a particularly popular choice among adults and professionals who are concerned about appearance during treatment.

Dr. Ron Hessamfar DMD MS orthodontist at American Braces and Smile Center Northern Virginia

Pros of Lingual Braces

  • Completely invisible: Because the brackets are placed behind the teeth, lingual braces are entirely hidden from view — no one will know you are wearing braces unless you tell them.
  • Same treatment effectiveness as traditional braces: Lingual braces use the same mechanics as metal braces and can treat the same range of alignment and bite issues, including complex cases.
  • Fixed appliance reliability: Like all fixed braces, lingual braces work continuously without requiring the patient to remember to wear them — treatment stays on track around the clock.
  • Ideal for adults and professionals: For patients in social or professional environments where appearance matters, lingual braces offer full correction without compromising how you look during treatment.

Cons of Lingual Braces

  • Temporary speech adjustment: It is common for speech to be temporarily affected for around two weeks after placement as your tongue adjusts to the presence of brackets behind the teeth. This resolves quickly for most patients.
  • Tongue irritation: The brackets sit close to the tongue and may cause some initial irritation. Orthodontic wax can help alleviate discomfort while your mouth adjusts.
  • Higher cost: Lingual braces require custom fabrication and a more complex placement process, making them the most expensive fixed brace option. Financing options are available at ABSC.
Dr. Hessamfar AAO American Association of Orthodontists member Northern Virginia

Lingual braces are an excellent option if you want fully invisible orthodontic treatment and have a case that is too complex for clear aligners or if you want a more discreet alternative to clear ceramic braces. They are particularly well-suited to adults and professionals who need effective bite and alignment correction without compromising their appearance during treatment.

The best way to determine whether lingual braces are right for your specific needs is to schedule a free consultation with Dr. Hessamfar. He will assess your teeth, discuss your goals, and recommend the treatment that will deliver the best possible result for you.

Metal braces clear braces and Invisalign options at ABSC Orthodontics Ashburn VA

Lingual braces treatment is available at all three ABSC offices, each staffed by Dr. Hessamfar and his experienced team. Every patient receives the same high level of care and attention to detail regardless of which location they choose.

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We serve patients from across Loudoun County, Prince William County, and Fairfax County — including Leesburg, Manassas, Dale City, Reston, Herndon, Chantilly, and Sterling. Call us at 703-726-6561 or book your free consultation online.

ABSC Orthodontics office Ashburn VA with happy smiling patients

Yes. Because the brackets and wire are attached to the back surfaces of the teeth, lingual braces are entirely hidden from view when you smile, speak, or laugh. They are the only fixed brace option that is truly invisible from the front.

It is common to notice a temporary change in speech — particularly with sounds like “s” and “t” — for around two weeks after placement as your tongue adapts to the brackets sitting behind the teeth. Most patients adjust quickly, and speech returns fully to normal.

Yes. Lingual braces use the same archwire-and-bracket mechanics as traditional metal braces and can treat the same range of alignment, spacing, and bite issues — including moderate to complex cases.

Treatment time typically ranges from 18 to 36 months, comparable to traditional metal braces. The exact duration depends on the complexity of your alignment or bite issues and will be discussed at your consultation with Dr. Hessamfar.

Yes — lingual braces require custom bracket fabrication and a more complex placement technique, making them the highest-cost fixed brace option. ABSC offers flexible financing plans, and many insurance providers contribute to orthodontic treatment costs. Contact your insurer for your specific coverage details.

Brush after every meal with a soft-bristle brush, floss daily using a threader or water flosser, and use an oral irrigator to flush around the brackets. A fluoride rinse is also recommended to strengthen enamel during treatment. Your ABSC team will provide detailed hygiene guidance at your first appointment.

Dr. Ron Hessamfar orthodontist Northern Virginia personal photo family
Happy patient with straight teeth after braces treatment at ABSC Orthodontics in Ashburn Virginia