Braces vs. Online Clear Aligners: How They Compare in 2022

Braces have been around a long time. (The earliest varieties showed up centuries ago!)

And throughout their impressive history, braces have treated millions of smiles. There’s no case too tough; braces can even help correct issues like overbites and crossbites.

Despite braces offering top-notch results, many adults avoid them due to their lengthy treatment times, visibility, and cost. Luckily, if these are issues for you, you can opt for at-home clear aligners.

Braces and at-home aligners are very different treatments, though. And in this guide, we’ll outline the main differences between them, including who’s a good candidate for each method, costs, and more. By the end, you’ll have a clear picture of both treatment types, and more importantly, which one is best for you.

Advantages and Disadvantages of Braces

First, let’s talk braces…more specifically, the advantages of getting them. Braces may have a reputation as a “teenagers-only” treatment, but that’s not true. A fair number of adults choose to get them, and that’s because there are plenty of advantages to treatment with braces, such as: 

• Treating severe conditions: In a way, the sky’s the limit when it comes to what braces can treat. Whether your issue is an overbite, underbite, severe crowding, or just your typical teeth spacing, braces can likely handle your case (even if you aren’t a good candidate for other treatment options).
• Comprehensive treatment oversight: Braces can only be administered (and maintained) in-person. The orthodontist in charge of your treatment will ensure that your progress stays on track at every appointment, so you’ll rarely encounter problems (and they’ll be resolved quickly in the rare cases when you do).
• Sturdiness: Braces are made from durable metal brackets and wires that are attached directly to your teeth. Occasionally, you’ll have a bracket pop off, but in general, things stay put. You don’t have to worry about removing or replacing them yourself.

As powerful as they are, though, braces have a few notable disadvantages, too:

• Expensive: The cost of braces largely depends on your orthodontist’s fees, but on average, people usually spend $5,000 or more on braces. That’s thousands more than at-home clear aligners.
• Uncomfortable: Discomfort is an unavoidable part of any treatment method, but it’s especially notable with braces. The metal in the brackets and wires tends to cut into your cheeks and gums, causing irritation.
• Visible: Braces are many things, and one of them is easy to spot. While there are less visible options, overall, if you have braces, they will be part of your “look” until they are removed.
• Longer treatment timeline: On average, treatment with braces lasts 12 to 18 months, but it’s not unheard of for people to wear them for 2 years or more.
• Required office visits: Braces can only be administered and maintained in an orthodontist’s office. This isn’t a true disadvantage (office visits allow for extensive oversight, after all), but if you operate on a tight social calendar, it can be tough to fit in the necessary appointments.
• Difficult to clean: Brushing your teeth is hard when you have brackets and wires covering things up. Flossing is even harder. You’ll need a little extra patience to clean your teeth effectively during your treatment.
• Restricted eating: Tough, gummy foods like taffy and hard candies can damage or even pull off some of your brackets. Foods like popcorn can also get lodged in your teeth. That’s why, throughout your treatment, you’ll have to avoid certain foods.

Advantages and Disadvantages of At-Home Clear Aligners

At-home clear aligners are pretty new to the orthodontic scene, but they have established themselves as a popular alternative to braces. And that popularity is no surprise; there are lots of advantages to at-home aligners:

• Shorter treatment timeline: The average treatment time for home clear aligners is just 6 months, which is about half the treatment length of braces. Granted, mail-order aligners only treat minor cases (which naturally take less time), but the fastest company, Byte, takes just 4 months.
• More affordable: Each aligner company has its own price point, but the average price hovers around $1,895. That’s several thousand dollars cheaper than braces. And for reference, the cheapest at-home aligner option costs just $1,145.
• No office visits: No time to go to the dentist? No worries. 100% of your treatment is administered remotely, so you can focus on living to the fullest.
• Better looking: No matter what aligner company you choose, you’ll find that mail-order aligners are barely visible once they’re in your mouth.
• No foods off-limits: If you love popcorn, taffy, caramels, or other foods that are normally off-limits with most orthodontic treatments, then clear aligners have you covered. Since you can pop out your aligners whenever you eat, you won’t damage them.

Of course, there are disadvantages to at-home clear aligner treatment, too: 

• Minimal treatment oversight: With most at-home clear aligner providers there isn’t a whole lot of treatment oversight. The main exception to that is Candid, which offers CandidMonitoring, a program that combines a special imaging device with your phone in order to send regular photo updates to the Candid team for review. Other providers request progress photos throughout your treatment, but these check-ins aren’t as robust as an in-person appointment.
• Minor cases only: Two factors prevent mail-order aligners from treating severe cases. One: the orthodontist oversight (necessary to make nuanced, complicated teeth shifts) isn’t possible with online clear aligners. Two: aligner trays alone are only so powerful. If you want to exert force on the jaw itself, you’ll need add-ons to the trays (which at-home aligners don’t offer).
• Tough impression kits: With home clear aligners, you kick off your treatment by ordering an impression kit and making 3D molds of your teeth. It’s a tricky process, though, and some people find it hard to do on their own.

What About Invisalign?

Invisalign is the oldest and most well-known clear aligner treatment on the market. And that’s not surprising. After all, Invisalign created clear aligners as we know them today. Without their technology, home clear aligners wouldn’t even exist, and braces would still be the only option.

On the surface, Invisalign and online clear aligners are similar treatments. But there are plenty of differences between the two. For one thing, Invisalign costs more, and treatment requires more time. However, that extra time and money gets you a more powerful treatment.

That’s because Invisalign offers add-ons to their clear aligners, called SmartForce attachments. The attachments act like anchors for the aligner trays, allowing Invisalign to exert additional force on your teeth. Your orthodontist can also add on elastics, too. Because of that, Invisalign is nearly as powerful as braces.

In general, Invisalign is a great option for people who want discreet orthodontic treatment but their case is too severe for clear home aligners to handle. If that’s you, or you’d like to learn more, check out our Invisalign review.

Which Treatment Is Right For Me?

Honestly, we can’t give you a definitive answer. That’s because your smile is unique; what makes a good treatment for you won’t necessarily work for someone else, and vice versa.

There are a lot of factors to consider when choosing a teeth straightening treatment: cost, treatment oversight, customer experience, and much more. And it’s only natural to prioritize some of those factors over others. For you, cost might be the top priority, or you’d really like to work with an orthodontist in-person. So you’ll have to decide for yourself.

In general, though, you should opt for braces (or even Invisalign) when you have a tougher case of misalignment or you want to work with an orthodontist directly. That said, for a lot of people, at-home aligners are a better, more affordable, more convenient choice.

Common Questions