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Private DentMetrik Oral and Dental Health Clinic
Prof. Dr. Beynun Akyavas Avenue No:33/AA, 34680 Uskudar/Istanbul, Turkiye.

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Lingual bracket treatment is a completely invisible and aesthetic orthodontic method where the metal brackets and wires are bonded not to the visible front surfaces of the teeth, but directly to the internal surfaces (lingual surfaces) facing the tongue. While offering 100% of the biomechanical power and three-dimensional movement capability of classic metal brackets, it ensures that no one notices the patient is undergoing orthodontic treatment from the outside. At Dentmetrik, we successfully apply custom-made digital lingual bracket systems (CAD/CAM) with our expert orthodontist staff, particularly for adult patients with high aesthetic concerns in their social and professional lives, protecting your privacy at the highest level while correcting your smile.

Definition and Purpose of Lingual Bracket Treatment

The word "Lingual" in medical terminology means "belonging to or situated near the tongue." Mechanically, lingual bracket treatment works on the exact same principles as traditional external braces; it moves teeth within the jawbone by applying constant and gentle forces. However, the anatomical shape of the back (lingual) surfaces of the teeth is not flat or standard like the front surfaces; rather, it has a complex topography that is highly indented and unique to each individual. For this reason, lingual brackets are specifically designed and produced to fit each patient's dental anatomy with millimetric precision, rather than using standard prefabricated parts.

The primary medical purpose of this high-tech treatment is to allow patients who avoid the aesthetic disadvantages of traditional braces (the "metallic smile") to be treated for even the most complex skeletal and dental malocclusions. Lingual brackets do not have the limitations of clear aligners, such as the requirement for strict patient discipline (wearing them 22 hours a day) or the potential difficulty in achieving full root movement in very advanced crowding cases. Lingual therapy aims to definitively correct deep bites, open bites, asymmetries, and severe crowding by applying uninterrupted force 24/7 without requiring patient compliance, all while maintaining the highest level of psychological and social comfort throughout the process.

Types and Applications of Lingual Bracket Treatment

Today, lingual orthodontics progresses through "custom-made" systems rather than standard production brackets. Thanks to these systems, brackets have been made much thinner (ultra-slim), significantly shortening the tongue's adaptation period. The primary lingual technologies applied at Dentmetrik clinics include:

  1. Custom-Made Lingual Systems (Incognito, Win, etc.): These are the world's most advanced lingual bracket systems, cast from gold alloy or special stainless steel in a laboratory environment to fit exactly onto the back surfaces of a specific patient's teeth based on 3D digital copies. Both the brackets and the archwires are robotically bent specifically for the patient.
  2. Partial (Social 6) Lingual Orthodontics: A much shorter-term lingual treatment covering only the front region, applied to patients who have no issues with their back teeth's bite but have slight crowding or gaps between the front six teeth (incisors and canines) that show when they smile.

Lingual treatment is suitable for individuals of all ages who have replaced their baby teeth with permanent teeth. However, specific situations where it is particularly preferred include:

  1. Actors, presenters, executives, public relations specialists, and models for whom appearance is critical for their careers.
  2. Adults who find traditional braces socially difficult to accept.
  3. Patients seeking aesthetic treatment who do not feel they can maintain the discipline of inserting and removing clear aligners due to forgetfulness or a busy schedule.
  4. Athletes involved in active contact sports (boxing, wrestling, martial arts) where external brackets could cause injury upon impact or for those with very weak enamel on the front surfaces of their teeth.

The Procedure and Process

The lingual orthodontic process requires much more detailed digital planning and high laboratory precision than traditional braces. In the first stage, high-resolution digital impressions are taken with 3D intraoral scanners, and radiological analyses are completed. This digital data is sent to specialized lingual orthodontic laboratories. Under the direction of our specialist, the final result (setup) is simulated on a computer, and the custom brackets and wires are produced using CAD/CAM technology. This personalized manufacturing process usually requires a waiting period of 3 to 5 weeks.

When the brackets arrive at our clinic, they are applied using a very special technique called Indirect Bonding. Brackets are not placed on the teeth one by one; they arrive pre-aligned from the lab in a special silicone transfer tray. The back surfaces of the teeth are washed, dried, and treated with adhesives. The silicone tray is fitted over the teeth in a single motion and light-cured, ensuring all brackets bond simultaneously with zero error. This session is quite comfortable and takes about an hour. Then, the first flexible robotic wires are placed to activate the treatment.

The adaptation period is the most important part of lingual treatment. Because the brackets are in an area the tongue constantly touches, it is perfectly normal to experience slight tongue irritation and temporary lisping (especially with 'S', 'T', or 'Z' sounds) during the first 1-2 weeks. To speed up this process, patients are given protective orthodontic wax and advised to read aloud. Within a few weeks, the tongue fully adapts. Control sessions are generally held every 5-6 weeks.

What Are the Advantages of Lingual Bracket Treatment?

The most unique advantage is the invisibility factor. You can smile and laugh freely throughout the treatment without hiding your teeth in photos; no one will know you are undergoing treatment unless you tell them. Beyond aesthetics, it has a significant medical advantage: the enamel on the front surface of the tooth is much more sensitive than on the back. The risk of decalcification (permanent white spots) due to inadequate hygiene is much lower in lingual treatment because the back surfaces are close to salivary glands and are constantly washed by saliva.

Compared to clear aligners, there is no social restriction such as removing the appliance to eat or drink. Since the brackets are fixed, your progress is entirely under the control of your orthodontist, eliminating the stress of "patient compliance." The ultra-thin custom bracket profile maximizes efficiency while reducing friction, allowing for faster and more controlled tooth movement. Combining the confidence of invisibility with the mechanical power of fixed treatment, lingual brackets are one of the most luxurious and satisfying options in modern orthodontics.

Contact us immediately to receive detailed information about custom lingual (internal braces) prices in Ankara, process planning, and the health tourism privileges we offer for our international guests at our Dentmetrik clinic.

Frequently Asked Questions

Since modern lingual brackets are produced in a laboratory environment with an "ultra-slim" profile in accordance with the patient's own tooth anatomy, they do not restrict the movement area of the tongue. Slight irritation on the tongue is normal during the first 1 week of adaptation, but this period is easily overcome with the protective waxes we will give you.

No, it does not extend. In fact, in some complex cases, thanks to the proximity of the biomechanical force applied by the lingual brackets to the tooth's center, tooth movements can occur much faster and more controlled than traditional wires attached from the outside.

Yes. Since lingual orthodontics provides full mechanical control just like metal brackets; it can be applied with 100% success in all of the most challenging and complex orthodontic cases, such as open bite, deep bite, severe crowding, or treatments requiring tooth extraction.

Although cleaning the back surface of the teeth requires slightly more practice than the front surface, it is quite easy to ensure hygiene using special angled orthodontic brushes, oral irrigators (waterpik), and interdental brushes recommended by your doctor. Moreover, since the back surface of the teeth is constantly washed with saliva, the risk of cavity formation is much lower compared to the front surface.

While clear aligners require a discipline of wearing them for 22 hours a day (patient compliance) and must be taken out while eating/drinking tea; since lingual wires are fixed, they work at full capacity 24/7 without requiring any effort from you and without the risk of forgetting. It is the ideal combination of maximum aesthetics and freedom from the stress of patient compliance.

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