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InvisalignInvisalign vs. Braces
  • Looks, food and cleaning compared
  • When braces may be the better choice
  • Answers from your Back Bay dentist
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Invisalign® vs. Braces: Which Is Right for You?

Both Invisalign® and braces straighten teeth, and the right choice depends on your bite and your habits. Aligners are clear and removable, but they only work when you wear them 20–22 hours a day. Braces stay on full time, and some tooth movements respond better to them. Your dentist tells you which fits your case.

Dental Arts of Boston is a general dental practice; Invisalign care is led by our general dentist Dr. Michelle Stevens, together with Dr. George Stevens.

The quick comparison

Here’s how Invisalign clear aligners and traditional braces compare on the things patients often ask about.

Invisalign clear alignersTraditional braces
AppearanceClear plastic trays; small tooth-colored attachments if your plan needs themBrackets and wires bonded to your teeth
Removable?Yes, for eating, drinking anything but water, and brushingNo, they stay on until treatment ends
Who controls wearYou: aligners must be worn 20–22 hours a dayAlways working, since they can’t be taken out
FoodNo food rules, because you take aligners out to eatAvoid hard, sticky, and chewy foods that can damage brackets
CleaningBrush and floss as usual; clean your aligners tooBrushing and flossing around brackets takes extra time
VisitsRegular check-ins to track progress and pick up new alignersRegular visits to adjust wires
Treatment timeDepends on your case; the AAO says aligners “can take just as long as braces”Depends on your case
CostAlign says Invisalign is comparable to the cost of bracesDepends on your case

When is Invisalign a good fit?

Invisalign is often a good fit for crowded teeth, gaps, and teeth that have shifted over time. It works best for people who will wear their aligners as directed.

You might prefer Invisalign if you:

  • Want a clear option that’s less noticeable day to day
  • Want to keep eating your usual foods by taking aligners out at meals
  • Want to brush and floss normally
  • Had braces as a child and your teeth have moved
  • Are planning crowns, veneers, or other restorative or cosmetic work and want to straighten first

Align says you’ll switch to a new set of aligners weekly or every two weeks, as your dentist directs. Before treatment starts, your dentist shows you a ClinCheck® preview of how your teeth are planned to move.

When may braces be the better choice?

Braces may be the better choice for some complex cases and certain kinds of tooth movement. Your dentist will tell you honestly if aligners aren’t the right tool for your teeth.

Research helps explain why:

  • Some movements are harder with aligners. A review in the Angle Orthodontist (Rossini, 2015) found aligners worked well for leveling teeth and some other movements. They were less effective at moving front teeth farther out of the gum (extrusion) and at rotating rounded teeth, like canines and premolars.
  • Aligners don’t always move teeth exactly as planned. A 2020 study in the American Journal of Orthodontics and Dentofacial Orthopedics measured how closely aligner movements matched the plan. On average, teeth moved about half as far as each aligner stage planned, and rotations were the hardest movement to achieve. This is one reason some plans need extra aligners at the end.
  • Aligners depend on wear time. If you know you’ll struggle to wear aligners 20–22 hours a day, braces may be easier, because they work around the clock.

The AAO says aligners are effective for many issues, but suitability is case-dependent.

If braces are the better option for your teeth, your dentist will explain why and talk through your options.

Invisalign or braces for teens?

Teens can use either option. The right choice depends on their teeth, their bite, and whether they’ll wear aligners as directed. Aligners can come out for meals, brushing, and sports, which many teens like.

Learn more about Invisalign for teens.

Invisalign or braces for adults?

Many adults choose Invisalign because aligners are clear and removable. If you have crowns, implants, or a history of gum disease, your dentist will plan around them. Your gums need to be healthy before you start. See gum disease treatment and Invisalign for adults.

Find out which option fits you

The simplest way to choose is a consultation. Your dentist examines your teeth, takes a 3D iTero® scan, and explains your options. Schedule Online or call 857-376-6559 to book at our Back Bay office.

Learn more about Invisalign at Dental Arts of Boston.

Sources: AAO aligner FAQs · AAO aligner FAQs, page 2 · AAO: braces vs. clear aligners · Align: wearing your aligners · Align: cost · Rossini et al., 2015, Angle Orthodontist · Aligner accuracy study, AJODO 2020

Common Questions About Invisalign vs. Braces

Is Invisalign as effective as braces? + –

The AAO says aligners are effective for many issues, but suitability is case-dependent. Some movements, like rotating rounded teeth, are harder with aligners. Your dentist will tell you which option fits your case.

Is Invisalign faster than braces? + –

Not always. The AAO says aligners “can take just as long as braces.” Treatment time depends on how much your teeth need to move, and your dentist gives you a personal estimate after your 3D scan and ClinCheck plan.

Which costs more, Invisalign or braces? + –

Align says Invisalign is comparable to the cost of braces. Your cost depends on your case. See Invisalign cost and payment options.

Which is more comfortable? + –

Both can cause pressure as your teeth move. The AAO says mild discomfort is common for the first few days of aligner treatment. Aligners have no brackets or wires, though an aligner edge can occasionally irritate your cheek. Let us know if it does.