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Orthodontics · Mar Elias, Beirut

Clear aligners or braces? The answer is in your X-rays.

Aligners are marketed as a universal replacement for braces. They are not. They are excellent for a defined range of problems and poor outside it, and the difference matters more than the brand name. This page sets out what each one genuinely does, how long adult treatment takes, and which cases we hand to an orthodontist.

What aligners fix well, and what they do not

Your situationRealistic answer
Mild to moderate crowdingAligners, comfortably. This is what they were built for
Spaces and gaps you want closedAligners, usually one of the quickest cases
Teeth that drifted back after childhood bracesAligners, often three to six months. The most satisfying case there is
Severely rotated teethBraces are more predictable. Aligners lose grip on a badly turned tooth
Closing space after an extractionBraces, generally. Bodily tooth movement is hard for aligners
Significant overbite, underbite or crossbiteOrthodontist. This is skeletal, not cosmetic
Children and teenagers still growingOrthodontist. Growth can be used to your advantage, and that is a specialist skill

Aligners against fixed braces

Clear alignersFixed braces
AppearanceNearly invisibleVisible, though ceramic brackets are discreet
CleaningRemoved to brush, so hygiene stays normalHarder. Brackets trap plaque and can leave permanent white marks
ComfortPressure for a day or two per tray, no wiresMore soreness, occasional poking wires
Depends on youCompletely. 20–22 hours a day or it will not workNot at all. They work whether you cooperate or not
Range of casesMild to moderateEverything, including the difficult
AppointmentsFewer, often every 6–8 weeksEvery 4–6 weeks for adjustment

The row people skip is compliance. Braces have one real advantage: they are working at three in the morning whether you remembered or not. If you know you will leave aligners in your bag, saying so at the consultation saves you a year and a great deal of money.

Invisalign, Spark, ClearCorrect — does the brand matter?

Most people searching for clear aligners in Lebanon type "Invisalign", because it was first and it markets hardest. It is a brand of clear aligner made by Align Technology, not a category of its own. Spark (Ormco), ClearCorrect (Straumann) and several others make the same class of appliance, and a clinic offering one rather than another is usually telling you about its laboratory contract, not about your teeth.

What actually separates a good aligner result from a disappointing one is not the plastic. It is the diagnosis: whether the case suits aligners at all, whether the attachments are placed where the teeth need pushing, whether space is created properly rather than by tipping the front teeth forward, and whether somebody checks the fit at every stage instead of handing you a box of trays and waving. Those are decisions a dentist makes, and no brand makes them for you.

Ask any clinic three questions before you commit, whatever the name on the box: who plans the movements, what happens if a tooth stops tracking the plan, and what the retainer arrangement is afterwards. The answers will tell you more than the brand.

How treatment runs

  • Records first. Photographs, X-rays and a scan or impressions. Gum health and decay are checked before anything, because moving teeth through active gum disease loses bone faster.
  • A digital plan you see before you commit. The projected movement is simulated so you can look at the intended end result, and say if it is not what you wanted, while it is still free to change.
  • Attachments and spacing. Small tooth-coloured bumps give the aligners something to grip, and tiny amounts of enamel are sometimes polished between teeth to create room. Both are normal and both should be explained before, not discovered on the day.
  • The trays. A new one every one to two weeks, each moving the teeth a fraction. Reviews every six to eight weeks.
  • Retainers, then retainers. See below. This is the part that decides whether the result survives.

Retention: the part nobody mentions until the end

Teeth move for your whole life. Relapse after orthodontic treatment is the expected outcome, not bad luck, and it is why so many adults arrive asking us to redo braces they had at fifteen. Retention is therefore part of the treatment, not an afterthought: a fixed wire bonded behind the front teeth, a removable retainer at night, or both. Plan on wearing something at night indefinitely, tapering to a few nights a week over the years. We tell you this before you start rather than at the final appointment, because it should affect your decision.

Straighten first, then veneer

Many people ask for veneers to fix teeth that are actually just out of line. Ceramic can disguise a position problem, but only by being made thicker on one side, which means removing more enamel and accepting a bulkier result. Aligning first usually means fewer veneers, thinner veneers and a longer-lasting outcome. It costs months, which is exactly why it is often skipped. We will price both routes and tell you plainly what each one costs you in tooth structure. The same logic runs through our Hollywood smile guide: aligned first means fewer, thinner veneers.

Hygiene during treatment

Whichever route you take, plaque control decides whether you finish with straight healthy teeth or straight decalcified ones. Aligner wearers must brush before putting trays back in, since sealing sugar against enamel for twenty hours is worse than not wearing them. Brace wearers need interdental brushes around every bracket. Either way we shorten your hygiene interval to three or four months for the duration. Those permanent white squares seen on teeth after braces come off are decalcification, they are irreversible, and they are entirely preventable.

What sets the price

Clear aligner treatment starts at $2,000 for the full course. That is a starting figure for a straightforward case; a longer or more complex one costs more, and nobody can tell you which yours is without looking at your teeth.

The examination itself is $20, and it is deducted from the cost of treatment if you go ahead — so if you are treated here, the examination has cost you nothing.

FactorWhy it matters
Complexity and number of traysA six-month relapse case and an eighteen-month crowding case are different treatments
Aligner systemBrands differ in laboratory cost and in what they can predictably achieve
Preparatory workFillings, hygiene or gum treatment needed first are itemised separately
Retainers and reviewsShould be written into the quote from the start. Ask, because this is where surprise costs hide

After your assessment you receive a written, fixed, itemised quote that names the system, the expected number of trays, the review appointments and the retainers.

Common questions

Are clear aligners as good as braces?

For the cases they suit, yes, and they are more comfortable and far easier to keep clean. For the cases they do not suit, no. Aligners are excellent at tipping crowded or spaced teeth into line. They struggle with large rotations, closing extraction spaces, significant bite correction and anything skeletal. The honest answer depends on your records, not on a preference.

How long does treatment take?

Most straightforward adult cases finish inside six to twelve months. Minor relapse after childhood braces can be as little as three to six. Complex cases run longer and usually belong with an orthodontist. Anyone quoting a duration before seeing your X-rays and scans is guessing.

How many hours a day do I have to wear aligners?

Twenty to twenty-two hours, taking them out only to eat and to brush. This is the part people underestimate: aligners only work while they are in, and a patient who wears them fifteen hours a day will not get the planned result. If that does not fit your life, fixed braces are the more honest recommendation.

Will my teeth move back afterwards?

Yes, if you do not retain them. Teeth drift for life, and relapse after orthodontics is the norm, not bad luck. Retainers are part of the treatment, not an optional extra, and they are effectively for life, even if only a few nights a week later on. Any clinic that does not talk to you about retention before you start is setting you up to pay twice.

Should I straighten my teeth before getting veneers?

Very often, yes. Aligning first means the veneers can be thinner, less enamel is removed and the result lasts longer, because the ceramic is not being used to disguise a position problem. It adds months, which is why some clinics skip it. We will show you both plans and be clear about what each one costs you in tooth structure.

Do you do this yourself or refer to an orthodontist?

Straightforward adult alignment is planned and carried out here. Growing children, skeletal bite problems, cases needing extractions, surgical cases and complex rotations are referred to an orthodontist, because those need someone who does this every day. You will be told which category you are in at the assessment, with your X-rays on the screen.

Find out which one your teeth actually need.

Records, a simulated result and a written quote before you commit — Mar Elias, Beirut.

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