Fixed vs. Removable Appliances: Which to Choose?

Comparison between fixed and removable orthodontic appliances, including Invisalign, highlighting advantages, disadvantages, and the importance of choosing the right treatment with professional guidance to achieve the ideal smile.

Dr Carlos Salvador
Dr Carlos Salvador

With over 30 years of experience, he is a specialist in dental implants, recognised for his dedication, competence and commitment to always offering the best care to patients.

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Orthodontic treatment uses different types of appliances to correct misaligned teeth and jaws. It may involve the use of fixed appliances, aligners, retainers or other devices, worn for a certain period of time to gradually align the teeth and improve the bite.

Depending on each patient's needs, the orthodontist may recommend fixed or removable braces. In this article, we will explain the differences between these two types and help you understand which one may be more suitable for your case.

Fixed Orthodontic Appliances

Fixed appliances are devices that are permanently attached to the teeth during treatment and cannot be removed by the patient. The most common example is metal braces, which consist of brackets, wires and bands that apply gradual force to move the teeth into the correct position. This type of appliance is often used in more complex cases and, although it may require longer treatment, it is considered more effective.

Advantages of Fixed Appliances

  • Greater durability – Metal components resistant to daily wear and tear.
  • More predictable results – Apply continuous force, accelerating and optimising tooth movement.
  • Less dependence on the patient – They do not need to be removed and replaced, preventing treatment failures.

Disadvantages of Fixed Braces

  • Reduced comfort – May cause initial irritation to the lips and gums.
  • Greater hygiene requirements – Requires specific brushing and flossing to prevent bacterial plaque.
  • Higher cost – In some cases, it may be higher than that of removable appliances.

2. Preparation and anaesthesia

On the day of the procedure, the patient is welcomed into an operating theatre equipped with state-of-the-art technology.

  • Local anaesthesia ensures that you will not feel any pain.
  • In specific cases, conscious sedation may be used for greater comfort.

Removable Orthodontic Appliances

Removable appliances can be taken out by the patient themselves, as is the case with retainers or clear aligners. They are mainly recommended for less complex cases and offer greater comfort and flexibility.

Advantages of Removable Appliances

  • More comfort – Generally made from softer materials, without harsh metal parts.
  • Easy oral hygiene – They can be removed for brushing and flossing.
  • More discretion – Clear aligners are practically invisible.
  • Lower durability – More fragile materials that may need to be replaced.
  • Results depend on disciplined use – If not used for the recommended time, treatment may be delayed.
  • Less suitable for complex cases – They exert less force, which may prolong treatment.

So, what is the best option?

There is no single answer. The choice between fixed appliances e removable appliances depends on the clinical needs, lifestyle, and aesthetic expectations of each patient.

  • Fixed appliances → recommended for more complex cases, with predictable and rapid results.

  • Removable appliances → ideal for those seeking comfort, discretion and ease of oral hygiene, such as Invisalign aligners.

On Get Smile, we work with both types of devices and help you choose the one that is right for you. From traditional braces From the latest clear aligner technology to personalised treatments, we offer everything you need to achieve the smile you desire.

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