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Adult braces can correct misaligned teeth or jaws at any age, with solutions that are now more discreet and comfortable than in the past. More and more adults are taking the plunge, not only for a more attractive smile but also to protect their oral health: well-aligned teeth are easier to clean and reduce the risk of cavities, tartar, and gum disease. The right treatment depends on the type of misalignment, your aesthetic expectations, your budget, and your lifestyle.
Key takeaways
- Adult braces can correct the alignment of the teeth and jaw at any age, with no upper age limit.
- There are four main types: metal braces, ceramic braces, clear aligners (such as Invisalign), and lingual braces fitted behind the teeth.
- The average treatment time ranges from 6 months for simple cases to 24 months, and sometimes longer for complex corrections.
- In France, expect to pay between €1,500 and more than €6,000; public health insurance provides virtually no reimbursement for adults, but some supplementary insurance plans contribute.
- Impeccable oral hygiene is essential throughout treatment to prevent cavities and stains around the brackets.
What is adult orthodontics?
Adult orthodontics is a subspecialty of dentistry that focuses on correcting dental and jaw abnormalities in mature individuals. It is a growing field, as more and more adults seek to improve not only their smile but also their overall oral health.
The goal of adult orthodontics, as with children and adolescents, is to create a balanced, functional, and aesthetic smile. However, unlike younger patients, adults generally have more specific expectations and a deeper understanding of what the treatment involves. In addition, adults often have more complex orthodontic needs due to their age, such as tooth wear, tooth loss, or specific oral health problems.
Choosing orthodontic treatment as an adult depends on many factors, such as the type and severity of the malocclusion, the patient's aesthetic and functional expectations, the cost of treatment, and even the individual's lifestyle. It should be noted that adult orthodontics is not limited to correcting the teeth alone: it also includes treating more complex problems involving the jaw and face, known as temporomandibular disorders, which can cause pain and functional problems.
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What types of braces are available for adults?
A range of orthodontic solutions is available for adults. The variety of options makes it possible to address a broad spectrum of situations, from the simplest to the most complex cases. After an examination, a qualified orthodontist determines the technique best suited to your mouth and goals.
Metal braces
The best-known and often the most affordable. Small metal attachments, called brackets, are bonded to the teeth and connected by a wire that the orthodontist adjusts regularly. Highly effective for all cases, from the mildest to the most severe, but also the most visible.
Ceramic braces
The same principle as metal braces, but with tooth-colored attachments, making them much more discreet. They generally cost a little more and require rigorous hygiene to prevent staining.
Clear aligners
Transparent plastic trays, such as those offered by Invisalign, that are practically invisible and removable. They are removed for eating and brushing your teeth, and the set is changed approximately every two weeks. Ideal for mild to moderate corrections.
Lingual braces
Attachments placed on the inner surface of the teeth, on the tongue side, for maximum discretion: they are invisible from the outside. More technical and often more expensive, they require an adjustment period.
The choice of the most suitable appliance will depend on your specific needs, aesthetic preferences, and budget. Braces treat the widest range of situations, while aligners are popular for their discreet appearance and everyday comfort.
How long does orthodontic treatment take for adults?
The duration of adult orthodontic treatment mainly depends on the complexity of the case. In general, allow 6 to 8 months for simpler corrections, and up to 18 or 24 months, sometimes longer, for significant malocclusions. Adults' teeth often move a little more slowly than adolescents' teeth because the jawbone is less malleable.
After the active phase, a retention period is almost always necessary: a bonded wire behind the teeth or a nighttime retainer maintains the new result and prevents the teeth from returning to their original position. This retention can last for several years.
How much do braces for adults cost?
The cost is an important aspect to consider when considering orthodontic treatment. Determining an exact price can be complex, as it depends on several factors.
- The complexity of the case: mild crowding can be corrected more quickly and costs less than severe malocclusion, missing teeth or a jaw problem.
- The type of appliance chosen: metal braces are often the least expensive option; ceramic braces, clear aligners and especially lingual braces cost more.
- Treatment duration: the longer the treatment, the more it costs, as it requires more appointments and materials.
In France, the cost of orthodontic treatment for adults can range from €1,500 to over €6,000 depending on these factors. These amounts represent a long-term investment in your oral health and self-confidence. Before committing, discuss the costs with your orthodontist: many practices offer financing plans or accept health insurance. Also check exactly what the quote covers, such as follow-up appointments, adjustments and retention after treatment.
Reimbursement for dental braces for adults
In France, Health Insurance partially reimburses certain orthodontic treatments, but the amount varies considerably depending on age. For patients under 16, coverage is well established. Over the age of 16, reimbursement is generally granted only in specific, medically justified cases, such as a serious jaw problem requiring surgery.
Most orthodontic treatments for adults are therefore not reimbursed by the French Social Security system. However, some mutual insurance providers or supplementary health plans offer partial coverage. It is important to check with your insurer what is actually covered before starting, bearing in mind that clear aligners are rarely covered.
How does orthodontic treatment work for adults?
The orthodontic treatment process for adults is similar to that for children, although it may sometimes take a little longer because their jaws are less malleable. It follows clearly defined stages, from the first appointment through to final retention.
- Initial consultation. The orthodontist examines your teeth, discusses your goals, and checks the condition of your gums before any treatment.
- Assessment and treatment plan. X-rays, photographs, and impressions (or a scan) are used to plan tooth movements precisely.
- Fitting the appliance. The brackets are bonded to each tooth and connected by a wire, or the first series of custom-made aligners is provided.
- Adjustment appointments. Every few weeks, the wire is tightened or a new aligner is provided to continue moving the teeth.
- Retention. Once alignment has been achieved, a bonded wire or nighttime retainer stabilizes the result to prevent relapse.
Treatment can last from a few months to several years, depending on the complexity of the case. Throughout the process, regular communication with your orthodontist will help you make the best choices for your oral health.
Advantages and limitations of braces in adulthood
Starting orthodontic treatment as an adult offers real benefits, but also some constraints that are best understood before beginning.
The advantages
A more harmonious smile, improved chewing, sometimes clearer speech, and above all, teeth that are easier to clean—meaning fewer cavities and gum problems in the long term. Self-confidence often improves significantly.
The limitations
A treatment that requires patience, sometimes a substantial budget, regular appointments, and more demanding oral hygiene. Some very complex cases may require minor associated surgery.
How can you maintain good hygiene with braces?
Oral hygiene is the most crucial factor during treatment: plaque can easily build up around brackets and may leave white spots or cause cavities if brushing is neglected. Thorough cleaning after every meal is therefore essential, without forgetting the spaces between your teeth.
With braces, interdental brushes and dental floss become your best allies for removing debris around the brackets. With aligners, simply remove them to brush your teeth normally, then rinse them before putting them back in. In both cases, effective and regular brushing makes all the difference.
Excellent oral hygiene also helps limit tartar buildup, which is particularly troublesome around the brackets. To learn more, discover how to limit plaque buildup on a daily basis and protect your gums throughout treatment.
