Lingual Braces

Riolo Orthodontics is the largest provider of lingual braces including Incognito Braces in Seattle and the Pacific Northwest

Dr. Riolo has been using lingual braces in Seattle since 2006. Dr Riolo wore these braces behind his teeth himself so he understands lingual orthodontics from multiple perspectives. He is one of a handful of orthodontists in North America with extensive experience using braces behind the teeth. We have experience with multiple lingual systems and this allows us to choose the system that will best fit your individual need.

Dr Riolo recognises the need for a truly invisible treatment alternative for adult patients and has been providing orthodontic care using lingual braces since 2006. Today lingual braces (braces behind the teeth) are used on about half of our patients and we have many options to treat our patient invisibly.

Anyone who can wear conventional braces… can wear lingual braces!

We have used lingual braces behind the teeth to treat men and women ranging from the age of 13 to 70+. Anyone who can be treated with regular braces can be treated with custom lingual braces; you can make a complimentary appointment for an initial consultation so Dr Riolo can tell you if lingual braces are the right treatment option for you.

Custom Lingual Braces
We design our lingual system custom to each patient needs; including custom brackets and integrated replacement teeth.

How to get started with braces behind the teeth (lingual braces)

We use many types of lingual bracket systems, tailored to the patients’ needs.

The process for beginning orthodontic treatment using custom orthodontic braces is straightforward. When a new patient contacts our office we set them up with an initial consultation with Dr. Riolo. At their initial appointment, the patient is given information about the orthodontic problem and treatment options to address their chief complaint. The patient is also given the exact cost of treatment; we also check insurance benefits and present all of the information at the initial new patient consult.

The second appointment consists of initial orthodontic records which are used to refine the orthodontic treatment plan and to develop the orthodontic setup if Incognito braces behind the teeth are going to be used to straighten the teeth. These initial orthodontic records consist of photos of the teeth and face, two digital x-ray images; a panoramic x-ray and a cephalometric x-ray and the digital models of the teeth that are acquired using the true definition intraoral scanner.

In order to fabricate Incognito custom braces Dr. Riolo and the patient together develop a “digital setup.” Frequently the patient’s general dentist and other specialists are consulted when post orthodontic restorative work is planned (such as dental implants, crowns, or veneers). The original digital malocclusion model is used as a starting point and the setup is developed. We have precise control over the amount of expansion with these custom appliances. The digital setup model is then used to design and manufacture the actual custom braces that are placed behind the teeth.

After the initial records are collected Dr. Riolo begins the process of developing the setup models. Once we have the initial setup developed, we sit down with the patient and discuss the setup and any possible treatment options. Frequently alternative setups are developed in order to determine the best course of action for the unique circumstances of each patient.

When the final fit of the teeth is established and the design of the brackets is finalized the brackets are manufactured in the lab and shipped directly to our office. The bracket themselves are tailored individually for each patient. The brackets arrive in an indirect transfer tray. This transfer tray is used in order to ensure that we have a precise bracket placement at the braces delivery appointment.

The actual bracket delivery is a surprisingly simple procedure; they are literally cemented to the back of the teeth using a special dental cement. After bracket delivery, the wires are place and instructions are given to the patient regarding care and maintenance of their new invisible orthodontic brackets.

Compared to Traditional Braces, Lingual Braces

  • Require few wire adjustments. This means less discomfort throughout treatment and fewer visits to the orthodontist
  • Deliver high-quality results in the most efficient way possible
  • Minimal speech interference
  • Minimal discomfort
  • Faster, more efficient treatment

If you are a candidate for orthodontic treatment, you’re almost certainly a candidate for lingual braces. Contact Dr. Christopher Riolo at Riolo Orthodontics today.