Lingual braces, Incognito Braces

The largest provider of lingual braces including Incognito Braces in Seattle and the Pacific Northwest

Dr Riolo has been using lingual braces and Incognito braces in Seattle since 2006.  Dr Riolo wore these braces behind his teeth himself so he understands lingual orthodontics from multiple perspectives.  Dr Riolo 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. 

Lingual braces are braces especially constructed to be used behind the teeth

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. Riolo orthodontics is now recognized as an “Center for Excellence” by 3M Unitek and Incognito Braces.  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 that 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 a initial consultation so Dr Riolo can tell you if the incognito brackets are the right treatment option for you.

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

We use many types of lingual bracket systems, including SureSmile, Harmony and Incognito braces, we tailor the system to the patient needs.

The process for beginning orthodontic treatment using custom orthodontic braces is straight forward. 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 xray images; a panoramic xray and a cephalometric xray 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 the for the unique circumstances of each patient.

When the final fit of the teeth is established and the brackets design 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 insure that we have precise bracket placement at the braces delivery appointment.

The actual bracket delivery is a surprisingly simile 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.

You can find more detailed information on our blog site or on the 3M Incognito website

Incognito™ braces behind the teeth is the modern and invisible alternative to conventional braces

The Incognito™ Lingual Bracket System is a new generation of braces for people of all ages. Because the braces are placed behind the teeth no one will ever know that you are wearing them unless YOU tell them! Developed in Europe, Incognito™ braces are the only 100% customized fixed appliance system for invisible orthodontic treatment on the market today. They are created using state of the art technology and are completely customized to the shape of your teeth and to your dental situation. In consultation with you Dr Riolo will develop in a unique prescription to get the best results possible. These custom made brackets placed behind the teeth are constructed from a “setup” that represents the final position of your teeth. This means that you will get to review and participate in the development of the final look of your teeth before the brackets are even placed!

For some patients the Incognito™ Lite System is most appropriate. Incognito “lite” is a bracket system placed behind just your front teeth. This can be a quick and cost effective option if only your
front teeth require straightening, or if you have had orthodontic treatment in the past.  At your first appointment Dr Riolo will be able to give you information about which bracket system is the most suitable for you.

Invisible, Intelligent, Individualized…

Incognito braces previously known as “iBraces” are a new generation of orthodontic braces for teens and adults. Incognito is a 100% customized bracket designed to work behind the teeth. Because no two people are alike, no two sets of Incognito brackets are alike. Watch this video.



Incognito brackets are 100% customized

Placed behind your teeth, no one will know that you are wearing braces unless you tell them. These unique braces are created using state-of-the-art technology and are 100% customized to the shape of your teeth and to your dental situation. Incognito’s iBraces have the unique prescription that your orthodontist creates for you built-in to ensure you get the results that you want. With Incognito brackets you get efficient, effective tooth movement and great aesthetics.

Who wears Incognito?

  • People who want to avoid damage to the front surfaces of their teeth
  • People who are concerned about wearing braces that show
  • Adult professionals
  • Musicians who play wind instruments
  • Adults and teens playing contact sports

Learn more about Incognito braces

Why the Incognito bracket system?:

The Incognito™ Appliance System brings the option of lingual treatment to the next level. The customized brackets and robotically bent wires are engineered to work together to deliver the targeted result you define through a high-quality appliance system. Plus, with enhanced patient comfort due to the low profile customized brackets. Incognito provides the very best Aesthetics available today, the Incognito bracket is completely hidden from view. No one will know that you are wearing braces unless you want them to.Incognito Braces   

The Incognito custom bracket design allows the orthodontist to individually design the bracket to minimize the bracket profile and reduce patient discomfort during the adaptation phase. The fact that the patients individual treatment needs can be built into the bracket design minimizes treatment time and allows for increased precision during the detailing and finishing. 

Incognito brackets are 100% customized to fit your teeth and to deliver the treatment results that your doctor prescribes in the most efficient way. That means that you will get the best results possible in the shortest amount of time. Unlike other methods of aesthetic treatment, Incognito braces are flexible enough to be used on any patient that can be treated with conventional braces.

Additional Benefits of  Incognito Braces:

  • Minimal speech interference
  • Minimal discomfort
  • 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
  • Faster, more efficient treatment

Learn more from the European Incognito site

There is also lots of great information about Incognito braces on our Blog located at, If you have any questions about either Incognito braces or conventional braces contact us at or through the “contact us” page at this web site. Dr Riolo will usually respond within a couple of hours.

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