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Orthodontics

Clear aligners or fixed braces: how to choose?

Both can move teeth, but they are not lived with in the same way. Compare them, then prepare the question that matters: which one suits your mouth?

Published by Dr Hafça Moqadem, Dental surgeon in Marrakech2 min read · Interactive article

Clear tray and dental model on a light surface
Illustration, not a photo of the clinic.
Article contents
  1. Two ways of moving teeth
  2. What matters most to you
  3. Fixed braces, aligners, retainer
  4. What a course of treatment involves
  5. Common beliefs
  6. Hygiene with fixed braces
  7. Preparing my orthodontic consultation
  8. Your questions

In brief

  • Aligners are clear, removable trays worn for most of the day; fixed braces stay attached to the teeth for the whole treatment.
  • Some situations are better treated with fixed braces: the examination guides the choice, not fashion.
  • In both cases a retainer completes the treatment to protect the result.

Two ways of moving teeth

Fixed braces consist of brackets, metal or ceramic, linked by a wire that is adjusted at check-ups. Aligners are a series of clear trays, changed at the pace indicated.

Both move the teeth gradually. What differs is the place they take in your daily life, the hygiene they require and the situations they can treat.

A series of clear trays lined up on a table
A series of trays, changed at the prescribed pace. Illustration, not a photo of the clinic.

A short guide

What matters most to you

Three questions to prepare the discussion with the orthodontist. Nothing is sent.

Your priority
Your situation
Your daily life

Answer the questions to see the points to discuss with the dentist.

This guide helps you prepare the discussion. Only an examination can tell what suits your mouth.

Compare

Fixed braces, aligners, retainer

Three devices, three roles. Tick the ones you want to compare.

ItemFixed bracesClear alignersRetainer
PrincipleBrackets attached to the teeth and linked by a wire, adjusted at check-ups.A series of clear, removable trays, changed at the pace indicated.A device that holds the teeth in their new position.
Day to dayStays in place all the time; the areas around the brackets need careful cleaning.Taken out to eat and to brush the teeth, then put back; long daily wear is essential.Worn as instructed by the orthodontist.
SituationsIncluding more complex situations.Suitability is checked before starting; not right for every case.At the end of any treatment, whichever appliance was used.
Check-upsRegular appointments for adjustments.Appointments to check that the teeth are following the plan.Follow-up agreed with the practitioner.

The same comparison as a chart (general guides, to be confirmed at the examination)

To what extent does the result depend on what you do every day (wear, discipline)?

Fixed braces Moderate
Clear aligners Very high
Retainer High

Qualitative scale: Low · Moderate · High · Very high. These are not measurements: every clinical situation is different.

Step by step

What a course of treatment involves

  1. The orthodontic assessmentAt the clinic

    Photos, impressions and X-rays make it possible to assess your situation and check which appliance is suitable.

  2. The treatment planAt the clinic

    The tooth movements are planned. With aligners, the series of trays is then made; with fixed braces, the brackets are fitted.

  3. Adjustments or wearAt home

    Fixed braces: the wires are changed or adjusted at check-ups. Aligners: you change tray at the pace indicated.

  4. Check-upsAt the clinic

    The appointments check that the teeth are following the planned course.

  5. The retainerAt the clinic

    Once the appliance is removed, a retainer holds the teeth in their new position. The practitioner decides how long it is needed.

Common myths

Common beliefs

“Aligners suit everyone.”False

Some situations are better treated with fixed braces. The examination guides you.

“If I wear them little, it doesn’t matter.”False

The teeth do not follow the planned course, and the treatment is prolonged or has to be corrected.

“Orthodontics is for children.”False

Age is not an obstacle in itself: straightening teeth remains possible in adulthood when the gums and bone are healthy.

“After the braces, it’s over.”False

Without a retainer, teeth can move again. The retainer is part of the treatment.

To tick

Hygiene with fixed braces

General NHS guidance, to be adapted with your orthodontist. Your choices stay on this page: they are neither saved nor sent.

0 selected
Toothbrush and interdental brushes on a light surface
Interdental brushes and toothbrush: essential during treatment. Illustration, not a photo of the clinic.

To tick

Preparing my orthodontic consultation

0 selected

Your questions

Can you eat with aligners?

No. They are taken out to eat and to drink anything other than water, then you brush your teeth before putting them back.

Do fixed braces hurt?

Some discomfort is common for a few days after fitting and adjustments, then it fades. If the pain lasts, contact the clinic.

How long does treatment last?

The length depends on your situation and the plan set after the assessment. It is explained to you at the clinic; no length of time can be promised in advance.

What does it cost?

The clinic does not publish fees online. A written quote is given after the examination, before any decision.

Book an appointment

Let us talk about your orthodontic project.

Call the clinic, write to us on WhatsApp, or choose a day and a time yourself: your request reaches the clinic's WhatsApp and they will confirm the appointment.

2nd floor, No. 180 Madani Plaza, Boulevard Abdelkrim Al Khattabi, Guéliz, Marrakech

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  2. 2Your details
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