Notes from the Practice / Treatment options
Braces or Invisalign? The question I ask instead.
Most families arrive having chosen. I would rather choose the tool after seeing the case, and be honest when the answer is not the one you came in with.
Dr. Shadi HaykaniSeptember 15, 20265 min read
Most families arrive at a consultation having already picked a side. Aligners because they are invisible, or braces because a friend swore by them. I understand the instinct, but it is backwards. The diagnosis comes first, and the tool follows it.
Where aligners shine
Clear aligners are excellent for crowding, spacing, and many bite corrections, and they are planned from a digital scan so you see the intended finish before you start. For adults and teens who will wear them 20 to 22 hours a day, they are often the right call, and Invisalign Virtual Care lets me check some progress remotely, which saves trips.
That wear time is the honest condition. Aligners only work while they are in. If a patient will take them out for every snack and forget them overnight, braces will finish faster and better.
Where braces still win
Some movements are held more predictably by a fixed appliance: rotating a very twisted tooth, closing large spaces, correcting certain bite relationships. For those, braces are not the old-fashioned option; they are the precise one. And braces today are smaller and quieter than most people picture. Ceramic brackets, self-ligating Damon brackets, LightForce brackets printed for your individual teeth, and InBrace braces that sit entirely behind the teeth all mean "braces" no longer means one look.
Why a broad toolbox matters
An office that offers one system tends to recommend that system. Because I work with all of them, I can match the appliance to the case and to the person. If Invisalign is not right for you, I will say so. If it is, you will understand why.
Either way, you leave the free consultation with the diagnosis, the options that genuinely suit your case, the timeline, and the exact fee. The choice is still yours; it is just a better-informed one.
More notes