Lingual braces Incognito (Incognito)

Lingual braces are an excellent solution for those who want to correct their bite without anyone noticing. These orthodontic structures are installed on the inner surface of the teeth, so they are completely invisible when smiling and talking. Lingual braces preserve aesthetics and also allow you to effectively solve patients’ occlusion problems.

Unlike the Damon vestibular system, Incognito braces are lingual braces that are designed using 3D modeling, which eliminates inaccuracies. The use of computer technology in the manufacture of the system makes it possible to create individual designs in which each element fits perfectly to the tooth surface.

The German company has been producing lingual braces since 1997. We cooperate with TOP Service, therefore we offer our patients the installation of modern “invisible” Incognito braces.

Features of the Incognito lingual system

The main differences between Incognito and other lingual braces are the design and production technology of the systems.

Treatment with Incognito lingual braces involves the production of individual braces for each patient, in accordance with the characteristics of the dentition. The doctor installs hooks only where a specific clinical case requires it. The bases of the braces are optimally placed on the inside of the teeth. This allows you to avoid inaccurate fixation; in addition, if necessary, you can re-fix the bracket in a direct way without the use of additional equipment and devices.

Thanks to the elastic arch, the system can be installed on highly rotated, crowded teeth and teeth with low crowns. A special bending robot applies all the necessary bends for the treatment of a particular patient. This approach allows you to reduce the size of braces: the thickness of the teeth is now compensated by the bends of the arch, and not by the composite cushion.

How are Incognito lingual braces different from regular braces?

Incognito braces	Regular braces
Incognito braces are installed on the inside of the teeth, they are completely invisible to others.	Traditional braces are placed on the outside of the teeth. Whatever the braces are (sapphire or plastic), they are still noticeable to others.
Material: gold-platinum alloy.	Materials - ceramics, plastic, medical steel, nickel-titanium alloy, gold alloy, titanium alloy.
Incognito braces are manufactured in a laboratory in Bad Essen (Germany) using CAD/CAM technology. There are about 10 lingual brace systems in total.	Conventional braces are made by a variety of companies that produce dental equipment. There are approximately 300 external brace systems.
Incognito braces are made individually based on impressions of the patient’s jaws.	Manufactured in mass production. Suitable for any patient.
To be allowed to work with Incognito braces, an orthodontist must obtain a certificate by completing a three-stage annual training course with certification at the end of each stage. Less than 10% of Russian orthodontists have this certificate.	Working with conventional braces does not require special training. Most orthodontists use traditional methods of treatment with braces.
The cost of Incognito braces is several times higher than the cost of conventional braces, which is explained by the cost of the alloy, the features of individual manufacturing and the highest level of the doctor.	The cost of braces depends on the material, but will always be less than the cost of treatment with the Incognito braces system.
Incognito braces are comfortable, convenient, more hygienic and safe for teeth, since the inner surface of the teeth is less susceptible to caries.	Comfortable depending on the model and material; poor hygiene may cause problems with tooth enamel.
The time to adapt and get used to braces is about 2 weeks.	The adaptation time is about 1 week.

Incognito braces are right for you if:

you have a malocclusion of your teeth, you are a teenager or an adult who does not want to use regular braces that are visible to others
want to correct your bite comfortably and with maximum efficiency
want to get stable results of orthodontic treatment

Commented by the chief specialist of Dial-Dent on Incognito braces, M.P. Sleptsova: “Incognito braces are suitable for all patients – children, teenagers and adults. Most often, they are installed on adult patients who want to hide their treatment from others. The system is successfully used for almost all types of orthodontic disorders, for very uneven teeth, and is compatible with surgical methods for correcting the bite. The results of treatment with Incognito braces become noticeable after the first week; treatment periods are calculated individually. I have been using Incognito braces in my work for more than 5 years, and I believe that this is one of the best systems for correcting malocclusion, as evidenced by stable results.”

Benefits of CAD/CAM technology for the orthodontist and patient

This technology allows you to combine the processes of production and determination of the position of braces. The process involves 3D optical scanning, modeling the shape and size of the brackets, and positioning them for each specific tooth. Computer modeling eliminates the human factor, so inaccuracy in the manufacture of this orthopedic equipment is almost completely eliminated. Incognito lingual braces do not require long-term adaptation; the maximum adaptation time for the patient does not exceed 2 weeks.

Examples of work “Before” and “After”

Correction of bite with Invisalign aligners
Problem: the patient is not satisfied with the aesthetics of the teeth in the front row, narrowing of the upper and lower jaws, after examination, caries and the presence of dental deposits were revealed Work: the Invisalign method was chosen for treatment (dental guards on both jaws), comprehensive cleaning of plaque and stone, caries treatment Time: 36 weeks Cost: treatment with invisalign aligners - 160,000 rubles.

Correction of bite with Invisalign aligners for narrowing jaws

Problem: the patient is not satisfied with the severe curvature of the fangs, he also wanted to straighten the remaining teeth, the curvature is caused by a narrowing of the upper and lower jaws.

Alignment of front teeth with Invisalign aligners (Invisalign)

Problem: the patient is not satisfied with the curvature of the front teeth caused by narrowing of the jaws Work: the Invisalign method was chosen for treatment (dental guards on both jaws), comprehensive cleaning of plaque and stone Time: 30 weeks Cost: treatment with invisalign aligners - 160,000 rubles.

Overbite correction with Aspire ceramic braces

Problem: the patient complained of gaps between teeth.

Small bracket thickness

The thickness of the orthodontic system has a direct impact on patient comfort. Treatment using individually designed Incognito systems allows you to minimize the thickness of braces and ensure their optimal fit to the surface of the teeth. This allows you to get rid of long-term habituation to the equipment, problems with speech, irritation of the tongue and gums, and makes it easier to maintain high-quality oral hygiene. The thin thickness of the equipment significantly increases wearing comfort and also reduces the frequency of braces coming off under the influence of chewing load.

How long does treatment last?

There is a misconception that when using the Incognito lingual brace system, the duration of treatment increases. However, how long you will have to wear braces depends not so much on their type, but on the pathology for which therapy is necessary and on the initial state of the dentition. For most patients, treatment time is 18-24 months and in rare cases it can be extended to 36 months.

Digging deeper: How long should you wear braces?

Adaptation to wearing

Despite all the convenience of using Incognito braces, adaptation and getting used to them takes some time. But this period is much shorter than when wearing conventional lingual systems.

Possible difficulties in the first weeks of using Incognito braces:

Diction problems . If, when using conventional lingual braces, speech disorders manifest themselves to a pronounced degree, then when using Incognito they are practically invisible to others and disappear within a week.
Injury to mucous membranes . One of the disadvantages is that very often they rub the tongue. This causes some inconvenience to patients and requires the use of special waxes. The elements of the Incognito system are small in size and their thickness is minimal. This eliminates the risk of tongue injury even in the first few days.

Re-fixation

Initially, this brace system is installed indirectly: the dentist fixes all the braces at once using special silicone aligners. The Incognito system consists of a series of brackets with customized bases that cover a significant portion of the inside of the teeth. The design allows for easy re-attachment. If the bracket comes off, it is easy to re-fix it directly (without additional devices), since the base of the bracket fits exactly to the surface of the tooth in the only correct position.

Indications and contraindications for installation

Like any medical procedure, installing Incognito braces has its own indications. There are also cases when the use of this system is contraindicated.

Indications

Irregularities in the dentition: displacement of individual teeth, rotation and crowding of teeth.
Treatment for correcting deep bite.
The patient's requirement is for highly aesthetic treatment and inconspicuousness for others.
The need for increased comfort while wearing braces.
The need to quickly achieve a positive result.

Contraindications

High crowding of teeth, which prevents the correct installation of all elements of the system.
Anatomically narrow jaw, which makes it impossible to correctly manipulate the inner surface of the teeth.
The patient’s serious condition in the presence of serious diseases of the internal organs.
Childhood.
Advanced periodontal or gum diseases.
The small size of the crown of the teeth makes it impossible to fix the braces.
Epilepsy and mental illness.

Completion of treatment

Problems in completing treatment are often associated with incorrect positioning of braces during installation of the orthodontic system. Computer modeling allows us to eliminate this factor, which is possible in a conventional laboratory process. Unsticking Incognito braces less often leads to incorrect installation: these braces can be precisely positioned again, since individual manufacturing assumes almost the only correct position of a specific bracket on a specific tooth.

Therapy algorithm

The course of correction involves strict adherence to a specific protocol, which consists of several stages:

diagnosis of a clinical case with identification of indications and contraindications. At this stage, the doctor performs a visual and high-precision hardware examination;
preparing the oral cavity for orthodontic therapy (treatment of teeth and gums, professional cleaning);
taking dental impressions and sending them to a laboratory in Bad Essen in Germany. The second option is to create

creating a digital setup model (scanning) and sending it via email;

individual production of the bracket system, placing it on a special transport tray with individual

m positioning and sending it to the clinic;

fixation of braces on the patient’s teeth;
wearing the device with periodic visits to the treating orthodontist to adjust and change the power arc;
removal of the bracket system when the planned result is achieved;
wearing a retention device (a mouthguard or a metal arch) to consolidate the achieved effect.

Note: the duration of the main and retention stages is determined by the doctor based on the specific situation. It is not recommended to ignore the specialist’s recommendations; the effectiveness of treatment depends on their accurate implementation.

Key Features and Benefits

Incognito lingual braces have a whole range of advantages:

The vertical groove ensures tooth derotation without the use of elastic chains.
The modular structure of the device allows you to optimally select the position of the bracket and fix the system even on crowded and heavily rotated teeth. These braces can be installed even with low clinical height of tooth crowns.
The manufacture of structures from a non-oxidizing alloy with a significant gold content makes braces accessible to sensitive patients suffering from allergies.

Disadvantages of Incognito braces

The main disadvantage of such unique designs is their high cost. It is for this reason that many refuse to install braces of this type. Impaired diction in the first days and prolonged wearing can also be included in the list of negative characteristics. Not everyone has the opportunity to correct their bite and uneven teeth, as there are age restrictions. Some clinical cases may also be a reason to refuse braces. All of the above disadvantages are compensated by the advantages of the design.

Manufacturing of Incognito braces

Making braces begins with the doctor taking two-layer polyvinylsiloxane impressions and recording a detailed treatment plan. Then, based on the casts, technicians create two models of the jaws. The output is a model of occlusion pathology and a setup model (with straight, aesthetically and physiologically positioned teeth). Both models scan and, based on the analysis of 3D jaw models, model the parameters and position of each individual bracket in order to give them a minimum thickness. At the same time, data is generated to create the arc.

After this, they move on to making wax models of braces. Subsequently, the wax is replaced with a gold-containing alloy. After casting, the brackets are carefully processed: ground, polished, and the groove dimensions are checked for accuracy.

The treated braces are glued to the model and then transferred to a special mouthguard, with which the orthodontist will fix the braces on the patient’s teeth.

Incognito braces are a modern and invisible alternative to conventional braces.

The advantages of the Incognito system are invaluable - quick and easy installation, inconspicuousness, comfort, a wide variety of options for correcting occlusion and long-term treatment results. Incognito braces are created using high technology for patients with all types of dental malocclusion. The only person who knows that you have orthodontic appliances is you. Incognito braces are manufactured in Germany according to individual impressions and measurements made by the attending orthodontist, using the most modern CAD/CAM technology (CAD - Computer Aided Design - creation of a virtual design on a computer, CAM - Computer Aided Manufacturing - computer-aided manufacturing). The special and unique design of anti-allergic braces made of gold-containing alloy ensures maximum comfort and quick adaptation at the beginning of treatment. Unlike therapy with conventional braces, language and diction will be more affected in the lingual technique. However, a huge number of patients cope with this problem within two weeks after installing Incognito. It usually takes about two weeks to order and manufacture braces in Germany, about the same time is needed for consultation and diagnostic activities (images, taking impressions, concluding a treatment contract, etc.). Dial-Dent offers its patients to make digital impressions of their teeth. Digital impressions are delivered electronically to the laboratory in Germany the same day, reducing wait times for Incognito braces.

Cost of treatment with lingual braces

The cost of treatment with lingual braces consists of the following components:

Consultation with an orthodontist - 2,000 rubles.
Comprehensive orthodontic diagnostics, including drawing up a treatment plan using fixed equipment: 5,000 rubles.
Treatment using the Incognito lingual technique (1 jaw) - 220,000 - 250,000 rubles.

Approximate prices are given. The orthodontist provides a detailed calculation to the patient after the examination.

Installation of hidden braces

Incognito lingual structure is faster than the installation of similar vestibular systems (external). Initially, attach the lower part of the product. The staged nature of the procedure is explained by the need for a person to gradually adapt to the presence of an unusual object in the mouth. About a month later, the upper part of the structure is installed.

Interesting to know ! The orthodontist will initially carry out a trial installation of the structure on the jaw model - in order to avoid errors when fixing the system on the human dental rows.

During the training installation, the correctness of the manufactured gold system is also checked and the parts are adjusted. During the correction of an abnormal bite, the patient visits the orthodontic office from time to time. The doctor evaluates the effectiveness of the corrective process and carries out sanitation of the oral cavity.

Correction of malocclusion using Incognito braces

To reduce financial costs, Incognito products are often installed only on the upper row of teeth, where external systems would be too noticeable. In such cases, the lower teeth are straightened using vestibular braces, the price of which is much lower than that of Incognito lingual braces.

When the correction is complete, the doctor dismantles the brace system. The patient is required to use special devices - mouth guards (retainers) for some time (several months). They are needed to prevent teeth from returning to their previous, incorrect position.

How to start treatment with the Incognito brace system?

A cooperation agreement was reached between the TOP-Service laboratory and the Orthodont-Elite clinic. Our specialists are always ready to answer any of your questions about correcting your bite using this system.

Already now you can undergo treatment using the new unique lingual system Incognito. Make an appointment by phone - 8 499 245-62-68 and come to our clinic in Moscow, located near the station. metro station "Sportivnaya" or "Frunzenskaya", on Usacheva Street, building 19A, building 2.

The degree of diction impairment when wearing Incognito braces

Wearing braces can lead to impaired diction only at the initial stage of treatment. In addition, such changes are individual. On average, a child’s speech apparatus adapts to braces within 3-10 days. The presence of complexes, as well as malocclusion, can contribute to the development of speech defects. In this situation, the use of the Incognito system to correct malocclusion is especially important.

Oral Care Tips

While wearing braces, you must adhere to some rules:

thoroughly clean your teeth or rinse your mouth after each meal;
exclude from the diet completely or partially some foods, a list of which can be obtained from your doctor. You should definitely give up chewing gum;
Visit the doctor regularly, which is necessary to adjust the treatment regimen.

The above list can be supplemented by a doctor, depending on the individual characteristics of each patient. Therefore, when visiting an orthodontist, it is quite important to raise the issue of oral hygiene.