You see them all the time: adults wearing braces. But this inevitably raises the question of whether braces even make sense for adults. This article explains how braces can help adults and what to keep in mind. You can find everything you need to know about orthodontics for adults here.
Why do many adults have braces?
There are many reasons why adults might need braces. In most cases, the patient did not receive orthodontic treatment as a child—whether by choice or because their parents neglected to seek treatment. However, it is also possible that the results of previous treatment are no longer effective because the teeth have shifted again over time.
Adults often consider orthodontic treatment for cosmetic reasons. Sometimes, medical issues complicate matters.
For example, severely crowded teeth or gaps between the teeth can make cleaning difficult and thus increase the risk of tooth decay. In addition, many people find crowded teeth or gaps between the teeth unattractive.
An open bite or deep bite is also a cosmetic concern for some people, but it can also cause problems. Those affected may sometimes be unable to chew properly. The same is true for an underbite or a severe overbite, as well as for a crossbite and a reverse crossbite (buccal nonocclusion).
Furthermore, temporomandibular joint problems are a common reason for the decision. They can be the cause of tension, sleep problems and grinding. Psychological factors should also not be neglected. Many people no longer feel comfortable in their own skin due to crooked teeth, which increases their suffering.
What are the benefits of braces for adults?
Of course, braces can also be worn in adulthood to correct misaligned jaws and teeth. Various complaints can thus be eliminated. In some cases, tooth correction for adults is even advisable in order to maintain a healthy mouth in the long term.
It is not uncommon for interdental spaces or certain teeth to not be cleaned properly due to misalignment. As tooth cleaning and care are the basis for a healthy oral cavity and therefore for general health, tooth correction can provide a long-term remedy.
How do malocclusions develop in adulthood?
Some people only realize quite late that they are affected by misaligned teeth. This is not always the fault of the parents. In some cases, malocclusion only becomes apparent in adulthood. There are various possible reasons for this, such as
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advanced periodontitis
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Displacements Caused by Erupting Wisdom Teeth
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Displacements due to tooth loss and resulting gaps
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Accidents and other injuries to the jaw
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Tooth migration due to incorrect loads such as grinding
Options for adults: These types of braces are available
There are a number of options for adults who want or need to wear braces:
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fixed braces from the outside
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fixed braces the inside
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removable aligners
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Removable loose braces
The type of braces an adult chooses depends on many factors. Aesthetic considerations are particularly important. However, in some cases, the type of braces also depends on the nature of the misalignment.
fixed braces the outside)
A fixed braces on the outside of the teeth (also called brackets) is one of the most common methods. This type of braces is highly visible and therefore not popular with all adults. You can choose between ceramic brackets, which are the same color as your teeth, and silver metal brackets.
The brackets are attached to the front of the teeth. Using a single-ligated archwire that runs across the rows of teeth, the teeth are gradually moved into the desired position. While fixed braces can be very bothersome fixed braces some situations, their major advantage is that they can exert a continuous force on the teeth over a long period of time—without interruption.
fixed braces the inside
The lingual technique is used when the brackets are not supposed to be visible. It is also a type of fixed braces. However, since the brackets are attached behind the teeth, other people do not notice them. This makes this type of braces popular among many adults. The only potential issue is speech impediments, as many patients develop a lisp when wearing these fixed braces.
Removable aligner splints
Removable solutions fixed braces much more popular than fixed braces . Aligner trays are nearly invisible. To create them, a model of the teeth is made, which serves as the basis for gradual correction. Each new tray causes a small movement of the teeth.
Patients change the aligner splints themselves. We recommend wearing them for 20 to 22 hours a day. They are only removed when eating. Although this is very practical for patients, it also requires discipline. For best results, they must follow the orthodontist's recommendations.
removable braces
While not for all types of misalignment, in some cases the traditional removable braces are also an option. The base is made of plastic. It is attached to the teeth by small wire brackets. With the help of additional elements such as screws and springs, the jawbones can be expanded and the teeth guided into a specific position.
However, this type of brace is only suitable for adults to a limited extent. As the adult bone is fully grown and can no longer stretch, this option rarely makes sense. In addition, the method is often not precise enough so that the result is not satisfactory.
Braces for adults: How does the treatment work?
If you are considering braces as an adult, or if there is a suspicion that they are medically necessary, the first step is to consult with an orthodontist. Typically, your dentist will refer you to an orthodontist.
During the initial consultation, we clarify the patient's wishes, which malpositions are present and which method is suitable for the correction. The focus is always on the patient's requirements. An individual treatment plan is therefore essential.
The duration of treatment for braces in adults depends on the individual tooth and jaw misalignment. Anything from a few months to several years is possible.
How much do braces for adults cost?
Since there are various types of orthodontic treatments, the costs vary. The severity of the misalignment of the teeth and jaws, as well as the number of jaws to be treated, are also key factors. The cost typically ranges from 2,500 to 8,500 euros.
For patients eligible for financial assistance, a court ruling regarding financial assistance for adult orthodontic treatment may also be relevant.
However, patients should always seek individual advice from their orthodontist. At the same time, it should be clarified whether there are any additional costs on top of the braces costs - for example, for the loss of brackets, repairs or teeth cleaning.
Many patients also wonder whether their health insurance will cover part of the costs - especially if braces for adults are medically necessary. The clear answer is no. Statutory health insurance companies do not cover the costs of orthodontic treatment from the age of 18.
Exceptions apply to severe tooth and jaw anomalies that require additional jaw surgery. Statutory health insurance usually pays the standard rate for treatment. If the patient has special requests, such as inconspicuous ceramic brackets, they must pay for these privately.
Depending on the tariff, private health insurance or supplementary dental insurance will make a payment. However, this must always be clarified on an individual basis.
What should I bear in mind with braces for adults?
Regardless of the reason for braces in adulthood, there are a few factors to consider. In addition to the question of cost, it is always necessary to check the patient's state of health.
The basic requirements for adults to wear braces are a healthy periodontium and teeth free of cavities. Dental conditions such as periodontitis and gingivitis must also be ruled out. Such problems must be treated first before braces can be considered.
The reason is simple: braces exert pressure on the root of the tooth. If this is already affected by a disease, serious damage can occur to the periodontium.
Individual advice is essential. So choose a specialist who will take the time to listen to you and your needs. After all, you should not only be satisfied with the result, but also with the way to get there.
We at the JUST KFO practice will be happy to advise you on braces for adults. As experts in orthodontics, we will find the solution that suits you best. This will soon make your discomfort a thing of the past.
Braces are worth it at any age
Orthodontic treatment with braces may also be advisable for adults. Orthodontic treatment isn’t just for children. Whether for cosmetic or medical reasons, there are various treatment options available. Consult an orthodontist and choose the solution that’s best for you.
- Kravitz, N. D., Kusnoto, B., BeGole, E., Obrez, A., & Agran, B. (2009). How well does Invisalign ? A prospective clinical study evaluating the efficacy of tooth movement with Invisalign. American Journal of Orthodontics and Dentofacial Orthopedics, 135(1), 27–35. https://doi.org/10.1016/j.ajodo.2007.05.018
- Rossini, G., Parrini, S., Castroflorio, T., Deregibus, A., & Debernardi, C. L. (2015). Efficacy of clear aligners in controlling orthodontic tooth movement: A systematic review. The Angle Orthodontist, 85(5), 881–889. https://doi.org/10.2319/061614-436.1
- Martin, C., Littlewood, S. J., Millett, D. T., et al. (2023). Retention procedures for stabilizing tooth position after treatment with orthodontic braces. Cochrane Database of Systematic Reviews, (5), CD002283. https://doi.org/10.1002/14651858.CD002283.pub5
FAQ: Frequently asked questions about braces for adults
When are you too old for braces?
In principle, there is no age at which braces are no longer an option. It is only important that the jawbone structure and gums are in good condition and that there are no dental diseases.
How long do you wear braces as an adult?
The duration of wearing braces in adults depends on the treatment method. In some cases, just a few months are sufficient.
How much do braces cost for an adult?
The cost varies depending on the type of braces. Prices can range from 2,500 to 8,500 euros. As a general rule, if the patient requests special features such as invisible brackets, there is usually an additional charge.
When does health insurance cover the cost of braces?
As a rule, health insurance does not cover the cost of braces for adults. Exceptions are severe jaw anomalies. Therefore, the question of cost coverage must always be clarified individually.
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Dr. Julia Steinmaier
Specialist in orthodontics. Owner of JUST KFO Cologne, a sought-after speaker and author who regularly contributes to professional publications and the media.
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Reviewed by Dr. med. dent. Julia Steinmaier, specialist in orthodontics · Last reviewed on June 21, 2026
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