Invisalign Comprehensive Treatment
Invisalign Comprehensive Treatment is a specialized dental service provided by the board-certified specialists at Aloha Dental Specialty Center in Beaverton, OR. Completely hidden braces bonded behind the teeth for true invisible orthodontic treatment.
Lingual Braces: Full Orthodontic Power, Zero Visibility
Lingual braces are fixed orthodontic brackets bonded to the lingual (tongue-side) surfaces of the teeth — making them completely invisible from the front. For patients who want the precise mechanical control of fixed appliances but cannot accept any visible hardware, lingual braces offer the only truly hidden fixed orthodontic option. At ADSC, lingual braces are available for patients with aesthetic demands that Invisalign cannot meet and visibility concerns that labial braces do not address.
Lingual orthodontics demands a different level of technical precision than labial braces. The lingual surface anatomy of each tooth is more variable, making standardized bracket positioning impossible. Custom-fabricated lingual brackets — manufactured from a digital scan of the patient's teeth — are individually designed to match the unique contour of each tooth's lingual surface. Indirect bonding trays ensure accurate placement at the prescribed position and angulation.
The primary adaptation patients experience is speech. The tongue contacts the lingual surfaces of the upper front teeth during many speech sounds, and brackets on those surfaces temporarily alter tongue placement. Most patients adapt within two to four weeks, though some initial lisping is expected. Once acclimated, lingual braces provide full fixed orthodontic treatment with complete aesthetic concealment throughout the process.
Serving Beaverton, Aloha, Hillsboro & Washington County
Aloha Dental Specialty Center is located at 18455 SW Alexander St, Suite A, in Beaverton, Or 97003egon. We serve patients from across the Tualatin Valley and greater Portland metro, including Aloha, Hillsboro, Tigard, Lake Oswego, and Tualatin. Our Beaverton office is a 5-minute drive from Aloha, 10 minutes from Hillsboro, and 15 minutes from Tigard via SW 185th Avenue.
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Intel Campuses (Ronler Acres & Jones Farm)
10 to 15 minutes via NW 185th Ave. We accommodate the schedules of tech professionals who need efficient, high-quality specialty care.
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Nike World Headquarters
About 8 minutes via SW Baseline Rd. We frequently see patients from the Nike campus for surgical and implant procedures with sedation options.
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Streets of Tanasbourne & Orenco Station
Easily accessible via US-26 and NW 185th. Local general dentists in these communities regularly refer patients to us for specialty procedures.
Why Local Dentists Refer to Us
We work as a trusted partner to general dentists throughout the Tualatin Valley. When cases require CBCT-guided planning, IV sedation, bone grafting, or other advanced procedures, local providers refer to Dr. Ostovar for his fellowship-trained expertise and predictable results.
We handle the complex surgical phases and coordinate closely with your general dentist for smooth continuity of care from start to finish.
Understanding Your Investment
At Aloha Dental Specialty Center, we provide transparent pricing before any treatment begins. The cost of your procedure depends on clinical complexity, materials used, and sedation requirements. We walk you through every line item during your consultation so there are no surprises.
What Affects Cost:
- Clinical Complexity: Bone loss, sinus proximity, nerve involvement, or the need for grafting affects treatment planning and surgical time.
- Materials: We use research-backed implant systems, purified bone graft matrices, and high-strength ceramics from established manufacturers.
- Sedation: Options range from local anesthesia to IV sedation, each with different associated costs. We discuss the best option for your comfort and procedure.
Insurance & Financing
We accept most major dental insurance plans and file claims on your behalf. Our team verifies your benefits before treatment and submits pre-treatment estimates with clinical documentation to maximize coverage.
For out-of-pocket costs, we partner with CareCredit and Cherry for flexible payment plans. We also offer our ADSC Dental Savings Plan for patients without insurance.
Recovery & Healing Timeline
Understanding the healing process helps you plan ahead and follow post-operative instructions for the best possible outcome.
First 48 Hours
Mild swelling and tenderness are normal. Apply ice packs in 20-minute intervals and take prescribed or over-the-counter anti-inflammatory medication. Eat soft foods and avoid the surgical site when chewing.
Days 3 to 7
Swelling peaks around day three and then improves. The tissue begins closing over the surgical site. Continue with soft foods and use any prescribed antimicrobial rinse. Most patients return to normal activities during this phase.
Long-Term Healing
Surface tissue heals within two to three weeks. Bone integration and deep healing continue for three to six months. Avoid smoking, follow up as scheduled, and maintain good oral hygiene throughout recovery.
Questions during recovery? Call us at (503) 822-0096. We are available for post-operative concerns.
Lingual Biomechanics: Force Application from the Tongue Side
Lingual orthodontics applies forces from a fundamentally different geometric relationship than labial systems. Because the point of force application is lingual to the center of resistance of most teeth, identical wire deflections produce different moment-to-force ratios than labial mechanics. This affects how teeth tip, rotate, and torque in response to treatment. Custom lingual bracket prescriptions account for these biomechanical differences through individualized bracket geometry that pre-programs the appropriate compensations. Archwire selection also differs: mushroom-shaped lingual archwires conform to the smaller lingual arch form, and wire stiffness must be calibrated for the shorter interbracket distances on the lingual surface. Computer-aided bracket fabrication (CAD/CAM) systems such as Incognito and WIN create patient-specific brackets from a digital model, with each bracket's base contoured to the exact lingual surface topography and its slot oriented to express the prescribed tooth position when engaged with the finishing archwire.
Why Choose a Specialist?
Lingual braces at ADSC are selected for patients whose clinical and aesthetic requirements specifically warrant this approach. The orthodontic team's experience with lingual mechanics ensures appropriate wire sequencing and force calibration for the unique biomechanical environment of lingual treatment. Custom bracket systems (CAD/CAM fabricated) are used exclusively — stock lingual brackets do not provide the precision needed for predictable results. Treatment planning incorporates CBCT imaging for root position verification, as lingual force vectors interact differently with root morphology than labial forces.
Your Invisalign Comprehensive Treatment Treatment Steps
- Consultation & Exam: Comprehensive invisalign comprehensive treatment evaluation with CBCT 3D imaging at our Beaverton office.
- Treatment Plan: Board-certified specialist discusses your invisalign comprehensive treatment options, timeline, and costs. Our procedures maintain a 95%+ success rate, backed by advanced 3D imaging and evidence-based protocols.
- Treatment: Procedure performed with comfort options including sedation if needed.
- Follow-Up: Post-treatment monitoring and care coordination for best healing.
Schedule Your Appointment Today
Book a consultation with our board-certified specialists at Aloha Dental Specialty Center in Beaverton, OR. Call (503) 822-0096 Office hours: Monday through Friday 7 AM to 7 PM, Saturday and Sunday 8 AM to 2 PM. or request an appointment online.
Related Services at Aloha Dental Specialty Center:
Dental Implants · Oral Surgery · Root Canal · Invisalign · Periodontics · Pediatric · TMJ Treatment · Sedation · Cosmetic · Emergency · Sleep Apnea
A Note from Your Dental Team
In my experience, the patients who get the best results from invisalign comprehensive treatment are those who come in with realistic expectations and follow their post-treatment instructions carefully. I’d rather spend extra time explaining what to expect than have a patient be surprised later.
“Every patient I see has a different story, a different set of concerns, and a different definition of what ‘success’ looks like. That’s why I don’t believe in one-size-fits-all treatment plans. When you come in for a consultation, I’ll listen first, examine second, and recommend third.
I also won’t recommend a procedure you don’t need. If your tooth can be saved with a filling instead of a crown, I’ll tell you that. If watchful waiting is appropriate, I’ll explain why. My job isn’t to sell treatment — it’s to give you my honest clinical judgment so you can make an informed decision.
If you have questions about whether this treatment is right for you, or if you’ve been told you need this procedure by another dentist and want a second opinion, call us at (503) 822-0096. We’re happy to take the time to explain everything — no rush, no pressure.”
— Dr. Merat Ostovar & Dr. Jovan Gvozden | Aloha Dental Specialty Center, Beaverton, OR
I know many patients feel anxious about dental procedures — you’re not alone in that. What I hear most often after treatment is: “That was so much easier than I expected.” We’re here to make this as comfortable as possible for you.
Are You a Candidate for Invisalign Comprehensive Treatment?
Most patients in good general health are candidates for invisalign comprehensive treatment. However, certain factors may affect your eligibility or require modifications to the treatment plan:
- Medical conditions: Uncontrolled diabetes, autoimmune disorders, or blood-thinning medications may require coordination with your physician before treatment.
- Bone quality: For invisalign comprehensive treatment involving the jawbone, adequate bone density is essential. A CBCT 3D scan during your consultation determines this precisely.
- Smoking: Tobacco use significantly impairs healing. We strongly recommend quitting 2-4 weeks before and after any surgical procedure.
- Age: There is generally no upper age limit. What matters is your overall health, not your age. We have successfully treated patients in their 80s and 90s.
The only way to know for certain is a consultation with our board-certified specialists. Call (503) 822-0096 to schedule your evaluation — we’ll tell you honestly whether this is the right treatment for your situation.
Typical Healing Timeline:
Days 1-3: Initial healing, mild swelling managed with ice and medication. Days 4-7: Swelling subsides, gradual return to normal diet. Weeks 2-4: Soft tissue heals completely. Months 2-6: Bone remodeling and full integration (for surgical procedures). Individual recovery varies — we provide detailed post-op instructions specific to your procedure.
For additional clinical information, visit the American Dental Association (ADA).
Last reviewed by our dental specialists: March 2026. Clinical information on this page reflects current evidence-based dental practices.
Related Dental Services
Frequently Asked Questions
Can anyone get lingual braces?
Most orthodontic cases can be treated with lingual braces, though some extremely deep bites may complicate bonding on the lower teeth (the upper brackets may impinge on the lower lingual brackets when biting). Short clinical crowns or heavily restored teeth may also present challenges. A clinical evaluation determines candidacy.
Do lingual braces affect speech?
Initially, yes. The brackets occupy space normally contacted by the tongue during speech. Most patients experience a temporary lisp, particularly with "s," "t," and "d" sounds, that resolves within two to four weeks as the tongue adapts. Reading aloud during the first week accelerates the adaptation process.
Are lingual braces more expensive than regular braces?
Yes. Lingual braces require custom-fabricated brackets, specialized archwires, and more technically demanding clinical procedures. They typically cost $2,000 to $3,000 more than comparable labial braces treatment. The premium reflects the individualized manufacturing and the specialized clinical skill required.
How long does lingual braces treatment take?
Treatment duration is comparable to labial braces for the same case complexity — typically 18 to 30 months. Some practitioners report slightly longer treatment times with lingual systems due to the unique biomechanics, but the difference is modest when custom brackets and appropriate wire sequences are used.
Do lingual braces hurt more than regular braces?
Tongue soreness is the primary comfort concern unique to lingual braces. The tongue contacts the brackets and may develop small ulcerations during the first one to two weeks. Orthodontic wax and over-the-counter oral gel provide relief. After the initial adaptation, most patients report comfort levels similar to labial braces.
Can lingual braces fix the same problems as regular braces?
Yes. Lingual brackets accept archwires that generate the same types of tooth movement — alignment, rotation, torque, and vertical repositioning. The mechanical principles are identical; only the geometry of force application differs. Complex cases including extraction treatment, open bite correction, and significant crowding can be managed with lingual mechanics.
How do I clean lingual braces?
Cleaning lingual braces requires more attention because the brackets are harder to see and access. An angled brush, interdental brushes, and a water flosser are essential tools. The tongue naturally self-cleans the lingual surface to some degree, but deliberate brushing around each bracket remains necessary. The clinical team provides specific hygiene instructions and tools at the bonding appointment.
Are lingual braces the same as Invisalign?
No. Lingual braces are fixed brackets and wires permanently bonded to the teeth (on the tongue side) and are not removable by the patient. Invisalign uses removable clear plastic trays. Lingual braces provide continuous 24-hour force application and do not depend on patient compliance for wear time. Both are "invisible" but through entirely different mechanisms.
Can I play sports with lingual braces?
Yes. Since lingual braces are on the inside of the teeth, the risk of lip laceration from a sports impact is actually lower than with labial braces. A mouthguard is still recommended for contact sports. Custom-fitted guards that accommodate lingual brackets are available.
How often are adjustment visits for lingual braces?
Every four to six weeks, similar to labial braces. Lingual adjustment appointments may take slightly longer because of the reduced visual access and the technical demands of wire changes on the tongue side. The orthodontic team uses specialized instruments designed for lingual access to work efficiently.
What are the dietary restrictions with lingual braces?
The same as labial braces: avoid hard, crunchy, and sticky foods that could dislodge brackets. Because lingual brackets are positioned on biting/tongue surfaces, hard foods are actually slightly less likely to damage them compared to front-facing brackets. Standard dietary caution is still advised.
Is lingual treatment available for only the upper teeth?
Yes. Some patients choose lingual braces on the upper arch (the most visible during smiling) and labial braces on the lower arch, where visibility is minimal. This hybrid approach reduces cost and simplifies lower arch mechanics while achieving complete concealment on the upper teeth.
Can lingual braces be combined with other treatments?
Yes. Lingual braces integrate with the same adjunctive treatments as labial braces: temporary anchorage devices, inter-arch elastics, palatal expanders, and surgical orthodontics. The multi-specialty environment at ADSC allows smooth coordination of lingual orthodontics with any required surgical or periodontal procedures.
How are lingual brackets different from standard brackets?
Lingual brackets are custom-fabricated for each patient using CAD/CAM technology. Each bracket's base matches the unique contour of the individual tooth's lingual surface, and the slot angulation is calculated to deliver the prescribed final tooth position. Standard labial brackets are mass-produced in universal prescriptions. This customization is what makes lingual treatment viable and accurate.
Will lingual braces interfere with kissing?
You and your partner will notice the brackets initially, but most patients report that this becomes a non-issue within the first week. The brackets are smooth and low-profile — significantly less intrusive than labial braces, which are more likely to cause lip interference.
Ask About Completely Hidden Braces — Book a Consultation
Call our Beaverton office or request an appointment online. We look forward to helping you.
Clinically Reviewed by Dr. Merat Ostovar, DMD
Doctor of Dental Medicine | Implant & Specialty Dentistry | 15+ Years Experience
Aloha Dental Specialty Center — Serving Aloha, Beaverton, Hillsboro & Greater Portland
Last updated: March 19, 2026