Metal Braces: Types, Costs, and Important Considerations

25/08/2026

What Are Metal Braces?

Metal braces are a traditional and widely used orthodontic treatment. They consist of brackets made from durable, medical-grade alloys such as stainless steel or titanium, an archwire, and supporting components such as elastic ligatures or built-in sliding clips.

Together, these components apply gentle, continuous pressure to gradually guide misaligned teeth into their proper positions. In addition to straightening the teeth, metal braces help correct bite alignment and improve overall dental function and facial harmony.

Thanks to their strength, durability, and precise control over tooth movement, metal braces can effectively treat most orthodontic concerns, from relatively straightforward cases to more complex conditions, including:

Protruding teeth and underbites: Cases where the teeth extend too far forward or sit too far back, affecting facial balance. This may range from mild dental misalignment to more complex cases involving significant tooth-position discrepancies.
Crowded, crooked, or uneven teeth: Teeth that overlap, grow out of alignment, or sit at different heights, often because the dental arch is too narrow or there is insufficient space for proper eruption.
Gaps between teeth: Noticeable spaces that can affect the appearance of the smile and make it easier for food to become trapped.
Significant bite problems: Conditions such as deep bite, open bite, crossbite, or edge-to-edge bite, which may impair chewing function and place additional strain on the temporomandibular joints.

Niềng răng mắc cài kim loại là phương pháp phổ biến nhất hiện nay

Common Types of Metal Braces

Metal braces generally fall into two main categories: conventional metal braces and self-ligating metal braces. Both systems use brackets and an archwire to guide the teeth into alignment. The main difference lies in how the archwire is secured within each bracket.

Conventional Metal Braces

Conventional metal braces use small elastic ties or fine metal wires to hold the archwire in place within each bracket. As the archwire applies controlled pressure, the teeth gradually move toward the positions established in the orthodontic treatment plan.

This well-established system has been widely used for many years and can treat a broad range of dental and bite problems, including gaps, crowding, crooked teeth, protruding teeth, underbites, and cases requiring more complex control of tooth movement.

Advantages:

Provide reliable control over orthodontic forces and are suitable for a wide range of dental conditions.
Can correct tooth and bite problems ranging from straightforward to complex.
Generally cost less than self-ligating metal braces.
Elastic ties are available in various colours, allowing patients to personalise the look of their braces.

Limitations:

Elastic ties may stretch or become discoloured over time and need to be replaced during follow-up appointments.
Friction between the archwire, elastic ties, and brackets may be greater than with some self-ligating systems.
Thorough oral hygiene is essential, as food particles and plaque can build up around the brackets and elastic ties.

Self-Ligating Metal Braces

Self-ligating metal braces use built-in sliding clips or small doors to secure the archwire within the brackets. Unlike conventional braces, they do not require elastic ties to hold the archwire in place.

The opening and closing mechanism keeps the archwire securely positioned within the bracket slot while allowing the orthodontist to adjust or replace it more conveniently throughout treatment.

Advantages:

Do not require elastic ties to secure the archwire.
Eliminate concerns about elastic ties stretching or becoming discoloured.
The brackets can usually be opened and closed more conveniently when the archwire needs to be adjusted or replaced.
With fewer components around each bracket, keeping the teeth and braces clean may be easier.

Limitations:

Generally cost more than conventional metal braces.
Feature a more complex design, and some brackets may be slightly bulkier.
Treatment results and duration depend on more than the type of bracket used. Factors such as the condition of the teeth, the severity of the bite problem, the treatment plan, and patient compliance also play an important role.

Overall, both conventional and self-ligating metal braces can produce excellent orthodontic results when appropriately prescribed and professionally managed. The choice should be based on each patient’s dental and bite condition, treatment plan, personal preferences, and budget—not simply on the type of bracket.

Advantages and Disadvantages of Metal Braces

Although increasingly discreet options such as ceramic braces and clear aligners are now available, metal braces remain a popular choice because of their reliable treatment outcomes, durability, and affordability. However, they also come with certain limitations that should be carefully considered before treatment.

Advantages of Metal Braces

One of the greatest strengths of metal braces is their ability to provide precise control over orthodontic forces. The bracket-and-archwire system allows the orthodontist to manage the direction and extent of movement for each tooth according to the treatment plan. As a result, metal braces can address a wide variety of concerns, including crowding, crooked teeth, gaps, protruding teeth, underbites, and bite problems ranging from straightforward to complex.

Metal brackets are generally made from medical-grade stainless steel or other highly durable alloys, allowing them to withstand the forces applied throughout treatment. With proper care and regular follow-up appointments, the system can continue delivering consistent pressure as the teeth move through each stage of the treatment plan.

Another important advantage is their relatively affordable cost. Compared with ceramic braces or clear aligners, metal braces are generally more accessible while still providing effective treatment for a wide range of orthodontic conditions. This makes them a practical option for patients who prioritise reliable results while keeping treatment costs manageable.

Niềng răng mắc cài kim loại phù hợp với mọi tình trạng răng hô, móm, khấp khểnh từ đơn giản đến phức tạp

Disadvantages of Metal Braces

The most noticeable limitation of metal braces is their visibility. Because the brackets and archwire are attached to the front surfaces of the teeth, they are usually easy to see when smiling or speaking. This may make some patients feel self-conscious, particularly those whose work involves frequent face-to-face communication.

During the first few days after the braces are fitted—or following an archwire adjustment—patients may experience pressure, tenderness, or general discomfort. The brackets may also rub against the lips and inner cheeks, occasionally causing mild irritation or small sores. These symptoms usually ease as the mouth gradually adapts to the appliance.

Metal braces also require more time and attention when it comes to oral hygiene. Food particles can become trapped around the brackets, archwire, and spaces between the teeth. If plaque is not removed effectively, the risk of gum inflammation, tooth decay, and white-spot lesions caused by enamel demineralisation may increase.

In addition to brushing thoroughly, patients are often advised to use interdental brushes, orthodontic floss, or a water flosser. Regular follow-up appointments are also essential so the orthodontist can monitor tooth movement and maintain good oral health throughout treatment.

How Long Does Treatment with Metal Braces Take?

Treatment with metal braces typically takes around 18–24 months. However, this is only a general estimate, as every patient has a different dental condition, bite problem, and biological response to orthodontic forces.

For relatively straightforward cases—such as mild spacing, minor crowding, or the need to reposition only a few teeth—treatment may take approximately 12–18 months. By contrast, significant misalignment, complex bite problems, cases requiring tooth extractions to create space, or treatment involving additional appliances may take 24–36 months or longer.

The actual duration of treatment depends on several factors, including:

The severity of the tooth and bite misalignment: The more crowded or misaligned the teeth are—and the more complex the bite problem—the longer it generally takes to align the teeth and achieve a stable, functional bite.
Age at the start of treatment: In children and adolescents who are still growing, the orthodontist may be able to use jaw development to support treatment in certain cases. Adults can also achieve excellent results, although their treatment plan must take into account bone condition, periodontal health, and overall oral health.
The treatment plan: The need for tooth extractions, space creation, traction of impacted teeth, temporary anchorage devices such as miniscrews, or other supporting appliances can affect the overall treatment timeline.
Individual biological response: Teeth do not move at exactly the same rate in every patient, even when their initial conditions appear similar.
Patient compliance: Attending appointments as scheduled, wearing interarch elastics as instructed, caring for the appliance, and avoiding broken brackets or damaged archwires can help keep treatment on track.
The orthodontist’s treatment planning and clinical management: Careful force application, close monitoring of tooth movement, and timely adjustments at each stage are essential for achieving the desired outcome while protecting the teeth and periodontal tissues.

For these reasons, treatment duration should not be predicted solely on the basis of a fixed number. Only after a clinical examination, diagnostic imaging, and a detailed assessment of the teeth and jaw structures can an orthodontist provide an estimated timeline tailored to the individual patient.

How Much Do Metal Braces Cost?

The cost of metal braces currently ranges from approximately VND 25 million to VND 125 million for both arches, depending on the bracket system, the severity of the tooth and bite misalignment, the treatment plan, and the pricing policy of the dental clinic.

Conventional metal braces generally cost between VND 25 million and VND 45 million. They are one of the more affordable orthodontic options and remain widely chosen because they provide reliable control over tooth movement in a broad range of cases.

Self-ligating metal braces typically cost more, ranging from around VND 35 million to VND 60 million. The price difference is largely due to their specialised bracket design, which features built-in clips or sliding doors that secure the archwire without elastic ties. This mechanism also makes it more convenient for the orthodontist to replace and adjust the archwire.

For lingual braces, which are fitted behind the teeth, treatment may cost approximately VND 80 million to VND 125 million. Because this approach keeps the appliance less visible when speaking or smiling, it requires specialised brackets, advanced clinical techniques, and more complex orthodontic management.

Niềng răng mặt trong thường có chi phí cao hơn đáng kể

In addition to the cost of the braces themselves, the overall treatment budget may vary depending on each patient’s individual treatment plan. Some cases may require additional procedures or supporting appliances, such as tooth extractions, orthodontic miniscrews, palatal expanders, or traction of impacted teeth. Existing conditions such as tooth decay, gingivitis, or other oral health problems may also need to be treated before orthodontic treatment begins. Patients should therefore confirm exactly what the quoted fee includes and whether any additional charges may arise during treatment.

Many dental clinics also offer staged payment plans or instalment options to make treatment costs more manageable. Depending on the clinic’s policy, patients may pay an initial deposit and divide the remaining balance into several payments throughout the course of treatment.

The prices above are provided for reference only. To receive an accurate quotation for metal braces, patients will need a clinical examination, diagnostic imaging, and a thorough assessment of their teeth and jaw structures. The orthodontist can then develop a personalised treatment plan and provide a detailed cost estimate.

The Clinical Process for Metal Braces Treatment

Safe, successful orthodontic treatment requires a carefully planned clinical process, with every stage closely monitored by the orthodontist.

Step 1: Comprehensive Oral Examination, Diagnostic Imaging, and Dental Impressions

The orthodontist begins by conducting a comprehensive assessment of the patient’s oral health. Panoramic and lateral cephalometric X-rays are then taken to evaluate the jaw structures, tooth positions and angulations, as well as any unerupted or impacted teeth.

Dental impressions or digital scans are also obtained to create an accurate record of the patient’s teeth and bite. These records provide essential information for diagnosis and treatment planning.

Step 2: Data Analysis and Personalised Treatment Planning

Using the diagnostic images and dental models, the orthodontist carefully plans how each tooth needs to move, determines the necessary interventions, and estimates the overall treatment timeline. The plan prioritises preserving the natural teeth whenever possible and identifies whether procedures such as tooth extraction or arch expansion may be necessary.

Step 3: Treatment Agreement

Before the braces are fitted, the patient and the clinic review and agree on the proposed treatment plan through a written consent form or service agreement. This document should clearly outline the expected treatment stages, fees, and treatment goals, helping ensure transparency and protect the patient’s rights throughout the process.

Step 4: Preparatory Dental Care and Fitting the Braces

Any existing oral health concerns are addressed before orthodontic treatment begins. This may involve professional cleaning, treatment for tooth decay or gum inflammation, and tooth extraction to create space if required by the treatment plan.

Once the mouth is healthy and ready for treatment, the tooth surfaces are prepared, the brackets are securely bonded, and the initial archwire is inserted to begin applying controlled orthodontic forces.

Step 5: Regular Follow-Up Appointments and Adjustments

Patients return to the clinic at scheduled intervals so the orthodontist can closely monitor tooth movement and overall treatment progress. During each appointment, the gums and supporting tissues are assessed, while elastic ties or archwires may be replaced or adjusted to maintain safe, consistent forces.

Step 6: Removing the Braces and Wearing Retainers

Once the teeth have reached their planned positions and a stable, functional bite has been achieved, the braces are removed and the tooth surfaces are carefully cleaned and polished.

Impressions or digital scans are then taken to create retainers. The orthodontist will provide detailed instructions on how and when to wear them to maintain the results and minimise the risk of the teeth shifting back toward their original positions.

Oral Care and Dietary Guidelines During Treatment

Proper oral care and eating habits during treatment with metal braces can help prevent tooth decay, gum inflammation, broken brackets, and unnecessary disruptions to the treatment plan. Patients should keep the following recommendations in mind:

Brush thoroughly after every meal: Food can easily become trapped around the brackets and archwire, so the teeth require more careful cleaning than usual. An orthodontic toothbrush or a soft-bristled toothbrush can be used to clean around each bracket.
Use interdental brushes, orthodontic floss, or a water flosser: These tools help clean between the teeth, underneath the archwire, and in other areas that a regular toothbrush may not reach effectively.
Apply orthodontic wax to areas that feel sharp or irritating: During the initial adjustment period, brackets may rub against the lips or inner cheeks. Applying orthodontic wax over the irritating area can reduce friction and make it easier for the mouth to adapt.
Choose soft, easy-to-chew foods: During the first few days after the braces are fitted or adjusted, foods such as porridge, soup, eggs, soft fish, cooked vegetables, and tender stews can help minimise discomfort while chewing.
Cut food into small pieces: Foods such as apples, pears, meat, and bread should be cut into bite-sized pieces rather than bitten directly with the front teeth, as this can place excessive pressure on the brackets.
Avoid foods that are very hard, chewy, or sticky: Ice cubes, bones, hard nuts, hard sweets, chewy sweets, and other tough or sticky foods may dislodge brackets, bend the archwire, or become trapped around the appliance.
Limit sugary foods and drinks: Cleaning the teeth is more challenging while wearing braces, making it easier for plaque to accumulate around the brackets and increasing the risk of tooth decay and gum inflammation.
Attend all scheduled follow-up appointments: Regular check-ups allow the orthodontist to monitor tooth movement, adjust the applied forces, and address broken brackets, displaced archwires, or other concerns promptly.

With good oral hygiene and appropriate dietary habits, patients can significantly reduce the risk of problems during orthodontic treatment and help keep their treatment progressing smoothly.

Nên dùng bàn chải kẽ để làm sạch răng trong quá trình niềng

A Trusted Dental Clinic for Braces in Ho Chi Minh City

Choosing a reputable dental clinic is an essential part of achieving a safe and successful orthodontic outcome. Having completed thousands of orthodontic cases, Tan Dinh Dental Specialists has become a trusted choice for patients in Ho Chi Minh City for several reasons:

Experienced orthodontic team: Every patient is examined and receives a personalised treatment plan from a formally trained dentist with extensive clinical experience. Our dentists also continually update their knowledge and techniques in line with the latest advances in orthodontics.
Advanced digital diagnostic technology: The clinic is equipped with panoramic and cephalometric X-ray systems, along with high-resolution 3D intraoral scanning technology. These tools allow the orthodontist to accurately assess the teeth, bite, and jaw structures, providing a reliable foundation for diagnosis and treatment planning.
Transparent treatment agreements and clearly stated fees: Before treatment begins, each patient receives a detailed service agreement outlining the proposed treatment stages, expected outcomes, and total fees. Any potential additional costs will be discussed clearly in advance.
Flexible payment options: Interest-free instalment plans are available with a straightforward application process, helping patients manage the cost of orthodontic treatment more comfortably.

Metal braces remain one of the most effective and cost-efficient orthodontic options available today. Choosing a reputable clinic and receiving care from an experienced orthodontist can help keep treatment safe, efficient, and on track toward a stable, functional bite.

Lựa chọn đúng địa chỉ nha khoa uy tín sẽ giúp quá trình niềng răng nhẹ nhàng và nhanh hơn

If you are considering braces, an early orthodontic assessment can help identify the most appropriate time and treatment approach for your needs—bringing you one step closer to a healthier, more confident smile.