Do Braces or Aligners Work Better for Complex Cases? What to Know Before Choosing

When you’re ready to transform your smile, choosing between braces and aligners is a big decision — especially if your case is more complex. From bite correction to severe crowding, not every treatment is created equal. So how do you know which option will get you the best results?

In today’s orthodontic world, both braces and clear aligners like Invisalign offer powerful treatment solutions — but the better choice for you depends on your individual alignment needs, lifestyle, and long-term goals.

Let’s explore how each method works, what they’re best at treating, and how you can feel confident choosing the right path toward a healthier, straighter smile.

What Makes an Orthodontic Case “Complex”?

Not all orthodontic cases are alike. Some patients need minor adjustments, while others require a full repositioning of the bite and jaw. You might be dealing with a complex case if you have:

• Severe crowding or spacing — Too many teeth or large gaps
• Overbite, underbite, or crossbite — Jaw alignment issues that affect function
• Rotated teeth — Teeth that are twisted or turned
• Vertical misalignments — Open bites or deep bites that affect how teeth meet
• Previous orthodontic relapse — Shifting after past treatment
• Jaw development concerns — Particularly in growing children or teens

In these cases, treatment often requires more force, control, or advanced planning — which may influence whether braces or aligners are the better choice.

How Braces Work for Complex Orthodontic Cases

Traditional braces remain one of the most effective tools in orthodontics — especially for difficult cases.

Braces use a system of metal or ceramic brackets bonded to the teeth and connected by wires. These components allow your orthodontist to apply controlled pressure to move each tooth into its proper place. Because braces are fixed and stay on 24/7, they offer:

• Maximum control over tooth movement
• Precise manipulation of individual teeth
• The ability to treat all bite types and jaw issues
• Compatibility with elastics, springs, and other tools

For complex cases — such as significant bite correction, extensive crowding, or impacted teeth — braces are often the most reliable and predictable choice.

How Invisalign (and Other Aligners) Handle Complex Issues

Clear aligners like Invisalign have come a long way. With modern digital planning, attachments, and high-performance materials, aligners can now treat a broader range of cases — even complex ones.

Invisalign works through a series of custom-molded trays that gently shift teeth into place. They’re switched out every 1–2 weeks and worn for 20–22 hours per day. For complex cases, Invisalign may:

• Use SmartForce attachments — tiny, tooth-colored bumps that help control difficult movements
• Incorporate elastics or auxiliary devices — to help manage bite correction
• Be combined with other orthodontic treatments like accelerated orthodontics or minor surgical procedures

While aligners can manage many difficult cases today, they still have some limitations when compared to braces — especially in cases requiring multiple tooth rotations, large vertical movements, or jaw repositioning.

Comparing Braces vs. Aligners for Complex Treatment

Here’s a quick side-by-side comparison of how braces and aligners stack up when treating more complicated orthodontic needs:

Braces — Best For:

• Complex bite issues (underbite, deep bite, crossbite)
• Rotated or severely crowded teeth
• Impacted or partially erupted teeth
• Patients who may not stay consistent with removable aligners
• Younger patients with jaw development needs

Clear Aligners — Best For:

• Moderate to complex crowding or spacing
• Patients wanting a discreet treatment option
• Adults or teens who can wear aligners consistently
• Cases where removability supports oral hygiene or lifestyle
• Those seeking accelerated treatment with light therapy (like OrthoPulse)

Your orthodontist may recommend one over the other — or even suggest a hybrid approach — based on your anatomy, preferences, and desired results.

Can Complex Cases Be Treated Faster?

If you’re worried about treatment time, you’re not alone. Fortunately, advancements in both braces and aligners make it possible to shorten treatment safely — even in complex cases.

Options like photobiomodulation (light therapy) can reduce inflammation and support faster bone remodeling, helping teeth move more efficiently. At Beverly Hills Orthodontics, we use OrthoPulse, a non-invasive light therapy option that pairs beautifully with both braces and Invisalign — especially for more involved treatments.

Patients in Los Angeles looking for a faster, more comfortable orthodontic journey now have access to technologies that weren’t available just a few years ago.

What About Lifestyle and Appearance?

When weighing your options, it’s also important to think about day-to-day life during treatment. Complex treatment may take longer, and that means you’ll be living with braces or aligners for an extended period.

Here’s what to consider:

• Braces are fixed in place — great if you don’t want to worry about taking anything in or out, but they are more visible.
• Aligners are discreet and removable — ideal for professional or social settings, but only if you’re committed to wearing them full-time.
• Aligners make brushing and flossing easier, while braces require more careful hygiene to avoid plaque buildup.

Your lifestyle, habits, and confidence level all play a role in which treatment is the right fit for you.

The Bottom Line: Which Is Right for Your Complex Case?

If your case is complex, it’s essential to choose a provider with experience in both treatment types. An expert orthodontist will evaluate your bite, goals, and timeline to recommend the most effective path — whether that’s braces, Invisalign, or a combination of both.

Clear aligners can absolutely work for many complex cases, especially when paired with modern techniques and tools. But in situations that require the most precise movement, braces are still the gold standard.

Complex Case Orthodontics in Los Angeles

At Beverly Hills Orthodontics, we specialize in creating custom treatment plans for patients with all levels of complexity — from minor crowding to advanced bite correction. Whether you’re exploring Invisalign, braces, or accelerated options like OrthoPulse, our team is here to help you feel confident and informed every step of the way.

Ready to Find the Right Treatment for You?

Schedule a consultation with Beverly Hills Orthodontics to discover whether braces or aligners are best for your smile goals — no matter how complex your case may be.