Invisalign and fixed braces combination, treatment

The Treatment

Many orthodontists try to compare Invisalign to traditional braces, claiming that one or the other is better. Reality, however, is that all orthodontic treatments are perfect for the right patient, and that no limitation should exist when designing the therapy that will give you exactly what you need.

This reasoning is behind all combination treatments offered at Moira Wong Orthodontics, including Invisalign aligners and fixed braces. For our patients with more complex cases that require a sophisticated solution, our orthodontists will give you a choice of fixed braces and add the Invisalign aligners at the point of time, most suitable for the alignment you need.

This advanced approach can be the perfect choice for your treatment if:

  • you have missing teeth and would like to avoid implants – in the hands of our experienced orthodontists it may be possible to align your teeth and correct the bite closing gaps caused by the loss of teeth with age
  • many of your teeth need rotation to align and you’re pressed on time – fixed braces are notoriously better at teeth rotation and the use of them in combination with Invisalign can shorten your treatment duration by months (if not years)
  • you have severe overcrowding but want to avoid extractions – in some instances fixed braces can provide the additional support required for more overcrowded bites, where Invisalign would struggle.

The choice of fixed braces you have is also quite large, and your orthodontist can help you decide between:

  • lingual fixed braces – attached at the rear of your teeth and completely invisible, entirely custom-made
  • traditional metal or clear attachments – highly efficient and providing your orthodontist with maximum control over the movement
  • clear or metal self-ligating – similar in looks to traditional braces but using miniature clips to hold the archwire (instead of elastic bands).

During your initial consultation, your orthodontist will advise you which is the best option for your specific requirements and explain why, so you can make an informed decision.

The biggest benefit to using a combination treatment of Invisalign and fixed braces is that after the “heavy lifting”, or in other words most difficult part of the treatment, is done at the start, you get to enjoy the inconspicuousness and comfort of Invisalign aligners for the fine adjustment period, which traditionally requires more time.

Additionally, having become adjusted to treatment while adapting to the fixed brackets means that transitioning to Invisalign aligners and the miniature tooth-coloured attachment will be a breeze for you.

The Process


During your initial consultation we will carry out a full orthodontic assessment – this will require photos and X-rays to be taken. At Moira Wong Orthodontics we take our time and make sure we understand your concerns and requirements fully. Once the examination is complete, your orthodontist will be able to discuss the combination treatment of Invisalign and fixed braces with you and help you choose from the many options available to you.

Treatment plan

When you make your selection, we’ll prepare a full treatment plan. This document explains what will happen throughout your treatment, the projected duration, costs, etc. The treatment plan doesn’t include your biological response to treatment (which is different from a person to person) and will be the guidance we’ll use and adapt as we go to ensure you have the best possible experience with the most incredible results.

First appointment

When you agree to the proposed treatment, we will schedule your first appointment to begin. Depending on your treatment plan this first appointment may include the bonding of fixed braces, or even only taking impressions – depending on the choice of fixed braces this will vary from a case to case. After this initial appointment we’re likely to want to see you more often to ensure that the accelerated part of your treatment benefits the most from the guidance of your orthodontist.

Regular adjustments

As mentioned above, we’re likely to want to see you more often during the initial stage of your treatment. Once this process is over, you’ll need to come to the clinic every 6 or 8 weeks. If you’re very busy or simply want to travel without a single worry in the world, talk to us about remote dental appointments – we have tons of tricks up our sleeve to give you the orthodontic experience you want and deserve.

Retention period

At the end of your treatment, when your teeth and your bite have been appropriately adjusted, we will remove any attachments from your Invisalign braces, as well as all fixed brace brackets (if your treatment required them for the entire duration). To ensure the retention of the achieved results and avoid relapse, we will place a fixed retainer. The fixed retainer is a thin wire bonded to the back of the upper and lower front teeth. It keeps them together and prevents them from moving, and you’ll never know it’s there!

We will also provide you with a set of removable retainers for you to wear overnight. The removable retainers are clear thin aligners that go over your teeth. They will help ensure your teeth are protected from moving and prevent you from grinding and applying forces that might affect the achieved results. Finally, we will see you for regular appointments approximately every three months during the first year post your orthodontic treatment. These appointments aim to closely monitor how your teeth behave post-treatment and react promptly if there are any changes.

Try it on

Curious how your face would look with Damon Insignia & Spark Aligners? Wonder no more!

Click here to try out a few different types of braces from the comfort of your home. It takes a few minutes to add your details, snap a few photos of your smile and preview the outcome. After you submit your photos Dr Kia will be able to review your account and offer the most suitable treatment.

If you’re not ready to go ahead with treatment yet, don’t worry – just let us know if you’d like us to keep your account active or not 🙂 


Your Orthodontist

Dr Kia, Specialist Orthodontist

Dr Kia Papagalani loves enhancing the lives of her patients at Moira Wong Orthodontics! She believes that “our smiles are the expression of our happiness to the world and this is why they have become a “universal welcome”. She feels that if she can help in creating some of that happiness, there is no greater calling!

Her entire career is dedicated to ensuring that her patients and their families have the most positive experience possible during their orthodontic journeys.
Dr Kia completed her Speciality in Orthodontics and Master’s in Science, researching advanced orthodontic techniques at Ohio State University (USA).

She has specialised in providing treatments for complex and interdisciplinary cases. With over 25 years of experience in premium orthodontics, Dr Kia is an expert in a wide range of treatment options and techniques such as Custom made Labial  Insignia Advanced Smile Design braces and Incognito lingual braces, Invisalign and Spark Clear Aligners for teens and adults, aesthetic self-ligating braces(Damon system),3-Dimensional appliances, accelerated Orthodontics.

Dr Kia Papagalani maintains several professional memberships including the American Association of Orthodontists and the British Orthodontic Society and she is also a Clinical Lecturer for the Master’s in Clinical Orthodontics at the College of Dentistry University program.

She has demonstrated a special interest in facial-driven orthodontics, non-extraction treatments, and smile aesthetics. It is very important to Dr Kia that she stays at the forefront of orthodontic technology and advancements. It is of the utmost importance also to her to stay involved in continuing education and research. By doing so, she can continue to provide her patients with the exceptional care and remarkable final results that custom made treatments offer. An incredible opportunity and service to her patients which ensures she is always at the cutting edge of what Orthodontics can do for your smile.

Book a consultation

To book a consultation with Dr Kia, please give our reception a call by calling us on
020 7368 6611

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