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Fixed orthodontics in Valencia is the gold standard treatment for correcting dental alignment and bite issues. Using brackets bonded to the surface of the teeth and a metal archwire connecting them, it allows for the control of each tooth’s movement in all three dimensions of space with a precision that no other system can match.
Despite the growing popularity of invisible orthodontic systems, fixed orthodontics remains the most indicated option for high-complexity cases — severe malocclusions, crossbites with a skeletal component, extreme tooth rotations — where the three-dimensional control capacity of the fixed system is essential to achieve the desired result.
At Asensio Dental Clinic, we have been providing fixed orthodontic treatments in Valencia for over 20 years. All cases are planned and supervised by Dr. José Luis Lanuza (Registration No. 46002399), an orthodontics specialist with a Master’s in Orthodontics from COB Orthodontics and over two decades of experience in advanced orthodontics. On this page, you will find everything you need to know about this treatment, its types, its advantages, and when it is the most suitable option for your case.
What is fixed orthodontics and how does it work?
Fixed orthodontics is a dental correction system that uses brackets bonded to the surface of the teeth — on the outer face, unlike lingual orthodontics — connected by a metal archwire that exerts controlled and progressive pressure to move them toward the desired position.
The brackets act as anchor points through which the archwire transmits the necessary force to produce tooth movement. As the teeth shift, the orthodontist replaces the archwire with progressively stiffer versions that increase control precision. This process of progressive activation is what allows complex cases to be resolved with great accuracy.
Periodic check-ups — usually every four to six weeks — allow the orthodontist to adjust the archwire, verify treatment progress, and correct any deviations from the initial plan. Being a fixed system, the treatment progresses continuously without depending on patient discipline.
Types of Brackets in Valencia
Within fixed orthodontics, there are different types of brackets depending on the material and the archwire attachment system. The choice of the most suitable one depends on the clinical needs of the case and the patient’s aesthetic preferences.
| Metal brackets | The most resistant and cost-efficient option. They are the reference brackets for complex cases requiring very precise movement control. Their main disadvantage is visibility during treatment. |
| Esthetic brackets | Made of ceramic, sapphire, or zirconium, they replicate the color of tooth enamel and reduce the visual impact of the treatment. They offer the same clinical efficacy as metal ones with greater discretion. |
| Self-ligating brackets | They incorporate a clip mechanism that eliminates elastic ligatures, reducing friction and allowing for more efficient movements. Available in both metal and esthetic versions. |
Advantages of Fixed Orthodontics
| Three-dimensional control of dental movement | Allows for precise control of each tooth’s movement in the three axes of space — intrusion, extrusion, rotation, and torque — something that removable systems cannot always match in complex cases. |
| Effective in highly complex cases | It is the system of choice for severe malocclusions, skeletal crossbites, and cases requiring large-scale dental movements. |
| No patient compliance required | Being fixed, the treatment progresses continuously 24 hours a day without the patient having to manage anything. |
| Most cost-efficient option | Metal brackets are the fixed orthodontic option with the best quality-price ratio, especially in highly complex or long-duration cases. |
| Predictable and lasting results | The long clinical history of fixed orthodontics provides a very solid scientific evidence base regarding its efficacy and the long-term stability of results. |
Price of Fixed Orthodontics in Valencia
The price of fixed orthodontics in Valencia varies based on the type of brackets chosen — metal, esthetic, or self-ligating — the complexity of the case, and the expected duration of treatment. Metal brackets are the most economical option within fixed orthodontics, while sapphire or zirconium esthetic brackets have a higher cost.
At Asensio Dental Clinic, we offer interest-free financing to split the payment into monthly installments tailored to each patient. Check the detailed prices for fixed orthodontics and all orthodontic treatments or request your personalized, no-obligation quote during the first free consultation.
Fixed or Invisible Orthodontics? How to Choose
Fixed orthodontics and invisible systems such as Invisalign or lingual orthodontics are not equivalent options for all cases — each has specific indications where it offers better results.
Fixed orthodontics is superior in highly complex cases where precise three-dimensional control of dental movement is needed. For moderate cases, the difference in results between fixed and invisible orthodontics is minimal, and the choice depends mainly on the patient’s aesthetic preferences and lifestyle. For mild cases, aligner systems may be sufficient and offer clear advantages in comfort and discretion.
Dr. Lanuza — a specialist in fixed, lingual, and Invisalign Diamond Provider — evaluates each case individually and recommends the system that best fits the clinical and personal needs of the patient. If you want to explore all options, visit our orthodontics in Valencia page or visit the pages for self-ligating brackets, esthetic orthodontics, and pediatric orthodontics.
Frequently Asked Questions about Fixed Orthodontics
How long does fixed orthodontic treatment last?
The duration depends on the complexity of the case. Simple cases can be resolved in twelve to eighteen months. Moderate cases usually require between eighteen and twenty-four months. Complex cases involving bite correction or a skeletal component can extend up to thirty months or more. Dr. Lanuza establishes the estimated duration after the initial diagnosis with a 3D scanner and digital X-ray.
Does fixed orthodontics hurt?
During the first few days after placement and after each check-up, it is normal to feel pressure and sensitivity in the teeth. This discomfort usually disappears in two or three days and subsides with over-the-counter pain relievers if necessary. Chafing on the lips and cheeks is common during the first few weeks of adaptation — orthodontic wax applied over the brackets significantly reduces this.
What foods should be avoided with fixed orthodontics?
Hard foods that can dislodge a bracket should be avoided — nuts, hard bread, biting directly into apples — as well as sticky foods that adhere to the brackets and hinder hygiene, such as candies or gum. Soft and cooked foods present no problem. With esthetic brackets, it is also advisable to moderate the consumption of highly pigmented foods and drinks to avoid staining.
Is fixed orthodontics compatible with dental implants?
Yes, in most cases. Fixed orthodontics can be performed before placing implants to create the proper space, or after implantation using the implant as an additional anchor point. Joint planning between the orthodontist and the implantologist is essential to ensure the optimal result in these cases.
What happens at the end of fixed orthodontic treatment?
Upon completion of the treatment, the brackets are removed, and a retainer is placed to maintain the position achieved. The retainer can be removable — a splint worn at night — or fixed — a thin wire bonded to the inner surface of the front teeth. Following the retention instructions is fundamental for the results to be stable long-term.
Does fixed orthodontics work for adults?
Yes. There is no age limit for fixed orthodontics. In adults, tooth movement is slightly slower than in adolescents due to lower bone plasticity, which can slightly extend the treatment duration, but the results are equivalent. The only necessary condition is that the gums and supporting bone are healthy before starting treatment.