Wearing the aligners was an ongoing topic for us

Photo of a woman

Emily (Leila's mother), 55 years old

“It's much easier to take care of your teeth with removable aligners than with fixed brackets and wires on your teeth. But that comes at a price: you have to cover a lot of the costs yourself.”

The dentist spotted Leila’s overbite when she was eight years old and warned us that she would need braces once she lost her milk teeth and had her adult teeth. She was referred to an when she was ten.

Good oral hygiene was important to us

The recommended removable aligners, so we went with them because they seemed to be the most practical, clean and aesthetically pleasing option.

And I think it's easier for kids to take care of their teeth with aligners. Food is more likely to get stuck if they have fixed brackets and wires on their teeth. And aligners definitely look nicer.

But it was important to me that the aligners were just as effective as fixed braces, otherwise we wouldn’t have gone with them.

The advantages come at a price

Those advantages also come at a price, though. Statutory health insurers don’t cover the costs of aligners in Germany, and it's pretty expensive overall: The estimated that it would cost 4,000 to 5,000 Euros in total. But we've already spent more than 6,000 Euros and aren't finished yet. I'll bring that up at the next check-up.

The problem was that Leila didn’t always regularly wear the aligners. And then the next ones didn’t fit properly. New ones had to be ordered from the States. But I'm still surprised because at first they said that doing that wouldn’t cost more.

Wearing them was an ongoing topic

There were some phases when she didn’t regularly wear the aligners even though we reminded her all the time. And they sometimes hurt her, particularly when she was going to sleep and at night. Her mucous membranes were also oversensitive, with bleeding gums, irritations and sores. But the treatment generally isn't painful.

I'm very happy with the outcome. You can already see that things have improved a lot. You can still see her overbite, but the gap is much smaller.


Our real-life stories summarize interviews with people who are affected by the medical condition. Our interview partners have given us permission to publish their stories. We would like to express our sincere thanks to them.

The real-life stories give an insight into how other people cope and live with a medical condition. Their opinions and comments are not recommendations by IQWiG.

Please note: The names of our interview partners have been changed to protect their identity. The photos are of models.

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Created on February 13, 2023

Next planned update: 2026


Institute for Quality and Efficiency in Health Care (IQWiG, Germany)

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