Orthodontics in Barrio de Salamanca, Madrid
Braces, clear aligners, appliances and microscrews to correct the position of the teeth and the bite.
What is orthodontics and what is it for?
Dental orthodontics is a specialized branch of dentistry that focuses on correcting teeth and jaws that are poorly positioned. This specialty deals with diagnosing, preventing, and treating dental and facial irregularities. Orthodontics can address problems such as teeth crowding, improper bites (such as open bite, crossbite, overbite, or underbite), and excessive spacing between teeth.
From our practice on C. de Hermosilla, 78, next to Goya metro, Dr. Alejandra de la Rosa plans every orthodontic case with a 3D study before choosing between metal or sapphire brackets, microscrews as anchorage for complex movements, and invisible orthodontics with aligners. We treat patients from Recoletos and Lista who want to correct crowding or bite without giving up aesthetics. If you are unsure which appliance suits you, we assess your smile and explain each option with its estimated price and duration.
Orthodontic treatment involves the use of devices such as brackets, clear aligners, and retainers, which help gradually move teeth to a more suitable position. This process not only improves the appearance of the smile but also contributes to better oral health, making it easier to clean teeth and reducing the risk of cavities and gum diseases.
Orthodontic treatment can be applied to both children and adults. In adults, the bones are fully developed, which may slow tooth movement slightly compared to adolescence; even so, results are fully satisfactory and an increasing number of patients in their 30s, 40s, or even 50s start treatment. In Barrio de Salamanca, we see many adults who could not or did not want to wear a brace when they were younger, and who now want to correct mild to moderate crowding, small gaps, or bite issues that affect chewing or cause dental wear. The aesthetic motivation is common — whether for professional visibility or simply greater self-confidence — and in these cases the least visible systems (sapphire brackets, invisible orthodontics with aligners) are especially in demand. Treatment duration varies with the complexity of the case, ranging from a few months for simple corrections with aligners to two or more years for complex malocclusions. The 3D digital planning used by Dr. Alejandra de la Rosa allows a more accurate estimate of timescales before treatment begins.
If appearance matters to you, aesthetic sapphire braces are almost transparent. Invisible orthodontics with aligners is removable and almost unnoticeable, although it must be worn 20-22 hours a day. Micro-screws are small titanium screws that provide temporary anchorage for complex movements. In addition to fixed appliances, we work with removable appliances, such as active plates, expanders and activators.
Types of orthodontics
There are several types of dental orthodontics, each with specific characteristics adapted to different needs and preferences. The most common are:
Metal Brackets
They are the most traditional and visible. They are made of stainless steel and are attached to the front of the teeth. They are effective for a wide range of dental corrections.
Ceramic Brackets
They work the same as metal ones, but are made of ceramic materials that blend better with the natural color of the teeth, making them less visible.
Sapphire Brackets
They are similar to ceramic ones, but are made of transparent sapphire, making them even less noticeable.
Lingual Brackets
They are placed on the back of the teeth, so they are invisible from the outside. They are an aesthetic option, but can be more uncomfortable and difficult to clean.
Clear Aligners
They are removable splints made of clear plastic. They are almost invisible and can be removed for eating and cleaning teeth. Invisalign is one of the most well-known brands of this type.
Self-ligating Orthodontics
They use brackets that do not require ligatures (elastic bands) to hold the archwire. This can reduce the number of visits to the orthodontist and the total treatment time.
Functional Orthodontics
It is mainly used in children and focuses on modifying the growth of the jaw and facial bones, not just moving teeth.
Each type of orthodontics has its advantages and disadvantages, and the choice depends on factors such as the severity of the dental problem, aesthetics, comfort, cost, and personal preferences. An orthodontist can offer advice and recommendations based on an individual evaluation.
Orthodontics Treatments
Appliances
Removable and fixed orthodontic appliances that correct the position of the teeth and guide jaw development.
Braces
Fixed orthodontics with metal, aesthetic sapphire or self-ligating Damon braces to align the teeth.
Micro-screws
Small titanium screws placed temporarily in the bone as extra anchorage during orthodontic treatment.
Invisible Orthodontics
Clear, removable aligners such as Invisalign, Spark or Smartee to straighten the teeth discreetly.
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Information about orthodontic treatment
We resolve the most common questions about the duration and the most suitable type of orthodontics for each case.
How long does orthodontic treatment last?
The duration of orthodontic treatment varies significantly from person to person, depending on several factors. Generally, treatment can last between 18 months and 3 years, but there are cases that require more or less time. Factors that influence the duration of treatment include:
- Case complexity: More complex dental problems, such as severely misaligned bite or intense tooth crowding, usually require more time to correct.
- Patient's age: Treatments in children and adolescents can be faster because their bones and teeth are still developing and respond more effectively to treatment.
- Type of treatment: Different types of orthodontic appliances (such as metal, ceramic, lingual brackets, or clear aligners) may have different treatment times.
- Patient cooperation: Especially in treatments with removable aligners, effectiveness and duration depend largely on the patient's consistency in using them according to instructions.
- General oral health: Oral health problems, such as gum disease, can delay orthodontic treatment.
- Care of orthodontic appliance: Breaking or damaging the orthodontic appliance can prolong treatment.
What is the best type of orthodontics?
There is no single «best» orthodontic treatment that is universally applicable: the right choice depends on each patient's individual needs. Below is a comparison of the three main groups of systems available at Clínica ENIQ, to help you form an opinion before your specialist assessment. Metal brackets are the most established system and generally the most affordable (from approximately €2,300). Their main advantage is clinical effectiveness: they are suitable for almost any type of malocclusion, including the most complex cases. Their visibility is the aspect that concerns adults most, although the durability of stainless steel makes them easy to maintain. The number of adjustment visits is comparable to other fixed systems. Aesthetic brackets — ceramic or sapphire — follow the same mechanics as metal ones but with a significantly improved appearance: sapphire is practically translucent and blends with the enamel, making them barely noticeable in conversation. Their cost is somewhat higher (from approximately €3,000) and they require slightly more care to avoid material staining. They are a popular choice for adult patients who need effectiveness comparable to metal brackets but with less visual impact. Invisible orthodontics with aligners offers the greatest discretion: the clear plastic splints are removable, so eating, brushing, and flossing present no additional difficulty. Comfort and aesthetics are their main attractions. However, they require a high level of discipline (20–22 hours per day) and have some limitations for very severe malocclusions or complex rotation movements. The price range is the widest (from €3,100 for simple cases to €5,600 for comprehensive treatments), depending on complexity and the number of aligners required. In all three cases, prices are indicative and always subject to specialist assessment.
It is important to have regular appointments with the orthodontist during treatment to make necessary adjustments and follow-ups. The orthodontist can give a more accurate estimate of treatment time after evaluating the patient's individual situation.
What is the price of orthodontics?
Price of orthodontics with metal brackets
As we have explained, orthodontics with metal brackets is the cheapest that currently exists. In Spain, prices for metal brackets range between 2,300 and 3,200 euros, approximately.
Price of orthodontics with sapphire brackets
Sapphire brackets have a slightly higher cost than conventional metal orthodontics. Therefore, prices for sapphire orthodontics are between 3,000 and 4,200 euros.
Price of orthodontics with Damon brackets
The price of Damon orthodontics is very similar to that of sapphire brackets. Therefore, treatment with self-ligating brackets usually costs between 3,000 and 4,600 euros. The reason the range is slightly wider is that within Damon orthodontics we have two options: metal and transparent brackets.
Price of Invisalign orthodontics
Regarding Invisalign, we can also distinguish between two treatments: Lite (for simpler cases) and Comprehensive - formerly called Full - which is used for more complex malocclusions. Once this distinction is made, we can say that, in Spain, the price of Invisalign orthodontics ranges between 3,100 and 5,600 euros.
However, it should be noted that all the prices we offer are approximate since they depend fundamentally on the complexity and duration of the case to be treated.
Orthodontics
Personalized assessment
Complete orthodontic treatment with advanced technology and personalized follow-up. We offer different orthodontic options adapted to your needs and budget.
All inclusive
Frequently asked questions about orthodontics
Get answers to your questions about our orthodontic treatments in Madrid. customer service.
We work with metal, aesthetic sapphire and Damon self-ligating brackets, and with invisible orthodontics using aligners (Invisalign, Spark and Smartee). In cases with complex movements we use microscrews as anchorage, and in growing children, interceptive or functional appliances to guide the development of the jaws. Before choosing, we plan every case with a 3D study and explain each option with its estimated price and duration.
It depends on the case. Damon braces are self-ligating: they are fixed to the teeth and hold the archwire with a sliding door instead of elastics, which reduces friction and usually means fewer adjustment visits; like other brackets, they can treat practically any malocclusion, including complex ones. Invisalign uses clear, removable aligners, which are more discreet and make eating and brushing easier, but they must be worn 20-22 hours a day and have limitations in very severe malocclusions. As an approximate guide, Damon orthodontics costs between €3,000 and €4,600 and Invisalign between €3,100 and €5,600, depending on the complexity of the case. At your assessment we will tell you which system suits you best.
There is no age limit. In children, some cases benefit from early treatment (interceptive orthodontics) at around 7-9 years of age, and treatment with brackets usually starts once most of the permanent teeth have come through, typically between 11 and 14. Adults can have orthodontic treatment at any time: more and more patients in their 30s, 40s or even 50s are starting treatment. At your first visit we assess the right time to start in your case.
Dental orthodontics can cause some discomfort, especially after adjustments, but it is generally not painful. During the first few days after placing or adjusting brackets, it is normal to feel pressure and sensitivity in the teeth. This discomfort usually disappears within a few days. Clear aligners tend to cause less discomfort than traditional brackets. At ENIQ we provide you with recommendations and, if necessary, mild pain relievers to manage any discomfort.
To manage pain or discomfort from orthodontics, you can take over-the-counter pain relievers such as ibuprofen or paracetamol as directed. Applying orthodontic wax to brackets that rub can help prevent irritation. Eating soft foods during the first few days after adjustments reduces pressure on the teeth. Rinsing with warm salt water can soothe irritated gums. If pain persists or is severe, contact your orthodontist at ENIQ.
Yes, there are some limitations for invisible orthodontics. It is not suitable for very complex cases that require extensive tooth movements or severe rotations. Patients must be disciplined and wear the aligners at least 20-22 hours a day to achieve effective results. Some severe bite problems may require traditional brackets. However, aligner technology has advanced significantly and can now treat a wide range of cases. At ENIQ we evaluate your specific case to determine if you are a candidate for invisible orthodontics.
There is no single answer, as it depends on your specific needs. Invisible orthodontics (aligners) is more aesthetic, removable for eating and brushing, and generally more comfortable. Brackets are more effective for complex cases, do not require patient discipline to wear them, and are usually more economical. Brackets can treat practically any orthodontic problem, while aligners have some limitations. At ENIQ, our orthodontist will evaluate your case and recommend the best option based on your needs, lifestyle, and budget.
Orthodontics with clear aligners is usually the treatment that causes the least discomfort. It is considered a generally painless orthodontic technique, both in its placement and during treatment. It is true that invisible orthodontics involves a brief adaptation period, but this is typically shorter than that needed for brackets, usually lasting no more than three or four days. Each time you change to a new set of aligners, you may feel slight pressure, but this indicates that the treatment is working.
The price of orthodontics depends on the type of appliance and the complexity of the case: metal brackets start from €2,300, while systems with aligners or sapphire brackets have a somewhat higher cost. To make treatment affordable, at ENIQ we offer financing without documentation from €150 to €3,000. The best approach is to request a no-obligation assessment, where the specialist will explain which options suit your case and the cost of each.
Our clinic is at C. de Hermosilla, 78, in the Barrio de Salamanca area of Madrid, one minute's walk from Goya metro station (lines 2 and 4) and with bus stops nearby (lines 21, 53, 1 and 74). You can book your first visit by phone or through the contact form on our website. At that first appointment we carry out an initial assessment of your case, explain your treatment options, and provide a personalised quote with no obligation.
In adults, the usual duration of orthodontic treatment ranges from 12 to 24 months, although it may be slightly longer in more complex cases. Adults have fully developed bones, which can slow tooth movements slightly compared to teenagers, but this does not prevent excellent results. Your orthodontist will give you a more precise estimate after assessing your specific situation.