Brava by BRIUS
Brava by BRIUS is a lingual braces system that sits behind your teeth. From the outside, no one can tell you’re in treatment. That’s not a marketing claim about being “nearly invisible” the way clear aligner companies phrase it. Brava brackets are bonded to the tongue side of your teeth. They are physically hidden. For patients who want truly invisible orthodontic treatment without the compliance demands of removable aligners, Brava is in a category of its own. Dr. Boris Pinhasov offers Brava at BP Smiles Orthodontics for patients in Queens who want results without anyone knowing.
Why Choose Dr. Pinhasov for Brava Treatment
Lingual braces demand a higher level of orthodontic skill than standard braces. The brackets are placed on the inside surfaces of the teeth, where anatomy varies significantly from tooth to tooth and access is limited. Precise placement is critical to how the system works and how comfortable it feels.
Dr. Pinhasov’s credentials match the complexity of this treatment. He’s a board-certified ABO Diplomate with 20+ years of clinical experience and serves as Program Director of Orthodontics at Maimonides Medical Center. His NYU DDS with honors, FAGD, and ICOI Fellowship reflect training that goes deep into the mechanics of tooth movement and bite correction. Consultations are available in English, Hebrew, and Russian.
What Is Brava by BRIUS?
Brava is a custom lingual orthodontic system. Each bracket is individually designed and fabricated for each tooth using digital planning software. The brackets are bonded to the back (lingual) surfaces of your teeth and connected by a precision wire system.
What sets Brava apart from traditional lingual braces:
- Independent tooth movement. Each bracket moves its assigned tooth individually rather than relying on a continuous wire to move all teeth at once. This allows simultaneous correction of multiple teeth in different directions.
- Custom-fabricated for every tooth. Brackets are not generic. Each one is designed from your digital scan to fit the exact contour of the specific tooth it’s bonded to.
- Reduced appointment frequency. Because the system is programmed to move teeth according to the treatment plan, fewer in-office adjustments are needed compared to traditional braces.
- Shorter treatment times in many cases. The independent movement design can reduce overall treatment duration compared to conventional lingual systems.
Brava vs. Invisalign
Patients often ask how Brava compares to Invisalign. Both are marketed as discreet, but they work in fundamentally different ways.
| Feature | Brava | Invisalign |
|---|---|---|
| Visibility | Completely invisible (behind teeth) | Nearly invisible (clear plastic over teeth) |
| Removable | No (fixed to teeth) | Yes (must be removed to eat/drink) |
| Compliance required | None, the system is always working | High: must wear 20-22 hours/day |
| Attachments on front teeth | None | Often requires tooth-colored bumps bonded to front teeth |
| Best for | Patients wanting zero visibility and no compliance burden | Patients who prefer a removable option and will wear aligners consistently |
For patients who travel frequently, have inconsistent schedules, or simply don’t want to think about removing and reinserting aligners throughout the day, Brava’s fixed design is a significant advantage. The system works 24 hours a day without any action on your part.
How the Process Works
- Consultation. Dr. Pinhasov examines your teeth, takes digital scans, X-rays, and photographs. He determines whether your case is suitable for Brava and explains the expected treatment plan.
- Digital design. Your scans are used to design each bracket individually. The treatment is planned digitally from start to finish, mapping exactly how each tooth will move and in what sequence.
- Bonding appointment. The custom brackets are bonded to the lingual surfaces of your teeth using a precise placement guide. This appointment is longer than a standard braces placement, typically 60 to 90 minutes.
- Progress visits. You’ll return every 6 to 10 weeks for monitoring and adjustments. Appointments are generally shorter than traditional braces visits because much of the treatment mechanics are built into the initial setup.
- Completion and retention. Once treatment is finished, the brackets are removed and retainers are provided to maintain your results.
What to Expect
The first one to two weeks with Brava involve an adjustment period. Because the brackets are on the tongue side, your tongue needs time to adapt. Some patients notice a temporary lisp and mild tongue irritation during this period. Both resolve as the tongue adjusts to the presence of the brackets.
Eating is unrestricted compared to traditional braces, though very hard or sticky foods should still be avoided to protect the brackets. Oral hygiene requires attention to the lingual surfaces, and Dr. Pinhasov’s team will show you how to clean effectively around the brackets.
Frequently Asked Questions
Is Brava the same as Invisalign?
No. They are completely different systems. Invisalign uses removable clear plastic trays. Brava uses custom brackets fixed to the back of your teeth. The key practical differences: Brava is truly invisible (not just “clear”), doesn’t require you to remove anything to eat, and works around the clock without relying on you to wear it consistently.
Can you see Brava braces?
No. Brava brackets are bonded to the lingual (tongue-side) surfaces of your teeth. When you smile, talk, or open your mouth in conversation, the brackets are not visible. This is what makes Brava distinct from ceramic braces and clear aligners, which are still detectable at close range.
How long does Brava treatment take?
Treatment duration depends on the complexity of your case. Many Brava cases are completed in 12 to 18 months. Some simpler cases finish sooner. Dr. Pinhasov provides an estimated timeline during your consultation based on your specific diagnosis and treatment goals.
Is Brava more expensive than regular braces?
Brava typically costs more than traditional metal braces because each bracket is custom-designed and the technology involved in planning and fabrication is more advanced. However, the cost difference varies by case. BP Smiles offers payment plans, and your dental insurance orthodontic benefit applies to Brava just as it would to any other braces system.
Who is a good candidate for Brava?
Brava works for a wide range of orthodontic cases in teens and adults. Ideal candidates are patients who want completely invisible treatment, don’t want the responsibility of wearing and tracking removable aligners, and prefer a fixed system that works without daily compliance. Dr. Pinhasov evaluates each case individually to confirm Brava can achieve the desired result.
