Braces are often metal and are permanently attached, they work continuously without relying on patient memory or discipline. Braces are ideal for severe crowding, significant bite discrepancies (overbite/underbite), or rotated teeth. Clear aligners are custom-made, transparent plastic trays used to gradually straighten teeth you replace each aligner with the next in the series, your teeth will move – little by little, week by week – until they have straightened to their final positions. a You must wear them 20 to 22 hours a day; forgetting to wear them will stall your progress