iSmile Dental Clinic offers orthodontic treatment at very affordable, fixed prices. We offer convenient options for paying for your treatment in instalments. For more information or to book an orthodontic consultation, contact us on +359 883 353 649 or via Facebook: https://www.facebook.com/ismile.bg
Orthodontic treatment prices
Orthodontic consultation30 EUR
During the consultation, you will receive detailed information about your case and your treatment options.
- Intraoral scan of the teeth and orthodontic analysis120 EUR
Braces for children under 18
- Metal braces for both arches2400 EUR
- Metal braces for one arch1700 EUR
- Single metal bracket replacement (if one comes off)20 EUR
- Aesthetic sapphire braces for both arches3000 EUR
- Aesthetic sapphire braces for one arch2300 EUR
- Single sapphire bracket replacement (if one comes off)30 EUR
Braces for adults (over 18)
- Metal braces for both arches3000 EUR
- Metal braces for one arch2300 EUR
- Single metal bracket replacement (if one comes off)20 EUR
- Aesthetic sapphire braces for both arches3500 EUR
- Aesthetic sapphire braces for one arch2800 EUR
- Single sapphire bracket replacement (if one comes off)30 EUR
- Damon® self-ligating metal braces for both arches3900 EUR
Clear aligner treatment
Aligners for one arch
- Single aligner for a minor correction100 EUR
- Very mild case (up to 10 aligners)900 EUR
- Mild case (up to 20 aligners)1400 EUR
- Moderate case (up to 30 aligners)1800 EUR
- Advanced case (up to 50 aligners)2300 EUR
- Complex case (more than 50 aligners)2800 EUR
Aligners for both arches
- Very mild case (up to 10 aligners)1500 EUR
- Mild case (up to 20 aligners)2000 EUR
- Moderate case (up to 30 aligners)2500 EUR
- Advanced case (up to 50 aligners)3000 EUR
- Complex case (more than 50 aligners)4000 EUR
Retention and other appliances
- Removal of braces or aligner attachments, polishing, digital scan and removable retainer100 EUR per arch
- Removable retainer50 EUR per arch
- Fixed (bonded) retainer120 EUR per arch
- Placement of a single attachment (button)40 EUR per attachment
- Removable appliance (plate)700 EUR
- Braces for children with mixed dentition (baby and permanent teeth)700 EUR
- Treatment with a silicone trainer300 EUR
- Space maintainer (metal)250 EUR
- Space maintainer (lingual arch)300 EUR
- Expansion appliance (fixed)400 EUR
You can find more information in Braces, Damon and aligners at iSmile.
About Dr Ivelina Ivanova-Koycheva
Dr Ivanova-Koycheva graduated in dentistry from the Medical University of Sofia. She received the "2nd Level University Master in Orthodontics" from the University of Rome, Italy, "Saint Camillus International University of Health Sciences". This followed the successful defence of her dissertation on distalisation appliances, which she wrote under the academic supervision of Prof. Dr Mauro Cozzani (former President of the European Board of Orthodontists and of the Italian Board of Orthodontics, and 2022 President of SIDO (Società Italiana di Ortodonzia)).
She obtained the master's degree "2nd Level University Master in Aligner Orthodontics" at the prestigious University of Turin, Italy. Founded in 1404, the university is one of the leaders in modern dentistry.
Dr Ivelina Ivanova-Koycheva successfully completed an intensive course in the digital planning and placement of orthodontic mini-implants and an expansion appliance, held in Madrid by the world-renowned Dr Won Moon (the creator of the appliance) and Dr Ramon Mompell.
She is a full member of the Bulgarian Dental Association, the Italian Society of Orthodontics (SIDO) and the Eurasian Association of Orthodontists, and she takes part in scientific congresses every year. She has experience in aesthetic restorations and adhesive techniques. She took part in the Jules Allemand Trophy 2014, a competition in the aesthetic restoration of front teeth. After winning 1st place in Bulgaria, she represented Bulgaria in the international round, held in Chieti, Italy.
She studied orthodontics in Poland and then at a university in Rome, Italy. She regularly attends theoretical and practical courses abroad led by world-renowned international lecturers such as Dr Richard P. McLaughlin (creator of the MBT bracket system); Dr Larry Brown, DDS, University of Southern California; Prof. Adrian Becker, Prof. Stella Chaushu, Jerusalem, Israel; Prof. Dr Khaled Samir AboulAzm, Egypt; Prof. Nazan Kucukkeles, Turkey; Dr Marco Rosa, Italy; Dr Giorgio Fiorelli, Italy. She has taken part in certification courses in treatment with Damon® self-ligating braces.
Dr Ivelina Ivanova-Koycheva is an international lecturer. Her online orthodontic courses are best-selling and highly rated on the international online platform Udemy.com and are watched by dentists from Germany, England, Italy, France, the USA, Ireland, Mexico, Bahrain, South Africa, Kenya, Taiwan, the Netherlands, Thailand, Turkey, Portugal, Egypt and other countries.
Dr Ivanova-Koycheva is the author of the book "Orthodontic Treatment Protocols" (available on Amazon.com) and the creator of the educational website StudyOrthodontics.com. She is the inventor of an innovative method of using stabilising archwires during orthodontic treatment, which significantly optimises the length of treatment.
Dr Ivelina Ivanova-Koycheva is the author of more than 40 orthodontic courses, including:
Treatment results
Dr Ivelina Ivanova-Koycheva has carried out more than 1000 successful orthodontic treatments. Here are just a few of them:
You can see more past cases from Dr Ivelina Ivanova-Koycheva's practice on our Facebook page.
Read our instructions during treatment with braces.
Instructions for treatment with braces
Carriere Motion instructions
What should I do before starting orthodontic treatment?
When you decide to start orthodontic treatment, it is a good idea to see your dentist before your consultation with an orthodontist. Your dentist will examine your teeth in detail and draw up a plan of action. If the examination finds tooth decay or defective fillings, these must be treated first. Your teeth are professionally cleaned to remove tartar (scaling) and polished to remove built-up stains and plaque. If you have gum problems, they need to be under control when orthodontic treatment starts. In most cases, cleaning the teeth stops the gums from bleeding. Your dentist may also prescribe special therapy to manage the problem.
Does it hurt?
Having braces fitted does not hurt. You may feel tired from keeping your mouth open for a long time. When the archwire is placed, you will feel slight tightness, mostly in the more crooked teeth. This feeling fades or disappears within a few minutes. After about an hour, the tightness starts to turn into discomfort and pain. The sensation gets stronger over the next 8 hours and can become mild to moderate pain when you put pressure on your teeth (when eating). You will continue to feel it for the next 3-4 days. More sensitive patients may have discomfort for up to about a week. There is no way to know in advance what to expect – mild discomfort or moderate pain. This is a very individual feeling and depends on your pain threshold. You can take painkillers if you feel you need them. Any kind will help, but paracetamol is the most suitable because it does not interfere with tooth movement. Once this period has passed, your teeth no longer hurt.
Can “dead” teeth be moved?
“Dead” (non-vital) teeth are teeth that have had their nerve removed and the root canals cleaned. They are usually darker in colour and have a larger filling. If you have any such teeth, it is a good idea for your dentist to arrange X-rays of them, because inflammation is sometimes found that can develop without any symptoms. If such a problem is found, root canal re-treatment must be done first.
Do aesthetic braces turn yellow over time?
Ceramic and sapphire braces do not change colour in the mouth. If you notice yellowing of your teeth or braces, it is most likely caused by staining of the elastic ties (ligatures). When we want an orthodontic appliance that is as invisible as possible, we usually choose clear elastic ties to hold the archwire in the bracket. Clear silicone ties get stained by coloured foods and drinks – coffee, cigarettes, fresh juice, wine, red fruit. Within a month of being placed, they can turn a deep grey or yellow. Once your orthodontist replaces them with new ones, the braces look clean and white again.
Can braces be put on a tooth with a crown?
Brackets can be bonded to all surfaces, including crowns. However, you should know that a bracket bonds more strongly to a natural tooth than to a crown. If you are due to have a crown (“capping” a tooth) or a bridge, it is best to postpone the procedure until after your consultation with the orthodontist. More often, orthodontists want a temporary crown to be placed for as long as treatment with braces lasts; after the braces come off, a permanent crown or bridge can be made. If you are going to have aligner treatment, there is no reason to postpone having a permanent crown placed.
Do all wisdom teeth have to be removed before the teeth are straightened?
Wisdom teeth are the last teeth in the mouth and come through after the age of 18. Very often there is not enough room for them, so they may come through only partly or not at all. Some people never develop wisdom teeth. To assess your wisdom teeth, a panoramic X-ray is needed. It shows whether you have these teeth and whether they are likely to come through. You do not need to have them removed before your orthodontic examination. Your dentist may recommend removing them for other reasons – for example, if a tooth is decayed and cannot be treated. When it comes to straightening the teeth, wisdom teeth often get in the way, but you may not need to have them removed. In that case, the decision to remove them is entirely up to you and your dentist. For an orthodontic analysis, you almost always need two large X-rays – an orthopantomogram (panoramic X-ray) and a lateral cephalogram (side profile X-ray of the head). You do not have to bring these X-rays to your first orthodontic visit, but if you have them taken beforehand, you will get more detailed information about your condition during the examination. If you choose not to have X-rays before your first visit, the orthodontist will ask you to have them taken for your second appointment.
Which braces are right for my case?
As mentioned above, there are metal and aesthetic braces, which are placed on the front surface of the teeth, and you can also choose lingual braces. Metal braces have the advantage that they straighten teeth faster and are easier for the orthodontist to work with, while aesthetic braces are preferred because they are discreet in the mouth. In some cases aesthetic braces are not suitable – for example, when treating a deep bite, or in patients who clench or grind their teeth. Your orthodontist will advise you on which braces are right for you.
Do braces affect speech?
Braces on the front of the teeth do not affect speaking or singing in any way. This is not the case with lingual braces, where you need a period to get used to pronouncing words. Sometimes treatment with braces is combined with various appliances or wires on the inner side of the teeth and the palate, and in these cases speech may be temporarily affected.
Why choose clear aligner treatment?
Clear aligners are an invisible orthodontic appliance that closely follows the shape of the patient's teeth. Their main advantage is their aesthetic appearance. They are more comfortable than fixed appliances because you take them out to eat. Aligners do not make it harder to clean your teeth. You spend less time at the orthodontic practice for check-ups and adjustments. Aligners have no metal parts that can injure the lining of your mouth. The disadvantages are a longer treatment time compared with braces and possible limits on what these appliances can be used for.
Can I play sport during orthodontic treatment?
You can do all kinds of sport. If your appliance is removable, take it out during sport, or during PE lessons for children. Aligners are the exception: they do not get in the way and can stay in during sport. If the appliance is fixed, such as braces, it will not get in the way, but a blow to the face may injure your lips or knock a bracket off. Patients who play such sports can wear a mouthguard, which can easily be shaped over teeth with braces after heating.
I travel often – is that a problem?
Travelling is not a problem, but bear in mind that if your orthodontist is far away and you have a problem such as a loose bracket or some discomfort from the appliance, you may need to visit another practice to have it fixed. If you are travelling for a long time and plan to be away for more than a month, this usually affects the length of your treatment by slowing it down.
Are braces a problem at airport security?
Braces and other orthodontic appliances that contain metal do not set off airport detectors.
Can I have an MRI scan if I have braces?
Metal braces are very small and do not cause problems during this kind of scan. Even so, doctors insist that everything metal is removed for the scan, so we usually have to take the brackets off and then bond them back on.
I am pregnant or planning a pregnancy – does orthodontic treatment affect pregnancy?
You can have your teeth straightened during pregnancy, but it has to be done more slowly, because hormonal changes in the body also change bone metabolism, which affects tooth movement. The risk of root resorption is also higher during this period. If you are planning a pregnancy, it is best to postpone the start of orthodontic treatment. If you become pregnant during treatment, make sure you tell your orthodontist. This will mean slowing down the movement of your teeth.
How long does treatment take?
The length of treatment varies from case to case. It usually takes one to two years. Whether or not the jaws are still growing, how complex the problem is and the method of correction are the main factors that determine the time. More complex cases take longer. Simple cases are those that do not need jaw correction. They take considerably less time to resolve. Treatment can take longer if the patient does not cooperate. Frequently missing appointments, not following instructions – for example, about wearing a splint or elastics with braces – and brackets coming off also make treatment considerably longer.
Eating and cleaning your teeth during treatment with braces
Once your braces have been fitted, the appointment continues with instructions on eating and on cleaning your teeth and the appliance. Straightening your teeth is the orthodontist's job, but your job is to keep your teeth clean, so that at the end of orthodontic treatment you have a beautiful, healthy smile. Looking after teeth with braces properly takes a few extra minutes. Brushing and flossing Plaque must be removed from your teeth at least twice a day. With fixed braces, this cleaning becomes even more important. All the parts and wires in your mouth are places where food gets trapped more easily and turns into plaque. What is plaque? Plaque is a mix of food, bacteria and saliva that sticks firmly to the teeth. Bacteria in saliva break food down into acids that attack tooth enamel. If the acid stays in contact with the enamel long enough, it starts to break it down and can cause white spots or tooth decay. Plaque also causes bad breath and swollen, bleeding gums. Decalcification spots, or white spots on the teeth, are permanent marks on the tooth surface around the braces. They do not develop under the bracket, only next to it. They are caused by plaque that builds up around the bracket over a long time. After the braces come off, these spots can be treated with various gels and pastes if they are small and smooth; if they are larger, they may need to be removed and replaced with fillings and tooth build-ups. If possible, brush your teeth with a toothbrush and toothpaste after every meal, or at least rinse your mouth with water. This will wash away some of the food, so less plaque forms. In pharmacies and shops you can find folding toothbrushes that are easy to carry in your bag. Brushing at least twice a day is very important, but you also need to clean between your teeth with floss at least once a day. The best time to do this is before bed. It is a good idea to see your dentist every 6 months for a routine check-up. This way your oral hygiene is monitored more closely and, if needed, your teeth are professionally cleaned and polished. Cleaning teeth with braces is not very different from usual. With an ordinary manual toothbrush of medium hardness, clean the part of the teeth above and below the brackets. When cleaning along the gums, use circular movements of your hand and the brush. The spaces between the brackets and under the archwire are cleaned with an interdental brush. These brushes come in different sizes, so your orthodontist needs to recommend the right one for you. Usually, 3-4 mm brushes are used for the upper teeth and 2-3 mm brushes for the lower teeth.
Can I use an electric toothbrush?
Yes, you can use an electric toothbrush too, and you can get an extra brush head designed for the narrow spaces between the brackets. An electric toothbrush makes the cleaning movements by itself, but you still need to guide it and use gentle circular movements.
All tooth surfaces without brackets are cleaned as usual. A toothbrush wears out faster when you brush teeth with braces, so it must be replaced every 3 months.
Your orthodontist may recommend a toothpaste with more fluoride for extra protection against tooth decay. Rinsing with mouthwash after cleaning is also beneficial and recommended. Brush gently and for longer, not harder. If your braces look shiny and you can clearly see all their edges, you have cleaned them well.
Flossing is a challenge. It will take you longer than before. For the floss to get between two teeth and reach all the way to the gum, you have to thread it under the archwire. Because this is difficult, there are special flosses for braces on the market, cut into pieces that are long enough and with a stiff end for easy threading. Once the floss is under the archwire, wrap it around both index fingers as usual and, using your thumbs and a sawing motion, gently guide it between the teeth and slightly under the gum. After you have cleaned one space, pull the floss all the way out from under the archwire and thread it between the next two teeth.
You will find many types of brushes and floss for braces. Some of them may be useful to you. If you are not sure, ask your orthodontist.
Another aid for extra oral hygiene is a water flosser (oral irrigator). It helps by reducing the amount of plaque and making it easier to clean, but it cannot replace flossing.
Braces by themselves will not damage your teeth, but poor oral hygiene and the plaque that builds up around them do damage teeth. As long as you clean well, you are not at risk of developing new tooth decay. Brushing, flossing and regular visits to your dentist will prevent tooth decay. Teeth that are not cleaned can decay whether or not they have braces.
Gingivitis is inflammation of the gums, with swelling, redness and bleeding at the slightest touch. It can affect only a small area or the whole gum. It develops when plaque gets under or close to the gum and stays there for several days, so thorough cleaning of the teeth is essential, and it is best done with circular movements of the brush. The gum can also become inflamed because of plaque trapped in the contact between two teeth, which needs to be cleaned with floss. If your gums bleed, do not avoid brushing that area. That will only make things worse. The solution is thorough cleaning. If you have cleaned perfectly along the gum and it still does not settle down over the next few days, see a dentist who can clean under the gum and advise you on which hygiene products, such as mouthwash and toothpaste, to buy.
Periodontitis is a disease of the gums and the bone around the teeth. It involves gum recession and exposed tooth roots. It can also develop after long-lasting gingivitis. People with this problem need to be treated and monitored by a specialist periodontist. The disease must be stopped before orthodontic treatment starts; if it develops during orthodontic treatment, tooth movement must be stopped until the bone has been treated.