Posts for tag: clear aligners
Wearing braces isn't just for teenagers — straightening teeth can be just as viable a need when you're an adult. For example, it may be necessary to first move teeth away from an empty tooth socket before you obtain a dental implant or other restoration.
But braces could have complications, especially if you have periodontal (gum) disease. These infections caused by plaque, a thin film of bacteria and food particles, inflame and weaken gum tissues and erode supporting bone. It can be treated and brought under control — but keeping it under control requires daily brushing and flossing, along with frequent office cleanings and checkups.
Braces can make this more difficult: it's harder to brush and floss effectively through the hardware of brackets and wires, which can give plaque a chance to build up. Patients susceptible to gum disease are more likely to have re-infections while wearing braces. The hardware can also cause enamel to come in prolonged contact with acid, which can dissolve its mineral content and open the door to tooth decay.
Clear aligners are an alternative to braces that can accomplish tooth movement while minimizing infection flare-ups for people with gum disease. Aligners are a series of customized clear plastic trays worn over the teeth, with each succeeding tray incrementally moving the teeth further than the preceding one. After wearing one tray for a specified time period, you then switch to the next tray. The teeth gradually move to the desired new position over the course of the aligner series.
This option is especially advantageous for gum disease patients because the trays can be removed temporarily for brushing and flossing. There are also other benefits: we can hide a missing tooth space with a temporary false tooth attached to the aligner; and, they're nearly invisible so it won't be obvious to others you're undergoing orthodontic treatment.
Not all orthodontic situations benefit from this alternative, while some cases may call for a combination approach between aligners and braces. But in the right setting, clear aligners are a good choice for not only obtaining better teeth position, but also helping you avoid a new encounter with dental disease.
It used to be that the only option for straightening a teenager's teeth involved lots of shiny hardware. Besides the esthetic downside, traditional orthodontic devices (braces) can interfere with the enjoyment of certain favorite foods, irritate the inside of the mouth, trap food particles (potentially another esthetic embarrassment and sustenance for cavity-causing bacteria), and complicate dental hygiene routines.
These aren't causes for concern with clear orthodontic aligners, however, which consist of a series of transparent plastic, removable trays that fit over the teeth and gradually move them into better positioning. About every two weeks, the teen proceeds to the next aligner in the progression (or set of aligners if treatment involves both the upper and lower teeth) until the improved alignment goal is reached. The trays are meant to be worn 22 hours a day, but they can be removed for eating, brushing and flossing, and, on a limited basis, special occasions.
Thanks to relatively recent developments in the design of clear aligner systems, teens who previously were not considered good candidates for this modality may now have this option available to them. This includes:
- Teens whose second molars (the last to come in except for wisdom teeth) haven't fully emerged. Aligners now come with “eruption tabs” that serve as place-holders for teeth that are still growing into position.
- Teens with severely rotated teeth requiring complicated movement. Tooth-colored attachments called “buttons” can be temporarily bonded onto teeth to provide additional leverage, and elastics (rubber bands) can also be used to promote movement.
Compliance is always a concern with any orthodontic treatment — whether it be gum chewing with traditional braces or wearing clear aligners for the requisite period of time each day. Aligners now come with built-in colored “compliance indicators” that fade with use over time. This makes it possible for orthodontists, dentists, parents and teens alike to monitor both compliance and treatment progress.
If you would like more information about clear orthodontic aligners please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Clear Aligners for Teens.”
What if you had orthodontic treatments to enhance your smile — and nobody knew about it until it was all done?
That (almost) happened to British singer, cover girl and television personality Cheryl Cole. Since her big break in 2002, on the British reality show Popstars: The Rivals, Cole has had a successful music career, taken turns judging both the British and American versions of The X Factor, and graced the covers of fashion magazines like Elle and Harpers Bazaar.
And somewhere along the way, Cole wore an orthodontic appliance. It very nearly went undetected… until a colleague spilled the beans. That’s when Cole was forced to divulge her secret: For a period of time, she had been wearing clear aligners on her teeth. Until her frenemy’s revelation, only a few people knew — but when you compare the before-and-after pictures, the difference in her smile is clear.
So what exactly are clear aligners? Essentially, they consist of a series of thin plastic trays that are worn over the teeth for 22 hours each day. The trays are custom-made from a computerized model of an individual’s mouth. Each tray is designed to move the teeth a small amount, and each is worn for two weeks before moving on to the next in the series. When the whole series is complete, the teeth will have shifted into their new (and better aligned) positions.
Besides being virtually unnoticeable, aligners are easy to remove. This makes it easy to keep the teeth clean — and can come in handy for important occasions (like cover-photo shoots and acceptance speeches). But don’t remove them too frequently, or they won’t work as planned. If that’s a possibility (with teens, for example), aligners are available with “compliance indicators” to ensure they’re being worn as often as they should be. They can also be made with special tabs to hold a place for teeth that haven’t fully erupted (come in) yet — another feature that’s handy for teens.
So if you need orthodontic work but prefer to stay “under the radar,” ask us whether clear aligners could be right for you. Cheryl Cole did… and the results gave her something more to smile about.
If you would like more information on clear aligners, please contact us or schedule an appointment for a consultation. You can learn more about this topic in the Dear Doctor magazine articles “Clear Orthodontic Aligners” and “Clear Aligners for Teenagers.”