We can also call clear aligner treatment, which has been applied as a second option to braces that have been used for a long time, as orthodontics without braces. With this method, teeth are aligned with personalized transparent aligners without the need for uncomfortable braces.
Its most important feature is that it is almost completely invisible. It is difficult to notice.
HOW MANY HOURS A DAY SHOULD TRANSPARENT ALIGNERS BE WORN?
You should wear clear aligners for an average of 20 hours a day. You can remove them only when eating and in an important situation for 1-2 hours at most.
The aligners are produced in series according to the desired position of the teeth. Each aligner creates a movement of 0.05 mm. The aligners are worn for 10 days and then the next aligner is applied.
One of the biggest advantages is that the final position of the teeth can be predicted from the beginning. 3D scans of the mouth are made and detailed photographs are taken. After this data is collected, it is sent to the analysis center. With the three-dimensional modeling method, virtual models are created in computer environment. The desired movements are given to the teeth on these models created in the computer environment. A simulation is prepared on the computer. According to the treatment plan, the alignment of the teeth is determined on the computer.
When it is used correctly, it is possible to know the treatment end process clearly, but it is possible to see how it looks in 3D in which month.
Depending on the crowding of the teeth and the desired amount of tooth movement, the duration of treatment and the number of aligners to be used vary.
Treatment with transparent aligners is more comfortable than traditional bracing methods, there is no stinging and wound formation as there is no wire or metal part in the mouth, and the treatment is more painless than traditional braces.
In her book ‘THE TRANSPARENT PLATES TECHNIQUE’, Dr. Sandra Tai said that ‘transparent plates are the future of orthodontics’. Due to rapidly changing developments in the field of digital orthodontics, transparent orthodontics is really seen as the orthodontics of the future.
Here, our patients also have the question: “How do these transparent aligners ensure the movement of the teeth”.
In classical orthodontics, that is, the brackets are glued to the teeth and make a pulling movement on them is logically easily understood by our patients. The logic is similar in transparent orthodontics. The teeth move from one place to another with both the pushing movement of the buttons adhered to the teeth and the pushing force created by the pressure applied by the aligners.
The more plaque material a tooth is covered with, the better the bonding. For this reason, regular wearing of the plaque at all times other than eating as much as possible will ensure that this pushing movement is as desired.
In transparent aligner treatments, the location of the button to be attached to the tooth can be determined in advance and these button locations can be changed at different stages of the treatment, in this context, transparent aligners provide an extremely good pushing movement, in the same way, the buttons used for pushing the tooth can be immobilized from time to time.
In this context, transparent aligners have the ability to move the teeth as a group in treatments that involve some removal of the teeth from the jawbone and some embedding of the jawbone (extrusion, intrusion).
In orthodontics with braces, there is a movement in one tooth while there is a movement in the other teeth that are supported. In other words, while one tooth is impacted, the other teeth can extend. In transparent orthodontics, teeth can be moved as a group.
In order to eliminate the incompatibilities of the teeth with each other, some filing can be done on the enamel structure of the teeth, especially the middle horse can be made to fit.
With the method called IPR, the irregularities in the enamel of the teeth are corrected and the teeth are brought to the desired position.
The incompatibility of tooth sizes is corrected from the front as part of the planning in more transparent orthodontic treatment, and the size irregularity is also corrected during treatment.
The clear aligner technique requires a proactive disciplined approach. This approach starts with the physician’s approach and continues with the patient’s compliance and discipline during use.
Appropriate case selection is one of the most important factors in the success of orthodontic treatment with clear aligners. The aim of orthodontic treatment is to address tooth alignment disorders in our patients’ mouths as well as the disorder of the relationship between the jaws.
Although it is often realized, teeth are not temporary organs; they are organs that should remain in the mouth for life. Therefore, in order for the teeth to remain in the mouth for a lifetime, the alignment of the teeth must be correct and the occlusal contacts of the teeth with each other must be correct. What does this mean? The teeth should come into regular contact with each other during chewing.
If the crowding in the teeth is categorized; -Mild-Moderate-Severe is evaluated in three categories.
Nowadays, orthodontic treatment has become a general dentist’s job with transparent orthodontics with developing software, but the experience and experience of the physician is also very important in case selection.
In severe cases, some variations such as tooth extraction and even mini screw and tire applications such as in bracket applications are required.
When assessing the difficulty of the case, it is necessary to formulate a list of the main problems in various dimensions.
- IRREGULARITY IN THE CURRENT POSITION OF THE TEETH
- THE TEETH IS SMOOTH AND THE JAWS ARE INCOMPATIBLE WITH EACH OTHER OR THE Jaw IS OPEN OR VERY CLOSED (Deep closure and Front open closure)
- INCOMPATIBILITY OF TEETH AND JAWS
Another criterion for case selection here,
- Completed growth and development
- Malocclusion in which growth and development are not yet complete.
In cases of malocclusion, the amount of malocclusion is very important; a very experienced dentist can also use transparent orthodontic aligners as a stage in complex and severe malocclusion treatments.
The patient-physician relationship is also very important in our case selection, because sometimes these treatments can also be done to move our patients’ teeth to the next prosthetic stage, which we call alignment. In other words, if we are going to work on a porcelain lamina without cutting, transparent orthodontics is applied to open the gaps between the teeth or to make the existing gap between the teeth symmetrical before this porcelain lamina application. Or, if we do not want to see crowded front teeth under a very beautiful porcelain laminate application, transparent orthodontics can be performed to correct this crowding. All these protect us from post-treatment surprises thanks to digital orthodontics, which gives our patients the chance to show the end of treatment with simulation.
Of course, we must also be convinced that our patient will take good care of his/her mouth when choosing a case in transparent orthodontics. This is very important, because in transparent orthodontics, we should treat patients who we are convinced will take good care of their mouth and use their aligners regularly.
All treatments are teamwork and our patients are one of the most valuable parts of our team.