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Aligner treatment

Teeth straightening with aligners is known as aligner treatment. A tooth aligner is an individually made transparent aligner used to straighten teeth. The doctor, in collaboration with the aligner manufacturer, creates a treatment plan, which the patient approves, and an individual set of aligners is made.

Treatment course

The typical treatment process is as follows:

The patient comes in for a consultation.
The doctor creates a treatment plan for them.
The treatment plan is coordinated with the patient.
The aligners are ordered.
“Anchors” are attached to the patient’s teeth, and the first aligners are placed in the mouth.

How to wear aligners?

Each aligner is worn by the patient for about 2 weeks (this time may vary).
The patient must wear them for 22 hours a day.
Aligners are removed only for teeth cleaning and eating.
The patient must attend check-ups according to the schedule set by the doctor.

The treatment may not always go exactly as planned; some teeth may not move as expected. In such cases, the treatment plan may need to be adjusted. The doctor may order new aligners and correct the treatment course. After the aligner treatment is completed, retention aligners (to maintain the results) are placed on the patient. Depending on the situation, retention aligners may need to be worn from one year to a lifetime. In some cases, retention wires are also bonded to the inner sides of the patient’s teeth to keep them in place and prevent them from shifting back. It should also be noted that after aligner treatment, there may be a need for bite surface corrections.

HanzaDent Clinics provide only certain orthodontic services. These are performed by dentists (not orthodontists) based on Section 43, subsection 2 of the Health Services Organization Act. Doctors perform these services according to their experience and competence, and if necessary, refer patients to a specialist.

Cost of teeth aligners:

Aligner treatment consultation starting from 60 euros
Aligner treatment diagnostics and treatment plan creation 300 euros
A set of aligners 900-1800 eur
Follow-up aligner treatment visit 300 euros

Teeth aligners vs braces:

More comfortable compared to braces
Transparent
Barely noticeable
Less tooth sensitivity compared to braces

Possible complications of brace and aligner treatments

Aligner treatment can have similar complications as brace treatment. The most common and long-term complications, which may appear a few years after the treatment ends, include the following:

gum recession (retraction of the gums);
root resorption;
tooth sensitivity;
damage to tooth enamel;
ulcers of the oral mucosa;
marginal bone defects;
gingivitis;
exacerbation of periodontal disease;
exacerbation of apical periodontitis in endodontically treated teeth;
pulpitis;
exacerbation of temporomandibular joint pathology;
It may occur that achieving the planned corrected position of the teeth and/or bite may not be possible due to unforeseen or abnormal jaw growth;
Depending on individual characteristics, other complications may also arise, but their likelihood is small.

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FAQ

1.Possible complications of brace therapy and aligner therapy

The same complications can occur with aligner treatment as with brace treatment. The most frequent and long-term complications – which may appear a few years after the end of treatment – are the following:

gingival recession (retraction of the gums);
tooth root resorption;
tooth sensitivity;
damage to tooth enamel;
ulcers of the oral mucosa;
marginal bone defects;
gingivitis;
periodontal disease exacerbation;
exacerbation of apical periodontitis in endodontically treated teeth;
pulpitis;
tooth loss;
exacerbation of temporomandibular joint pathology;
it may happen that achieving the intended corrected position of the teeth and/or occlusion may not be possible due to unforeseen or abnormal growth of the jaw;
depending on individual characteristics, other complications may also occur, but the probability of their occurrence is small.

2.How does the aligner attach to the teeth?

Treatment with an aligner requires discipline / full cooperation from you and only works if you wear the aligner 22 hours a day.
As per your doctor’s instructions, you should change the aligner usually every 10-14 days.
At the beginning of wearing a new set of aligners, you may experience tooth sensitivity and discomfort.
Before and/or during treatment, temporary tooth-coloured composite “buttons” are placed on your teeth. You must pay attention that the composite “knobs” have not come off the teeth and if in doubt, inform your doctor immediately.
Other dental treatments, including treatment with fillings, must be completed before treatment with aligners is planned.
Wearing aligners while eating is prohibited.
Do not chew gum while wearing aligners.
While wearing the aligners, you must not drink hot drinks or wash the aligners with hot water, because the aligners can be deformed. You can drink cool/cold water.
Smoking is not recommended while wearing the aligners as it can change their color and elasticity.
Brush your teeth after every meal or snack.
The aligners must be washed under cool water with toothpaste and a toothbrush. The toothpaste must not be abrasive (contains aluminum oxide, calcium carbonate or calcium phosphate – usually in whitening toothpastes).
The edge of some aligners may be uneven due to the manufacturing process. If you have noticed this, please contact your doctor, who will give you the following instructions.
The longer the aligners are not in the mouth, the higher the probability that you may have to replace them – order new aligners. In this case, the production of new aligners will incur additional costs.
If the aligner is lost/lost, the manufacture of an identical aligner also incurs an additional cost.
Due to a change in the position of the teeth, implants may be needed after treatment with transparent aligners or the restorations made on the teeth need to be changed, which your treating doctor will also inform you about.
During the treatment, it may be necessary to include other treatment elements: orthodontic rubber aligners, partial aligners, and orthodontic implants.
During the treatment process, it may be necessary to change the treatment plan, and at the end of the treatment period, additional aligners may be needed to adjust and complete the treatment.
After the treatment, it is necessary to use a retention aligner – not using it can cause the teeth to move back to their original position.
The presented visualization is only a preliminary simulation of the intended movement of the teeth, which may differ from reality.

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