Aligners myths


Aligners Myth #1

"Aligners are good only for very easy cases and minor movements"

WRONG!

It is true that aligners are most effective and the best option for small movements and easy cases. However, with correct treatment planning it is possible to treat also the most complex cases.

There are indeed some movements that could be difficult and less effective to do only with aligners. In such cases, it is possible to combine other temporary components together with the aligners to make the treatment effective for these specific movements. This sometimes means that some buttons, elastics and/or few braces are added for a temporary period.

Bottom line – it is all about the treatment planning. Those who don’t have the knowledge and the skills to recognize difficult movements and/or plan correctly to solve them, would claim that treatment with aligners is impossible or ineffective. Which is not true!

Here are just few examples of "impossible" solutions
and difficult movements made with aligners

Rotations:
In this photo you can see how 90 degrees rotation of the tooth in the circle has been achieved. Most dentists will “claim” that rotations over 30 degrees is not possible with aligners or it will take too long. The rotation below has been achieved in 4 (!!) months, very early in treatment. With correct planning and treatment mechanics. This is an example what most will consider “impossible”

kapes breketes

Severe distal bite correction (anterior crossbite). This again is a case that most dentists would consider impossible. The result below is 14 months in progress with aligners only. Correct planning is the key.

Deep bite correction. This is another situation that most dentists and even orthodontist will claim is impossible. Note the green lines below which show improvement in position of the lower teeth. This movement took 12 months to achieve. Only with aligners. Again, treatment planning is the key.

Space closure
Below you can see 3 examples of extraction space closure done with aligners. Most dentist and even orthodontist would claim that space closure with aligners is not predictable and not effective. In all these cases the spaces were closed under 12 months of treatment

Bite correction: Many claim that aligner can only straight teeth but cannot correct the bite. If aligners can move teeth , which obviously they can, then with correct planning teeth can be moved towards bite correction. In the examples below you can see the bite correction illustrated by the orange lines. Correct bite relationship is when the upper orange line is exactly in the middle of the 2 orange lines.

Severe deep bite and large space closure:
Most dentists would claim this case could be treated only with braces. That spaces are too big and that the bite is too deep and impossible to correct with aligners. The photos below show 12 months in progress with aligners only.

Aligners Myth #2

"All transparent caps are the same"

WRONG!

Most think that all aligners are the same , work the same and provide the same result.


This is 1000% not true. If it is transparent thin plastic that made after the form of you teeth, it does not mean it will work the same way and that the results would be the same. They may look the same , but they are not created and are not planned the same way. Good treatment result almost never depends on which plastic transparent cap you get, it only looks the same because it is simply a plastic transparent cap – you can’t really spot the difference visually – no one can. And unfortunately, this lack of distinction is the biggest problem in clear aligner quality control.

What is the most important part in clear aligners is how they are created and by who. What are the planned movements that are prescribed and made by the treating doctor.
Aligners are moving the teeth – but who is really deciding how they will move? Have you thought about that? Moving teeth safely and in an high standard, requires extensive knowledge in orthodontics and biomechanics.

Teeth straightening with aligners is marketed as orthodontic treatment. This is a correct definition. However, in a lot of cases there is no specialist orthodontist involved in planning or supervision of the treatment. Orthodontic treatment without an orthodontist.

When 3D plan is ready and approved. Aligners are made – these aligners can be made by variety of different plastic material and different techniques and methods – the quality of those can differ. The plastic thickness, elasticity and transparency can also differ. But in the end when they are ready , they will all look almost the same. But are they really?

The saddest part of it all is the effect of this practice on my orthodontic specialty. The aligners will most probably will still move the teeth and most patients will be happy and impressed without knowing it could have been done better or what they are missing. Some of the patients will not be happy, and the blame will be on the aligners. The biggest risk of substandard results is that it makes aligners looks like an ineffective and limited treatment option. Which is not true!

12 advantages of aligners over braces:

Aesthetics

Practically invisible

Keep smiling throughout treatment

Saves time

Less frequent visits to the doctor

Faster and easier to clean teeth

Hygine

Brush and floss as you normally do

No need for special brushes and materials

Safe

Do not harm cheeks and lips

Made out of hypoallergenic material

Removable

Can be removed in special occasions 

Practical

You can continue with your normal daily and sport activities without special restrictions.

No food restrictions

Since you can remove them, you can eat and drink whatever you want

Time flexibility

Easier to carry treatment also cases of frequent traveling or busy life style

Comfortable

Less pain during treatment

Easy to use

 

Individual

They are adapted to your specific situation and needs to make treatment faster and more effective

Speech

Minimal to no effect on speech

Faster treatment

In many cases treatment duration is up to 50% faster

Case Examples

Left side : Before / Right side: After
Left side : Before / Right side: After
Left side : Before / Right side: After
Pirms un pec caurspidigas kapes
Left side : Before / Right side: After
arstesana ar cuaurspidigam kapem
Left side : Before / Right side: After
Left side : Before / Right side: After
Left side : Before / Right side: After
Left side : Before / Right side: After
Left side : Before / Right side: After

How the aligners looks over the teeth

caurspidigas kapes zobu taisnosanai
Left side : Before / Right side: After

Prices

In general prices depend on the difficulty of the case and on how many aligners are needed to reach the desired result.

The precise number of aligners is viable only after a 3D plan following a consultation.

Per jaw: 800 – 1800€

There are 3 difficulty levels:

Level 1

Up to 8 Aligners

Up to 6 months

1 jaw: 950€

2 jaws : 1750€

Level 2

Up to 16 Aligners

Duration : up to 1 year

1 jaw: 1550€

2 jaws : 2550€

Level 3

Unlimited aligners

Duration : Over 1 year

1 jaw: 1950€

2 jaws : 3150€

* We provide different payment options

Until end of March We offer an exclusive 20-30%  discount for treatment with aligners

If you would like to receive the full offer, please send us e-Mail to [email protected] with your name and the title “Aligner offer”

Treatment with aligners doesn’t fit all cases! consultation is mandatory to decide if aligners therapy is for you !

To find out if aligners therapy fits you and to schedule a consultation please call 25757143 Or write [email protected]

Dr. Igor Gribalsky Ortodonts orthodontist Riga