- You may need to bond attachments temporarily to one or more teeth during treatment to facilitate aligner retention or tooth movement.
- Replace attachments if they become loose.
- Remove attachments at the end of treatment.
- You may need to adjust the patient’s bite at the end of treatment.
- Joint pain, headaches, or ear problems may result due to temporomandibular joint issues. This rarely occurs.
- Supplemental treatment may be required for severe open bite/overjet or skeletally narrow jaw.
- To correct severe crowding or jaw imbalances, oral surgery could be required. If so, consider risks associated with surgery before starting aligner treatment.
Precautions for Patients
- The patient may experience tenderness or temporary discomfort at initial aligner placement and after switching to each new aligner.
- The aligner may initially affect speech and may result in a lisp, usually disappearing within two weeks.
- The patient may experience a temporary increase in salivation or dryness of mouth.
- The aligners may scratch or irritate the patient’s lips, cheeks or gums.
- The patient should not wear aligners when drinking hot, sweet, or colored liquids.
- If patient does not brush and floss correctly during treatment, or if they consume sugary foods or beverages while wearing aligners, they may be subject to tooth decay, periodontal disease and permanent markings from decalcification and staining.
- Lack of compliance in wearing the aligners for the prescribed number of hours per day or not using the aligners as directed can increase treatment time and affect desired results.
The patient’s teeth may shift position after