Can Aligners Be Used for Underbite?

Aligners can treat some cases of underbite, especially when the issue is related to the position of the teeth rather than the jawbone. They gradually shift the teeth into a more optimal position, potentially reducing or eliminating the underbite. However, if the underbite is caused by a skeletal issue, additional treatments like braces or surgery may be needed. It's important to consult with a dentist to assess the severity of your underbite and determine the most effective treatment.

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Can Aligners Be Used for Overbite?

Aligners can effectively treat an overbite by gradually adjusting the position of the upper and lower teeth into better alignment. The success of this treatment depends on the severity of the overbite and adherence to the treatment plan. In more complex cases, additional treatments may be required, so a detailed consultation with your dentist is essential to determine the best approach.

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How Do I Clean My Retainers?

Cleaning your retainers is crucial for maintaining both oral hygiene and the longevity of the retainers. The simplest and most cost-effective method is to brush them with your regular toothbrush and toothpaste each time you remove them. This routine helps prevent the buildup of saliva, bacteria, and odors. For a deeper clean, Invisalign offers cleaning crystals, which are effective but come at an additional cost. Consistent cleaning should be a regular part of your oral hygiene routine to keep your retainers in top condition.

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How Do I Clean My Aligners?

Keeping your aligners clean is essential for maintaining both your oral hygiene and the longevity of the aligners. The simplest and most cost-effective method is to brush them with your regular toothbrush and toothpaste each time you take them out. Be sure to clean them before putting them back in to prevent the buildup of saliva and bacteria, which can cause odors and staining. For a more thorough clean, Invisalign offers cleaning crystals that are highly effective, though they come at an additional cost.

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What If My Retainer Doesn’t Fit Anymore?

If your retainer doesn’t fit anymore, it’s important to contact your dentist right away. This could indicate that your teeth have started to shift, especially if you haven’t worn your retainer for a while. Depending on the extent of the movement, your dentist may need to create a new retainer or, in some cases, recommend restarting orthodontic treatment to correct any misalignment.

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What Is the Difference Between Retainers and Aligners?

Retainers and aligners may look similar but have different purposes. Aligners move teeth during treatment, while retainers keep them in place afterward. Invisalign retainers are made from the last set of aligners, while Vivera retainers are more precise, requiring a new 3D scan for a custom fit. Both are essential for maintaining orthodontic results, with retainers being crucial for long-term use to prevent relapse.

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What Is the Next Step After I've Finished My Treatment?

Finishing your aligner treatment is a milestone, but maintaining your results requires lifelong commitment to wearing night retainers. If you don't, your teeth will gradually shift back, especially in the first few months and years. This natural shift occurs due to continuous cartilage growth, particularly in the chin area, which can push your lower teeth forward, leading to crowding.

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Why Some Patients Do Not See Big Improvements After 5 Months of Aligners Treatment?

If you haven't seen significant improvements after 5 months, it might be due to not wearing your aligners as instructed. Even in severe cases, by this time, you should be on aligner #10 or more and see noticeable progress. Comparing your current aligner with the first one should show some difference. If you're still on aligner #2 or #3 after 5 months, it's important to consult your dentist and get back on track. Progress depends on the complexity of your case and consistent wear.

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Is It Possible to Push the Process Faster?

You can speed up the alignment process with additional procedures like microsurgery, corticotomy, or non-surgical appliances that use vibration or light to stimulate bone remodeling. These methods can reduce treatment time by 30% to 50% but come with extra costs and aren't standard for everyone. Dr. Bak typically prefers a conservative approach unless there are urgent needs, like an upcoming wedding or job change. Pushing the body to move faster than its natural pace may not always be the best option.

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How Often Will I Have to Change My Aligners?

Typically, you'll change your aligners every one to two weeks, but this can vary based on your progress. Some patients may need to wear a set for up to four or five weeks if teeth aren't moving as expected. Regular communication with your dentist, including sending weekly photos, helps monitor your progress and ensures timely adjustments to your treatment plan.

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How Many Hours a Day Do I Have to Wear the Aligners?

To ensure your aligners work effectively, you need to wear them for 20 to 22 hours a day. Aligners apply continuous pressure on your teeth, which prompts bone remodeling in two phases: bone destruction followed by bone formation. Missing the crucial bone formation phase by not wearing your aligners long enough can lead to treatment setbacks. For optimal results, only remove your aligners to eat, drink (anything other than water), and clean them.

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How Long Does the Treatment Take?

The duration of aligner treatment varies based on the complexity of your case and your compliance. It can range from a few months for simple cases to up to four years for more complex ones, with most treatments averaging 12 to 30 months. Your dentist will provide an estimate based on similar cases. Success depends on both the aligners and your commitment. If you're in a hurry, there are ways to speed up the process, but these involve additional costs and risks. Discuss all options with your dentist to find the best approach for your case.

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Will Aligners Change the Shape of My Face?

Aligners primarily focus on straightening teeth but can subtly enhance facial appearance by correcting protruding teeth or creating a wider smile. The changes are limited to optimizing your smile rather than altering facial structure. For teenagers, aligners may slightly guide natural growth but won't drastically change facial features. Significant changes to facial shape typically require orthognathic surgery, not just aligners.

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