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March 26, 2019 By Cascadia Dentistry

DIY Orthodontics

Lately I have been seeing a lot of advertising and interest in “do it yourself” orthodontics. Multiple start-up companies are heading to the internet to promote “clear braces” – all completed in the comfort of your own home. While this may seem compelling to some, caution should be taken when considering something as personal and important as the alignment of your teeth. Though it may be possible to correct some minor orthodontic issues with a do-it-yourself program, bypassing your general dentist or orthodontist to improve your smile can be an ill-advised treatment option.

The most comparable version of do-it-yourself orthodontic treatment is the Invisalign program, a service offered by Cascadia Dentistry and other general dentists as well as many orthodontists. A big consideration for Invisalign versus traditional braces is whether you are even a good candidate for one option or the other. There are many ways teeth can move and not all of them are easy. Similarly, health considerations and general overall dental health is important to consider when deciding between these two options. For instance, some patients should not move their teeth at all due to poor periodontal health. If you suffer from uncontrolled periodontitis, moving your teeth can lead to a significant worsening of your condition. Do-it-yourself orthodontics programs may indicate they have qualified and trained professionals to make the assessment as to whether you are a good candidate for treatment, but their ability to do so is limited without seeing you in person for an exam.

Assuming that you are a good candidate for Invisalign over traditional braces, there remain other considerations for safely performing do-it-yourself braces. Once we establish that you are a good candidate for Invisalign, we work closely with orthodontists and technicians online to establish a customized treatment plan. Treatment plans vary significantly, however, they typically involve placing tooth-colored attachments on your teeth to give each tray the anchorage they need. Similarly, we periodically need to perform a procedure throughout your treatment progression to make minor adjustments to your teeth to allow for more room for movements. Both of these treatments should only be performed by a trained professional and without them, your ultimate goal of straighter teeth and a healthier smile may not be achievable.

If you would like to discuss further, please contact us today. We are always a resource to discuss your treatment options so that you make an informed decision for your oral health.

Filed Under: 6 month braces, Invisalign, News, orthodontics

May 2, 2018 By Cascadia Dentistry

Invisalign Considerations

You may have heard of Invisalign, or “clear braces” orthodontic treatment. Invisalign is available to our patients at Cascadia Dentistry to accomplish a variety of dental goals such as straightening teeth, closing spaces and correcting poor occlusion (your “bite”). For patients that do not want to pursue more traditional braces but could still benefit from orthodontics, Invisalign is an excellent treatment option. If you’ve wondered how the Invisalign process works, let me offer a quick rundown as well as some tried-and-true tips and tricks for success.

The first step with Invisalign is to determine if you are a good candidate. The majority of patients with minor to moderate crowding and spacing concerns tend to be good candidates for Invisalign. Patients that have had braces before but are finding that their teeth have moved over time also tend to be good candidates. On the flip side, for patients with uncontrolled periodontal disease or significant crowding and spacing concerns, Invisalign may not be the right treatment option. Our Invisalign consultations are free to determine whether Invisalign may be a good option for you.

Invisalign treatment consists of wearing thin, clear plastic “trays” over your upper and lower teeth that click into place by lining up to small brackets that adhere on to several of your top and bottom teeth. You can remove the trays, but the brackets stay on your teeth until treatment is complete. You wear each set of trays for one week before switching to the next set. The optimal amount of time to keep your trays in each day is roughly 22 hours – which means that unless you’re eating or drinking, you really have to commit to wearing your trays all the time. As your teeth experience significant movement during Invisalign treatment, failure to wear your trays as often as required will impact the trajectory of movement and may require additional impressions to get back on track, extending the entire process. Once your treatment is complete, patients will need to wear retainers daily for six months. After six months, patients must wear retainers nightly to ensure the achieved movement of your teeth is maintained. If wearing retainers nightly “forever” seems daunting, don’t despair, there are other alternatives to consider that may be a better fit.

The most common feedback I hear from patients is that usually there is an initial adjustment period over the first week or so of wearing trays. During the adjustment period, you may find you are still getting used to speaking comfortably with your trays in, establishing good habits for wearing your trays except while eating/drinking, and really ramping up your overall oral hygiene to ensure your teeth and your trays stay as clean as possible. You will also find you are adjusting to the feeling of tightness while wearing trays as well as a heightened awareness of your teeth gradually shifting. I find patients generally report that by the 3rd day after changing into a new set of trays, tightness and soreness does subside. I recommend that patients be prepared for casual snacking to become more challenging and that they carry a travel toothbrush. Water is fine to consume with your trays in but you should remove your trays for any other food or drink to reduce your risk for cavities.

After you get started with your Invisalign treatment, periodic appointments are required every three to four weeks to monitor your progress and make adjustments as necessary. We distribute 3-4 sets of trays that you are responsible for switching weekly between these visits. Most patients indicate that once the process is underway, they become used to wearing their trays frequently and generally don’t have many challenges seeing their treatment through successfully.

If Invisalign is something you’ve considered or you are interested in learning more about it, please give us a call to schedule a consultation. We would love to show you the ways in which this treatment may benefit you and your smile!

Filed Under: 6 month braces, Invisalign, News, orthodontics, smile makeover

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