Introduction:
Clear aligners have revolutionised orthodontic treatment by providing a discreet and convenient option for straightening teeth. Properly insert aligners is usually straight-forward but there are conditions which may require usually particular techniques to fit them properly. This step-by-step guide walks you through the process to ensure a comfortable and effective treatment experience.
Step 1: Cleanliness is Key
Before handling clear aligners, make sure hands are clean and dry. It is essential patients maintain good oral hygiene as well, so remind them to brush their teeth and rinse their mouth thoroughly before insertion.
Step 2: Insertion
For most conditions being treated simply use a gentle grip, position the aligner on the teeth and start from the back and gradually move forward, allowing the aligner to fit snugly over the teeth. The aligners should snap into place. Ensure that the aligner covers the entire surface of each tooth. If they don't, or if there is a small incisal gap, provide the patient the Chews to bite on for a few days which should help the aligners to fully seat.
Where there are attachments, take care to seat the aligner’s attachment holes over them.
For conditions with challenging fitting issues there are several other techniques to fit aligners:
# | Condition | Technique |
1 | Anterior excessively crowded | Front to Back |
2 | Anterior teeth excessively proclined | Front to Back |
3 | Posterior teeth excessively inclined lingually | Side to Side |
4 | Flared lingually or buccally | Anterior first |
Condition 1. Anterior excessively crowded, and 2. Anterior teeth excessively proclined
Technique: Front to Back
First, insert the aligner on the anterior teeth
Then, push the tray down over the posterior teeth
Condition 3. Posterior teeth excessively inclined lingually:
Technique: Side to Side
First, insert on side then come forward to insert the anterior teeth
Then, press down on the opposite side
Finally, using fingers to press the aligner on
Avoid the temptation to bite the aligners on with the teeth
Condition 4. Flared lingually or bucally:
Technique: Anterior First
Focus on inserting the aligner on the most challenging area initially, then the rest should be easy.
First, insert the aligner on the anterior teeth
Then, push the aligner on the flared side.
For lingually flared teeth, push the aligner on the lingual side.
For buccally flared teeth, push the aligner on the buccal side.
Step 3: Adjust if Necessary
After inserting both aligners, check for any discomfort or misalignment. Have the patient gently bite down to ensure that their teeth fit comfortably into the aligners. Proligner aligners are by default scalloped and have a polished trim line so there should not be any areas of irritation or pressure points. Most fitting issues can be addressed with your fingertips to slightly adjust them to achieve a better fit.
Step 4: Wear Them Consistently
Once both aligners are securely in place, it's important the patient wears them consistently as prescribed. Typically, aligners should be worn for 20 to 22 hours each day, only removing them for meals, snacks, and oral hygiene routines. Adhering to the recommended wearing schedule will maximise the effectiveness of treatment.
Step 5: Monitor Progress
As the patient to monitor progress and identify any changes that may require attention. Ask them to take note of any discomfort, pressure, or tracking causing fitting issues of the aligners. If they encounter concerns, they should communicate them for guidance and adjustments.
Conclusion:
Inserting clear aligners is a simple process that, when done correctly, can help you achieve a straighter smile. By following these step-by-step instructions, the patient can ensure a proper fit for their aligners and pave the way for a successful orthodontic journey. And as always patients should consult with their treating doctor if there are questions or concerns during the course of your treatment.
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