Orthodontics Today - all about braces and orthodontic devices

I have found an excellent article about Invisalign and I wanted to share it with you. Since I am also in treatment and used Damon braces too, I consider myself experienced enough to chat some more about this topic. Even if the article does seem very well written I kinda sense it might discourage you and in the end this is not the idea. I’ll try to get some of the most important aspects and discuss them from my own point of view. Maybe the author might also share more insight so that we all benefit from this.

While the company says its surveys show that 87 percent of respondents are extremely or very satisfied with their treatment, it also does not collect information about bad outcomes or failed cases.

This is an aspect we are invited to think about. The author also has had experience in the system, so this makes it all even better. I do agree that the percentage does look pretty nice, but just as we read there, there is still a 13% of people who are not pleased with this. Sure, these might be people who weren’t able to adjust to the treatment and the results are not as good as predicted. In general there are people who FAIL in their treatment.

Because of the orthodontist who is not able to provide them with the best care (not all are good doctors and sometimes they do go wrong), maybe they didn’t take too much care of their teeth during the treatment or they simply lacked the luck. I also know people with bad results from the orthodontic treatment as I see people with fantastic teeth. “S..t happens”. It happens in metal braces case, it happens with ceramics sometimes, why shouldn’t it happen with Invisalign?

They may not be so ‘invisible’

I agree with this partially. As mentioned in the article the attachments placed on the teeth might make the system slightly more visible. Still, it’s hard to track. After I got my Invisalign trays placed on my teeth, I got back home. My folks asked me: “ah, he (the orthodontist) wasn’t there?” since they didn’t see my “braces”. After 1 day, at work, I told my boss: “what do you think about my orthodontic braces?”. He had to go to more light and also put his eyeglasses on.

The Invisalign trays are invisible especially when brand new. They are worn for 2 weeks and might get colorations if you drink coffee or anything that can stain them. I have 8 days from starting to wear the aligners. They are still looking like new and they are clear as before. All I drank with them was mineral water. For anything I get them out and then brush my teeth. I haven’t eaten ANYTHING with them on.

If you really like them to remain visible, do they best you can to not stain them. In their “normal” status they are VERY discreet. Since I wore Damon before, there is no comparison. Or, as some say, if we talk about the 2 systems it’s “no contest”. Invisalign is very discreet. In my case it’s invisible, but maybe others had other experience.

Those who have had braces say the discomfort pales in comparison, but newbies may not be prepared. Some take a pain reliever before putting in a new pair of aligners.

I think it depends. In my case the Damon system was pretty painful, but I managed with no painkillers. Invisalign DOESN’T HURT at all, I almost came to think something is wrong. Compared to the metal braces, Invisalign seems to be less “intrusive” and the pain is small or even not there. For the people who experience serious sores and tooth aches, a good painkiller solves this. The first days are indeed the hard ones, afterwards it’s all way easier.

Wearing the aligners requires a serious commitment. They won’t work and may end up worsening a situation unless they are worn constantly. If a tray gets lost or broken, doctors recommend wearing the previous set until a replacement is sent.

ANY treatment requires discipline and commitment from the patients. I can’t understand how people can misplace the aligners. They cost a lot and are HUGELY important for the treatment. And you’re not supposed to place them too far: I just take them out and leave them in the small box I have for them. In my bathroom (so that I can get back to brush) or in my bag if I am not at home. I eat in few minutes and then put them back (after brushing my teeth and cleaning the aligners). We have to wear them at least 21-22 hours a day, this doesn’t leave us with too much time to misplace them.

So, my advice would be to really open those eyes when the trays get out of your mouth. It would be a costly mistake indeed and it would really be your fault. The orthodontic treatment is not something to make fun of or take too relaxed. Otherwise, we’d get into that 13% of people with bad results in orthodontic treatment.

Becoming an oral hygiene freak

Couldn’t agree more. Since I started the treatment (first with Damon, now Invisalign), I went nuts with cleaning my teeth. I take great care and I SHOULD. Braces can “help” with the tarter deposits and the treatment should be made with no new cavities. Our teeth are already going through a lot, the least we can do is to keep them clean.

With Invisalign it’s even more serious. I have a tooth-brush and a tooth-paste in my laptob bag, in my normal bag. I think I’ll put a “set” in my car too and I’ll be the freak indeed

I brush my teeth 5-7 times a day: as soon as I eat something. It’s hard indeed, but I have to take care of them and of those expensive trays.

A lifelong commitment

Oh yeah, it doesn’t end when the treatment ends. To prevent teeth from moving back, doctors say patients must wear retainers at night for life and that some of them need to be replaced annually.

This happens to ALL systems, not just Invisalign. The teeth have the tendency of getting back to their “form” once the treatment is over so we “fool” them with a retainer. In my case this might be something for a lifetime, in other people’s case we talk months or few years. Depends on the complexity of your case.

I really wanted to point these things out. The article did provide us with a lot of information, but the situation is still not that serious. There are many people who use Invisalign and are very pleased with it. In my case it’s a almost 2 year treatment. Compared to the Damon braces, these aligners are way easier to wear. My lisp was gone in few days, I had a very small mouth sore in the first 2-3 days and almost no pain. Compared to those poking archwires and mouth sores, plus the pain I had in the first days of each adjustment, this is a walk in the park. And the “braces” don’t show at all, another plus. Costly, but very nice.

We call them “invisible braces”, even if in the end Invisalign doesn’t rely on the regular braces system. There are no wires or ligatures in there, nothing metal, just some clear plastic and some attachments that have the same colour as your teeth have. Invisalign is one of the newest orthodontic treatments that’s got a lot of patients straightening their teeth without others noticing this.

Invisalign works simple: you wear some plastic aligners on your teeth and they do the job. Invisalign doesn’t rely on a fixed system (as the classical braces), but on mobile aligners. You take them out to eat and brush and then place them back.

How does this work?

At first you are given this choice if your orthodontist has a license to use this system and if your case is not that complex. In my case for instance, the teeth were too crooked at first, so I had to wear Damon braces for 7 months (on the lateral teeth, to solve some of the big problems) and afterwards I was able to get Invisalign.

Since I am a 30 year old woman and have also got my own web design firm, you can imagine I wasn’t too pleased to sport a “metal mouth”. The Damon system worked nicely and it didn’t show (since the front teeth weren’t braced) and now Invisalign will finish the job.

Only your orthodontist can know for sure. You can use another system and then Invisalign or just go for the invisible braces, if your doctor advises you to.

In order for your treatment to begin, your doctor will take moulds and these will be sent to Align Technologies. There, these will be used to prepare the treatment in a 3D computerized system and the aligners you’ll wear. Your orthodontist will show you the animation and you’ll be able to accept or decline the treatment. You’ll be able to see your teeth moving till the final step.

Here is a very interesting video I was able to find on youtube: The Invisalign process

After you have accepted the treatment, you’ll receive your first set of aligners. Your doctor will help you put them on your teeth and some attachments might be added. The attachments have the same colour as your teeth and are very discreet. Some orthodontists don’t use attachments, so it depends on your doctor.

You wear a set for 2 weeks. Then another one and another one. All aligners come packed with your name on the bag, the aligner number and the total number of aligners. From this total number you can know how long your orthodontic treatment will be: in my case I have 26 aligners for the upper teeth and 37 for the lower ones (this means 13 months for the upper teeth and 18 months and a half for the others).

You are advised to wear them for 20-22 hours a day. The more you respect this requirement, the better. Take out your Invisalign aligners for eating and oral hygene and then place them back. Some lisp is also possible in the first days, but it does get better.

As a Damon braces patient before I can tell you that Invisalign is a walk in the park compared with the metal braces. I did have some slight pain in the first 2 days, but nothing compared with not being able to eat anything than very soft food for 10 days (as it happened with Damon). Some Invisalign patients consider the treatment to be hard, but I can tell you it’s one of the easiest.

Here are some things to consider:

• you might face problems with taking out the aligners at the first time. You might not be used to this. I find it easier to take the aligners from the laterals (molars) and then from the front teeth. The attachments might prove tricky: I just place my nail under the attachment (take care to not hurt your gums) and lift a bit till the aligner gets “freed” from the attachment. With some experience you’ll be able to take out the aligners fast
• don’t lose them. You have a nice box for the aligners. Try to not misplace them since it would be bad for your treatment. You’d have to wear the old ones and wait for the duplicates. DON’T LOSE THEM!
• you will brush like a maniac. Whenever I eat, I just take out my aligners, eat and then brush and then place back. Never had such clean teeth. Try to also clean the aligners, they’ll smell very bad otherwise.
• you might experience some slight pain. Some people complain about big tooth pains, it all depends on your body in the end. Just take some painkillers if you can’t cope with the pain. It will pass in few days.
• you’ll talk funny for some days. Even if so, you’ll still be able to discuss almost normally, so don’t expect to be too funny. I am a radio DJ and wore my aligners since day one. I did have some slight issues with my diction, but I am getting better.

What are the advantages?

• They are INVISIBLE. All my friends had to take a really good look at my mouth to spot them. If you don’t drink coffe or coke with them on, your aligners will remain clean and invisible for the 2 weeks you are supposed to wear them.
• easy to clean: I just use mouthwash and my toothpaste for them
• they don’t stain (unless you drink something that might do the trick)
• the mouth sores can happen, but we are talking less damage than from metal braces. I recall using dental wax for 3 weeks with the Damon braces, for Invisalign I just had something small, but after 2 days nothing was there.
• you can see how your teeth will look at the end.

Disadvantages:

• it’s costly. The system is not that cheap, and most of the times your health insurance won’t cover it.
• few doctors who can use it. Just go to Invisalign.com and see the doctors in your area.
• if your case is complex, you might not be able to get Invisalign.
• the treatment can be sometimes longer than in a metal braces case
• you need to be VERY serious with your hygene.

If we turn back time and try to take a trip 20-30 years ago, we can clearly see how orthodontic braces would look like: we all have the image of that teenager with metal braces, smiling and feeling complexed because of his/her metal mouth look.

The “nerd” or “geek” who has eyeglasses and those braces that make talking and smiling so difficult. What most movies fail to show us is how that “geek” will look in just months after the treatment is over. Metal braces and any kind of orthodontic devices in the end do look funny and might be uncomfortable, but the results are always stunning. In 1-2 years (maybe a little more for some very complex orthodontic cases) that metal mouth will sport an amazing smile, just great to use to advertise a new brand of toot-paste or any other product that requires a lot of smiling.

Even if most orthodontic patients fear braces, we do advise you to use them and do the treatment. After some months you won’t recognize your teeth, you’ll have a perfect smile and a new face to show.

We used that “time machine” analogy since today things are different in orthodontics. Now we have more than just metal braces. We can use ceramics, lingual braces, even invisible plastic ones that really don’t show. Did you think that you don’t have what to chose from? Think again.

And now, to the goal of our article: HOW DO I CHOSE THE ORTHODONTIC TREATMENT?

• the severity of your orthodontic case. If your teeth are too crooked you might not qualify for the Invisible braces (Invisalign). In this case your orthodontist can advise you to use another system: Damon or Lingual (Incognito)
• the need for extractions (or not). Some braces types (Damon comes to mind) might not require extractions, others might do
• what your orthodontist can provide. Not can provide you with Incognito, Invisalign or Damon. Most of them have just “regular” metal braces (with ligatures), while others are licensed to use all systems.
• price. Some orthodotic treatments are more expensive while others cost less. Not to mention some are not covered by your health insurance.
• the need to wear other devices: headgear for example.
• treatment time: some systems work faster, some slower
• diction: in some cases the lisp the patient faces (at least in the first days) is more noticeable. For a radio DJ for instance or a public speaker, this can become a problem
• looks. Some might not love the “metal mouth” look (for a 30-40 year old this might be harder), while others don’t care about aspect too much and can settle for anything.
• allergies. Some people might develop allergic reactions to Nickel.

So, here you have some things to consider when chosing an orthodontic treatment. It’s not that simple anymore and thank God we have some excellent systems to chose from. There are good solutions or even combinations so that we can straighten our teeth the way we want.