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Invisalign aligners are designed to straighten your teeth like conventional orthodontics, without the metal braces. Invisalign treatment consists of a series of clear plastic aligners that you will wear, for the course of your treatment, in order to move your teeth into the desired position. The aligners are developed from the x-rays, impressions, and photographs taken by Dr. Nick. The number of aligners and the length of time are determined by Dr. Nick and the treatment plan he develops specifically for you.

Frequently Asked Questions:

How many hours a day do I wear my aligners?

They should be worn 22 hours a day. You should only remove them to eat and clean your teeth. All other times of the day and night, they should be worn.

How long is each aligner worn?

You will change aligners every 7 days, unless instructed otherwise by Dr. Nick.

Do I need to keep all of my old aligners?

You will need to bring the most recently worn aligner in the appropriate case to your appointment.

Is it normal for my teeth to hurt when I change aligners? What can I do?

Yes, it is normal for you to have some discomfort on certain teeth that are being moved during that aligner set. You may feel some discomfort for about a day. Only Tylenol (acetaminophen) should be taken for discomfort as Ibuprofen interferes with the mechanism that allows movement of teeth. We recommend changing after dinner, so that the majority of potential discomfort will occur while you are sleeping. The most sensitive time is the first 8 hours, so sleeping through this is best.

Is there a recommended protocol to follow when changing aligners?

Yes, please replace your old aligners after your dinner for two hours. Place the new aligners in and use the "chewie" for a minimum of five minutes. Take Tylenol before bedtime if needed.

Can I use cleaning tablets to clean my aligners?

Yes, you can soak your aligners in cleaning tablets, but it is also important to regularly brush them. We will give you a sample of cleansing tablets that work well.

Can I eat, chew gum, or drink while wearing my aligners?

You may not eat or chew gum with your aligners in-- the only time that you should remove your aligners during the day is to eat. Eating in your aligners can cause them to tear or break. You may drink water while your aligners are in. Definitely avoid drinks that stain, such as: dark colas, coffee, tea, and red wine. Also, avoid hot drinks while wearing aligners.

Can my aligners break or tear? What do I do if they break or tear?

Yes, aligners can break or tear. You need to be careful removing them from your mouth and do not eat with them in. Both actions can cause your aligners to tear or break-- if they aligners are removed with the proper technique, the risk of tearing is very low. However, if your aligners do break or tear-- call the office and we will determine if you should begin wearing the next aligner or if we need to reorder the current one.

What happens if I lose an aligner?

As with the question above, call the office ASAP and we will determine what should be done.

What happens if I don't wear my aligners 22 hours a day for the 7 days?

Your treatment cannot work as set up if you do not commit to wearing your aligners as you are directed. The aligners need to be worn as directed to move your teeth before the next set is worn. If you deviate from the treatment course, then there may be an additional fee to complete the treatment, or you may need to add additional days of wear for each day of noncompliance.

What is the purpose of attachments?

Attachments are designed to retain aligners as well as aid in the type of movement needed to properly align your teeth.

Can I use an at home bleaching kit in my aligners?

Yes, the bleaching solution will be able to reach all the tooth structure.

Do I wear a retainer? For how long?

Yes, after treatment is complete and your teeth have moved into the desired position, it is necessary to wear a retainer (called a Vivera retainer) in order to maintain that position. A time schedule will be given to you explaining wear useage.

How long will Vivera retainers last?

Each Vivera retainer should last up to two years. You will be able to order replacement Vivera retainers that match your final stage of your Clin-Check when needed.

How long after my treatment is completed do I have to modify or change my case?

You have from your Invisalign's completion date, plus 180 days to refine treatment. After that time period, refinements made to treatment will have a fee.

What happens if my Invisalign treatment does not work?

Invisalign allow us three refinement impressions to "tweak" treatment to the completion. A refinement means taking new impressions and new photographs to send to Invisalign for more sets of aligners in order to continue moving your teeth into the desired position.

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