More adult patients become aware of the need for care about their appearance. And this not only where the quality of clothing, hair or body care is concerned but their teeth just as well. It is quite evident that a charming smile represents the most successful move toward making new contacts or acquisition of a better position in society or employment.

Adult patients feel often embarrassed when put before the decision on how to resolve their problem of irregular teeth growth without becoming an unwelcome focus of the world around them or being asked snooping questions. Teeth straightening can act as an elegant type of therapy which may remain hidden from the inquisitive eyes. The method´s name is Invisible Aligners.
What is it all about? Along the length of the course the therapy proceeds hidden from the intrusive surroundings by way of aligners bonded to the back side of teeth. Their major asset does not come with the invisible treatment aspect only. Their positioning on the inside of the oral cavity stimulates an intensive saliva secretion as an efficient self-cleaning factor. This way the dental enamel remains protected from caries and stains due to demineralization.

The market offers a wide array of invisible types of braces yet not each of them answers every bite anomaly. The most simple out of the whole range is the Invisalign system. It consists of a series of transparent foils applied to the mouth by the patient who replaces these clear trays in keeping with the orthodontist´s advice. This system comes with two drawbacks. It is designed to treat exclusively minor deformities such as insignificantly crowded teeth or rotated teeth possibly moderate gaps. It poses another problem of application which is closely related to the least requisite amount of responsibility. If the patient does not follow the doctor´s instructions and fails to wear the aligners the whole day, success of therapy cannot be guaranteed. In situations of this kind, the said minor deformities can be treated by way of aligners that are attached to the back of teeth and designed to deal with this kind of defects. The system´s name is 2D aligners by Forestadent..

If there is a really significant problem that needs to be corrected because featured by anomaly of growth of not only individual teeth but full dental arches in conflict with each other , the application of lingual (invisible) braces is advocated. This system is featured by flexibility of performance at all levels into which the tooth may be required to reposition. These are aligners of the 3D type. Systems like Incognito by the 3M company or Stb by Ormco alternatively Harmony by Italdent rank highest among the most used. A wide assortment of these systems is marketed and their use relies on the orthodontist´s choice and expertise.

Observing the area of application marked by an intense self-cleaning saliva effect, these aligner systems are highly suitable also for children and adolescents known for the frequent problem of proper oral hygiene. This does not mean that children wearing these aligners might be relieved of their teeth cleaning. Yet, should the improbable damage to the tooth enamel occur, the demineralized enamel is located in an invisible spot. Besides, the enormous reparatory potential of saliva will accomplish a fast rebuild of the enamel without the least trace of the damage left behind. In specific situations of enamel damage the lingual aligners are bonded to the back of teeth as per the only method available (Image Damaged Enamel).
There is no overstatement in the declaration of the invisible aligner therapy as the absolutely ultimate in modern day treatment of dental displacement conditions in both children and adults without age limitation. Research is in progress toward downsizing of these applications marked by maximum simplicity of therapies for the patient´s comfort and reduction of the time required for in-clinic intervention.

MUDr. Mgr. Milada Soldánová, PhD., Ortodontist