Wednesday, October 21, 2009

*NEW* Advice



If that got your attention, you may find this article posted on the Align Tech site interesting:
Dr. Doug Brandt discusses "Guidelines for Retention in the 21st Century". You can download the .PDF or just listen to it from the links posted here:

http://www.aligntechinstitute.com/Training/Pages/DisplayArchivedATE.aspx?courseid=106

His most important/enlightening points:

~ Relapse in orthodontics is universal

~ Your most stable tooth position is pretreatment

~ Genetics affect tooth position; lower lip & tongue both exert enough pressure to move teeth

~ excellent oral hygiene maintains supporting tissues so is most important during retention

~ Vivera can provide a re-alignment of up to .25 mm with full time wear in future relapse, so it's a "safety net"

~ the way Vivera is manufactured with a new set every 3 months, it's stronger than other clear appliances

With a scientific study of materials, a wear time schedule for Vivera Rx is:

1) 1st Retainer: day & night for 3 months
(going directly to overnight just won't work - & that makes TOTAL sense)

2) 2nd Retainer: day & night again for 3 months!

3) 3rd Retainer: nights only for 9 months

4) 4th Retainer: no less than 3 nights/week for 1 yr. 9 months

FINALLY - a definitive plan for retention...Gah! A bit too late in my own case, but my question posted over a year ago here is answered at last:

"With even the minimal shifting that will occur after wearing the Invisalign (or Essix) Retainers for a few months, once a new set is inserted your teeth are forced to "self correct" each time & go back to the way they were with your very last aligner in your treatment. How will this allow your roots to heal sufficiently & permanently if they are constantly getting shifted about - even if it is minimal shifting???"

Take heed all of you who are still in your treatment phase:

It is absolutely vital that your clinician's retention plan is fully discussed at the beginning of your treatment - no surprises in the end that way & you're going into Invisalign with both eyes wide open!

Which will ultimately keep you SMILING wide open for evermore...
it is YOUR responsibility.

4 comments:

Richard Keane said...

Hi,

I have been looking at your blog ‘Smiling Wide Open’ and found it to be a wonderful exploration of your journey in straightening your teeth. Gives a real personal insight into how orthodontic treatment can make a real difference to a person’s smile, even if it can be a long and gruelling journey. The results make it worth the hassle in my opinion, and I hope you are enjoying the results. Your blog is a great help to many people in giving them the confidence to go ahead with dental treatment that may have been put off at one point, no matter what their age.

I am writing to you as I feel your followers could benefit from a link to the http://www.cosmeticdentistryguide.co.uk/ which would not only give your followers access to information concerning orthodontic treatment like Invisalign and the Inman Aligner but about a whole host of cosmetic dental treatment.

The Cosmetic Dentistry Guide is the leading provider of cosmetic dental information online in the UK, and includes a forum as well as an expert answers section, so if you have any questions then feel free to ask one of our experts. I believe our information on would be advantageous to many of your blog readers.

Our topics include:

Orthodontics - http://www.cosmeticdentistryguide.co.uk/orthodontics.html
Teeth Whitening - http://www.cosmeticdentistryguide.co.uk/teethwhitening.html

Our homepage is: http://www.cosmeticdentistryguide.co.uk/

I hope to hear from you soon and hope the retainer is not too much trouble for you.

Kind regards and keep up the good work with your blog.


Richard.

Anne said...

Richard ---

Thank you for your comments. My retainers are just a habitual part of my personal "routine", just as brushing my teeth is. As long as I wish my teeth to remain in place, they'll not be too much trouble.

One dentist on your forum stated it only took "6 weeks to straighten a clients teeth". Sounds wonderful! No matter how simple an individual's case, without referral to lifelong retention along with that claim is very misleading in my opinion.

The dentistry.com forum link I have posted is almost entirely patient feedback through their own experiences to other patients or those considering treatment - perspectives which I found to be most helpful while in active treatment myself.

I will leave your link visible here if it may help those seeking answers in the UK.
Regards,
AnneC

Anne said...

To document the quote from your forum I posted above:

http://www.cosmeticdentistryguide.co.uk/forum/clear-braces/44-inman-aligners.html#post172

(by forum Moderator Dr. Pav Khaira)

suzanne said...

Hi Anne,
Thank you so much for you helpful info. I would like to know who/where your dentist is? My essix tray is rough and uncomfortable - I know there must be a dentist out there who can trim and polish one to be less damaging to my gums and tongue, or use another brand. I hope you can help me find one!
Thanks, Suzanne