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INTERNATIONAL ASSOCIATION OF DENTAL STUDENTS No. 1, 2017

ClinCheck: stage 2 of 2 This type of orthodontic treatment has revolutionized the orthodontic world. Here are some pros and cons… Easy to monitor: 8. Invisalign clear aligners for teen comes with blue dots indicator that fade from blue to clear to help gauge wear time and compliance. ADVANTAGES OF INVISALIGN(9) 9. It is effective for wider variety of Aesthetics: 1. No one will likely even notice that you are straightening your teeth because the aligners are practically invisible. 2. You can remove the aligners for eating: Don’t you worry! With Invisalign, you can eat gum, apple, toffee and after food that are traditionally “forbidden” during orthodontic treatment Hygiene: 3. With traditional braces, you are more likely to get cavities during treatment because it is much harder to keep the braces clean. In contrast, you can remove Invisalign and brush and floss as normal. 4. Comfort: You wont gouge your tongue or soft tissues on sharp wires, and in general the aligners are more comfortable than brackets and wires. Dating: 5. when you are on a date, Invisalign got you covered as there is no awkward metal-to-mouth kisses. The invisalign diet: 6. While no clinical studies have been made, think how much weight one would loose if every time one wanted to take a snack had to consciously take out aligners, put them in their case, eat the food, then rush the teeth and the aligners and put them back in. Makes you think twice about that handful of M&Ms. 7. Do you grind your teeth in your sleep? Not to worry, the trays and subsequently plastic retainers will keep you from wearing down your enamel. cases: Smart force and Smart track material makes invisalign treatment more effective for complex cases. With invisalign, the dentist can move your teeth more precisely. 10. Smart Track material and Smart Force features are clinically proven to achieve 755 more predictable movements and up to 50% faster treatment times. 11. Want your teeth whitened? A lot of dentists add a free or low cost teeth whitening with Invisalign, using the aligners as whitening tray DISADVANTAGES(10) Limited applicability: 1. One can have a misalignment that cannot be treated with Invisalign, or is much harder requiring much more skill on the part of your ortho to treat with Invisalign 2. Your orthodontist may misjudge whether you are a candidate for Invisalign, and as a result treatment fails. It has happened where patients have entered Invisalign treatment, been unable to get the results they wanted and their orthodontist recommended that they finish their treatment in conventional braces. On the other hand this is a matter of expectations, good orthodontist will recognize the patient needs some braces upfront, and recommend Invisalign + braces if you are deadest on Invisalign. Responsibility: 3. Say you forget to wear your aligners half the time- this could mean you will spend twice as long in treatment. Or say, you lose an aligner or two, or all of NOVEMBER2017 them. Some Invisalign products (Invisalign teen) come with free replacement aligners because they are geared to the irresponsible. But if your dentist did not order this product (and the larger majority do not), you might end up paying more 4. IPR (InterProximal Reduction): This is a very standard practice in invisalign treatment for crowding where part of the tooth is ground away, to make more spaces to align the teeth. It is not pleasant to have a metal sandpaper ground between your teeth as well as the psychological “hey! That’s my enamel you are taking off!”. 5. Having to remove aligners every time you want to eat: It is kind of pain, I think it is not very attractive to stick your finger in your mouth and pull out the aligner dripping with saliva in front of other people. So that makes two mandatory trips to the restroom before and after eating. No fun on Halloween! 6. Some people ( I am definitely not one of them) think it is fun to customize the color of the elastics on braces for special occasions. Red, white and blue for Independence Day, green and red for Christmas, black and orange for Halloween, you get the picture. 7. What did you Thaaayyy? Some people experience difficulty speaking, particularly developing a bit of lisp, People often had a lisp fo much longer than it took them to get used to it with their regular braces. 8. Cost of Invisalign: Invisalign cost orthodontists significantly more than brackets. Whether it costs more for you depends on your ortho, and how competitively he prices his treatment. On average, it costs between $3,500 to $ 8000.. whaaaaaaaaaaaaaaaaaatttt??????” How much more do I need to pay for a dental school in a public university?” A lot my friend, a lot more. References: 1. Peck, Sheldon. A biographical portrait of Edward Hartley Angle, the first specialist in orthodontics, part 1. Angle Orthod. United States. 79 (6): 1021–7. 2. Rojas R, Fernandez A, Solis G. Tratamiento ortodontico invisible mediante Invisalign: revision de literatura basada en evidencia. Rev Evid Odontol Clinic. 2016; 2(2): 59-65. 3. Ponitz RJ. Invisible retainers. Am J Orthod. 1971; 59(3): 266-2. 4. Timothy T. Wheeler, Orthodontic clear aligner treatment, Seminars in Orthodontics, 2017; 23(1): 83-89. 5. Borzabadi-Farahani Ali. An Overview of Selected Orthodontic Treatment Need Indices. Principles in Contemporary Orthodontics. 2011: 215–236. 6. Hampton JR. Evidence-based medicine, opinion-based medicine and real world medicine. Perspect Biol.Med. 2002; 45(4): 549-568. 7. Chan E, Darendeliler MA. The Invisalign appliance today. Seminars in Orthodontics. 2017; 23:12-64. 8. Invisalign. Treatment process. Available from: https://www.invisalign.com/how-invisalign-works/treatment-process [accessed October 2017] 9. Invisalign. Advantage Over braces. Available from: www.invisalign.com/why-invisalign [accessed October 2017] 10. Clear Braces HQ. Invisalign Disadvantages. Available from: http://clearbraceshq.com/invisalign-disadvantages [accessed October 2017] By Adelin Radu (ClinCheck stage 1 of 2) - Khaleed Umar (ClinCheck stage 2 of 2). 24

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