The Complete Guide to Orthodontic Treatment With Clear Aligners

What if you could easily realign and correct any flaws in your smile? What if you could do this without having the dreaded ‘metal mouth’ that most of us remember and are used to seeing?

That is the beauty of clear aligners, also known as ‘invisible braces’. The modern and inconspicuous way to treat mild to moderate orthodontic issues is a clear alternative to traditional braces that have revolutionized orthodontic care. A beautiful smile makes a huge impression. Imagine how much confidence and positivity common people could exude with a perfect smile!

This complete guide will help you decide if they are right for you if you are looking to perfect your smile. We will cover topics ranging from:

  • How they work
  • What are the Advantages vs. Disadvantages 
  • Treatment duration
  • What to expect during your treatment
  • Different types of clear aligners 
  • Aftercare

Our aim is to supply you with all the information you need to make an informed decision and achieve those smile goals.

What Are Clear Aligners?

Clear aligners are thin but sturdy custom-fit plastic trays that fit snugly over your teeth, one for your uppers and one for your lowers. They are constructed of smooth, next-generation medical-grade plastics that are crystal clear rendering them virtually invisible to see. In theory, nobody has to know that you are realigning your teeth but you!

One of the most popular reasons for clients choosing clear aligners in addition to their discreet appearance is that they are fully removable. You certainly can’t do that with traditional braces. What this means for a client having treatment is that they can enjoy all of the usual foods they like and maintain their normal hygiene routine. 

How Clear Aligners Work 

Clear aligners work by gently applying pressure in a sequence designed by your orthodontist to move your teeth. It’s a gradual process as all of your teeth are involved in the realignment process to create the healthiest bite possible. 

There are several steps in the process of treatment with clear aligners:

  • Treatment always begins with a complete dental check that may involve 3D scans, taking teeth impressions, X-rays, and assessment of your underlying bone structure.
  • Next, your orthodontist will develop a personalized treatment plan tailored specifically for you that details the sequence of gradual guided movement. Furthermore, a digital preview of your corrected smile is created before treatment, helping you visualize the results.
  • Once you are fully satisfied with the preview, the digital design is sent to the lab to create your customized aligner trays.
  • Once the aligner trays are manufactured, you will be seen back at the office for the orthodontist to deliver them to you. This is the time where attachments will be placed on your teeth and you will be given specific instructions on how to wear the aligners.
  • You will be seen every 2-4 months to check the progress of the treatment and given more aligners. Adjunct procedures such as interproximal disking or wearing elastic bands may also be necessary to facilitate the movement of the teeth.
  • Once you are finished with a set of aligners, your orthodontist will review the result and decide if more aligners are needed. If so, a new scan and records will be taken to order more trays to continue the movement of teeth. This process will repeat until the desired result is achieved. On average, you can expect to need to wear 2-3 sets of aligners for your orthodontic treatment. 
  • Bear in mind that daily wear time is usually 20 – 22 hours, so removing them too often and underwearing your aligners will only result in a much slower progress

Advantages & Disadvantages Of Clear Aligners 

As with every type of treatment, some advantages and disadvantages come with choosing clear aligners with which you should be familiar. Let’s take a look at those now that you know how clear aligners work.

Advantages:

There are several reasons why more and more clients are choosing to use clear aligners in lieu of traditional metal braces with brackets and wires. These include:

Aesthetics

While the allure of a perfect smile is a huge confidence booster, many fear that going through traditional braces treatment will only make them more self-conscious. This issue becomes a non-issue when you choose clear aligners. Their virtually invisible appearance is ideal for adults and teens alike, minimizing the anxiety of having treatment.

Comfort

Without any bulky metal components attached to your teeth that often irritate gums, clear aligners provide a much more comfortable alternative. Smooth plastic that snugly wraps your teeth in a custom fit virtually eliminates the possibility of discomfort.

Better Oral Hygiene

The removable nature of clear aligners makes it much easier to maintain your oral hygiene routine. Brushing and flossing are just like normal, unlike traditional braces, which can make flossing a hassle. 

Treatment Time and Flexibility

In some cases, clear aligners can reduce treatment time compared to traditional braces. They are precise while providing the flexibility to remove them for special occasions and enjoy your usual food choices—something that’s not possible with traditional braces.

Disadvantages:

While clear aligners offer many advantages, there are certain complex orthodontic cases where they may not suffice on their own. In such instances, traditional braces provide additional features that the orthodontist can utilize to achieve optimal results.

  • Clear aligners may not be as effective for severe malocclusions, significant tooth rotations, or large gaps. In these situations, traditional braces can provide greater precision.
  • Clear aligners give patients the temptation of taking them off and not wearing it consistently; while braces cannot be taken off by the patient. The success of clear aligner treatment largely depends on the patient’s commitment to wearing them for the recommended minimum hours each day. Neglecting to do so can prolong treatment and affect the final results, so it’s essential to be prepared to make this commitment.
  • If patients eat or drink with aligners in place, food particles and liquid can seep in getting trapped. This is not ideal for your oral health and can lead to gum disease, decay, and even bad breath.

How Long Do Clear Aligners Take To Work?

The length of time that it takes for your clear aligners to work and give you a final result is highly dependent on several factors. These include:

Expected Treatment Time – Your orthodontist should give you an expected guideline as to when your treatment should be complete based on a number of factors. This will include how complex your particular case is, and remember that no two cases are the same. Your individual case will have its own nuances affecting your end date. It could be anything from six months to two years, so commitment is key.

Factors Affecting Treatment Time – A huge part of this is not only the severity of your case, but you too will affect the amount of time it takes to achieve your result. Non-compliance with the minimum hourly wear per day makes a big impact. In addition, not every person’s biological response is the same. More mature patients may take longer to realign as the progression continues, but your orthodontist can help manage your expectations on regular reviews of your progress.

What To Expect During Treatment 

If you are wondering what daily life is like with clear aligners, and some common pitfalls with occasional discomfort might be, we break it down for you here.

Daily Life Wearing Clear Aligners 

Wearing aligners for 20 to 22 hours daily, addressing any discomfort, and following key care tips.

We cannot emphasize enough the importance of tracking the time your aligners are removed each day. Everyone needs to eat, so if you leave your aligners out for too long one day, you cannot compensate for that by wearing them longer the next day.

When your aligners are not in place, always store them in their protective case to prevent any unwanted damage.

Common Side Effects

Discomfort

There can be mild discomfort, particularly when you change aligners and new gentle pressure points are the focus.  You can manage this by giving yourself time to adjust and know that this usually subsides in a few days. If it persists or you experience gum irritation because of an imperfect fit, contact your orthodontist. Clear aligners should not be a negative experience.

Oral Health Risks

If not managed properly, clear aligners can lead to complications like gum issues and tooth decay. It’s crucial to maintain a diligent oral hygiene routine and monitor wear time to ensure optimal results and prevent any adverse effects.

Psychological Impact

The possibility of complications can lead to stress and anxiety. Gaining a comprehensive understanding of clear aligners will better prepare you for the journey ahead. It’s not solely about aesthetics or convenience; it’s also essential to be aware of the potential risks and complications associated with this treatment option.

Different Types Of “Invisible Braces”

In addition to clear aligners, there are also other types of ‘invisible’ or ‘minimally visible’ braces for comparison.

Here is a breakdown of the various types of less obvious types of braces.

Ceramic Braces – These are the same as traditional metal braces, but the brackets are ceramic and usually matched to your tooth colour rendering them less obvious. They come with exactly the same issues as traditional metal braces in terms of difficulty in maintaining excellent oral hygiene, limited food choices, and discomfort.

Lingual Braces – Lingual braces are generally a more costly option and involve placing the braces behind the teeth so they are not visible. There can be discomfort for your tongue with the metal surfaces, and it can impact speech to a degree. They are however a good option for more complex cases that clear aligners are less able to treat. Note that they are also much harder to clean and maintain your usual oral hygiene.

Aftercare Tips For Effective Clear Aligner Treatment

Once you’ve determined that clear aligners are the right choice for you and you have actually completed a treatment plan, you’ll need to follow some aftercare tips to ensure that your results are maintained.

Wear Your Retainers 

Your orthodontist will provide you with retainers to help secure your results in place. After all of the realigning and movement, your underlying bone structure needs time to rebuild to full strength. Consistent wear and wearing as instructed is instrumental in maintaining your hard-earned results.

Good Retainer Hygiene

Your retainers need an equal amount of good hygiene just like your aligners did. They should be rinsed before and after use, and deep cleaned using toothpaste and a brush. Effervescent denture tabs (tablet looking cleaners) are a popular option that ensures there are no abrasives or friction to alter the shape of the retainer. When not in use, always keep your retainer in a protective case to keep it clean and out of direct heat and light sources.

Excellent Oral Hygiene

By now you should be an expert on oral hygiene and keeping a travel toothbrush and paste with you at all times! Use floss daily and incorporate an antibacterial mouthwash for added protection.

Conclusion 

After reading the A-Z guide on clear aligners, you should have an informed idea if these are right for you. 

A truly clear difference in orthodontic treatment, clear aligners offer you virtual invisibility for modern smile realignment. Removability, comfort, flexibility and zero restrictions on your food choices make them a winning choice.

You could be making your best first impression with a winning smile in no time if you put in the time.

If you’re ready to take the next step and achieve your dream smile, get in touch with one of our orthodontists today.

Book your consultation, get your smile design, and treatment program estimate and don’t delay achieving what you deserve.

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Dr. Yashodhan Milind Bichu

  • Certified Specialist-Orthodontics, British Columbia College of Oral Health Professionals, 2024
  • Dental Speciality Assessment and Training Program Orthodontics, University of British Columbia, 2024
  • M.D.S, Master of Dental Surgery, Goa Dental College & Hospital, Goa University, Goa, India,2010
  • B.D.S, Bachelor of Dental Surgery, MGV’s KBH Dental College & Hospital, Nashik, Maharashtra University of Health Sciences, India 2006,

Dr. Yash is a Certified Specialist Orthodontist with an experience of over 14 years gained through specialist orthodontic practices in Mumbai, India and Dubai and Abu Dhabi, United Arab Emirates. He is multilingual and fluent in several languages, including Hindi, Punjabi, Marathi, and Arabic.

He completed his dental program from India in 2006 with Honors, as a distinguished recipient of the Vice-Chancellor’s Certificate of Merit for Academic Excellence and subsequently earned his master’s degree in Orthodontics from Government Dental College as a Gold Medalist of the Goa University in 2010. Being an ardent advocate of ‘Learner for Life’ philosophy, Dr. Yash went on to pursue advanced training in Lingual Orthodontics, Micro Implant Anchorage and Surgical Orthodontics at the Yonsei University, Seoul, South Korea in 2014. He then completed a mini-residency stint at the UConn Dental School, University of Connecticut, USA (2017) to further hone his skills for accelerated orthodontics and clear aligner therapy.

Dr. Yash moved to Canada with his family in 2022 and completed his orthodontic specialty recertification program at the University of British Columbia in 2024, by securing the single coveted seat offered to internationally trained Orthodontists in 2023. He is also a fellow of the prestigious Royal College of Dentists of Canada- an honor bestowed to the top dental specialists in their field.

Dr. Yash believes in “Practice Passion in Orthodontics” and specializes in treating children with preventive and interceptive orthodontics, and adults with contemporary and esthetic treatment modalities.

In his spare time, Dr. Yash enjoys talking; actually, mostly listening, to his wife, Aditi, an orthodontist herself; and their chatty 6-year-old daughter, Anahita. The trio live in Vancouver and love exploring all the wonderful places, sampling the plethora of cuisines and just soaking in the resplendent beauty that Beautiful British Columbia and Canada offer!

Find Our More About Surrey Orthodontics

To find out more about the orthodontic specialties, braces for teeth and treatments at PacificWest Dental Group, please call PacificWest Dental Surrey or Vancouver offices to book an appointment. 

Dr. Yan Liu

  • University of British Columbia 2021, Vancouver, Certified Orthodontics and Dentofacial Orthopedics
  • Arthur Dugoni School of Dentistry, 2004, San Francisco, Postdoctoral Fellowship
  • Pecking University, 2001, Beijing, PH.D.
  • Beijing Medical University 1997 Beijing, DDM,

Dr. Yan Liu is a Certified Specialist of Orthodontics and Dentofacial Orthopedics with over 20 years of experience as both a practitioner and an educator. She has been practicing at Pacificwest Dental Group in Vancouver BC, since 2021.

She received her Doctor of Dental Medicine from Beijing Medical University in 1997 and later acquired her Ph.D. from Peking University in 2001. In 2004 Dr. Liu finished her postdoctoral fellowship at the Arthur Dugoni School of Dentistry in San Francisco. She is now a part-time faculty at UBC Dentistry School, where she spends considerable time advancing research and mentoring students. Her clinical researches are about Assessment of Treatment Results of Invisalign and Comparison of Root Resorption Between Cases Treated with Invisalign and Fixed Edgewise Appliance.

When asked what gets her up in the morning, Dr. Liu says it’s seeing her patients thrive in life with their new smiles. She strives to explore efficient treatment modalities that serve patients well and keep her knowledge and skills updated. She also cares about the ongoing research and development in Orthodontics and how to improve the long-term impact on patients’ beautiful smiles. Her enthusiasm for her work is further evident in her active involvement in the Canadian Association of Orthodontics as well as the BC Society of Orthodontists.

In her spare time, Dr. Liu enjoys spending time with her family. She loves to golf, bike and practice yoga, too.

Professional Memberships

  • The Canadian Association of Orthodontists
  • The British Columbia Society of Orthodontists
  • The Chinese Association of Orthodontists
  • Invisalign Annual Summit Speaker

Find Our More About Surrey Orthodontics

To find out more about the orthodontic specialties, braces for teeth and treatments at PacificWest Dental Group, please call PacificWest Dental Surrey or Vancouver offices to book an appointment. 

Dr. Kevin Lee

Dr. Kevin Lee

  • University of British Columbia 2015 Combined MSc and Diploma in Orthodontics, Vancouver, BC
  • University of British Columbia 2011 DMD, Vancouver, BC
  • University of British Columbia 2006 Bachelor of Science: Biochemistry, Vancouver, BC

Born and raised in Taiwan, Dr. Kevin Lee moved to Richmond, BC with my family in 1999 when he was 15 years old. Dr. Lee received his Bachelor of Science (Biochemistry) Degree and Doctor of Dental Medicine degree from the University of British Columbia in 2011. After spending a year working as a full-time hospital dental resident at the Montefiore Medical Center in the exciting city of Bronx, New York (Yankees!), Dr. Lee came home to British Columbia, where he spent three years at UBC to complete graduate training in orthodontics. He also earned a Master of Science degree in Craniofacial Biology for his study of Dentofacial Morphology in Children with Obstructive Sleep Apnea.

Dr. Lee is a certified specialist in Orthodontics, a fellow of the Royal College of Dentists of Canada, and diplomat of the American Board of Orthodontics. Dr. Lee is also a director of the Taiwanese Chamber of Commerce in BC.

Dr. Lee lives in Richmond with his wife Dr. Sherry Liu, a local family dentist, and their two kids. In his spare time, Dr. Lee enjoys photography, cooking, movies, and spending time with families and friends. He also volunteers at Willingdon Church as photographer and First Aid Responder.

“The unique combination of art, mechanics, and science required to treat every patient is what made orthodontics fascinating to me. Because every smile and patient is unique and different, a customized treatment plan is formed for each person to provide a balance between function, aesthetic, and health. As a board-certified orthodontist, I am passionate in updating myself with the most advanced knowledge and skill to provide quicker, easier, and most predictable treatment options for my patients. I am excited for the opportunities to meet with every one of my patients to share my knowledge, skill, and passion in orthodontics, and to form a long lasting partnership with them.”

Find Our More About Surrey Orthodontics

To find out more about the orthodontic specialties, braces for teeth and treatments at PacificWest Dental Group, please call PacificWest Dental Surrey or Vancouver offices to book an appointment. 

Dr. Cheng Lun Wang

  • DDS. Doctor of Dental surgery, University of Western Onterio, 1989
  • MSc. University of Manitoba 1994
  • Cert. of Orthodontics, University of Manitoba 1994

Orthodontic specialist, Dr. Wang, is the founder and sole-proprietor of PacificWest Orthodontics and Dental Group in Surrey and Vancouver. Dr. Cheng Lun Wang graduated with a degree in Dental Surgery from the University of Western Ontario in 1989.

After graduation, he completed an internship with the Hospital for Sick Children in Toronto, transitioning later into a full-time position with the I.W.K. Hospital for Children in Halifax and specializing as a pediatric orthodontist. During this time, Dr. Wang continued to teach undergraduate dental students from Dalhousie University, while also building a part-time private practice in Dartmouth, Nova Scotia.

Dr. Wang entered the orthodontic program at the University of Manitoba in 1991. After three years of intensive Clinical Orthodontic training, he earned a Masters of Science degree in Craniofacial Biology in 1994.

An enthusiasm for continuing education has led Dr. Wang to share his years of professional experience on Orthodontic and Pediatric dentistry at various lectures and professional presentations throughout Canada. In addition to actively practicing lingual and labial Orthodontics in his private clinics, he also serves as a clinical instructor at the University of British Columbia (UBC) School of Dentistry. His clinical research has been published in the Journal of Oral Surgery, Oral Medicine, and Oral Pathology.

Dr. Wang’s primary focus is working directly with you to meet your specific orthodontic needs. Working with his orthodontic associates and support team, Dr. Wang practices out of two PacificWest Dental Group clinics – one in Vancouver BC and the other in Surrey BC. 

Professional Memberships

Find Our More About Surrey Orthodontics

To find out more about the orthodontic specialties, braces for teeth and treatments at PacificWest Dental Group, please call PacificWest Dental Surrey or Vancouver offices to book an appointment. 

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