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The computerized model suggests stages between the current and desired teeth positions, and aligners are created for each stage. Each aligner is worn for 22 hours a day for one or two weeks. [6] These slowly move the teeth into the position agreed between the orthodontist or dentist and the patient. The average treatment time is 13.5 months. [7]
Several teeth may be tied together with ligatures, and different kinds of hooks can be placed to allow for connecting an elastic band. [37] [36] Clear aligners are an alternative to braces, but insufficient evidence exists to determine their effectiveness. [38]
Later that year, the Harvard School of Dental Medicine began requiring that its orthodontic graduate students complete Invisalign certification before they graduate. [11] The Invisalign Express 10, which uses 10 aligners, was introduced in 2005. [14] Invisalign 1.5 was released in 2009. It was followed by Invisalign G3 in 2010 and G4 in 2011.
IN FOCUS: As SmileDirectClub ceases operations and leaves thousands of customers in the lurch, Ellie Muir asks whether the invisible braces industry has become too bloated for its own good
The dental displacement obtained with the orthodontic appliance determines in most cases some degree of root resorption. Only in a few cases is this side effect large enough to be considered real clinical damage to the tooth. In rare cases, the teeth may fall out or have to be extracted due to root resorption. [13] [14]
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