Clear aligner treatment begins with a 3D intraoral scan. That scan is then imported into computer software, where Dr. Aron can specify how each individual tooth should move to create a “set-up” of the desired finished outcome. Models are printed by SureSmile and the clear aligners are made by our in-house lab.
Clear aligners fit over the teeth by snapping over their convexities. A series of aligners is required to move teeth orthodontically. Each aligner has a slight change in its shape as compared to the previous one. This small change causes the aligner to flex a tiny amount as it goes over the teeth.
That slight flex puts pressure on the teeth that will, over about two to three weeks of full-time wear, move an individual tooth about .25mm. Calculating the movement in millimeters provides the data to determine the number of aligners required in the series to complete the case.
More complex cases with lots of changes in tooth position will require more aligners, and thus treatment will take longer to complete.
Temporomandibular Disorder (TMD) is a condition where the joints in your jaw become sore and movement is restricted. Millions of Americans suffer from chronic face and neck pain as well as recurring headaches. These can all be signs of a TMD/TMJ condition that may require treatment by Dr. Ketcham and/or Dr. Aron.
Orthodontics is designed to reposition and straighten teeth, but surgical orthodontics, also known as orthognathic surgery, may be needed in some cases to correct more severe jaw irregularities. Braces are often worn in conjunction with orthodontic surgery.
Soft Tissue Laser
Diode laser treatment can be used for orthodontic treatment in a variety of ways. Laser treatment is done in our office using local anesthetic, and you can return to work or school the same day.
Exposing Impacted Teeth: Impactions refer to teeth that haven’t erupted properly through the gums. By using laser treatment, Dr. Aron can assist a tooth’s eruption without the need to:
Wait months for the tooth to erupt on its own, or to refer for an expensive surgical procedure
Be referred for an expensive surgical procedure
Ideal Bracket Placement: If your gums haven’t receded properly, or a tooth is erupting slower than expected, a laser can be used to remove excess tissue and reveal enough tooth surface to place a bracket.
Gingival Recontouring: Following the removal of your braces, Dr. Aron may recommend recontouring your gumline to maximize the aesthetics of your smile. Aesthetic gingival recontouring is a procedure to reshape the gumline and improve the aesthetics of your smile by exposing more of your teeth. If the gumline is uneven, aesthetic gingival recontouring can also sculpt the gumline to produce a more symmetrical, balanced smile.
Frenectomy: One of the most common orthodontic issues is a space between the two front teeth caused by a thick band of tissue called the frenum. Dr. Aron may recommend a frenectomy after the space is closed. The frenectomy will reshape, shorten, or remove the frenum, which allows for more stability.
Temporary Anchorage Device (TAD)
TADs (Temporary Anchorage Devices) are small, screw-like dental implants made of a titanium alloy. As the name implies, they’re temporary.
If needed, TADs remain in place during a portion of your treatment, and then are removed prior to getting your braces removed. Their function is to provide a stable anchorage as your teeth are moved.