What does “Clear aligner appliance” mean?
Clear aligners are removable, transparent appliances that fit over the teeth and are used in sequence to guide tooth movement. Attachments or elastics may be used as part of the plan. Their purpose differs from that of retainers, which hold tooth positions.
Assess oral health and the overall bite before choosing an appliance
The team checks molar contacts and tooth and gum health, not just the appearance of the front teeth. Decay or gum problems may need management first. Discuss space requirements, possible auxiliary appliances, alternatives using other appliances and their limits.
Match wear and stage changes to actual progress
Follow the team's plan for wear and when to change aligners. Fit and actual tooth movement need checking; the number of trays or a computer prediction does not establish completion. Contact the team instead of progressing on your own if a tray does not fit, breaks or an attachment comes off.
Prepare for cleaning and retention after treatment
Clean both the appliance and teeth as instructed, and follow removal and storage advice. If your routine makes it difficult to follow the wear plan, discuss this with the team. After movement finishes, a separate plan and follow-up are needed to retain the new positions.
Frequently Asked Questions
Are clear aligners and clear retainers the same?
They may look similar but have different purposes. Aligners guide planned movement, while retainers aim to hold positions after treatment. Do not substitute one for the other yourself.
Can I send photos, receive aligners and treat myself?
Direct examination, an appropriate diagnosis and treatment plan, and checks of actual progress are needed. Treatment without assessing tooth and gum problems and the overall bite can overlook damage.
Check aligner suitability and care
Learn what the term means and how it relates to your dental condition.
- Sufficient understanding
Does this appliance suit the current bite and tissue health?
Explanation and evidenceConfirm movement and space goals, decay and gum health, auxiliary appliances, alternatives and limitations.
British Orthodontic Society: adult orthodontics, clear aligners, attachments and assessment before treatment (2024) - A choice suited to your condition
How are stage changes and retention decided?
Explanation and evidenceDiscuss wear, cleaning, storage, fit checks, contact for breakage or attachment loss, assessment of actual movement and the retention plan.
Royal College of Surgeons of England: risks of DIY aligners without direct examination, diagnosis and clinical monitoring (2023)
Further reading and references
Further reading
References
- British Orthodontic Society: adult orthodontics, clear aligners, attachments and assessment before treatment (2024)bos.org.uk (opens in a new tab)
- Royal College of Surgeons of England: risks of DIY aligners without direct examination, diagnosis and clinical monitoring (2023)rcseng.ac.uk (opens in a new tab)
- NHS: orthodontic appliance components, care and retentionnhs.uk (opens in a new tab)
