Anyone else hear of 10 days rather than 14?
Moderator: bbsadmin
Anyone else hear of 10 days rather than 14?
I got 42 top aligners, and 57 bottoms - but on a 10 day cycle, not 14. The ortho was gone when the hygenist told me, but the other ortho there is in invisalign too and said she does 10 day also. I need to go get something tomorrow so I will ask about it tomorrow, just wondering if anyone else heard of this?
My Ortho told me one should wear an aligner for 280 hours before swiching. So that's...almost 12 full days without ever taking 'em out. But I guess it probably has to do with how fast your teeth move and things heal and stuff. I have found that my bottom teeth move much faster and hurt much less. So that's my info 
I leave my trays on for 21 days each. (3 weeks)
Per othos instructions.
I dont mind taking my time with the trays. Because I dont want any problems in the long run and I want my teeth healthy and as straight as Invisalign will get them.
I have four trays left for my uppers. My teeth look awesome!!! I am sooo happy with the results. Better than I imagined. I get compliments all the time. Friends and family are getting Invisalign, because of the results of them seeing my teeth.
I should be the poster example for Invisalign.
Ive tried to take pics to post, but my pics turn out horrible. I dont know how to get descent lighting.
I have another ten trays on my lowers. My bottoms are straight, except for one tooth that had been moved back to allow the others to straighten.
I can feel now, that its being moved forward.
BTW - whats up w/these ppl that come in and post negative remarks or discourage ppl to get Invisalign -- when they dont even have Invisalign, they have metal braces.... hmmm.
Per othos instructions.
I dont mind taking my time with the trays. Because I dont want any problems in the long run and I want my teeth healthy and as straight as Invisalign will get them.
I have four trays left for my uppers. My teeth look awesome!!! I am sooo happy with the results. Better than I imagined. I get compliments all the time. Friends and family are getting Invisalign, because of the results of them seeing my teeth.
I should be the poster example for Invisalign.
Ive tried to take pics to post, but my pics turn out horrible. I dont know how to get descent lighting.
I have another ten trays on my lowers. My bottoms are straight, except for one tooth that had been moved back to allow the others to straighten.
I can feel now, that its being moved forward.
BTW - whats up w/these ppl that come in and post negative remarks or discourage ppl to get Invisalign -- when they dont even have Invisalign, they have metal braces.... hmmm.
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waiting2smile
- Posts: 105
- Joined: Thu Mar 31, 2005 7:04 pm
nvrsaynvr
Thanks for always be so positive and congrats on your awesome progress. It's always nice to read your posts especially since there are so many discouraging ones out there. I am about 1/2 way through with my treatment and so far I'm pretty happy. I usually wear my aligners for 3 weeks sometimes 2 whatever my ortho thinks is best because like you I don't care how long it takes I just want the best result I can get.
I too don't understand why people who do not have Invisalign try to discourage other from using it, I would never post a negative remark about metal braces because I do not have first hand experience but to each his own I guess!
Thanks for always be so positive and congrats on your awesome progress. It's always nice to read your posts especially since there are so many discouraging ones out there. I am about 1/2 way through with my treatment and so far I'm pretty happy. I usually wear my aligners for 3 weeks sometimes 2 whatever my ortho thinks is best because like you I don't care how long it takes I just want the best result I can get.
I too don't understand why people who do not have Invisalign try to discourage other from using it, I would never post a negative remark about metal braces because I do not have first hand experience but to each his own I guess!
Yep, I agree. I was so upset after I read all the negative stuff here (and elsewhere) since I had already committed and signed/paid. I obviously don't know what the end result will be but I am TOTALLY happy with how they look, getting them on and off, etc etc. At the same time, I would never post a negative comment about metal brackets. It was just my personal choice!
Your welcome!
My hubby has metal braces and he gets them off in December. I see both of our progress w/the two different types and I see everything he goes through. Our progress seems to be going the same and he is jealous that I can take my braces off.
He also has a lot of cuts in his mouth all the time - dont know if other metal brace patients have this issue? I chose to get Invisalign, because my hubby had metal braces on before I got braces and I saw the cuts in his mouth.
Well, when I get a cut in my mouth, they turn into cancker sores. OUCH
So, I asked my dentist if Invisalign causes cuts and he warned me about the tounge being raw and suggested I try Invisalign and not go with Metal braces. Im soooo glad I went with Invisalign. Besides the rubbing of the tounge in the beginning stages - I have no sores in my mouth.
As far as the negative post about trying to get the trays out. The paper towel is a great way to get them out. I only have a hard time the first two days- because they are so tight. I read the post that it took someone over 1/2 hour to get them off - that is crazy. I would have started crying. I think the most I have had is --- maybe, 1 minute.
I start from the very back molar and then pop them off at the canine and then the front. Its no biggy. The first couple of days, it feels like my teeth are going to fall out, but I take Motrin the first few days of my new trays and the Motrin helps a lot! The pain to be beautiful.
My hubby has metal braces and he gets them off in December. I see both of our progress w/the two different types and I see everything he goes through. Our progress seems to be going the same and he is jealous that I can take my braces off.
He also has a lot of cuts in his mouth all the time - dont know if other metal brace patients have this issue? I chose to get Invisalign, because my hubby had metal braces on before I got braces and I saw the cuts in his mouth.
Well, when I get a cut in my mouth, they turn into cancker sores. OUCH
So, I asked my dentist if Invisalign causes cuts and he warned me about the tounge being raw and suggested I try Invisalign and not go with Metal braces. Im soooo glad I went with Invisalign. Besides the rubbing of the tounge in the beginning stages - I have no sores in my mouth.
As far as the negative post about trying to get the trays out. The paper towel is a great way to get them out. I only have a hard time the first two days- because they are so tight. I read the post that it took someone over 1/2 hour to get them off - that is crazy. I would have started crying. I think the most I have had is --- maybe, 1 minute.
I start from the very back molar and then pop them off at the canine and then the front. Its no biggy. The first couple of days, it feels like my teeth are going to fall out, but I take Motrin the first few days of my new trays and the Motrin helps a lot! The pain to be beautiful.
I'm at 3-4 days
I'm impatient. For the first two sets of trays, I did 13-14 days. Then I started researching online to see if anyone has accelerated this process. I found one dentist who did 3 days per tray on himself - but he did a proceedure on himself to increase blood flow to the gums.
Then I went to 10 days per tray for the next two trays. I could tell the trays were fitting perfectly after only 3 days so I wanted to increase even faster. At my next ortho visit, he authorized 10 days per tray but told me he had an impatient patient who had done 5-6 days per tray.
I have now done 4 days per tray now on trays 6 and 7. Starting with tray 8, only one tooth is moving per tray, so I plan to stay with just 3-4 days. I only go on to the next tray when the old ones pop in and out easily.
I grind my teeth consantly when the trays are in and I am awake. I can feel the teeth move into place more quickly when I do this. And I like the slightly painful feeling.
Anyone else as crazy as me?
Then I went to 10 days per tray for the next two trays. I could tell the trays were fitting perfectly after only 3 days so I wanted to increase even faster. At my next ortho visit, he authorized 10 days per tray but told me he had an impatient patient who had done 5-6 days per tray.
I have now done 4 days per tray now on trays 6 and 7. Starting with tray 8, only one tooth is moving per tray, so I plan to stay with just 3-4 days. I only go on to the next tray when the old ones pop in and out easily.
I grind my teeth consantly when the trays are in and I am awake. I can feel the teeth move into place more quickly when I do this. And I like the slightly painful feeling.
Anyone else as crazy as me?
I asked my ortho about this. He said that my trays were moving the tooth about 1/3rd mm per tray and that standard braces were much more aggressive than this.
I do not yet understand the science behind 2-3 weeks per tray and would appreciate any science that someone could provide. (science = repeatable lab experiments).
I do not yet understand the science behind 2-3 weeks per tray and would appreciate any science that someone could provide. (science = repeatable lab experiments).
very techical discussion about an ortho who successfully self-treated with invisalign at 3 days per tray.
http://www.jco-online.com/archive/artic ... clenum=381
http://www.jco-online.com/archive/artic ... clenum=381
My ortho is most worried about the teeth becomming "spongy" and not having a firm footing to move the other teeth. In other words, if the "stationary teeth" which supply the resistance to the "moving teeth" are not firm, then the movement will not occur.
He said he has seen this a few times in 1500 cases.
He said he has seen this a few times in 1500 cases.
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lemartines
- Posts: 5
- Joined: Thu Sep 07, 2006 4:02 pm
- Location: Los Angeles, CA
10, 14, 21 days? Here's what Invisalign has to say
I'm an orthodontist in Los Angeles, CA and I am used to telling my patients to wear each tray for 3 weeks. Why? Because this way I feel they will get the most movement out of each tray.
Last week I attended a study group meeting and exchanged opinions and experiences with other orthodontists who also treat patients with Invisalign in their offices. We all differed when it came to how long each tray should be used: 10, 14, 21 days, 220, 280 hours, etc.
As a group, we decided to ask Align (the company responsible for Invisalign) the following questions: Why does Align have the protocol that states the patient needs to wear the aligners for 2 weeks? How did Align arrive at the 2 week period, why not 2 ½ weeks or 3 weeks?
Here's the official answer we received:
The reason for the two weeks is that the movements are programmed to take place at roughly half the maximum estimated limits or tooth movements of 1 mm/month as determined in conventional orthodontic knowledge. Thus, 0.25 mm every two weeks is designed to keep it safe. This is the underlying principle, that is the foundation for the two week interval.
There are a number of reasons why some people want to keep patients wearing aligners for longer than two weeks, and they span from addressing compliance issues to attempting to compensate for staging and velocity issues for more difficult movements.
So as you can see, this is an area where although the mother-company has a suggestion of what is ideal, it leaves enough leeway for each doctor to input his or her preferences and experiences.
My own experience is that once I started having my patients wear each tray for 3 weeks, I have seen better and more consistent movements. Treatment may be extended, but at the expense of better results. Nonetheless, based on the aforementioned, I will consider a 2-week schedule for patients who are more compliant and have less complex movements needed.
Personally, I would not feel comfortable or confident of good results if one wears his or her trays for less than two weeks. To me that is not a matter of expediting treatment. Rather, it's about not accomplishing the entirety of the treatment goals each tray carries, which may lead to cummulative failures that may hinder the final results.
I would encourage patients to discuss these issues with their orthodontist before taking matters into their own hands. This way both parties can learn about each other's goals and expectations.
Cheers!
Luis Martines
Last week I attended a study group meeting and exchanged opinions and experiences with other orthodontists who also treat patients with Invisalign in their offices. We all differed when it came to how long each tray should be used: 10, 14, 21 days, 220, 280 hours, etc.
As a group, we decided to ask Align (the company responsible for Invisalign) the following questions: Why does Align have the protocol that states the patient needs to wear the aligners for 2 weeks? How did Align arrive at the 2 week period, why not 2 ½ weeks or 3 weeks?
Here's the official answer we received:
The reason for the two weeks is that the movements are programmed to take place at roughly half the maximum estimated limits or tooth movements of 1 mm/month as determined in conventional orthodontic knowledge. Thus, 0.25 mm every two weeks is designed to keep it safe. This is the underlying principle, that is the foundation for the two week interval.
There are a number of reasons why some people want to keep patients wearing aligners for longer than two weeks, and they span from addressing compliance issues to attempting to compensate for staging and velocity issues for more difficult movements.
So as you can see, this is an area where although the mother-company has a suggestion of what is ideal, it leaves enough leeway for each doctor to input his or her preferences and experiences.
My own experience is that once I started having my patients wear each tray for 3 weeks, I have seen better and more consistent movements. Treatment may be extended, but at the expense of better results. Nonetheless, based on the aforementioned, I will consider a 2-week schedule for patients who are more compliant and have less complex movements needed.
Personally, I would not feel comfortable or confident of good results if one wears his or her trays for less than two weeks. To me that is not a matter of expediting treatment. Rather, it's about not accomplishing the entirety of the treatment goals each tray carries, which may lead to cummulative failures that may hinder the final results.
I would encourage patients to discuss these issues with their orthodontist before taking matters into their own hands. This way both parties can learn about each other's goals and expectations.
Cheers!
Luis Martines
Well, I actually just walked in the door from my latest orthodontist appt. and we discussed exactly this issue. I wear my trays religiously, and NEVER cheat on wear time. If anything, I wear them more than the 22 hours per day. My trays are to be worn for 10 days, and when I asked what the difference between my rotation time and that of others, he explained that when he creates the treatment plan, he plans smaller movement increments based on 220 hours of wear, 10 day rotations, and more trays. He is very experienced, very helpful and I have complete faith that this is the right treatment for me 
Oh, and he was really interested when I told him about the various forums I belong to, and has asked me to email him the links - so we just might see him here! How cool is that?
Oh, and he was really interested when I told him about the various forums I belong to, and has asked me to email him the links - so we just might see him here! How cool is that?