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Imagine this: An implant surgeon is performing a thorough examination of your mouth. The surgeon rotates your jaw from side to side and up and down, looking for the optimal sites in which to place dental implants — and the proper size, shape and orientation for the implants to have. He or she may test several alternatives, considering the underlying anatomical structures, and the bone density and quality that the examination reveals. Finally, a surgical plan is developed: This includes a set of precise specifications for implant position, size and depth, and a template for creating a perfectly fitting set of replacement teeth. But no invasive procedures of any type have been performed so far. In fact, you aren't even present.

Welcome to the world of computer-guided dental implant surgery. What we have described is one step in the process that allows you to receive a set of replacement teeth with the minimum amount of surgery (and time spent in the dental chair), and the maximum level of preplanning foresight. It can result in faster overall treatment time, less discomfort, and an outcome that pleases everyone. Let's look a little more closely at the entire process of computer-guided implant surgery — a procedure at the forefront of dental implant technology.

The First Phase: Making A Virtual Model

It all begins with a complete examination and modeling of your existing teeth, gum and jaw structures. In many cases, a physical impression (replica) of the jaws is made, which will aid in planning the location of the new teeth. But the modeling doesn't stop there: A high-tech, three-dimensional CT (computed tomography) scan is also performed. This allows us to examine the structures (including bone, nerve tissue and sinus cavities) which lieinside the jaw. It is often accomplished using “cone-beam” CT technology, in which the scanning device quickly captures a complete digital image of internal structures as it rotates around your head.

The next step of the process relies on powerful computers and sophisticated software to take the raw CT scan data and translate it into a 3-D model of the jaw. This virtual model can be manipulated on a computer screen — rotated, measured, even “operated” on — so that we can visualize the placement of dental implants and determine their optimum position with a high degree of accuracy. Using this technology, it's now possible for us to evaluate anatomical structures virtually — structures it once would have taken surgery to reveal — and to plan out the implant procedure accordingly.

The 3-D model we have developed is then used for two purposes: to create a precise guide for the implant surgery, and to allow the dental laboratory to pre-manufacture a set of replacement teeth that will fit precisely in the jaw. An advanced set of CAD/CAM (computer aided design/manufacture) processes is used to generate the physical objects — in this case, the surgical guide and the prosthetic teeth. Depending on your individual situation, the new teeth may be attached the same day as implant surgery, or after a healing period of 6 to 12 weeks. In either case, our precision modeling ensures that they will fit perfectly with the implants and the jaw.

Implant Surgery: Following the Plan

The implant surgery itself is typically performed under local anesthesia, and often requires no sutures (stitches). In the surgical procedure, the template we have produced (which resembles a nightguard or athletic mouthguard) is securely (but temporarily) fixed in position on the jaw. The openings in this template form precise guides for the placement of the implants — accurate in terms of position, width and depth. In fact, the implants fit so perfectly into these prepared sites that we can have new teeth placed the same day as implant surgery.

Since so many of the details have been accomplished in the planning stages, computer-guided implant surgery is typically uneventful for the patient. It can result in shorter time in the chair, less discomfort during recovery — and a highly pleasing result. It has even been called the most significant innovation in implant technology since osseointegration — the fundamental process by which a dental implant becomes fused with the bone.

Invisalign for teens.There's a new technology that's (literally) putting a smile on plenty of young faces: A system of clear, removable aligners made especially for teens called Invisalign Teen®! If you (or a teenager you know) are a candidate for this treatment, you might find it's the best fit for your lifestyle: It lets you eat what you want, makes it easier to clean your teeth — and best of all, it's virtually invisible.

Is a clear aligner right for you? It all depends on what kind of orthodontic treatment you need. Traditional metal braces still work best in some situations — and you might be surprised to find that they're still a popular option for many teenagers! But now that aligners are being designed specifically for teens, more are choosing them every day.

What is a clear aligner? Basically, it's a thin plastic covering or “tray” that fits over your top and/or bottom teeth. You'll wear a series of aligners that will gradually move your teeth into better positions. Here's how they work: Each aligner is custom-made with the help of a computer program that takes into account exactly where your teeth are now, and how they need to be moved. You'll wear each tray for two weeks or so, to shift your teeth slightly, and then you'll go on to the next, which is slightly different. Over time, all of the small movements will add up to a big change!

A Clear Distinction

Clear Orthodontic Aligners Video

Your aligner is designed to be worn 22 hours a day, allowing you to take it off for meals or important social occasions. Yet even when you're wearing it, it's pretty hard for anyone else to tell it's there — a big difference from metal braces! Plus, it offers other advantages that aren't so easy to see.

One benefit of aligners over traditional braces is that they make your teeth easier to clean. Because they're removable, there's nothing to keep you from brushing and flossing everywhere in your mouth, just as you would without appliances. But brushing and flossing can be much harder to do around the brackets and wires of braces — and oral hygiene often suffers.

Some people also suffer irritation to the cheeks and gums from the metal parts of braces. Fortunately, the plastic of an aligner rarely causes that kind of problem. Plus, you won't have to rush into the dental office to quickly fix a protruding wire or reattach a broken bracket. You won't have to watch what you eat, either, because you'll simply remove the aligner at mealtimes.

An Aligner Just for Teens

Clear aligners for adults have been available for over a decade, but until recently they weren't recommended for teens in most cases. Why not? Chiefly, for two reasons: It was thought that teens wouldn't always wear them for the recommended 22 hours per day; also, since many teens have some permanent teeth still erupting (emerging from below the gums), the precisely planned movement of the teeth might be disturbed.

Invisalign teen.Luckily, technology has come to the rescue. The first problem is addressed by “compliance indicators” located on the aligners themselves. These colored dots fade over time as the aligners are worn in the mouth, showing whether or not you've followed the plan. To solve the second problem, aligners made especially for teens come with “eruption tabs” built in; they are designed to hold space for teeth that have not yet fully erupted.

Today, more people than ever — both adults and teens — are finding that clear aligners suit their needs best. Are you one of them?

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Clear Aligners for Teens - Dear Doctor Magazine

Clear Aligners for Teenagers Teens who regard traditional braces as restrictive, confining, and obstructive to their lifestyles now have another choice for orthodontic treatment: clear aligners. This advanced dental technology, originally geared toward adults, has recently evolved to treat a greater variety of bite problems in younger people. These improved orthodontic appliances can help teens function normally during a difficult phase of life... Read Article