Are anchors required to move teeth properly with clear braces? Smile Direct Club doesn't use them.
Doctor Answers 4
Yes and without them the aligners don't usually work properly. One of the major problems originally with clear aligners was that they didn't have the anchors/attachments. Smile direct club will not give a good result and they are really walking a fine line with dental laws on treatment. They don't have attachments and cannot do necessary tooth thinning or IPR. While I cannot assess your case without photos, I would never suggest smile direct club and I would recommend speaking to an orthodontist to see what type of treatment is best for your, whether it be fixed appliances (braces) or clear aligners.
Attachments are usually needed in any clear aligner treatment for adequate results
In order for any clear aligner systems to work, they have to "grip" or slightly "snap over" the teeth, like a lid on a tuperware container.
Depending on the shape or position of the teeth, the aligners may not fit tightly enough to "grab" the tooth to move it.
The attachments Invisalign uses are actually very small complex geometric shapes placed in exact positions so the aligner both "grabs" the tooth and that the aligner pushes the tooth in the ideal direction. I would guess that tens of millions of dollars in research and computer modeling has been done by Invisalign to make these attachments as good as they are now. (I do not work for or promote invisalign, I use it regularly in my office and have watched it steadily improve over the years)
If an aligner system holds some teeth better than others, the ones not held well move in the wrong direction. (I can actually see this in some of the example cases they show on their web site) Yes, that means any aligner can actually make some teeth worse! That is why Orthodontists regularly check patients and carefully monitor case progress.
If you want your teeth to look good, find an experienced invisalign orthodontist and get the treatment done right. You will not be disappointed.
When you need anchors
For inpatient invisible aligner treatment, your orthodontist or dentist may prescribe anchors (or buttons or attachments as they're sometimes called) to reduce the duration of treatment or to achieve certain movements on a case-by-case basis. SmileDirectClub doesn't require these. If the prescribing doctor on your case determined you needed them to achieve results, they would refer you for in-office treatment rather than SmileDirectClub's remote model.
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.