Aligners are an effective orthodontic treatment in most cases, but there are situations when they may be insufficient or require a combined approach. This does not mean that treatment is impossible — it simply means that the orthodontist will choose an option that provides a better and faster result.
If teeth are very crowded, aligners often work well in cases of dental crowding, as they allow gradual alignment of the dental arch without fixed appliances.
However, it is important to understand that aligners may not be the optimal choice in severe bite problems, when changes involve not only tooth position but also jaw structure. In such situations, braces or even orthognathic correction may be required. Aligners are also less effective in cases of very large tooth movements or complex rotations.
If tooth implantation was carried out in the past, the decision to use retainers after completion of orthodontic treatment is made individually. The doctor considers the stability of the implant, its position and the general anatomy of the bite in order to choose the most safe and effective option for fixing the result.
It should also be taken into account that aligners are a removable system. To achieve a good result, it is necessary to wear the trays daily for about 20–22 hours. If a patient cannot or does not want to follow this schedule, treatment efficiency decreases — in this case braces, which work constantly, may be preferable.
There are also general limitations typical for any orthodontic treatment. If there is untreated caries, gum inflammation or other dental problems, they must be managed before starting therapy. Aligners may also be temporarily contraindicated in the presence of active mucosal diseases or significant bone defects.
Compared with braces, aligners have some specific features. They are much more comfortable and discreet, but cannot always replace the full range of capabilities of a fixed system. In complex cases braces provide greater control over tooth movement — that is why the orthodontist individually determines the best treatment option.
Despite these limitations, most patients receive a positive conclusion regarding the possibility of aligner treatment. The main thing is to undergo a consultation so that the doctor can assess tooth anatomy, bite and choose an option that will provide the best result in your particular situation.
By choosing a private clinic in Kyiv for aligner treatment, you receive a high level of service and predictable results.