Alignment. information pack & consent forms - the abc smile
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a l ign m en t. i n f o r m a t i on p a c k & consent forms
c le a r
a li g ne r s .
How does it work?
Aligners move teeth with an appropriate
placement of controlled movement on
the teeth. Unlike traditional braces, the
movement and timing of this movement is
Clear Aligners are a virtually invisible way
controlled per aligner, so at each stage,
to straighten your teeth, using advanced
only certain teeth are allowed to move.
3D computer-imaging technology to create
aligners that will move your teeth to their
You will undergo a routine orthodon-
final desired position. A series of clear
tic pre-treatment examination including
aligners are custom-made for your teeth to
radiographs (x-rays) and photographs as
move them little by little with each aligner
required.
being worn for 1-2 weeks before being
replaced by the next in the series, grad-
You will need to come see us every 4 to 6
ually moving towards the projected final
weeks to ensure the treatment is progress-
position. Your total treatment time will be
ing as planned and to receive the next few
determined by your dentist, based on your
sets of aligners.
specific needs.
The total duration of treatment depends
Device Description.
on the complexity of the treatment and is
generally comparable to that of tradition-
Aligners consist of a series of clear plastic,
al braces. Typically, treatment can last
removable appliances that move your teeth
between 3 and 18 months. During your
in small increments. This product combines
consultation, we can provide you with
your dentist’s diagnosis and prescription
more detailed information.
with sophisticated computer graphics tech-
nology to develop a treatment plan which
Your dentist will take impressions of your
specifies the desired movements of your
Text written by Dr. Tanya Patel teeth and send them along with a prescrip-
Photographs by Dr. Edward Li teeth during the course of your treatment.
All content copyright © the a.b.c. smile ltd.
tion to have your aligners made. Patients
The virtually invisible aligners are made of
may require additional impressions or
All rights reserved. No part of this booklet, text, pho- strong medical grade thermoplastic mate-
refinement aligners after the initial series of
tographs or illustrations may be reproduced or trans- rial. The aligners are custom-made for you
mitted in any form without prior permission obtained aligners.
and fit snugly over your teeth.
by the a.b.c. smile.
benefits. requirements.
Smile during your treatment Set the foundation for minimally
Clear Aligners are nearly invisible and remov- invasive dental treatment
able giving you the flexibility to eat and drink Many cosmetic and restorative dental Commitment Cleaning
what you want during treatment by simply treatments are made more conservative after The aligners will be individually numbered and Ensure you clean your teeth after eating, before
removing them. the teeth in question are aligned first. will be dispensed to you by your dentist with you put your braces back in. You should thor-
You can also remove the aligners to brush and specific instructions for use. Unless otherwise oughly brush your braces with soap each time
floss as you normally would to maintain good instructed by your dentist, you should wear you clean your teeth. Once or twice a week
oral hygiene. your aligners for approximately 20 to 22 hours you should soak them in a cleaning solution
Unlike traditional fixed braces, there are no per day, removing them only to eat, brush and (retainer brite or alternative) and brush well
brackets or wires that can irritate your cheeks floss. afterwards. Never use hot water to clean your
and lips. braces and keep them away from other sources
Failure to wear the appliances for the required of extreme temperatures (hot/cold) as this will
number of hours per day, not using the product permanently distort them/crack them.
as directed by your dentist, missing appoint-
ments, or small teeth can lengthen the treat-
Diet
risks.
ment time and affect the ability to achieve the
desired results. Your removable aligners should be removed for
eating. Plain water is the only permissible drink
while you are wearing your aligners. Any other
Changes to occlusion Root resorption
Occlusion is the manner in which teeth bite There is low risk that root resorption (short-
Discomfort food/drink will cause decay, staining and per-
Some people may experience temporary, minor manent damage of the enamel of your teeth.
together during function. Changes may occur ening) can occur. In the majority of patients
discomfort or very minor speech difficulties Tooth decay, periodontal disease, inflamma-
although this will be minimal and this is not the undergoing comprehensive orthodontics the
for a few days, at the beginning of each new tion of the gums or permanent markings (e.g.
objective of treatment. amount is small (1-1.5 mm) and does not affect
stage of treatment when you insert a new decalcification) may occur if patients consume
At the end of orthodontic treatment, the bite the health of the teeth. This will be monitored
aligner. This is normal and typically described foods or beverages containing sugar, do not
may require adjustment (“occlusal adjustment”). and if severe, will be discussed with you and
as a feeling of pressure or tension. It is a sign brush and floss their teeth properly before wear-
Any changes that may occur will settle within treatment may be terminated. In many cases,
that the aligners are working – moving your ing their aligners, or do not use proper oral
the first 12 months of completing treatment. root resorption cannot be predicted and there
teeth gradually, helping you to achieve the final hygiene and preventative maintenance.
may be a large genetic tendency if severe.
results.
Interproximal reduction
This discomfort goes away in a couple of days.
In order to gain sufficient space to straighten Black triangles & Uneven edges
teeth, we may need to carry out interproximal Existing uneven or worn edges are more no-
Painkillers and a softer diet can be used to Breakages
relieve discomfort if needed. The clear aligners are made of a thin plastic so
reduction (IPR). This is the removal of a very ticeable once the teeth are straightened. Small
please handle them with care. Do not re-
small amount of enamel (0.1 to 0.5mm) on the dark spaces (called ‘black triangles’) between
Aligners may cause a temporary increase in peatedly click the aligner in and out with your
sides of a tooth by the means of polishing with the contact points of the teeth and the gums
salivation or mouth dryness and certain medica- tongue as this will break or loosen it. Never
an abrasive strip or an ultra-fine bur. This pro- can also be more visible after treatment, due to
tions can heighten this effect. use your teeth to press the retainer into place,
cess creates space and is also used to improve the shape of the teeth or recession of the gums.
always use your fingers as demonstrated.
the shape of teeth and the way in which teeth Cosmetic dental treatment can be provided
Product breakage is more likely in patients with
contact one other, reducing black triangles. to correct these features at a separate cost,
It may also enhance the stability of the end according to each individual need.
Attachments severe crowding and/or multiple missing teeth.
Attachments are tooth-coloured “buttons” that
result. The procedure is painless and does not
are bonded to one or more teeth during the Ensure your braces are stored in the rigid con-
compromise the health of teeth when carried Gum recession
course of treatment to facilitate tooth movement tainer provided when they’re not in your mouth
out appropriately. Moving teeth can cause gum recession and ex-
and/or appliance retention. Use of attachments to prevent damage and loss.
posure of the root surface of the teeth. Where
may make it more noticeable that you are in
Retention there is a high risk of this occurring in specific
treatment. These will be removed after treat- A charge will be made for the replacement of
The retainers must be worn as prescribed. areas, we will discuss this with you prior to
ment is completed. These attachments may fall lost or badly broken braces at £50 a brace.
Teeth will move if retention regimes are not treatment. If severe, this may affect the long-
off and require replacement.
followed and you must contact us immediately term health of a tooth and/or
if you cannot wear the retainers for any reason. necessitate referral to a gum specialist (perio-
It is your responsibility for any relapse that dontist).
is related to the failure in compliance of using
retainers.removable retainers.
Our removable 'Essix' retainers are vacuum
formed over a set of models made from the
moulds we take once your braces are removed.
These are included as part of your treatment
regardless of which package you choose.
Additional/Replacement retainers
£300 - both arches
£150 - single arch
retain e r s w il l
keep y ou in l in e !
o n c e y o ur te eth ar e w ell
a l i g n ed , a c ombi nati on
bonded retainers.
o f r eta i n er s w i ll be
Our bonded retainers are custom made by
n eed ed to k eep them ni ce
our dental technician. They follow the natural
a n d s tr a i g h t anatomy of your teeth and are bonded in place
with composite resin for comfort and strength.
Removable retainers are still necessary and will
be designed to cover over the bonded wire for
the best retention.
These are included as part of your treatment
regardless of which package you choose.
Future replacement retainers
£400 - both arches
£200 - single arch
Clinical evidence advises the best retention is achieved
with use of both bonded and removable retainers in combinationtreatment fees. payment calculator.
examples 6 months 6 months 6 months 12 months
Clear Removable Aligners £3450 based on
treatment duration standard with retainer+ with the a.b.c. with the a.b.c.
both arches
all treatments include monthly £408 £475 £567 £283
Removable retainers - both arches instalment (0%)
Bonded retainers - both arches
Access to evening and weekend appointments initial deposit £1000 £1000 £1000 £1000
All appointments, including any emergencies
packages. braces consent for m.
Patient name: Date of birth:
standard retainer+ the a.b.c.
Treatment chosen: Clear Removable Aligners (both arches)
hygiene - 1 session included 2 sessions included standard retainer+ the a.b.c.
£85 per session
2 sessions advised 2 sessions advised
removable included included included Estimated Duration of Treatment:
retainers Total Treatment Cost:
£300 x1 pair x2 pairs x2 pairs
both arches
I agree that the proposed treatment has been explained to me by your named dentist and that on occasion
changes may be necessary.
bonded included included included I agree to follow all the instructions as explained and provided.
retainer I understand the time & commitment required for treatment to be effective & the risks and limitations as
£400 explained above.
both arches I understand that photographs or other records will be taken to aid treatment and these may be passed onto
the orthodontic laboratory or posted on a secure website to help with planning my case. On occasion these
dental records may be used for teaching/publication/marketing. Any identifiable images, such as facial views
teeth - included included
will not be used without my prior agreement and all personal data will be anonymised.
whitening
1 syringe 2 syringes I have completed a medical histor y form to the best of my knowledge. I will inform my dentist of any changes
£120 per syringe
in my medical history.
I have told the dentist about any other procedures I do not wish to be carried out without having the opportu-
composite - - front 6 teeth nity to consider them first.
contouring
from £250 worth £900
Signature of Patient Signature of Dentist
pay as you go £400 £950
save £105 (20%) save £660 (40%) ______________________________ ______________________________
Date Date
Prices listed for treatments of both arches. Please enquire for single arch fees.Patient name:
retainers consent for m. 1. I am satisfied with the final position of my teeth and I am happy to have my
braces removed/finish with the braces treatment
2. I understand and will follow the instructions regarding the retainers and agree to
ke e p in g y o u r Retainers Cleaning follow the advice provided by my dentist
teet h s t ra ig h t Now your teeth are nice and straight it is very You should brush your teeth twice a day. It is very 3. I understand that retention is a lifelong commitment and that my teeth will move
important to us that they remain in their new position! important to clean your teeth before and after unless I follow this advice carefully
is ju s t a s wearing the retainers.
A retainer is worn to hold your teeth in their straight You should thoroughly brush your retainer with tooth-
impo r t a n t as position whilst the gums and bone settle after tooth paste or soap each time you clean your teeth. Signature of Patient Signature of Dentist
movement which will take up to a year. Never use hot water to clean your retainers and
ge t t in g t he m keep them away from other sources of heat as this
can distort them. ______________________________ ______________________________
strai g h t If you do not wear your retainers You should soak your retainer in a cleaning solution
Date Date
your teeth will move out of line. and brush it well afterwards. This will keep your
appliance fresh and free from bacteria (Sterident/
RetainerBrite etc.).
social
1. First month – every day for 20–22 hours
2. First year – every night If you have a bonded retainer, you should ensure you
3. Second year – every other night clean well around the retainer with your toothbrush.
media.
4. Indefinitely – twice a week ‘Super Floss’ or a small ‘TePe brush’ can be used as
an alternative to traditional floss to clean in between
Discomfort your teeth where the retainer has been placed.
You can expect the removable retainer to feel tight in
the first few days. If afterwards the retainer feels tight Breakages
@theabcsmile
at any point it may indicate that you are not wearing
it enough and your teeth are trying to move. In this The retainers are made of a thin plastic so please
case you must increase the hours of wear to ensure handle them with care. Do not repeatedly click
your teeth remain in position. the retainer in and out with your tongue as this will We get bored at lun ch tim e
If you have a bonded (fixed) retainer it will take your break or loosen it. Never use your teeth to press
so tag us in your in stagram s t or i e s !
tongue just a few days to get used to it. the retainer into place, always use your fingers as
demonstrated.
If either of your retainers is giving you severe pro- The wearing down of retainers is normal, especially
longed discomfort, don’t wait until your next routine if you grind your teeth at night. Most patients require
appointment, get in touch sooner to arrange a visit – a new removable retainer at 12-24 months.
your retainers may just need a small adjustment! Ensure your retainers are stored in the rigid container
provided to avoid damage or loss of retainers.
Diet
leave a
The cement bonding the fixed retainers to your teeth
can wear thin over time so regular maintenance is
Your removable retainers should be removed for important. If your bonded retainer feels sharp or has
review.
eating. Plain water is the only permissible drink while come loose in a corner, do not panic, simply wear
you are wearing your retainers. Any other food/drink your clear plastic retainer over your bonded retainer
will cause decay, staining and permanent damage of and contact us.
5.0/5.0
the enamel of your teeth.
If you have a bonded retainer, avoid biting into hard,
crunchy, chewy and sticky foods with your front teeth. Post-braces aftercare (1 year)
We would like to keep a close eye on you for 1 year 52 Goog le revi ews
Dental-check ups post-treatment with review appointments at 3 months
and 12 months after debonding your braces.
5/5
You should attend regular dental check-ups as These review appointments are really important so
instructed by your dentist. If you have a bonded make sure you attend and bring along your
retainer it is recommended that you see a hygienist removable retainers.
ever y 6 months to remove visible calculus, keeping
your teeth and gums healthy. Retainers must be worn as prescribed. Teeth will
19 F a c eb ook votes
Please note, if you have a further dental treatment move if retention regimes are not followed and you
that alters the shape of teeth in any way, you will must contact us immediately if you cannot wear the
require a new removable retainer that fits perfectly. retainers for any reasons. statistics from January 2020clinic our
location. fee list.
22 Wimpole Street the a. b. c. smi le
Mar ylebone
London
W1G 8GQ Clear Fixed Braces £2950
Tube Stations Walking Teeth Whitening £550
Oxford Circus 10 mins
Composite Contouring from £250
Bond Street 8 mins
Baker Street 15 mins Porcelain Veneer £850
Opening Hours
Mon 11am - 6pm
Tue 11am - 8pm essenti als.
Thurs 11am - 8pm
Sat 11am - 4pm
New Patient Exam £70
how to Scale & Polish
Check-up & Hygiene
£95
£120
contact. White Fillings from £150
Root Canal Treatment from £450
Email
Extraction from £200
enquire@abc.dental
Periodontal Treatment from £150
For emergencies, email + text Emergency Appointment* £150
07921 844 948 *excludes costs of treatments required
Leave a voicemail
020 3652 4932
r estor ati v e.
book your Porcelain Crown/Onlay £850
appointment. Bridge
Denture
from £1700
from £1700
The quickest way to arrange
your appointment is through
our online diary, updated live
throughout the day.
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