Health

intermediate · 2 min

Oral Hygiene Index Thresholds During Aligners

OHI-S above 1.5 while wearing aligners is a red flag, not a routine note. The recall and reinforcement protocol before enamel demineralises.

intermediate · 1 min

Sleep Apnea Screening in Adult Orthodontics

Adult orthodontic patients present with undiagnosed OSA more often than the specialty admits. STOP-BANG plus airway-aware planning changes case design.

intermediate · 1 min

White Spot Lesion Prevention Under Attachments

Attachments hide plaque. Fluoride varnish cadence, CPP-ACP use, and diet counselling that keep enamel intact through 18 months of wear.

intermediate · 1 min

Aligner Hygiene: An Evidence Review

The evidence base for soaking, brushing, and enzymatic cleaners. What reduces biofilm without degrading SmartTrack or Spark TruGEN.

intermediate · 2 min

Fluoride Varnish During Aligner Treatment

5% NaF varnish every 3, 6 months reduces white-spot lesion risk in aligner patients. The evidence, timing, and interaction with attachments.

intermediate · 1 min

Xerostomia Risk With Aligner Wear

Aligners restrict salivary flow around teeth for 22 hours a day. The at-risk cohorts, symptoms to flag, and mitigation protocols.

intermediate · 6 min

Diabetes & Orthodontic Treatment

Controlled diabetes is not a contraindication. Uncontrolled diabetes changes the risk-benefit calculation across every phase of treatment.

intermediate · 5 min

Enamel Decalcification and White Spot Lesions With Aligners

White spot lesions form when biofilm sits under aligner attachments. Fluoride varnish and casein-phosphate paste prevent 90% of cases.

intermediate · 5 min

Gum Recession Risk During Aligner Treatment

Aligners themselves don't cause recession, thin biotype, aggressive brushing, and excessive expansion do. How to protect the gingiva.

intermediate · 5 min

The Oral Microbiome and Aligner Wear

Aligners create a semi-anaerobic environment against enamel. Shifts in Streptococcus mutans levels drive caries risk during treatment.

intermediate · 6 min

Periodontal Health & Clear Aligners

Aligners can be gum-friendly or gum-hostile depending entirely on hygiene and pre-treatment periodontal status.

intro · 6 min

Pregnancy & Clear Aligner Treatment

Aligners are safe during pregnancy, but hormonal gingivitis, morning sickness and imaging restrictions change the protocol.