The concepts of "mild," "moderate," and "severe" in orthodontic treatment with clear aligners represent the degree and scope of dental misalignments that need correction. These classifications are determined based on the extent of misalignment and the complexity of the treatment process. The Turkish Dental Association's 2024 treatment fee schedule for clear aligners is as follows:

Treatment Costs

TreatmentExcluding VATIncluding VAT (10%)
Orthodontic Treatment with Clear Aligners (Mild) (Excluding Aligner Fees)23,868.18 TL26,255.00 TL
Orthodontic Treatment with Clear Aligners (Moderate) (Excluding Aligner Fees)32,954.55 TL36,250.00 TL
Orthodontic Treatment with Clear Aligners (Severe) (Excluding Aligner Fees)44,827.27 TL49,310.00 TL

1. Mild Misalignments (23,868.18 - 26,255.00 TL)

  • Small Gaps Between Teeth: Minor spacing between teeth.
  • Mild Crowding: Slight misalignment affecting a few teeth.
  • Mild Tooth Rotation: Teeth slightly rotated.
  • Minimal Malocclusion: Very minor bite issues.

Treatment Duration: Typically short, ranging between 6 to 12 months.
The fee for mild misalignments, including VAT, is 26,255 TL according to the Turkish Dental Association's 2024 fee schedule.

2. Moderate Misalignments (32,954.55 - 36,250.00 TL)

  • Moderate Gaps Between Teeth: Noticeable spacing issues.
  • Moderate Crowding: Misalignment affecting several teeth.
  • Moderate Tooth Rotation: More significant tooth rotation.
  • Positional Issues: Teeth may have shifted forward or backward.
  • Moderate Malocclusion: Noticeable bite problems (e.g., improper alignment of upper and lower teeth).

Treatment Duration: Typically moderate, ranging between 12 to 18 months.
The fee for moderate misalignments, including VAT, is 36,250 TL.

3. Severe Misalignments (44,827.27 - 49,310.00 TL)

  • Large Gaps Between Teeth: Significant spacing issues.
  • Severe Crowding: Pronounced misalignment and irregularities.
  • Major Rotation and Positional Issues: Severe rotations or incorrect positioning of teeth.
  • Severe Malocclusion: Serious bite issues such as open bites or crossbites.
  • Jaw Misalignment: Issues with jawbone alignment.

Treatment Duration: Typically long, ranging between 18 to 24 months or more.
The fee for severe misalignments, including VAT, is 49,310 TL.

For the full 2024 fee schedule of the Turkish Dental Association regarding all dental treatments, visit www.tdb.org.tr.

What Are Clear Aligners?

Clear aligners are invisible orthodontic devices designed to correct dental alignment and jaw structure. They are usually made from transparent plastic materials such as polycarbonate or PETG. Clear aligners enable controlled, gradual movement of teeth to achieve aesthetic and functional improvements. These aligners are particularly popular among adults and teenagers who prioritize aesthetics.

How Are Clear Aligners Applied?

Clear aligner treatment involves the following steps:

  1. Consultation and Evaluation:
    • An orthodontist assesses the patient's dental and jaw structure.
    • Determines if the treatment is suitable.
  2. Digital Scanning and Planning:
    • The patient's oral structure is digitally scanned or imaged.
    • A 3D model simulates tooth movements, and a treatment plan is prepared.
  3. Aligner Production:
    • Using CAD/CAM technology, custom aligners are manufactured.
    • Each aligner set is designed to move the teeth incrementally.
  4. Aligner Fitting:
    • The first aligner set is provided, along with instructions for use.
    • Aligners are typically replaced every few weeks.
  5. Regular Checkups:
    • Scheduled orthodontist visits ensure the treatment progresses as planned.
    • New aligner sets may be provided as needed.
  6. Post-Treatment Care:
    • Retainers are recommended to maintain the new alignment.

Treatment Duration

The duration of clear aligner treatment varies based on the severity of misalignment:

  • Mild Misalignments: 6–12 months
  • Moderate Misalignments: 12–18 months
  • Severe Misalignments: 18–24 months or longer

Treatment duration also depends on the rate of tooth movement, aligner compliance, and the orthodontist's treatment plan.

Points to Consider During Treatment

  1. Consistent Aligner Usage:
    • Aligners should be worn 20–22 hours daily, removed only for eating or brushing.
  2. Hygiene:
    • Clean aligners before and after use; brush teeth thoroughly.
  3. Proper Handling:
    • Avoid removing aligners unnecessarily or damaging them during use.
  4. Regular Checkups:
    • Attend scheduled visits to ensure treatment stays on track.
  5. Emergency Situations:
    • Report any damage or discomfort to your orthodontist immediately.
  6. Diet and Lifestyle:
    • Avoid hard foods and staining substances like tobacco or colored drinks.

Advantages and Disadvantages of Clear Aligners

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Advantages:

  • Aesthetic Appeal: Virtually invisible, making them more discreet.
  • Removability: Convenient for eating and brushing.
  • Comfort: Less intrusive than traditional braces, with minimal gum irritation.
  • Hygiene: Easier to maintain oral hygiene.
  • Fast Production: Aligners can be quickly manufactured using digital technology.
  • Less Routine Maintenance: No need for regular wire or bracket adjustments.

Disadvantages:

  • Compliance Required: Consistent wear is crucial for effective results.
  • Cost: Clear aligners are often more expensive than traditional braces.
  • Limited Application: Not suitable for very complex cases.
  • Vulnerability: Aligners can be lost or damaged, incurring extra costs.
  • Sensitivity: Some patients may experience temporary discomfort.
  • Commitment: Wearing aligners for 20–22 hours daily may be challenging for some lifestyles.

Frequently Asked Questions

Are clear aligners a definitive solution?
Clear aligners are effective for mild to moderate cases but may not be suitable for complex dental issues. Consistent use is key to success.

Which is better: aligners or braces?
Aligners are more aesthetic and comfortable but are limited to simpler cases. Braces are better for complex misalignments.

What happens if I don’t wear my aligner for a day?
Skipping aligner use for a day may slightly delay tooth movement and cause discomfort when worn again.

Can I drink water with my aligners on?
Yes, water is safe to consume with aligners in place. Avoid sugary or colored drinks.

Do clear aligners stain teeth?
No, but improper cleaning and consuming staining foods/drinks can discolor teeth or aligners.

Do clear aligners cause bad breath?
Without proper hygiene, aligners can trap food particles and lead to bad breath. Clean aligners and brush teeth regularly to avoid this.

For more detailed information on clear aligner prices or to find the best dental clinic for your treatment, click the link below.