During your full consultation in our luxury consultation room you will find out:

• What aligners are and how they are used
• The different types of orthodontic treatments we provide
• The virtual movement of your teeth and detailed steps of the treatment process
• Whether you are suitable for Invisalign® and if you can go ahead with the treatment
• If you require any other Dental work prior to Invisalign® or afterward

At your Consultation, you will receive:

3. Examination and oral health assessment

This is a full dental examination and oral tissue examination where the Doctor will look for any dental problems that may require further treatment such as restorations, extractions, or root canal treatment. You will also receive a Scale and Polish to remove any calculus, plaque, and staining.

The alignment of your teeth will also be examined. This is where the Doctor will look at how you bite together, the anatomy of your bone structure and teeth, and whether you have any crowding, spacing, a crossbite, or any other orthodontic problems.

4. Jaw joint examination

Your mouth opening limit will be assessed (this should be 40mm or 3 fingers width), along with checking for any jaw deviation upon opening and closing the mouth. Our doctors will also check for the side movement limit of your jaw (should be 10mm on each side), and if there are any abnormal clicking sounds in the joints – this involves the Doctor using his fingers to feel the joints on your face and potentially placing their pinky (little) finger into your ear.

If there are any issues found, this could mean you have joint problems (TMD – Temporomandibular Disorder), and these need resolving before you have any orthodontic treatment. 

5. Facial muscle examination

This involves inspecting your face, looking at symmetry and any asymmetry at rest, during conversations, and testing the various facial muscles (you will have to pull some questionable faces and make some sounds, we promise you it’s all part of the plan 😉).

6. Swallowing and respiratory examination

This is where the Doctor examines your swallowing and respiratory behaviour and checks to see if there is a medical history of any allergies. Swallowing and respiratory issues can lead to future or current problems with the position of the tongue, breathing, and the alignment of the teeth.

7. Bimler Analysis

The Bimler Analysis is an in-depth analysis of the face and teeth structure to understand the jawline, the relationship between the nose, lips, and chin, whether you need any extractions, and whether any other auxiliaries are required in your treatment (such as plates). This involves accurately measuring the length and position of both the upper and lower jaw to determine their individual alignment.

8. Intra-oral and Extra-oral Photographs and Videos

Your Doctor or Smile Specialist will take intraoral and extraoral photos/videos of your teeth, facial anatomy, smile, and side profile. These photos are used for your dental record and photo calibration for use when creating your personalised Invisalign® treatment plan.

10. Smile Report

You will receive a smile report done by one of our Dental Nurses or Doctors. This is created using our state-of-the-art iTero 5D Scanner

Your Dental Nurse or Doctor will scan your teeth, mouth anatomy, and soft tissues. You will then be able to see the before and after simulation of your teeth after Invisalign® within a few minutes. Your scan will be used to send to the laboratory for diagnostic models of your teeth to be fabricated.

Your Smile Report or your simulation can then be printed out or e-mailed to you so you can keep it in your personal records. You are also able to record your own video of the simulation using your mobile phone or camera.

We offer various Invisalign® Packages, at your consultation the Doctor will be able to recommend which is best suited for your dental needs. The packages we offer are:

• Express Package – Our Invisalign® Express package is designed for patients who require minor corrections. This package is also suitable for those who have had braces before but are suffering from a relapse. Treatment usually takes around 1-2 months to complete, 1-7 sets of aligners are used and it can be used on your top or bottom arch (or both – Dual Package).
• Lite Package – Our Invisalign® Lite package is designed for patients who have had braces before, but are suffering from relapse and have small modifications they wish to make to the alignment of their teeth. Treatment usually takes around 3-4 months to complete, 8-14 sets of aligners are used and it can be used on the top or bottom arch (or both – Dual Package).
• Moderate Package – Our Invisalign® Moderate package is designed for patients who have moderate crowding or spacing. Treatment usually takes around 4-7 months to complete, 14-26 sets of aligners are used and it can be used on the top or bottom arch (or both – Dual Package).
• Comprehensive Package – Our Invisalign® Comprehensive package is designed for patients who have severe crowding or spacing and significant tooth rotation. Treatment usually takes around 12-24 months to complete, you get an unlimited amount of aligners and we treat the top and bottom arch.

Completing consultation:

Our first step is to assess your dental health and determine if Invisalign® is the right option for you. During this consultation, we will also discuss your goals and expectations for treatment.

Clearing all necessary treatment:

Before starting your Invisalign® treatment, it is important to ensure that any existing dental issues, such as cavities or gum disease, are treated. This may involve procedures like fillings, root canals, or wisdom teeth removal.

Itero scanning:

Once we have determined that Invisalign® is a good option for you, we will use the latest digital technology to scan your teeth and create a 3D file of your teeth and bite. This is done using an iTero scanner, which is a painless and non-invasive process.

CBCT:

In addition to the iTero scanning, we will also take a Cone Beam Computed Tomography (CBCT) scan. CBCT has become a very important part of dentistry, especially when treatment planning and using it as a diagnostic tool.

We get to view up to 3 more different views of the mouth:

• The crown and roots of the teeth only
• The crown, roots, and the bone
• The crown, roots, and semi-transparent bone

This helps our Doctors maximise the efficiency of the technology that we use at SmileBox so you can get more accurate simulation results, you get to see more detailed images of your teeth such as the real root renderings and bone visualisation and helps with more accurate Invisalign® treatment planning.

Steps 1-4 can be completed on the same day.

Design: 

Once we have your 3D file and CBCT scan, all diagnostic tools including your photos, x-rays and CT scans are merged and calibrated for proper analysis.

Your Orthodontist will digitally design each of the tooth positions individually, this is to ensure that each tooth moves accurately and in line with the treatment plan, it involves moving the teeth up or down and modifying the side angulation and inclination of the teeth. Our SmileBox Orthodontists spend at least 5 hours per case doing this process.

During this stage, we will decide whether any other auxiliaries are needed during your orthodontic treatment. Such as SPBM, Elastics (button, hooks & jumps) miniscrews, and reverse pull headgear. Invisalign® also shows us the expected results if we plan to use elastics, this is so your Orthodontist and yourself can visualise the end results.

Your Orthodontist will design your attachments that will help keep your Invisalign® aligners in place and promote the movement of the teeth. These are custom designed for you individually, therefore the number and shape of attachments are different for each case.

Clincheck:

We will discuss the treatment plan with you and show you a digital simulation of what your smile will look like after completing Invisalign® treatment. This is a great opportunity to ask any questions you may have and ensure that you are comfortable with the treatment plan. You will also see how many trays are needed, which will tell you how long treatment time will be.

With the superimposition tool, you can see the before and after of your teeth – all in one frame!

Insert aligners:

On this day, our doctors will place attachments and show you how to wear and remove your trays. We will also teach you how to brush, floss, and clean your trays, and remind you how long you have to wear your trays and how often to change them (after how many days). During this visit, your orthodontist will also discuss the do’s and don’ts of Invisalign®, introduce you to the Invisalign app, and give you your trays!

Cleck to Read more About Your Invisalign® App (take to bottom part which will describe about invi app and has link to load)

Regular follow-ups:

Throughout your Invisalign® treatment, we will schedule regular follow-up appointments to check on your progress. This could be via in-office follow-ups which could be every 1-3 months, where we will ensure that your teeth are moving as planned, check your oral hygiene, and address any issues or concerns that may arise. We will also give you more aligners if required and we can answer any of your questions that you may have.

If you are not local to Bangkok, we can provide follow-up appointments via Virtual Appointment, either through our Virtual Consultation Programme or the Invisalign® Application.

After completing treatment:

Once your Invisalign® treatment is complete, we will remove your attachments and rescan your teeth to create your Vivera retainers. This ensures that your teeth remain in their new position and you can enjoy your new smile for years to come. With the Vivera Package, you will receive 3 sets of retainers. Having more sets prevents your retainers from breaking easily and also comes in handy if you misplace them!