Instructions for aligners

Recommendations for using corrective aligners and retention trays

Instructions for aligners — Best Pick Lab

General rules and treatment effectiveness

  • An aligner system or retention tray designed by an orthodontist and made by a technician should be worn diligently by the patient.
  • Aligners must be worn strictly according to the orthodontist’s instructions.
  • Even a short break in wear may quickly reverse treatment progress and cause relapse.
  • Lack of regular wear also leads to numerous failures.
  • Aligners are effective only when worn correctly and when procedures such as stripping and attachment placement are performed according to plan.
  • Treatment outcomes depend on patient consistency; failures cannot be attributed to the clinic or manufacturer.

Putting on and removing aligners

  • Put on and remove aligners according to recommendations.
  • Insertion: start by placing the tray on front teeth, then side teeth, and finish by pressing with the rubber chewie provided in the kit.
  • Always seat aligners symmetrically, pressing simultaneously on right and left sides.
  • Removal: follow the reverse order—sides first, then front teeth.
  • Remove aligners by gently and evenly lifting both sides with hooks available in the kit.
  • Do not bite down on trays, pry with your tongue, or pull one-sided during removal, as this may damage them.

Adaptation and sensations during treatment

  • In the first days, tooth pain may occur and should gradually subside; this is normal due to tooth movement.
  • For corrective aligners, a 1 to 1.5 mm mismatch to teeth is normal. This is intentional to change tooth position and may last up to 3 days.
  • With larger mismatch, use dedicated chewies to seat the tray faster.
  • A new aligner may click distinctly onto teeth; tightness during first hours is normal material behavior.
  • Discomfort and increased salivation after insertion usually decrease over time.
  • Aligners may temporarily affect speech.
  • After aligner use, teeth may temporarily feel like they “do not fit together” — this is part of the repositioning process.

Hygiene and care

  • Aligners should always be inserted on clean teeth.
  • Before first use of a new aligner, wash it with liquid soap and warm running water to remove production monomer residue.
  • Each time after removal from the mouth, wash the aligner thoroughly with soap and water.
  • Rinsing with water alone is not enough — aligners must be cleaned mechanically with a toothbrush.
  • They can also be soaked in solutions with special denture cleaning tablets.
  • Never scald aligners with hot water! High temperature will deform and destroy them.

Daily use

  • Aligners should be worn around the clock, except for eating, drinking, and tooth brushing.
  • When aligners are in the mouth, do not consume food or drinks (except plain water).
  • If aligners must be removed for a longer time, they should be washed, dried, and stored in an orthodontic case.
  • “Wet insertion” of aligners is recommended.
  • If a new aligner is difficult to insert, it can be kept for a few minutes in warm (not hot) water.
  • In case of significant discomfort, put the aligner in just before sleep — often the issue resolves by morning.

Consultations and emergency situations

  • Seek an appointment promptly if: after 3 days the aligner still cannot be inserted, it cracked, or was lost.
  • If attachments are used, monitor whether any have detached and report for replacement if needed.
  • Damage to a retention tray (abrasion, cracks) should be reported to make a new one.
  • Keep the last worn set of corrective aligners and bring it to check-up visits.
  • Discomfort can be relieved by minor trimming of an irritating aligner edge by the orthodontist; a tray may require more than one correction.