The Treatment Process - Step by Step
Treating patients with the HarmonieSchiene is easily integrated into the daily routine of your dental practice.
Step 1: Consultation
What is bothering your patient about his or her teeth? What does he/she want to change? Give yourselves time to explore and discuss these issues. Next, take impressions of your patient’s teeth in order to create exact replicas of the mouth, and send these models to us. The Orthos technicians will digitally measure the diagnostic models to calculate the number of aligners the patient will need, and then call you to determine with you the goals of the treatment plan. If you wish, we could develop a target model (38,-- Euro for each jaw) which shows your patient before the start of treatment how his/her new smile will look. This increases the patient’s level of motivation and excitement!
Step 2: Review of Treatment Plan
You will then receive a free “HarmoniePlan” that outlines in detail the treatment process, the number of aligners, as well as the duration and cost of the therapy. Set up an appoinment with your patient to review the process and scope of his/her personalized HarmoniePlan. Should you wish for support on your first case, we would be happy to have one of our technical consultants join you and your patient for this discussion. All you have to do is call us! Up to this point, there are no costs to you or your patient for our services.
Step 3: Beginning of Treatment
The treatment can start once your patient has made a decision. Send us Class 3 dental cast models with a distortion-free dental crown or a permanent impression with correction mass (situation bite) to our laboratory. Afterwards we will send you a “HarmonieBox” with the consecutively numbered aligners for your patient. Should an interproximal enamel reduction be necessary, we will enclose a detailed plan for the procedure in our shipment.
Step 4: Careful Creation of Space for Realignment
Before treatment begins, it might be necessary to create space for the teeth to move optimally within the dental arch. Should this be the case, a proximal enamel reduction is well suited to achieve the desired results, a procedure which is made easy and safe using the SepiPolierer. Positive side-effect: the polishing also helps to smooth out the surface of the teeth, making them less susceptible to decay. To see exactly how this works, click here
Schritt 5: Course of Therapy
Now you can get started! The patient wears the first clear aligner for 3 weeks and thereafter wears each of the remaining retainers for two weeks. You check the results of each HarmonieSchiene before the patient receives the new aligner. In order to ensure the full effect of the treatment, the patient must wear the aligner 24 hours a day, except at mealtimes and for dental care. The number of aligners that are necessary to accomplish the desired goals is dependent on each individual case.
Step 6: Retention
The straightened teeth need to be held in place. There are two options for permanently retaining the results of the HarmonieSchiene treatment: the patient must wear either a removable aligner or a fixed retainer such as the RotkäppchenRetainer developed by Orthos.
The results of our Partnership:
One more patient with a happy and beaming smile! :o)
Two alternatives for retaining the positive results
Here’s how a removable retainer works:
For the removable aligner, we recommend a 1,5mm strong Miniplast retainer that the patient must wear 24 hours a day for 6 weeks following the HarmonieSchiene therapy. Thereafter, the duration that the patient wears the retention aligner is reduced to half a day, in the afternoon and at night, for another 6 weeks. At the end of this phase, the patient wears the retainer only a night or at the very least one or two nights per week.
The removable retention retainer is invisible and can be worn – just like the HarmonieSchiene – without interfering in the patient’s everyday life. This alternative, however, requires a very high level of self-discipline on the part of the patient not to keep to the schedule and not forget to wear it, and it is also easily misplaced or lost.
Here's how the Orthos RotkäppchenRetainer® works:
After close examination and final grinding of the teeth (if necessary), an adhesive retainer holding a very fine wire is attached to the inside of the patient’s front teeth. This retainer can be custom made by Orthos to fit perfectly in the patient’s mouth, based on the final dental impressions taken at the end of the treatment therapy. To secure the retainer, you affix it on the patient’s teeth at the point of the red caps (Rotkäppchen) and then simply clip off the caps and discard them. This procedure can be easily performed in your office without any help from an assistant
The Rotkäppchen retainer is invisible and is barely noticeable to the patient after a short period of getting used to it. Unlike the removable retainer, it requires more attention while brushing the teeth, but has the advantage of ensuring 100% that the teeth remain in their corrected position following the HarmonieSchiene therapy.