Treatment begins with taking x-ray, photographs, a bite registration, and polyvinyl siloxane impressions of the person's teeth and gums. The dentist/orthodontist completes a written evaluation that includes diagnosis and treatment plan. Dental impressions are scanned in order to create a digital 3D representation of the teeth. Technicians move the teeth to the desired location with the program Treat, which creates the stages between the current and desired teeth positions.
Each aligner is intended to be worn an optimal 22 hours a day for two weeks. On average the treatment process takes 13.5 months, although treatment time varies based on the complexity of the planned teeth movements. The aligner is removed for brushing, flossing and eating. Once the treatment period has concluded, the patient is advised to continue wearing a retainer at night for the foreseeable future.