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Writer's pictureJesper Hatt DDS

A short Guide to SureSmile Attachments for Dentists

Updated: 2 days ago

As a dentist specialising in clear aligner therapy, you're likely familiar with the nuances of guiding patients through their orthodontic journeys. One crucial element that can significantly impact the success of a SureSmile treatment plan is the strategic use of attachments. Understanding the role these small, yet powerful, components play can make all the difference in achieving optimal results for your patients.


In this blog post, we'll explore the purpose, application, and best practices for using SureSmile attachments, providing you with the knowledge to enhance your clear aligner treatments and elevate patient outcomes.


SureSmile attachments

The Role of SureSmile Attachments in Clear Aligner Therapy

SureSmile attachments, sometimes referred to as "engagers" or "buttons," are small, tooth-colored composite resin pieces that are temporarily bonded to specific teeth. Their primary function is to improve the efficacy of aligner-based tooth movements by providing additional surface area for the aligner to grip, enabling more complex or stubborn tooth movements.


While SureSmile aligners are custom-designed to fit snugly over the teeth, certain movements—such as extrusions, rotations, or significant bodily movements—often require a more targeted application of force. Attachments serve as anchor points that allow the aligners to apply this force with greater precision and control.


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The attachment designs are rather simple which does not make any difference compared to the more advanced designs found on the market. Studies have not shown any difference in efficiency between the standard designs and the advanced designs.


How SureSmile Attachments Enhance Treatment Precision

Incorporating attachments into your treatment plan can significantly enhance the precision of tooth movements. Here's how they function within the context of clear aligner therapy:


  1. Facilitating Complex Movements: Attachments are indispensable when it comes to movements like extrusions, intrusions, and rotations. Not only directly but also indirectly as they may help achieving anchorage. By providing a specific point of leverage, they enable the aligners to exert the necessary forces that would otherwise be difficult to achieve.

    As a rule of thumb: the bigger the attachment, the more predictably it will transfer the desired forces. The attachments may however become so big, that it makes the aligners hard to position and remove.

  2. Optimizing Force Distribution: Properly placed attachments help distribute forces more evenly across the tooth surface, reducing unwanted movements. This leads to more predictable outcomes and can reduce the need for mid-course corrections. Therefore every attachment should be positioned and evaluated according to the planned tooth movements.

  3. Improving Retention and Fit: Attachments improve the aligners' grip on the teeth, which is especially useful for patients with a need for challenging movements. During the planning of the attachment position. It is worth remembering that aligners only work with pushing movements.

  4. Reducing Treatment Time: When attachments are used correctly, they can shorten overall treatment time by ensuring that tooth movements occur as planned with each aligner change. This can reduce the need for refinements and additional trays, leading to a more streamlined treatment process.


Best Practices for Placing SureSmile Attachments

As with any orthodontic appliance, the placement and management of SureSmile attachments are critical to their success. Here are some best practices to consider:


  1. Strategic Placement: Careful planning is essential when determining where to place attachments. Consider the specific movements required for each tooth and position the attachments accordingly to maximize their effectiveness.

  2. Material Selection: Use a high-quality composite resin that closely matches the patient's tooth color. This not only ensures a more aesthetic outcome but also provides better adhesion and durability.

  3. Patient Communication: Educate your patients about the role of attachments in their treatment. Explain that attachments are a normal and temporary part of the process, which can alleviate any concerns about their appearance or function.

  4. Hygiene Management: Emphasize the importance of oral hygiene around the attachments. Plaque accumulation can compromise the treatment as it may lead to complications such as staining or decay.

  5. Regular Monitoring: During the regular check-ins always assess the integrity of the attachments and the progress of the treatment. If an attachment becomes dislodged or if tooth movement is not progressing as expected a revision may be necessary.


Common Questions and Considerations

As you integrate SureSmile attachments into your practice, you may encounter questions or challenges. Here are a few common topics to keep in mind:


  • What if an Attachment Falls Off?

    • If an attachment becomes dislodged, it’s important to address it promptly to avoid disrupting the treatment plan. Rebonding the attachment quickly can help maintain the treatment's momentum. Simply use the aligner as a template.

  • Visiblity of the attachments

    • While attachments are designed to be discreet, they may be slightly visible, particularly on anterior teeth. Be aware of those patients, that do not want attachments for this reason. Managing patient expectations about the temporary visibility of attachments can help prevent dissatisfaction.

  • Can Attachments Stain?

    • Although attachments themselves are resistant to staining, they can discolor over time if the composite is not properly cured and patients consume staining foods or beverages without proper oral hygiene. Make sure to follow a strict bonding protocol that prevents de-bonding, discollorations and encourage patients to brush after consuming items like coffee, tea, or red wine to minimize the risk of staining.


Conclusion

SureSmile attachments are a powerful tool in the clear aligner arsenal, enabling more precise and effective treatment outcomes. By understanding their role and implementing best practices for their use, you can enhance the quality of care you provide and achieve more predictable results for your patients.


Whether you’re treating simple cases or tackling complex orthodontic challenges, the strategic use of SureSmile attachments can make a significant difference in the success of your treatments. Stay informed, communicate clearly with your patients, and continue to refine your approach to ensure the best possible outcomes.


Have any specific questions about SureSmile attachments or want to share your experiences? Feel free to connect and collaborate with your peers in the comments or through professional forums. Your insights could help another dentist achieve success in their clear aligner treatments.


Dentist Jesper Hatt DDS AlignerService

Kind regards

Jesper Hatt DDS



P: +41 78 268 00 78


AlignerService

We are dentists helping dentists create realistic, safe and predictable treatment plans with clear aligners.


Currently more than1500 dental practices in 19 different countries use our service on a regular basis. We offer expert guidance in the following clear aligner systems: Invisalign, SureSmile, ClearCorrect, TrioClear, Angel Aligners and Spark.


AlignerService is a preferred partner of ClearCorrect and TrioClear.

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