Orchestrate Q&A

WHAT IS ORCHESTRATE 3D?

Orchestrate 3D is an alternative to traditional braces that uses a series of clear plastic aligners to straighten teeth. Each aligner is specially molded to fit the patient’s teeth and guides them to where they should be. Patients using this system change to a different set of aligners every few weeks as the teeth move closer and closer to the proper positions.

WHAT ARE THE ADVANTAGES OF CHOOSING ORCHESTRATE?

As a digital technology-to-orthodontic product system, Orchestrate is a cost efficient alternative to Invisalign® for minimum to moderate cases.

WHAT IS THE DIFFERENCE BETWEEN ORCHESTRATE 3D AND WIRE TECHNOLOGY?

With the Orchestrate 3D system, tooth movements are determined and prescribed using a software program by a certified orthodontist. From these specifications a series of new aligners are produced. The patient experiences the subtle tension necessary for change with each new tray. Wire technology uses brackets on each tooth with an arch wire threaded through each bracket. The wires are used to apply light constant pressure on the teeth to move them.

Another distinction between the two treatment systems is that the Orchestrate 3D aligners are removed by the patient for eating and other purposes. In contrast, with the wire system, the appliances adhere directly to teeth and are adjusted or removed by the orthodontist.

WHAT ARE THE SIMILARITIES AND DIFFERENCES BETWEEN INVISALIGN AND ORCHESTRATE?

Invisalign® and Orchestrate are both 3D systems that involve a series of modified aligners. Invisalign® is offered by certified orthodontists as well as general dental professionals because Align Technologies, the medical device company that owns Invisalign®, determines adjustment specifications and enters the data into a software program for plastic aligner output. Align Technologies’ central digital workflow system allows the orthodontic tool to be used by dental practitioners with limited knowledge of orthodontics. Orchestrate technology necessitates that the user is a certified orthodontist and has depth knowledge and experience in the movement of teeth as well as the technological confidence to work with software programs. In other words, Orchestrate, the orthodontist has the foundational knowledge to determine the data to be entered.

IS THERE ANY DIFFERENCE BETWEEN GOING TO A GENERAL DENTAL PRACTITIONER AND A CERTIFIED ORTHODONTIST FOR ORTHODONTIC WORK?

General dental practitioners make their highest profit in their area of focus —the treatment of teeth. To gain new patients, some general dental practitioners offer Invisalign® at a lower rate. As well, some general dental practitioners prefer the potential profits of Invisalign®, and since the Invisalign® system can be learned in a weekend course, they choose not to refer the patient to a certified orthodontist.

A certified orthodontist has the capabilities to serve patients who require more specific or customized orthodontic care. A certified orthodontist who offers the Invisalign® system, the Orchestrate system and the wire system, can offer the patient more treatment options, and with Orchestrate, treatment at a lower price.

IS ORCHESTRATE FOR EVERYONE?

No. Not everyone has the discipline to stay with a movable, plastic aligner system since this treatment requires the added attention of removal of the orthodontic device while eating. Some patients, especially young ones, are better served with fixed wire appliances.

IS ORCHESTRATE FOR CHILDREN?

With Invisalign® and Orchestrate, the teeth need to be fully erupted into the mouth to be moved. Some children would benefit from orthodontics before this happens and traditional orthodontics would be a better treatment option.

HOW SHOULD PATIENTS TAKE CARE OF ALIGNERS?

Taking care of Invisalign® or Orchestrate clear aligners is very simple. Every time you brush your teeth you can brush and rinse your aligners in lukewarm water. They can also be soaked and cleaned in a denture cleaner while you are busy eating.

DOES IT MATTER IF ALIGNERS ARE REMOVED AT NIGHT?

Yes. It is not advisable to remove your aligners at night. For teeth to move, light constant pressure needs to be applied. Teeth can and will shift back to previous positions if the movement forces are removed.

WHAT IS THE MCKENNA ORTHODONTIC ORCHESTRATE STORY?

McKenna Orthodontics is the oldest orthodontic practice in New England and the first user of the Orchestrate 3D system in Massachusetts.
As an Orchestrate provider, McKenna Orthodontics uses a 3D scanner, a software platform that facilitates the printing of real objects (in this case, plastic aligners) directly from digital input and through a 3D printer.

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