Faye's Invisalign Diary Part 1: Treatment Planning

July 25, 2014
|
Posted By: Stephen Murray

A patient who is about to begin orthodontic treatment with us here at Swords Orthodontics using Invisalign, and she's agreed to share updates and progress reports with our web audience.

Faye is a model, and although she enjoys a successful career which involves being beautiful for a living she's not happy with her smile and feels that it actually undermines her confidence and might even limit her professionally. On the other hand, given her work, it would be even more of a problem to wear conventional fixed braces, so she came to us with a desire for Invisalign treatment, and after carrying out our examination and special investigations, we were quite happy to tell her that her teeth were suitable for Invisalign treatment.

You can find out more about the Invisalign approach to treatment on the special Invisalign section of this website.

After our examination, we took some super accurate moulds of her teeth. These were collected by a courier and taken to the USA. This is usually to El Paso, Texas, a place normally associated with cowboy movies and Johnny Cash songs. By coincidence, I was there 20 years ago, long before Invisalign was invented, never mind long before I'd ever heard of it.

They are scanned by computer equipment there, and then the scans are processed and turned into virtual/digital models. 

I get to check out these digital orthodontic models online, and decide where I want the teeth to move to. If there are any special details I need to deal with to make sure they move more predictably, I add them into the treatment plan. Then a plan is generated by the Invisalign company on computers to take the teeth from where they are now to where I want them to be, using a series of very small changes. It works out how many aligners would be required and what movements each of these make.

I review the plan and make any changes that I think would make the plan more successful and the Invisalign company puts these changes back into the plan and a new plan is generated. We repeat this process until I get things where I want them to be, and then I review this plan with the patient. Sometimes I have a couple of alternative plans to discuss with them and between us, we choose the one that suits the patient best.

In Faye's case, this was straight forward enough, she was happy with the direction of the plan, so we went ahead and asked Invisalign to start manufacturing the aligners.

Up until that point, the models of Faye's teeth just exist in virtual, digital, form and the aligners are just an idea. Once I press APPROVE, a robot (in Mexico) starts firing a laser into a tank of liquid plastic and the aligners begin to be constructed. A day or two later they are all made up, each one with a unique number that identifies the patient, the  the number of the aligner in the sequence, and the jaw that the aligner belongs to. Each aligner is part of a pair that sits in its own sealed and numbered plastic bag, and all the bags are loaded into a box and dispatched by courier from the Invisalign factory to Swords Orthodontics.

When the aligners are dispatched, the Invisalign company sends me an email and a unique tracking number so I can follow the progress of her aligners all the way from the banks of the RIo Grande to Main Street, Swords.

Faye's Invisalign aligners came through many places on their route to the clinic:

  1. El Paso. Texas
  2. Albuquerque, New Mexico
  3. Louisville, Kentucky
  4. Koeln, Germany
  5. Dublin Airport
  6. Swords Orthodontics

Her aligners took just over 24 hours to get to Dublin, arriving at about 6am, and then arrived in the practice early that afternoon.

Faye's next visit is to fit the aligners and her Invisalign treatment begins and we'll give you an update then, 

 

Related Blog Posts
August 23, 2026
Steve, you can't have been happy

A few of my friends, and at least one taxi driver in Swords, know that I have an interest in watching eclipses. As in total solar eclipses. There are other kinds, but I would leave that to people that have Sky at Night on series record and own their own ...

August 20, 2026
What's the oldest you can be and still have orthodontic braces?

I did an adjustment for a patient’s braces today.

He’s 67.

I don’t think he’s my oldest patient ever but I think he’s the oldest currently in treatment with me (though he’ll be finishing soon, I expect).

Basically if you have healthy teeth and gums and want something fixed that needs orthodontics, we’d be happy to do it. If the teeth and gums aren’t healthy then we’ll advise what needs to be done and work with your dentist to achieve the best outcome.

About 1/3 of my patients are adults.

August 19, 2026
Ten Years After

Had a patient today who come back for new retainers 10 years after the end of her treatment.

Her lower retainer was cracked but otherwise both upper and lower were in remarkably good condition.

The alignment of her teeth had maintained nicely, I was delighted with this and it would be great if we could get some photos to show

  1. the alignment before treatment,
  2. just after treatment finished and
  3. 10 years after treatment finished.

So we’ll make her new retainers. We have a scanner here, so there was no moulding of her teeth needed to make the retainers, and we’ll fit them soon.

The thing is… her teeth were so straight, and ...