Attachments are shapes that are temporarily added to teeth to help with movements such as rotations. They are fine when on the back teeth, but do patients really want or need them on the front teeth? Attachments on incisors ruin the ‘invisible’ braces tag. So the trick is to see if they can be placed on the inside where they don’t show. Obvious really but no one else seems to do it. Also the need of attachments is age realted. Large rotations can be achieved without attachments as long as the patient is young enough, use aligner chewies and good about wearing the aligners. And for our older patients, even attachment won’t always untwist a twisted canine. Applying them in these situations prevents the seating of the aligners progressively throughout the treatment. Better to leave them off and concentrate on those movements that do work.
