How to Remove Aligner Attachments

The information provided in this article is intended for use by licensed dental and healthcare professionals only, for informational purposes only, and does not constitute medical or dental advice or replace clinical judgment. The treating clinician bears sole responsibility for all diagnostic and therapeutic decisions made in connection with patient care.

Overview: Learn the clinical steps to safely remove composite attachments and polish enamel following clear aligner treatment. 

Equipment: To perform aligner attachment removal, ensure the following tools are available:

  • High-speed handpiece

  • Carbide finishing bur

  • One gloss point and/or cup

  • Fine pumice

  • Polishing paste

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Remove Aligner Attachments

  1. Remove the final aligner tray from the patient's teeth.

  2. Use a high-speed handpiece equipped with a carbide finishing bur to polish the surface of the aligner attachment.

  3. Continue polishing the attachment until the composite material is completely removed from the tooth surface.

Polish the Enamel Surface

  1. Apply a single gloss point or cup to the enamel surface where the attachment was located.

  2. Use fine pumice and polishing paste to smooth the enamel.

  3. Rinse and clean the patient's teeth thoroughly to remove all residue and debris.

  4. Confirm the results by having the patient use their tongue to verify the tooth surface feels smooth and satisfactory.

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