English speaking dentist in Nakameguro Tokyo.2 minutes from Nakameguro Station West Exit, which hosts the Tokyu Toyoko and Hibiya Lines.General dental care/Preventive dental care/Premium PMTC Cleaning/Orthodontics (mouthpiece orthodontics)/Aesthetic Dentistry/Whitening/Implants & Dental Oral Surgery

Smilehills Nakameguro Dental Clinic

Treatment

診療案内

Orthodontic Treatment (Mouthpiece Correction)

Improvement of teeth alignment is not only for aesthetics, but also for your overall health.

In orthodontic treatment, it is very important not only to improve the alignment of your teeth, but also to “make sure that the upper and lower teeth are properly engaged”. Having misaligned teeth can have negative effects on the body, which can be found below.
Not only for its beautiful appearance, with alignment correction why don’t you also take your health into consideration?

Have you had any of these concerns?

  • I am hesitant to open my mouth and smile
  • I am worried about my child’s teeth alignment
  • I want to know the benefits of orthodontic treatment
  • I want orthodontic treatment that is inconspicuous
  • I want to get rid of my crooked teeth complex
  • I want to fix my protruding lip/overbite/gaps
  • I had orthodontic treatment before but relapsed

Here at Smile Hills Dental Practice, whether child or adult we will consult with you and create a plan to fit your needs!

Invisalign

Without use of wires, an orthodontic treatment method that can be freely taken out.

What is Invisalign?

Invisalign is an orthodontic treatment system that utilizing mouthpieces.
In comparison to conventional orthodontic equipment (that utilizes brackets and wires), these transparent mouthpieces are inconspicuous and allow you to take them off with ease.
For those reasons, you gain the benefit of eating meals without issue and the number of required visits to your orthodontist is much lower.

The Merits of Invisalign
  • Inconspicuous to those around you.
  • Utilizes mouthpieces that can be taken off anytime.
  • Can be removed for meals so there are no limitations to what you can eat.
  • Fewer clinic visits so it is suitable for those that are very busy.

What are the differences compared to conventional orthodontic treatment?

Invisalign Correction

Transparent mouthpiece that can be removed, so chances of cavities and gum disease is lower. Inconspicuous.

Conventional Wire Correction

Braces are fixed to the teeth so teeth brushing is difficult. More painful. Appearance is unpleasant. Stands out.

Invisalign correction does not stand out! Removable! Less painful!

Invisalign Comprehensive Package (For Adults)

For those that want to take their time or want to correct their teeth in their entirety.

Invisalign Comprehensive Package

The Invisalign Comprehensive Package allows for an unlimited number of mouthpieces so those that need complicated corrections or require corrections to entire rows of teeth are suitable.
Those that have used Invisalign usually required under 50 mouthpieces but there have been cases where those that required complicated corrections or needed large teeth movements have gone beyond that number.
If during treatment you would like to change your treatment plan, the comprehensive package has the flexibility to allow refinements until you are satisfied.

Recommended to those who
  • wish to straighten their teeth in its entirety.
  • want to take their time with consultation while proceeding with teeth correction.
  • have difficult cases.

Invisalign Lite Package

Treatment focused on the frontal teeth.

What is the Invisalign Lite Package?

The Invisalign Lite Package is for treating the front portion of the teeth and is suitable for cases where light correction is needed. By straightening the front teeth the patient’s impression will change and they will be able to smile with confidence.
The treatment cost is lower compared to the Invisalign Comprehensive Package and is suitable for those who want to correct only a portion of their teeth.

Recommended to those who
  • want to show off their beautiful front teeth.
  • want to keep costs down.
  • have relatively mild symptoms.

Invisalign First (For Children)

Orthodontic treatment for children prepared by Invisalign.

What is Invisalign First?

In its conception Invisalign was designed for correcting teeth alignment in adults, but the development of Invisalign First has allowed mouthpiece alignment correction for children. With conventional correction in children, the focus is in widening or enlarging the jaw so teeth can emerge in their desired positions.
Invisalign First utilizes the same methods to widen or enlarge the jaw, with its main feature of allowing simultaneous correction.
Starting from age seven, when the patient usually has a mix of baby and adult teeth, the first stage of treatment can begin with mouthpiece correction.
Applicable conditions are that the first molar and at least two incisors (baby or adult teeth) have come out by at least 2/3rds.
It is also necessary to have at least two baby teeth (C,D,E) or unemerged adult teeth (3,4,5) in at least 3/4ths of the jaw.

The Merits of Invisalign First
  • Less pain compared to wired braces.
  • Hygienic due to its removability.
  • Suitable for sports and musical performances.
  • Simultaneously have jaw adjustment and teeth alignment correction.
  • Lower discomfort.
  • Less susceptible to cavities
    (Can remove to brush teeth unlike wired braces).

Invisalign Types

Full Emergence
Adult teeth have all come out

Target age: Teens to Adults

Lite Package Comprehensive Package
Two year warranty for aligner from date of shipment Five year warranty from date of shipment of aligner
14 mouthpieces Unlimited
Partial Emergence
Adult teeth have not all come out

Target age: 7 to 15 year olds

First Package Phase 2 Package
One year warranty from date of shipment of aligner Five year warranty from date of shipment of aligner
Unlimited Unlimited
Invisalign comprehensive Package
Applicable cases The entire jaw
Period・Limit
Unlimited redesign for 5 years
5 years from first handover of aligner
Number of mouthpieces Unlimited
Miscellaneous
Treatment possible in cases with tooth extraction, without tooth extraction, frontal protrusion, open bite.
With very complicated cases treatment before alignment correction may be needed.
Invisalign First Package
Applicable cases

Control of jaw growth in children and orthodontic treatment.

Treatment of aesthetic arrangements such as prognathism or interference.

Period・Limit
Additional aligner
No restrictions in ordering additional aligners within 18 months of first delivery
Invisalign System Comprehensive Phase 2 Package
Applicable if you order the Comprehensive Phase 2 Package within 10 years of first delivery. Unlimited additional aligners for 3 and a half years.
Number of mouthpieces Unlimited
Miscellaneous
Treatment possible in cases with tooth extraction, without tooth extraction, frontal protrusion, open bite.

With very complicated cases treatment before alignment correction may be needed.

Orthodontic treatment possible even with a mix of baby and adult teeth

Invisalign Lite Package
Applicable cases

Mild crowding of frontal teeth

Includes some small molars

Period・Limit
1 set of refinements is possible within a 2 year period.
※Refinement is an adjustment that is made if the desired results determined in the beginning wasn’t reached. (It is not possible to change the desired finish determined in the beginning.).
Number of mouthpieces 14 mouthpieces
Miscellaneous

Can be used for mild improvement of teeth alignment.
Tooth extraction is not accepted.
Not suitable for serious cases.

  • Full Emergence
    Adult teeth have all come out

    Target age: Teens to Adults

  • Partial Emergence
    Adult teeth have not all come out

    Target age: 7 to 15 year olds

Lite Package Comprehensive Package
Two year warranty for aligner from date of shipment Five year warranty from date of shipment of aligner
14 mouthpieces Unlimited
First Phase 2 Package
One year warranty from date of shipment of aligner Five year warranty from date of shipment of aligner
Unlimited Unlimited
Invisalign Comprehensive Package Invisalign First Package Invisalign Lite Package
Applicable cases The entire jaw

Control of jaw growth in children and orthodontic treatment.

Treatment of aesthetic arrangements such as prognathism or interference.

Mild crowding of frontal teeth
Includes some small molars
Period・Limit
Unlimited redesign for 5 years
5 years from first handover of aligner
Additional aligner
No restrictions in ordering additional aligners within 18 months of first delivery
Invisalign System Comprehensive Phase 2 Package
Applicable if you order the Comprehensive Phase 2 Package within 10 years of first delivery. Unlimited additional aligners for 3 and a half years.
1 set of refinements is possible within a 2 year period.
※Refinement is an adjustment that is made if the desired results determined in the beginning wasn’t reached. (It is not possible to change the desired finish determined in the beginning.).
Number of mouthpieces Unlimited Unlimited 14 mouthpieces
Miscellaneous
Treatment possible in cases with tooth extraction, without tooth extraction, frontal protrusion, open bite.
With very complicated cases treatment before alignment correction may be needed.
Treatment possible in cases with tooth extraction, without tooth extraction, frontal protrusion, open bite.

With very complicated cases treatment before alignment correction may be needed.

Orthodontic treatment possible even with a mix of baby and adult teeth

Can be used for mild improvement of teeth alignment.
Tooth extraction is not accepted.
Not suitable for serious cases.

High Precision Tooth Pattern 3D Scanning
「iTero element 5D Plus」

We have in our clinic a digital impression taking device (iTero element 5D plus) that we would like to showcase.
In order to achieve better results with Invisalign orthodontics, it is necessary to take precise tooth profiles. With the iTero element 5D Plus, we can scan the inside of the mouth in detail and convert it to 3D data. This results in a much more precise tooth mold than one taken with silicon.
In addition, iTero element 5D Plus allows us to run orthodontic treatment simulations called outcome simulations.
Outcome simulations show changes in teeth alignment after orthodontic treatment, making it possible to make predictions before actually starting treatment.

  • 3D Digital Image

  • Incitement Analysis

  • Progress Assessment

  • Time Plus

  • Outcome Simulator

  • Intraoral Camera

The Merits of “iTero element 5D Plus”
  • Obtain precise teeth molds without discomfort.
  • Time to start treatment is reduced.
  • Post treatment simulations using 3D images is possible.
  • The patient can check and confirm the before and after treatment images.

Aso Aligner

Mouthpieces with a quick manufacture turnaround.

What is Aso Aligner?

Treatment is possible for front teeth when there is no issue with bite or if it is to correct relapse of previous treatment. It is also suitable for closing gaps. Treatment with Aso Aligner (Clear Aligner) is difficult when tooth extraction is required, when there is large disagreement between the upper and lower jaws, or for complicated tooth control.
Mouthpiece type orthodontic device Aso Aligner allows for start of treatment after 14 days of the diagnosis on first visit.
This is one-third of the time required to manufacture Invisalign and back-side braces.
In addition, we will manufacture a new mouthpiece every other month so you can proceed with orthodontic treatment while being treated for cavities or root canal.
On the other hand, since it does not support complex tooth movements, it is only useful for cases where the amount of tooth movement needed is small, the teeth need correction from a relapse of previous orthodontic treatment, or pretreatment is needed for wired braces or Invisalign orthodontic correction.

The Merits of Aso Aligner
  • Transparent so it is hard for others to notice.
  • Removable.
  • Treatment can start immediately.
  • Cavity treatment is possible during orthodontic treatment.

Aso Aligner – Treatment Precautions

  • Treatment is possible for front teeth when there is no issue with bite or if it is to correct relapse of previous treatment. It is also suitable for closing gaps. Treatment with Aso Aligner (Clear Aligner) is difficult when tooth extraction is required, there is large disagreement between the upper and lower jaws, or for complicated tooth control.
  • Mouthpiece correction has a big advantage in that it can be removed, but since the patient has the ability to do so treatment efficacy is entirely their responsibility.
  • Aso Aligner (Clear Aligner) is a treatment method that requires the full cooperation of the patient as corrective force is only applied when the mouthpiece is worn. It is desirable to wear it 17 hours a day including bedtime. If this is not met, the teeth will not move to the target position, the treatment period will have to be extended and you will not get satisfactory results.
  • When eating something please remove the Aso Aligner (Clear Aligner).
  • This is an orthodontic device whose management affects the treatment period and results, so it is important to understand it before use.

Orthodontic Treatment Pricing

※ The first visit consultation is free.

Invisalign Treatment Pricing

First Consultation Fee free
Orthodontic Precision Diagnosis Fee ¥35,000 (Tax excluded)
Invisalign Comprehensive Package Fee ¥880,000(Tax excluded)
Invisalign Lite Package Fee

¥580,000 bimaxillary(Tax excluded)
¥380,000 One jaw(Tax excluded)

Invisalign First Fee

Phase I ¥500,000(Tax excluded)
Phase II ¥550,000(Tax excluded)

Adjustment Fee

¥5000(Tax excluded)/ Month
(Attachment adjustment, correction progress confirmation, cough adjustment, etc.)

Post-Orthodontic Retention Device

Vivera Aligner

Both jaws ¥80,000 (Tax excluded)
Single jaw ¥50,000 (Tax excluded)

About Out-of-Insurance Treatment
Dental Implant Treatment

Unlike dentures or bridges, dental implants will result in a natural chewing feeling and the beautiful appearance will be restored.
In the place of the lost tooth, an artificial tooth root is placed in your jawbone with an artificial tooth/crown installed on the dental implant.
There is no need to touch your other healthy teeth.

Single tooth dental implant treatment ranges from ¥ 200,000.- to ¥ 500,000.-, with an additional surgery cost of ¥100,000.- to ¥300,000.- if needed.
If there is adequate width and height of the bone for the implant area, there will be no additional costs. Unfortunately, it is common for the bone to be missing or deficient in shape and size where the tooth has been extracted. Bone grafting may be necessary, which will increase the cost of treatment.

There are also some other complications and risks linked to dental implants such as:
  • Nerve injury: This causes pain, numbness or paresthesia in the surrounding tissues (e.g. teeth, gums, lips or chin)
  • Tissue necrosis: The cells in the flap of tissue around the implant may die (approximately 1 in 20 cases).
  • Gingival recession: The gingiva next to the dental implant may recede to expose the metal abutment that holds the prosthetic in place.
  • Excessive bleeding
  • A dental abutment or an artificial tooth might get loose after installment.

As well as your natural tooth, without proper maintenance it is possible for the bone around the dental implant to lose bone mass. We highly recommend a typical maintenance visit scheduled every three months to ensure proper care.

Cosmetic dentistry

Cosmetic dentistry is generally used to refer to any dental work that improves the appearance of teeth, gums and/or bite.
Our clinic utilizes metal free all ceramic and zirconia inlays, crowns, and bridges so your gums will not blacken. We also whiten your teeth to that of a natural color so that your teeth do not appear mismatched. A healthy appearance will allow for a confident and true smile. We want to give you more options so you can find one that suits you the best.

Price range 10,000 – 300,000 JPY 
(*It depends on a treatment)

Complications and Risks
  • 【Teeth Whitening】
    The two side effects that occur most often with teeth whitening are a temporary increase in tooth sensitivity and mild irritation of the soft tissues of the mouth, particularly the gums.
  • 【All ceramic crowns】
    Ceramic crowns are not as strong and durable as metal inlays/crowns.
  • 【All ceramic inlays】
    We need to drill your tooth more so than with a metal inlay because of the proper thickness needed.
  • 【Laminate Veneer】
    It cannot be used for your back teeth. It may come off depending on your bite problem.
  • 【Metal ceramic crowns】
    It is less aesthetically pleasing than all ceramic crowns because it has metal inside. After a certain period of time, aging or traumatic brushing will cause the metal skeleton to show and the gumline will turn slightly grey.

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