The efficacy of the byte nighttime aligner program.

June 23, 2020

The efficacy of the Byte nighttime aligner program.

Byte nighttime aligners are doctor prescribed orthodontic aligners designed to move teeth with less than full time wear. A network of licensed orthodontist, approves and then monitors the program for each user. The aligner system leverages high frequency vibrations (HFV), high quality aligner material, varying tooth movement velocities, and the favorable physiology of nighttime tooth movement in order to be successful. The high frequency vibrations are provided through the proprietary HyperByte tool. Patients adhering to this program are instructed to wear the aligners for at least 10 continuous hours, but are highly encouraged to wear for more than 10 continuous hours if their schedule and lifestyle permits. For example, encouraged use would include only removing the aligners to attend work or school, and leaving them in place the rest of the time. 

Orthodontists have been using part time wear appliances to successfully straighten patients’ teeth for decades. Headgear, orthodontic face masks, reverse pull headgear, the Andresen appliance, the bionator, the twin block appliance, spring aligners, and spring retainers are all part time wear orthodontic appliances that have been used successfully for decades.

Recent research on sleep apnea appliances has conclusively shown that teeth will orthodontically move with only part-time wear of an oral appliance. Sleep apnea appliances are only worn when sleeping, and thus present fantastic data on the efficacy of part-time wear devices. In fact, research has shown that about a third of adults do not get enough sleep. About 65 percent of Americans get a "healthy" amount of sleep, or at least 7 hours a night. Shockingly, 35 percent get less than 7 hours of sleep per night. The orthodontic tooth movements recorded in the adults in this study prove that teeth will respond if oral devices are used for less than ten hours. Keep in mind that these studies did not include the acceleration of tooth movement that Hyperbyte provides. 

In order for teeth to move orthodontically, the bone around the roots of the teeth must be remodeled. The term remodeling can describe bone resorption (the taking away of bone), or bone apposition (the adding of new bone). This is a complex physiological process involving multiple cells, hormones, and proteins. It has been proven that many of these physiological processes are most active when we are sleeping. Biochemical bone markers, such as osteocalcin, have been measured displaying a diurnal pattern. This suggests that increased bone apposition occurs during sleeping hours. In addition, bone turnover markers (BTM) are used to determine the overall activity of bone remodeling. These BTMs have a clear day/night pattern in humans. Markers of bone resorption and, to a lesser degree, bone formation, increase overnight. There is a peak in the early morning hours (a time period of predominantly REM sleep) and a nadir in the late afternoon.

In addition, the utilization of high frequency vibrations (HFV) has shown to drastically speed up tooth movement. The HyperByte device that delivers HFV to the teeth and surrounding bone has proven to be very safe and effective. The tool activates osteoblast cell activity as well as increases several bone growth markers. This favorable physiological response to HFV allows for tooth movement to occur with less than full time wear of the aligners.

In summation, the byte at night aligner program is a doctor prescribed and monitored program that merges the latest technology with solid orthodontic principles of tooth physiology. This program allows many patients to straighten their teeth with less than full time wear.

References:

  1. https://sleep-doctor.com/blog/oral-appliances-for-snoring-or-sleep-apnea-have-important-potential-dental-side-effects/
  2. https://www.livescience.com/53769-how-much-sleep-adults-get-by-state.html
  3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3939802/
  4. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5994176/
  5. https://asbmr.onlinelibrary.wiley.com/doi/pdf/10.1002/jbmr.2446
  6. Nishimura et. al. Periodontal tissue activation by vibration: Intermittent stimulation by resonance vibration accelerates experimental tooth movement in rats. 2008. Am J Orthod Dentofacial Orthop 133(4) pp. 572-583.
  7. Vij K. and Mao, JJ. Geometry and cell density of rat craniofacial sutures during early postnatal development and upon in-vivo cyclic loading. 2006. Bone (38) pp. 722-730.
  8. Alikhani, M., et al., “Osteogenic Effect of High-frequency Acceleration on Alveolar Bone,” J.D.R. 91: 413 (2012).