
Table of Contents
- What Are Aligner Attachments?
- What Are Standard Clear Aligners?
- Comparison between At-Home Clear Aligners and In-Office Aligners with Attachments
- ALIGNERCO Clear Aligners
- Aligners with Attachments or At-Home Clear Aligners: Which One Is Right For You?
- FAQs
Clear aligners are becoming increasingly popular, especially among teens, for their comfort and transparent appearance. Therefore, Dentists now offer aligners with attachments in addition to standard clear aligners to treat severe dental problems as well.
Explore this blog to know what aligners with attachments are, how aligner attachments work, and their difference from standard clear aligners to help you decide a suitable treatment for yourself.
What Are Aligner Attachments?
Aligner attachments are small buttons made of tooth colored composite resin bonded to the teeth, and the clear aligners are molded to fit around them. Here’s how aligner attachments work: they add pressure points to specific teeth, helping aligners apply force where needed. This is an in-office treatment that enhances the predictability of tooth movement and the efficiency of clear aligners.
Who Needs Aligner Attachments?
Mild to moderate dental issues don’t need aligner attachments. However, if you have severe dental problems, your dentist may recommend aligners with attachments as they help position your teeth correctly and enhance your overall treatment.
Type of Aligner Attachments
The six common types of aligner attachments that can be bonded to your teeth, depending on your treatment needs and your orthodontist's recommendation, are shown below.
Aligner Attachment Type | Commonly Placed On | Purpose |
1. Horizontal Rectangular Bevelled (HRB) | Premolars | Helps keep aligners firmly in place |
2. Vertical Rectangular Bevelled (VRB) | Premolars and Molars | Assists in moving teeth vertically into the gum |
3. Extrusion Attachment | Incisors and Canines | Pulls teeth down and out of the gum |
4. Rotational Attachment | Canines and Premolars | Helps rotate cone-shaped teeth into alignment |
5. Biplane Rotational Attachment | Canines and Premolars | Controls rotation for better positioning of front teeth |
6. Root Control Attachment | Incisors, Canines, and Premolars | Guides the roots for proper alignment and closing of tooth gaps |
Pros of Aligner Attachments
Enhanced Tooth Movement
Attachments assist in applying controlled force to achieve specific tooth movements such as rotation, extrusion, and tipping.
Better Aligners Grip
They improve the aligner grip, ensuring trays stay snug and work more effectively.
Faster Results
By improving control over specific tooth movements, attachments can speed up the treatment timeline.
Custom-Tailored Treatment
Attachments are placed only where needed based on your unique dental alignment, making treatment more personalized.
Discreet and Tooth-Colored
Most attachments are small and blend in with your natural teeth, making them hard to notice.
Cons of Aligner Attachments
Slight Visibility
While subtle, attachments can still be visible, especially on front teeth or if stained.
Initial Discomfort
They might feel slightly bulky or cause minor irritation initially as your mouth gets used to them.
Difficult to Remove Trays
Attachments make aligners fit more tightly, which can make removal slightly harder.
Staining Risk
Attachments can stain if you consume dark-colored foods or drinks without proper cleaning.
May Require Additional Dental Visits
Occasionally, attachments can debond and may need to be reattached by your orthodontist.
Restricted Diet
As the aligner attachments are bonded to teeth, there are some dietary restrictions you need to follow to prevent damage.
More Expensive
Since aligner attachments require in-office visits, they tend to be more expensive than at-home clear aligners.
Effective in Specific Cases
Aligners with attachments are generally advised for more complex or severe dental cases.
What Are Standard Clear Aligners?
Standard aligners help you straighten your teeth by applying pressure through custom trays without using any attachments. These clear aligners can easily solve your mild to moderate dental issues, including crossbite, overbite, deepbite, edge-to-edge, midline issues, teeth spacing, and crowding.
Pros of Clear Aligners
Remote Treatment
Clear aligners can be used at home easily, without any dentist visits.
Nearly Invisible
Clear aligners are made up of transparent material that gives you a discreet smile.
Removable
Unlike aligner attachments, you can remove aligners anytime and anywhere.
No Dietary Restriction
The removable feature of clear aligners allows you to enjoy your favorite meals.
Comfortable to Wear
Clear aligners offer a comfortable fit as there are no attachments or brackets in them.
Easy to Clean
Clear aligners are easier to clean, helping maintain fresh breath and preventing aligner odor with proper daily care.
Cons
Not Suitable for Severe Cases
Clear aligners without attachments are not effective in severe dental conditions.
Can be Misplaced
As they are removable, there is a higher chance of losing them.
Requires Discipline
Aligners must be worn 20–22 hours a day. Skipping wear time can delay results.
Comparison between At-Home Clear Aligners and In-Office Aligners with Attachments

Caption: Standard clear aligners vs. aligners with attachments
Here is a brief comparison between at-home clear aligners and in-office aligners with attachments to help you decide which treatment is right for you and most effective in your case.
At-Home Clear Aligners | In-Office Aligners with Attachments | |
Treatment Type | Remote | In-office, supervised by an orthodontist |
Attachments | No attachments used | Small, tooth-colored attachments bonded to teeth |
Best For | Mild to moderate cases | Moderate to severe dental issues |
Dental Supervision | Limited or virtual check-ins | Regular in-person dentist visits |
Comfort Level | May cause slight discomfort initially | May cause discomfort initially |
Diet Restrictions | No restrictions | May require avoiding sticky or hard foods |
Cost | Affordable | Expensive |
ALIGNERCO Clear Aligners

ALIGNERCO offers the most affordable and effective clear aligners to fix your mild to moderate dental problems, including crossbite, overbite, deepbite, edge-to-edge, midline issues, teeth spacing, and crowding. ALIGNERCO offers solutions for both daytime and nighttime wear.
Why Choose ALIGNERCO Clear Aligners?
Custom-Made: These aligners are designed according to your unique dental structure.
BPA-Free Material: ALIGNERCO clear aligners are made up of FDA-approved plastic.
Cost-Effective: Our aligners are 60% more affordable than traditional braces.
100% Remote: Get straight teeth from the comfort of your home. No dental visits required.
Aligners with Attachments or At-Home Clear Aligners: Which One Is Right For You?
It is important to assess the severity of your condition before you decide which treatment to go with. Aligners with attachments can enhance the teeth straightening treatment in severe cases. However, if you are someone dealing with mild to moderate dental issues, standard at-home aligners are a go-to option for you. Standard aligners offer a fully remote treatment that’s more affordable than in-office options with no dental visits, just straighter teeth from home.
FAQs
1. What are the attachments on aligners for?
Attachments are small bumps made up of compact resin; they are bonded to your teeth, and aligners are molded over them. They enhance the treatment in severe dental cases.
2. What accessories do I need for clear aligners?
For an effective and smooth clear aligners treatment, you need a care kit and a travel-friendly dental kit that includes a toothbrush, toothpaste, mild soap, and floss.
3. How many aligner attachments do you need?
There isn’t any specified quantity of attachments. Your orthodontist will recommend how many you need, depending on the severity of your case.
4. What are the different types of attachments in clear aligners?
There are six types of aligner attachments, which include horizontal rectangular bevelled (HRB), vertical rectangular bevelled (VRB), extrusion attachment, rotational attachment, biplane rotational attachment, and root control attachments.
5. Do aligners damage teeth?
No, at-home aligners don’t damage teeth when used as prescribed. Aligners with attachments are also safe, as they guide your teeth into proper alignment under an orthodontist's supervision.