The number one concern of patients before starting orthodontic treatment is how long the treatment will take. In the past 20 years, new devices and modalities have made the orthodontic process more efficient, but not faster. Most adult patients come into the dental office looking to improve their smile with Invisalign. Once the screening process is complete and the patient is assured that indeed they are able to address their chief complaint with clear aligner therapy, the follow up question is almost always, “How long will it take?”
Currently, aligners are worn 22 hours per day for 2 weeks to obtain the desired prescribed movements. The average adult aligner case is 11 months and most clinicians can assume they will need to have at least one refinement consisting of multiple aligners. PROPEL orthodontics has created a system that accelerates tooth movement, allowing aligner changes at 7-10 day intervals. (Fig. 1)

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