At Urban Smile, clear aligner treatment doesn’t end with one set of aligners.
For almost all of our patients, the refinement phase is an expected part of treatment. It allows your Specialist Orthodontist to make small, precise adjustments based on how your teeth have responded, helping achieve the best possible result for your smile and bite. They’re the final step in achieving the smile your treatment was designed to create.
Here’s what the refinement phase is, why it’s recommended and what you can expect.
What Is the Refinement Phase?
The refinement phase is another series of additional clear aligner treatment used to make small finishing adjustments after you’ve completed your initial set of aligners.
By this stage, your teeth have already made significant progress. Refinements are designed to fine-tune the final details, helping your bite fit together comfortably and ensuring your smile reaches the best possible outcome.
Think of it as the finishing touches after renovating a house. The hard work is done, but a few final adjustments make all the difference.
Why Are Refinements So Common?
Although your treatment is carefully planned using advanced digital technology, every person’s teeth respond slightly differently.
As Dr Igor Lavrin often says,
“Biology doesn’t always follow technology.”
That means some teeth move a little faster, slower or differently than expected.
Rather than settling for a result that’s “close enough”, refinements allow your Specialist Orthodontist to make small adjustments based on how your teeth have actually responded.
Needing refinements doesn’t mean your treatment has failed or that you’ve done anything wrong. It’s simply part of delivering the best possible result.

What Happens at a Refinement Appointment?
Your refinement appointment is similar to the records taken at the start of treatment.
We’ll:
- assess your teeth and bite
- take a new 3D scan and new dental photos
- create a revised treatment plan based on your current tooth positions.
Once your refinement aligners are ready, you’ll continue treatment just as you have throughout your aligner journey.
Will I Need New Attachments?
Sometimes.
Depending on the movements required, your refinement appointment may include:
- removing some existing attachments
- placing new attachments
- leaving your current attachments exactly as they are.
Every treatment is customised, so your clinician will recommend what’s needed for your smile.
How Long Does the Refinement Phase Take?
Every smile is different, so the number of refinement aligners varies from patient to patient.
Many patients have fewer aligners in their refinement set than they did in their initial set, as refinements are typically focused on small finishing movements rather than starting treatment all over again.
Your Specialist Orthodontist will explain your updated treatment timeline once your refinement plan has been designed.
Do I Still Need to Wear My Aligners for 20 to 22 Hours a Day?
Yes.
Even during refinements, wearing your aligners for 20 to 22 hours per day remains essential.
Consistent wear helps your teeth move as planned and reduces the likelihood of unnecessary delays.
You’ll also continue completing your regular Dental Monitoring scans so your Specialist Orthodontist can monitor your progress remotely.
Are Refinements Included in My Treatment?
Every Urban Smile treatment plan includes one refinement phase, as it’s a normal part of achieving the best possible result for your smile.
In some cases, your Specialist Orthodontist may recommend an additional refinement to make further adjustments. If this happens, your Patient Consultant and Oral Health Therapist will explain why it’s recommended, what’s involved and any associated costs before you decide how to proceed.
Frequently Asked Questions
Do all clear aligner patients need refinements?
For almost all of our patients, yes. Refinements are a routine part of treatment and help perfect your smile and bite before treatment is complete. Occasionally, a patient may not require any additional aligners.
Can refinements improve my bite as well as my smile?
Yes.
Refinements aren’t just about aesthetics. They can also help improve the way your upper and lower teeth fit together, creating a more balanced and functional bite.
Will refinements make my treatment much longer?
Not usually. Your estimated treatment time is designed with the expectation that you’ll have a refinement phase, as this is a normal part of treatment for most patients.
Can I skip refinements?
Refinements are an expected part of treatment for almost all of our patients and are included in your personalised treatment plan from the beginning. If your Specialist Orthodontist recommends refinements, it’s because they believe they’ll help achieve the best possible result for your smile and bite. If you have any concerns, we’ll be happy to discuss them with you before proceeding.
Refinements Are About Perfecting Your Smile
Refinements aren’t an unexpected detour. They’re an expected part of treatment that allows your Specialist Orthodontist to perfect your smile before you move into retainers.
For almost all of our patients, they’re simply one of the final milestones on the journey to a confident, healthy smile.
Wondering What the Refinement Phase is Actually Like?
Understanding the process is one thing, but hearing from someone who’s experienced it can make it feel much less daunting.
Follow Megan’s Aligner Journey: My Refinement Appointment, where she shares her personal experience, what happened during her appointment and how refinements helped complete her smile.
Thinking about starting your own smile journey? Book a free consultation at Urban Smile and our team will create a personalised treatment plan designed by our Specialist Orthodontists.
Consultation required to assess suitability. Our orthodontists will advise if this treatment is right for you.
