01
Suitability of the movement
Some rotations, vertical movements, extraction spaces or bite corrections may need attachments, additional trays, fixed appliances or another approach.
Clear-aligner consultation in English
Invisalign and Clear Aligners in Saitama
Clear aligners are removable for eating and cleaning, but they are not suitable for every type of tooth movement. We assess your bite and discuss Invisalign, other aligner plans, braces and expected visits in English before you choose.
The booking form is in Japanese. If you need help choosing a service or arranging English support, please message us on LINE.
Medically reviewed by Dr. Ayaka Nakamura (Clinic Director) · Last updated: 2026-09-15
- Consultation and simulation
- No charge
- Package range
- ¥275,000–¥1,210,000
- Wear requirement
- Generally 20 or more hours each day
Your treatment options
When clear aligners may be suitable
The bite, amount of crowding and movements required are assessed before the convenience of the appliance is weighed against its limits.
02
Daily wear and tray changes
The trays must be worn for the prescribed time and changed on schedule. Missed wear can make the next tray fit poorly and extend treatment.
03
Remote support has limits
LINE or online communication can help with questions between visits, but it cannot replace examinations needed to check tooth movement, gums, decay or the bite.
Treatment options
Clear-aligner packages and other options
The number of trays is one part of the fee. Examination, imaging, periodic checks and retention are shown separately so the estimate is understandable.
Very limited, one-arch treatment
A seven-aligner package without an included refinement, intended only for a very limited goal when clinically appropriate.
¥275,000 package fee.
Light and moderate packages
Packages with 14 or 26 aligners and a defined number of included refinements for mild or moderate plans.
¥550,000 or ¥770,000.
Full packages
Full treatment packages for broader movement, with separate options for non-extraction and extraction plans.
¥990,000–¥1,210,000.
Braces or combined treatment
Fixed appliances may be proposed when they offer more predictable control for part or all of the required movement.
After your examination, we will explain the recommended option, total fee and expected schedule before you decide.
Examination and treatment planning
How we plan clear-aligner treatment
A simulation is useful for discussing direction and goals, but it is not a guarantee of the final result. Diagnosis also includes the bite, gums, roots and the condition of the teeth.
- Full bite, jaw relationship and front-tooth alignment
- Crowding, spacing, crossbite, rotations and vertical movements
- Gum health, decay, existing crowns and missing teeth
- Need for attachments, enamel reduction, extraction or anchorage
- Daily wear, travel, sport and access to follow-up care
What to expect
From your first consultation to retainers
Step 1
Consultation and simulation
We discuss your concern, daily routine and treatment priorities, then explain whether further records are appropriate.
Step 2
Examination and plan
Scans, photographs and appropriate X-rays are reviewed before the movements, appliance requirements, fee and schedule are confirmed.
Step 3
Tray wear and reviews
You change trays as instructed. Reviews check fit, tooth movement, attachments, oral health and the bite.
Step 4
Refinement and retention
Additional trays may be needed when movement differs from the plan. Retainers are used after active movement.
Treatment details
Fees, treatment time and possible risks
The figures below are general guides. After examining you, we will provide a written estimate and expected schedule.
- Treatment
- Sequential movement of teeth with removable, transparent aligners selected after orthodontic examination and diagnosis.
- Fees
- Self-pay care. Package fees are ¥275,000–¥1,210,000 including tax. An illustrative total is ¥423,500–¥1,490,500, using 12–36 checks and including examination, panoramic X-ray, CT and one upper/lower retainer set. If needed, an additional aligner series is ¥110,000, an extraction is ¥6,600 or ¥16,500, an attachment/IPR procedure is ¥5,500 and an anchorage screw is ¥110,000.
- Time and visits
- Treatment may range from several months to around two years; a broader adult orthodontic plan can take longer. Regular reviews are required, and the schedule depends on the bite, amount of movement and wear time.
- Possible risks and side effects
- New trays can cause pain or pressure, and speech may temporarily change. Insufficient wear can prevent planned movement. Additional aligners may be required. Inadequate cleaning can increase decay and gum-disease risk. Root resorption, gum recession and relapse are possible, and retainers are required after treatment.
Amounts include tax. Self-pay care is not covered by Japanese public health insurance. When insured care may apply, eligibility and cost depend on the diagnosis and your insurance status.
Clear-aligner treatment
Dr. Ayaka Nakamura
Dr. Ayaka Nakamura is the clinic director. She assesses whether clear aligners suit the required movement and coordinates another orthodontic approach when the diagnosis calls for it.
- Hiroshima University School of Dentistry
- Member, Japanese Society of Pediatric Dentistry
The dentist who provides each part of your care may vary with the treatment and appointment schedule. We will explain who will be involved before treatment begins.
Frequently asked questions
Clear aligner and Invisalign questions
Can I have fewer appointments if I am busy with study or work?
Tell us about your schedule at the first consultation. We may be able to adjust the timing of visits. Online or LINE support can help between appointments, but some examinations must be completed in person.
Do I have to wear aligners while sleeping?
Yes. They are generally worn for at least 20 hours per day, including sleep, and removed mainly for eating, drinking anything other than water and cleaning.
Is the digital simulation the guaranteed final result?
No. It is a planning and communication tool. Tooth movement and the final bite can differ, and the plan may need refinement.
What is not included in the package fee?
Examination, panoramic X-ray, CT, periodic checks and retainers are separate. Additional aligners or procedures are added only when required and are shown in the estimate.
What happens if an aligner no longer fits?
Contact the clinic before moving to the next tray. We may ask for photographs, arrange a visit or adjust the tray schedule depending on the cause.
Related care
Related treatments you may wish to compare
Adult orthodontics
Compare clear aligners, braces and combined treatment.
Read in English →Veneers
Understand when surface restoration and orthodontic movement answer different concerns.
Read in English →Cleaning and maintenance
Keep the teeth and gums healthy during appliance treatment.
Read in English →THE DENTAL OFFICE Shiki
Talk with us about clear aligners
You do not need to choose a treatment before booking. Tell us what concerns you, and we will arrange the right consultation in English.
Access
Camel Building 4F, 2-30-20 Tohoku, Niiza, Saitama 352-0001, Japan · 2 minutes on foot from Shiki Station South Exit (Tobu Tojo Line)
Opening hours
Weekdays: 10:00–13:00 / 14:00–20:00 · Sat–Sun: 10:00–13:00 / 14:00–19:00 · Closed: Thursdays and public holidays