This is a very valid concern. Just like in high school physics, for every action there is an equal and opposite reaction. Therefore, if there is something on your bottom teeth, there will need to be an anchor of some sort to help prevent undesired movements.
In my experience, if there is a need for rubber bands, there are large enough movements that it may require more than the 10 aligners available with Express. Still, your doctor knows your treatment best, so please make sure you let him/her know about your concerns.


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