"Clear aligner treatment planning support by expert dentists and orthodontists only... how is that even possible?...." That was the incredulous response I received from a colleague during a recent dental fair. Admittedly, it does sound almost too good to be true. The cost of chair time My reply to my fellow dentist was straightforward: "Have you ever calculated the total cost of one hour of chair time in your office?" To our surprise, she hadn't. So, on the spot, we embarked on a fairly simple calculation. We divided the total annual costs of the practice (including the owner dentist's s ..read more

Dear colleagues Today, I'd like to delve into a topic that warrants attention in our practice - the potential impact of injectable lip fillers on orthodontic stability. Not only in clear aligner treatments but also on patients with no previous need for orthodontic treatment. While these fillers are commonly sought for cosmetic enhancement, their implications for orthodontic stability merit consideration. Here's a comprehensive look at how injectable lip fillers may influence long-term orthodontic results: Alteration of lip position. One significant concern of the injectable fillers, when ..read more

In a previous post, I described a procedure for bonding attachments. In this post, I've uploaded a video where I show you how to bond attachments (or engagers, as ClearCorrect calls them). In addition, there are a number of tips and tricks to make it easier to bond attachments to the teeth. Clinical tips As you can see in the video, there are some clinical tips along the way. If you have a sandblaster, use it to clean the tooth surface and remove any aphismatic enamel. This will improve the adhesion. Use a dark background color when filling your template. You can use a regular napkin or a ..read more

Have you ever had to bond attchments to porcelain? A lot of doctors experience how composite attachments debond from the porcelain surface once bonded into place. In this blog post we reveal our protocol, that worked for us throughout the entire treatment: Attachment bonding protocol for porcelain surfaces Place a large dry tip in each cheek. Place an optragate from Ivoclar Sandblast the porcelain with aluminum oxide - we preferred using the KaVo Rondoflex for this. Add Ultradent porcelain etch (9% buffered hydrofuoric acid) to the porcelain surface you want to bond to. Let it sit ..read more

Choosing the right treatment package from clear aligner companies is crucial, especially when addressing vertical discrepancies such as deep bites. In this blog post, we will explore the various methods and considerations involved in treating deep bites with clear aligners, emphasizing the need for a tailored approach based on the patient's diagnosis and specific requirements. Understanding Deep Bite Correction: Correcting deep bites involves a range of methods, including anterior proclination to achieve relative intrusion, pure anterior intrusion and extrusion of posterior segments, as well a ..read more

Once the patient has used their last aligner, we have hopefully achieved ideal occlusion and function. Just like the patient has a beautiful smile. As the oral environment is a very dynamic environment. Now comes the challenge of keeping the teeth in their current position. In this blog post we take a deep dive into retention after clear aligner treatment. Both bonded and removable retention will be addressed. Biological challenges From the delivery of the last aligner an onwards, the struggle against human nature begins: to keep stable something that is, in essence, unstable. No matter how we ..read more

As dental professionals strive to provide the best possible care, the integration of cutting-edge technologies plays a pivotal role in enhancing treatment planning and outcomes. In 2023, one such advancement that holds great promise is the integration of Cone Beam Computed Tomography (CBCT) in clear aligner treatment planning software. In this blogpost I will describe the pros and cons regarding CBCT integration in aligner software as of 2024. Understanding CBCT: CBCT, a technology that produces detailed 3D images of dental structures, has been widely used in various dental specialties, includ ..read more

I det sidste opslag beskrev jeg en procedure til bonding af attachments. I dette opslag har jeg lagt en video op (på engelsk), hvor jeg helt konkret viser, hvordan jeg bonder attachments (eller engagers, som ClearCorrect kalder dem). Desuden er der en række tips og tricks, der kan gøre det nemmere, at bonde attachments til tænderne. https://video.wixstatic.com/video/9b1749_9854ba244b2544349b8840f1b4d1c398/720p/mp4/file.mp4Kliniske tips Som du kan se i videoen, er der nogle kliniske tips undervejs. Hvis du har en sandblæser, så brug den til at rense tandoverfladen og fjerne aprismatisk emalje ..read more

Hos AlignerService bliver vi ofte spurgt om hvornår og hvordan vi anbefaler man bonder sine attachments/engagers på tænderne. I dette opslag gennemgår jeg hvorfor anbefaler, at vente 4 uger fra udleveringen af clear aligners, til du bonder attachments/engagers på tænderne. Du får en trinvis guide, der beskriver en 9 trins protokol, som sikrer, at dine attachments/engagers aldrig falder af. Hvorfor overhovedet anvende attachments/engagers Før vi ser på anbefalingerne og protokollerne, så lad os lige se på årsagen til dette opslag. Vi bonder retentionselementer af komposit til tændernes overflad ..read more

Som tandlæger anbefaler vi stort set altid ortodontisk behandling ud fra et funktionelt perspektiv. Patienterne investerer oftest i ortodontisk behandling ud fra et æstetisk perspektiv. Da æstetik hører til luksus segmentet, er det værd, at overveje hvordan man planlægger sin udleveringsprotokol (og sin prissætning af behandlingen). Det er væsentligt, at give patienterne en ekstraordinær oplevelse, der ikke adskiller sig voldsomt fra en normal konsultation, men som dog giver patienten en oplevelse af, at det er noget særligt, at gå i gang med en aligner behandling. På den måde sikres en større ..read more