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It is!!! With Dr. Galler principles and a lot of practice. :)

I absolutely do! I do ClinCheck workups like this under the umbrella of the @AmericanAcademyofClearAligners. Email me at ClinCheckCowgirls@gmail.com and I will walk you through the details. :)

Depends. My threshold for Dr. Galler's lower lingual canine attachments is >1mm of anterior intrusion.

That's such a compliment! Thank you! I teach in person courses for Align Technology and the American Academy of Clear Aligners. The only online course I have are saved webinars on the AACA website. www.aacaligners.com As a member, you immediately get access to all my webinars and more from my mentor, Dr. David Galler, and other super smart colleagues. There is more than 200 hours to learn from!

Right now, staging the IPR isn't allowed in the standard 3D controls. I have to write into the comments to have the tech's change it for me. You can put that into your preferences, so the 1st ClinCheck back should have that for you.

Thanks for watching!

Glad you like them! I just want to help other doctors as much as I can! :)

Hi, I wasn't perfect with my words, apologies. The beginning position of the UL premolar takes up more space in the arch. De-rotating it, or correcting it, would take up less space in the arch. Then the upper anterior would need to be retracted further to completely close all the space. I hope that helps!

@@clincheckcowgirl Thanks for the clarification! I enjoy your videos, learning a lot from them.

That is not a simple answer. There are multiple possible causes of a Posterior Open Bite. The solution depends on the cause.

Most welcome!

The solution to a posterior open bite is all dependent on the CAUSE of the POB. I do not use elastics to close a POB; I diagnose and solve. Where did I learn this? Dr. David Galler's Reingage course: www.aacaligners.com/reingage-courses

I don't stress about either, as long as I have 2 retention attachments per quadrant. Incisal beveled rectangular probably are a bit more retentive than optimized retention, if we were to split hairs.

It varies by how well the attachments are placed, how well the patient was compliant and monitored, plus how "willing" the bone was to allow change. 28 active aligners... with good compliance, 1 week wear worked well. A set of additional aligners is needed, but only 10 weeks worth. Overall, 10 months with aligner and retainer fabrication time included.

@@clincheckcowgirl amazing , thanks

I don't like auto-resolving contacts because the software will move teeth in ANY direction to do this... regardless if it is a biomechanically possible movement or not. Overall, the feature is more "feel good" than clinically helpful. *** REMEMBER: The ClinCheck is NOT a view of how the patient will actually finish. It is a model of how the aligners will be made. *** And, yes, introducing more intrusion and extrusion in the posterior is increasing unpredictable movements.

Yup. I think they used laptop mic.

Malpositioned teeth aren't always a malocclusion that *needs* to be corrected. Many molar crossbites are functional and damage isn't seen to the teeth nor the periodontium. Also in this case, the POB was a bigger concern.

I absolutely like that idea! That's a more advanced concept and apply it to more severe anterior open bites. Adding bite turbos on the molars (you need to ask the tech's for placement) helps increase the bite force to facilitate molar intrusion.

Email me! ClinCheckCowgirls@gmail.com

clincheckcowgirls@gmail.com

Overall, no. It's not about moving the teeth too fast. The rate of changing aligners doesn't vary that much, no not more painful. Orthodontics is a science and an art. There are different approaches and different levels of complexity/correction for each patient. I would ask WHY one dentist thinks 6mo and WHY the other says 18mo. I bet the dentists are thinking of two different ways to treat.

Awesome! I will check through my email again and be sure to reply. :)

I am so, so sorry to hear that. Hopefully another dentist can renew the faith as there are MANY good ones out there. Members of the American Academy of Clear Aligners have more training and higher success rates. You can find one here: www.aacaligners.com/member-directory

You're welcome 😊

The optimized root control attachment would be best for mesial translation. An alternative would be a vertical rectangle with bevel to the distal.

@@clincheckcowgirl thanks!

YES! Go here: www.aacaligners.com/member-directory

SURE! You can find my services via the American Academy of Clear Aligners. aacaligners.com The annual fee is pennies on the dollar considering the support and discounts you get! Once you are a member, you can find me under "ClinCheck Cowgirls"

Yes, it just doesn't show on the ClinCheck. The ClinCheck is a model of how the aligners are made, not an exact simulation of how the teeth will move and bite.

@@clincheckcowgirl Thanks for your reply! Was the bite corrected by aligners itself?

YES! Go here: www.aacaligners.com/member-directory

I wish I knew! You may have to call around. You're welcome to see me in Austin, TX!

Every doctor who has a CBCT in their office and an iTero can use it if they know how- I'd call and ask good question

It's impossible to know with complete accuracy. So without the CBCT, you need to have quality photos and use those as a guide. If you can see the scalloping of roots in the attached tissue, or a very thin band of attached gingiva, you should be very cautious about buccal expansion.

There's 2 major ways you can move teeth out of the bone: AP and Transverse- any orthodontist should know how to prevent this- if you're a dentist, we have a lot of resources to help you

I only provide plans for other doctors via the American Academy of Clear Aligners. Once you are a member via aacaligenrs.com, you can get free support with the Clincheck Cowboys or personal ClinCheck setups with me, the ClinCheck Cowgirl.

It's proprietary to Align, called ClinCheck 6.0

It can be done! The correct attachments for anchorage and keeping the molars as anchor teeth are key! Certainly need to see an experienced Invisalign provider. :)

Not needed on this adult case

Buccal movements will happen easier than intrusion movements. So it's common to see a POB start while you are waiting for the lower intrusion to catch up. Slow the treatment down a little, use chewies or Munchies a LOT, and then see how it goes. You don't necessarily need to re-do the treatment plan yet.