How to deal with crossbites in clear aligner treatments
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- Опубліковано 11 лип 2024
- How to deal with crossbites in clear aligner treatments? Should you correct crossbites all the time? If not, when should you correct crossbites? And how can you do it with clear aligners? How can you predict if you will be able to achieve a satisfying correction of crossbites in your clear aligner treatments? And not to make things worse...
The answers in this C.L.E.A.R. Tip video where Dr. Stephane Reinhardt, Director of the Education Program for The C.L.E.A.R. Institute will show you how he deals with crossbites in clear aligner cases.
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Timestamps
0:00 Introduction
0:50 What is a crossbite?
2:17 What causes crossbites?
2:52 Does it need to be fixed?
3:27 Expand
3:45 Consequences
4:20 To correct or not to correct?
5:13 Impact on oral health of malocclusion
6:07 Let’s look at examples
7:38 Mechanics
11:04 Pure translation
11:45 3 scenarios
12:42 A good trick
14:42 The perfect condition
15:42 Growing children and adults
16:35 Conclusion
16:50 SUBSCRIBE 😊
#theclearinstitute #occlusion #clearaligners - Навчання та стиль
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Very useful and important information presented with Stephane's unique québecois style. With compliments
From the Guru himself... Thank you, Professor Samson!
Thanks a lot, very useful information. I will share it with my colleagues. I have one question, in order to assess the bucco-lingual orientation of the posterior teeth sometimes it’s very difficult to assess clinically. Do you recommend taking CBCT in that situation?
BTW Gerry Samson is my Guru too!!!
Thank you for sharing @Anas Athar. CBCT... We could debate this all day... I like to rely on this systematic review published in the EJO in 2018 (academic.oup.com/ejo/article/41/4/381/5142364) where the conclusion was: C _BCT is justified only in those cases where conventional radiography fails to provide a correct diagnosis of pathology. Therefore, it cannot be regarded as a standard method of diagnosis. CBCT imaging may also be justified when it positively affects treatment options or provides treatment optimization._ Another interesting article published in the AJODO where they compare 3D and 2D for localizing impacted canines (dx.doi.org/10.1016/j.ajodo.2016.07.018) is worth reading.
To answer your question, taking a CBCT is not something I do routinely in my practice for my orthodontic patients. I will use it for impacted cuspids or any situation where I can't diagnose to my satisfaction or when I feel that conventional radiography does not provide me sufficient information to "make a difference" in my diagnosis and treatment planning. This is a clinical preference based on my interpretation of scientific articles and on my level of dealing with risk management. I hope it answers your question 🙂
Nice explanation but it would be complete if you mention something about buccal root torque in conjuction with cross bite correction. Have a nice day !!
That is an excellent comment BracesFix! And it is something we cover in detail in our upcoming course on Basic clear aligner mechanics available soon in our upcoming elearning platform! Stay tuned for more!
It is really interesting video; exactly my case I am a patient, however, I understand the knowledge that you are saying in this video. I underwent a bad treatment with 2,5 years with braces and everything was worse than before. After that I have been having an Invisalign treatment by a professor orthodontist. Now I think I have many problems such as asymmetry (3mm-4mm), bone loss, one contact at the crossing bite and all other teeth do not contact, the posteriors are opposite, I have been applied 4 or 5stimulations for expander the upper tooth as exactly what you are saying in this video, since the force is applied in the crown then it makes the axes of the upper teeth are not vertical. Machine learning could not solve everything as people often thing.
Machine learning is there to help for sure. But fortunately it does not replace the dentist… yet 😬 This is why it is important to understand the principles of clear aligner orthodontics and stop thinking that the software will do everything!
Hmm. If there is a big button on the buccal side of the tooth, couldn't it effectively provide counter-rotational force?
That will certainly help! As big as possible and as thick as possible. Horizontally oriented. With overengineering increasing the buccal root torque. Good point InsatiableMonkey :)