Amanda with straight smile Solutions straightsmilesolutions.com and if you're
doing clear liner cases in your practice you need to understand the issue that's going on with
flashing and I'm talking about Flash around the attachments of course but let's talk about the top
three reasons that you may have issues with your aligner or clear aligner case number one of course
is lack of proper case selection if you've watched any of my educational videos or attended any of my
aligner lectures and all this is Free by the way you can just go into my YouTube channel and search
by keyword there's also an Invisalign playlist on my YouTube homepage straight smile Solutions
and you can watch over 300 videos just on Invisalign full disclosure everything that
is on my channel is just my own opinion I'm just a humble orthodontist who makes fun YouTube videos
to help educate people just because I want to and also because I know that there's a serious lack
of good orthodontic education globally quality Airway friendly comprehensive focused air aligner
education a lot of it's for profit so I put my stuff out there for free yes it might make a few
Pennies on every video for my Starbucks coffee in the morning but it's a total loss for me each year
in the matter of hundreds of thousands of dollars um I make it for that occasionally people hire me
to help them with their um orthotic cases and that's how I make my money to be able to run
this channel so I appreciate all of you who do actually invest in me but anyways I will keep
giving as long as I can my tricks and tips for free um so top three reasons your case of course
if you listen to any of my videos goes off track is number one case selection you didn't pick the
right case for the right system if you want to know more about um green yellow and red cases and
how to pick the right case for the right system you can go into my channel and search by keyword
um number two of course is just an improper treatment plan you just don't know how to use
the software you don't know how to drive the bus you don't know how to create you're just
accepting what the technicians gave you which is always the biggest mistake of course in my
own humble clinical opinion there are almost no orthodontists unless they've set up with
like Invisalign preferred plan and they've totally custom tailored their preferred plan which takes
a lot of experience in order to go through that process I've already started it let me tell you
um we take two three four five six seven times to get a clean check right and I'm using clean check
as a generic turn you know a a treatment plan set up right it you don't just accept what first comes
back it's a lot of work to get these perfect and when you get it perfect that is just part
of having success in a case but it's in a really important part you can't skip that step and just
take what they gave you or it's going to often not be predictable or weird things can happen
um and lastly is the lack of accountability Loop this is a really easy fix you I mean orthodontists
are really really good at compliance is what we do we we can we know exactly when somebody's lying to
us and when they're not and too many General and pediatric dentists just accept it at face
value yeah I wear it 22 hours a day yeah no you didn't so um and a lot of times patients aren't
directly outwardly lying they just really have no concept of what 22 hours a day is which is why you
need that virtual accountability Loop unless your patient lives next door to your office and come
in every few weeks you need somebody you need a way to be able to check in ideally every aligner
it I mean the proof is in the pudding those of us who use Virtual accountability loops with our
aligner cases have almost much significantly fewer refinements and you can ask any of these companies
that sell accountability Loop software um like Dental monitoring or in hand Dental or any of
these ones and and they've got the proof there you know the research is there that's quite obvious
and any orthodontist will tell you that's the truth you put them on weekly check-ins and you're
going to it's same thing with a kid you know if I just let my kids just have free range with their
phone you know their teenagers and do whatever they want you know um the grades are going to
suffer you know you have to have a little rules in your house so you have to have a little rules in
your practice with accountability with aligners if you don't you're going to have a lot of
refinements and patients that aren't that happy so that's why you those are the main three things now
of course I know we're talking about Flash this is a little thing that a lot of times when I can't
figure out why something is going off track then I kind of zoom in on the on the attachments and
I'm like it's kind of sloppy if you have Sloppy attachments and Flash gooping out on the sides and
you don't clean it off well things aren't going to track so this is really really important to learn
to do it right and if you're if you're in one of those states where your team can do it the doctor
needs to check it at the end this is my tip for you and this will really help to solve that issue
um first of all don't use flowable I do have a flowable technique but I mean it's really
technically challenging and there's just just learn to pack it you can pack your trays the
night before if you use one of those airtight smell type containers and they sell these in any
state that has cannabis dispensaries you can also buy it from Amazon you can pre-load your trays in
a dark room you know um so that way it won't set and throw it in one of these ears tight smell type
black containers and then the morning they're ready to go you don't have to sit there and be
rushed chair side loading and it's going to save you I mean it takes time to be able to accurately
load in a line of tray so why be rushed you know do it the night before get everything set up
count the attachments and then when the patient comes in you're going to go ahead and you're not
going to just put the attachments on first first thing you're going to do is you're going to try
and train number one why without the attachments well because if there was a manufacturing issue
or maybe if your scan was way too long ago someone's teeth can shift between that and
delivery so that way you can go ahead try a liner one in without the attachments and it should seem
like a perfect custom wetsuit like a perfect glove there shouldn't be any tracking issues it's just
drop right in you know if you do that then okay you know there's no manufacturing issues there was
no issues with the scan um no shifting or anything between scan and delivery so that's good you roll
out that variable after that and if it doesn't fully sit then you do not put the attachments
on 100 no you send the patient I mean if it's like rocking that's a problem now you're just
going to rescan and repeat and do a warranty fit and pair that plan with um you know the existing
plan that you already had you don't have to start from scratch it's usually pretty quick
um you can also contact the aligner company that you're working with to help you out with repairing
it so you don't have to start from scratch to Novo um but if it's just a tiny little itty bitty you
know tracking issue have the patient wear it for a week or two you know without attachment see if
you can get it to drop down with chewies patient comes back in a week or two it's all dropped down
with Chewie's great we can go ahead and put the attachments on then we're going to repeat we're
going to put a liner one back in again after the attachments are on I'm gonna make sure nothing
broke off and it should fit exactly like it did before you had the attachments on again repeat if
there's air bubbles or anything like that I would double check and go through it with a fine tooth
comb and make sure there's no smooshy flash or anything like that and make sure everything's all
cleaned off you can even use a black light that's what I recommend you can buy again you can buy you
can buy these from Amazon but they're not used for cannabis dispensary stuff and be careful when you
search for black light online because you're going to see stuff you don't want to see but in any case
you can get a 12 to 15 black light for Amazon you know it's like a purple light that they use on
clubs and stuff and if you shine it on the patient in a darker room you can see the flash so that's a
really kind of a Nifty Nifty tool that you can use to clean flash off as well as that 15 black light
clean off the flash and if it's still not fully seating at the time they leave the office the
if you do listen to my other videos I do seven days but it really depends on if you
intentionally stage the case right but we'll say the seven to ten days does not start until it
fully seats so I always want to see the patient back in the office again before I give the rest
of the trays because this is a really easy way to avoid getting off track with your aligners so
again avoid the flash stop flashing your patience it's sloppy it shows lack of confidence patients
notice when they look at the things in the mirror and they know you rushed you're going to have fit
issues you could potentially have tracking issues posterior open bite issues the case might end up
taking way longer anytime you develop a pob it's now double triple the trays in order to get it
fixed and if you're trying to do an Express light or moderate case you might literally have just
added a thousand dollars in lab fees just because you were sloppy so of course that's a No-No to me
as well you guys all know about that be careful with those but hopefully this was helpful and
you will be a little more conscientious about how you deliver your cases thanks