hey it's dr amanda with straight smile solutions straightsmilesolutions.com and today i want to
recap on something i've talked about in a few other videos and that is tricks and tips for
dealing with those annoying little spaces at the end of invisalign treatment how to prevent them
and how to fix them so i'm always getting tricks and tips from other doctors and from listening to
lectures and so i kind of wanted to consolidate it for you to give you tricks and tips okay first of
all if you are doing ipr if you are doing ipr you always want to under do your ipr so if they and
check out my ipr lecture i'm doing one in may 2021 you can find it at garrison dental i routinely do
ipr lectures for them about once a year so they also archive them i load my old lectures on my
webinar page which is my archive webinar page it's free it's letter g letter p webinar.com so you can
go there to watch it the one that's archived isn't great so you should definitely attend the live one
2021 it's free if you can and you get ce units but anyways of course you got to do your ipr
efficiently but i always want to under do the ipr so if they tell you you need 0.4 millimeters i'm
going to aim for 0.3 that's my suggestion first of all um number two if you have existing spaces
make sure you dry the patient off super good blow a bunch of air before you take that impression or
scan because we really want those spaces to show up on the clinch you know if there's
existing spaces they normally flag them so if you don't see that existing space you need to make
sure they to let the tech know that there is a space there another great thing you can do is you
can go through with floss and any place where you have an open contact is a space right so literally
go through a floss at the start or before the refinement and mark down all those existing
spaces that you have because again we want them to show up if you have a teeny tiny space that isn't
showing up but you know it's there you know you had an open contact my suggestion is to let this
is a good one let the tech know that you want 0.1 millimeters of ipr on that location you're
not actually going to do the ipr you're just telling them you want that ipr so they're gonna
that's basically gonna put that itty-bitty space in as something they recognize and then they'll
close it does that make sense so if i have a space between i don't know 28 and 29. not a space
it's just an open contact when i floss it um all those spaces i'm going to ask for unless when you
send the scan it gets picked up in the scan you know and it shows up on the clinch as a space
there's a 0.1 space you tell them you want 0.1 millimeters of ipr in that area and you never do
it so that is a hack it works really really really well um so that is probably my favorite hack to do
right now um we started doing that and it's been working really really well um like i said you do
that at the initial and you also do that before any refinement each time you go around and check
every single contact and make any open ones you're going to write point one even if it's a light one
you can write point one um and make sure all your space you document your spaces throw it into the
treatment plan for the technicians and also put it in your charting so when the treatment
plan comes in you can double check and make sure every space that you notice has been reflected
in the clincheck otherwise you ask them to do 0.1 millimeters ipr um what else virtual power chain
um it's normally default if you ask for it is three to three which is canine to k9 so that works
fine if you have spaces left over in the anterior region but it doesn't work for posterior you can
ask for it in the like five to five but it tends to do weird things so i wouldn't recommend that
so you can use a virtual power chain but don't forget don't give the patient virtual power
chain unless you have spaces because you might get crowding if it overdoes it so that's the biggest
mistake so make sure whenever you order vpc that you rip those last three trays off at the end um
and separate them put a big x on them or write vpc so that way by accident you don't give the patient
um those trays and think that they're regular trays because they're not regular trays they
do different things and they will cause way more headaches and way more over correction
if you didn't need them and remember it's only for anterior teeth
all right hopefully that was helpful again make sure let's recap make sure your ipr is accurate
under do your ipr by 0.1 millimeters add virtual ipr of 0.1 millimeters to any posterior space
with an open contact but don't do the ipr and use virtual power chain for anterior spaces thank you