hey it's Dr Amanda with straight smile Solutions straight smile solutions.com and today we're
going to talk a little bit more about Invisalign conventional attachments Invisalign optimized
attachments and I'm going to break it down for you a little bit I do have kind of a Nifty handout
that I got from Invisalign somehow one of my awesome clients gave it to me that came from
the UK Invisalign I can't post it because it's not my content so if you want it I'll give it to
you I can't sell it it's not my content so um you can just email me info straightsmilesolutions.com
or contact me through my website streetsmilesolutions.com and I'll be super glad to
give you a copy of that I'm going to break it down based on what I can share which is just talking a
little bit about optimize attachments which are on the left and conventional attachments that are on
the right personally to me I don't get to uh I don't get too obsessed about these attachments
the shapes what goes on I'll kind of go over like when you want an attachment when you don't
want an attachment and no I yeah I did my own drawings because I can't use their photos from the
contracts because that would be violating their content right so they they like to come after
me when I do stuff like that you would think they wouldn't because I'm helping them out but they do
so I have to be really careful what I post from Invisalign but in any case so your conventional
attachments are the original attachments I believe most the conventional attachments no longer are
patent protected that means I mean don't take me exactly I don't they've got thousands of patents
and um you know IP technology and that's part of their r d is part of the reason why they're such
a successful company hopefully their stock will go up this year but in any case I mean that's
why they stay for those of you who are doing spark and sure smile and all these other ones I'm sorry
but it is you guys are miles behind you'll never ever be the same thing as is a light technology
they're just 20 years ahead of you in terms of all liners whenever I have a hard case it's always
going to be Invisalign I'm sorry you guys can say whatever you want but it's just that much better
um for simple cases it usually doesn't matter to be really honest um I use a white label company
called Global if you ever want to use them if you're in the US it's only ninety dollars per
setup twenty dollars per aligner works out just as well as you know you know if you're thinking about
using go or light or moderate is the exact same thing literally the plastic is slightly different
it works just as well though they use a really good plastic so this doesn't come in the fancy uh
containers but in any case but for harder cases I we do use Invisalign so um and by harder cases
I mean cases with more than six millimeters crowding or spacing cases where we need major
digitalization cases where we need to really open the vertical there might be some transverse
issues anterior crossbite issues class two class three things like that those are going to go to
Invisalign always for me and you guys I've never worked for Align Technology I've never gotten any
Kickback for them I've never lectured for them I only think I've gotten them from them is pretty
much grief in the last 20 years so they don't treat me at well at all to be honest given that
I probably throw them a ton of business because I do like their product but you know it's a
love-hate relationship so I'm going to keep making my content to help my doctors out because that's
what they're asking for and inline technology is probably going to profit from what I do and
never say thank you but anyways um all right so we got conventional attachments on the right anyone
can use these attachments so that's why you see these type of attachments in a lot of um uh white
label companies and other types of companies the optimized attachments I believe most of them are
still IP they're protected um I mean to me I do just fine with these attachments so I mean I don't
get too excited about optimized attachments nor do I memorize what they all do nor do I even care
for me it's like do I want an attachment or do I not well how do I know I usually let the
software do it so the worst thing you can do the you're never going to be as smart as the
software I'm sorry and there's just no reason for you to waste your time trying to memorize
um this type of attachment has 10 degrees of root tip so I should use this optimize this what that's
a complete waste of Dentistry that is now what Dentistry is about there's a reason why there's
AI in their software let their software decide if you need an attachment or not now the tricky part
can be is when you try to control the process like patient doesn't want attachments on upper three to
three well now you may not get a predictable outcome because you just cut them off at the
knees if the tooth needs an attachment it needs an attachment and you've got to put it on or you're
not going to get what you want so let this off but don't tell them where you don't want attachments
see if it needs one and then you can decide whether you know it's going to be okay to
not put one on there and that goes with crowns veneers I mean obviously bridge is not going to
get attachment implants is not getting attachment but in terms of crowns I like to see where it's
recommended and then I'll decide okay am I going to try to prep this crown with the hydrofluoric
acid I'm going to rough it up I might have to cut a hole in the crown or am I not you know because
a lot of you are trying to dictate and control the The Narrative you're removing attachments or
you're replacing them and you're not getting what you want because you're not letting the software
do what it says okay so that's how simple my video is let the software do its thing
so obviously any type of movement that's extrusive in nature is going to need an attachment any type
of movement that involves major root upbring is going to need an attachment major rotation gonna
need our attachment major translation attachment if it's just a minor minor minor movement with
intrusion probably doesn't need an attachment and a lot of this also is going to depend on
the height of contour and the morphology of the tooth which is again something you'll
never ever be able to learn or memorize and you shouldn't be what a waste of brain space you're
not a computer let the computer do it we have computers for a reason so that is pretty much
it I mean you just have to kind of think about it right so like this I would say I I can't show it
in a three-day space but these optimize Extrusion attachments they're gonna have like a flatter
plane at the top you know to pull the tooth down so there's more surface area right and
these root control ones they've got one force coming from one side one force it's a counter
moment we use these in Ortho all the time so this is like basic Ortho Braces 101 you
will never never fully understand Invisalign Invisalign attachments unless you understand
braces and that's just a fact check you're doing things backwards you have to do basic Ortho before
you can understand Invisalign you can do your best but you'll never understand it to the level
that an orthodontist will understand it which is probably why your clinchex are not working out so
if your clinch checks are not tracking if you're doing multiple refinements you're doing something
wrong you're probably trying to control things too much or you're using a more limited product
or you're you're letting them sharp change you on the amount of aligners remember most
orthodontist cases are 50 to 100 aligners whereas the default clinchex are always like 30 or less
my cases are not that short so why because it's not going to work out it's highly unlikely it's
going to work out remember they're a public company so their goal is to control and cut costs
they're going to shortchange you on the amount of trays it might work it probably won't it's cheaper
for them to have you do multiple refinements now especially now that you're paying for shipping
then to give you a lot of aligners up front why because a lot of times patients are satisfied
enough and they don't want to do the refinement so it's cheaper for the company hey they're a
business I get it it's not that they're a Bad Company If it was a private company and I was
really into outcomes you know then then maybe I would do things differently but they're a public
company so that's how they have to run their business you guys as a dentist need to be smarter
knowing that what they give you is going to be crap initially but you can make a treasure you
can you can take a turn and make a treasure okay I've all my my [ __ ] checks are Treasures I turn
them from turds to treasure this is a terrible analogy at five in the morning but that is the
title of this video turned to treasure I'm like I'm gonna put it in the video thank you so much
um oh gosh I'm I'm too much coffee this morning but anyways hopefully this helps you get all
excited don't get too into the attachments if it needs one put one on laterals I always put big
big chunky full-size rectangular attachments on my upper laterals if they are tipped or rotated
at all or that they need extrusions they're gonna get the biggest possible attachments if things are
high and dry they're going to get big attachments so I'm gonna do the clean check first before I
start pulling attachments off you know crowns and stuff like that I'm gonna get to the final outcome
I'm gonna double or triple the amount of aligners then I'm gonna look for blue or black dots
um obviously anything with a blue and black dot is going to get a big gigantic attachment even
if they didn't say one unless it's intrusion and then I don't usually care um what else I'm
going to scan the TMT the tooth movement table and look for major extrusions because sometimes
my eye doesn't pick those up and then I'm going to make sure those have an attachment and that's
pretty much it so yes I'm going to put a lot of attachments on the case but guess what my
contacts are going to work so and you know what yes clear correct and some of the other ones have
slightly fewer attachments because their plastic is stiffer and their trim line is higher but it's
also less healthy for the teeth more pain more discomfort not good for perio patients in my
opinion and I'm sure a lot of periodontists will agree all perio patients go to Invisalign for me
they do never ever ever go to clear clear correct or any other aligner company major
aligner company that has high trim lines or stiff plastic so yeah all right have a great day thanks