hey it's Dr Amanda with straight smile Solutions straight smile solutions.com and today we're
going to go over some new 2022 updated Invisalign delivery instructions especially if you're having
fit issues so not everyone's having fit issues so if what you're doing right now is working for you
with your tracking if you're not having a lot of revisions refinements if your revision refinement
rate is less than 30 percent you're doing fine you don't need to change anything but if you're
a vision refinement rate is high or if you're having a lot of tracking issues let's talk about
what I recommend and I've done a lot of other videos on a liner video delivery instructions
this is going to be an updated so you want to make sure you watch all my other videos because
we're going to go more into depth so you can go to my Invisalign playlist it's probably the
best way to do it if you go to straight smile Solutions and you go to classes you're going
to see a liner educational videos they're free they're there you can go to my YouTube channel
straight smile solution scroll down on the home page and you'll see an Invisalign playlist you
can specifically look for videos about a liner delay delivery or liner take-home instructions
you can look by keyword there there I have a bunch of them and you know as the years go on
Ice you know often tweak the instructions a little bit now of course these delivery instructions are
only valid if you have indeed optimized your Clint check if you're just going with what the
text gave you this is not going to work because your case is not going to work because it never
it only works when you optimize the clinch check you have to do your clean check right
and then you have to give them the right take-home instructions and then they have
to wear it so all those stars have to align all three things must align everyone needs
to do their part optimizing the clinch act easy not hard if you don't know what you're doing get
an orthodontist who is really good at Invisalign who has a low revision refinement rate who isn't
just doing social six treatment who knows how to do comprehensive cases who's done 10 20 30 40 50
000 cases ideally hire them to help you out with your first couple dozen cases we do that at Street
smile Solutions you know like us I can send you to plenty other orthodontist friends of mine who are
doing it anyways boom not a sales pitch for that part two of course like I said learn to update the
clinch check do it right that's easy I can help you out with that um second part is that you we're
going to go over the second part today third part is that your patient actually has to wear it now
that part that's on you for picking the right patient having the right paperwork having the
right accountability Loop of course of course of course I always recommend that you use a virtual
accountability Loop software you can Outsource I always recommend in hand Dental is my number one
choice just because it's quite affordable and it has what you need and not what you don't need with
dental monitoring you're going to pay for a lot of stuff that I think you don't need if the price
is going to be multiple times more expensive than in hand because you're paying for AI and
unless you have tens of thousands of cases going on you don't need the AI you can do it yourself
so plus there's a lot to learn from learning to do it yourself later when you have a thousand
aligner cases going on at one time great you can pay for the AI let them help you out okay so
let's go over that middle part instructions take home delivery this is now what I recommend just
because a lot of you are having some issues first thing I recommend it doesn't matter whether you're
doing Invisalign clear correct sure smile reveal spark white label I don't care if it's aligners
first thing I recommend first appointment patient walks in I want you to try in a liner number one
no I didn't say attachment template I said aligner number one try it in put it in top and bottom each
teach your patient how to use chewies teach your patient what tracking is a liner number one should
fit like a glove like a custom wetsuit it should drop right down there shouldn't be any even micro
air bubbles between the aligners and the teeth it should fit literally smashed down if it does
not fit Smash down before you put the attachments on aligner number one you send the patient home
with the chewies and you tell them to work on chewing it down okay patient comes back 10 days to
two weeks check again the aligner should be fully seating if it is now we can put on the attachments
okay if it's not something happened either in your scan your impression or in the manufacturing
99 times out of 100 it's your scan or impression unless if you're doing white
label at home aligners and then it could be your manufacturing I've really almost never
had an issue with Invisalign and Manufacturing assuming you are using an itero okay there's I
mean it's just good the algorithm is good clear correct other companies yeah there might be
manufacturing issues so that might be that okay so like I said after they've gotten it down now
you can put the attachments on it should fit again just perfect just like it did before after you put
the attachments on there should not be tracking issues if if it's not seating after you put the
attachments on and it was seating before you put the attachments on wrong you get to take them off
and do it again so that means that either the tray moved you bump the tray or you had too much flash
you can try taking the flash off first if you're using flowable I told you don't use flowable don't
do that because you're going to have problems that's the number one issue do not use flowable do
not use flowable do not use flowable I can't tell you that enough times major major problems okay
do not send the patient home with the aligner after this unless it fits like a glove if it
was assuming it was fitting before remember the seven to ten days depending on what you're doing
if you slow down the plan seven should be fine if you didn't slow down the pet plan it should be 14
days ultimately it's going to be quicker if you slow down the plan and do seven days but that's
your choice and the patient's gonna be happier I always recommend multiplying your Invisalign
cases by two once you optimize them in your clear correct cases and your Smart cases and
your reveal cases and everything else by 2.5 or three so remember the seven days doesn't start
until it's fully 100 seated with no air bubbles the seven day starts boom once you've seen it
I have a daughter who has Invisalign she gets the concept she's a teenager she totally gets
it she tracks she doesn't have problems hey Mom look this tooth not tracking okay great
your seven days doesn't start until your chewies get it down okay mom got it it's not hard that
is it if you do it this way you should have almost no revisions and refinements of course
there are exceptions if the patient's in mixed dentition you're going to have revisions and
refinements the patient needs restorative work you're going to have revisions and refinements
if you do not create that accountability Loop through the different software company as I was
talking about in hand Dental Dental marketing Dental bonding wrong company Dental monitoring
system you can even use Invisalign virtual but I think it's trash you can watch my videos on why I
think it's trash I know it's free but I still think it's trash so it's just not good enough
um but it's better than nothing if your ex are ultimately cheap fine use Invisalign virtual
I'd rather you do that than nothing um but yes get your accountability Loop patient checks in
go no go every single aligner they don't get to change their liner until you give them the thumbs
up because you're double checking to make sure the aligner is seated before they move to the
next one that's a weekly thing okay you can do it every month but then there's a more chance that
they're going to go off track because you're not checking them every single aligner if you do this
you can do your aligner cases your Invisalign cases in just three to four appointments
assuming they're not mixed dentition like I said no if it's a crazy crazy crazy complicated case
with like 10 millimeters of overjet 10 millimeters of crowding per Arch transverse issues vertical
issues okay yes you might have a few revisions than refinements because it's so complex that
the Aeon the AI on the treatment plan maybe isn't as sophisticated as it is with the simple one so
there might be some reboots that's pretty pretty normal but it's the same thing with braces if I
have a really hard braces case I know it's going to take longer and I know I may have
to reposition some brackets that's just how it is so but a super simple slam dunk a liner case you
should not ever have revisions and refinements if you're doing your part and if the patient is
doing their part and I already went over with the three different parts are again let's recap
that one more time part one you need to make sure that you're doing your delivery and it's fitting
and that you don't set the patient home until it's fully seated if it's not fully seated you
did something wrong either or the manufacturing was wrong or the attachments were put on wrong
um or the trim was wrong and you don't send the patients home with the aligners you do it again
okay warranty fit whatever part two and then also sorry that that was part two part one you
optimize the clean check the setup you slow it down intentionally you make sure you have the
right attachments you make sure you have the right biomechanics you make sure it's predictable unless
you have a ton of experience you don't know how to do that if you're a general or pediatric dentist
you should it always Outsource or refer to an orthodontist to help you with your first couple
dozen cases until you get your hands you know really wet and you're used to optimizing a clinch
check okay that's part one the other one was part two part three is accountability Loop boom success
you'll make a ton of money off aligners your patients will love you they'll refer you other
patients and so on and so on and you won't even have to market for this all right thanks so much