hey it's Dr Amanda with straight smile Solutions straightsmilesolutions.com and we're going to talk
a little bit more about idb or indirect bonding and how to pick a lab and what the workflow looks
like because a lot of you are thinking about doing braces especially if you're taking our straight
wire course which just launched a few weeks ago by the way they're still awesome promo pricing
I believe until January 11th you can double check if you go to my website straight smile Solutions
go to classes you will see it it's towards the top and you can click on it and the discount is
automatically applied if you have any questions you can ask cesoom.com they run the course I do
not anyways so let me tell you a little bit about the workflow and that really depends on what lab
you pick so I don't know all the labs I know a few of the labs and how they work so I'll kind
of tell you the workflow of the ones we use so the one I use is what I call a white label in direct
bonding lab that means it's unbranded that means I'm going to pay half the price of those you who
are using a six months miles or one of these other ones where they're charging you for a treatment
plan all that which there's no way that's going to be accurate anyways because there's no way you can
spit out what way are you using when that's just not possible I mean there's just so many
variables so you're paying for something that's just inaccurate so why pay for that right just
make sure the main keys are you're going to send either an impression or a scan to a lab
that does indirect bonding now before you pick your lab there's two main questions I want you
to ask one will I be given an STL file I didn't say screenshot I said STL file what's an STL file
it's a 3D image that can be spun around rendered flipped on your computer so that you can see
the tray and the position of the brackets like on a type it on from all different angles it is
invaluable the reason why you need that digital STL step okay and I didn't say screenshot that's
why I'm clarifying that I could screenshot you don't have the same abilities to see from
all angles is that as a doctor if there's an electronic sign-off step where you approve the
bracket positioning ahead of time then the way that works is it's like you've already
supervised the bracket placement you've done the bracket placement as the doctor digitally not
unlike you do with Invisalign or you're going to approve a clean check now there's a lot of
labs that do indirect money that do not have this step if they do not have this step then
most likely it is not digital placement and also you don't you the doctor have to do the bonding
because you haven't approved the bracket placement you need to do the brackets okay which may not
be a big deal to you but it might be at 4 pm on a Saturday when you've got a crown prep going on in
the other room okay sorry General Supervision in the same room but in any case you get the idea if
you digitally approve the bracket placement first of all that showed me security that they're using
digital placement which is the whole point there are quite a few Labs out there that do indirect
bonding and I've seen them that's why I'm letting you know I was shocked I just have some random
technician that they train up from high school to place brackets they're not orthodontists the
whole reason you're doing indirect bonding is you're having an orthodontist place your bracket
and I don't mean orthodontist from another country I mean orthodontists from the United
States who actually knows what they're doing I'm not saying people from other countries don't know
what they're doing but a lot don't okay because I see a lot of bad out there so why not have it
professionally placed by a computer send the sdl to you so you can flip it around look at
all different angles make sure that everything's symmetrical the way you want it and guess what
if you're not sure that's what us that's what US Ortho Consultants are for there's lots of us that
are out there would be glad to help you and take a second look have a second set of eyes that's
what we offer in our a la carte sessions in our concierge membership just want one case it's there
right okay so now that you've approved that then you're going to go ahead and tell them go ahead
and fabricate go ahead and print that model and what they're going to do is they're going to go
ahead and spit out that model they're going to go ahead and 3D print the little transfer tray
sometimes it's a suck down like a bleaching tray sometimes it's a 3D printing one that's another
question really doesn't matter to me I like the ones that are 3D printed better because you can
drop the brackets in them and it should come already pre-loaded like like jig so all you're
going to do it's like a matrix all you're going to do is put a you know do your normal etch and
Prime on the tooth okay follow the directions of whatever etch and Prime system you're using
not the whole tooth just the area where the bracket goes which is the middle of the tooth
and then you're going to go ahead put a little blob of trans bond which is the best type don't
use Global trans Bond and I have a lot of videos on indirect bonding and placing brackets so if
you want to know about that you can go to my YouTube channel and just put in like idb or
braces and all that I have a whole street right and if you take our straight work course it's
all in there anyways little blob of trans bond in the back of each bracket I recommend having
the trays split into halves or thirds so you just do a you know a section at a time that way
you know you can take your time you don't have to worry about it setting or anything like that
you like here through the tray you peel the tray off Boom the brackets are on easy you just put the
wire in so so so easy okay so the main things I said that you wanted to ask the key points
were is there a step where I get first of all is this digital or is this hand placed if they're
going to have an STL it's digital I can tell you that second of all do I have a digital do I have
static pictures to approve it is there even a step where I can digitally approve it those are
the two main things and then of course you also want to ask what type of brackets they're using
that's really really important get the name and the brand of brackets the lab that I'm using and
by the way if you want to refer like I said it's unbranded so you're not going to find it I have to
send you there but they're amazing we do them in our offices I've sent probably hundreds of
doctors there but there are a lot of other labs that I know too you know I just know this one's
established I've probably seen like thousands of cases so I feel really confident about the
outcomes and the price points like 400 so and that includes the treatment plan the digital files set
up the digital file step the actual transfer trades that are 3D printed and the 3m022 slot
MBT Victory Series brackets that are inside the tray so you want to intro give me a holler send
me an email info streetsmilesolutions.com or you can message me through your website Say Hey I want
to intro to your idb lab glad to introduce you make sure you give me your email and your name
but yeah that's pretty much it and then you know slap it on and then if you don't know
what you're doing and what wires to use that's where you need to work with an orthodontist on
your first few cases so you get the hang of it but it's really not that hard and um I do have
some lists that are on my website if you want to click on them what you need to get just for
basic supplies for idb and it'll link to Amazon so easy right I mean or you can take that list
and take it to any orthod distributor and get it from them I really don't care who you get it from
um you know that's pretty much that's the workflow so hopefully that was helpful all
right thanks so much and yeah if your price point is more than 400 450 and if the brackets are not
branded brackets if they can't tell you what brand they are like 3M unit Tech is top of the line o22
slot is standard MBT or Roth is standard if they can't tell you something like that run don't walk
because that means they're cheap brackets and you don't want that all right thanks so much