amanda with straight smile solutions streets mass solutions.com and today we're going to tackle this
whole case selection for a liners conversation and i actually have like a ton of content already made
on this over the last six years all you have to do is look up invisalign case selection a liner case
selection within my straight smile solutions youtube channel there's over six thousand
five hundred probably seven thousand videos today because last time i counted was months ago and
there were six thousand five hundred um that's how many videos we have all different iterations of it
this is just going to be a generalized one just because i know they get buried in there and you
guys have a hard time finding them but if you want to look and watch some of these other videos and i
go more into specifics like for light for go for express for sure smile um you should definitely
watch those individual videos to find them you can go to my youtube channel to find my youtube
channel go to your youtube channel put in the search bar in youtube straight smile solutions
that takes you to my youtube channel which has a green banner once you're there scroll down find
the invisalign playlist it's towards the top and there's over 250 videos just in there and you can
just click through them until you find something you like or search by keyword which is the little
magnifying glass on the channel anyways so we're just going to kind of do a brief generalization
if you stick with this brief generalization it'll keep you out of trouble and of course
a lot of it depends on which system you're using invisalign you can take more things than you can
for sure smile and clear correct you know so a reveal there's definitely a lot more cases you
can predictably take so you have to be a lot more selective and a lot more careful if you're not
taking invisalign also if you're taking invisalign you have to do comprehensive if you're taking go
it's a lot more limited and just because they say you can do it doesn't mean it's possible
you don't know how many times thank you so much invisalign for doing a bad job allowing
doctors to proceed with cases they should not be doing and having them be unpredictable and
impossible because it gives me business so i do really appreciate their sloppiness
but um remember they're not in charge of the treatment plan you are they're just doing what
you tell them to do so if you tell them you want to make this a light case and it's not
possible they're probably still going to let you do it and it just won't happen and now you get
yourself in trouble and you're going to paying double trying to get yourself out of trouble
and the patient's going to be mad at you and you're probably going to have to give a refund
it's going to be a very expensive mistake which is part of the reason why you really really
should have an orthodontist helping you out with your first 10 20 30 40 50 100 500 cases because
you will learn so much and avoid so many headaches and it'll end up being cheaper in the long run
because you'll be doing things right and you'll be happy and everyone will be happy and it will
you want to be giving refunds and wasting a ton of your time trying to get yourself out of trouble
anyways okay so i'm going to try to keep this as general as possible and i'm going to stick
with invisalign for the most part because that is the best system for more complicated cases
you can do a lot of stuff you can do i i can confidently tell you there's nothing i cannot do
with invisalign i'm not saying it's always the fastest and sometimes it's faster than braces
but i never can will say no to invisalign case you know no i'm not gonna say no why not you can
do everything with invisalign so i've seen it done it very very very very confident with that system
it is a really good system and again i gotta tell you i do not drink their kool-aid i wish i didn't
have to say that i wish all liner systems were as good as invisalign but it's just that much better
they're just remember they were the original clear aligner system they're 20 i don't know 10 to 15
years ahead a clear correct and you know almost 20 years ahead of some of the aligner a lot of their
their widgets their gadgets their things are patented so the other you know the other companies
can't do everything that they can do or can't do it as well so that's just how it is now that being
said you can take other aligner systems like sure smile like reveal like white label like global
like clear correct and you can marry them with a lot of cool orthodontic appliances which are
readily available from any orthodontic lab you're all endorsed your specialties your the orthodox
labs you know you're john's lab i don't really care gergin's lab they're all very nice people and
you can use some appliances first for a few months fix that more complicated issue with an appliance
and then go into an easier cheaper system so there's definitely work around so you can don't
have to use invisalign if you have an issue with it or you don't have the scanner you just
be only opposed to supporting online technology i really don't care okay so there's definitely
workarounds okay so what cases should you flat out avoid number one anterior open bite cases don't do
it don't do it don't do it just don't any anterior open bite little one big one it's a no okay i
feel like it's a no yes there are workarounds okay and just because the clint check says it
can be done doesn't mean it can't be that doesn't mean it will happen doesn't mean it's predictable
doesn't mean it won't relapse okay these are so much more complicated than you know and there's
always an underlying ideology you have to solve the underlying etiology you have to find out is it
habit related is it airway related is it skeletal is it dental is it a tongue thrust is it a tongue
tie what's causing it okay um unless you fix the underlying etiology which might be surgical it
might be related to omt it might require a habit appliance you do not take that case okay until
it's fully fixed which may not even be possible if it's not a growing child so for that reason i just
say don't take them not even a little one it's a no okay if it's a growing child it's a yes but now
you got to learn how to do stuff with growing kids whole different not hard really really fun whole
different whole different world much much much easier than an adult okay so we said number one
anterior open bites of any form little big um number two class two and class three patients if
they're not solid class one even if they're one or two or three millimeters class two class two
class three i do not want you taking these cases unless they have their wisdom teeth out all of
them not impacted not erupted out and healed okay if you have the wisdom teeth out you can take them
but keep in mind it might change their profile and their function and their airway so you have to get
a step on those cases so do not commit to taking those until the wisdom teeth are out and healed
all of them not erupted out okay because it gives us some play so we can move the teeth around and
and and and you have a seth and seth number so you don't even commit until that's done
then you run this by an orthodontist who tells you if it's doable if it's going to compromise
the airway if it's going to make things worse it's going to make them look better
in many situations it is 100 possible to take okay class 2 we can take much more severe class
2s for the most part class 3s it has to be pretty pretty mild um in order to take it
um don't even think about it okay so that's your so we talked about enter open bytes class two
class three with wisdom teeth in um must have a ceph must have a set for all those actually
um what else that's pretty much the big ball oh posterior cross bites no posterior crossbites
and adults you can take them and you can leave it and you can program it to leave it but you
need to make sure the patient knows that you're not fixing that part which means certain types of
paperwork which is not coming from invisalign you need to know where this paperwork is it is stuff
that we do carry in our store and that we do give for free to our clients straight smile solutions
store you can check it out we do have compromised paperwork and things like that but you really need
to understand it and be able to explain the why and remember anytime you do a compromise treatment
plan you need to have that paperwork signed by the patient that they understand their risk benefits
and alternatives and they understand that they can go get that fixed in an orthodontist they can
go get plant retained marbies and that's just don't do it as a general dentist don't do it i
won't even help you with the case if you bring it to me because that is way outside your scope of
what you should be doing that's a no i will not help you with that case send it to the
orthodontist do it right okay if they want these things fully corrected and there's amazing health
benefits that come from fully correcting these things so you're actually doing the right thing
for the patient by sending it to an orthodontist okay so those are the kind of four buckets i'm
gonna give you right now of what not to take for invisalign and remember gotta be comprehensive
no general dentist should be doing anything in light or express ever unless you've done thousands
and thousands and thousands of cases you will promise you it'll cost you it'll cost you more
it'll give you more headaches everything goes in comprehensive okay maybe later we can start
scaling it down to moderate once you get all your process and sops up and running in your virtual
check-ins whether you're using in-hand dental you're using dental monitoring you're using invis
virtual i don't really care there's a bunch of different ones that are out there gotta have that
going before you start scaling down um and that's pretty much it hopefully this was helpful thanks