amanda with straight smile solutions straightsmilesolutions.com
and one if you're having issues with your invisalign or clear correct or sure smile or
white label attachments sticking on the teeth like they're popping off
i have a lot of videos about how to troubleshoot that um and i'm not gonna go all into that i'd
actually like you to watch those videos first in order to access those you can go to your youtube
channel put in the search bar at the top street smile solutions three words and then from there it
takes you to my home page once you get to the tabs at the top there's a tiny magnifying glass towards
the top right but not in the corner you can put in the word invisalign attachments and it should
bring up all those videos on how to do it there's also great resources within your invisalign portal
um under the educational cert they have lots of videos on how to bond attachments and everything
and there is no wrong or right way to well there are wrong ways to do it but there's
lots of different ways to do it and if you ask um orthodontist everyone's going to have a different
opinion so you need to find what works for you in your chair and as long as they're staying on
um good it's working for you right so but one of the major troubleshooting things that i find
whenever a doctor tells me they're struggling first thing i always ask them is okay did it fall
off within 24 hours of you placing it or after 24 hours that's the magical number for me if
it's within 24 hours is your fault it's a bonding error okay if it's after 24 hours it could be one
of many things it could be what the patient ate i mean we don't normally do a restrictive diet with
invisalign but sometimes these new more optimized attachments that have some funky shapes they they
can act as a wedge you know and ease our lever and they could be busted off if the patient's eating
like flaming hot cheetos or taco shells or you know things that are really hard hard candies nuts
things like that so yeah you gotta make a diet you know give them the list of um restricted foods
that you give for braces patients and if you don't have a copy of that that's something that we do
sell on our website under documents we have a food list believe we have it there if not it's free for
any of our um concierge a la carte premium members anyone that's purchased a service from us it is
free we'll be glad to help you with that document just ask us and we'll give it to you if you're not
one of our clients then they're 20 each for our handouts but you can also look online it's not
that hard to find a braces food list they're out there so go ahead and find one yourself
i usually have the patients keep a food journal every little snack that they put in their mouth
i want to see what it is and i try to find you know a week or two weeks everything it has to be
very detailed if they didn't leave a detailed one they didn't do it right but um one of the
let's say it is coming off within 24 hours one of the number one reasons it comes off and this is
why i have a foot here is the pumice so obviously you can't just stick them on you have to make sure
your patient's teeth are clean and you can't come right after a prophy and do it because the pumice
that they have that's in those little cups it has either essential oils or oils in it to help to
distribute it on the teeth or it can have fluoride either which we don't want because it's going to
affect the bonding so you actually want to use lab pumice which is basically just like the stone
all ground up into a fine mixture no flavors no colors no it's not in a cup actually they
do sell it in a cup i lied they have ones in a cup but it's not um it's literally just pumice
and and water that's all it is you can buy them in a cup or you can just
buy it in a container lab pumice um and just put it in a little um those little like mixing pots
and a little water and and profit on you can even just do it dip a cotton roll in
it and just scrub it on the teeth um just like kind of an abrasive toothbrush but yeah that's
the number one thing just make sure you get the pellicle and the plaque off the teeth rinse dry
isolate you know i don't really care if you want to use if you want to use flowable that's fine you
have to be really careful because it can make a big mess sometimes i'll do a little pigtail
i call it a pigtail i go in with an explorer from the inside to the out of each attachment and just
make a tiny little poke going you can't go outside and you have to go inside out so that way the
when you poke the flash or the extra material from when you poke the hole it doesn't affect
the seating of the aligner it goes out and not in but that way if you have extra material from the
flowable it squirts out like a little pigtail and when you just remove it just breaks off so that
works really well i've definitely done that or you just do packable sometimes packable if it's
not if it's overfilled and not smooshy enough it's not like a hybrid it's hard to get in those little
crevices some of those crazy optimized attachments so you have to be really good at packing it you
can go ahead and prep this ahead of time if you have one of those um very light proof containers
and they sell these at any marijuana dispensary store or you can buy them on amazon they're like
black and they're light proof and smell proof no air gets in you can pre-load in a darker room your
aligners throw them in one of these things label it and you can do it the day before and then
when it's time to deliver it's already pre-loaded that's what i recommend because you really need to
take the time to load those um aligners and you know when a patient's sitting in the chair you
feel rushed right so better to do it early in the morning or the night before put it in one of those
you know weed dispensary containers they cost about 20 bucks from amazon or you can get at
any dispensary throw your aligners in there just let it store with the patient's name on
it and then so easy for you to to go ahead and bond the next day all you have to do is hatch
rinse air dry chill chalky scrub your scrub your primer on like cure if you need to for the primer
and slap it on and just do one at a time make sure you're pushing hard biting on cotton rolls
pressing against the teeth while you're light curing it and then when you're peeling it off
you can't just yank it you know you have to like almost like with a plastic instrument
almost like tease it off as you go you don't just pull because you pull it's going to you know plop
those attachments off but that's pretty much it those are my tricks for you alright thanks so much