and with straight smile solutions straightsmilesolutions.com and today we're
going to talk about ipr in phase 1 cases braces cases or aligner cases and how it's different so
this is going to be kind of a discussion leading up to our big ipr webinar which is going to be on
may 17th at 7 00 pm eastern 4 pm pacific hopefully you'll be there if you want to
register the registration link is on my website straightsmilesolutions.com just go to events and
webinars and you can register there is a small fee for the class um doesn't go to me goes to garrison
dental but it only covers your supplies because you will actually get an ipr kit that's worth the
value of what you're paying as well as to type it on so um it actually comes out as a wash so the ce
units the 2.5 seat units are basically free you're just paying for the supplies that you need that
you can use on patients later so if it's something you're already purchasing anyways it kind of makes
sense right so we'll go more into this in the ipr webinar but today just kind of light discussion
and then i'm actually going to make individual videos on each of these topics that will go more
into depth and i'll be posting those um shortly so i'm sure you're pretty familiar with ipr and
aligner cases and ultimately it's going to come down to what brand of aligners that you're doing
as to how the ipr is staged and distributed so invisalign has the most flexibility you can have
it all at the beginning you can have it all at the end you can have it all spaced out throughout
however you want to do it you just let them know if you don't want round tripping if you do
want round tripping if you don't know what round tripping is you need to learn this this is super
super important go into my youtube channel go to the top put in straight smile solutions that takes
you to my youtube channel which has a green banner from there there's a tiny magnifying glass you can
put in a topic put in the topic round tripping and that should take you to those videos really
really important concept to understand or make sure that you attend one of my aligner webinars
um as far as braces yes um i do use ipr in braces cases but it's not always something that i do at
the beginning and i don't unless you're using some type of indirect bonding company that
actually spits out how much ipr you need you know um i i don't always know i mean i can look at a
case and tell you if it has a bolton discrepancy and if that's a bolton discrepancy i'm gonna know
i even need to leave space around well usually seven and ten the upper twos or i need to do
lower ipr or a lower extraction depending on the severity of the bulletin my eyeball is pretty
well trained for these things but sometimes i get surprised especially if it's something super minor
you know you get to the end of the case and you're like oh how come i'm at edge to edge occlusion
and my patient is solid class one well it must be a bolt and discrepancy now if you do not know
what a bolton discrepancy is again this is like ortho 101 you need to know this so same directions
that i gave you for the round trip you need to go look up my bolton videos and understand that how
to quantify it and everything like that a little bitty cheap thing invisalign's going to hate this
but if you throw a lot of orthodontists throw all their cases through their invisalign portal
they mock it up you know with the ios simulator they show the patients i mean most orthodontists
would prefer to do their cases with invisalign than braces just because it's way less chair
time it's way easier it's you know easier for them most people i know the right thing to do is always
charge the same price let the patient decide explain the risk benefits and alternatives to
each one um but at least the nice thing is when you work it up they have a visual um and then
if they want to do braces they can but then you kind of get the bolton numbers that are already
spit out in the clint check so you kind of know which is always great to know that to quantify it
ahead of time because then you can do it on the front end now i'm sure invisalign doesn't love
that you know that's not always my intention when i do this but sometimes that happens
but you know they're the ones that encourage us to work every case up through the ios so
obviously it's gonna be there um so that's that now phase one i do it sparingly and i should
have mentioned retention you also use ipr and retention i'll do a separate video on that later
phase one i definitely definitely don't do it on permanent teeth i will sometimes do it on
baby teeth especially if they're de-vitalized or ankylosed um or something later that's we're not
gonna want you know it's not gonna be sensitive because that way it almost gives me some space
to move the teeth into especially if i'm thinking about doing some epidistalization
or just trying to get space at the beginning so yeah occasionally done so all right hopefully that
got you excited about our ipr webinar hopefully you'll sign up soon all right thank you take care