hey it's Dr Amanda with straight smile Solutions straight smile solutions.com and today we're going
to be talking about cling shacks and the whole cbct integration and the AI and the accuracy of
predicting fenestration and I know that for a lay person this is not going to make any sense
so this video is really dedicated more towards the doctors out there so first of all as with
any video about another company especially this one I have to say everything in this video is my
own opinion I am not I'm an orthodontist who's been using Invisalign for almost 20 years I've
seen or done tens of thousands of cases everything I'm saying is just my own opinion I have no beef
with Invisalign so any criticism that I give is my own opinion Invisalign online technology if you do
not like what I've posted you're welcome to send me a very pleasant email and ask me to change it
and give me the verbiage take it down I have been asked by doctors to make this video so if you guys
aren't going to provide this solution somebody has to provide it and I guess that is me so the
question is I mean I love the cbct integration I think it's a game changer um I wish we had a
CBC in our offices we just little too expensive and not enough space so we have to refer out so
because we have to refer out for cbcts when needed we aren't able to use the cbct feature
which is like I said literally a game changer with your Invisalign cases I highly recommend
you start using it it's a little bit clunky so I have a few videos made with the instructions
you can go into my Channel Street smile Solutions you can use the search tool which is on the top
bar looks like a magnifying glass put in cbct comma Invisalign and the video should come up
otherwise ask your territory manager they can help you out or you can call click Align Technology and
they can walk you through it once you figure it out it works out great but the question is
about those little sorry so the idea about the cbct and the clinch Act is that and I can't show
you one because like I said we don't have it in our office but I work with doctors who use it
so I don't have the release in order to show it and also Invisalign online technology tends to
get very upset at me when I show clinch X because they think that's their property even if it's my
patient so I guess it's their technology so unless I have permission they like to make me take it
down so that's why I'm not showing it especially since it's going to be a little bit of a criticism
um but you might basically I think is so cool and I and I think I really do believe I haven't seen
any of these cases finished yet but I do really believe it's quite accurate for the most part
um I mean obviously if you've worked with me on a clincheck you know support session before
you know that let's say you don't have a cbct and I say hey take a sap oh I don't know I don't think
this is a good idea to Proclaim this or to expand this I think you're going to push it through the
bone you know I'm just looking at Anatomy I'm just looking at gingiva I'm just looking at
photos I'm just looking at the patient's age I'm just looking at the patient's para charting this
is just based on experience and the SEF then I feel like I'm pretty accurate if you don't have
it but it's hard for a new Invisalign doctor not an orthodontist but someone who hasn't done a ton
of braces cases to have the knowledge that I have it's just impossible it just comes with experience
so this cbct feature allows you to basically get the the access to the knowledge that I have you
know so you it will literally turn the gingival margins red if you're pushing it too far forward
or too far out which is like duh thank goodness because a lot of these quote-unquote engines and
um you know just simple programs all I did was blast these teeth forward and blast these teeth
out and I was like my goodness this is nuts so um I'm thankful that they have it because now I don't
have to argue with doctors when they want to just push things forward and out so I'm like hey look
you can't it turns red you're going to devitalize those teeth you're going to damage those roots
you're going to have fenestration you're going to push it through the bone so that's cool the one
part that we're seeing with um this though that I'm not sure is right is when they turn it red on
the palette so let's say we've retracted a little bit let's say we've either done IPR or we've done
um sequential distalization and then you start to see the red scalloping on the palette you know
behind say seven eight nine ten eleven or upper three to three I don't think that's a thing so
it shows up on there Clint check with AI cbct as red I've done a lot of cases I mean whether it's
an extraction case or um I know you guys are anti those but you know in the past never have
I ever seen fenestration on the palette I'm not saying it's not possible I'm just saying it would
be very rare but these clinchacks are showing it like all the time I see them every single day and
doctors get upset obviously for obvious reasons it says red you know ah there's bone there I'm not
worried usually the the bone follows it you know even on the lingual I think I've seen it maybe
once or twice in a braces case have ever seen an Invisalign case no never I've seen it Buckley an
Invisalign case many times I've seen it label Lee in the Invisalign case many times but I've never
seen it lingle I'm not saying that's that's a possibility and I've never seen it palatal
um so for those for that reason I take that with a grain of salt and you know
you just have to kind of go by experience and here's the thing you guys the clinch check is
not the end-all be-all as you're going on with the trays You're Gonna Be You Gotta where your
your dentist hat you got to be checking period you got to be checking for these
things it's not just gonna poof you know like somebody having a heart attack or a stroke out
of midair I mean it's going to come very very very slowly you're going to see it coming the
progression of it and you can always stop it you know add some IPR change things whatever
change change the directions of things so I wouldn't overthink it but um yeah for the most
part I think you should be using if you have a cbct and you do Invisalign 100 and remember
this is AI I'm sure they built it on quite a few cases but in time they're going to modify it so
hopefully they'll lighten up a little bit on the whole um palatal red marks all right thank you