with straight smile solutions streets mass solutions.com and today we're going to talk
a little bit more about putting on attachments for invisalign or any really any kind of
clear liner company that has attachments um this is a product that kind of passed my desk
and i've heard a lot of people talk about tetris evil flow personally i haven't used it yet but
i'm going to start recommending people to use it so um way back when you know there weren't
that many options for composite you basically had the choice of packable or flowable um
i've used both a lot of it really depends on what the shape of your attachments are that are in
your clinch so it's the first thing i'm going to look at and if they're just rectangular standard
attachments it really doesn't matter what product you use in that case i recommend the packable
and just pack it in but if you have some of these newfangled optimized attachments with
some of these really funky shapes and stuff you're going to need a flowable problem with traditional
floamable is that it makes a mess and if you have flash that comes off the aligners aren't
going to see ideally and this is probably one of the biggest mistakes i see a lot of
doctors doing is that there's too much flash they don't get it off it gets messy the aligners never
quite seat properly and because they don't see properly you have tracking issues and they end
up going in circles with refinements refinements refinements when the really the only issue was
that they didn't do the attachments perfectly so this eva flow is supposed to have best of both
worlds you have the syringe like a flowable so you can really get in all the nooks and crannies
but it's supposed to be a little bit thicker and more gelatinous so i definitely should
check it out i don't think it's super cheap but you could just use it only for attachments it's
supposed to also be very translucent and very easy to shape match so check it out
and um you can also check out my pigtail poking technique literally you can look that up or
just look at the word pig or pigtail within my youtube channel because this is the trick that
i was trained on with flowable for invisalign attachments and it's always worked for me
you know um so search within my youtube channel to get to my youtube channel go to your to youtube
channel and the big search bar and put in straight smash solutions that takes you to my youtube
channel from there there's a magnifying glass in the top right not the corner but top right
to the right of the tabs a tiny little magnifying glass it's very subtle put in the word pigtail or
just pig and it'll bring a video that literally has a pigtail on it and i'll talk about the
pigtail poking technique i actually show you how to do it i think if you use a combination of
pigtail poking technique and this product you will solve all your issues the other recommendation
i have is to go to any cannabis dispensary or if you don't have cannabis dispensaries in your state
if you're not a western state and i think there's a few eastern states that do too
um you can actually buy this from amazon um kind of hard to find it you gotta look up like
smell smell-proof containers or something like that anyways it's like a black smell-proof
container i will see if i can find it i may have made a video on it um i had one and some people
stole it from me i'm trying to see if i can find it but i'm not going to say why but in any case
the black smell proof container you can prep your attachment templates ahead of time
with because it's not only smell proof it's light proof um smell proof equals light proof you can
fill them ahead of time drop them in the container the night before obviously you're going to do it
in a super dark room that way your team member or the doctor can spend a little more time filling
this accurately of course with the flowable you don't want to invert or anything like that so you
might want to just do one tray per thing or maybe i don't know maybe you can put like a piece of wax
paper or something separating the one liner from the next stack them label with the patient's name
put it on their tray make the tray the day before it's going to be so much easier because you can
take your time filling it i think sometimes when you're doing a chair tie there's too much light
and you have to deliver it super fast right or it's going to set so if you fill the tray the
night before put it in that smell proof container they're about 15 bucks for one of those containers
you could definitely fit they come in all different sizes they usually round
but they're always black so um stack them put them on the tray the night before leave it there next
morning it's ready to go all you have to do is go ahead and throw your cotton rolls in the patient's
mouth i really love the nola suction device um it helps really really well don't do both trays at
one time just do one and if you really feel like you're slow you can always cut in half but if you
already pre-filled it there should be no reason to look at the um clinch shack and see exactly where
the attachments are only put the edge exactly where the attachments are do not edge the whole
tooth now you're gonna have trouble getting the flash off right put the little bead of etch just
where the attachments are follow the clinch act as a guide rinse dry till chalky um then go ahead
and prime the prime isn't a big deal don't use the etch and prime in one the elbows lollipops they're
super technique sensitive and you have more failure unless you're doing it exactly right
you know scrub your prime in some of them you have to light thin sometimes you have to light cure
read the directions and then you can go ahead and just slap that tray on it's
already been pre-filled light cure peel it off there should be very little flash
that comes out if you filled it correctly but the flash should be able to come off with a scaler if
there is it assuming you etched only the right spots and then it should be really easy and the
other cool trick you can use is you can use a black light you can buy a black light i bought
one from seven dollars from amazon i still have it it's really useful to look for like
animal pee and like if you clean the bathrooms and you go and turn the light off and you shine
it you can find teenage boy pee all over the place i use it for cleaning my bathrooms
but um really great for shining in the patient's mouth and looking for flash from composite too you
know you want the attachments to literally look like just like they do on the clinch if you see
any flash that you miss because this stuff is super clear just scoop it off you know and then
you can go ahead and go and this i mean your attachment should not fall off if you do this
only time attachments would fall off in this case is if you had a really weird shape and
the patient ate like nuts or something like that if the attachments are falling off within a day
or two that's on you that was a bonding error on your part you're not isolating correctly
um if it's lower molar attachments that are falling off it could be the patient's occlusion
it could be biting on it in that case you might want to add some anterior bite turbos to the case
do a warranty fit or have a patient eat with the aligners in i know that sounds a little tricky
but the cool thing about eating with your liners in and like only taking them out the brush that
means you're wearing them 23.75 hours per day 24 hours a day is that it's actually accelerated
ortho treatment and you can change trays way faster like every three to four days it's a
super cool hack instead of paying for one of these vpro 5 units or one of these like hyper bike units
or something like that why this is free it's free so and you can actually speed up treatment
or you could slow down treatment and it's just gonna crazy track but in any case that's all my
tips for you for invisalign attachments hopefully that was helpful thank you