hi i'm dr amanda and i'm an orthodontist i'm also the ceo of straight smile solutions
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hey it's dr amanda with street smile solutions street smile solutions.com and today we're going
to talk about the difference between those dreaded blue and black dots
and what to do about them if you get them on your treatment plan and of course as always
i am just an orthodontist i happen to also own straight smile solutions which is an orthodontic
consultancy company which helps to coach individual or dsl general and pediatric
dentists who want help with their orthodontic treatment plans does not have to be invisalign
but invisalign is a popular topic so any opinions that you hear on this video are that of my own
not that of aligned technology i do not work and i am not affiliated with them in any way thankfully
so um in any case we're going to talk about those blue and black dots that you get so blue
and black dots are a pain but you know what i'm actually really grateful for them and i'm grateful
that they added them into their technology and into their graphics because it helps doctors
be alerted that whoa that's a big movement are you sure you want to do that or letting you know
whoa that's a big movement this might be outside your comfort zone you might want to refer this
out so i generally tell general and pediatric dentist if they get black dots that's telling
them they probably shouldn't do this case or they need a coach even blue dots so it depends on your
level of experience so that's the alert for do not proceed without help or prefer this case out
um if you see no dots you probably are good to go so um for black and blue dots i often
definitely for black dots i often put full size attachments on i swap them out and i ask for
if if it's a rotational movement i'm going to ask for full size vertical if the tooth is big enough
if it is an extrusive movement i'm going to ask for full size horizontal so that's my little my
little trick it works very well for me the other thing i do with black movements is i actually
either 2.5 or three times the amount of aligners that is given to me in the treatment plan so
they tell me this plan i'll optimize it you know make it look really really good according to what
i think needs to be done and then the same visually says it's 25 aligners well
i usually do 2.5 times with a black dot so that would be three times would be 75 so 2.5
times is somewhere in the neighborhood of low 60s maybe 62. so 60 aligners so
this treatment plan just went from 25 to 60 aligners because i had a black dot guess what
works really well for me it won't necessarily make the black dot go away because you still
have that movement but the movement is dissipated over into teeny itty bitty smaller steps um so
you're more likely to get from a to z without a malfunction and needing a bazillion refinements
also having the full-size attachment it just helps for me and the other trick you can do just to let
you guys know and i have a ton of other videos on this so i don't even remember what it's called
so if you can't find this video you can try searching for it within my channel i think
i have over 3000 videos now but if you can't find it you can just look up the keyword invisalign or
invisalign rotated teeth or something like that or just email me info at straightsmilesolutions.com
and i'll send you the video um there's no charge for that i just i know where my stuff is so um
for like uh not for an anterior tooth because that would be in the way but for a molar or a premolar
or a canine i might even put an attachment on the paddle or lingual for a counter moment that
works really really well to help spin really rotated teeth of course extrusion same thing
you can put an attachment on the lingual as well there's nothing wrong with that as long as it fits
so you can ask for but you know if it's on a front tooth it might affect the bite so you have
to kind of think about that um if it's going to work because they might just knock it right off
but these are all things you can do so we talked about 2.5 to 3 for the black for the blue dots
it's two one and a half to two so 25 treatment plan is now a 50 or a 40 or a 45 so one and a half
to two depending on what i feel like so that just and i you know i mean i do the standard
one week changes i don't do two week changes if somehow magically the patient's telling me that
the aligners are getting crazy loose on day one and they're falling out and like this can i please
speed this up it just doesn't seems too gradual then okay we might do five day or four day changes
so ultimately you're still going to get your case done at the same time if you do that it's just the
patient's going to like you better because they're changing out the trays more frequently and it's
cleaner and it's just less icky and they're looking at their friends that are doing two
week changes and they're doing five day changes and you're like haha it's a secret and guess what
i'm not paying anymore either so um but you know what don't think that you're ripping off online
technology because you're actually doing a favor because if you do this your likelihood of doing
revisions and refinements goes way down which means ultimately you're using the same amount of
liners that someone else would have done it's just you're doing it all in one go instead of two goes
so they actually should be thanking you because i really think that they should be tracking
revision refinement rate i'm gonna wreck you know i just came up with this great idea i'm gonna
i'm gonna pitch it to online technology even though i don't work with them i'll pitch stuff
and they they swipe my stuff all the time i don't know if they're just thinking in sync or i give
suggestions and i post them and then they just use them but i don't mind so you guys heard it here
today i am going to suggest that align technology put a revision revision refinement frequency rate
on the doctor locator i want to know what every doctor's revision refinement frequency rate
is 20 80 because i know it's all over the place there's doctors that are very good at making their
clinches and there's doctors that aren't if they put that up because that is the number one thing
that pisses off patients is when you're when you have a bazillion revision refinements they hate it
so and there's i have a facebook facing consumer facebook group
i have nothing to benefit from it because i don't even work with consumers but they just
keep keep contacting me keep healing and i can't work with them one-on-one that wouldn't be legal
so i'm like here you go on my facebook group you asked your question doctors might answer
you know lots of moderators but you know we're not your doctor and they're asking for this rate
so i'm gonna propose it and i think it would be amazing i doubt they'll do it because they don't
want to piss off their doctors but guess what the doctors that are actually good they should be
they should know and i know that invisalign tracks that right or have a habit optional where
doctors can opt in to having it posted i think that would be awesome all right thanks so much