hey it's Dr Amanda with straight smile Solutions streetsmilesolutions.com and today we're going to
talk about accelerated Invisalign or accelerated aligners and from time to time I get a client
asking me can we do this in 10 aligners instead of 20 or can we do this in 15 hours instead of 30 and
I always ask well why is this a cost thing like you're trying to use a like a lighter
system like instead of using comprehensive you're trying to use light or or Express
um is it or is it a time thing in that the patient needs to be done by X time and I have a hard time
understanding that unless they're shipping off into the military or you know moving around the
world I get that but if it's just they're getting married or something nobody can see that anyways
and worse comes the worst you just take the attachments off if they really want them off which
they don't even show up in photos anyways but when you take them off and just put them in temp
retainers they can just wear them at night during the wedding and then you can scan for a refinement
but I just want to kind of address how to make things go faster so the only way to make things go
faster is to actually do more aligners more steps little bitty little bitty movements in between
each step instead of doing less aligners and having big movements between a step why because
moving more frequently but slower incremental steps makes it more predictable they almost
always track and you can actually change your aligners more frequently like every three days
instead of every two weeks if you cut it down and try to do fewer aligners you're gonna have
to wear it for more weeks at a time which makes them nasty and then patients don't want to wear
them and it's way more likely to go off track it's also much more unhealthy for the patient
because anytime you have really high forces then low forces and high forces and low forces
you actually can cause more damage to the roots the gum the bones that's why we do not see root
resorption really on Invisalign very often but we see it all the time on braces because braces
is a high Force every sport to six to eight weeks whereas aligners is a low Force every
week or the way I do treatment plans it's even a lower Force every five days so that's what I
recommend but if you want to actually do like and I know you're probably going to ask me about like
Propel the little thing where they drill drill the innerosseous perforations okay yeah that
that does actually work when I do it no because I know patients have had it done and they said
it was like a pain worse than childbirth I would personally never do it on a patient if there was
some patient that absolutely had to be done by a certain time it's actually faster in my experience
to have them eat with the aligners in that means the aligners never ever ever come out except for
brushing which takes two minutes twice a day they're only out two minutes twice a day they
eat a full meal with them in every snack is with them in 24 hours a day they're in and but you're
gonna you're actually gonna like in fact the treatment plan is 20 I'm gonna make it 40 and
they're gonna change every two to three days so they're constantly throwing away and getting a
new pair constantly throwing away getting a new pair it goes crazy fast if you do that that is
the it goes twice as fast as regular eyeliners it really really does work and it just you
have to have the right patient the right patient who's like I'm gonna eat with them in no problem
um obviously they got to stay away from like curries red wine red sauces because they're
gonna turn red and they're gonna turn yellow and they're gonna turn orange right and yeah you are
changing them at least two or three times a week but still I mean you have to really eat a very
simple diet of not a lot of colors that can stain and I've done a lot of videos on what stains and
what doesn't um Invisalign actually stains a lot like a lot a lot where I dipped them in ketchup
and I dipped them in mustard and red wine this line is a very very stainy aligner the one that
stains least is actually the zendura flex flx which is the clear corrects material so in any
case and you can also make that for in-house hope that was helpful and you will consider doing my
cheap free version of accelerated Invisalign on the right patient of course right thanks