hey it's dr amanda with straight smile solutions street smile solutions.com
and today we're going to talk about upgrading your invisalign
package so for example if you've ever picked a light or an express or a go or a moderate and
you're like oh my goodness i this only comes with one or no refinements and now i clearly
under planned um for what i needed you know and or the patient was non-compliant or both
um gosh i really wish i could change this to a comprehensive can you do that
no so there was a time when i'm pretty sure you could because i remember people telling me they
did um i know you can downgrade from an assist to comprehensive that i've seen many many times
but also assist is more expensive so um and it's still a five-year thing
um you can change that which is a smart move because you should never do assist um but you
can't upgrade so all of these ones do have a fee for additional liners like they they say it's 100
and something or 200 and something um for so many more liners they don't quite explain it very well
sometimes you can talk your way out of it my your best ally is your tm your territory manager so
this is what i have to say i mean this is part of my beef with a line so you'll see sometimes
i have videos that are super pro aligned and sometimes they're anti-line and like i said
i've never worked for a line nor will i ever work for a line and i'm not compensated by them in any
way i make these videos because you'll ask me to make them i pay for these videos myself and align
probably gets more business from it so you know it'd be nice if they thanked me but no they mostly
just give me a hard time for making these videos so um i don't feel any need to be nice to them
but in any case part of my beef with a lion is that if i go so orthodontists know
like we'll look at a case and be like to be really reasonable this case needs to be bare minimum 25
aligners or 30 or 40. you know but if i go and take this case and i click light or you know um
express or something like that or even moderate they will make it happen like it'll look like it
happens in the computer animation but whether this actually can happen reasonably in a healthy way
without significant discomfort without messing up the roots without messing up the bone predictably
without causing perio without causing recession i mean you get the idea whether this actually can
happen often it does not and then basically as the doctor you're kind of sol because you are the one
that's supposed to do the treatment plan the techs are just there to support you if you say this case
should be a goal or this case should be a light unless it's ridiculously unreasonable they're
going to make that they're just going to make the computer look like it does you know so like
i said your tm can be your friend especially i feel like if you're a new doctor and kind of got
hoodwinked you know with an unreasonable treatment plan that clearly didn't happen especially if
you're using the virtual resources having your patient check in every aligner you know doing
everything you're supposed to do on your end as a doctor proving that your patient was compliant i
have seen doctors get free revisions refinements even if they're not included also if you have fit
issues trim issues other things of course that goes through warranty fit warranty fit would not
count as one of your revisions refinements it's a different you know pathway so that's why i really
suggest that you really have all your ducks in the row you have your tracking up and running you have
a plan for tracking you're using dental monitoring you're using a line flow you're using gpu ortho
tracking or you're using invisalign's own virtual check-ins if you're not doing that you've got no
you've got no ammunition in your gun you know to go and complain
because you didn't how do they know that it's not that your patient's not nine compliant right
how can you prove that it was the treatment plan that was underdone it was undercooked you know so
in any case you can end up paying significantly more than that 1863 or whatever it is 1878 i
don't know what it is now something like that high 1800s you can end up paying even more with your
revisions and refinements you can really flush money down the toilet if you pick one of these
more limited plans um so i always always recommend please do all your cases as comprehensive
until you get extremely experienced after doing 100 200 300 400 500 cases and really in order
to really understand invisalign i can't say this enough you have to understand braces
you have to understand interceptive you have to do those too you will never ever be successful at
invisalign till you do other things okay even if you don't want to do them you will learn so much
you know just doing them so again that's pretty much all i wanted to say is you can actually spend
more money by trying to be cheap with your lab fees and then you know often you know patients
lose trust in you they lose faith in you because you needed all these reboots if you just under
promise and over deliver this will never ever happen so just a little tip alright thanks so much