hi i'm dr amanda and i'm an orthodontist i'm also the ceo of straight smile solutions we
help dentists all over the world understand orthodontics better we work with all systems
braces appliances and brands of aligners and we support all systems and brands this video
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dot www.straightsmilesolutions.com enjoy the video
hey this is dr amanda with straight smile solutions straight smile solutions.com and today
i want to thank align technology for allowing me to continue to make useful videos for you
again all the words that are said in this video are the opinions of myself
dr wilson and street smile solutions were an orthodontic consulting company these are not
the opinions of align technology or invisalign and i'd also like to say invisalign please do
not send me any nasty letters for posting this today or nasty emails i make these videos to
help doctors upon the request of doctors who are asking for these videos to be made they trust
what i have to say and how i teach them so i would appreciate no more harassment on your side um
y'all i don't make any money for posting these videos so i'm just making them to help
because you're asking me so invisalign yes thank you i am neutral i am switzerland i work with
all different aligner companies and if there's something good that's out there i like to teach
others how to use it so consider it an honor if i'm making a tutorial video for your product
it's an honor all right anyways so i want to talk a little bit more about the if you've seen new
clinch 6.0 um and if you're doing invisalign m a you're going to start to see it looks a little bit
different on your clinch act and yes clinchack is a branded term for align technology but the scroll
bar at the bottom is normally gray it's usually i think it's a dark gray for active aligners
it's a light gray for passive aligners it used to be orange for over correction but it's not
anymore it's a little confusing but this green is the color of the bar if you have m a and if you
hover your mouse in the real actual clinch check which i can't make this video in clincher because
i will get in major trouble from them if i do um but you'll see it'll tell you when you're having
your jumps okay so this little arrow is the m a jump now let's take a step back and make sure that
you set up your clinical preferences appropriately i do have a video on how to set up your clinical
preferences specifically for invisalign first so if you can't find it in my youtube videos
you can reach out to me and i will send it to you but you need to first the first step before you
do invisalign mma is that you need to set this up properly or this thing's not going to work
what else we go over all the features and all the options with your preferences
in addition let's just take a step back and talk about invisalign i may have seen my other videos
on it i've kind of warmed up to it over the last few years initially i was not happy about it
um at all so um why would you use it what are the other options what type of cases is is it
appropriate for so initially invisalign mma was only available in the invisalign first feature
so invisalign farts just to refresh your memory um is different than visual and comprehensive
it's a little cheaper and it's only for up to 18 months in the transitional or mixed dentition
it's basically phase one invisalign is what it is so you're gonna need another phase later
remember if you do invisalign first and invisalign second your lab fee is gonna be probably well over
three thousand dollars maybe slightly less um maybe twenty twenty they don't quite say
the price for invisalign second yet or maybe they do but they weren't the last
time i looked so you're paying twice two lab fees if you do that no one says you have to
use invisalign for the second one you could use braces you could use white label aligners
but from my experience once you get started within with first phase with invisalign they're going to
be asking for the same brand so you better be prepared for that it's going to be hard to talk
them out of it even if you don't necessarily need it but now invisalign mma feature is available in
comprehensive which now makes it a game changer for me because comprehensive is a five-year option
so i can get started when they're still in the mixed dentition and i can stay with that same
product one lab fee until the end until they're done now that's a value and now i like it a lot
more before i was like no thanks so you can do it on a comprehensive patient which is great
you've got whole five years to do it which is more than enough but now we need to go into
is this appropriate so i have a first of all you should definitely check out the my phase one smile
guide that i created it is in my website at straightsmilesolutions.com you can go to store
and you can get access to my phase one smile it's a monograph it's a document and it's a good way to
screen to see if you know early phase treatment is a good idea or if you should do comprehensive
second of all you need to check out my hand wrist growth analysis it's also in my store
you can go there i also have how-to tutorial videos on that you can take a hand rest x-ray and
you can see if your patient is even still growing if your patient is past their pubertal growth
spurt no sense in doing invisalign mma is not gonna work all you're gonna get is some tipping
you might as well just do distillation and class 2 elastics to correct the overjet
so third you need to get a saph i really think anyone who's considering invisalign mma my
personal opinion and see my videos on sex i have a whole playlist on seth's as we go into is it
standard of care if you are changing the sagittal the ap which you are with invisalign a m a you
need a ceph you need a ceph it's standard of care you're gonna first of all you should be using it
second of all it's if you don't have it and something happens in this case you're in trouble
just my opinion so see my stuff videos on the why behind steps how to do cefs how you don't have to
even have the software there's so many easy ways to do it easy interpretation of seth's i
can teach you how to know the numbers and to know where you are is this truly a small mandible will
they benefit from m a so you need to dig into that don't just be prescribed in mma because you think
you need ma okay so do we want is the is advancing the mandible the best thing is restricting the
maxilla the best thing look at the position of the maxillary incisors do we want to retract them if
so then maybe ma is not the right thing to do so you gotta look at the soft tissue there's so many
things you need to look at okay before you decide to use m a i know i'm probably blowing your mind
but in any case it is a great option it's there you know it takes some getting used to but i am
seeing great success on with m.a um especially on 11 12 13 year olds who haven't finished
their growth spurt especially on boys because they definitely haven't a lot of girls have at that age
um who only want invisalign okay so what are our other options invisalign i got to give other
options because it's part of my risk benefits and alternatives and all doctors need to know
the alternatives another option if you want to go cheaper is to do something like a twin block or
to do something like a bionator lab fees on these you can bling them out make them colored sparkles
glitter maybe 200 250 ish for the whole thing patient wears it for a year or so nine months to
a year and then you go into some nice white label aligners it's gonna be i mean i don't know i mean
it's probably gonna be not that much less than this maybe seven eight hundred dollars less than
invisalign with mma i don't know you know i don't know i mean if money is really tight then that's
an option but the question is is the patient going to wear the appliance sure plenty do don't get me
wrong but from my experience you get best luck on using those when the kiddo is small 7 8 9 ten less
luck when they're 12 13 14 15. they're probably not going to wear that thing but they probably
would wear the invisalign with mma to school it's a little bulky but at least it's still invisalign
in the front nobody's really going to notice they're a little propped open when they talk but
nobody's gonna notice all right so that's pretty much it hopefully it was helpful have a great day