is dr amanda with straight smile solutions straightsmilesolutions.com and we're going
to talk about double it today doublet is one of my favorite philosophies i don't know if i
made it up but i always talk about it i think i made it up um if you've worked with me on a case
before like an invisalign case or a clear correct case if you work with me on an invisalign case
i do double it if you work with me on a clear crack case i do triple it why well because the
default movement per invisalign aligner is 0.25 millimeters per aligner that's a quarter of a
millimeter that a tooth moves so and that's fine there's nothing wrong with that um clearcorrect is
0.3 to 0.35 i've heard two different things depending on what they do so it definitely
is a little more aggressive they take bigger leaps in between aligners the problem is the bigger the
leaps in between the liners the more likely you are to fall in the water up goes the revision
refinement rate exponentially the more your leaps are in between aligners so i like to double it
and take my movements down to 0.12 to 0.15 that is my ultimate goal pearl aligner it doesn't matter
if i'm doing clear correct or invisalign i'm always doing comprehensive or unlimited and i
double it or i triple it it's the first thing i do whenever i see a case i wish i could put that in
my preferences but obviously the aligner companies lose money on me when i do that or the cases that
i work with but guess what they actually don't because revision refinement rates when you do this
go down down down down down to almost nothing assuming that you have put your patient on an
accountability loop you've picked a good case and you've optimized the clint check or treatment
plan there's a few other variables in there so obviously you can't just double it and assume
it's always going to track because if you don't have an accountability loop with the patient
they may not be wearing it i can't control that i can only control the parts that i can do
which is optimizing the clinch act and part of my philosophy to that is to double it so again
if invisalign says my setup is 15 aligners guess what it's now 30. i don't even think about it
if clear correct says it's 15 liners guess what it's now 45. now remember when you interview in
you know orthodontists um in general they're going to tell you their probably average length for an
invisalign case is 40 50 60 aligners whereas most gpas are 20. what's the difference well because
we're actually optimizing our clint check our goal is to do zero revisions refinements and to
get what we wanted the first time why because that saves me a heck ton of time getting the patient in
removing buttons rescanning redoing buttons that just wasted two hours of my doctor and assistant
chair time well my doctorate assistant chair time has a value and i can tell you
it's going to be way more predictable and the patient's going to be way happier to nail it on
the first go plus i do seven day changes and if somehow this patient is just crazy crazy
compliant they're coming in they're saying doc these aligners are getting loose after day four
any chance i can speed this up and not do one week where well yes actually you can let's do five day
wear patients love switching out their liners more often why because it's cleaner and healthier for
them it also keeps the keeps the forces slow and low which is healthier for the gums roots
and bones everyone's happy except for maybe the aligner company which is spending a little bit
more money on your case but guess what it doesn't affect it actually is better for my bottom line
because i'm saving money on share time and my patient is more satisfied because they're not
needing revisions and refinements and i get better reviews from my patients and better outcomes
it's a win-win for everybody ultimately and the aligner companies really should be happy if my
refinement rate is somewhere around five to ten percent and a gp's refinement rate is 80 well
guess what they're actually using less aligners on my case even though maybe they're doing more
upfront they're doing less overall so actually they probably should be happy now i've given this
idea to invisalign many many many times i'm going to keep pitching it invisalign and clearcorrect if
you are listening you i mean invisalign has a way that you can check your refinement analytics and
i've done a video on that if you want to watch that video you can go to my youtube channel to
access that go to your youtube channel put in the space bar straight smile solutions that'll
take you to my youtube channel which has a green banner from there there's a tiny magnifying glass
towards the top right you can put in refinement analytics invisalign and it should take you to the
video about how to look you're at your refinement analytics it is a feature or widget that they had
a few months ago they often take widgets down put them back up so i don't know if it's still there
but i find that analytic extremely helpful as a matter of fact when i work with doctors it's one
of the first things i check to see what their refinement analytics are are they at 90 80 70
to me anything over 30 is unacceptable so the first thing i want you to do right now is to
go check out that video and check out what your invisalign refinement analytic score is
if it's over 30 you're doing things wrong in fact if you're over 10 you're probably doing
things wrong but so what can you do double it with invisalign triple it with clearcorrect
and also implement an accountability loop with virtual resources and invisalign now has their
virtual check-in app completely free your patients can download it they can check in every week from
home matter of fact you don't even have to see them in your office give them the whole box of
aligners bye bye check in every week you know and if they get off track randomly make sure
they save all their own liners and go back to find the one that fits wear it for another week
and then keep going do not keep progressing if your liner does not fit like a second skin or a
wetsuit it should there should never ever ever be a gap between the eyeliner and the tooth if
there is you're doing things wrong you need to go back and find the aligner it fits if you lost all
your liners then you need to come in for that darn refinement but that's pretty much it hopefully i
inspired you and you'll have better clean checks and save a lot of money alright thanks so much