hey it's dr amanda with straight smile solutions www.striaghtsmilesolutions.com
and i've had a request um from a doctor who's asking me about
bolton discrepancies and he wants me to explain
how he can learn more about this within his invisalign
portal for his invisalign cases and just in general what is a bolton discrepancy
and i'm a bit at a crossroads here because last week i got a really nasty
me note from alliance legal team um telling me
i'm not allowed to make any instructional videos regarding their
stuff even though i don't make any money off these
and it takes a lot of time and actually cost me money to do this kind of things
for editing and everything i do it to be nice and to help other
doctors who are asking for my help they're
begging for help because alliance educational you know situation
is is not so great and you have to pay for
a lot of it and basic faqs and questions isn't available
if you have a question you have to talk to somebody from another country and
often it's it's cumbersome and they don't really
seem to be excited about talking to you and it's
really just quite confusing for me because i met with
invisalign's exec team in person last year and they welcomed me to do this
so i don't know why now they're serving me with papers and
trying to cost me hundreds of thousands of dollars
because i'm helping doctors so please feel free to reach out to invisalign and
let them know that i know now that they are they are
partnering with moles coaching agency so they don't i'm kind of a persona no
grata in terms of my coaching but if you appreciate what
we do for you at straightsmile solutions let team invisalign know that you
appreciate it and that you demand that we can still make instructional videos
to help you guys how to use their platform better and how to do things
better and to explain things better so yes
this is a bit of a a rant because i'm upset because
you know we're not directly partnered with anyone we
help all companies we help all doctors basically sorry we don't help companies
we help doctors and if it means we're making some
content about your product or your company it's just a truthful content on
how to use it and no it may not be the best thing ever and we're gonna say if
it's not great and it needs work but that's just how it is it's so
doctors can do better orthodontics so anyways
let's go back to the question which was about how do i use
my uh portal my clint check to learn about bolton discrepancies and
unfortunately i can't show you what it looks like because i'm not illegally
allowed to do that anymore so here is a purchase
an image i purchased from a stock image so at least you had something to stare
at while i talk and i will verbally tell you where to go
isn't this ridiculous wouldn't it be easier if i could just send a screenshot
and show you where to go and do a demo video but no can't do that anymore
thanks to your friends at invisalign so um yeah
all right so if you go into your clin check web sorry i use web because i have
a mac go to the third button from the right at
the top and it says bolton push that button on your case and it's
going to show you the button discrepancy it's going to show you a three to three
discrepancy and a six to six discrepancy remember three to three
means canine to k9 66 means molar to molar
it's going to show you if there's a discrepancy in the mandible or a
discrepancy in the maxilla and it's going to give you numbers
don't get overwhelmed with the numbers because basically what this just means
is that you have a small tooth size discrepancy and pretty much everyone
does not everyone's symmetric um if it's something super tiny you may
not have to do anything about it it's something bigger you might have to
do something about it the doing something about it means that you might
need to add ipr to one arch or the other um or you might
need to build up a certain tooth there might be some extra spaces left over
on one arch or another that's just a conversation that you want to have with
your patient obviously if you're doing the case through invisalign it's going
to get built into the treatment plan either they're going to leave spaces
on one arch or they're going to do ipr on the other arch
one or the other you can put that in your preferences there's a preference
section and you can watch our video on preferences so that
it automatically does one thing or the other either the spaces
or the ipr i would recommend the ipr of the spaces because sometimes the spaces
are teeny teeny tiny and you're not even gonna see them
but the patient's going to get upset unless they request it
um at the end so it's a conversation that you want to have on the front end
now of course if you're doing straight wire or braces or anything like that
there's nobody automatically calculating this for you so i mean that's just part
of being an orthodontist is that we get pretty good at verbally seeing
these things with our eyes like looks like there might be a bolton discrepancy
and of course there's different types of occlusogram and if you have certain
types of internal scanners there's different softwares you can run it
through honestly i don't even stress out about it if it's something super obvious
like you have peg laterals then i'm going to address it or small laterals
at the front end and just say hey look we have two options we can do build ups
or we can do lower ipr which one do you prefer here's the risk benefits and
alternatives and i ask the patients to pick what they want and i get a
signature and then that's that most the time they choose the ipr
sometimes they choose the build-ups or the veneers if you're doing
restorations i strongly recommend that you fold it into your treatment plan get
a signature and get a deposit on that restorative
because nine times out of ten you get to the end
and they said they wanted something and they changed their mind and now you're
just gonna spend a whole another six to nine months in treatment
undoing and redoing so that's why i recommend that
but anyways the more cases you do the more you'll be able to visualize these
you don't even need a software to tell you what to do and you know what so what
if you're in straight wire and you get to the point where you notice that
things aren't quite fitting together probably just means you have a button
discrepancy add a little ipr to one arch or open up some space
you don't have to quantify it on the front end you know you can deal with it
when you get there and you're in heavier wires it doesn't stress me out at all
but if i know it's there i just like to have that conversation
with the patient so that they don't get upset at the end all alright thanks so
much and again please feel free to nudge team
align technology and let them know you'd like to see our instructional videos
back all right thanks so much