this is dr. Amanda from Street smash solutions today we're gonna be talking about my latest blog
and if you would like to go check out the blog you can go to straight smile solutions comm and click
on read our blog and let me take you there alright so the topic for this blog is really talking about
I get this question probably a couple times a month difference between comprehensive limited
and phase one treatment so let's start phase one versus the others for now so phase one
is basically in a nutshell its treatment that's directed or interceptive is another word for it
treatment that is directed more towards younger individuals usually these kids might be as young
as like 5 maybe all the way up to age 9 it's not really an age based thing it's more based on what
stage of dental and skeletal development they're in so you could have a 10 year old theoretically
who was still in phase one treatment because they only had you know 8b8 permanent teeth and mostly
baby teeth and they were still growing whereas you might have a eight or nine year old who was
in comprehensive treatment because most of their teeth ran so basically the goal of interceptive
or phase one treatment is to correct the bite and or do certain manipulations or position the jaw or
expand the jaw in a certain way so that growth is more favorable or that the jaws are the right size
so the teeth will come in better so for the most part it's usually involves growth and changing
the pattern or direction of growth of the teeth okay so bike expansion or jaw development like
encouraging a lower jaw to grow or restricting the growth of an upper jaw or encouraging an
upper jaw to grow or something like that sometimes interceptive treatment might just be straightening
the front teeth maybe one tooth is out there and it's intra nanak occlusion or one tooth isn't
crossed by or something like that right it's not usually a cosmetic thing although it theoretically
it could be there's always some parents that come in and they just want cosmic but usually cosmetics
is addressed later okay so that's intercept that's easy okay so let's now talk about the more
difficult and I guess you know more controversial topic which is limited versus comprehensive so
this is and if you talk to different orders unless you're gonna get a different opinion each time so
basically I'm pretty much translating what the al says so for me limited treatment means got a
lot of things going on we might have bite issues we might have growth issues but for the most part
we're just choosing to focus on like one issue which is cosmetic so maybe a patient has all kind
of issues going on but she just wants to close a gap or maybe the patient has lots of things going
on and she just wants to straighten her teeth the front for teeth only you know so that's
limited okay so I would say most direct consumer treatment is limited six month smiles is limited
because they're using round wires and they don't express torque so you're not doing what you should
do but that's okay it's not that it's wrong as long as the patient's aware and they're making
a choice and they understand their risk benefits and alternatives and they're making a choice okay
so that's limited and there's different things of limited depending on the age of the patient
are they a teenager or the kid so that's what that is there okay so everything else if it's not phase
one and it's not limited then it's comprehensive so comprehensive and little kids comprehensive and
teens comprehensive in the bolts okay so sometimes it gets a little wishy-washy let's say for example
let's take for example you're putting braces on all the teeth you're fixing the bite for
the most part but maybe the patient didn't wear their elastics so the bite didn't get completely
fixed and they're still three millimeters railjet yes it's still comprehensive okay what about an
adult I had this scenario we're doing Invisalign Invisalign comprehensive we're doing all the teeth
where you are fixing the bite but we're unable to fix the cross bite on tooth number two and 31
just because it's not possible without jaw surgery sometimes you can't okay in adults
it's still comprehensive all right so that's just those there's an occasional one-off but
for the most part in comprehensive you're taking lots of things into account you're gonna do your
best to ideals idealize the bite the smile line the gingival contour the alignment of the teeth
the soft tissue aesthetics it may or may not involve taking a symmetric x-ray you know it's
a little bit of a gray area depending on you know what you're trying to accomplish cephalo metric
numbers and stuff like that so anyways that's that all right hopefully that makes a lot of sense and
you know this will help you with I guess your billing as well so obviously if you're building
limited you're gonna get less money than if you bill comprehensive and it makes a difference so
you do need to take these things into account okay and so yes white label aligners can totally
be comprehensive totally especially it's a phase one case sorry a class one malocclusion no reason
what label aligners cannot be comprehensive you're moving all the teeth not all let me
give you a one off not all the software's or digital design programs do comprehensive some
only do the front six teeth or the front eight teeth or premolars on forward in that case no it
would be limited which is another reason to use the right software company all right in
any case hopefully that helps you don't forget to visit straight smile solutions comm we have tons
of resources tons of resources lots of freebies just I think they have like a hundred blogs in
there you can also visit our YouTube site we've got several hundred videos and demonstration
videos and we're always posting new things alright thanks so much we'll talk to you soon