Predictable treatments with clear aligners
Transversal malocclusions: spacing and crowding
The most common situation in any of our patients is a dento-skeletal discrepancy, which creates a lack of space and crowding that needs to be solved from a biological perspective.
In our Common Sense Aligners program, we address this issue from the very beginning: because we think that the transversal dimension is essential to successfully solve both sagittal and vertical problems later.
For instance, we know that a posterior crossbite affects sagittal correction through sequential distalization since interferences created by this make effective molar distalization challenging. Therefore, it is crucial to control and manage them.
To solve this, we will face many factors and decide if they are dental or skeletal. For this second option, it is important to use a conventional or skeletal-anchored maxillary expander. This is what makes us different; we offer a clear insight into every approach of orthodontic biomechanics. In contrast, an onboarding or certification program will always focus on “compensating” skeletal problems with dental “camouflage”.
Furthermore, in order to solve any transversal problems using clear aligners, we first need to understand the effects they have on arch development in all three planes of space. For this reason, Dr. Lozano provides clear explanations of reciprocal and antagonistic movement options in both the vertical and sagittal planes. This enables him to clearly show how, alongside expansion, we can also effectively address any vertical or sagittal components of the malocclusion, resulting in a more efficient treatment.
Also, Class III patients will require a differential diagnosis, which in our program implies the use of extractions, the ideal moment for IPR, and finally, a carefully planned, individualized approach for every patient, depending on the strategic vision of each doctor.
Sagittal malocclusions: class II and III
Class II management with distalization is also fully covered in our learning path, considering patient age, previous diagnosis, and biotype, which makes every case unique and requires delicate management on distalization, mesialization, and virtual jumps.
This is why an orthodontic learning program requires a global view. For example, intermaxillary elastics between arches can help in many situations, but it’s necessary to understand the different effects on torque and movement when using them on hooks or bonded buttons.
With the use of auxiliary techniques, doctors who join our programs are able to decide when to use specific resources for short and efficient treatments, which will not end up creating a great occulsion. Arch compression in spacing cases requires a deep knowledge of attachment selection to ensure sufficient anchorage. This is critical in prosthodontic restorations, where dental implants are used and must be carefully managed in interdisciplinary treatments.
Vertical malocclusions: deep bite and open bite
Same as with transversal and vertical, understanding aligner biomechanics with a deep or open bite are crucial in an aligner treatment.
Screen result on a clincheck, approver or iOrtho might be tricky, since if we just follow pre-set values on pure dental intrusion or extrusion, as suggested by many courses on the technique, we will end up with a bad result.
Also, in our program, we cover the relationship between virtual and clinical dentistry. It is important to understand that the result of digital planning depends on the management we do on every checkup. This, together with the analysis of situations in which it is important to use auxiliary tools, extract wisdom teeth or use them as intra-maxillary anchorage, will help us solve any case, even those involving complex adult dental cases.
Clear aligner advantages
In our mentoring programs, we understand that professionals also face the need to include clear aligners in their offices in a simple and efficient way. To achieve this, we also include a management vision based on key performance indicators on how to adapt our team to digital orthodontics by using intraoral scanners such as iTero or 3shape to allow the doctor to create an efficient workflow and focus on their patients’ needs.
With this approach, we present several ways to introduce technology on clear aligners with a 360-degree view, including payment options, patient communication, and internal protocols. These are set as a gold standard that will drive your office to both clinical and business success.
In summary, this is everything we consider vital for a master on clear aligners:
– Advanced biomechanics that allow for solutions to every case in a reasonable amount of time.
– A global vision of the patient, treating malocclusions as a conjunction of 3-dimensional needs and understanding the differences between every case.
– A 360-degree view of an aligner office from both clinical and business perspectives is necessary. Paying importance to commercial and logistics aspects to create an ideal workflow in your office.
If this is what you’re looking for, you’re in the right place: Common Sense Aligners.
