Podcasts about aligners

“Even though the panelistswere huge aligner users, the statements are not so in favour of aligners, they are surprisingly reasonable.” “It's very difficult to find a real aligner experts without a conflict of interest. Almost impossible.” “If you explain the differences honestly, most of my extraction patients choose fixed appliances. I'm not selling aligners.” “Direct printing is the real breakthrough, but right now it has too many shortcomings to be a standard technology.” “I am pessimistic. We must fight for our profession — against the idea that technology can replace orthodontists.” In this episode, I'm joined by Vincenzo D'Antò, lead author and contributing author of this year's two major consensusstatements on clear aligners. We explore the key findings from these landmark papers and how they translate into real-world clinical practice. Vincenzo shares his own views on aligners, their limitations, and his pragmatic approach to integrating hybrid mechanics, particularly skeletal anchorage, into alignertreatment. We discuss recent innovations in aligner therapy, distinguishing those with genuine clinical value from those that are ineffective. We also hear Vincenzo's candid concerns about the future of orthodontics.  03:00 – Why did youcreate this Delphi aligner consensus?05:03 – How were thealigner experts selected for the study?06:51 – Do conflictsof interest affect aligner consensus statements?11:49 – Crowding: Whydoes the Alharfi 2025 SR show better outcomes for aligners?15:49 – 7 vs 10 vs 14days: How often should patients change aligners?20:03 – Are complexmovement failures a design flaw or inherent to aligners?22:19 – What trulylimits clear aligner biomechanics?25:46 – Is hybridorthodontics the future of predictable aligner treatment?29:35 – What hybridmechanics do you use most in practice?32:05 – Can wereliably treat extraction cases with aligners?36:03 – Is betterOHRQoL worth compromised occlusal outcomes?39:11 – Do alignerswork for growing patients, or is this just marketing?41:34 – Why ishigh-quality aligner research still so weak?44:30 – Final advice:What should orthodontists focus on for the future? Click on the link below to view previous episodes, to refresh topics,pick up tricks and stay up to date.  Please like and subscribe if you find it useful! Please visit the website for this interview podcast:https://orthoinsummary.com/is-there-really-a-consensus-on-aligners-a-delphi-author-explains-orthodontics-in-interview-vincenzo-danto/ Spotify podcasts for other platforms YouTubehttps://youtu.be/jpMUbYINxzg #OrthodonticsInSummary#VINCENZOD'ANTO#Orthodontics#ClearAligners#AlignerTherapy#HybridOrthodontics#SkeletalAnchorage#TADs#OrthodonticEvidence#OrthodonticsInInterview#FarooqAhmed#VincenzoDAnto#OrthodonticBiomechanics#OrthodonticResearch  Farooq Ahmed

Let's be honest – the occlusion after Aligner cases can be a little ‘off' (even after fixed appliances!) How do you know if your patient's occlusion after aligner treatment is acceptable or risky? What practical guidelines can general dentists follow to manage occlusion when orthodontic results aren't textbook-perfect? Jaz and Dr. Jesper Hatt explore the most common challenges dentists face, from ClinCheck errors and digital setup pitfalls to balancing aesthetics with functional occlusion. They also discuss key strategies to help you evaluate, guide, and optimize occlusion in your patients, because understanding what is acceptable and what needs intervention can make all the difference in long-term treatment stability and patient satisfaction. https://youtu.be/e74lUbyTCaA Watch PDP250 on YouTube Protrusive Dental Pearl: Harmony and Occlusal Compatibility Always ensure restorative anatomy suits the patient's natural occlusal scheme and age-related wear. If opposing teeth are flat and amalgam-filled, polished cuspal anatomy will be incompatible — flatten as needed to conform. Need to Read it? Check out the Full Episode Transcript below! Key Takeaways Common mistakes in ClinCheck planning often stem from occlusion issues. Effective communication and documentation are crucial in clinical support. Occlusion must be set correctly to ensure successful treatment outcomes. Understanding the patient’s profile is essential for effective orthodontics. Collaboration between GPs and orthodontists can enhance patient care. Retention of orthodontic results is a lifelong commitment. Aesthetic goals must align with functional occlusion in treatment planning. Informed consent is critical when discussing potential surgical interventions. The tongue plays a crucial role in orthodontic outcomes. Spacing cases should often be approached as restorative cases. Aligners can achieve precise spacing more effectively than fixed appliances. Enamel adjustments may be necessary for optimal occlusion post-treatment. Retention strategies must be tailored to individual patient needs. Case assessment is vital for determining treatment complexity. Highlights of this episode: 00:00 Teaser 00:59 Intro 02:53  Pearl – Harmony and Occlusal Compatibility 05:57 Dr. Jesper Hatt Introduction 07:34 Clinical Support Systems 10:18 Occlusion and Aligner Therapy 20:41 Bite Recording Considerations 25:32 Collaborative Approach in Orthodontics 30:31 Occlusal Goals vs. Aesthetic Goals 31:42 Midroll 35:03 Occlusal Goals vs. Aesthetic Goals 35:25 Challenges with Spacing Cases 42:19 Occlusion Checkpoints After Aligners 50:17 Considerations for Retention 54:55 Case Assessment and Treatment Planning 58:14 Key Lessons and Final Thoughts 01:00:19 Interconnectedness of Body and Teeth 01:02:48 Resources for Dentists and Case Support 01:04:40 Outro Free Aligner Case Support!Send your patient's case number and get a full assessment in 24 hours—easy, moderate, complex, or referral. Plus, access our 52-point planning protocol and 2-min photo course. No uploads, no cost. [Get Free Access Now] Learn more at alignerservice.com If you enjoyed this episode, don't miss: Do's and Don'ts of Aligners [STRAIGHTPRIL] – PDP071 #PDPMainEpisodes #OcclusionTMDandSplints #OrthoRestorative This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance. This episode meets GDC Outcomes A and C. AGD Subject Code: 370 ORTHODONTICS (Functional orthodontic therapy) Aim: To provide general dentists with practical guidance for managing occlusion in aligner therapy, from bite capture to retention, including common pitfalls, functional considerations, and case selection. Dentists will be able to – Identify common errors in digital bite capture and occlusion setup. Understand the impact of anterior inclination and mandibular movement patterns on occlusal stability. Plan retention strategies appropriate for aligner and restorative cases. Click below for full episode transcript: Teaser: The one thing that we always check initially is the occlusion set correct by the aligner company. Because if the occlusion is not set correctly, everything else just doesn't matter because the teeth will move, but into a wrong position because the occlusion is off from the beginning. I don't know about you, but if half the orthodontists are afraid of controlling the root movements in extraction cases, as a GP, I would be terrified. Teaser:I don’t care if you just move from premolar to premolar or all the teeth. Orthodontics is orthodontics, so you will affect all the teeth during the treatment. The question’s just how much. Imagine going to a football stadium. The orthodontist will be able to find the football stadium.  If it’s a reasonable orthodontist, he’ll be able to find the section you’re going to sit in, and if he’s really, really, really good, he will be able to find the row that you’re going to sit in, but the exact spot where you are going to sit… he will never, ever be able to find that with orthodontics. Jaz’s Introduction: Hello, Protruserati. I’m Jaz Gulati. Welcome back to your favorite dental podcast. I’m joined today by our guest, Dr. Jesper Hatt. All this dentist does is help other dentists with their treatment plans for aligners. From speaking to him, I gather that he’s no longer practicing clinically and is full-time clinical support for colleagues for their aligner cases. So there’s a lot we can learn from someone who day in day out has to do so much treatment planning and speaking to GDPs about their cases, how they’re tracking, how they’re not tracking, complications, and then years of seeing again, okay, how well did that first set of aligners actually perform? What is predictable and what isn’t? And as well as asking what are the most common errors we make on our ClinChecks or treatment plan softwares. I really wanted to probe in further. I really want to ask him about clinical guidelines for occlusion after ortho. Sometimes we treat a case and whilst the aesthetics of that aligner case is beautiful, the occlusion is sometimes not as good. So let’s talk about what that actually means. What is a not-good occlusion? What is a good occlusion? And just to offer some guidelines for practitioners to follow because guess what? No orthodontist in the world is gonna ever get the occlusion correct through ortho. Therefore, we as GPs are never gonna get a perfect textbook occlusion, but we need to understand what is acceptable and what is a good guideline to follow. That’s exactly what we’ll present to you in this episode today. Dental PearlNow, this is a CE slash CPD eligible episode and as our main PDP episode, I’ll give you a Protrusive Dental Pearl. Today’s pearl is very much relevant to the theme of orthodontics and occlusion we’re discussing today, and it’s probably a pearl I’ve given to you already in the past somewhere down the line, but it’s so important and so key. I really want to just emphasize on it again. In fact, a colleague messaged me recently and it reminded me of this concept I’m about to explain. She sent me an image of a resin bonded bridge she did, which had failed. It was a lower incisor, and just a few days after bonding, it failed. And so this dentist is feeling a bit embarrassed and wanted my advice. Now, by the way, guys, if you message me for advice on Instagram, on Facebook, or something like that, it’s very hit and miss. Like my priorities in life are family, health, and everything that happens on Protrusive Guidance. Our network. If you message me outside that network, I may not see it. The team might, but I may not see it. It’s the only way that I can really maintain control and calm in my life. The reason for saying this, I don’t want anyone to be offended. I’m not ignoring anyone. It’s just the volume of messages I get year on year, they’re astronomical. And I don’t mind if you nudge me. If you messaged me something weeks or months ago and I haven’t replied, I probably haven’t seen it. Please do nudge me. And the best place to catch me on is Protrusive Guidance. If you DM me on Protrusive Guidance, home of the nicest and geekiest dentists in the world, that’s the only platform I will log in daily. That’s our baby, our community. Anyway, so I caught this Facebook message and it was up to me to help this colleague. And one observation I made is that the lower teeth were all worn. The upper teeth were really worn, but this resin bonded bridge pontic, it just looked like a perfect tooth. The patient was something like 77 or 80. So it really made me think that, okay, why are we putting something that looks like a 25-year-old’s tooth in a 77-year-old? But even forgetting age and stuff, you have to look at the adjacent teeth in the arch. Is your restoration harmonious with the other teeth in the arch, and of course is the restoration harmonious with what’s opposing it? Because it’s just not compatible. So part one of this pearl is make sure any restoration you do, whether it’s direct or indirect, is harmonious with the patient’s arch and with the opposing teeth and with their occlusal scheme. Because otherwise, if you get rubber dam on and you give your 75-year-old patient beautiful composite resin, it’s got all that cuspal fissure pattern and anatomy, and you take that rubber dam off and you notice that all the other teeth are flat and the opposing teeth are flat amalgams, guess what? You’re gonna be making your composite flat, whether you like it or not. You created a restoration that’s proud, right? That’s why you did not conform to the patient’s own arch or existing anatomical scheme. So the part B of this is the thing that I get very excited to talk about, right? So sometimes you have a worn dentition, but then you have one tooth that’s not worn at all. It’s like that in-standing lateral incisor, right? Think of an upper lateral incisor that’s a bit in-standing, and you see some wear on all the incisors, but that lateral incisor does not have any wear in it because it was never in the firing line. It was never in function. It was never in parafunction. Now, if you give this patient aligners or fixed appliances, you’re doing ortho and you’re now going to align this lateral incisor. So it’s now gonna eventually get into occlusion and it will be in the functional and parafunctional pathways of this patient. Do you really think you can just leave that incisor be? No. It’s not gonna be compatible with the adjacent teeth. It’s not going to be compatible with the opposing tooth and the occlusal scheme. So guess what? You have to get your bur out or your Sof-Lex disc out, and you have to bake in some years into that tooth. Or you have to build up all the other teeth if appropriate for that patient. You’ve just gotta think about it. And I hope that makes sense so you can stay out of trouble. You’re not gonna get chipping and you can consent your patient appropriately for enamel adjustment, which is something that we do talk about in this episode. I think you’re in for an absolute cracker. I hope you enjoy. I’ll catch you in the outro. Main Episode: Doctor Jesper Hatt, thank you so much for coming to Protrusive Dental Podcast. We met in Scandinavia, in Copenhagen. You delivered this wonderful lecture and it was so nice to connect with you then and to finally have you on the show. Tell us, how are you, where in the world are you, and tell us about yourself. [Jesper] Well, thank you for the invitation, first of all. Well, I’m a dentist. I used to practice in Denmark since I originally come from Denmark. My mother’s from Germany, and now I live in Switzerland and have stopped practicing dentistry since 2018. Now I only do consulting work and I help doctors around the world with making their aligner business successful. [Jaz] And this is like probably clinical advice, but also like strategic advice and positioning and that kinda stuff. Probably the whole shebang, right? [Jesper] Yeah. I mean, I have a team around me, so my wife’s a dentist as well, and I would say she’s the expert in Europe on clear aligners. She’s been working for, first of all, our practice. She’s a dentist too. She worked with me in the practice. We practiced together for 10 years. Then she became a clinical advisor for Allion Tech with responsibility for clinical support of Scandinavia. She was headhunted to ClearCorrect, worked in Basel while I was doing more and more consulting stuff in Denmark. So she was traveling back and forth, and I considered this to be a little bit challenging for our family. So I asked her, well, why don’t we just relocate to Switzerland since ClearCorrect is located there? And sure we did. And after two years she told me, I think clinical support, it’s okay. And I like to train the teams, but I’d really like to do more than that because she found out that doctors, they were able to book a spot sometime in the future, let’s say two weeks out in the future at a time that suited the doctors… no, not the doctors, ClearCorrect. Or Invisalign or whatever clear aligner company you use. So as a doctor, you’re able to block the spot and at that time you can have your 30 minutes one-on-one online with a clinical expert. And she said it’s always between the patients or administrative stuff. So they’re not really focused on their ClearCorrect or clear aligner patient. And so they forget half of what I tell them. I can see it in the setups they do. They end up having to call me again. It doesn’t work like that. I would like to help them. [Jaz] It’s a clunky pathway of mentorship. [Jesper] Yes. And so she wanted to change the way clinical support was built up. So we do it differently. We do it only in writing so people can remember what we are telling them. They can always go back in the note and see what’s been going on, what was the advice we gave them, and we offer this co-creation support where we take over most of the treatment planning of the ClearCorrect or Clear Aligner or Spark or Invisalign or Angel Aligner treatment planning. So we do all the digital planning for the doctor, deliver what we think would be right for the patient based on the feedback we initially got from the doctor. And then the doctor can come back and say, well, I’d like a little more space for some crowns in the front, or I would like the canines to be in a better position in order to achieve immediate post disclusion. And so we can go into this discussion back and forth and adjust the digital setup in a way that is more realistic and predictable and do it all for the doctors. So they, on an average, they spend four to six hours less chair time when they use that kind of service compared to if they do everything themselves. And on top of that, you can put your planning time. She was responsible for that and it works quite well. I still remember when we initially got on all these online calls and we would see fireworks in the background and confetti coming down from the top and all of that. [Jaz] Exactly. So excuse that little bit, but okay. So essentially what you’re doing is, for an aligner user myself, for example, you’re doing the ClinChecks, you are helping, supporting with the ClinChecks, the planning. And I’ve got a lot of questions about that. The first question I’ll start with, which is off the script, but there’s probably a hundred different mistakes that could happen in a ClinCheck, right? But what is the most repeatable, predictable, common mistake that you’ll see when a new user sends a case to you to help them with their planning? What’s the most common mistake that you will see in a setup? [Jesper] Two things, actually. The one thing that we always check initially is the occlusion set correct by the aligner company. Because if the occlusion is not set correctly, everything else just doesn’t matter because the teeth will move but into a wrong position because the occlusion is off from the beginning. And so we always check that as the first part. How does this— [Jaz] So let’s talk about that ’cause that might be confusing for a younger colleague because they’re like, hey, hang on a minute. I scanned the bite left and right. What do you mean the occlusion is wrong? Because surely that gets carried through into what I see on the ClinCheck. So what do you think is the mechanism for this to happen? [Jesper] Two different reasons. I’m from a time when I graduated in 2003, so that was before digital dentistry. So when I went to the Pankey Institute and learned everything about functional occlusion and all of that stuff, I also found out that most of my patients, when I put silicone impression material between the teeth and asked the patients to bite together, they would always protrude a little bit unless I instructed them to bite hard on the posterior teeth. And when we got the scanners, when we put a scanner into the cheek and pull the cheek, most patients, when we asked them to bite together to do the intraoral scan of the bite, they also protruded a little bit, not much, but enough to set the bite wrong. So that is the one challenge when the technicians of the aligner companies put the models together. The other challenge is that some of the aligner companies, they let the technicians set the models. We always, as the first thing when we see a case, we always look at the photos, the clinical photos. And that’s why the clinical photos have to be of great quality. So we look at the clinical photos of the patient— [Jaz] And also in those clinical photos, Jesper, you have to coach them correctly to bite. You have to notice if they’re biting wrong even in the photos ’cause then it just duplicates the error. And that’s why good photography and actually being able to coach the patient is so imperative. [Jesper] Yes, that’s correct. But we compare the two and usually if we see a difference, we ask the doctor, is what we see in the photo correct, or is what we see on the digital models correct? And because we don’t like differences. So that would be the first step to look for. And what’s the second? The second thing is that when you look at the setup, the anterior teeth are usually—I’m trying to show you—the anterior teeth are very, very steep. Typically with aligners it’s a lot easier to tip the crowns. So when you have a class II patient, deviation one, where the anteriors are in a forward position, proclined, and you have a lot of space between the anteriors of the maxilla and the mandible, then the easiest thing on a digital setup is to just retrocline the anteriors of the upper to make them fit the lowers, which you could then procline a little bit, but usually you have very steep relationships between the two and this— [Jaz] So you’re more likely to restrict the envelope of function, functional interference anteriorly. You are obviously reducing the overjet, but you may end up reducing like a wall contact rather than an elegant, more open gate. [Jesper] Yes. And there’s another dimension to this because when we work with orthodontics, one of the most important things to look for is actually the profile of the patient. Because let’s say I’m trying to illustrate this now, so I hope you get a 90— [Jaz] So describe it for our audio listeners as well. So we’re looking at a profile view of Jesper. [Jesper] Yes. So I’m turning the side to the camera. I hope you can see my profile here. So let’s say I had flared anterior maxillary teeth and I wanted to retrocline them. It would have an effect on my upper lip, so the lip would fall backwards if I just retrocline everything. And every millimeter we move the anteriors in the maxilla in a posterior direction, we will have a potential lip drop of three millimeters. In addition, if we don’t get the nasolabial angulation correct, we risk the lower face will simply disappear in the face of the patient. So soft tissue plays a role here, so we cannot just retrocline the teeth. It looks great on the computer screen, but when it comes to reality, we’ll have a functional challenge. We’ll have a soft tissue support challenge, and in addition we’ll have long-term retention challenges as well. Because when you have a steep inclination, the anterior teeth in the mandible, they don’t have any kind of support. They will not be stopped by anything in the maxillary teeth, which you would if you had the right inclination between the teeth, which would be about 120 degrees. So why do aligner companies always set the teeth straight up and down in the anterior part? We wondered about this for years. We don’t have a strict answer. We don’t know exactly why it’s like this, but I have a hunch. I think there are two things to it. First of all, the easiest thing to do with aligners is to move the crown, so we can just tip the teeth. You take them back, you make a lot of IPR, and then you just tip them so they’re retroclined. Secondly, all aligner companies, they come from the United States. And in the United States there is a higher representation of class III patients. Now why is that important? All our patients can be put into two different categories in regards to how they move their mandible. They are the crocodiles that only open and close, like move up and down, and then we have the cows. And then we have the cows that move the mandible around, or the camels. I mean, every camel, if you’ve seen a camel chew, it’s just moving from side to side. [Jaz] Horses as well. Horses as well. [Jesper] They kind of do that. [Jaz] But I’m glad you didn’t say rats ’cause it’s more elegant to be a crocodile than a rat. [Jesper] Exactly. And I usually say we only tell the crocodiles. So why is this a challenge and why isn’t it a challenge with class III patients? Well, all real class III patients act like crocodiles, so they don’t move them side to side. From a functional perspective, it’s really not a problem having steep anterior inclination or steep relationships as long as you have a stable stop where the anteriors—so the anteriors will not elongate and create the red effect. So they just elongate until they hit the palate. If you can make a stop in the anterior part of the occlusion, then you’ll have some kind of stability with the class III patients. But with class II patients, we see a lot more cows. So they move the mandible from side to side and anterior and back and forth and all… they have the mandible going all kinds of places. And when they do that, we need some kind of anterior guidance to guide the mandible. I usually say the upper jaw creates the framework in which the mandible will move. So if the framework is too small, we fight the muscles. And whenever we fight the muscles, we lose because muscles always win. It doesn’t matter if it’s teeth, if it’s bone, if it’s joints, they all lose if they fight the muscles— [Jaz] As Peter Dawson would say, in the war between teeth and muscles or any system and muscles, the muscles always win. Absolutely. And the other analogy you remind me of is the maxilla being like a garage or “garage” from UK, like a garage. And the mandible being like the car, and if you’re really constrained, you’re gonna crash in and you’re gonna… everything will be in tatters. So that’s another great way to think about it. Okay. That’s very, very helpful. I’m gonna—’cause there’s so much I wanna cover. And I think you’ve really summed up nicely. But one thing just to finish on this aspect of that common mistake being that the upper anteriors are retroclined, really what you’re trying to say is we need to be looking at other modalities, other movements. So I’m thinking you’re saying extraction, if it’s suitable for the face, or distalisation. Are you thinking like that rather than the easier thing for the aligners, which is the retrocline. Am I going about it the right way? [Jesper] Depends on the patient. [Jaz] Of course. [Jesper] Rule of thumb: if you’re a GP, don’t ever touch extraction cases. Rule of thumb. Why? Because it is extremely challenging to move teeth parallel. So you will most—especially with aligners—I mean, I talk with a very respected orthodontist once and I asked him, well, what do you think about GPs treating extraction cases where they extract, you know, two premolars in the maxilla? And he said, well, I don’t know how to answer this. Let me just explain to you: half of my orthodontist colleagues, they are afraid of extraction cases. And I asked them why. Because it’s so hard to control the root movement. Now, I don’t know about you— [Jaz] With aligners. We’re specifically talking about aligners here, right? [Jesper] With all kinds of orthodontic appliances. [Jaz] Thank you. [Jesper] So now, I don’t know about you, but if half the orthodontists are afraid of controlling the root movements in extraction cases, as a GP, I would be terrified. And I am a GP. So I usually say, yeah, sometimes you will have so much crowding and so little space in the mandible, so there’s an incisor that is almost popped out by itself. In those cases, yes. Then you can do an extraction case. But when we’re talking about premolars that are going to be extracted, or if you want to close the space in the posterior part by translating a tooth into that open space, don’t. It’s just the easiest way to end up in a disaster because the only thing you’ll see is just teeth that tip into that space, and you’ll have a really hard time controlling the root movements, getting them corrected again. [Jaz] Well, thank you for offering that guideline. I think that’s very sage advice for those GPs doing aligners, to stay in your lane and just be… the best thing about being a GP, Jesper, is you get to cherry pick, right? There’s so many bad things about being a GP. Like you literally have to be kinda like a micro-specialist in everything in a way. And so sometimes it’s good to be like, you know what, I’ll keep this and I’ll send this out. And being selective and case selection is the crux of everything. So I’m really glad you mentioned that. I mean, we talked and touched already on so much occlusion. The next question I’m gonna ask you then is, like you said, a common error is the bite and how the bite appears on the ClinCheck or whichever software a dentist is using. Now, related to bite, vast majority of orthodontic cases are treated in the patient’s existing habitual occlusion, their maximum intercuspal position. Early on in my aligner journey, I had a patient who had an anterior crossbite. And because of that anterior crossbite, their jaw deviated. It was a displaced—the lower jaw displaced. And then I learned from that, that actually for that instance, perhaps I should not have used an MIP scan. I should have used more like centric relation or first point of contact scan before the displacement of the jaw happens. So that was like always in my mind. Sometimes we can and should be using an alternative TMJ position or a bite reference other than MIP. Firstly, what do you think about that kind of scenario and are there any other scenarios which you would suggest that we should not be using the patient’s habitual occlusion for their bite scan for planning orthodontics? [Jesper] Well, I mentioned that I was trained at the Pankey Institute, and when you start out right after—I mean, I spent 400 hours over there. Initially, I thought I was a little bit brainwashed by that because I thought every single patient should be in centric relation. Now, after having put more than 600 patients on the bite appliance first before I did anything, I started to see some patterns. And so today, I would say it’s not all patients that I would get into centric relation before I start treating the teeth. But when we talk about aligner therapy and orthodontic treatment, I think it’s beneficial if you can see the signs for those patients where you would say, hmm, something in the occlusion here could be a little bit risky. So let’s say there are wear facets on the molars. That will always trigger a red flag in my head. Let’s say there are crossbites or bite positions that kind of lock in the teeth. We talked about class III patients before, and I said if it’s a real skeletal-deviation class III patient, it’s a crocodile. But sometimes patients are not real class III skeletal deviation patients. They’re simply being forced into a class III due to the occlusion. That’s where the teeth fit together. So once you put aligners between the teeth and plastic covers the surfaces, suddenly the patients are able to move the jaws more freely and then they start to seat into centric. That may be okay. Usually it is okay. The challenge is consequences. So when you’re a GP and you suddenly see a patient moving to centric relation and you find out, whoa, on a horizontal level there’s a four- to six-millimeter difference between the initial starting point and where we are now, and maybe we create an eight-millimeter open bite in the anterior as well because they simply seat that much. And I mean, we have seen it. So is this a disaster? Well, it depends. If you have informed the patient well enough initially and said, well, you might have a lower jaw that moves into a different position when we start out, and if this new position is really, really off compared to where you are right now, you might end up needing maxillofacial surgery, then the patient’s prepared. But if they’re not prepared and you suddenly have to tell them, you know, I think we might need maxillofacial surgery… I can come up with a lot of patients in my head that would say, hey doctor, that was not part of my plan. And they will be really disappointed. And at that point there’s no turning back, so you can’t reverse. So I think if you are unsure, then you are sure. Then you should use some kind of deprogramming device or figure out where is centric relation on this patient. If there isn’t that much of a difference between maximum intercuspation and centric— [Jesper] Relation, I don’t care. Because once you start moving the teeth, I don’t care if you just move from premolar to premolar or all the teeth. Orthodontics is orthodontics, so you will affect all the teeth during the treatment. The question’s just how much. And sometimes it’s just by putting plastic between the teeth that you will see a change, not in the tooth position, but in the mandibular position. And I just think it’s nicer to know a little bit where this is going before you start. And the more you see of this—I mean, as I mentioned, after 600 bite appliances in the mouths of my patients, I started to see patterns. And sometimes in the end, after 20 years of practicing, I started to say, let’s just start, see where this ends. But I would always inform the patients: if it goes totally out of control, we might end up needing surgery, and there’s no way to avoid it if that happens. And if the patients were okay with that, we’d just start out. Because I mean, is it bad? No. I just start the orthodontic treatment and I set the teeth as they should be in the right framework. Sometimes the upper and the lower jaw don’t fit together. Well, send them to the surgeon and they will move either the upper or the lower jaw into the right position, and then we have it. No harm is done because we have done the initial work that the orthodontist would do. But I will say when I had these surgical patients—let’s say we just started out with aligners and we figured, I can’t control this enough. I need a surgeon to look at this—then I would send them off to an orthodontist, and the orthodontist and the surgeon would take over. Because then—I mean, surgical patients and kids—that’s the second group of patients besides the extraction cases that I would not treat as a GP. ‘Cause we simply don’t know enough about how to affect growth on kids. And when it comes to surgery, there’s so much that is… so much knowledge that we need to know and the collaboration with the surgeons that we’re not trained to handle. So I think that should be handled by the orthodontists as well. [Jaz] I think collaborative cases like that are definitely specialist in nature, and I think that’s a really good point. I think the point there was informed consent. The mistake is you don’t warn the patient or you do not do the correct screening. So again, I always encourage my guests—so Jesper, you included—that we may disagree, and that’s okay. That’s the beauty of dentistry. So something that I look for is: if the patient has a stable and repeatable maximum intercuspal position, things lock very well, and there’s a minimal slide—like I use my leaf gauge and the CR-CP is like a small number of leaves and the jaw hardly moves a little bit—then there’s no point of uncoupling them, removing that nice posterior coupling that they have just to chase this elusive joint position. Then you have to do so many more teeth. But when we have a breakdown in the system, which you kind of said, if there’s wear as one aspect, or we think that, okay, this patient’s occlusion is not really working for them, then we have an opportunity to do full-mouth rehabilitation in enamel. Because that’s what orthodontics is. And so that’s a point to consider. So I would encourage our GP colleagues to look at the case, look at the patient in front of you, and decide: is this a stable, repeatable occlusion that you would like to use as a baseline, or is there something wrong? Then consider referring out or considering—if you’re more advanced in occlusion studies—using an alternative position, not the patient’s own bite as a reference. So anything you wanna add to that or disagree with in that monologue I just said there? [Jesper] No, I think there’s one thing I’d like the listeners to consider. I see a lot of fighting between orthodontists and GPs, and I think it should be a collaboration instead. There’s a lot of orthodontists that are afraid of GPs taking over more and more aligner treatments, and they see a huge increase in the amount of cases that go wrong. Well, there’s a huge increase of patients being treated, so there will be more patients, just statistically, that will get into problems. Now, if the orthodontist is smart—in my opinion, that’s my opinion—they reach out to all their referring doctors and they tell them, look, come in. I will teach you which cases you can start with and which you should refer. Let’s start there. Start your aligner treatments. Start out, try stuff. I will be there to help you if you run into problems. So whenever you see a challenge, whenever there’s a problem, send the patient over to me and I’ll take over. But I will be there to help you if anything goes wrong. Now, the reason this is really, really a great business advice for the orthodontists is because once you teach the GPs around you to look for deviations from the normal, which would be the indication for orthodontics, the doctors start to diagnose and see a lot more patients needing orthodontics and prescribe it to the patients, or at least propose it to the patients. Which would initially not do much more than just increase the amount of aligner treatments. But over time, I tell you, all the orthodontists doing this, they are drowning in work. So I mean, they will literally be overflown by patients being referred by all the doctors, because suddenly all the other doctors around them start to diagnose orthodontically. They see the patients which they haven’t seen before. So I think this is—from a business perspective—a really, really great thing for the orthodontists to have a collaboration with this. And it’ll also help the GPs to feel more secure when they start treating their patients. And in the end, that will lead to more patients getting the right treatment they deserve. And I think that is the core. That is what’s so important for us to remember. That’s what we’re here for. I mean, yes, it’s nice to make money. We have to live. It’s nice with a great business, but what all dentists I know of are really striving for is to treat their patients to the best of their ability. And this helps them to do that. [Jaz] Ultimate benefactor of this collaborative approach is the patient. And I love that you said that. I think I want all orthodontists to listen to that soundbite and take it on board and be willing to help. Most of them I know are lovely orthodontists and they’re helping to teach their GPs and help them and in return they get lots of referrals. And I think that’s the best way to go. Let’s talk a little bit about occlusal goals we look for at the end of orthodontics. This is an interesting topic. I’m gonna start by saying that just two days ago I got a DM from one of the Protruserati, his name is Keith Curry—shout out to him on Instagram—and he just sent me a little message: “Jaz, do you sometimes find that when you’re doing alignment as a GP that it’s conflicting the orthodontic, the occlusal goal you’re trying to get?” And I knew what I was getting to. It’s that scenario whereby you have the kind of class II division 2, right? But they have anterior guidance. Now you align everything, okay, and now you completely lost anterior guidance. And so the way I told him is that, you know what, yes, this is happening all the time. Are we potentially at war between an aesthetic smile and a functional occlusion? And sometimes there’s a compromise. Sometimes you can have both. But that—to achieve both—needs either a specialist set of eyes or lots of auxiliary techniques or a lot more time than what GPs usually give for their cases. So first let’s touch on that. Do you also agree that sometimes there is a war between what will be aesthetic and what will be a nice functional occlusion? And then we’ll actually talk about, okay, what are some of the guidelines that we look for at the end of completing an aligner case? [Jesper] Great question and great observation. I would say I don’t think there’s a conflict because what I’ve learned is form follows function. So if you get the function right, aesthetics will always be great. Almost always. I mean, we have those crazy-shaped faces sometimes, but… so form follows function. The challenge here is that in adult patients, we cannot manipulate growth. So a skeletal deviation is a skeletal deviation, which means if we have a class II patient, it’s most likely that that patient has a skeletal deviation. I rarely see a dental deviation. It happens, but it’s really, really rare. So that means that in principle, all our class II and chronic class III patients are surgical patients. However, does that mean that we should treat all our class II and class III patients surgically? No, I don’t think so. But we have to consider that they are all compromise cases. So we need to figure a compromise. So initially, when I started out with my occlusal knowledge, I have to admit, I didn’t do the orthodontic treatment planning. I did it with Heller, and she would give me feedback and tell me, I think this is doable and this is probably a little bit challenging. If we do this instead, we can keep the teeth within the bony frame. We can keep them in a good occlusion. Then I would say, well, you have a flat curve of Spee. I’d like to have a little bit of curve. It’s called a curve of Spee and not the orthodontic flat curve of Spee. And then we would have a discussion back and forth about that. Then initially I would always want anterior coupling where the anterior teeth would touch each other. I have actually changed that concept in my mind and accepted the orthodontic way of thinking because most orthodontists will leave a little space in the anterior. So when you end the orthodontic treatment, you almost always have a little bit of space between the anterior teeth so they don’t touch each other. Why? Because no matter what, no matter how you retain the patient after treatment, there will still be some sort of relapse. And we don’t know where it’ll come or how, but it will come. Because the teeth will always be positioned in a balance between the push from the tongue and from the cheeks and the muscles surrounding the teeth. And that’s a dynamic that changes over the years. So I don’t see retention as a one- or two-year thing. It’s a lifelong thing. And the surrounding tissues will change the pressure and thereby the balance between the tongue and the cheeks and where the teeth would naturally settle into position. Now, that said, as I mentioned initially, if we fight the muscles, we’ll lose. So let’s say we have an anterior open bite. That will always create a tongue habit where the patient positions the tongue in the anterior teeth when they swallow because if they don’t, food and drink will just be splashed out between the teeth. They can’t swallow. It will just be pushed out of the mouth. [Jaz] So is that not like a secondary thing? Like that tongue habit is secondary to the AOB? So in those cases, if you correct the anterior open bite, theoretically should that tongue posture not self-correct? [Jesper] Well, we would like to think so, but it’s not always the case. And there’s several reasons to it. Because why are the teeth in the position? Is it because of the tongue or because of the tooth position? Now, spacing cases is one of those cases where you can really illustrate it really well. It looks really easy to treat these patients. If we take away all the soft tissue considerations on the profile photo, I mean, you can just retract the teeth and you close all the spaces—super easy. Tipping movements. It’s super easy orthodontically to move quickly. Very easy as well. However, you restrict the tongue and now we have a retention problem. So there are three things that can happen. You can bond a retainer on the lingual side or the palatal side of the teeth, upper, lower—just bond everything together—and after three months, you will have a diastema distal to the bonded retainer because the tongue simply pushes all the teeth in an anterior direction. [Jaz] I’ve also seen—and you’ve probably seen this as well—the patient’s tongue being so strong in these exact scenarios where the multiple spacing has been closed, which probably should have been a restorative plan rather than orthodontic plan, and the retainer wire snaps in half. [Jesper] Yes, from the tongue. [Jaz] That always fascinated me. [Jesper] Well, you’ll see debonding all the time, even though you sandblast and you follow all the bonding protocol. And debonding, breaking wires, diastemas in places where you think, how is that even possible? Or—and this is the worst part—or you induce sleep apnea on these patients because you simply restrict the space for the tongue. So they start snoring, and then they have a total different set of health issues afterwards. So spacing—I mean, this just illustrates the power of the tongue and why we should always be careful with spacing cases. I mean, spacing cases, in my opinion, are always to be considered ortho-restorative cases. Or you can consider, do you want to leave some space distal to the canines? Because there you can create an optical illusion with composites. Or do you want to distribute space equally between the teeth and place veneers or crowns or whatever. And this is one of those cases where I’d say aligners are just fabulous compared to fixed appliances. Because if you go to an orthodontist only using fixed appliances and you tell that orthodontist, please redistribute space in the anterior part of the maxilla and I want exactly 1.2 millimeters between every single tooth in the anterior segment, six years later he’s still not reached that goal because it just moves back and forth. Put aligners on: three months later, you have exactly—and I mean exactly—1.2 millimeters of space between each and every single tooth. When it comes to intrusion and extrusion, I would probably consider using fixed appliances rather than aligners if it’s more than three millimeters. So every orthodontic system—and aligners are just an orthodontic system—each system has its pros and cons, and we just have to consider which system is right for this patient that I have in my chair. But back to the tongue issue. What should we do? I mean, yes, there are two different schools. So if you have, let’s say, a tongue habit that needs to be treated, there are those that say we need to get rid of the tongue habit before we start to correct the teeth. And then there are those that say that doesn’t really work because there’s no room for the tongue. So we need to create room for the tongue first and then train the patient to stop the habit. Both schools and both philosophies are being followed out there. I have my preferred philosophy, but I will let the listener start to think about what they believe and follow their philosophy. Because there is nothing here that is right or wrong. And that is— [Jaz] I think the right answer, Jesper, is probably speak to that local orthodontist who’s gonna be helping you out and whatever they recommend—their religion—follow that one. Because then at least you have something to defend yourself. Like okay, I followed the way you said. Let’s fix it together now. [Jesper] That’s a great one. Yeah, exactly. [Jaz] Okay, well just touching up on the occlusion then, sometimes we do get left with like suboptimal occlusions. But to be able to define a suboptimal occlusion… let’s wrap this occlusion element up. When we are completing an orthodontic case—let’s talk aligners specifically—when the aligners come off and the fixed retainers come on, for example, and the patient’s now in retention, what are some of the occlusal checkpoints or guidelines that you advise checking for to make sure that, okay, now we have a reasonably okay occlusion and let things settle from here? For example, it would be, for me, a failure if the patient finishes their aligners and they’re only holding articulating paper on one side and not the other side. That’s for me a failure. Or if they’ve got a posterior open bite bilaterally. Okay, then we need to go refinement. We need to get things sorted. But then where do you draw the line? How extreme do you need to be? Do you need every single tooth in shim-stock foil contact? Because then we are getting really beyond that. We have to give the adaptation some wiggle room to happen. So I would love to know from your learning at Pankey, from your experience, what would you recommend is a good way for a GP to follow about, okay, it may not be perfect and you’ll probably never get perfect. And one of the orthodontists that taught me said he’s never, ever done a case that’s finished with a perfect occlusion ever. And he said that to me. [Jesper] So—and that’s exactly the point with orthodontics. I learned that imagine going to a football stadium. The orthodontist will be able to find the football stadium. If it’s a reasonable orthodontist, he’ll be able to find the section you’re going to sit in. And if he’s really, really, really good, he will be able to find the row that you’re going to sit in. But the exact spot where you are going to sit, he will never, ever be able to find that with orthodontics. And this is where settling comes in and a little bit of enamel adjustments. [Jaz] I’m so glad you said that. I’m so glad you mentioned enamel adjustment. That’s a very dirty word, but I agree with that. And here’s what I teach on my occlusion courses: what we do with aligners essentially is we’re tampering with the lock. Let’s say the upper jaw is the lock. It’s the still one. We’re tampering with the key, which is the lower jaw—the one that moves—we tamper with the key and the lock, and we expect them both to fit together at the end without having to shave the key and to modify the lock. So for years I was doing aligners without enamel adjustment ’cause my eyes were not open. My mind was not open to this. And as I learned, and now I use digital measuring of occlusion stuff and I seldom can finish a case to get a decent—for my criteria, which is higher than it used to be, and my own stat—is part of my own growth that’s happened over time is that I just think it’s an important skill that GPs are not taught and they should be. It’s all about finishing that case. And I think, I agree with you that some adjustment goes a long way. We’re not massacring enamel. It’s little tweaks to get that. [Jesper] Exactly. I like the sound there because sometimes you hear that “ahh,” it doesn’t really sound right, but “tsst,” that’s better. [Jaz] That’s the one. You know, it reminds me of that lecture you did in Copenhagen. You did this cool thing—which I’ve never seen anyone do before. You sat with one leg over the other and you said, okay guys, bite together. Everyone bit together. And then you swapped the legs so the other leg was over the other and bite together. And then you said, okay, whose occlusion felt different? And about a third of the audience put their hand up, I think. Tell us about that for a second. [Jesper] Well, just promise me we go back to the final part because there are some things we should consider. [Jaz] Let’s save this as a secret thing at the end for incentive for everyone to listen to the end—how the leg position changes your occlusion. Let’s talk about the more important thing. I digressed. [Jesper] Let’s talk about the occlusal goals because I think it’s important. I mean, if you do enamel adjustments in the end—so when we finish the treatment, when we come to the last aligner in the treatment plan—I think we should start by breaking things down to the simplest way possible. Start by asking the patient: are you satisfied with the way the teeth look? Yes or no? If she’s satisfied, great. How do you feel about the occlusion? “Well, it fits okay.” Great. Now the patient is happy. There’s nothing she wants to—or he wants to—change. Then you look at the occlusion. Now, it is important to remember that what we see on the computer screen, on the aligner planning tools, will never, ever correspond 100% to what we see in the mouth of the patient. And there are several reasons for that. But one of the things that we have found to be really interesting is that if you take that last step and you say, okay, the occlusion doesn’t fit exactly as on the screen, but it’s kind of there… if you use that last step and you don’t do a re-scan for a retainer, but you use the last step of the aligner treatment as your reference for your aligner retainer… We sometimes see that over six months, if the patient wears that aligner 22 hours a day for another three to six months, the teeth will settle more and more into the aligner and create an occlusion that looks more and more like what you see on the screen. Which to me just tells me that the biology doesn’t necessarily follow the plan everywhere in the tempo that we set throughout the aligner plan. But over time, at the last step, if it’s just minor adjustments, the teeth will actually move into that position if we use the last stage as a reference for the retainer. Now, if we do a scan at that point and use that as a reference for creating an aligner retainer, then we just keep the teeth in that position. Now, if the teeth are a little bit more off— [Jaz] I’m just gonna recap that, Jesper, ’cause I understood what you said there, but I want you to just make sure I fully understood it. When we request, for example, Align, the Vivera retainer, it gives you an option: “I will submit a new scan” or “use the last step.” And actually I seldom use that, but now I realize you’re right. It makes sense. But then on the one hand, if the occlusion is—if the aesthetics are good and the patient’s occlusion feels good, what is your own judgment to decide whether we’re still going to allow for some more settling and occlusal changes to happen over a year using the Vivera retainers based on the ClinCheck last-aligner profile, rather than, okay, let’s just retain to this position? What is making you do the extra work, extra monitoring? [Jesper] To me, it’s not extra monitoring. It’s just basic. I mean, it’s just part of my protocol. I follow the patients. And honestly, to me, it’s just time-saving to just use the last step in the aligner. Because I mean, if the plan is right and if the teeth have been tracking well, they should be in that position. Why do I then need to re-scan for Vivera retainers or for other kinds of retainers? Now, if the occlusion is a little bit more off—and in a minute you’ll probably ask me when do I see which is which, and I can’t really tell you; it’s about experience—but that’s the beauty of this. If I see there’s a little bit more deviation and I like some teeth, the occlusion isn’t really good on one side compared to the other side, I would rather have a bonded retainer from first premolar to first premolar in the mandible, combined with a Hawley or Begg or something like that retainer for the upper. And you can order them with an acrylic plate covering some of the anterior teeth so they keep that position, but that allows the teeth to settle. And over three months you should see some kind of improvement. If you don’t see enough improvement and let’s say you still have a tendency for a kind of an open bite on one side, you can always add some cross elastics, put some buttons on the upper, on the lower, instruct the patient to use these, and then in three months you will have the occlusion you want. Now, once that is established—you have that kind of occlusion—you need to keep the teeth there for at least six months before you do some kind of equilibration or enamel adjustment. Because if you do the enamel adjustment right after you have reached your final destination for the teeth, the teeth will still settle and move. So you do the equilibration, two weeks later everything looks off again. You do the equilibration, two weeks later things have changed again. So I prefer to wait six months before I do the final equilibration. Now, in this equation what we’ve been talking about here, it goes from very simple to more and more complex. And then we have to consider, well, did I expand the mandible posterior segment? If so, I can’t just use a bonded retainer on the lower and I need to add something to keep the teeth out there in combination with whatever I want in the upper. Do I want to keep the Begg retainer or the Hawley, or do I want to change to something differently? So these kinds of considerations have to be there from the beginning of the treatment because, I mean, it costs additional money to order a Begg retainer compared to just an aligner. [Jaz] A Begg retainer is the same as Hawley? [Jesper] Well, no. It has a little different design. [Jaz] Oh, a Begg as in B-E-G-G? [Jesper] Yes. [Jaz] Yeah, got it. Got it. Okay. [Jesper] And then in Denmark we use the Jensen retainer, which is a Danish invention, which goes from canine to canine or from first premolar to first premolar but with a different type of wire which keeps the teeth more in place compared to a round wire. So there are different variations. The most important part here is it allows the posterior teeth to settle so they can move, which they can’t in an aligner to the same degree at least. Now, this is all really nice in teeth that only need to be moved into the right position, but most of our patients are adult patients, or they should at least be adult patients. Most of my patients were more than 30 years old. So if you have a patient with anterior crowding and you move the teeth into the right position where the teeth should be, the teeth are in the right position, but they still look ugly because they have been worn anteriorly by the position they were in when they were crooked. So when we position them, we still need to do some restorative work. Then what? We still need to retain those teeth. The patient wants to be finished now as fast as possible, so we can’t wait the six months to make the final touches. So we have to figure out: what do we do? And then we have to think of some kind of retention strategy to keep the teeth in place during that restorative procedure. And I mean, at the end of an aligner treatment or any orthodontic treatment, two days is enough to have relapse in some patients. Some patients it’s not a problem. The teeth are just there to stay in the same position for three months, and then they start to move a little bit around. But other patients—I mean, you just have to look away and then go back to the teeth and they’re in a different position. You can’t know what kind of patient you have in your chair right now. So you have to consider the way you plan your restorative procedure in regards to how you retain the teeth during that phase. So if you want to do anterior composites or veneers, do it all at once. Put in a bonded retainer, scan, and get your aligner retainer as fast as possible. Or use a Begg or a Hawley or something like that that’s a little bit more flexible. If you want to do crowns, then we have a whole different challenge and then we have to consider how do we then retain the teeth. [Jaz] Okay. Well I think that was lovely. I think that gives us some thoughts and ideas of planning sequence of retention, which is the ultimate thing to consider when it comes to occlusion. Okay, yeah, you get the occlusion, but how do you retain it? But in many cases, as the patient’s wearing aligners, the occlusion is embedding in and is fine. And you take off the aligners, the patient’s happy with how it looks. They bite together. It feels good. You are happy that yes, both sides of the mouth are biting together. Now, it might not be that every single contact is shim-hold, but you got, let’s say, within 20 microns, 40 microns, okay? Then some bedding happens. In that kind of scenario, would you be happy to say, okay, I’m gonna scan your teeth as they are because I’m happy with the occlusion, the occlusal goals are good, and they’re near enough the ClinCheck, and go for the retainers to that position? Or is your default preference as a clinician to go for the Vivera or equivalent based on the last aligner, on the ClinCheck projection? [Jesper] I would still go for the last aligner because I think the planning I’ve done is probably a little bit more precise than what I see clinically. However, I still expect that I will have to do a little bit of enamel reshaping at the end after six months, but that’s okay. I mean, the changes are so small, so you can still use the last aligner or the Vivera retainer that you already have ordered. So it’s not that much of a problem. [Jaz] Which goes back to your previous point: if it’s a big deviation, then you’ve gotta look at the alternative ways, whether you’re gonna go for refinement or you’re gonna allow some occlusal settling with a Hawley and a lower fixed-retainer combination, or the elastics like you said. Okay. Just so we’re coming to the end of the podcast—and I really enjoyed our time—I would like to delve deep into just a final thing, which is a little checklist, a helpful checklist for case assessment that you have for GDPs. [Jesper] Yeah, thank you. First of all, one of the big challenges in a GP practice is being able to take a full series of clinical photos in two minutes without assistance. I think most dentists struggle with that, but that is a foundational prerequisite to any aligner treatment. Once you have the photos, I would sit down with the photos and I would consider six different steps. One: is this a patient that I could treat restoratively only? Because that would be the simplest for me to do. Next, moving up in complexity: would be, do I need periodontal crown lengthening? Or next step would be: do I need to change the vertical dimension, or is there something about centric relation that I should consider? Moving up a little bit on the complexity: are there missing teeth? Do I need to replace teeth with implants? Next step would be orthodontics. So this is step five. The next most complex case we can treat is actually an aligner case—orthodontics in general. And the last part would be: are the teeth actually in the right position in the face of the patient, or do I need surgery to correct the jaw position? So these six steps, I think they’re helpful to follow to just think, how can I break this case down into more easy, digestible bits and pieces to figure out what kind of patient I have in front of me? Now, if you consider it to be an orthodontic case or ortho-restorative case, here comes the challenge: case selection. How do you figure out is this an easy, moderate, complex, or referral case? And here’s the trick: do 500 to 1000 treatment plans or treatments with clear aligners. And then you know. But until then, you really don’t. This is where you should rely on someone you can trust who can help you do the initial case selection. Because you can have two identical patients—one is easy and one is super complex—but they look the same. So it’s really nice if you have done less than 500 cases to have someone who can help you with the case selection. And I don’t say this to sell anything, because we don’t charge for that. Because it’s so essential that we don’t do something that is wrong or gives us a lot of challenges and headaches in the practice. I mean, the practice runs really fast and lean-oriented, so we need to make things digestible, easy to work with. And I think that’s really important. [Jaz] It goes full circle to what we said before about having that referral network, staying in your lane, knowing when to refer out, cherry-picking—it all goes back full circle with that. And not even orthodontics, but restorative dentistry—case selection is just imperative in everything we do. [Jesper] Yes. And there is—we always get the question when we do courses and we do consulting—can’t you just show me a couple of cases that are easy to start with? And it works with implants, kind of. But with orthodontics where we move—I mean, we affect all the teeth—it’s just not possible. I know the aligner companies want to show you some where you say, you can only just do these kinds of cases and they are really easy. The fact is they’re not. But they want to sell their aligners. [Jaz] I get it. They are until they’re not. It’s like that famous thing, right? Everyone’s got a plan until they get punched in the face. So yeah, it can seemingly be easy, but then a complication happens and it’s really about understanding what complications to expect, screening for them, and how you handle that. But thanks so much. Tell us—yeah, go on, sorry. [Jesper] There are three things I’d like to end on here. So, first of all, we’ve been talking together for about an hour about a topic that, if you want to take postgraduate education, it takes three years to become an orthodontist. And there is a reason it takes three to four years. However, I want to encourage the listener to think about this: Mercedes has never, ever excused last year’s model. Meaning that they always strive for perfection. So if we go into the practice and we do the very best we can every single day, there is no way we can go back and excuse what we

Dr. Sheila Samaddar, a GP, shares how aligners have been a huge benefit to her practice, but she's also candid about the challenges. She walks us through the key things every GP should know before diving into clear aligner therapy, plus some of her favorite products and tools that help her get the best results. Dr. Samaddar is internationally recognized and published by Invisalign for Top Case results annually for the last several years, as well as having a Top 10 case with the American Academy of Clear Aligners.

Our guest today is Dr. Yan Kalika, DMD, MS, a certified specialist in orthodontics and dentofacial orthopedics. He earned his dental degree with honors from Harvard School of Dental Medicine and completed his orthodontic training — along with a master's degree in oral biology — at the University of California, San Francisco. We'll be talking with him about how he leverages ClearCorrect, AI, and digital workflows to attract new patients, streamline operations, and grow a profitable practice — all while keeping patients at the center of care.

Are clear aligners really the future of orthodontics? Tune in for an inspiring discussion with Dr. Farah Kar on Hype vs. Health: What Orthodontists Want You to Know About Braces vs. Clear Aligners.Moments with Marianne Radio Show airs in the Southern California area on KMET 1490AM & 98.1 FM, an ABC Talk News Radio Affiliate! Listen live at: https://www.kmet1490am.com/Dr. Farah Kar has nearly a decade of experience providing exceptional orthodontic care in Marietta and Atlanta.  She is double board-certified in the U.S. and Canada and recognized as one of the top Invisalign providers in the Southeast. Dr. Kar has advanced training in craniofacial orthodontics, treating patients with severe skeletal discrepancies and special needs, and frequently lectures on Invisalign. Her unique background combines a fine arts degree and a master's in project management from Georgia Tech, giving her a creative approach to orthodontics. invisalign.com/find-a-doctorFor more show information visit: https://www.mariannepestana.com/

“Literally 20 million pounds.” Connect With Our SponsorsGreyFinch - https://greyfinch.com/jillallen/A-Dec - https://www.a-dec.com/orthodonticsSmileSuite - https://getsmilesuite.com/ Summary In this conversation, Jill Allen interviews Dr. Madeleine Goodman, an orthodontist who shares her journey from growing up in a dental family to starting her own dual specialty practice. They discuss the challenges and experiences of transitioning from an associate to a practice owner, the importance of innovative approaches in orthodontics, and the growing focus on sustainability within the industry. Madeleine introduces her initiative, the Tiny Changes Recycling Program, aimed at reducing plastic waste in orthodontic practices. The conversation highlights the significance of collaboration and the future of sustainability in orthodontics. Connect With Our Guest Tiny Changes Recycling Program - https://maso.org/tiny-changes-recycling/ tinygreenchanges@gmail.com Takeaways Sustainability is becoming a crucial focus in orthodontic practices.The Tiny Changes Recycling Program aims to reduce plastic waste in orthodontics.Collaboration between orthodontists and pediatric dentists enhances patient care.Younger doctors are more inclined towards sustainable practices.Educating patients about treatment options is essential in today's information age.The recycling program is a marketing tool that resonates with environmentally conscious patients.Small changes in practice can lead to significant impacts on sustainability.Chapters 00:00 Introduction01:53 Switching Gears: Sustainability in Orthodontics03:52 The Journey to Eliminating Plastic Bags04:58 Invisalign Recycling Initiative06:50 Challenges and Progress in Sustainability11:33 Tiny Changes Program Details17:35 Subscription-Free Box Program18:17 Sponsorship Challenges and Responsibilities21:11 The Impact of Recycling in Orthodontics23:01 Future Vision for Sustainability26:03 Expanding Tiny Changes29:28 Wrapping Up and Contact InformationEpisode Credits:  Hosted by Jill AllenProduced by Jordann KillionAudio Engineering by Garrett LuceroAre you ready to start a practice of your own? Do you need a fresh set of eyes or some advice in your existing practice?Reach out to me- www.practiceresults.com.    If you like what we are doing here on Hey Docs! and want to hear more of this awesome content, give us a 5-star Rating on your preferred listening platform and subscribe to our show so you never miss an episode.    New episodes drop every Thursday!   

Send us a textEver since clear aligners hit the market, there's been an ongoing discussion on which is better: aligners vs. metal brackets. But is one really better than the other? How can you tell which one is right for you? We'll break it down for you so you can weed through all the confusion and pick the best option! Tune in to this patient-focused episode to learn:  The cost breakdown between aligners & bracesTreatment duration for each methodMaintenence considerationsGeneral comfort and ease of use

"We decided to start our own practice." Connect With Our SponsorsGreyFinch - https://greyfinch.com/jillallen/A-Dec - https://www.a-dec.com/orthodonticsSmileSuite - https://getsmilesuite.com/ Summary In this conversation, Jill Allen interviews Dr. Madeleine Goodman, an orthodontist who shares her journey from growing up in a dental family to starting her own dual specialty practice. They discuss the importance of early treatment and airway management and the challenges of navigating differing opinions in the dental community. The conversation highlights the need for collaboration, education, and innovative practices in the field of orthodontics. Connect With Our Guest Tiny Changes Recycling Program - https://maso.org/tiny-changes-recycling/ tinygreenchanges@gmail.com Takeaways Dr. Goodman'ss journey into orthodontics was influenced by her father's career.She started her own dual speciality practice after gaining experience in various orthodontic settings.Maddie emphasizes the importance of early treatment and airway management.She highlights the challenges of navigating differing opinions in the dental community.Chapters 00:00 Introduction02:04 Dr. Goodman's Journey into Orthodontics04:26 Starting a Dual Specialty Practice06:59 Challenges and Decisions in Practice Ownership09:53 Focus on Early Airway Intervention14:47 Collaborative Care and Practice Philosophy16:21 Navigating Patient and Professional Relationships31:30 How to Get in Touch and Learn More33:49 Speed Round and Closing RemarksEpisode Credits:  Hosted by Jill AllenProduced by Jordann KillionAudio Engineering by Garrett LuceroAre you ready to start a practice of your own? Do you need a fresh set of eyes or some advice in your existing practice?Reach out to me- www.practiceresults.com.    If you like what we are doing here on Hey Docs! and want to hear more of this awesome content, give us a 5-star Rating on your preferred listening platform and subscribe to our show so you never miss an episode.    New episodes drop every Thursday!   

Not all braces are the same. An Edgewood, WA-area orthodontist explains how to choose between metal, ceramic, and clear aligners, and what really matters for lasting results.Visit https://www.liuorthodontics.us/ Sean Liu Orthodontics City: Federal Way Address: 118 SW 330th St Ste 200 Website: https://www.liuorthodontics.us

Discover how Browns Point families choose between traditional braces and clear aligners for their children, including key factors that determine treatment success and long-term results. To learn more, visit: https://www.liuorthodontics.us/ Sean Liu Orthodontics City: Federal Way Address: 118 SW 330th St Ste 200 Website: https://www.liuorthodontics.us

Clear aligners and braces each have distinct requirements: aligners need 22-hour daily wear, while braces are fixed in place. Understanding the differences helps you choose what works for your lifestyle. Click the link to learn more: https://cascadedental.com/service/cosmetic-dentistry/suresmile-clear-aligners-in-vancouver-wa/ Cascade Dental City: Vancouver Address: 16703 SE McGillivray Blvd #100 Website: https://cascadedental.com/ Phone: +1-360-892-2994 Email: infofl@cascadedental.com

Most people choose wrong because they focus on looks instead of the one factor that predicts whether they'll actually finish treatment. Your daily habits reveal which option won't waste your time and money. Visit https://dentistmckinneytx.com/ to learn more. Illume Dental of McKinney City: McKinney Address: 5000 Collin McKinney Pkwy #100 Website: https://dentistmckinneytx.com/

Send us a textEver since clear aligners hit the market, there's been an ongoing discussion on which is better: aligners vs. metal brackets. But is one really better than the other? How can you tell which one is right for you? We'll break it down for you so you can weed through all the confusion and pick the best option! Tune in to this patient-focused episode to learn:  The cost breakdown between aligners & bracesTreatment duration for each methodMaintenence considerationsGeneral comfort and ease of use

“The biggest variable with any clear aligner treatment is the patient themselves — not the plastic.” “We must remain the conductors of the orchestra, not the technicians of an algorithm.” “Aligners are not inferior to fixed appliances — but neither are they magic. The truth lies somewhere in between.” “Research often lags years behind reality, so we're not judging today's aligners with today's evidence.” In this episode of Orthodontics in Summary,I'm joined by Guy Deeming, orthodontist, business leader, and Director of Professional Development at the British Orthodontic Society We dive into the reality of clear aligner therapy, discussing the recently published Delphi Consensus Statements and if theyagree with his clinical practice. Guy discusses  compliance and where the orthodontist role has changed in the era of algorithms. Guy shares candid insights into alignerlimitations, clinical pearls for complex cases, and his vision for orthodontic education.   ·      01:12– Are aligners now the go-to appliance for mild to moderate crowding?·      03:22– Delphi consensus statement:What are aligners' limitations?·      05:16– Why do clinical results differ so much from research findings?·      11:08– “no-go” cases for aligners?·      15:28– Extreme cases on social media: genuine progress or misleading?·      17:56– Are orthodontists just technicians of aligner companies' algorithms?·      24:57– Profitability, corporate influence, and the in-house aligner movement.·      28:30– Extraction cases with aligners: realistic or flawed?·      32:52– Distalisation: predictable movement or just tipping?·      36:31– Should orthodontic training programmes include formal aligner training?·      44:50– Direct-to-print aligners: fad or the next revolution?·      48:08– Guy's one piece of advice to orthodontists on approaching aligner therapy.  Click on the link below to view previous episodes, to refresh topics, pick up tricks and stay up to date.  Please like and subscribe if you find it useful! YouTubehttps://youtu.be/wITGxEw1ZNs  #orthodontics #farooqahmed #guydeeming#aligners#clearalignertherapy #orthodonticsinsummary#orthodonticsininterview  Farooq Ahmed  

In this episode I discuss what the aligners of life are and why we need them.

If there's a topic that you are not likely to find any consensus about in the orthodontic world, it's which clear aligner to use in your practice.Perhaps the reason for this is because, as clinicians, we want to be the best at what we do and what we use, and in the process, we get very attached to one aligner over the other. In this episode, I am joined by Dr. Bill Dischinger and Dr. Trevor Nichols to talk everything about clear aligners. They are key opinion leaders for Spark, but if you know anything about these two gentlemen, you know that this won't make a difference in their opinion about this topic. But one point we all emphasize in this episode that should guide all orthodontists is that we are not in the teeth business but in the people business.We must be ready to embrace whatever technology or product that will help deliver excellent clinical outcomes to our patients with fewer visits and lesser time. Tune In!Key TakeawaysIntro to Dr. Bill Dischinger and Dr. Trevor Nichols (00:32)Spark vs Invisalign aligners (09:53)Aligners and brackets (16:24)Treating severe cases with aligners (19:54)Where Spark excels (21:54)Finishing cases with Spark (28:44)Having aligner days in your practice (37:11)How aligners and DentalMonitoring saves time for doctors and patients (41:42)The fallacy that exists among orthodontists (44:32)The why of orthodontics (48:36)“With Dental Monitoring, we're delivering better care than we ever have. We see these patients on a weekly basis. And if you don't know how Dental Monitoring works, I would really encourage you to find out. It has changed my life.” Dr. Bill Dischinger “There's this fallacy among orthodontists, and I don't know why, that we need to see patients more rather than less.” Dr. Glenn Krieger “We're not in the teeth business, we're in the people business.” Dr. Trevor NicholsAdditional ResourcesWant to connect with orthodontists who believe in lifting each other up?Come to the final Orthopreneurs Summit in Las Vegas this September. Trust me—it'll be the most impactful event you've ever attended. Go to opSummit2025.com and grab your spot today.- For more information, visit: https://orthopreneurs.com/- Join our FREE Facebook group here:https://www.facebook.com/groups/OrthoPreneurs

Can you really treat complex cases with aligners?“We've done a study of myextraction cases... when you do one or two sets of additional aligners, thenyou will be able to get everything to ideal” “I will never try to bring17 and 18 mesial to close space” “The staging that eachcompany does, it does make a difference. If your technician doesn't understandhow to move the teeth in the right stages… it's never going to happen” “If I have a patient whois not wearing the Class II elastics, then you cannot distalize.” “If you learn to say no tosome of your patients, then you will be a more successful orthodontist.” In this episode of Orthodontics in Interview,we sit down with world-renowned orthodontist Dr. Chris Laspos to explore thereal-world efficacy of aligners, hybrid treatment strategies, and the evolvingrole of auxiliaries and digital planning in modern orthodontics. With over 25years of experience and a background in craniofacial care and surgicalorthodontics, Chris shares insights into clinical decision-making, caseplanning, and the mindset needed for success. Extraction treatment, anterioropenbite and distalisation are discussed and how to improve outcomes, thisinterview is packed with clinical pearls and honest reflections of alignertreatment. 00:00 - Introduction 01:45 - How did you find your way into aligners as an orthodontist? 03:42 - How do you reconcile aligner efficacy data with your clinical results? 06:24 - Can extraction cases be effectively treated with aligners? 07:10 - Do you prefer fixed appliances or aligners for extractions? 09:10 - Do you use more auxiliaries with aligners to compensate for efficacy? 12:03 - Are aligner systems heading toward minimal differences like fixed appliances? 12:49 - Do some aligner systems truly offer better outcomes? 17:59 - How do you manage anterior open bite cases with aligners? 21:02 - How predictable and reliable is distalization with aligners? 24:27 - Can aligners be used effectively in surgical orthodontic cases? 27:54 - What are your thoughts on remote/virtual monitoring? 30:26 - What are common mistakes orthodontists make with aligners? 32:33 - Should general dentists use aligners in practice? 34:15 - Could AI or case simplicity justify aligners by non-specialists? 38:12 - Beyond clinical skill, what makes a successful orthodontist? orthodontics #farooqahmed #chrislaspos#aligners#clearalignertherapy #orthodonticsinsummary#orthodonticsininterview  Farooq Ahmed

Growing up, braces were always wires and brackets and sometimes, for those lucky ones, headgear. Today the landscape looks much different and dental hygienists are often leading the discussions with patients, advocating for ortho treatment. On this episode, Dr. Ilan Abramowitz gives us insight to the raging battle of which is better: Clear Aligners or Traditional Ortho! Resources: Perfectfitortho.com Free ortho education for GPs https://perfectfitortho.com/learn

Growing up, braces were always wires and brackets and sometimes, for those lucky ones, headgear. Today the landscape looks much different and dental hygienists are often leading the discussions with patients, advocating for ortho treatment. On this episode, Dr. Ilan Abramowitz gives us insight to the raging battle of which is better: Clear Aligners or Traditional Ortho! Resources: Perfectfitortho.com Free ortho education for GPs https://perfectfitortho.com/learn

Have you noticed that more and more adults in their Middle Ages are having their teeth straightened with braces and aligners? What was once more commonly found among teenagers has now shifted towards an adult market. John Maytham speaks to orthodontist Dr Taryn di Pasquale. Good Morning Cape Town with Lester Kiewit is a podcast of the CapeTalk breakfast show. This programme is your authentic Cape Town wake-up call. Good Morning Cape Town with Lester Kiewit is informative, enlightening and accessible. The team’s ability to spot & share relevant and unusual stories make the programme inclusive and thought-provoking. Don’t miss the popular World View feature at 7:45am daily. Listen out for #LesterInYourLounge which is an outside broadcast – from the home of a listener in a different part of Cape Town - on the first Wednesday of every month. This show introduces you to interesting Capetonians as well as their favourite communities, habits, local personalities and neighbourhood news. Thank you for listening to a podcast from Good Morning Cape Town with Lester Kiewit. Listen live on Primedia+ weekdays between 06:00 and 09:00 (SA Time) to Good Morning CapeTalk with Lester Kiewit broadcast on CapeTalk https://buff.ly/NnFM3Nk For more from the show go to https://buff.ly/xGkqLbT or find all the catch-up podcasts here https://buff.ly/f9Eeb7i Subscribe to the CapeTalk Daily and Weekly Newsletters https://buff.ly/sbvVZD5 Follow us on social media CapeTalk on Facebook: https://www.facebook.com/CapeTalk CapeTalk on TikTok: https://www.tiktok.com/@capetalk CapeTalk on Instagram: https://www.instagram.com/ CapeTalk on X: https://x.com/CapeTalk CapeTalk on YouTube: https://www.youtube.com/@CapeTalk567See omnystudio.com/listener for privacy information.

Elvis and Barb are back (once again) with more amazing conversations that they got at the exocad (https://exocad.com/) booth during the 4 days at IDS 2025 in Cologne, Germany (https://www.english.ids-cologne.de/). First up is two gentlemen out of Columbia that their lab 70 years ago decided that it was easier if they just started manufacturing their own materials. Juan David Jaramillo and Luis Diego Monsalve talk about the history of New Stetic (https://www.newstetic.com/en/), the regulation of getting it into 65 different countries, the world of making dental anesthesia, and how they use IDS as a way to connect with customers from around the world. Then we bring back the wonderful Steve Campbell from Nexus Dental Laboratory (https://nexus.dental/)in the UK. Steve is at IDS speaking for exocad and the new exocad ART (https://exocad.com/our-products/exocad-art). He talks about how with exocad, AI, and a video of a patient talking, we can create a video of the patient talking with their new teeth that haven't even been made yet. Steve also updates on Nexus since the last recording and the importance of encouraging your technicians to do better then you. Lastly we talk to Dr. Nicolas Rohde from VHF Milling Machines (https://www.vhf.com/en-us/). Dr. Rohde started with a business degree and a PhD in Organizational Practices. While in Maryland during school, he meets his wife and takes a job with a implant company and that's how he into dental. That company was a reseller for VHF mills and that is how he found them Dr. Rohde talks about moving back to Germany to run the US division, what sets their mills apart from others, and why they take the time to have their own CAM software to run their mills. Take it from Jennifer Ferguson from Ivoclar. If you have a PM7 (https://www.ivoclar.com/en_us/products/digital-equipment/programill-pm7) or are thinking about getting a PM7 (Take it from Barb, you should), on July 1st Ivoclar is launching the "Ivoclar Block Module" that can speed up milling emax (https://www.ivoclar.com/en_us/products/digital-processes/ips-e.max-cad) by 45%!! The best part is that you can try it for FREE for 90 days. All you have to do is send them a message on Instagram at Ivoclar.na (https://www.instagram.com/ivoclar.na/) or send a email to jennifer.ferguson@ivoclar.com. Now go mill emax faster! Special Guests: Dr. Nicolas Rohde, Juan David Jaramillo Gómez, Luis Diego Monsalve Hoyos, and Steve Campbell RDT.

During the latest episode of the AGD Podcast Series, host George Schmidt, DMD, FAGD, talks with David Galler, DMD, one of the top providers of aligner treatments in the U.S. During the episode, Galler describes his early work with aligner therapies to some of the new tools that make them more accessible. He also discusses how incorporating aligners into a patient's care addresses cosmetics, periodontal, and occlusion care. Still, dentists must know how to manage these treatments and keep up with current aligner learning. He also touches on the problem of burnout, asking other dentists questions to help them identify factors impacting their happiness and how to find outlets for things that are causing them stress. As a featured speaker at numerous study clubs, webinars, and national and regional events, Galler has created a strong following of practitioners wanting to learn more about treating patients with his aligner therapy. He is credited with bringing several key innovations to the forefront of the clear aligner field, including the GOST (Galler Ostreicher Spacing Technique), Ortho Munchies, and the GLR 4.0 — Galler's proprietary algorithm. He also runs various HAPPINESS seminars to improve dentists' quality of life. When not treating patients, lecturing, or innovating, Galler enjoys performing stand-up comedy and currently has a residency in Las Vegas, where he performs several times a month.

Orthodontics In Interview: Aligners, Limited or Just Misunderstood? tommaso castroflorio “The biggest difference in overcoming the limitation (of aligners) is to understand how to control aligner deformation” “We need to improve the available knowledge about aligners, because we need to control the companies, we do not need companies controlling us” “I think you can treat also complex cases, in my practice I treat extraction cases” “There are limitations in every technique, I think that the good orthodontist understands how to manage the limitation and how to overcome them” “Large mass 3D printing will represent an important evolution in orthodontics, aligners and braces” Tommaso explores the current understanding ofaligners, there limitations in terms of an appliance and scientific research. We explored the debate of aligners treating complex cases, why attachment designs still have limitations, and the role of aligners as functional appliances. We discuss emerging concerns of micro and nano-plastic toxicity andenvironmental concerns of aligners. TIMELINE 00:00:00 Introduction of Dr Tomasso Castroflorio 00:00:51 Tomasso's Early Experiences with Aligners 00:08:21 What are the Limitations of Aligners? 00:11:24 How do we Overcome Limitations with Aligners? 00:17:59 Should Aligners be Restricted to Mild to Moderate Cases? 00:20:22 Research IndicatesAligners Only Tip Teeth into Extraction Sites, Do you Agree? 00:25:50 Importance of Visualization in Orthodontics? 00:29:27 Are Functional Appliance Aligners Advantageous over Conventional Functional Appliances? 00:35:08 Has There Been Over-emphasis on Attachment Design? 00:44:18 What are the Consequences of Microplastics and Aligners? 00:50:32 What is the Future of Aligners? 00:53:54 Who do you Admire the Most in Orthodontics00:55:36 Advice from Tomasso to all OrthodontistsClick on the link below to view previous episodes, to refresh topics, pick up tricks and stay up to date.  Please like and subscribe if you find it useful! Please visit the website for this interview podcast:https://orthoinsummary.com/orthodontics-in-interview-aligners-limited-or-misunderstood-tommaso-castroflorio/   #orthodontics #farooqahmed #tomassocastroflorio#aligners#clearalignertherapy #orthodonticsinsummary#orthodonticsininterview  Farooq Ahmed

Thanks to the AMAZING people at exocad (https://exocad.com/ids), Elvis and Barb THIS WEEK will be recording for the first time at IDS in Cologne, Germany (https://www.english.ids-cologne.de/). March 25 - 28 in Hall 1, booth A040/C041. Come see us, be on the podcast, and see all the amazing things exocad is doing for your lab! Already we are missing everyone at LMT Lab Day Chicago 2025. Luckily, we talked to a lot of people that weekend and can still highlight some of the amazing people we met. First up on this episode is Julia Glancey who comes to Chicago all the way from the UK. Julia talks about her journey working for her dentist father, doing a little demolition, before finally finding a home in a dental lab. Entering the industry though management, it wasn't long before she was teaching herself the lab work and getting into full arch restoration. Now Julia is working with a team remotely from all over to provide exceptional care to patients. Next we talk to Shavit Kohen, who is a student at the New York City College of Technology. The amazing thing is that before she has even graduated, she owns Spark Dental Lab (https://www.instagram.com/sparkdentallab/) in New York City providing everything from crowns to all-on-x cases. Shavit talks about her journey, starting at the front desk, to how a current student can open a lab with all the technology. Then for the last conversation, we pivot to bring you Christine McClymont from exocad (https://exocad.com/) to talk all about what they have planned for IDS (https://www.english.ids-cologne.de/) week! If you are at the show, make sure you stop by the exocad booth in HALL 1, booth A040/C041 and see all the amazing things Christine talks about. Take it from Laura Prosser, the digital marketing manager for Ivoclar North America (https://www.ivoclar.com/en_us). She would like to invite you to start following them on Instagram. It's your chance to obtain exclusive updates on product announcements, industry news, upcoming educational events, and heartwarming stories about our local team and industry professionals. Let's get social together. Simply start following us on Instagram @Ivoclar.na (https://www.instagram.com/ivoclar.na/). We'll see you there. Are you a dental lab in need of more talent to improve your bottom line and keep production on schedule? Are you a dental tech with great skills but feel you're being limited at your current lab? Well, the answer is here and this is precisely why WIN WIN GO (https://www.winwingo.com/) was created. The dental lab and dental tech community needed a place where labs and technicians can meet, talk about their needs and connect in ways that foster a win win outcome. As a tech. If you're ready to make a change, thinking about moving in the next year or just curious what's out there, sign up today. It's totally free. As a lab, you might be feeling the frustration of paying the big employment site so much and getting so few tech candidates. We understand they don't much care about our industry. WINWINGO.com is simply the best place for lab techs and lab owners to actively engage in creating their ideal future. WINWINGO.com, how dental techs find paradise. Special Guests: Christine McClymont, Julia Glancey, and Shavit Kohen.

Russ and Clint talk with Baron Grutter this week.  Baron is a dentist out of Michigan who while doing all things bread and butter loves technology and teaching.  He also recently created two one day online classes Blue Sky Bio.  One focuses on ortho and the other focuses on surgical guides.  Both classes can be found on this Blue Sky University which is also where Russell's class is found.  Baron's class is more polished than Russell's but that is just how Baron rolls.   In our podcast, we talk about Midwinter and Lab Day and how Lab Day is clearly superior to Midwinter.  We also talk about 3d printing and why so many more dentists are getting into the lab space and doing their own lab work.  Also we talk about why Baron is not going to be 3d printing aligners anytime soon. If you want to see when Baron is giving in person courses, go to https://www.barongrutterdds.com to learn more.  

In this Ortho Marketing episode, Dean Steinman is joined by John Nabors of FirstClass Aligners. They explore the latest advancements in clear aligner technology, how they're shaping the future of orthodontics, and what dentists and orthodontists need to know to stay ahead in the industry. John shares his expertise on treatment innovations, patient benefits, and the evolving role of clear aligners in modern dental care.Ready to elevate your practice? Contact us!https://orthomarketing.com/contact-us/About John NaborsJohn Nabors is the CEO of FirstClass Aligners Inc., bringing over 30 years of global orthodontic leadership experience from companies like 3M Unitek, Biolux, 3Shape, and StarAligners. He founded FirstClass Aligners with the mission to make teeth straightening simple, affordable, and effective for both doctors and patients.For more information visit https://www.firstclassaligners.com

In this Ortho Marketing episode, Dean Steinman is joined by John Nabors of FirstClass Aligners. They explore the latest advancements in clear aligner technology, how they're shaping the future of orthodontics, and what dentists and orthodontists need to know to stay ahead in the industry. John shares his expertise on treatment innovations, patient benefits, and the evolving role of clear aligners in modern dental care.Ready to elevate your practice? Contact us!https://orthomarketing.com/contact-us/About John NaborsJohn Nabors is the CEO of FirstClass Aligners Inc., bringing over 30 years of global orthodontic leadership experience from companies like 3M Unitek, Biolux, 3Shape, and StarAligners. He founded FirstClass Aligners with the mission to make teeth straightening simple, affordable, and effective for both doctors and patients.For more information visit https://www.firstclassaligners.com

Running a practice comes with its challenges, especially when it comes to efficiency and costs.One of the areas where we can be more efficient and save costs is by directly printing aligners in our offices.In this episode, I sit down with Mark Bacino from Voxel Dental and Nate Hudson from Renew Digital. Mark dives into how Voxel's partnership with Lux Creo is changing the game with direct-print aligners. No more models, no more thermoforming. You can print a full set of aligners in about two hours; how cool is that?Nate gives us the lowdown on CBCT tech and why certified pre-owned CBCTs are becoming a smarter investment than new 2D systems. We also chat about how these digital advancements help orthodontists offer faster, more efficient treatments, including same-day sleep appliances.If you are looking for ways to streamline your workflow and cut costs without sacrificing quality, this is the episode you don't want to miss.Go ahead - hit that play button. You'll thank me later!Key TakeawaysIntroduction (00:00)Meet Mark Bacino (02:36)Meet Nate Hudson (03:42)Overview of Voxel Dental's direct-print aligner technology  (11:11)Cost and efficiency improvements with Lux Creo systems (16:30)The role of CBCT in modern orthodontics (23:15)Consultative approach to selecting digital solutions (35:01)Cross-specialty opportunities with EMA sleep appliances (39:26)Contact information for Voxel and Renew (40:19)Additional ResourcesContact Nathan HudsonPhone Number:  404-418-8753 Email: nathan@renewdigital.comContact  Mark BacinoPhone Number:  469-525-0791 Email: mark@voxeldental.com----Voxel Dental – Technologies for digital orthodontic solutionsRenew Digital – Certified pre-owned CBCT and other digital solutionsLux Creo – Dental 3D printing technology—- Register for the OrthoPreneurs Summit 2025: http://opsummit2025.com/- For more information, visit: https://orthopreneurs.com/- Join our FREE Facebook group here: https://www.facebook.com/groups/OrthoPreneurs

Joining us on this Podcast Episode are some incredible guests who are shaping the future of dental practices. We have Nicole Yount, an executive coach and ortho specialist at Next Level Consultants, sharing her expertise on integrating orthodontics into general practice. Also joining us is Nick Greenfield, the CEO of Candid, introduces us to Candid Pro, a clear aligner system designed specifically for general dentists, promising predictability, efficiency, and profitability. And from Tacoma, Dr. Arvind Petri, a seasoned dentist who has transformed his practice with Candid Pro, offers a real-world perspective on how this partnership has been a game changer for his business.The episode kicks off with some really exciting news. We explore how CandidPro is tailored specifically for General Practitioner Dentists, offering a unique blend of technology and expert support that reduces the number case of office visits, enhances patient compliance, and ultimately boosts your practice's bottom line!CandidPro is specifically designed to help general dentists deliver predictable outcomes, work efficiently, and drive more profit per case. We'll hear from Nick Greenfield about the value this clear aligner system can bring to practices of all sizes and get a first-hand account from Dr. Petrie, who has already earned over $600k in revenue working with CandidPro.Learn More about  our SPECIAL OFFER by visiting the link below and connecting with CandidStart your CandidPro experience with over 30% off your first 3-4 cases and experience the difference!https://www.candidco.com/nxlevelWhether you're a startup looking to incorporate orthodontics from day one, or an established practice aiming to expand your services, this episode is packed with insights on how to leverage this innovative partnership to grow your practice. We'll discuss the importance of team training, clinical confidence, and how Candid's system can be a cornerstone in your practice's success story.0:00 Intro2:00 Introducing CandidPro Guest speakers7:10 What is Candid?  and Candid's Market Impact9:44 Why CandidPro is a Game Changer: Predictability and Efficiency12:30 A Dentist's Experience w/ CandidPro clear aligners17:18 Typical Pitfalls GPs Face Offering Clear Aligner Therapy26:08 How Does CandidPro Increase Revenue compared to Competition35:22 Candid's Partnership in Empowering Docs w/ Clear Aligner Therapy38:04 Team Integration: Rally the Troops Implementing Clear Aligners Therapy43:33 Why CandidPro is the Clear Solution.

“We do not accept the weaknesses of out appliances as absolutes, but rather we adjust out treatment mechanics to account for them Mazyar Moshiri, “If you are not willing you use elastics – you are not able to get finishing like braces” Mazyar Moshiri “We cannot have a reasonable discussion of efficacy and accuracy until we study the appliance as orthodontic clinicians, and not as scientists Mazyar Moshiri Join me for the first summary of 2025, exploring finishing with clear aligners. Mazyar Moshiri explores overcorrection with aligners, when they should be used and his protocol. It was a lecture from last year's AAO winter meeting.. This episode consists of overcorrection methods of 4 malocclusions: deep bite, anterior openbite, class 3, and expansion. Maz also shares his pearls on what to watch out for when using clear aligners with overcorrection. EXTRAS: Mazyar Moshiri has kindly given permission for the summary slide of his overcorrection protocol to be included in the podcast notes, please see the podcast website https://orthoinsummary.com/ Overcorrection Deep bite - achieve AOB Over-intrusion lower incisors to achieve a 50-100% of total movement predicted Favourable if proclaining teeth, unfavourable if retroclining Use of attachments on premolars, note the hierarchy of attachment design places anchorage for anterior intrusion 5th, “Drs have to doctor the Clincheck”. Anterior openbite Posterior intrusion – overcorrect with occlusal bite blocks class 3 triangular elastics canine and premolars Force down on posterior bite blocks May require controlled relapse following overcorrection, done in refinement NOTE – aligners continuous force system, reciprocal extrusion of anterior teeth is expected Class 3 case Retract lower incisors with retromolar tads and 6 Oz 3'16th Side effect – increase in curve of spee – similar to retraction on a NiTi wire, aligner is not stiff enough to resist Correction in refinement with anterior intrusion to eliminate premature contacts, DO NOT EXTRUDE POSTERIOR TEETH, as aetilogy is anterior iatrogenic extrusion Expansion Overcorrection of 1-2 mm, greater the further posterior Attachments, plan buccal attachments +/- palatal attachments, to account for likely buccal tipping, ensuring buccal root torque and preventing palatal cusp dropping Tip: for palatal cusp dropping place occlusal attachment on the palatal cusp to prevent extrusion during expansion Caution – if already in buccal version, consider limited correction

Come find Elvis and Barb in 2025! Vision 21 at Caesar's Palace in Las Vegas - January 16-18 (https://www.nadl.org/vision-21) Cal Lab Meeting at the Swissôtel in Chicago February 20-21 (https://cal-lab.org/) LMT Lab Day Chicago in the IVOCLAR BALLROOM - February 20-22 (https://cal-lab.org/) IDS 2025 in the EXOCAD booth in Cologne, Germany - March 25-29 (https://www.english.ids-cologne.de/?_gl=1*10atn6b*_ga*NzI2NTMzNjguMTcyOTQ0NDMzMA..*_ga_F5WGQ8B9S7*MTcyOTk4ODM5Ny4zLjEuMTcyOTk4ODg5Mi42MC4wLjA.) So it's probably safe to say that more labs have 3D printers than don't. And more and more dental offices are getting them too. It's a crowded area with a lot of different printers and resins to choose from. Joining the podcast this week is a IT and computer expert that years ago helped some dentist get into printing. Now Mike Gordon runs 3DNA Dental (https://3dnadental.com/) helping labs and offices get into the world of additive manufacturing. Mike talks about how he discovered dental, how he is creating a A.I. think tank to perfect treatment planning of tooth movement, how shape memory makes direct-to-print clear aligners better, and what exciting things we will see soon in the dental printing space. The company Mike mentioned about recycling printable metals: https://www.6kinc.com/ Listen to John Wilson from Sunrise Dental Lab (https://www.sunrisedentallaboratory.com/index.php) and take your own lab to the next level by getting in on some of Ivoclar's End of the Year deals (https://www.ivoclar.com/en_us/campaigns/ivoclar-equipment-promotions-2024?utm_source=website&utm_medium=content_tile&utm_campaign=equipment_promo) on equipment. If you are looking for your first or looking to expand your capabilities, Ivoclar (https://www.ivoclar.com/en_us) has just what you need at a time where it's best to invest. Head over to Ivolcar.com or contact your local rep for all the deals today. Don't let the new year come thinking you should have bettered your lab. Special Guest: Mike Gordon.

Orthodontist Dr. Jeremy Manuele practices in Las Vegas, NV and is known for his commitment to educating colleagues on innovative treatment modalities.  With his MARPE 360 course, Jeremy has developed a comprehensive learning platform for orthodontists interested in advanced miniscrew-assisted rapid palatal expansion. On this episode, you’ll learn about: Jeremy’s journey from his Las Vegas roots and military service to becoming an orthodontist His seamless integration of technologies like uLab® Aligners and DIBS AI into his practice Jeremy’s chairside refinement technique with uLab® that saves time and enhances efficiency His insights on implementing Grin® Remote Monitoring for enhanced patient engagement The creation and goals of his MARPE 360 course for TAD-borne expanders Recorded September 17, 2024 at Coastal Creative Studios in St. Petersburg, FL. Generous support for this podcast comes from Shimmin Consulting & The Aligner Intensive Fellowship. Illuminate Spotlight - Braces Academy & OrthoScreening   Illuminate Exclusives: MARPE 360 & AIRWAY 360 $200 off either course Promo code: ILLUMINATE   Musical Tribute: “‘O Sole Mio” by Eduardo di Capua & Alfredo Mazzucchi

Welcome back to the Nifty Thrifty Dentists Podcast!

Wondering if clear aligners or traditional braces are better for straightening your teeth? Our hosts, Melissa and Selah, compare both options with orthodontist Dr. German. They explore how clear aligners offer a nearly invisible, faster solution and even double as jaw cushions (perfect for clenchers and grinders - we feel your pain). While traditional braces provide tried-and-true results, are ideal for the forgetful (you can't lose them when they're attached to your teeth), and can even be placed on the back of your teeth. When it comes time to decide, Dr. German recommends choosing the option that ensures the best lifelong smile. Listen now to discover which option can give you the confidence and opportunity that comes with a great smile!   Care Experts is a weekly podcast by CareCredit where we sit down with doctors and experts who give information, tips and insight into healthcare treatments and procedures. Check in every Wednesday for new episodes at carecredit.com/careexperts or subscribe on your favorite podcast app.   CareCredit is a health, wellness and personal care credit card that has helped millions of people with promotional financing options and is accepted at hundreds of thousands of provider and retail locations nationwide. Learn more at carecredit.com.

Are you looking for ways to grow your orthodontic practice without adding more staff or increasing overhead?Dr. Regina Blevins did just that. Starting from a single practice, she has scaled her operations to 13 locations—80% of which are Invisalign patients. And guess what? She didn't sacrifice her personal life or patient care. The key was embracing digital technology, like virtual appointments and Invisalign, to work smarter, not harder.In our latest podcast episode, Dr. Blevins explains how she leveraged tech tools like dental monitoring and surrounded herself with a strong team to create a thriving practice. Whether you're just starting or already established, her insights will make you rethink how you run your practice. What if you could scale without burnout? What if you could do more with less?Don't miss out! Click here to listen and learn from Dr. Blevins herself. Your practice—and your personal life—will thank you.Key TakeawaysIntroduction (00:00)Dr. Regina Blevins' story (00:49)Dr. Blevins' early career and transition into orthodontics (03:49)Scaling to 13 practice locations with the right team (07:44)Why and how Invisalign became the practice differentiator (11:15)Bias in orthodontic education against aligners (18:08)Virtual appointments and their benefits to practice efficiency (31:48)Additional Resources- The Solution to Dashboard Monitoring - Remote Response —---- Register for the OrthoPreneurs Summit 2025: http://opsummit2025.com/- For more information, visit: https://orthopreneurs.com/- Join our FREE Facebook group here: https://www.facebook.com/groups/OrthoPreneurs

Adults need braces too. With options like Invisalign, SureSmile, and traditional braces, Sean Liu Orthodontics (253-838-0765) offers effective solutions to help adult patients in Federal Way achieve straighter, healthier smiles. Click https://www.liuorthodontics.us/ to schedule your consultation. Sean Liu Orthodontics City: Federal Way Address: 118 SW 330th St Ste 200 Website: https://www.liuorthodontics.us Phone: +1-253-838-0765 Email: office.liuortho@gmail.com

Are your aligner treatments really boosting your practice's profitability, or just creating more headaches? There's a right and wrong way to approach certain cases, and GPs aren't necessarily equipped to take them all, despite what most aligner companies like to advertise. In this episode, I sit down with Lou Chmura, founder of Egghead Orthodontics and Ortho Mastery Advisors, and an orthodontic expert with over 35 years of clinical practice experience.  Lou sold his practice in 2022 and now dedicates his time to teaching and consulting, helping dentists and orthodontists incorporate technology for improving patient outcomes. With deep expertise in both orthodontics and general dentistry, Lou possesses a unique POV on integrating orthodontic treatments into a general practice successfully. We chat about a big issue with aligner treatments: the misleading nature of their ads that promise increased production but fail to address the importance of completing cases efficiently.  Additionally, Lou brings up how you can set your aligner cases up for success all the way to completion, which involves thorough diagnosis and proper case staging, from IPR to monitoring techniques. He also shares the hidden costs in aligner treatments and introduces the concept of hybrid cases for more complex scenarios. If you're ready to maximize your practice's success with aligners, don't miss Lou's tips on mitigating the challenges you may face. — Key Takeaways: Introduction (00:00) Meet Lou Chmura & how he helps practices with ortho treatments (01:28) Why aligner advertisements misleading (04:59) What does it take to be more efficient with orthodontic treatments? (09:03) What GPs should focus on when setting up orthodontic cases (15:51) Ensuring proper case selection (21:00) Final thoughts & lightning round Q&A with Lou (26:22) — Connect with Dr. Lou Chmurra on Instagram.  — Learn proven dental marketing strategies and online reputation management techniques at DrLenTau.com. This podcast is sponsored by Dental Intelligence. Learn more here. This podcast is sponsored by The Doc Sites, the leading provider of websites and online marketing for dentists. Find out more here. Raving Patients Podcast is your go-to place for the latest and best dental marketing strategies that will help you skyrocket your practice. Follow us for more!

Snow Family Dentistry - (480 982 7289) provides cosmetic dental treatments with Invisalign clear straighteners to help you get the smile you've always dreamed of having. Visit https://www.snowfamilydentistry.com/services/cosmetic-dentistry/invisalign-mesa-az for details. Snow Family Dentistry City: Mesa Address: 4420 E Baseline Rd Website: https://snowfamilydentistry.com/ Phone: +1-480-982-7289

Mt Albert, Auckland - All Smiles Dental - 0800-255-764 - get discreet teeth straightening treatment for adults, kids, and teens! Go to https://www.allsmilesdental.co.nz/invisalign-mt-eden-auckland/ for more details. All Smiles Dental City: Mount Eden Address: 395 Dominion Road Website: https://www.allsmilesdental.co.nz/ Phone: +64-800-255-764

Join me for a podcast summary looking at the effects of aligners when expansion occurs. In this podcast we will explore if bone loss occurs with expansion and why bone loss doesn't necessarily cause recession. The podcast is based on the lecture and research by Greg Huang presented at this year's AAO, and includes some more recent research on the topic     PICO Population adults, 22 maxillary arches, 20 mandibular arches Intervention – expansion with aligners, average 3.7mm Control – minimal expansion, average 0.6mm Outcome – bone height and width from CBCT   What was the bone loss?   Maxilla ·      Minimal bone loss ·      Minimal bone height and width change   Mandibular ·      Significant bone loss ·      1.5mm height mandibular centrals ·      1.4mm height premolars   What movement took place of the incisors? Maxilla ·      Little change in bucco-lingual inclination   Mandibular ·      Labial and buccal tipping increased   What were the overall changes?   Dental changes ·      3-4mm of expansion ·      Mainly  at premolars ·      Mainly buccal tipping, not bodily movement ·      Lower incisors procline   Similar bone loss with aligners expansion from other studies, Zhang 2023 , Allahham  2023   Should CBCT's debate within the literature regarding voxel size of a CBCT and false negatives. Accuracy of alveolar height CBCT 2019 Yuan Li BA systematic review showed ·      CBCT Vs skulls/patients ·      Bone height 0.03mm ·      Bone width 0.11mm   My thoughts: no difference in cbct and gold standard, however the measurements were all of large structures, not bone height or thickness of less than the voxel size   Predict bone loss ·      Upper arch no predictors as limited changes ·      Lower arch, same as for fixed appliances, but the quantity was missing o   Proclination o   Expansion o   Buccal expansion and tipping   Systematic review of orthodontics 48 articles de Llano-Pérula 2023 ·      Proclination ·      Less keratinised tissue ·      Thin biotype ·      Prior recession ·      Crossbite ·      Previous recession ·      Age     Does bone loss = gingival recession? ·      Not generally found from Greg's study ·      When significant bone loss of 3mm, far less than 3mm gingival recession     Significant retraction of upper incisors and intrusion Kim 2024. Loss of Palatal bone however in retention palatal bone recovered   Hypothesis ·      If PDL and periosteum are maintained  epithelium is maintained ·      If the root moves back into the bone, the bone recovers – as PDL and periosteum osteogenic, and tension generated between PDL and periosteum ·      PDL-periosteum hypothesis – proposed by Greg Huang   What I liked about Greg's lecture was that he started with declaring his conflict of interest as an academic, both the royalties he receives for his books as well as research funding, which was great to hear and a trend I hope continues. Acknowledged the hard work of the research lead, his trainee and the  time-consuming process of orientating CBCT slices of 1000s of images

Join the GOLDEN BENCH CLUB! All you have to do is leave us a 5-star review and comment on the Apple Podcast app (or any other app and email us a screen shot) and we will read your review on the podcast and welcome you to the Golden Bench Club. This super elite club is only for the best of the best. Mallorca Spain is known for exporting wonderful almonds, oranges, lemons, olives, olive oil, grapes, wine and excellent cheeses. But did you also know they are known for exporting amazing conversations from people changing dentistry? This week we are back with even more conversation from exocad Insights 2024. First up is the stellar sister duo of Kristina Vaitelyte and Margarita Vaitelyte. Kristina was on the podcast a while ago but this time we caught them together. They talk about the importance of communication, since Kristina designs in England and Margarita finishes in Lithuania, the workflow of near instant patient treatment planning, and always working with the end result in mind. Then we learn what a Dental Therapist is when we chat with Cat Edney. Cat started as a hygienist, but knew she could do more and went to get her Dental Therapist license. Now she is working to spread the word of how that role fits within the dental team, allows more (and proper) care to public, and how she communicates to the other members on the team. On September 11th in Fort Worth, Texas, the 10th annual Race For the Future (https://dentallabfoundation.org/news-events/race-for-the-future/) will take place to raise money for the Foundation For Dental Laboratory Technology (https://dentallabfoundation.org/). Barb is doing her 9th solo race and Elvis is teaming up with Mark Williamson and Bobby Kenney to form The Abutments. Go to dentallabfoundation.org and click on the DONATE TODAY button. There you need to log in or create an account. Then select “Race for the Future” and enter the name of either Barb Warner or the Abutments, then the amount you want to donate. Wanting to take your knowledge and skills to the next level? If you are looking for the best education dedicated to dentistry in both the labs and clinics, check out Ivoclar Academy. (https://resources.ivoclar.com/lab/en/academy) From on-demand webinars to in-person training, Ivoclar Academy has a program to meet your busy schedule. Check out all they have to offer HERE! (https://resources.ivoclar.com/lab/en/academy) Special Guests: Cat Edney, Kristina Vaitelyte, and Margarita Vaitelyte.

Join me for a summary looking into difficult movements with aligners, why they are difficult, and a protocol derived from research on how to manage tooth movements with aligners. This lecture was given by Bill Layman at this year's AAO, where he describes maxillary incisor extrusion, posterior intrusion, and controlled expansion. Introduction ·       Rate of refinement: 2.5 per patient Kravitz 2022 ·       41% of aligner cases 3 refinements + ·       Switch to fixed appliances from aligners 1 in 6 Kravitz 2022 Staging and synergistic movements can reduce refinement rates Incisor extrusion Why is Incisor extrusion difficult? ·       Lack of undercut ·       Sqeeze teeth to engage, creating opposite effect due to V shape of a tooth – leading to loss of retention of the aligner ·       Interproximal binding through vertical contact point overlap or slipped contact points and a closed system of aligners Incisor extrusion staging steps: 1.     Create undercut: Horizontal attachments are most effective, regardless of design Groody 2023 2.     Create 0.1mm between teeth to relieve interproximal binding 3.     First procline the incisors to increase surface contact 4.     Then Extrude and retract Posterior intrusion Why is it difficult? ·       Multiple teeth and lack of anchorage, through anterior teeth ·       Crowns tip mesially during intrusion as an unwanted effect ·       What happens when we intrude: o   Mesial tipping of posterior teeth Fan 2022 Finite element o   Buccal and palatal attachments = less tipping buccal or lingual How to improve posterior intrusion ·       Sequential intrusion – 1st premolars ·       Tip posterior teeth 5-10 degrees distally ·       Horizontal attachment buccal / palatal ·       Consider attachment lingual Upper molars ·       Sequential intrusion ·       TADs not always needed, 5200 times bite on hard surface, enables posterior intrusion through masticatory forces   Controlled expansion Why is it difficult ·       Aligners tip teeth buccally = creates occlusal interferences ·       Lack of rigidity of tray to exert forces = straight finish trays increase rigidity ·       Attempting to correct skeletal problems with dental solution ·       Greatest expansion in the premolar region ·       Expansion from the research showed progressive less posterior expansion o   Molars expand less due to anchorage loss ·       Expansion through tipping How to improve posterior intrusion ·       Plan around premolar expansion ·       Expect 70% in premolar region, 55% molar and 46% canine ·       Overcorrection of canines 1.7mm (premolar region 3.4mm) Zhou 2020 ·       Maximum expansion seen is 4mm   Conclusion: ·       Incisor extrusion: procline teeth with attachment, then extrude and retract o   Include iPR ·       Posterior intrusion: Start with premolars and sequentially intrude posterior teeth o   Add distal tip ·       Controlled expansion: Effective in premolar region o   Plan with overcorrection Jay Bowman ·       “If you don't build-in overcorrections you can't get corrections” ·       “there many things that need improvement at the end that aren't hard to do if start treatment with the overcorrections in mind”   Contributions Contents: Shanyah Kapour Edited and produced: Farooq Ahmed        

ASMR Dental Cleaning & Invisalign Aligners. Medical RP, Personal AttentionAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

How long should you wait after a root canal before starting Orthodontics? Should we be scared of orthodontic movement in those taking bisphosphonates? How do you decide if diastemas should be closed restoratively or orthodontically? Dr Daniel Neves answers every one of the questions and several more sent in from the Protrusive Community These questions are the tricky case-specific ones we ponder about and crave guidelines for - straight talking Dr Neves makes it all tangible. https://youtu.be/ZufVChjEJk4 Watch PDP186 on Youtube Protrusive Dental Pearl: Retention is not a ‘one and done' process. It should be customised for the individual and maintained appropriately - including at every routine check up. Highlights of this Episode:04:40 Protrusive Dental Pearl05:53 Introduction to Dr Daniel Neves 12:16 Reducing the Risk of Relapse17:20 Anterior Diastema21:47 Temporary Anchorage Devices (TADs)26:20 Jaw Issues in Adults29:20 Root Resorption34:25 Recession Cases38:00 Timing of Orthodontics after Root Canal Treatment39:39 Bisphosphonates and Orthodontics40:16 Aligners around Implants42:22 Final Thoughts If you liked this episode, you will also like GDP Alignment vs Specialist Orthodontics [STRAIGHTPRIL] – PDP068

In today's throwback episode Zach and Kevin welcome back Dr. Matt Standridge! Highlights include: Matt gives us his bio! We talk MEAT We talk Powerprox and our friend Rick DePaul And Gerety orthodontics Matt does not shoot from the hip Matt teaches with 3D Dentists on digital orthodontics Aligners work, if you know how to use aligners… We talk about the ortho/restorative link. Become a member of the Very Clinical Facebook group!  Join the Very Dental Facebook group using the password "Timmerman," Hornbrook," McWethy," "Papa Randy" or "Lipscomb." The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! -- Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code “verydental10” you'll get another 10% off your order! Go save yourself some money and support the show all at the same time! -- The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! -- Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! -- CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even  their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!

Behind every orthodontic innovation, there's a story waiting to be told. And today, we're lucky to hear from Dr. Vas Srinivasan and the fascinating story behind the inception and development of Spark Aligners.Dr. Vas Srinivasan is an orthodontist with a rich background. Born in India with a passion for quality higher education, he moved to the United States and eventually settled in Australia, where he established his practice.Without his input, Spark Clear Aligners wouldn't exist. He played a huge role by being part of the initial trial group in the early stages of development. He was the only doctor who documented and presented cases and paperwork that helped the team refine the product and eventually get the necessary approvals.  He shares some of the behind-the-scenes experiences encountered during the development phase of Spark aligners and the collaborative efforts that drive innovation in our field.Additionally, we discuss the role of KOLs and the responsibilities and impact of these thought leaders in vetting and disseminating new technologies and methodologies.Dr. Srinivasan also shares a deeply personal aspect of his life: his transformative weight loss journey including the approach he used to improve his health.Tune in to the full episode to hear Dr. Srinivasan's story and incredible insights on innovation in orthodontics and life.Key TakeawaysIntro (00:00)Dr. Srinivasan's background story (02:37)Inspiration to move to Australia (05:11)Journey of personal health and weight loss (11:57)Mental and physical benefits of yoga (18:35)The origin story of Spark Aligners (27:39)Comparison of aligner brands (36:29)The significance of KOLs in orthodontics (41:37)Importance of being more than just an orthodontist (46:07)Additional ResourcesConnect with Dr. Vas Srinivasan:- Website: https://www.invisibleorthodontics.com.au/- Instagram: https://www.instagram.com/vassrinivasan—-- Register for the OrthoPreneurs Summit at Sea (2024): https://opsummitatsea.com/- For more information, visit: https://orthopreneurs.com/- Join our FREE Facebook group here: https://www.facebook.com/groups/OrthoPreneurs

Imagine learning the latest in dental implants and clear aligners, not in a cramped conference room, but with the pink sands of Bermuda a few steps away.  Learn all about supercharging your dental practice with big cases at our upcoming conference in Bermuda! On today's podcast episode, I brought on my co-organizers, Allison Lacoursiere and Matthew Petchel to talk about this exciting event. First and foremost, we explain why we chose Bermuda as the location, touching on what will separate this event from all the other dental events out there.  Allison, Matthew, and I also go over all the details for the event, detailing how it will stand out over all the other events in the industry. We also share all the details such as the event format and schedule, our renowned speakers, the type of content we will be presenting, and who will get the most out of this three-day experience. We're bringing together top-tier dental professionals ready to change their mindset on what's possible in 2024. Plus, our internationally known guest speakers will deliver actionable content and proven strategies for growth to elevate your implant or aligner practice to the next level. Plus, we'll have a special guest sharing about generative AI, with a specialized focus on its applications in dentistry! Don't miss out on this opportunity to learn from top dental speakers in the beautiful setting of Bermuda. Grab your ticket now for early bird pricing. Tune in for more details! — Key Takeaways: Introduction (00:00) Event Location: Bermuda (02:08) Event Format and Additional Details (05:11) Speakers and Content Highlights (07:24) Special Guest on Generative AI (12:19) Changing The Landscape of Dental Events (17:13) Who Should Attend (22:43) Dates, Location, & Early Bird Pricing (26:05) — Additional Resources: Use code “RavingPatients” to save $200 on your early-bird ticket. Event Website: https://superchargemorebigcases.mykajabi.com/bermuda Connect with Allison Lacoursiere: LinkedIn: https://www.linkedin.com/in/allison-lacoursiere-32789680/ Instagram: https://www.instagram.com/clearlyig/ Facebook: https://www.facebook.com/allison.lacoursiere / https://www.facebook.com/yourclearalignercoach Connect with Matthew Petchel: LinkedIn: https://www.linkedin.com/in/matthewpetchel/ Instagram: https://www.instagram.com/zeephyrp/ Facebook: https://www.facebook.com/matthewpetchel — Learn proven dental marketing strategies and online reputation management techniques at: https://www.drlentau.com This podcast is sponsored by Dental Intelligence. Learn more at: https://www.dentalintel.com/ This podcast is sponsored by The Doc Sites, the leading provider of websites and online marketing for dentists. Find out more at: https://www.docsites.com/ Raving Patients Podcast is your go-to place for the latest and best dental marketing strategies that will help you skyrocket your practice. Follow us for more!

Dr. Michael Cohen and Mark Gaylard, co-founders of Dental Mentorship Group, talk with Gary about why more GP dentists should consider adding clear aligners, how to get your team to buy in, and why you should join them at AlignerCon. Connect with our Guest: Website: https://dentalmentorshipgroup.com/

Alan is joined by orthodontist Dr. Tyler Rathburn to talk about the state of orthodontics in 2023 as well has the new workshop that he'll be teaching at Spear Education! This wide ranging conversation covered a lot of ground. Some of the highlights: Growing up in an orthodontic office The orthodontist that had ortho as a kid Dentists having ortho on themselves...more knowledge = more treatment How Tyler became Spear Education faculty (there is a CerecDoctors connection!)  As expected, the Spear ortho curriculum focuses a LOT on diagnosis and treatment planning as well as aligners Both workshops will incorporate hands on! Who should be taking this course? Learning orthodontic case selection Specialists feeling protective vs. generalists biting off more than they can chew "Don't be the dentist that only calls their orthodontist when they're in trouble." Aligners have been pushed by marketing and technology...we need knowledge driving treatment Are aligners overused? Aligners and compliance "12 year old boys are dirtbags." Materials changes are going to make aligners even more useful Appliance selection is always last Aligners are a tool in the box, not the end of of orthodontic therapies Orthodontists and airway...a challenge moving forward Treating faces and skeletons vs. "just moving teeth" Some links from the show: Fundamentals of Orthodontic Aligners in Clinical Practice at Spear Education Advanced Orthodontic Aligner Use at Spear Education Join the Very Dental Facebook group using the password "Timmerman," Hornbrook" or "McWethy," "Papa Randy" or "Lipscomb!" The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! -- Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code “VERYDENTAL10” you'll get another 10% off your order! Go save yourself some money and support the show all at the same time! -- The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! -- Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! -- CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even  their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!

Zach and Kevin are joined by Kevin's Invisalign rep, Nico Salerno! The guys discuss Nico's journey into selling to dentists. When sales reps do well, do dentists do well? Can Nico sell Zach on Invisalign? Is Invisalign the "Kleenex" of clear aligners? Invisalign spends $$$ on clear aligners so the dentist doesn't have to? Why doesn't Invisalign allow outside scanners' data? If you want to interact with us, head over to the Very Clinical Facebook Group! Join the Very Dental Facebook group using the password "Timmerman," Hornbrook," McWethy," "Papa Randy" or "Lipscomb." The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! -- Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code “verydental10” you'll get another 10% off your order! Go save yourself some money and support the show all at the same time! -- The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! -- Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! -- CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even  their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!