How to Close Open Contacts Posterior Spaces at the End of Invisalign / Orthodontic Treatment
Dr. Amanda – Straight Smile Solutions

I. Introduction
A. Issue: Finished orthodontic treatment, but open contacts persist.
B. Options for resolution.

II. Causes of Open Contacts
A. Insufficient IPR (Interproximal Reduction).
B. Challenge of accurate IPR.

III. Learning Accurate IPR
A. Check Dr. Amanda’s IPR videos on
B. Upcoming free live IPR video in May 2021 (CME units).
C. Sponsored by Garrison Dental; visit their website to sign up.

IV. Options for Resolving Open Contacts
A. Unlimited/Comprehensive Invisalign or Clear Correct Cases
1. Refinement
2. New scan or impression.

B. Invisalign Cases
1. Virtual Power Chain (VPC)
a. Watch Dr. Amanda’s VPC videos for detailed instructions.
b. Risk: Overcrowding; proceed cautiously.
2. Add VPC to any Invisalign case at the end.

C. Other Brands
1. Likely need to do a refinement due to limited options.

D. Circumferential Wraparound Retainer
1. No occlusal plane wires.
2. No stabilizing wires.
3. Risk of space closure interference; no guarantees.

E. Custom Mini Positioner
1. From TP Orthodontics (US patents).
2. Precise placement like a denture wax-up.
3. Customize to close spaces.

F. Considerations for Bands Instead of Brackets
1. Open contacts are also relevant in bands.
Addressing open contacts and posterior spaces at the end of Invisalign or orthodontic treatment is crucial for achieving a beautiful and functional smile. Through the careful planning and execution of orthodontic techniques, patients can enjoy the benefits of a harmonious bite, enhanced aesthetics, and improved oral health. The journey toward closing these spaces may involve using various appliances and strategies, ultimately leading to a successful treatment outcome. The key takeaway is that post-treatment care and retention are just as vital as the initial phase of orthodontic treatment. With the right approach and commitment, patients can confidently embrace their new smiles, knowing that open contacts and posterior spaces are no longer a concern.