This article aims to assist dental providers with orthodontic refinements and aligner treatments. Dr. Amanda from Straightsmile Solutions acknowledges that many individuals request personalized guidance for their refinements through à la carte sessions or signing up for a concierge membership. However, it’s important to identify the root cause of refinement needs, as orthodontic treatment is not typical. The goal is to rectify the underlying issues to prevent perpetuating the same problems.


This post provides valuable information and guidance for different types of aligners, particularly Invisalign and other clear aligner options. While efforts have been made to categorize and organize resources and videos, aligner companies continuously evolve, and some older training videos may not remain relevant. However, Dr. Amanda does not delete outdated videos, allowing viewers to access a wide range of resources.


To effectively help dental providers, Dr. Amanda requests a full set of photos with the most recent aligners, including slightly open front and left teeth positions. These photos aid in assessing the tracking of the aligners. Additionally, all original photos and potentially a CBCT should be included to evaluate any deviations from the treatment plan. It is suggested that taking cone-beam computed tomography scans or utilizing intraoral scanners with clear aligners can provide more comprehensive information for analysis.


Dr. Amanda advises using articulating paper to check the occlusion and requests a full set of regular intraoral photos with articulation marks. These photos, taken after using the articulating paper, help visualize the occlusal relationships, including the molars and front biting. Several photos, including the ones with aligners slightly open, are necessary for a thorough assessment.


Furthermore, a progress panoramic X-ray and initial records are required. Examining the root positions can provide insights into potential issues. For accountability, Dr. Amanda recommends using virtual monitoring software, such as Invisalign Virtual, In-Hand Dental, or Dental Monitoring. Regular check-in photos should be captured throughout the treatment process to track progress. The absence of a monitoring system can lead to treatment tracking issues.


Dr. Amanda from Straightsmile Solutions aims to assist dental providers seeking guidance for orthodontic refinements and aligner treatments. By providing the necessary information, including photos, records, and monitoring data, she can analyze cases and identify potential problems.