Mixed Dentition Invisalign Cases- Eruptive Guidance Pontics vs Forced Eruption
● Dr. Amanda from straightsmilesolutions.com discusses mixed dentition cases.
● Focus on Invisalign due to its advantages over other aligner companies.
Choosing the Right Aligner Solution
When handling mixed dentition cases, specifically situations where both baby and permanent teeth are present, carefully consider your aligner choice. While various aligner companies are available, Invisalign is the superior option for managing such cases due to its unique features tailored to this scenario.
Caution Against Other Aligner Companies
It’s advised to avoid using other aligner companies for mixed dentition cases. This recommendation is because these companies lack the proprietary features to handle the complexities associated with teeth erupting and shifting in mixed dentition. The proprietary aspects owned by Invisalign’s parent company, Align Technology, provide the tools to manage such cases successfully.
Advantages of Invisalign for Mixed Dentition Cases
Invisalign is specifically recommended for mixed dentition cases due to its effectiveness in handling challenging scenarios. This aligner system is particularly well-suited for complex cases involving a mix of baby and permanent teeth and cases with periodontal considerations. While other brands may be suitable for simpler cases, Invisalign’s capabilities shine in more intricate situations.
Invisalign Preferences and Refinements
Understanding your Invisalign preferences is crucial for successful treatment. Utilizing Invisalign’s technology requires careful management and multiple refinements, especially in mixed dentition cases. Always opt for Invisalign 5, rather than lighter versions, to ensure comprehensive treatment planning.
Eruptive Guidance Pontics for Natural Eruption
For cases where natural tooth eruption is still occurring, prioritize using eruptive guidance pontics. These shell-like attachments support the natural eruption process, allowing teeth to come in without unnecessary force. In instances where teeth are partially erupted, avoid forcing their eruption with attachments, as it can negatively impact gum health and tooth vitality.
Collaboration with Clinical Team and Patient Communication
In cases where Invisalign’s default approach involves forced eruption, consider requesting eruptive guidance pontics. If your request is initially denied, arranging a meeting with Invisalign’s clinical team and explaining the rationale behind your request can often lead to a more favorable outcome. Always ensure thorough communication with the patient, including explaining potential multiple refinements that might be required.
Financial Considerations and Patient Satisfaction
When dealing with complex cases involving mixed dentition, avoiding accepting payment upfront is advisable. Perform a thorough clinical evaluation and treatment planning before committing to the case financially. This step prevents the need for refunds and ensures a better experience for both the patient and the practitioner.
Case Suitability and Patient Requirements
It’s important to note that Invisalign might reject cases involving patients with significant overjets or small lower jaws. Additionally, cases, where patients are still undergoing mixed dentition might be declined due to the need for retention.
Due to its specialized capabilities and features, Invisalign is the preferred choice when dealing with mixed dentition cases, particularly those involving both baby and permanent teeth. Effective communication, proper treatment planning, and carefully considering the patient’s unique needs are key to successful outcomes.