Stop Flashing your Invisalign and Clear Aligner Patients!
Dr. Amanda is a dental professional specializing in precise aligner treatments and runs a website called Straight Smile Solutions (straightsmilesolutions.com). Here are some insights from Dr. Amanda about the issues that can arise with clear aligner cases, mainly focusing on the problem of flashing around the attachments. She outlines the top three reasons practitioners may need help with aligner cases.
In orthodontics, “flashing” refers to using a high-intensity light source to cure or harden dental materials such as orthodontic adhesive or dental composite. The light source, a dental curing light, emits a specific wavelength that activates photoinitiators within the material, initiating a chemical reaction that causes the material to harden or set.
The first reason is the need for proper case selection. Choosing the suitable case for the appropriate system is crucial for successful outcomes. Dr. Amanda suggests understanding the categorization of cases as green, yellow, or red and learning how to select the proper case for a specific system can significantly improve treatment results.
The second reason is an improper treatment plan. Dr. Amanda emphasizes the importance of orthodontists thoroughly understanding the software and not solely relying on the technicians’ recommendations. She explains that accepting the initial treatment plan without modifications can lead to suboptimal outcomes. Dr. Amanda shares her experience of going through a meticulous process to customize treatment plans, which involves multiple iterations to achieve a clean check or a well-prepared treatment plan.
The third reason is the need for an accountability loop. Dr. Amanda emphasizes the significance of compliance in orthodontic treatment and suggests that many general and pediatric dentists often need to verify their accuracy to accept patients’ claims. She stresses the need for a virtual accountability loop to monitor patients wearing clear aligners, as it helps ensure compliance and reduces the likelihood of complications and refinements. Companies such as DentalMonitoring and InHand Dental provide software solutions for accountability loop systems.
Dr. Amanda advises practitioners on how to address the issue of flashing. She recommends avoiding using flowable materials for attachments and instead suggests learning to pack the trays properly. Dr. Amanda shares a technique where trays can be pre-loaded the night before the appointment and stored in airtight containers. This approach allows for a more relaxed chair-side loading process and saves time. She also suggests initially trying the first tray without attachments to check for any manufacturing issues or teeth shifting before attaching them. If the tray fits perfectly, the attachments can be added. However, a rescan and warranty fit may be necessary if there are tracking issues.

Dr. Amanda also emphasizes the importance of removing flash and suggests using a black light to identify and clean off any excess flash. She warns against leaving trays that do not fully seat and recommends having patients return to the office before progressing further with the treatment.
Conclusion
Dr. Amanda from Straight Smile Solutions emphasizes the importance of addressing the common issues associated with clear aligner cases. By focusing on proper case selection, creating customized treatment plans, implementing an accountability loop, and avoiding flashing, orthodontists can enhance the success and efficiency of their aligner treatments.

Have you ever thought about trying Invisalign with mandibular advancement cases? It’s something that many of us overlook, but this shouldn’t have to be the case, aand understanding this technique might offer a myriad of benefits. So, without further ado, we’ve outlined some of the key things you need to know as follows to help.
How Can Invisalign Work for Mandibular Advancement Cases
Did you know that Invisalign can be an incredibly effective tool for MA jobs? Indeed, while MA orthodontics can be a little complex, it’s a great option to consider when creating a treatment plan.
There are several options for MA work through Invisalign, which will largely depend on your location. Indeed, the comprehensive plan may be possible to upgrade to Invisalign with MA; however, it’s important to recognize that you’ll usually need around thirty to forty aligners to sort the treatment plan, and further refinements are often needed to get good results from your cases.
However, it’s worth noting here that Invisalign with MA will only work in cases where the patient is still growing. For other patients, you may want to consider an alternative option to help resolve the issues your patient has been experiencing. Remember: you’ll ideally want your patient to wear their Invisalign aligners for around 24 hours per day, too.
Final Thoughts
As part of our Invisalign consulting, it’s important to recognize that this excellent tool can offer a simple solution to support mandibular advancement. However, this isn’t always the most straightforward process; so, where possible, try to start off with other Invisalign cases first. Don’t worry – we’ve got countless dentist videos and blogs on all manner of treatment options, so our experts here at Straight Smile Solutions can help you find the answers you need.

Dr. Amanda, a dedicated professional from Straight Smile Solutions, has recently shared her frustration and deep concern about the payment practices of Invisalign. She firmly believes that people must speak up about this issue, as she has experienced the negative impact. The following blog is just a clinical opinion, if Align Technology has a concern, please address Dr. Amanda directly to have this updated or modified.

According to Dr. Amanda, Invisalign follows a system incentivizing doctors to take on as many cases as possible. However, there is a significant flaw in the process, as there needs to be a clear billing statement or reminder to pay. This can result in substantial bills accumulating over time. Invisalign’s terms and conditions state that failure to pay by a specific date can lead to account suspension or closure, accompanied by an embarrassing yellow banner that cannot be removed.

Dr. Amanda argues that this payment process needs to be revised, particularly for orthodontists in the United States who receive payments in small increments from insurance companies over an extended period. To address this issue, she suggests that Invisalign implement a pay-as-you-go system or provide a precise sliding scale indicating the outstanding balance. These measures would help doctors avoid falling behind on payments and manage their finances more effectively.

The consequences of account suspension or freezing extend beyond doctors with outstanding bills; their patients are also affected. Even patients who have paid in full may face treatment interruptions, including necessary refinements.

Dr. Amanda expresses grave concern that this problem could have severe consequences, leading to doctors going out of business and jeopardizing the reputation of aligner technology as a whole. She passionately calls on Invisalign to allow doctors to continue treating existing patients, even if new patient submissions are temporarily halted. She suggests imposing interest or penalties for late payments and freezing new patient cases as a compromise. In her opinion, these measures would strike a balance between addressing the payment issue and ensuring the continuity of patient care. Advocating for fair and transparent payment practices can help protect the livelihood of doctors and ensure that patients receive the continuous care they deserve.
Conclusion
While Align Technology’s innovative products have revolutionized orthodontic treatment, the company’s payment practices pose a risk to doctors regarding patient abandonment. Align Technology can cultivate more robust relationships with dental professionals by proactively addressing the concerns surrounding reimbursement delays and streamlining the payment process, ensuring continued access to their products, and fostering better patient care.

What is a Sunday Bite?

Have you ever wondered what a Sunday bite is and how this relates to orthodontics? Finding the optimal treatment plan can often seem a little difficult. With this thought in mind, today, we’re looking at some of the key things you should know about Sunday bites and what they mean from an ortho perspective.
What is a Sunday Bite
First of all, we need to consider what a Sunday Bite is in orthodontic treatment plans. If you’ve ever started a treatment plan only to notice the patient becomes a Class II case down the line, you may be dealing with a Sunday Bite.
In these cases, the mandible won’t have shrunk, nor will the maxilla have grown forward if the patient is a little older.
More likely, a patient with overjet may just have moved their jaw forward to make it look normal, often being what they’re more comfortable with. In these cases, the patient likely won’t know they’re doing this; make sure to watch patients with a Class II profile with Class I records and not inadvertently holding their jaw unnaturally.
However, it’s also possible to potentially cause a Class II to appear, especially if the anchorage wasn’t controlled properly.
Final Thoughts
If you’ve been struggling to learn more about Sunday bites in orthodontics, consider the different treatment plan options available to help. Fortunately, our experts here at Straight Smile Solutions may be able to help you determine whether the case you’re facing is a Sunday Bite or not, allowing you to optimize your own approach to treatment.

Overcorrection Aligners – Why They’re Not Necessarily A Good Idea

Have you ever considered doing an overcorrection with your aligners cases? It’s not always easy to work out a suitable treatment plan for your patients, especially if you’re trying to avoid revisions and relapse cases. However, here at Straight Smile Solutions, we generally recommend against doing overcorrections for your aligner cases – and today, we’ll be covering why this is.
Why Overcorrection Usually Isn’t a Good Option to Avoid Revisions
Some people assume that doing an overcorrection can help prevent issues such as relapses with patients. However, this may not actually be the case, and there’s generally no real need to actually do overcorrection on a case.
First, make sure you start by doing a thorough ClinCheck with your patients if using Invisalign. Make sure you’ve also put plenty of time into the case – don’t rush! – and try to complete every treatment plan as accurately as possible to reduce the risk of issues and revisions cropping up down the line.
It’s also important to make sure your patient knows about the core factors they’ll need to do to see progress with their case. Create an accountability loop (potentially virtually if they aren’t local) to ensure that your patients follow their treatment plan accurately and see good progress.
The Exception
Overcorrections can very occasionally be useful – namely in VPC cases (virtual power chain). Make sure to consider this carefully if you need to do a VPC case to minimize revisions and get good results.
Find Your Patient’s Optimal Treatment Plan with Us
We’ve clarified the importance of avoiding overcorrection – but how can you develop a treatment plan that (hopefully) won’t leave you needing to do revisions?
Well, if you’re unsure about this, don’t be afraid to contact our experts at Straight Smile Solutions for a one-on-one consultation regarding your case. We’re here to help!

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.

Conclusion

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.

How to Get a Bonded Retainer for Under $100

Have you been looking for a reliable and afforded choice of bonded retainer? In many cases, finding the optimal bonded retainer can seem a little difficult, but if the patient has requested a bonded retainer or if you’re trying to correct a bite (among a handful of other cases), using a quality bonded retainer is crucial.
Fortunately, we’ve outlined some key things about one of the best orthodontics bonded retainers currently on the market for $100 or less.
How to Get an Orthodontics Bonded Retainer for Under $100
If you’re looking to find a high-quality orthodontics bonded retainer for under $100, there are countless different options you could consider. However, we strongly recommend a custom braided ribbon retainer. Specifically, a flat stainless steel braided wire with a transfer tray jig and troughs.
You can add your own composite to these to help create the best results for your patient. You’ll likely be looking at a cost of around $100. As such, this is well worth considering as part of your decision on which retainers would be best suited to your needs.
Find Out More
If you’d like to learn more about the different types of aligners on the market and how these might work for your unique cases, make sure to contact our experts at Straight Smile Solutions today. We’re proud to be your leading provider of premium orthodontics guidance and consulting, offering a simple solution for your cases.

Have you ever wondered how to order Vivara retainers from Invisalign? In many cases, knowing about the different options to order the optimal retainers for your orthodontics treatment plan can seem tricky. Luckily, we’ve summarized the key things you need to know about ordering your Vivara retainers from Invisalign for orthodontics cases as follows to help.
How To Order Vivara Retainers Through Invisalign
Knowing where to start can seem a little tricky if you need to order new retainers, but this is relatively straightforward through the Invisalign platform.
Once you have completed your Invisalign treatment plan, you’ll likely then want to look at ordering retainers. Invisalign will give you two different options: their own Invisalign retainers or branded Vivera retainers. It’s advisable to always complete a rescan before ordering aligners after the treatment to make sure that they offer a snug fit.
Invisalign vs. Vivera
The main difference between Invisalign and Vivera retainers is the time frame. Invisalign’s retainers are substantially cheaper to buy, but these are usually designed for temporary use. However, Vivera retainers are designed for longer-term use.
Invisalign retainers are great in cases where you need to complete further treatments before the patient’s smile is back to normal. Alternatively, they can be great as an interim option – for example, while waiting to polish and deep clean the teeth before progressing. They’re also a great option if the patient wants a short term break (for example, for a wedding).
Get Professional Support for your Vivara Retainer Cases
If you need to learn more about using Vivara retainers in your cases, don’t hesitate to contact our experts here at Straight Smile Solutions today. Indeed, both Invisalign and Vivera retainers can offer an excellent solution for many patients. So, make sure you’ve considered this as part of your decision, too!

Every patient’s case is different, and with this thought in mind, knowing about the different features of each aligner company’s services can be incredibly helpful. Fortunately, we’ve outlined some of the key things you need to know about when you should be using each different aligner company or product type to help inform your decision.
How to Pick the Optimal Aligner Company for Your Case Complexity
If you have been struggling to find the optimal aligner company for your case, it may be worth keeping the following tips in mind.
Simple Green-Level Cases
If you have a relatively simple case, you have a huge amount of freedom when it comes to the type of aligner you’ll want to use. It’s worth considering that these cases can usually be completed by any orthodontic professional or even – in some cases – GPs.
Brands such as Invisalign, ClearCorrect, White Label, Spark, and Reveal are all popular options here, and pretty much any aligner type will suit these very simple and straightforward cases. Green level cases are among the most simple cases you’ll likely see.
Moderate Cases
If you’ve got a case that’s not too tricky but certainly more involved than a simple case, you’ll want to give a more comprehensive option a try. An orthodontist should always carry out these to avoid making mistakes that could compromise the results.
Invisalign Comprehensive, First, and Second can potentially work here; alternatively, options such as ClearCorrect Unlimited or Three are also popular. Some brands may also offer white label products that could meet your requirements here.
Complex Cases
Occasionally, you’ll see an incredibly difficult case – and this is where you’ll have to invest in the best possible aligners to see the results you want.
Options such as Invisalign Comprehensive are among the most popular for this type of case, although ClearCorrect Unlimited may also be effective for certain situations. You’ll absolutely want to get support from a professional orthodontist to address these challenges.
Final Thoughts
If you have been looking for the optimal type of aligner for your case, it’s worth considering carefully the strengths and limitations of each product. Indeed, brands often offer a range of products, varying in terms of how you use them; if you have a difficult case to deal with, you may need to go with a more thorough or comprehensive plan overall.

Power chains work with the goal in mind of closing gaps and speeding up the alignment of teeth. For patients with braces, power chains are typically involved toward the end of treatment. In this article, we will discuss how often you should change a power chain when you’re in the level and align stage.


When you are in the level and align stage of braces, such as when you are in NiTi wires (12s, 14s, 16s, or 18s), changing power chains at six to ten-week intervals is ideal. The sweet spot for power chain changes would be an eight-week appointment to switch out the power chains of your client. As a general rule, if rubbery ties or power chains are involved, these ties need to be changed every eight weeks, if possible, during the level and align period.

If you are using self-lighting braces, the frequency at which you need to change power chains can be much longer. For these cases, you can go three to four months in between changes. This is because there are no rubbery ties, which are what get gross and degrade over time in the mouth. For closing spaces, power chains should be changed every three to four weeks to keep the forces adequate on the teeth and close gaps.

Keep in mind that putting a power chain on light wires can cause risks, including uncontrolled tipping. Because of this, closing gaps should not be attempted with power chains until you get to a thicker wire. Also, remember that power chains do expire, and you should discard and replace all power chains that are a year old. Doing so will help to make sure that your power chains are still working for your clients.