To the “Corner-Cutting” Invisalign Treatment Planning Doctors-DO NOT SIGN UP TO WORK WITH ME!!

I. Introduction
● Personal Reflection
○ Dr. Amanda, the founder of StraightSmile Solutions, rarely discusses client issues publicly.
○ Anonymity is always maintained to protect client privacy.
○ Recently, an experience led to a bummed-out feeling, prompting a need for transparency.
● Purpose of the Message
○ Advisory for potential clients considering concierge or VIP services.
○ Aim: To clarify expectations and ensure alignment on case management and orthodontic treatment planning.
II. Services and Expectations
● StraightSmile Solutions Services
○ Offers detailed orthodontic treatment planning.
○ Known for thorough and systematic case management.
● Client Expectations
○ Assumption that followers, especially those from the Invisalign playlist, understand Dr. Amanda’s methods.
○ Expectation: Clients should be prepared for complex case management, particularly with yellow and red cases.
III. Case Complexity and Management
● Introduction to Case Selection
○ Cases are categorized as green, yellow, or red.
○ Green cases: Ideal for starting.
○ Yellow cases: Require intermediate knowledge and collaboration with an orthodontist.
○ Red cases: More complex, often interdisciplinary involving implants, bridges, and periodontal issues.
● Systematic Approach Required
○ No shortcuts in treatment planning.
○ Important to understand that orthodontic treatment must align with high standards to avoid future complications.
○ Dr. Amanda emphasizes a methodical approach as practiced in orthodontic residency.
IV. Consequences of Cutting Corners
● Risks Involved in Orthodontic Cases
○ Ignoring risks can lead to audits, dental board reviews, or insurance issues.
○ Client dentists are often held to higher standards, especially if they are primary care providers.
● Importance of Explaining Perfect Treatment
○ Dentists must communicate the ideal treatment to patients, even if it’s not feasible for them to perform.
○ Compromised cases can pose serious ethical and legal risks if not handled properly.
V. Boundaries of Practice
● Setting Clear Boundaries
○ Dr. Amanda does not assist with cases that require jaw surgery or TADs.
○ Encourages referrals for cases beyond primary care dentists’ expertise.
● Ethical Considerations
○ Emphasis on maintaining ethical standards and avoiding involvement in areas that could lead to malpractice.
○ Referrals to orthodontists are essential when certain treatments fall outside the scope of Dr. Amanda’s expertise.
VI. Dealing with Complex Cases
● Managing Cases with Implants and Bridges
○ Aligners may affect implants and bridges.
○ Risks include snapping, damaging the bridge, or implant loss.
○ Proper case selection and clear communication with the patient are vital.
● Documenting and Managing Risks
○ Risks must be disclosed in writing, and patients must understand the potential outcomes.
VII. Strategic Focus on Treating Children
● Children’s Cases are More Predictable
○ Dr. Amanda emphasizes investing in education on treating kids and teens.
○ Children’s cases generally involve fewer complications compared to adults with interdisciplinary issues.
● Growth and Development in Pediatric Orthodontics
○ Early treatment in growing children allows for better outcomes.
○ Understanding growth patterns helps predict and adjust treatment as needed.
VIII. Challenges of Working with Adults
● Complexity of Adult Cases
○ Adults often present more challenges due to existing dental work and periodontal issues.
○ Ethical responsibility requires that dentists avoid cutting corners, even if it leads to more difficult treatment planning.
IX. Final Thoughts and Advisory for Clients
● Dr. Amanda’s Ethical Stance
○ If a client is looking for quick, easy treatment plans, StraightSmile Solutions may not be the right fit.
○ Dr. Amanda is dedicated to comprehensive, holistic treatment planning and ensuring patients receive the best care.
● Public Service Announcement
○ Potential clients should be aware of the level of effort and care involved in working with StraightSmile Solutions.
○ The focus remains on long-term success and protecting the client dentist and their patients.