Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 46

Pearl of the Pacific
Figure 2. Brackets removed after initial alignment. Scan for aligners
Figure 3. Posttreatment records. Twelve months total treatment time. Four months with brackets, seven
months with aligners, including one refinement
perform initial leveling and space closure with
aligners, then jump out of aligners into brackets
for three to five months to upright roots near
extractions, tidy any leveling/rotations, and rescan
to refine and finish efficiently with aligners. Rocky
Mountain sells inexpensive composite brackets
that can level and align esthetically. In hybrid cases,
do not use expensive brackets since they're not on
for long and since well-tracking aligners usually
allow decent resolution of torque and tip of already
leveled and aligned arches. Here are the steps I use
to speed treatment in nonextraction cases with
aligners:
1. Open the bite with composite buildups on the
upper premolars or molars.
2. Bracket the lower 2 × 6 or 2 × 4 for the first 3
months.
3. Bond the upper 2 × 6 at the end of the third
month for two to three months (to level the
upper and lower 3-3 within five to six months,
go to intervals of three to four weeks only
during brackets, if needed); you can skip the
upper brackets if leveling is acceptable.
4. Debond at four to six months.
5. Scan for aligners, obtain pictures, and deliver
Essix retainers.
6. Finish the entire case by the 12- to 15-month
mark with aligners, including refinement (instead
of 24 to 38 months with three refinements).
Lastly, using an aligner company like uLab (or other
aligner company that offers per-unit fabrication at
an affordable cost, instead of locking you into a tier-level
aligner package) allows you to switch out of
aligners with a reduced need to strategize " making
it " into a particular series. A hybrid approach with
fewer refinements can open up new ways to help
your patients, especially those who arrive at your
office with a wedding deadline in 8 months-you
can be their hero.
46
PCSO Bulletin Spring 2023

Pacific Coast Society of Orthodontists Bulletin Spring 2023

Table of Contents for the Digital Edition of Pacific Coast Society of Orthodontists Bulletin Spring 2023

Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 1
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 2
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 3
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 4
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 5
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 6
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 7
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 8
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 9
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 10
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 11
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 12
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 13
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 14
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 15
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 16
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 17
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 18
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 19
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 20
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 21
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 22
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 23
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 24
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 25
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 26
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 27
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 28
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 29
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 30
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 31
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 32
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 33
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 34
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 35
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 36
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 37
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 38
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 39
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 40
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 41
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 42
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 43
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 44
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 45
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 46
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 47
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 48
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 49
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 50
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 51
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 52
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 53
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 54
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 55
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 56
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 57
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 58
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 59
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 60
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 61
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 62
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 63
Pacific Coast Society of Orthodontists Bulletin Spring 2023 - 64
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