Dentaltown July 2017 - 68
Adult orthodontic patients
won't accept long treatment
Similar to the way
each clinician is able
to utilize braces
in his or her own
way-variations in
selected bracket
type, bracket
positions, early
treatment, etc.-
doctors who use
clear aligners each
do so differently
as well.
One observation of change in our office is that our average patient
age is increasing. Many of these older patients come in asking for
some form of "clear" treatment. They don't consider visible braces
to be an acceptable option, and many patients come to the office
specifically asking for Invisalign.
We spend a considerable amount of time in our new-patient
consultations educating patients who are interested in clear aligners
about their role in tooth movement. We let them know that
Invisalign and ClearCorrect are just labs that make orthodontic
appliances.
Similar to the way each clinician is able to utilize braces in his or
her own way-variations in selected bracket type, bracket positions,
early treatment, etc.-doctors who use clear aligners each do so
differently as well. There are varied opinions about appropriate ages,
the interval of changing aligners, appropriate case types and more.
We let patients know that our goal is an ideal smile that meets all
the lofty orthodontic criteria, and that we'll use the tools we have
(and the ones they want) to meet those criteria.
Many of our adult patients present with a common orthodontic
problem. They present to the office seeking an improved smile-and
they want treatment that is less visible. They frequently present
with moderate to severe mandibular crowding, mild to moderate
maxillary crowding and Class I (or nearly Class I) occlusion. These
patients often report that they never needed braces, or that they
had braces and wore retainers for only a few years afterward, and
their teeth have gotten worse over the years.
Why clear aligners alone might not be the solution
The problem I found with using clear aligners alone for these
adult patients was threefold:
1. It takes a considerable amount of time in clear aligners to
relieve significant lower crowding and rotations.
2. Adult patients want to see rapid changes.
3. Adults do great wearing clear aligners for up to 12 months.
Then compliance starts to drop.
For my patients with similar malocclusions being treated with
braces, we made these observations:
1. Patients were excited about rapid improvements in crowding
during the leveling and aligning phase.
2. Patients were enthusiastic during the initial months of
68
JULY 2017 // dentaltown.com
http://www.dentaltown.com
Table of Contents for the Digital Edition of Dentaltown July 2017
Dentaltown July 2017 - Intro
Dentaltown July 2017 - Cover1
Dentaltown July 2017 - Cover2
Dentaltown July 2017 - 1
Dentaltown July 2017 - 2
Dentaltown July 2017 - 3
Dentaltown July 2017 - 4
Dentaltown July 2017 - 5
Dentaltown July 2017 - 6
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Dentaltown July 2017 - Cover3
Dentaltown July 2017 - Cover4
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