The 3 mistakes that lead to never-ending refinements


Nothing kills momentum like back-to-back refinements.

You think you’re done — and then another scan, another delay, another patient getting frustrated.

I’ve been there.

At one point, almost every case had a midcourse correction.

I blamed the software… but it wasn’t that.

It was me skipping steps upfront.

Here’s how I reduced refinements by over 50%:

  • Use attachments that actually do something — not just the auto-generated ones
  • Set patient expectations: “This is a process. We’ll make refinements if needed, and that’s normal.”
  • Always review staging: Avoid moving too many teeth at once

Refinements happen.

But they don’t have to wreck your schedule.

👉 If you want to go deeper on how I plan cases to avoid these mistakes, I walk through it in this video:

Watch it here🎥


Video of the Week

video preview


Struggling to understand how clear aligner attachments really work?

In this video, I break down everything you need to know about Invisalign attachment types, including when to use horizontal vs vertical attachments, how to place them properly, and which ones help with retention, rotation, extrusion, and intrusion.

You’ll learn how to avoid common mistakes, the difference between optimized vs conventional attachments, and how to apply G5, G6, and G8 attachments for better results in your clear aligner cases.

-Dr. Avi


Want to learn more from me?

Free Trainings

Courses

DSO Solutions

Follow me on social

Don't want to be part of the newsletter community anymore? No worries! Unsubscribe here

113 Cherry St #92768, Seattle, WA 98104-2205

If you do not want another email from me ever again - unsubscribe below. I will be sad to see you go as I plan to continue to bring as much value as I can for you - but I understand if you don't find any of this valuable. Best of luck with everything and thanks for your time!
Unsubscribe · Preferences

Get Clear Insights Straight to Your Inbox

Sign up for Clear Insights – your weekly source for all things Clear Aligners! I share exclusive insights, practical tips, and industry news that will help you take your Clear Aligner game to the next level - delivered straight to your inbox every week! Sign up below!

Read more from Get Clear Insights Straight to Your Inbox
youtube

I didn’t start offering aligners to make more money. I started because I wanted to feel excited about dentistry again. Adding aligners gave me a new sense of fulfillment. It made routine checkups more engaging. It opened the door to deeper conversations about health, esthetics, and preventive care. When I saw patients light up at the possibility of a better smile, it reignited my own passion. If you feel stuck or burnt out: Look for procedures that excite you and benefit your patients Start...

video preview

Most dentists think they need to learn everything before starting clear aligners. That belief keeps them stuck. I felt that way too. I didn’t touch a case for months after getting certified. Then a mentor gave me simple guardrails — and I started my first case the next week. That changed everything. If you’re not sure where to start, try this: Pick one patient who already asked about straightening their teeth Confirm they have healthy bone levels and mild crowding Look for cases with no...

youtube

If you’re too busy to learn aligners — you’re too busy to grow. That used to be me. I’d come home exhausted. Telling myself I’d “figure it out later.” Later never came… until I carved out 30 minutes a week to focus. Fast forward six months — I had 50+ cases under my belt. Here’s how to make real progress in 30 minutes a week: Block 30 mins every Tuesday or Thursday (before the day starts or after lunch) Start by learning just one topic: case selection, scanning, or scripting Implement what...