The 3 mistakes that lead to never-ending refinements

Published about 1 year ago • 1 min read

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

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

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