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An orthodontist on our team shared a case that went sideways. A 24-year-old walked in with one complaint. Her top front teeth stuck out and she hated how it looked when she smiled. That was it. That was the whole list. Her back teeth were a Class II. But the bite was stable and had been for years. The ortho went after the Class II anyway. Distalization. TADs. Elastics. Attachments. Two years of treatment. The patient hated the elastics. She hated the attachments. She stayed compliant the...
Every practice has patients who show interest in clear aligners. The real question is: What happens next? Many doctors assume that once a patient expresses interest, they’ll naturally move forward with treatment. In reality, that’s where many opportunities are lost—not because patients said “no,” but because the practice didn’t have a consistent process to guide them toward saying “yes.” Over the years, I’ve found that successful clear aligner practices don’t rely on luck. They rely on...
Your fourth quadrant has your weakest bond. Here's why. Most docs bond attachments with one micro brush. Same brush for all four quadrants. It feels efficient. But something invisible happens along the way. With every quadrant that brush picks up a little more contamination. You can't see it. It's microscopic saliva. It builds anyway. By quadrant four the bond is compromised. That's the attachment that pops off in three weeks. That's the extra appointment. That's the patient losing a little...