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Happy Halloween. Here's the scariest aligner story I heard this month. An orthodontist on our team had what looked like the perfect patient. She walked in asking for aligners. Nobody had to sell her. She's a doctor herself. Meticulous. Committed. Lower arch only. Ten steps. Easy case. Five, maybe six months. Three months in, she came back for a check. "Which aligner are you on?" "Number seven. I've been in it for two weeks." The ortho pulled the aligner out and read the number. It was number...
One of the challenges that came up on our coaching call : Knowing when an aligner case is actually done. It's a fair question. Especially with inherited cases, where someone else set the goals and you're left guessing what "finished" was supposed to mean. Here's what we landed on. The finish line was set the day the patient sat in your chair. It's their chief complaint. Not the ClinCheck. Not the perfect photo. Not the last 0.2 mm you can see and they can't. When we lose sight of that, we...
A doctor on our call had a patient walk in on a Monday with a broken front tooth. Not a new problem. She had bonded that lateral before. More than once. His canine was crashing into it every time he closed. So the bonding kept coming off, and this time the tooth itself fractured. He is 82. She gave him two options. She could crown the lower tooth that was doing the damage, and warned him that might turn into a root canal. Or she could move it out of the way with aligners and make room for the...