Why refinements hurt more than your schedule


We all know refinements eat up time and chair hours.

But the real cost? Your confidence and your patient’s trust.

Early on, I accepted any case that came my way — thinking multiple refinements were “just part of it.”

I ended up stuck in endless revisions and frustrated patients asking, “Why isn’t this done yet?”

When you start with the right cases and learn how to plan conservatively, you cut refinements dramatically.

If you’re tired of refinements:

  • Be strict with case selection early on
  • Don’t over-promise on timelines
  • Refresh on your fundamentals

👉 If you want my step-by-step approach to reducing refinements, it’s all in my free training: Watch Here 🎥


Video of the Week

video preview

Not every aligner case is meant for a general dentist.

In this video, I walk you through a real patient case shared by a doctor in our Clear Aligner Advisor program—and explain exactly why I would seriously consider referring this one to an orthodontist.

-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

600 1st Ave, Ste 330 PMB 92768, Seattle, WA 98104-2246

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

Doing something new is hard. Not because you are bad at it. Not because you are incapable. It is hard because you do not know what you are doing yet. That sounds obvious, but most of us forget it. We expect confidence before competence. We want clarity before reps. We want certainty before starting. That is not how learning works. When you do not know how to do something, your brain looks for reasons to stop. This feels risky. What if I mess it up? What if I look stupid? What if I fail? So...

youtube

Most dentists think we need to do it all. We are prideful. We think we are the best. We assume everyone else should just figure it out. We are wrong. People do not need more operators. They need leadership. Leadership is not doing the work. Leadership is showing people what good looks like and guiding them there. You cannot expect a new hire to know what to do. You cannot expect them to know the difference between right and wrong. You have to onboard them so they understand what is required...

youtube

When you solve one problem, you create another. We see this all the time with doctors learning aligners. First, they want help with case selection. Then they want help with case acceptance. Then they want help with setup. Then delivery. Then refinements. Then finishing. That is not a bad thing. That is progress. The same thing happens with patients. You propose aligners to improve oral health. You solve the alignment problem. Now the patient notices things. The shape of their teeth. The...