Tech tip: Fitting & tracking issues

How can I tell whether an aligner fits?

A properly fitting aligner should cover the teeth and fit snugly against the patient’s teeth. It will probably feel a little tight at first.

  • The aligner should usually cover the gingival by at least 0–2 millimeters. (Aligners may be trimmed differently to compensate for undercuts, black triangles, recession, bridges, etc.)
  • The incisal edges of the teeth should fit flush against the aligner without any gaps.
  • The aligner should fit snugly over the distal surfaces of the rearmost molars, if the aligner extends that far back.


Properly fitting aligners

Fitting issues

There are a few possible causes for fitting problems:

  • If the first step doesn't fit, the most likely cause is an inaccurate 3D model. This can be caused by distortions in the initial impressions or scans.
  • If the fit of the aligners gets worse over time, the teeth may not be "tracking"—in other words, the aligners are progressing as originally planned in the treatment setup, but the actual teeth aren't keeping up due to lack of space or insufficient pressure.
  • In rare circumstances, an aligner may be distorted due to physical damage or a manufacturing defect.

Some common types of fitting issues are shown below. Click a photo for detailed troubleshooting information.

Incisal gaps 


Aligners that are too big or too small


Aligners that fit on only one side

Tracking issues

Even if the aligners do appear to fit comfortably, that doesn't guarantee that the teeth are actually moving as intended. Here are some tips for identifying unseen tracking issues before the treatment goes too far off the rails:

  • Any patient non-compliance can lead to tracking issues. Educate your patient on the importance of wearing their aligners at least 22 hours per day. Signs of non-compliance include missed appointments, unusually clean aligners, and a persistent tight fit after weeks of wear. Make sure your patients know they should contact you immediately if their aligners no longer fit.
  • Saliva buildup or saliva bubbles inside the aligner often indicates that there is a significant gap between the aligner and the teeth. This will most likely be seen at the trim line.
  • Blanching of tissues indicates soft tissue impingement. This could be the result of inaccurate capture of these areas in the impression or the result of a frenum that extends towards the gingival margins.
  • If the aligners are slightly ill-fitting when you give them to your patient, but the patient calls back a few days later saying that they now fit, don't rely on that self-assessment. Do a follow-up visit to confirm the quality of the fit before advancing to the next step.
  • Even if the aligners are fitting during check-up appointments, you should check the treatment setup and paperwork to see which teeth are moving and if those teeth appear to be on course. If you see that a tooth is not moving as planned, don't wait, take immediate action. If you continue with treatment in hopes that it will correct itself later on, it may get worse.

We hope you found this information helpful!

Looking for something?

We have a great online store filled with useful tools to help you in treating your patients with clear aligners. Everything from IPR Kits and Chewies to Webinars. Check out our store at store.clearcorrect.com.

Until next time…

Video: How to Take Photos & X-rays

We've created a video giving some helpful tips on how to take good photos of patients' teeth before submitting a case to ClearCorrect. Check it out!

We hope you found this video helpful! Feel free to check out our Help Center which is filled with useful tips, tricks and information to help you in treating your patients with ClearCorrect.

Until next time...

Tech Tip: Support Tips

We know that occasionally you can run into issues during treatment (aligner errors, a rotation not occurring as planned, fitting issues, occlusal gaps, etc.)

Our support representatives are here to assist you with any trouble you run into. We thought we would offer up some tips to assist you in getting your issue resolved as quickly and efficiently as possible.

Take a picture

We believe that sometimes a picture is worth a thousand words. Taking a picture of the problem you're having and sending it to one of our experienced support representatives can speed up the process and makes a huge difference in being able to resolve issues with certainty.

We'll need a close up clear picture of the occlusal, right and left lateral views of the arch in question both with and without the aligners.

So, if you can, take a picture of the problem you're having and send it to support@clearcorrect.com.

Give support all the information

When getting assistance from a support rep, they need to know as much information about the issue you're having as possible in order to better assist you. When you send in a support request be sure to give the following information:

  • Verify the step and case # marked on the aligner that the patient is trying on.
  • Confirming when and what step the issue started.
  • Was there any troubleshooting already done to correct the issue?
  • If yes, what troubleshooting techniques did you already try?
  • Is the patient compliant?

Fitting issues

Before you call support about any fitting issues, you may want to review the options you have available to you first:

  • Checking and breaking tight contacts in the area where the fitting issue is present.
  • If there are difficult movements present in the area with the fitting issue you can try backtracking with a fresh aligner, dimples, auxillaries, and chewies to get it back on track.
  • Reiterating patient compliance.

We hope you found this information useful!

Until next time...  

2015: Year in Review

Happy New Year!

2015 was a fantastic year and we've got an even better year planned for 2016 (our tenth anniversary). In case you missed them, here are a few of the highlights of 2015.

    

  • We went international! ClearCorrect is now available in Canada, Australia, and New Zealand, with more countries coming soon.

    

  • We created our new and improved Help Center, including live chat with support representatives directly from ClearComm.

  • We introduced several new features, including:
    • You're not obligated to pay until you approve a treatment setup
    • You can ask us to recommend a case type
    • We're shipping up to 12 steps at a time
    • You can customize your wear schedule
    • We added a number of new features for retainers, including making multiple sets of retainers available for purchase
    • Discounts are available for case submissions using intraoral scans
    • Volume discounts start at just 5 cases per quarter
    • Limited revisions are a flat rate of $120 plus shipping, instead of $240 per phase
    • We started offering daily, weekly, or instant email notifications, so you can keep up with your cases however works best for your office.

  

Hope your 2016 is off to a great start! Until next time...

Happy Holidays From the Heart of Texas

From the heart of Texas, we wish you peace, joy,health, and prosperity during this holiday season. Thank for your support and here’s to a successful 2016!  

The Greater New York Dental Conference: Post Event Wrap-Up

The Greater New York Dental Meeting (GNYDM) is always an exciting event for us to attend. It’s a great venue to network and share clear aligner treatment strategies with dental professionals from all over the world. And most importantly, we get the chance to meet up with our ClearCorrect Providers and hear their success stories and treatment best practices. Also Dentistry Today stopped by our booth to interview Alana Seiders (ClearCorrect’s VP of Promotions and PR), as she reviewed ClearCorrect’s Product and Provider Benefits, see video below.

Stay tuned, we have an exciting event line-up planned for 2016 and will be sharing more details soon! We value your feedback. Feel free to share your clear aligner treatment experiences in the comments section below and we will follow-up with you.

Advanced & basic webinars

Webinar

Step up your game with ClearCorrect's new webinars covering advanced and basic topics in clear aligner treatment, presented by orthodontic specialist Ken Fischer, DDS. Each webinar is a PACE approved program offering 2 hours of CE credit upon completion.

To register, call us at (888) 331-3323, or click one of the links below.

Register for Advanced Webinar

Advanced webinar

Available timeslots

  • Friday, 1/8/16, 7–9 pm CST
  • Saturday, 1/9/16, 1–3 CST

Description

From useful troubleshooting techniques to marketing tips, this webinar covers a wide variety of advanced scenarios that can arise in treating patients with clear aligners.

Objectives

  • To improve proficiency in creating the optimum treatment setup
  • Identifying factors involved with monitoring treatment progress with clear aligners
  • Learn techniques needed to keep clear aligner treatment on-track
  • Present advice on how to market ClearCorrect clear aligners

Syllabus

  • Optimizing the Treatment Setup
  • Monitoring Aligner Treatment
  • When Aligners Do Not Fit
  • Finishing Cases
  • Marketing Clear Aligner Treatment
 

Register for Basic Webinar

Basic webinar

Available timeslots

  • Monday, 2/8/16, 2–4 pm CST
  • Tuesday, 2/9/16, 7–9 pm CST

Description

This webinar is ideal for doctors who have had no previous experience with clear aligner treatment. It features demonstrations covering a wide variety of scenarios from real case examples to performing IPR, this webinar has useful information for treating your patients with clear aligners.

Objectives

  • Introduce the concept of clear aligners in orthodontic treatment
  • Introduce the basic concepts involved in the movement of teeth with clear aligners
  • Show the types of treatment possible with clear aligners

Syllabus

  • The Importance of Clear Aligners in Orthodontic Treatment
  • Submitting Cases
  • The Treatment Setup
  • 6 Types of Tooth Movement
  • IPR (Interproximal Reduction)
  • Engagers

ClearCorrect is designated as an Approved PACE Program Provider by the Academy of General Dentistry. The formal continuing dental education programs of this program provider are accepted by AGD for Fellowship, Mastership and membership maintenance credit. Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement. The current term of approval extends from 4/1/2015 to 3/31/2019. Provider ID 304173.

  

ClearCorrect Fast-Tracks Review of Align Technology Patent at USPTO

ClearCorrect Proceeds With New Trial Option Against Align Technology

ROUND ROCK, TX--(Marketwired - December 02, 2015) - ClearCorrect, LLC today announced the filing of an Inter Partes Review (IPR) with the United States Patent and Trademark Office (USPTO) against Align Technology Patent 6,669,037 ('037 patent). This IPR will be conducted by administrative patent judges of the USPTO Patent Trial & Appeal Board (PTAB), who must decide the patentability of the challenged claims within twelve months. The IPR filing stands independent from ClearCorrect's other ongoing USPTO patent challenges that are directed to similar patents of Align.

"The USPTO has already indicated that all eight ongoing reexaminations present 'new' and 'substantial questions' as to the patentability of Align's portfolio. The '037 IPR challenge will resolve many of these same questions within the coming months," according to Scott A. McKeown, a partner with the Washington, DC law firm Oblon, McClelland, Maier & Neustadt who is leading the effort at the USPTO.

Last month, the U.S. Court of Appeals for the Federal Circuit absolved ClearCorrect of liability for importing products alleged to infringe patents of the Align portfolio. A third, related litigation was also resolved by the Federal Circuit decision. Align has asserted over 200 patent claims against ClearCorrect across years of unsuccessful litigations to no avail. ClearCorrect will continue to work to clear the competitive landscape of improvidently granted patents.

For more information, visit http://www.clearcorrect.com or call (888) 331-3323.

Happy Thanksgiving

Holiday Giveaway Reminder

In case you missed the announcement last week, we're giving away $100 Amazon gift cards every weekday, plus bigger prizes every Friday. 

This Friday we're giving away a YETI Tundra 75 Cooler...ideal for keeping your family and friends fed and hydrated during a tailgate, BBQ, or day at the beach or lake.

Every treatment setup you approve gives you another chance to win. Good luck!

 YETI_cooler-cropped.jpg

Thanksgiving Sale

We're also offering a 15% discount on all promotional items in our store now through November 30th, 2015. To take advantage of this special offer enter in the following promo code when making your purchase: 15%promo2015

You can visit our store at: store.clearcorrect.com.

 thanksgiving.png

Until next time...

ClearCorrect Editorial: Dr. James Mah, CTO for ClearCorrect

Dr. James Mah, CTO for ClearCorrect, recently wrote an editorial for Dental Economics

Clear Aligner Therapy and Practice Management: Tips and Things to Avoid 
View full article here