Tech Tip: avoiding case revisions


As we've mentioned in previous tech tips, you can avoid unproductive case revisions by checking for tight contacts on a regular basis. Teeth can't move when they're jammed up against other teeth. By reducing the enamel a bit at the point of contact, you can free up space for the teeth to move.

If you're looking to avoid a lengthy case revision, consider the following steps:

  • Use a diamond strip to handstrip between areas of tight contact. Our IPR tutorial video shows you exactly how to do this. 
  • Confirm your patient has been compliant in wearing their aligners. It's critical they wear them at least 22 hours a day to maintain osteoclastic activity. Compliance checkpoints can be found on the treatment plan on treatments with IPR.
  • If rotations are not occurring as planned and you have verified there are no tight contacts, use an orthodontic retention dimple plier to add pressure on that tooth, pushing it in the direction it needs to rotate.
  • If you encounter a stubborn tooth that won't extrude, see our simple guide to extruding with auxiliaries.
  • Request a replacement aligner from us and keep your patient in the same step for another three weeks to complete the movement, then continue on with the next scheduled step of treatment.
If these solutions don't work, then it might be time to request a revision. Make sure to call us first and reference our Wiki to ensure you've exhausted all possible troubleshooting options. Don't forget: there is no fee to request a revision, but if the result of the revision requires upgrading your treatment option, you'll need to pay the difference.

Reference Links:

Do you have your own ideas for avoiding a case revision, or have experience troubleshooting? Drop us a line in the comment section below, and we'll share your experience in a future tech tip!

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