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Hi there! Great question! IPR (Interproximal Reduction) is backed by scientific literature as a safe and effective procedure when performed following the correct protocols. Permanent sensitivity is extremely rare when done by a trained professional. In fact, IPR is often a preferred alternative to extractions in many cases. If you have any concerns, we recommend discussing them with your dentist or orthodontist-they can provide personalized advice based on your situation!

@theCLEARinstitute I talked to my dentist she told we can ipr but she also got ipr and she has permanent senstivity and she is asking not to do it and I'm not okay with removal of teeth

We hope you both will find a solution together that will bring you to having the smile you wish for ☺️

It really depends on the case. This has to be monitored and decided in the treatment planning. Usually up to 0.5 mm is considered safe, but every case is different :)

You mean each side of tooth? I worried about my tooths health.

Hey, we totally get it! These terms can sound like a different language if you’re not a dentist - and honestly, even dentists sometimes get tripped up! 😉

Depending on the technique used for IPR, sometimes the polishing is done at the same time. According to studies and scientific literature, fluoride varnish will not provide additional protection following IPR procedure. As for the risks of minimizing caries, it's always the same thing: brush brush, brush, floss, floss, floss and visit your dentist regularly ;)

We enjoy what we are doing a lot ;) Glad you enjoy it too!

It can be confusing, but we think the best way to put it is, the bevel is actually the surface where the force will be applied. But in some cases, and depending on the angulation of the attachment, it can even seem that there are two bevels, one incisal and one gingival. The attachment would look like an isosceles triangle with the base bonded on the tooth :) Now we’re mixing physics and geometry! Thank you for your question; good observation.

Thanks for the feedback! We hope it's was not as painful as a tooth extraction 😬 Oups... Another joke... We know our style isn’t for everyone, and we like to keep things a bit lighthearted and entertaining, but we totally get that some prefer to skip straight to the technical details. Fortunately, RUclips’s full of other options and we are convinced you can find something that will suit your expectations. And as much as we love explaining clear aligners with a smile, if the jokes aren’t your thing, our other videos might not be either. But for those who enjoy a little fun along the way, we’ll keep the balance as it is!

Thank you Dr. Osama for your nice comment! We will certainly keep on going. Don’t hesitate to share our channel with your colleagues. Don’t keep us a secret ;)

Scientific literature recommends a 7 day change in most cases but your Doc might have good reasons why they recommend to change every 15 days. There are a lot of different reasons that could explain this choice. There are no recipes and we have to adapt to every situation!

@@theCLEARinstitute Oh Thanks

It really depends what type of asymetry and what causes it. We recommend you ask your treating Doc for this answer. In some cases it can correct the crossbite; and in other cases not.

Excellent questions that need a lot of explanation :) We recommend you the Distalization Mechanics online course that will answer to these question and more! Here is the link: learn.theclearinstitute.com/collections/online-courses/products/distalization-mechanics-with-clear-aligners

Cannot agree more! Thank you for watching and do not hesitate to share with your community 😊

There should not be any permanent sensitivity coming from performing IPR. And most of the time there isn't any sensitivity during performing IPR. Scientific literature is clear on that: IPR does not create any harm to the patients. It's a safe procedure when performed the rigth way. Like a lot of other things we do in dentistry :)

The software represents how the force will be applied and not how the teeth will react or move. We can expect that in the future we’ll be able to see both on a virtual setup: that would be ideal!

It was easy because you understand the principles and the mechanics! Well done! Thanks for the comment.

If your dentist decided to treat without attachments, he/she must have a good reason. Every case is different. Let us know how it turns out for you!

If you dilute it with lumewarm water (50/50), hydrogen peroxyde can be an effective way to clean aligners and help remove stains. Let them soak for about 15-20 minutes.Make sure you brush them well after and rinse them before putting them back.

This is unfortunately something that can happen more often when there is heavy grinding or clenching of the teeth. We suggest informing your treating dentist or orthodontist as soon as possible.

IPR

If a case where both options would achive the same result we would choose IPR for sure. For your case we recommend you see a trained dentist or orthodontist to have the best option for your condition.

Learning is never a waste of time ;)

I wanted to ask the same thing since molar rotation is challenging with clear aligners especially when we deal with an angle near to 20-25°

Great question. Rotation of round teeth (cuspids and premolars) are even more challenging. First make sure there is no friction or collision with the other teeth. Determine if it’s only rotation or a combination of movements (any tipping or torquing involved as well?). What type of rotation is it? Pure vs hinge? Where do you need to apply the force? For example if the teeth would be in soft wax, where would you apply the force with your thumbs? That will be a good indication of where to put attachments. And it is known from scientific literature that asking for a 1 degree of rotation per aligner can greatly help in the predictability of the movement. If it’s only rotation, there is no need to lock the other teeth into position. We hope this will help you :) Have fun with your rotations ;)

@@theCLEARinstitute thanks for the detailed answer :)

Update?

We recommend discussing your concerns with your treating dentist or orthodontist. Interproximal reduction (IPR) is performed between the teeth and does not impact the worn areas of your teeth.

Update? Do you like the result?

We’re glad you and your orthodontist could agree on the approach to take in your case. Communication is always the best solution :)

We totally understand. But sometimes a dentist's gotta do what a dentist's gotta do 😉 Thank you for watching and commenting!

The important thing to remember with bite ramps is, as any article been published proving it helps in deep bite cases? And if so, how? By intruding the lower anterior teeth? How? From the intermittent pressure it applies on the teeth? Hhmmmm… Maybe it helps in the disclusion of posterior teeth when we want to extrude them, but it is still, at the moment, a clinical opinion rather than a scientific fact.

Thank you for reaching out with your question and providing a detailed description of the patient's situation. While specific cases like the one you mentioned involve complex decision-making, it's important to remember that providing diagnostic and treatment planning without a comprehensive examination can be highly inaccurate and potentially misleading. In general, addressing a situation involving traumatic occlusion, especially in the anterior region, requires a multifaceted approach. The primary goal is to identify and eliminate the cause of the trauma. This could involve various interventions, such as occlusal adjustment, intrusion, or proclination/retroclination of the involved teeth, among others. Simply adding bite ramps to a retainer might not address the underlying issue of traumatic occlusion effectively. While it might offer temporary relief, it does not resolve the cause of the trauma. In clinical practice, the focus should always be on a comprehensive solution that not only treats the symptoms but also addresses the root cause of the problem. Each patient's situation is unique, and treatment plans should be tailored to their specific needs, considering all factors, including previous orthodontic treatments, compliance with retainer wear, and the current condition of their dentition. Again, while we can discuss general approaches and considerations, it's crucial for the patient to consult with their dentist/orthodontist for a personalized evaluation and treatment plan. Only a professional who can assess the patient's condition firsthand can provide the most accurate and effective treatment recommendations. Thank you for understanding the limitations of online advice.

You are right! Communication and explanation is the best solution and should be the first thing to do. And using humour always helps, like we do in this video ;) Thank you for sharing your experience with us.

Thank you Adriana!

Always depending on your case, it may be possible. But in similar cases, aligners can be used to either to create and open spaces for implants or to close spaces and for example bringing canines to substitute the missing laterals. Each case is unique and has to be evaluated by a knowledgeable dentist or orthodontist.

Thank you so much! Glad you enjoyed it.

I have a very wise orthodontist as a mentor!

The beauty of it is there is no need to download anything. Everything is on the cloud. You just need to become an Invisalign provider and you will automatically have access to the ClinCheck software.

How about for inhouse clear aligners..

@@ravinimbal1621 Depending on the system you use, you will have a software to make your virtual setup. Every system have their own software. The one described in this video is the one used for Invisalign clear aligners. One thing to remember is that the principles and mechanics of tooth movement apply to all types of clear aligners :)

We appreciate your positive feedback! If you found our content valuable, please feel free to share it with others. Dr. Stephane Reinhardt is a general dentist with over 30 years of experience who developed an interest in orthodontics and clear aligners. He leads our educational endeavors at The CLEAR Institute. As the Director of Education, he ensures that our range of online courses, private coaching sessions, and live in-person courses are impactful and relevant. Dive deeper into our offerings and Dr. Reinhardt’s expertise at: learn.theclearinstitute.com Your journey to clear aligner mastery starts here!

It starts with a good examination, scanning and taking all records to have a complete diagnostic. Informed consent is crucial. Then treatment planning using virtual software like the ClinCheck. Once the aligners are ordered, we see the patient and deliver the aligners. Depending on the case and your level of knowledge and confidence, you decide how often you want to see the patient to monitor and follow up on the results. Once treatment is finished and patient is satisfied we start the retention protocol that will last until the patient wants to keep the teeth straight :) You will find everything you need to know in the MOCA 101 online program here: learn.theclearinstitute.com/collections/bundles/products/m-o-c-a-101-the-foundation-basic-clear-aligner-principles

We are wondering the same and Dr. Reinhardt has been saying for many years that the bite ramps should be filled by plastic. Then we would have the benefit of the bite ramps combined with the benefit of an active push by the plastic covering the lingual surface of the teeth.