The All-Things Dental Blog

Close Gaps and Spaces with Clear Correct

Posted on Jan 12, 2016

Dr. Tamisha Denis: Hello everyone. My name is Dr. Tamisha Denis of Modern Smile and Implant Center. I wanted to give you a quick illustration about how the process of ClearCorrect or Invisalign can close your gaps and spaces. What we’re going to do is we’re going to use a real life example of a patient that I treated that went to the process having her gaps and spaces close and how it worked for her. Initially when you come into the office, we will spend some time talking about what yours needs and your wants are in terms of braces. In her case, what we did is the first time she came in, we discuss the fact that she had a lot of gaps and spaces between her teeth and she wanted to close them. You can see kind of illustrations of what her photographs look like. We do photographs. It not only helps us to see all new ones as of what we have to do in order to fix those gaps and spaces but it also helps to see if she is a candidate for closing her braces with ClearCorrect. ClearCorrect, the way that we do it is you can have a free evaluation and on that free evaluation I will take molds to impressions and photographs and send that over to ClearCorrect and they along with me will do a diagnostic to find out what you need. I’ll show you kind of what that looks like. We’ll take molds and this will be kind of your teeth and just a mold of it. Then we’ll send that over to the laboratory, in addition to pictures we take pictures in the front, pictures on the side to show the molars and how they come together, what the bite looks like. We take pictures from the top and pictures from the bottom. Send that over to ClearCorrect and once they’ve seen everything, they put everything into what we call a treatment plan setup which is the coolest thing. Now, here is one of the representations of a treatment setup that you can find. You can see, this is all in the computer from the front, left, right, you could see it from the top, from the bottom. You see to the right it’s all clicked on before. IPR, we talked about taking a little bit space between teeth. In this illustration you can see from all those different angles the after. See how all the gaps and spaces are closed from the left, all gaps and spaces are closed after, teeth are pulled back from the right, before, after. From the upper, before, after. It’s amazing. Lower, before and after. We get all of this information ahead of time before we even begin treatment. To the upper right you can see it says 24 estimated steps, 1.80 millimeters estimated inter proximal reduction. We have a lot of information right before we begin

Then the treatment setup, what it is, is you will see your teeth and you can see this right now. You can see your teeth, how they're going to move by visit. Now, that is a digital version which you’ll see on the computer which I’ll show you how that it works and you’ll see that and you kind of see from start to finish what the timing on that is going to be. I am going to show you when your case arise to what it looks like. We’ll usually get it in a box like this and it’s just ClearCorrect aligners. Inside of the box there is going to be a kind of instruction sheet so to speak for me. I'm going to block out the name so you don’t see it but if you can imagine this and this has all these writings on here because we’ve used this one already but if you can see it’s going to show what the appointments are, first appointment and second appointment, sorry, first appointment and second appointment. It’s also going to tell me what we need to do on that visit. Now, and I’ll have closer illustrations of this. What we’ll have, what we’re going to do on the visit. What I have to check to make sure that everything is moving accordingly. Here is another example of a treatment setup that we can view on the computer. This person, Elizabeth Lemon, she’s not a real person. She’s just an example ClearCorrect gives as illustration and you can see she’s on step 2C. You can see this is week 15-16. On the appointment we’re going to verify that two spaces are closed where it says verify closed contacts. We’re going to make sure that we make a little space between certain teeth that’s called the IPR. It will say exactly which teeth we have to do and we have to place those engagers which we’ll discuss in a second on some of those teeth. But that’s just some of the stuff that I see digitally to see where you are in the process of closing your gaps and spaces with ClearCorrect. Also, if there’s anything that we need to do to the teeth, two of the main things that we do to the teeth on a visit is called IPR which means inter proximal reduction which with ClearCorrect, they will take away about .3 of a millimeter between the teeth because we’re not pulling any teeth. We take about .3 from between the teeth in order to make space for movement. The other thing that will play sometimes is something called an engager. I can show you also what an engager looks like but an engager is a button. An engager is a composite button just to require any shots or needles, no drilling and we place that button in strategic points on your teeth in order to help move those teeth. Let’s say a tooth is really crisscross or really out of place. It helps to move it along. In a case these gaps and spaces sometimes we’ll have engagers, some top and some bottom. Well, for the most part the appointment is really to give you a choice. I want to show you what an aligner looks like in real time. This is just a model. This is not anybody in particular. In this model you can see. You can see that. You can’t really even see them which is fantastic. This is what they look like, right? These aligners, they come in in two sets, top and bottom. Another second set for AB. Let’s say it’s your first visit. It will visit one and you’ll have it ABCD. You’ll get the A, we’ll try it in, make sure everything fits. You snap it in and then you will also go home with the second set and that will be B. I will say, you start going on your phone and you set about three weeks time and in three weeks time you're going to switch to B and most people don’t have any trouble. Of course if you have any trouble, you can come back in our office and we can make any sort of adjustments. In six weeks you'll return and you’ll get C and D. On C and D, depending on what’s going on, sometimes I say hey, how is it going? Everything fitting fine, no problems and then we’ll just snap in the new one if we have IPR or an engager would do, we will do that. If not, we just give you a new set of trace and I’ll show you what they come in. In this case, this is visit 2C and D, right? Let me just lock this up for a second. What you'll see, 2C and there’s a set in here and 2D. You're going to wear them for three weeks at a time. Again, I also have a paper that tells me exactly what we’re going to do to those visits. You could see something like red things at the bottom and those are instructions for me and we just make sure that everything is moving along. Depending on how long it’s going to take for your case, we will kind of go through that. I’ll show you really quickly on something like this. Sorry that’s not the best … there we go. I’ll have other illustration to do a better job of showing but then you'll see we’re in phase 2 and for this one we have four phases. It will be one, ABCD, two ABCD, three ABCD, four ABCD and then at the last one is when we do the retainer. If you can imagine if you have four phases that is about three months a piece and depending on your scenario we will know that from the beginning. ClearCorrect has really come up with an awesome technology that we can follow from start to retainers. S is start and R is retainer to see how over the course of the different phases from phase 1A to 8A, we can see how gradually the teeth come together and all the gaps and spaces are close. Any teeth that need to be rotated are rotated. We can see it from a top view, a bottom view, a side view and this is something that I can share with you specifically for your specific case so you can see how long it’s going to take for your teeth to change and in what time. At different points along the way you'll see where you are. It’s really wonderful to see kind of how your teeth are going to change. The way that these things work, it’s just that simple. Every time you come in small movements are coming or going closer to closer together. A lot of people say, Dr. Denis, I knew it was time to come and see you because it didn’t feel tight anymore because a teeth move into place, they are no longer activated and when they're no longer activated it’s time for a new one. Then when you switch, you’ll feel that kind of tension again. You’ll feel the tension again and then you'll switch until we finally get your teeth to where they go. It’s funny because people at home sometimes it happens so slowly. They don’t even see and I see them I say, whoa, your teeth have changed quite a bit. I mean the gaps that’s been from here to here and you'll see in certain cases that I’ll show you will be like … I mean literally so much closer the next time I see them and they don’t see it because they're wearing these retainers everyday. And again, with these ClearCorrect retainers, you're really going to be taking them off, brushing your teeth, eating and putting them back in. Again, it comes in these containers with instruction sheets in there. Those are for me so that we can say what are we doing today? Are we going to be placing some engagers. No sorry, that’s not coming out very well. Okay, right over here, those blue points are the engagers that we’re going to place and you see check marks just because we’ve already done it until gradually we can close the gap spaces between your teeth and they come in these handy little kits right over here. Okay. That’s how a ClearCorrect works. It’s fantastic. I get great results and in I think a very reasonable by the time you can get your gaps and spaces closed, you can have crowded teeth fixed and it really just fits into your lifestyle. Most of the patients I see, they’ve had braces before and they're not really interested in bonded brackets and wires and they like something clear removable and like I said you can hardly see it, you can hardly see it and depending on your hygiene it’s even better than that, right? It’s very comfortable. I usually go out to restaurant I can tell who is wearing it that’s just because I'm a dentist but most people can't tell at all. Anyways, thank you for watching and please make sure to check out some of our other videos about ClearCorrect, about dental implants. We have a lot of information for you, educated patients are the best patients. Do your research and see you next time.

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Hi, I’m Dr Tamisha Denis a Dentist here in South Florida. Looks like you’ve found my blog. This is where I write about Patient related stuff about Dentistry.

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