When its OK to do Single Arch Upper or Lower Only Ortho Treatment Braces or Invisalign

When its OK to do Single Arch Upper or Lower Only Ortho Treatment Braces or Invisalign

I. Introduction

Dr. Amanda from StraightSmile Solutions delves into a crucial topic that often leaves orthodontists hesitant – the request for upper or lower braces, single Arch braces, or Invisalign. Dr. Amanda emphasizes the importance of caution, highlighting her three key rules. She stresses the need for a ClinCheck or ClearPilot setup to calculate the Bolton and checks for anterior contacts. Discouraging discounts on single Arch treatments, she shares valuable insights into the complexities involved. With a focus on overjet cases as exceptions, Dr. Amanda provides a foundational understanding to empower orthodontists in making informed decisions and avoiding potential pitfalls in these specialized treatments.

II. Dr. Amandas Approach

●????? Dr. Amanda's first rule: Always toss the case into ClinCheck or ClearPilot setup

●????? Importance of calculating Bolton in clear aligner cases

●????? Second rule: Never proceed until checking for anterior contacts

●????? Third rule: No discounts for single Arch treatment, explaining the added difficulty

III. Challenges of Single Arch Treatment

●????? Dr. Amanda discusses the difficulty of working with one Arch

●????? Mention of the misconception that single Arch treatment is quicker or easier

●????? Warning against offering discounts due to increased complexity

●????? Emphasis on the need for patients to acknowledge the potential switch to dual Arch treatment

IV. Examples of Cases Where Single Arch Might Be Considered

●????? Dr. Amanda shares instances where single Arch treatment might be considered

●????? Acknowledgment that exceptions exist, but caution is crucial

●????? Patient with very straight bottom teeth and minor rotation in a single tooth

●????? Cases where patients have minimal issues in one Arch, making it a potential candidate

V. Specific Considerations for Single Arch Cases

●????? Dr. Amanda explores the limitations of making space for single-arch treatment

●????? Exclusion of expansion, extraction, and sequential distalization in single Arch scenarios

●????? Emphasis on IPR (Interproximal Reduction) and proclination as the primary options

●????? Discussion on the challenges of IPR in cases with significant crowding

VI. Case-Specific Considerations

●????? Dr. Amanda discusses scenarios where single-arch treatment might be feasible

●????? Exploration of cases with a slight overjet or a gap between specific upper or lower front teeth

●????? Importance of evaluating contacts and the impact on the overall treatment plan

VII. Exceptions to Consider: Overjet Cases

●????? Dr. Amanda emphasizes comfort with overjet cases for single-arch treatment

●????? Detailed explanation of scenarios involving upper or lower overjet and how it influences treatment decisions

●????? Utilization of CBCT sagittal slices for proper assessment

VIII. Conclusion

Dr. Amanda from StraightSmile Solutions emphasizes the importance of caution when considering single Arch braces or Invisalign treatments. She highlights the complexity of such cases, urging practitioners to rely on digital tools like ClinCheck or ClearPilot setup to assess viability. Dr. Amanda discourages offering discounts for single Arch treatments due to their increased difficulty and potential for complications. She underscores the need to thoroughly examine each case, mainly checking for anterior contacts and possibly switching to dual Arch treatment. Exceptions may exist in cases of minimal overjet, but she advises against single Arch approaches to ensure optimal outcomes and practitioner protection.

IX. Closing Thanks

●????? Dr. Amanda expresses gratitude for watching and hopes the information provided is helpful

●????? Encouragement for orthodontic professionals to prioritize patient education and ethical treatment decisions