Treatment plans
Choose the treatment plan that is right for your patient
- 5 x 5 alignment
- Moderate crowding and overjet
- Moderate cases of crossbite
- Moderate cases of teeth proclination
- Improving the available space for implants and/or restorative work
- Resolving moderate rotations and angulations
- Treating multiple conditions
- Full correction of class II and III
- Cases requiring premolar extractions and distalizations
- Significant rotations and posterior rotations
- Significant extrusion/intrusion
- Curve of spee
- Severe deep bites or open bites
Choose the right plan
Note: The below treatment examples are suggestions only. The treating clinician is responsible for performing the necessary patient examinations and determining whether the patient is a suitable candidate for clear aligner treatment.
Crowding
Pay Per Aligner
Mild crowding treated by expansion/proclination/IPR
Aesthetics
Moderate crowding with possible lower incisor extraction
Ortho
Severe crowding treated by distalization or bicuspid extraction with combined treatment
Spacing
Pay Per Aligner
Single arch treatment
Mild spacing
Partially close spaces followed by restorative dentistry, if necessary
Aesthetics
Treatment of both arches
Moderate spaces
Consolidate spaces followed by restorative dentistry, if necessary
Moderate IPR to retract lower for a positive overjet, retract upper to close spaces
Ortho
Severe spacing
Fully close spaces with aligners and auxiliary IPR/retract lower to create positive overjet, retract upper to close spaces
Narrow arches
Pay Per Aligner
Maintain narrow arches, anterior aesthetic alignment only
Aesthetics
Moderate expansion and/or constriction of antagonist
Ortho
Severe expansion and/or constriction of antagonist
Crossbite
Pay Per Aligner
Individual anterior crossbite
Maintain posterior crossbite, anterior aesthetic alignment only
Aesthetics
Unilateral posterior dental crossbite
Moderate expansion and/or constriction of antagonist
Ortho
Treat severe dental crossbite
Expansion and/or constriction of antagonist
Deep bite
Pay Per Aligner
Maintain deep bite, anterior aesthetic alignment
Aesthetics
Intrusion of incisors with attachments
Ortho
Aligner therapy for anterior alignment and posterior extrusion and/or anterior intrusion
Open bite
Pay Per Aligner
Relative extrusion by retraction
Maintain open bite, aesthetic alignment
Aesthetics
Moderate open bite treated by extrusion
Ortho
Severe open bite treated by absolute extrusion with the help of auxiliaries
Class II
Pay Per Aligner
Maintain class II, aesthetic anterior alignment
Aesthetics
Improve class II with IPR
Advancement of mandible with class II elastics
Ortho
Correction of class II with distalization
Premolar extraction, aligner therapy with auxiliaries
Class III
Pay Per Aligner
Aesthetic alignment only
Aesthetics
Retract lower after IPR
Advance uppers to make space for restorative
Advance uppers with aligners and class III elastics
Ortho
Retract lowers by extraction and close space with class III elastics
Limitations of movement
Crowding
Pay Per Aligner
Aesthetics
≤ 3 mm
Ortho
>3 mm
Spacing
Pay Per Aligner
Aesthetics
≤ 3 mm
Ortho
> 3 mm
Arch expansion
Pay Per Aligner
Aesthetics
≤ 1.5 mm
Ortho
> 1.5 mm
Overbite
Pay Per Aligner
Aesthetics
≤ 1.5 mm
Ortho
> 1.5 mm
Crossbite
Pay Per Aligner
Aesthetics
≤ 1.5 mm
Ortho
> 1.5 mm
Correction class II
Pay Per Aligner
Aesthetics
NO
Ortho
YES
Correction class III
Pay Per Aligner
Aesthetics
NO
Ortho
YES
Premolar extraction
Pay Per Aligner
Aesthetics
NO
Ortho
YES
Distalization/mesialization
Pay Per Aligner
Aesthetics
NO
Ortho
≤ 4–5 mm
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