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🚨Precision Cuts vs. Buttons: Making the Right Choice in Aligner Therapy🚨

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  🚨Precision Cuts vs. Buttons: Making the Right Choice in Aligner Therapy🚨 As an orthodontist working with both fixed appliances and aligners, one of the most common clinical decisions faced is: When precision cuts and buttons should be used ? Through understanding of the fundementals of biomechanics in orthodontics, this comparison might help you in your cases: Precision Cuts - ✓ The preferred choice for Class II correction and deep bite cases ✓ Particularly effective for preventing unwanted retroclination ✓ Patient-friendly with no additional bonding required ✓ Biomechanical insight: Functions similarly to applying elastics on rectangular heavy wires in fixed appliances, offering excellent torque control and equally distibuted forces. Buttons - ✓ For combined movements: extrusions, rotations, and significant root control ✓ Requires bonding (which can be a patient compliance consideration) ✓ Delivers direct force application when needed ✓ Biomechanical...

Comparison between 2 designes

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Design 1 Design 2 Xtn 4 x 4s Yes Yes Retraction Enmass 2 step No. of trays 31 41 Buttons - - Slits Upper / lower Upper /lower Att. On L8s - Yes Firing of post. Segment Yes Yes Design 1: Review of Orthodontic Aligner Treatment Plan The orthodontic aligner treatment plan under review presents several critical concerns regarding its design and execution. Below are the key observations and critiques based on the treatment's mechanics and outcomes. 1. Simultaneous and Unsynchronized Movements The treatment plan exhibits **simultaneous and unsynergistic movements**. Specifically, the anterior teeth are moved first, followed by space closure, and then the mesialization of the posterior teeth. This approach neglects the importance of **staging and phases**, leading to a lack of sequential mesialization. The enmasse retraction strategy employed has drastic effects on anchorage, resulting in a **dumping effect** that compromises the overall treatment efficacy. Additionally, the rotations of ...

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