🚨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...
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🔥 The IPR Reality Check: Why Your Aligner Cases Need Refinements (And How to Fix It!) 🔥

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🔥 The IPR Reality Check: Why Your Aligner Cases Need Refinements (And How to Fix It!) 🔥

Even with precise digital planning by SoftSmile VISION Software, your cases might still need extra aligners—all because of one critical step: IPR execution!

⚠️ The Hard Truth:
- Software plans: "0.3mm IPR here for perfect movement."
- Clinical reality: No IPR done → Teeth stuck → Refinements ordered!

🔍 When you match progress scans, you’ll spot:
Tight contacts where IPR was meant to create space
Poor tracking because teeth physically couldn’t move as designed

💡 The Solution? Precision + Protocol!
- Verify IPR clinically (To match with the software!)
- Check contacts at EVERY visit (prevention > refinement)
- Use the right tools

🛠  IPR Protocol:
- Diamond strips (best for minimal, controlled reduction)
- Oscillating systems (safest for larger reductions)
- Rotary discs/burs (fast but higher risk if overdone)

📏 How Much IPR Per Visit?
Max 0.3mm per visit (beyond this risks sensitivity & patient discomfort!)
For larger IPR needs? Stage it! (0.3mm now → 0.2mm later)
Always assess enamel thickness & patient history!
Less IPR mistakes = Fewer refinements = Happier patients & smoother treatments!
Are your refinements IPR-related? What’s your IPR strategy? Let’s exchange tips below! ⬇️
Orthodontics ClearAligners IPR DigitalOrthodontics SmileDesign RefinementFree PrecisionDentistry

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