Orthodontics has a great advantage of choice. Since our specialty started, there have been many different techniques, appliances, and philosophies that rise and decline in popularity. In recent years, there has been a great debate about fixed appliance treatment versus clear aligner treatment. There is still debate on whether or not clear aligner systems work and the balance of efficiency and efficacy. Regardless, clear aligner treatment and digital orthodontic systems are gaining traction and popularity amongst doctors and patients. These markets grow, and our specialty evolves.
In the coming years, the discussion shifts to which clear aligner technique is most effective. More doctors dive into clear aligner therapy, and the debate reignites on treatment philosophy and preferences between different systems. The discussion turns into optimized vs. conventional attachments, what staging pattern you use, and in-house aligners vs. outsourcing them. The list goes on and on. Each doctor promotes their preferred technique, and we are left with many options to consider.
Digital Workflows
The challenge with choice and a new wave of treatment techniques is the ever-growing complexity. The new digital systems introduce new workflows and more options for treatment. My advice is to avoid complexity and focus on efficiency, productivity, and profound simplicity. Choose the appliance that leads to the best result and saves doctor time. Invest in software that automates workflow and augments the doctor’s ability to practice excellence. When we avoid upstream efforts, we leverage technology to delegate actions into digital tools.
Treatment Mechanics
When we plan treatment, avoid upstream efforts to overwhelm the appliance. Consider more predictable actions and treatment mechanics that simplify the process. In clear aligner treatment, we can setup synergistic movements. For example, combine extrusion with retraction. Conversely, procline when leveling and correcting a deep bite. Both of these work together to make the result more predictable.
In orthodontics, many paths may lead to the same result. When deciding your process and techniques for fully customized digital systems, focus on a workflow that maximizes your time and work. When treating with clear aligner treatment, don’t swim upstream.
