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Mandibular advancement with clear aligners is increasingly used in the treatment of sagittal discrepancies in growing patients and in selected adults. However, the predictability of advancement does not depend only on the appliance itself, but on prior control of occlusal interferences and the quality of monitoring during the active phase. One of the most important […]

Molar intrusion with clear aligners continues to raise questions among clinicians, especially when the objective is not only to adjust contacts or modify a cusp, but to produce a real change in the occlusal plane and, in some cases, promote mandibular autorotation. From a biomechanical perspective, posterior intrusion is not inherently complex. However, it becomes […]

Expanding a dental arch when working with a limited aligner package, for example 20 aligners, can become a complex challenge if movement sequencing is not fully controlled throughout treatment planning. The key is understanding how tooth movements interact with each other and how each treatment phase influences the next. When biomechanics are properly sequenced, every […]

Once transverse expansion has been achieved in an adult patient treated with MARPE, many clinicians ask the same question: how should the interincisal diastema be closed? The objective is not simply to approximate the crowns. The key is deciding how to sequence the movement in order to maintain root control, take advantage of posterior anchorage, […]

In clinical orthodontic practice, we sometimes face a common situation: all planned tooth movements are completed before finishing a limited aligner package. For example, imagine you have a 20-aligner refinement package and you design a sequence using a PIR protocol (Proclination, Intrusion, Retraction). The treatment progresses successfully and reaches its biomechanical goal by aligner number […]

In one of the latest system updates, Align Technology has incorporated occlusal pads into its ClinCheck system for our Invisalign clear aligner treatment planning. However, as orthodontists, how can we make the most of them? What Occlusal Pads are and what can we expect from them Occlusal pads are a solid, filled volume on the […]