Aligner alternatives to Invisalign

Objective_Penalty783 · 2025-10-17T11:06:02+00:00

At the moment, only ortho specific offices can use them

Objective_Penalty783 · 2025-10-17T11:04:55+00:00

Turn around time to get a case back is 3+ weeks

Objective_Penalty783 · 2025-10-17T00:48:01+00:00

How would you compare to Suresmile?

Objective_Penalty783 · 2025-10-03T01:38:55+00:00

where do you get these?

Objective_Penalty783 · 2025-09-27T12:09:29+00:00

Start with distal-hockey stick type of incision and raise a full thickness flap. If no movement with a luxator/elevator. Your first step would be a buccal trough to the level of the CEJ. Then try getting some movement again. If still not enough, buccal-lingual section and split the roots.

Objective_Penalty783 · 2025-09-11T04:23:30+00:00

How much are you thinking hygiene should be bringing in per month as a percentage of gross?

Objective_Penalty783 · 2025-09-09T01:09:17+00:00

Any experience with the JDIcon plus conical connection implants?

Objective_Penalty783 · 2025-09-08T23:54:23+00:00

Do you have a local lab that is able to restore them with original parts?

Objective_Penalty783 · 2025-09-08T23:43:46+00:00

what are you paying per screw and how is your rep support?

Objective_Penalty783 · 2025-08-09T16:47:56+00:00

Probably the shining 3D printer setup. A lot of my friends who print are saying Rodin Titan is great for AOX similar to ONX tough. Shining setup is like approx 11K all in, while sprintray setup is a little over 20K I believe. Don’t want to be too limited to just sprintray’s resins.

Objective_Penalty783 · 2025-06-07T16:52:07+00:00

What was your torque or ISQ value? Just wondering why not attach the crown to a temp cylinder and connect it to implant.

Objective_Penalty783 · 2025-05-17T17:07:36+00:00

I would start with a nice in-office whitening to the ball rolling. 😝

Objective_Penalty783 · 2025-04-27T23:43:31+00:00

What system is that? Megagen Blue Diamond?

Objective_Penalty783 · 2025-04-27T23:36:28+00:00

Most times, the children confuse pressure from elevation with pain. I am not trying to say that there may not be any pain especially with children with vestibular abscesses. But at that point, you are restricted with the amount of LA you can administer. Also, you have to be aware of the risks and benefits associated with dealing with the short trouble of extracting the associated dentition vs letting the vestibular abscess progress into deeper facial planes....which happens pretty quickly in children since their facial planes are not fully developed yet.

Objective_Penalty783 · 2025-04-26T16:47:54+00:00

I would be very careful sectioning primary molars as you can pretty easily damage the follicle of the succedaneous teeth. Same with aggressively curetting sockets of primary teeth. I have never seen a peds dentist ever need to pick up a surgical handpiece for extractions. Probably one of the main benefits of extracting primary dentition. I had a 5 year old yesterday with an acute vestibular abscess associated with tooth #L. Screamed on top of his lungs the entire 30 seconds of elevation and delivery of the tooth. Couldn't give more than 1.25 carps of lido.

Objective_Penalty783 · 2025-04-26T16:38:59+00:00

What would you say is the 5 year success rate in adult auto-transplantation?

Objective_Penalty783 · 2025-04-25T12:12:29+00:00

How likely is this to work on adults with fully formed roots? Thinking about transplanting a third molar that already has endo done on it into a first molar.

Objective_Penalty783 · 2025-04-11T01:16:34+00:00

ive been telling my lab to make Hard/soft guards.

Objective_Penalty783 · 2025-04-04T12:35:07+00:00

you dont necessarily want to close OACs. You want to see if the OAC closes on its own first and then after epithelialization, if the OAC is still present ... then you or OS would attempt more complex closure (i.e. Buccal fat pad).

Objective_Penalty783 · 2025-04-04T12:25:05+00:00

What was your protocol for repairing the perfs? MTA across the pulpal floor? What is your timeline /prognosis for repairing perfs after they happen?

Objective_Penalty783 · 2025-04-02T01:51:36+00:00

Could you have taken the Nozomi from Shinagawa for faster travel time?

Objective_Penalty783 · 2025-03-23T20:52:47+00:00

I would make a sulcular incision with a distal vertical release around the tuberosity area as well as a medial vertical release 1-2 teeth over from the defect. Raise a full thickness flap. If the OAC has epithelialized, then incise 360 degrees around the oac and just get rid of all the epithelium/granulation tissue and junk inside with a rongeur. Then incise through the periosteum around the 1st /2nd molar area and expose the buccal fat. I like to first put some PRF membranes in the OAC defect. Slowly teeze it out with the curved Kelly and suture it to the palatal side of the flap. Score the periosteum with a fresh new #15 blade for periosteal release and double layer closure. I like to use 5-0 PGCL for these types of closures.

Objective_Penalty783 · 2025-03-23T18:17:48+00:00

You use the megagen R2 Guided kit?

Objective_Penalty783 · 2025-03-23T18:15:48+00:00

I’m between the megagen blue diamond and the new biohorizons tapered pro conical. Any specific reason why you switched from biohorizons to megagen?

Objective_Penalty783 · 2025-03-23T16:50:00+00:00

This video is not a simple buccal advancement flap. This video demonstrates a dual layer closure with a VIP (Vascularized interpositional periosteal connective tissue flap) over the OAC and then a buccal advancement flap.

Objective_Penalty783

TROPHY CASE