Once limitations of clear aligner treatments were identified, conceptualizing techniques to improve the predictability in producing desired results was the next logical step. A variety of concepts, methods, and adjuncts have subsequently been introduced to enhance the efficacy and effectiveness of clear aligners. As a consequence, the scope of biomechanics and type of malocclusions that can be more predictably treated has increased, much like adjuncts have improved traditional fixed appliances. As one example, the inclusion of miniscrew temporary skeletal anchorage has permitted the addition of direct and indirect anchorage to support and control more predictable programmed tooth movements with aligners.
Identify the purpose and advantages of individualizing clear aligners and applying adjunctive forces to increase treatment predictability.
Familiarize themselves with a variety of applications and uses for adjuncts to aligners such as miniscrew anchorage, the addition of buttons/elastics, and enhancement instruments.
Prepare a streamlined process for enhancing the clear aligner treatment planning process to incorporate individualized modifications for each patient.