Diagnostic Criteria for Hybrid Mechanics: When it is Worth Combining Aligners with Fixed Appliances

This presentation examines hybrid orthodontic strategies that combine aligners and fixed appliances to address challenges related to complex tooth movements and optimize treatment outcomes. Aligners provide aesthetic benefits but have limitations in managing movements such as pure extrusion, severe rotations, and distalization, leading to extended treatment timelines. In contrast, fixed appliances offer precise control and effective correction through continuous force application. The presentation will outline diagnostic criteria for determining when to incorporate hybrid strategies, emphasizing that starting with fixed appliances can create a solid foundation for treatment. Transitioning to aligners can enhance aesthetics and reduce overall treatment duration. Additionally, simultaneous use of fixed appliances and aligners may help shorten treatment time. This approach meets clinical requirements while addressing patient preferences, illustrating the effective integration of traditional fixed and aligner mechanics.