Clear Aligner Clinical Issues

Overview: This guide explains how to manage common clinical aligner issues and select the appropriate clear aligner treatment plan based on case complexity and refinement needs.

Address common clinical aligner issues

Clear aligners move teeth through plastic deformation. The following sections address common clinical observations during treatment.

Manage aligner flaring

Clear aligners may begin to flare out on heavily crowded teeth because the plastic stretching creates force on the teeth. To improve patient comfort, you can trim the aligner in the flared area. Ensure enough plastic remains to cover the tooth surface for proper movement.

Understand attachment size

Dandy uses rectangular attachments to express clinical movements effectively. These attachments provide a larger surface area for the aligner to grip the tooth. Rectangular attachments are versatile because the size can be adapted and the attachment can be rotated as needed for the specific case.

Compare clear aligner treatment plans

The number of refinements available depends on the specific treatment plan selected during the submission process.

Dandy On Demand

Select Dandy On Demand for very mild cases, such as anterior orthodontic relapse.

  • Refinements: A la carte.

  • Eligibility: Limited to 10 steps and one year of treatment.

  • Best For: Clinicians who want to pay for refinements only if necessary.

Dandy 20

Select Dandy 20 to include upfront costs for refinements and retainers.

  • Refinements: Includes one refinement.

  • Eligibility: Provides two years of plan coverage.

  • Best For: Moderate cases where one refinement is likely sufficient.

Dandy Max

Dandy Max is the required option for any treatment plan requiring more than 20 steps.

  • Refinements: Includes unlimited refinements.

  • Eligibility: Provides three years of unlimited treatment coverage.

  • Included Assets: Includes two sets of retainers.

  • Refinement Strategy: Dandy designs Max refinements to minimize the number of steps compared to the original plan.

Manage billing and cancellations

Review the following timelines to understand when charges and fees apply to aligner cases.

Review cancellation policies

  • Prior to Approval: There is no fee for canceling an aligner order before you approve it for manufacturing.

  • Post-Approval: You have a 24-hour window after approval to cancel a case without penalty.

  • Beyond 24 Hours: Cancellation is not possible once the 24-hour window closes, and the order will be subject to full invoicing.

Understand charging cycles

  • Treatment Planning: It is free to submit a case for treatment planning.

  • Manufacturing: Dandy charges for the aligner case once you approve the treatment plan and the case is sent for manufacturing.

Related Information

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