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Protocol 1/28/2025
Clear aligner troubleshooting protocol
Common issues we see in the first 3 months and how we address them. Includes patient communication scripts and when to pause treatment. **Week 1-2 Issues:** - "They don't fit" → Check seating, have patient bite on chewie 5 min 3x/day - "I can't get them out" → Demo pull from posterior, provide ortho key **Month 1-2 Issues:** - Tracking lag on canines → Add precision cut, consider auxiliary - Attachments popping → Check bonding protocol, may need to rebond with longer etch **When to pause:** - >2mm tracking discrepancy - New decay identified - Patient wearing <18 hrs consistently **Script for tracking issues:** "Your teeth are moving, but not quite at the pace we planned. This is common and fixable—we have a few options..."
OrthodonticsPatient Care