Case of the Month

  • January 2019
    January 2019 by Dr. John Bunkers Please Note:This website is best viewed with the latest versions of all browsers. If you are having issues viewing this, or…
I have a patient with Sjogren's syndrome that causes a constant dry mouth. He chews gum all day to stimulate salivary flow and he is concerned that he might not be able to wear the aligners and still chew gum. Any thoughts or experiences with "gum chewing Invisalign patients"?...
I'm a relatively new Invisalign provider looking for assistance with placement of attachments, which I've found to be a tedious and imprecise process. Load too much in the attachment well and you end up with too much flash. Load not enough and the attachment doesn't bond. I also can't seem to figure out whether or not to hold the attachment template passively or tightly against the facial surface of the teeth. I use Ultradent 37% Etch, OptiBond Solo Plus, and Tetric Evoceram. I'm a general ...
I have heard several Invisalign speakers say that they give out whitening material for patients to use with their aligners even when attachments are present. I just wanted to verify that this was true. Thanks!...
I usually defer all cosmetic recontouring to the end of my cases but I am wondering if it would be better if I did some of it in the beginning?...
Hello and Happy Holidays, what are your thoughts on the new Acceledent device/appliance to speed up ortho treatment? Is it effective, but more importantly safe to use? Thank you....
I will be offering accelerated invisalign to my patients soon. I see there are 2 drivers for the propel system. Which one should I get? Also what type of topical is used and for how long?...
Any advice on bonding attachments to porcelain crowns?...
Just signed up for MTM, any word of wisdom about it, I have been utilizing invisaglin for few years and a bit anxious to start adding a new system , all input is appreciated, have a great day...
I am planning to build up worn down cusps and integrate it during Invisalign tx, any advise and cautions, is there a better stage to do the build up, thanks for your help....
Hi ! I recently got a clincheck back that does not accurately depict the patients' starting occlusion. I have sent them all necessary photos with occlusal marks and bite registration as per their request. The clincheck still shows bilateral open bite which is not the case resulting in unnecessary tooth movements. i.e. extrusions I would appreciate any suggestions. Thanks, Melissa...
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