POSTED UNDER Invisalign Reviews
New Treatment / 98 Aligners+Elastics - Distalization
UPDATED FROM MySmile4Life
1 year post
New ClinCheck / New Dr.
MySmile4LifeNovember 5, 2015
$5,500
Well I decided to pass on the last doctor and go with a new one. The last Clincheck I was given had way too much IPR for my liking. Also the doctor didn't seem to thrilled to address some of the concerns I had before accepting the treatment.
So now a new doctor and new ClinCheck! I will post the new videos later when I get a bit more time. Long story short this time around I am not getting any IPR done, and the Dr. has decided to distilize my top molars back to where my wisdom teeth used to be. Sounds a bit weird but that's the plan. Once this has be achieved thats when the aligners will start working on the anterior teeth. Oh I forgot to mentions elastics. Not too sure when they are coming into play, but there are definitely coming. On my first tray now day 5.
So now a new doctor and new ClinCheck! I will post the new videos later when I get a bit more time. Long story short this time around I am not getting any IPR done, and the Dr. has decided to distilize my top molars back to where my wisdom teeth used to be. Sounds a bit weird but that's the plan. Once this has be achieved thats when the aligners will start working on the anterior teeth. Oh I forgot to mentions elastics. Not too sure when they are coming into play, but there are definitely coming. On my first tray now day 5.
UPDATED FROM MySmile4Life
27 days post
ClinCheck VDO's
MySmile4LifeAugust 7, 2014
So here are the videos I recently received. All comments and suggestions are greatly appreciated.
Replies (1)

August 7, 2014
Thank you for uploading the vids! I've consolidated them now for you :). They certainly are extremely impressive--that would be a gorgeous result! Have you asked your question in the Doctors' forum yet?
August 7, 2014
Yes I have asked but one of the Dr. has stated that it would be impossible to get this much overjet reduction. He didn't how much though would be possible either. On doing some research I have read several clinicians have provided their recommendations
for slenderization. Boese23 recommends slenderizing
half the enamel layer thickness. Berrer31 claims that lower
incisors can be stripped by 0.4 mm, which corresponds to a
0.5 mm slenderizing per proximal surface of the lower incisors.
Paskow32 allows slenderizing of between 0.25 mm and
0.37 mm. Hudson27 suggests 0.20 mm for central incisors,
0.25 mm for the lateral ones, and 0.30 mm for the lower
cuspids, which gives a total of 3 mm for the whole anterior
group. Tuverson33 states 0.3 mm per proximal surface
of the lower incisors and 0.4 mm in cuspids, which gives,
in total, the elimination of 4 mm in the anterior group.
Alexander18 permits only 0.25 mm for all the teeth, and
Sheridan34 defends a 0.8 mm slenderizing per each surface
of posterior teeth and 0.25 mm in the anterior teeth, gaining
in total some 8.9 mm.
The concept of removing half the enamel layer would
seem to be clinically acceptable. According to Fillión35, it is
possible to obtain 10.2 mm of space in the maxilla and 8.6
mm in the mandible if slenderizing is carried out from the
mesial surface of the first right molar to the same surface of
the left molar. If slenderizing includes the second molar, an
additional 0.5 mm in distal surface of the first molar and 0.5
mm in mesial surface of the second molar can be obtained. Reference I can be provide if needed.
So this brings me back to the same question, maybe I should have asked it differently, like how much overjet reduction IS possible with 10mm of space, and why it would be impossible.
Yes the video looks very impressive, but they can use a bit of fine tuning in my personal opinion.
Please keep in mind that the movements in the videos are provided by the Align technician, I cannot confirm they 100% biologically and physically possible in my mouth. I wish some of the doctors on this forum could look at them and tell me what they think.

August 7, 2014
I went and looked at the three answers that doctors had given to your two different questions. Since you're right, that the ClinCheck is not always accurate, and since you have gotten concerning answers from the doctors, I would seriously consider getting another opinion from another doctor in the flesh. If you wish to have our doctors look over your new ClinChecks, you'll have to ask another question and include them (and that is totally acceptable. Your questions are good ones and valid, so don't hesitate to ask another.) The doctors aren't notified about updates to users' reviews, so they wouldn't know to look here. Occasionally one of them will stumble across something, but it's relatively rare.
UPDATED FROM MySmile4Life
26 days post
New Dr. - Updated procedure
MySmile4LifeAugust 6, 2014
I have decided to get my procedure done in Bangkok, reason being is that I will be spending a majority of time there instead of the States this upcoming year. As you can see in the ClinCheck photos, there is a lot of IPR happening throughout the procedure. It seems that IPR is the only way to make some room without having to go through extractions or surgery. I know its pretty invasive, but I'm willing to go through with it if that's the only way. The Dr. has already sent me the videos, and the movements look really intense. I'm still staring at the VDO's again before giving the final approval for fabrication.
Replies (1)