Clincheck Cowgirl
Clincheck Cowgirl
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Invisalign ClinCheck - MLS vs GLR templates
The two biggest names in Invisalign ClinChecks are Dr. Molis and Dr. Galler and they each have their own templates. One template requires more adjustments for predictability and prevention of Posterior Open Bite. Here is my best blend of the two.
*Not shown is the large amount of unpredictable M/D crown root/torque movements and premolar rotation without correct rotation attachments that had to be eliminated through the premolars.
zhlédnutí: 534

Video

Invisalign ClinCheck - iGO with less IPR
zhlédnutí 375Před měsícem
Surprised by how much IPR is on the ClinCheck?!? How to analyze if the IPR can be reduced and change the ClinCheck to better fit the case goals.
Invisalign ClinCheck - Anterior Intrusion Refinement (additional aligners)
zhlédnutí 1,2KPřed 2 měsíci
Invisalign CAN DO intrusion!! It's just often not planned well. Key factors explained: retention attachments, overtreatment, and eliminate distracting movements.
Invisalign ClinCheck: Choosing between iGo vs Comprehensive + IPR tips!
zhlédnutí 49KPřed 2 měsíci
Invisalign GO is a great option! I recommend starting all cases with it. But there are limits to the way teeth move that may need to be a Comprehensive case. Still watch the movements and where the IPR is done!
Invisalign ClinCheck - Cleanup plus Final Edits
zhlédnutí 16KPřed 2 měsíci
Never accept the first ClinCheck! It's not a recommendation. See what I write to the Align techs to "clean up" the initial ClinCheck and the final finishes to achieve the goal and prevent posterior open bite.
Invisalign ClinCheck - A quick view of my preferences!
zhlédnutí 880Před 6 měsíci
Here are some of my preferences used, but be careful about changing attachments only! Plus a hard premolar intrusion explained and fixed!
Invisalign GO ClinCheck - A modification to avoid a guaranteed Posterior Open Bite
zhlédnutí 1,5KPřed 6 měsíci
This is a deep bite case with lots of unnecessary movements and incorrect attachments to predictably correct the lower anterior. But, just changing the attachments won't get the job done. Watch and learn!
Invisalign ClinCheck - The 1 Thing to do for Deep Bite predictability
zhlédnutí 4,1KPřed 8 měsíci
Think Invisalign can't intrude teeth? Wrong. Intrusion CAN happen predictably, but this KEY element has to be in the plan. Shown here with the 3D controls! Plus, I give other tips on how to eliminate unpredictable movements.
Invisalign ClinCheck Modifications with 3D Controls.
zhlédnutí 562Před 8 měsíci
How to use the 3D controls. Featuring the most common corrections I do, removing unnecessary and unpredictable movements to make the case easy.
Invisalign GO ClinCheck & case analysis
zhlédnutí 830Před 8 měsíci
Invisalign GO actually has a lot of unpredictable and unnecessary movements planned into the software. Read what I write to the techs to initially edit and add to the Clincheck. Hear the explanation WHY. And SEE how I do final edits with the 3D controls!!
Invisalign ClinCheck - Cl.III case problems & how to solve Posterior Open Bite
zhlédnutí 939Před 9 měsíci
Cl.III adult malocclusions are tricky! They have a very high risk of finishing with a POB. Improve your case selection by learning why this occurs and possible solutions to avoid and fix.
Invisalign ClinCheck - 2 cases for 1! KEY things to know for any lower arch crowding.
zhlédnutí 15KPřed 9 měsíci
Many crowding cases need to be treated like a deep bite. How to use 3D controls to reduce unnecessary angulation add retention attachments for predictability. Plus some info on bite ramps!
Invisalign ClinCheck - End the struggle with Posterior Open Bite
zhlédnutí 1,2KPřed 9 měsíci
In order to fix a POB, you must see WHY and then apply the appropriate solution. I look at 3 previous refinements to show what happened and how to set up the ClinCheck to finally fix it.
Invisalign ClinCheck - Attachment HACK to Correct a Premolar Crossbite
zhlédnutí 834Před 9 měsíci
Pushing a premolar to correct a crossbite is expecting it to translate, usually by 4 mm. Often it will TIP. See how I place attachments for best predictability of this type of case.
Frequently Asked INVISALIGN Questions
zhlédnutí 261Před 10 měsíci
Do you need pontics? What does the aligner look like without pontics? How to do you "add" bite ramps? When should you do the IPR?
Invisalign ClinCheck - Anterior Open Bite with *predictable* molar movements with 3D controls
zhlédnutí 1,2KPřed rokem
Invisalign ClinCheck - Anterior Open Bite with *predictable* molar movements with 3D controls
Invisalign ClinCheck - Finishing with Enough Overjet
zhlédnutí 1KPřed rokem
Invisalign ClinCheck - Finishing with Enough Overjet
Invisalign ClinCheck - Anterior Open bite
zhlédnutí 1,1KPřed rokem
Invisalign ClinCheck - Anterior Open bite
Invisalign ClinCheck edited and made easier with the 3D controls
zhlédnutí 1,1KPřed rokem
Invisalign ClinCheck edited and made easier with the 3D controls
Invisalign ClinCheck and CBCT feature
zhlédnutí 2,8KPřed rokem
Invisalign ClinCheck and CBCT feature
Invisalign ClinCheck - Solve Posterior OpenBite with 3D controls!
zhlédnutí 3,6KPřed rokem
Invisalign ClinCheck - Solve Posterior OpenBite with 3D controls!
Invisalign ClinCheck - What I write to the techs!!
zhlédnutí 2,2KPřed rokem
Invisalign ClinCheck - What I write to the techs!!
Invisalign ClinCheck - Planning for implant and solving deep bite
zhlédnutí 782Před rokem
Invisalign ClinCheck - Planning for implant and solving deep bite
Invisalign ClinCheck - How to use small "fake IPR" to close contacts
zhlédnutí 777Před rokem
Invisalign ClinCheck - How to use small "fake IPR" to close contacts
Invisalign ClinCheck - The FEW times to rotate premolars and HOW!
zhlédnutí 947Před rokem
Invisalign ClinCheck - The FEW times to rotate premolars and HOW!
Invisalign ClinCheck - When blue and black dots are OK!
zhlédnutí 1,3KPřed rokem
Invisalign ClinCheck - When blue and black dots are OK!
Invisalign ClinCheck - 21 Aligners Down to only 14! Plus much simpler and more predictable!
zhlédnutí 1KPřed 2 lety
Invisalign ClinCheck - 21 Aligners Down to only 14! Plus much simpler and more predictable!
Invisalign ClinCheck - Changing IPR with 3D controls
zhlédnutí 1,2KPřed 2 lety
Invisalign ClinCheck - Changing IPR with 3D controls
Invisalign ClinCheck - Anterior Interference causing a Posterior Open Bite
zhlédnutí 3,1KPřed 2 lety
Invisalign ClinCheck - Anterior Interference causing a Posterior Open Bite
Invisalign ClinCheck - How Did This POB Happen?
zhlédnutí 479Před 2 lety
Invisalign ClinCheck - How Did This POB Happen?

Komentáře

  • @AP-fi2di
    @AP-fi2di Před 14 dny

    I have the exact same issue as shown here. My upper molars are lateral towards the cheeka and I have no bites posteriorly. I have done my braces but my dentist failed in so many ways I thought he was good at it he's from a reputed dental hospital too. I can't believe he ruined my teeth like that after 2 and half years of having braces and my teeth weren't even that bad to begin with. I don't know what to do even my new dentist seems to be having a hard time to figure out how to solve it.

  • @GuideDehj
    @GuideDehj Před měsícem

    រ ៨ ៧

  • @user-jt5pk4iy8y
    @user-jt5pk4iy8y Před měsícem

    แปรี ม น่นนหถฃใสนนสสร😅ลค😅ุ 0:59

  • @toothace3
    @toothace3 Před měsícem

    I know those black dots are NOT a good thing!!

  • @user-ic8ui1ke9o
    @user-ic8ui1ke9o Před měsícem

    вкерп

  • @toothace3
    @toothace3 Před měsícem

    You make it look so easy!!

    • @clincheckcowgirl
      @clincheckcowgirl Před měsícem

      It is!!! With Dr. Galler principles and a lot of practice. :)

  • @priyaravi1571
    @priyaravi1571 Před měsícem

    Hi ! Do you consult on Clincheks? I would love for you to review a Clinchek that I’m working on. Thanks.

    • @clincheckcowgirl
      @clincheckcowgirl Před měsícem

      I absolutely do! I do ClinCheck workups like this under the umbrella of the @AmericanAcademyofClearAligners. Email me at ClinCheckCowgirls@gmail.com and I will walk you through the details. :)

  • @miketuretsky3233
    @miketuretsky3233 Před 2 měsíci

    Great video. Would you place lingual attachments on lower canines?

    • @clincheckcowgirl
      @clincheckcowgirl Před měsícem

      Depends. My threshold for Dr. Galler's lower lingual canine attachments is >1mm of anterior intrusion.

  • @kvgolfa
    @kvgolfa Před 2 měsíci

    Do you have an online course or website or like a more formal way to learn or work with you?

    • @clincheckcowgirl
      @clincheckcowgirl Před 2 měsíci

      That's such a compliment! Thank you! I teach in person courses for Align Technology and the American Academy of Clear Aligners. The only online course I have are saved webinars on the AACA website. www.aacaligners.com As a member, you immediately get access to all my webinars and more from my mentor, Dr. David Galler, and other super smart colleagues. There is more than 200 hours to learn from!

  • @toothace3
    @toothace3 Před 2 měsíci

    Brilliant!

  • @khshah121
    @khshah121 Před 2 měsíci

    Hey there! I'm trying to figure out how to change the staging of IPR using those 3D controls. Let's say I want to keep the IPR at stage 4. Could you walk me through the steps? Thanks a bunch!

    • @clincheckcowgirl
      @clincheckcowgirl Před 2 měsíci

      Right now, staging the IPR isn't allowed in the standard 3D controls. I have to write into the comments to have the tech's change it for me. You can put that into your preferences, so the 1st ClinCheck back should have that for you.

  • @indigotwinkle
    @indigotwinkle Před 2 měsíci

    Thank you so much doctor!,, love your channel

  • @HaNhiHoang1234
    @HaNhiHoang1234 Před 2 měsíci

    Thanks for sharing ❤

  • @9411ak
    @9411ak Před 3 měsíci

    Thank you for taking the time to make these, you are a godsend

    • @clincheckcowgirl
      @clincheckcowgirl Před 2 měsíci

      Glad you like them! I just want to help other doctors as much as I can! :)

  • @allie0115
    @allie0115 Před 3 měsíci

    Hello doctor! Thanks for a great video. I have some follow-up questions. On 1:36, Could you clarify why the rotated premolar takes up less room in the arch? To me, it would seem that the tooth would take up more space in the arch. Also, could you elaborate what you mean by "anterior segments become so much closer to lower anterior" and why that necessitates leaving space in the upper or do more lower IPR? Thank you in advance!

    • @clincheckcowgirl
      @clincheckcowgirl Před 2 měsíci

      Hi, I wasn't perfect with my words, apologies. The beginning position of the UL premolar takes up more space in the arch. De-rotating it, or correcting it, would take up less space in the arch. Then the upper anterior would need to be retracted further to completely close all the space. I hope that helps!

    • @allie0115
      @allie0115 Před 2 měsíci

      @@clincheckcowgirl Thanks for the clarification! I enjoy your videos, learning a lot from them.

  • @indigotwinkle
    @indigotwinkle Před 4 měsíci

    How do you close the posterior open occlusion after first set of aligners? 😢

    • @clincheckcowgirl
      @clincheckcowgirl Před 4 měsíci

      That is not a simple answer. There are multiple possible causes of a Posterior Open Bite. The solution depends on the cause.

  • @indigotwinkle
    @indigotwinkle Před 4 měsíci

    Thank you so much doctor!

  • @Syronlol
    @Syronlol Před 5 měsíci

    Hello, i got a question since im a bit confused now i was at the Ortho, i got an overjet of approx (6mm) and an overbite of 85-90%, she asked me if i want both arches to be corrected or if top would be enough (she also told me that if i want to correct both arches i have to get the usual braces and this would take years in my case cause my backteeth/jaw is a bit weird at the bottom) since im fine how my lower teeth look and dont have any bite issues i just want to get straither teeth (for veneers) and close my diastema (3.5-4mm) at the top arch, im wondering now cause i saw many cases on youtube/google and they always do upper and lower and never just one arch? and since i have a very deepbite/overbite im a bit worried now, is it even possible to correct an overbite with just invisaglin on the top arch? ty in advance

    • @not4yman
      @not4yman Před 5 měsíci

      Just get regular braces and fix everything, it’s always worth it to do everything at once than to leave it untreated

    • @Syronlol
      @Syronlol Před 5 měsíci

      i would do it if i was younger and didnt had mental issues cause of my smile the main thing that bothers me is my top teeth/arch and the gap since you dont really see my bottom teeth while smiling or speaking its not the main priority to fix that, and my bite is also good no issues there i feel like i lose alot of quality in life rn i miss out on so many things cause i try to hide my teeth while speaking smiling etc @@not4yman

    • @clincheckcowgirl
      @clincheckcowgirl Před 5 měsíci

      I am a bit suspicious that "usual braces" was the only option offered to you. Invisalign can definitely correct a very deep bite and improve the overjet. This does not mean that your molar and jaw position would change to a cl.I / ideal, and that is more than fine for the majority of adults. Not only from a looks perspective, but also considering function, bite, and long term prognosis with an imperfect occlusion. Most adults can't achieve ideal because our bone plates are fused. That ship sailed when we were 16 years old. So, let's get better and stable! IMO. PS - 2 years in braces won't achieve anything better than 1 year in Invisalign with the right plan. I promise.

  • @littlem00nprinc3ss
    @littlem00nprinc3ss Před 6 měsíci

    Hi! New to your channel and going through refinements myself - where would you typically place attachments to close a posterior bite, and would you have elastics typically? Thank you!!

    • @clincheckcowgirl
      @clincheckcowgirl Před 5 měsíci

      The solution to a posterior open bite is all dependent on the CAUSE of the POB. I do not use elastics to close a POB; I diagnose and solve. Where did I learn this? Dr. David Galler's Reingage course: www.aacaligners.com/reingage-courses

  • @handiman74
    @handiman74 Před 6 měsíci

    Why do you prefer the optimized retention attachments on the premolars but the incisal beveled rectangular on the molar instead of an additional optimized retention attachment? thanks.

  • @micettina1
    @micettina1 Před 6 měsíci

    How much time to resolve this case? Thanks

    • @clincheckcowgirl
      @clincheckcowgirl Před 5 měsíci

      It varies by how well the attachments are placed, how well the patient was compliant and monitored, plus how "willing" the bone was to allow change. 28 active aligners... with good compliance, 1 week wear worked well. A set of additional aligners is needed, but only 10 weeks worth. Overall, 10 months with aligner and retainer fabrication time included.

    • @micettina1
      @micettina1 Před 5 měsíci

      @@clincheckcowgirl amazing , thanks

  • @smoothbanana
    @smoothbanana Před 6 měsíci

    Is there a benefit to auto-resolving heavy contacts? The posterior occlusion is not 100% controllable with aligners. By introducing intrusion/extrusion movements, could you be increasing the risk of non-tracking / aligners not gripping teeth well?

  • @annaleekruyer
    @annaleekruyer Před 6 měsíci

    I love the content of this video but there is a buzzing sound that is killing me. does anyone else hear it?

  • @doorzcos3367
    @doorzcos3367 Před 7 měsíci

    why is leaving the molar crossbite a good thing? at 1:30

  • @muayadabubaker
    @muayadabubaker Před 8 měsíci

    Thanke you Doc I would performe a littel Intrusion at the molars and using the force of the bite i hope that indruding the molars and helps closing the Bite What do u think about that

    • @clincheckcowgirl
      @clincheckcowgirl Před 5 měsíci

      I absolutely like that idea! That's a more advanced concept and apply it to more severe anterior open bites. Adding bite turbos on the molars (you need to ask the tech's for placement) helps increase the bite force to facilitate molar intrusion.

  • @marianalevy3436
    @marianalevy3436 Před 8 měsíci

    Thank you so much, cowgirl!!! Your videos are so instructive!

  • @guinea_pig_willy
    @guinea_pig_willy Před 9 měsíci

    How much is a review of an individual plan from you?

  • @desiraeridall3688
    @desiraeridall3688 Před 9 měsíci

    This is so cool thanks for teaching

  • @haydenseifert9407
    @haydenseifert9407 Před 9 měsíci

    Hi Michele! I am a territory manager for Invisalign in Florida and I was wondering if you had an email or some way I could get in contact with you? I have some questions - Hayden Seifert

  • @sniperdps
    @sniperdps Před 9 měsíci

    You're back! Please keep making videos!!!

  • @paulsuarez4210
    @paulsuarez4210 Před 10 měsíci

    should i be sketched out when a dentist tells me 6 months for invalisng vs others saying 18 months? my assumption is that moving too fast would be more painful and require more ipr.

  • @ketakichougule1577
    @ketakichougule1577 Před 10 měsíci

    Hello Doctor, I was trying to get in touch with you via email. Thank you for the awesome videos. Very informative

    • @clincheckcowgirl
      @clincheckcowgirl Před 9 měsíci

      Awesome! I will check through my email again and be sure to reply. :)

  • @marinat4785
    @marinat4785 Před 11 měsíci

    I wish my dentist saw this before I fired her. I had to wear aligners for 3 years all because of the posterior open bite. And it still nowhere near I was before I started the treatment... Lost faith in dentistry thanks to her.

    • @clincheckcowgirl
      @clincheckcowgirl Před 9 měsíci

      I am so, so sorry to hear that. Hopefully another dentist can renew the faith as there are MANY good ones out there. Members of the American Academy of Clear Aligners have more training and higher success rates. You can find one here: www.aacaligners.com/member-directory

  • @fzm4115
    @fzm4115 Před rokem

    Thank you ♡

  • @toothace3
    @toothace3 Před rokem

    Genious

  • @MsGalagramma
    @MsGalagramma Před rokem

    Can I send you my clin check? I received mine and feeling very uneasy about it. My doctor just wanted to accept it as is, but I feel like it must be worked on.

  • @sniperdps
    @sniperdps Před rokem

    Your content is amazing, please keep posting!

  • @sniperdps
    @sniperdps Před rokem

    If you are closing a diastema, but you aren't tipping the teeth mesially, as this is the case. Instead you want to merely translate #8 and #9 mesially, can this be done? And if so, which attachments would you recommend.

    • @sniperdps
      @sniperdps Před 9 měsíci

      @@clincheckcowgirl thanks!

  • @MsGalagramma
    @MsGalagramma Před rokem

    any good Invisilign providers in Jacksonville , fl?

  • @MsGalagramma
    @MsGalagramma Před rokem

    Can you do my case please?:)

  • @mayurmaisuria6468
    @mayurmaisuria6468 Před rokem

    Hello! I like your video. Are you able to close the bite for this patient?

    • @mayurmaisuria6468
      @mayurmaisuria6468 Před rokem

      @@clincheckcowgirl Thanks for your reply! Was the bite corrected by aligners itself?

  • @MsGalagramma
    @MsGalagramma Před rokem

    Do you know a good invisalign provider around 32081?

    • @clincheckcowgirl
      @clincheckcowgirl Před 9 měsíci

      YES! Go here: www.aacaligners.com/member-directory

  • @kimberlyrolon4328
    @kimberlyrolon4328 Před rokem

    Good afternoon. How would I find an orthodontist that has the CBCT feature included with the ClincCheck. My case is similar to the above and can only find orthodontist who do regular ClinChecks.

    • @clincheckcowgirl
      @clincheckcowgirl Před rokem

      I wish I knew! You may have to call around. You're welcome to see me in Austin, TX!

  • @tabarekal-mosuli6414

    Hi , thank you for video . I have a question about active aligners. Why did u only request the upper ? And in that case what will the patient wear on lower ? Do we still use the cut off aligner on the lower and one active on upper with full molar coverage? Or does the active aligner also need to be cut ?

  • @tina2chap
    @tina2chap Před rokem

    How do we make sure we are not moving teeth out of bone if we do not have the CBCT feature?

    • @clincheckcowgirl
      @clincheckcowgirl Před rokem

      It's impossible to know with complete accuracy. So without the CBCT, you need to have quality photos and use those as a guide. If you can see the scalloping of roots in the attached tissue, or a very thin band of attached gingiva, you should be very cautious about buccal expansion.

    • @Straightsmilesolutions
      @Straightsmilesolutions Před 6 měsíci

      There's 2 major ways you can move teeth out of the bone: AP and Transverse- any orthodontist should know how to prevent this- if you're a dentist, we have a lot of resources to help you

  • @krishnadwivedi8705
    @krishnadwivedi8705 Před rokem

    Can your share mail Id so I will send my plan if you don't mind.

  • @Drone-pk
    @Drone-pk Před rokem

    Whats the software name

  • @lovejesus12012
    @lovejesus12012 Před 2 lety

    Interesting for someone like me who wants to close my large 7mm diastema

    • @clincheckcowgirl
      @clincheckcowgirl Před 2 lety

      It can be done! The correct attachments for anchorage and keeping the molars as anchor teeth are key! Certainly need to see an experienced Invisalign provider. :)

  • @d.fll98
    @d.fll98 Před 2 lety

    Did you do a frenectomy?