32Co have built the first ever platform to give dentists access to Specialist orthodontic advice. Through collaboration you can take on more complex cases with confidence and improve your orthodontic knowledge.
Here are some examples of what you can expect when working with our Orthos.
There is no magic system behind successful Clear Aligner work, its built from:
✔ Rigorous clinical assessment
✔ Comprehensive dentist/ortho-driven design (not technician!)
✔ Effective delivery and monitoring
Our friendly Specialists work with you throughout the treatment planning process (and beyond!) to get the best outcome for you and your patient. All of our Specialists are:
Full orthodontic case assessment
Discussions of different treatment options
Support improving your orthodontic knowledge and skill
Comprehensive treatment designs and advice from an Orthodontist
Diagnosis and assessment is critical in orthodontics. Sometimes a case can have complex features and you might be unsure whether it would be suitable for Clear Aligners. A Specialists case assessment offers clear diagnosis and advice about when and why a case is complex. When you take on a case with PRO support, you have access to orthodontic input at every stage, including during treatment so you’re never alone if there’s an issue.
Thank you for submitting this case. This is a very difficult case due to the following:
- Almost 100% OB
- Spacing lower arch - which can further deepen OB if closed
- Retroclined ULS
I would not recommend taking on this case with clear aligners due to the following:
- Correcting the retroclination requires creating palatal root torque on the upper incisors which is very difficult to achieve with clear aligners
- Deep overbite can be challenging with clear aligners
- I would not recommend closing the space with clear aligners as this will further deepen the bite.
If the patient would like the teeth aligned only, then this is something we can do, but you would have to accept the retroclined incisors and OB.
I’ve linked you a paper that looks at tooth movements that are particularly challenging to achieve with clear aligners – hopefully you find it interesting!
" I LOVE it when the specialist helps me understand why its not suitable, it isn’t a negative for me at all, I’d prefer not to take it on "
Often there are multiple ways of approaching a case; dual or single arch plans, the inclusion of elastics or accepting compromised outcomes. Where there are different treatment options, our Specialists discuss these with you so you’re able to make the best decision for the patient. Having their support on these more complex cases gives you peace of mind and confidence.
Thank you for submitting this case. I have formulated a design and there are two ways we can approach this.
Due to the skeletal pattern, the patient will develop a residual overjet after alignment. This can be corrected with the use of class 2 elastics, however these will have to be monitored very carefully due to the thin gingival biotype and pre existing recession.
Please let me know if you would like
1. Alignment only with residual overjet of around 5-6mm
2. Alignment + correction of OJ with class 2 elastics
I can see you haven’t used elastics on a case with 32Co before. This could be a good opportunity for you to do this. I’ve sent an elastics guide to you in the portal and linked you to a very similar case study you might find useful.
" It’s so helpful to consult with the orthos on the different approaches during in the planning stage. Being able to discuss the likely treatment compromises with a patient in advance makes things so much easier and keeps us all on the same page with expectations of end results. "
Our specialists create comprehensive and in-depth treatment instructions to ensure you and your patient get the best outcomes. Understanding exactly how they approach difficult cases is a useful learning tool which can help you approach your LITE submissions.
Aims of treatment: 1) Alignment and levelling, 2) Improve the anterior functional guidance, 3) Widen the smile,4) Maintain occlusion.
1)Alignment with anterior IPR and arch development, Arch development/expansion by adding some lingual root torque/inclination on U3s, U4s and U5s (give some positive buccal crown torque). These movements will widen the space, create some space for alignment without gum recession.
2)Procline U1s, add lingual root torque(inclination)
3)Retract to Align U2s, push distal out first
4)Shift the upper midline to the patient's left to match the lower midline.
1)Alignment with IPR and gentle arch development. Add some lingual root torque/inclination on L4s and L5s (give some positive buccal crown torque)
2) Derotate L1s, round tripping: push mesial out
3)No proclination of L2s, take L2s as a reference for alignment of L1s.
4)Maintain the lower midline.
" I read every line of the approach, I find it so helpful in understanding the how the end result is achieved. It helps me to feel more confident when I create design instructions for a LITE case "
❌ No! The treatment plans with these traditional manufacturers are created by technicians, not dentists and definitely not orthodontists.
❌ No! They do not assess complexity for you or behave as colleagues, they are a manufacturer and they follow your instructions.
❌ Their role is not protect you from taking on cases not suitable for treatment with Clear Aligners, or those which are deceptively complex
❌ No! They do not help you with patient work up, consent and ongoing management
✔ Diagnosis and assessment of case complexity by an Orthodontist
✔ Highlighting cases which may be too complex or deceptively tricky
✔ Treatment design(s) and case advice created by an Orthodontist
✔ Help with patient work up and consent
✔ Specialist support once treatment has started