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The other day I was reading an article by my sector colleague Dr Luis Barbero where he reflected on the orthodontist's profession in a blog by Smart Aligner Services and it gave me pause for thought. In the midst of 2024, with almost a quarter of a new century behind us, orthodontics continues to undergo major technical changes that involve [...]

The use of clear aligners and digital planning of our treatments means that in many cases we "see" things that we could hardly appreciate with fixed orthodontics. One of them are the "back and forth" movements, also known as "round tripping", which with brackets and wires were inevitable in many cases, in many cases, in

During the last few years we have seen how in many cases the integration of neuro-occlusal rehabilitation with aligners has been raised in congresses and conferences on treatments with aligners. Bearing in mind that the whole philosophy of ORN developed by Pedro Planas (and that it cannot be extended in any other way or with any other intention), we have to take into account the fact that the following is a very important point.

The clearest answer to this question has only one word: NO. No, if we want to ensure the final position of the teeth within their bony bases, avoiding recessions and fenestrations by moving them totally or partially out of the jaws. Although it is "logical" that patients "prefer" not to have their teeth extracted, it is the orthodontist who

This protocol, popularized by Dr. Arturo Vela, is based on the classic principles of flattening the curve of Spee: search for space (by proinclination of incisors) and a mixture of relative and pure intrusion that is determined by the patient's initial situation. In any case, we must understand that it is a matter of

The literature is consistent in the results of mandibular advancement with aligners, indicating that this offers better results than those achieved with functional appliances. Although the evidence is limited, practically all of it points to the same aspect: while the classic appliance achieves advancement with a marked lower dentoalveolar proinclination component, the aligners

One of the "reproaches" that aligners have received the most in recent years is the fact that they are "not very predictable", where predictability is understood to mean that clinically the final digitally designed position is expressed exactly and accurately at the clinical level. This, which makes little clinical sense, has led on the other hand to much

Recently, several aligner manufacturers (ClearCorrect, Spark, Angel Aligner) using ZENDURA FLX plastic have proposed alternating "soft" aligners with "rigid" aligners, arguing that rigid aligners help promote root movement. This is proposed with an analogy to what is done with fixed orthodontics: flexible nitinol archwires.

In the alignment of simple cases, such as this one, we may encounter several challenges, particularly in adult patients who have pre-existing recessions, which should be analyzed in depth to distinguish their origin. It is important to understand that in such cases a mass expansion would be inadvisable, as it would further strain the root-cortical relationship.

Transverse malocclusions: space and crowding The most common situation in any of our patients is a dento-skeletal discrepancy, which creates a lack of space and crowding that needs to be solved from a biological perspective. In our Common Sense Aligners program we address this issue from the beginning, because we think that the transversal dimension is essential for