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The best thing about aligners is the worst thing about aligners – that is, aligners are removable. What that means is, no matter how good your treatment plan is, your attachment choice or your elastic cutout – if the patient isn’t wearing it, it simply wont work.
Please discuss ways or methods of finding if aligner compliance is poor.
Compliance indicators are found on teen cases which assists in gauging the patient’s compliance.
If possible, can we ask invisalign to incorporate compliance indicators on selected cases when compliance is questionable.
I’ve found another good way of assessing compliance vs tooth not tracking is whether the aligners are not fitting in general or on a single tooth
From an front office view of poor compliance; Patients have called and advised they are experiencing many ulcers after starting clear aligner treatment, this can be the indicator of the patient not wearing the aligners for the recommended 22 hours per day. The aligners actually protect the mouth from the ulcer forming from the attachments and if the patient is not wearing the aligners enough, they are more likely to have ulcers forming and becoming quite painful!
When screening these calls, patients often admit they are still getting used to the aligners and are struggling to wear them as prescribed, therefore exposing the mouth to the sharpness of the attachments.
Example of a poorly fitting aligner
Assessing the speech of the patient can also help to determine patient compliance. The patient’s speech may be affected at their initial insert appointment but after the first day or so they should be comfortable wearing and speaking with the aligners.