It is important to anticipate potential problems before you submit your case and decide what approach you want to take to address them.

Most cases are treatable with clear aligners. However, there are some issues you should keep an eye out for (POL-0008 Patient Informed Consent Form), including: 

• Extreme Crowding
• Crossbites
• Undercuts
• Extreme rotations
• Abnormal tooth morphology (i,e,, short clinical crowns, peg laterals, short roots, etc.)
• Anterior open bite
• Missing teeth
• TMD
• Periodontal issues
• Black triangles
• Large tongue or tongue thrust
• Any of our listed complex cases/contraindications
• If you anticipate the patient will be non-compliant
• Teeth to be extracted
• Skeletal discrepancies
• Large restorations, implants, etc.
• Narrow, constricted arches
• Severely tipped teeth
• Partially erupted or unerupted teeth
• Creating adequate root space for implants
• Any age limitations
• Taking bisphosphonates or any other medications that may negatively affect bone health and remodeling

You can let us know how you want to address any of these issues in the Additional Instructions section when submitting a case.

Think about your treatment goals before you submit your case. Keeping the end in mind is the best way to get the outcome you want for your patient. Providing more information will lead to better treatment setups. We're happy to work with you to get the treatment plan you desire.