For information case complexity and selecting treatment options, refer to the following:
- Conditions
- Discuss patient's goals
- Choose your treatment (pricing) option
- Article references/sources
Conditions
You can determine the complexity of a case by assessing the conditions, treatment goals and the treatment option to use for the case. For further information Download a printable guide
The presence of these conditions doesn’t prohibit treatment with clear aligners, but you must consider how their presence affects the patient’s candidacy as a good clear aligner patient and how it may compromise end results. If your patient presents with ten of these conditions and you plan to treat all of them, that would make for a far more complex case—and more of a challenge—than if you were to select only three conditions to treat.
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Skeletal imbalance |
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| Span of missing teeth | |
| Tipped teeth | |
| Rotated teeth | |
| Crowded teeth | |
| Open bite | |
| Deep bite (Overbite) | |
| Mis-shapen teeth | |
| Irregularly shaped roots or crowns | |
| Blocked out teeth | |
| Unerupted teeth | |
| Rx extractions | |
| Crossbite | |
| Muscle imbalance | An example could be; really tight lip muscles that restrict the forward movement of the teeth. |
| Periodontal issues | |
| Large spaces | |
| Existing implants | |
| Existing restorations | |
| TMD | |
| Bruxism | |
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Patients:
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Discuss patient's goals
Discuss with your patient and determine their goals for treatment.
- Talk about the patient’s existing condition
- Find out what they would like addressed with clear aligner treatment
- Educate the patient on what will be required of them to achieve their desired results
- Discuss any health benefits
Choose your treatment (pricing) option
ClearCorrect offers several options for treatment.
Availability of treatment options may be limited in some regions. Contact your ClearCorrect or Straumann representative to find out what is available in your area.
- FLEX
- MINI
- What FLEX and MINI Are Best Suited For
- ONE
- TWO
- What ONE and TWO Are Best Suited For
- THREE
- UNLIMITED
- What Unlimited and THREE Are Best Suited For
FLEX
With FLEX you pay for the the exact amount of treatment you need—no more, no less.
NOTE: These guidelines are just suggestions for selecting a treatment option and are not in any way absolute. It's up to you as the treating physician to perform the necessary patient examinations and determine the treatment option that best suits you and your patient’s goals.
Availability of treatment options may be limited in some regions. Contact your ClearCorrect or Straumann representative to find out what is available in your area.
Consider choosing FLEX:
- If correcting a small number of conditions
- When you expect you’ll need relatively few aligners (less than 15 + 2 retainers) to effectively make the correction
- Grade 1 - 2 of the Dental Health Component of IOTN index (Source 1) below)
- When treating minor relapses from previous orthodontic treatment (i.e., mild anterior crowding)
- For case revisions (when additional revisions are needed or not included in the selected treatment option)
- For single arch treatment
- When only very basic movements are required
MINI
The MINI treatment option is for very mild cases and you get up to 12 sets of aligners within six months of treatment and includes one Revision.
Note: These guidelines are just suggestions for selecting a treatment option and are not in any way absolute. It's up to you as the treating physician to perform the necessary patient examinations and determine the treatment option that best suits you and your patient’s goals.
Availability of treatment options may be limited in some regions. Contact your ClearCorrect or Straumann representative to find out what is available in your area.
Consider choosing MINI:
- For very mild cases
- If correcting a small number of conditions
- When you expect you’ll need relatively few aligners (12 aligners plus one included revision) to effectively make the correction
- Grade 1-2 of the Dental Health Component of IOTN index (Source 1 below)
- When treating minor relapses from previous orthodontic treatment
- Treating the Aesthetic Zone (Social Six)
- For minor combination treatment (transitioning between traditional orthodontics and clear aligners)
- When only predictable movements are required
What FLEX and MINI Are Best Suited For
| Slight rotation | |
| Minor midline discrepancy | |
| Minor crowding correction | |
| Minor spacing correction | |
| Minor arch development or expansion | |
| Proclination or labial crown tipping |
ONE
The ONE treatment option is for mild cases and gives you up to 24 sets of aligners within one year of treatment, one set of retainers, and one revision.
Note: These guidelines are just suggestions for selecting a treatment option and are not in any way absolute. It's up to you as the treating physician to perform the necessary patient examinations and determine the treatment option that best suits you and your patient’s goals.
Availability of treatment options may be limited in some regions. Contact your ClearCorrect or Straumann representative to find out what is available in your area.
Consider choosing ONE:
- If correcting a moderate number of conditions
- When treatment requires more than 12 steps, but less than 24 steps
- Grade 2 - 3 of the Dental Health Component of IOTN index (Source 1) below)
- When correcting simple crowding/spacing
- For overbite and overjet reduction
- For simple crossbite corrections
- For improving tipped and rotated teeth
- For reclining proclined teeth
- When predictable and moderate movements are required
TWO
The TWO treatment option is for moderate cases and gives you up to 48 sets of aligners within two years of treatment, including two revisions and two sets of retainers.
Note: These guidelines are just suggestions for selecting a treatment option and are not in any way absolute. It's up to you as the treating physician to perform the necessary patient examinations and determine the treatment option that best suits you and your patient’s goals.
Availability of treatment options may be limited in some regions. Contact your ClearCorrect or Straumann representative to find out what is available in your area.
Consider choosing TWO:
- If correcting a moderate number of conditions
- When treatment requires more than 24 steps, but less than 48 steps
- Grade 2-3 of the Dental Health Component of IOTN index (Source 1 below)
- When correcting moderate crowding/spacing
- For overbite and overjet correction
- For moderate crossbite corrections
- For mild-moderate correction of vertical discrepancies
- When predictable and moderate movements are required
What ONE and TWO Are Best Suited For
| Moderate to severe rotation | |
| Moderate to severe crowding correction | |
| Large space closure | |
| Correcting crossbite | |
| Reclining proclined teeth | |
| Improving deep bites | |
| Improving overjet | |
| Improving tipped or rotated teeth |
THREE
The THREE treatment option is for moderate to severe cases and includes up to 72 sets of aligners within three years of treatment, including three revisions and three sets of retainers.
Note: These guidelines are just suggestions for selecting a treatment option and are not in any way absolute. It's up to you as the treating physician to perform the necessary patient examinations and determine the treatment option that best suits you and your patient’s goals.
Availability of treatment options may be limited in some regions. Contact your ClearCorrect or Straumann representative to find out what is available in your area.
Consider choosing THREE:
- If correcting a moderate to large number of conditions
- When treatment requires more than 48 steps, but less than 72 steps
- When treating Grade 3-5 of the Dental Health Component of IOTN index (Source 1 below)
- When correcting moderate to severe crowding/spacing
- When correcting class II and III malocclusions
- When correcting vertical discrepancies (deep bites, open bites)
- For anterior and molar rotations, and uprighting molars
- When correcting a deep Curve of Spee
- When difficult movements are required
UNLIMITED
The UNLIMITED treatment option is for severe cases, it includes as many aligners as you need for five full years, including replacements, revisions, and retainers.
Note: These guidelines are just suggestions for selecting a treatment option and are not in any way absolute. It's up to you as the treating physician to perform the necessary patient examinations and determine the treatment option that best suits you and your patient’s goals.
Availability of treatment options may be limited in some regions. Contact your ClearCorrect or Straumann representative to find out what is available in your area.
Consider choosing UNLIMITED:
- If correcting a considerable number of conditions
- When there’s a potential for multiple revisions (generally speaking, more aligners in treatment increases the chance of revisions)
- Grade 3 - 5 of the Dental Health Component of IOTN index (UNLIMITED only if it exceeds criteria) (Source 1 below)
- When treating cases with extractions
- If correcting a skeletal condition
- If treating in multiple phases (Source 3 below)
- For complex combination treatments requiring various auxiliaries, like expanders or distalizers (Source 2 below)
- When compliance may be a concern
- Patients with potential interruptions, i.e., military service, pregnancy, weddings, and frequent travel
- When difficult movements are required
What Unlimited and THREE Are Best Suited For
| Significant anterior rotations | |
| Molar rotations | |
| Multiple extractions | |
| Anteroposterior correction (distalization or mesialization) | |
| Deep Curve of Spee correction | |
| Intrusions and extrusions | |
| Uprighting molars | |
| Open bite corrections | |
| Deep bite correction | |
| Short clinical crowns |
Article References/Sources
1) “Index of Orthodontic Treatment Need (IOTN)” by Evans R. and Shaw W. C. A preliminary evaluation of an illustrated scale for rating dental attractiveness. European Journal of Orthodontics 1987; 9:314-318 https://academic.oup.com/ejo/article-abstract
2) “Creative Adjuncts for Clear Aligners, Part 1: Class II Treatment” S. Jay Bowman DMD, MSD, Frank Celenza DDS, John Sparaga DMD, Moschos A. Papadopoulos DDS, DMD, Kenji Ojima DDS, James Cheng-Yi Lin DDS www.jco-online.com/archive/2015/02/83/
3) “Eruption guidance in the mixed dentition: A case report” Weon Kim, Tae & Park, Jae. (2008). The Journal of clinical pediatric dentistry. 32. 331-9. 10.17796/jcpd.32.4.gt1504402674437p
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