Engagers - FAQs

For Engagers - FAQs, refer to the following:

NOTE: ClearCorrect is a medical device manufacturer. Treatment decisions and case diagnosis are entirely the responsibility of the prescribing doctor. 

Extended-Beveled Engagers may not be available in all regions, please contact your local ClearCorrect/Straumann representative to find out what is available in your area.

 

 

 

 

 

 

What are the types of engagers available?

There are two types of engagers available. Standard engagers and Extended-beveled engagers.


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Are different size engagers available?

Yes, ClearCorrect offers 3 different sizes of engagers: 2 mm, 3 mm and 4 mm engagers.


Are different engager orientations available?

Yes, ClearCorrect offers 2 different orientations for engagers: Vertical and Horizontal.


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Are different depths for engagers available?

Yes, ClearCorrect offers 2 different depths. For standard horizontal engagers, 0.75 mm and 1.00 mm. For standard vertical engagers, 1.00 mm and 1.25 mm. For vertical and horizontal Extended-beveled engagers, 1.00 mm and 1.25 mm.


 


How do you place engagers when the teeth are very crowded?

For extremely crowded cases you can request for engagers to be placed later in treatment to allow for some improvement of the crowding to occur before placing engagers.


 

 

Can I change the amount or angle of the bevel for Standard Engagers?

No, the amount or angulation of the engager bevel for the Standard Engagers cannot be changed at this time.




Why is it recommended to place engagers on the adjacent teeth for intrusions?

If an engager is only placed on the tooth being intruded, there won’t be anything holding the aligner securely in place. The aligner is likely to lift off the adjacent teeth, instead of pushing the targeted tooth down. When you place engagers on the adjacent teeth, they hold the aligner in place, and the targeted tooth is intruded.


 

Do engagers have to be used in aligner treatment or can a case be done without them?

The technician provides a recommendation for engagers in treatment. If they are being recommended, there is a valid reason to use them. However, since it is the clinician that has the ultimate say whether to use engagers, it is possible to treat some patients without their use. The high and flat trimline of ClearCorrect’s aligners are up to 2.5x more retentive* than scalloped aligners and reduce or eliminate the need for engagers.


 


What can I do if an engager is lost or falls off during treatment?

You can use the previous or current tray as an engager template to replace the lost engager.


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How can I avoid the engager from wearing down over time?

Some materials can wear faster than others. A filled resin, as opposed to an unfilled resin, is suggested for a more wear resistant engager.




What is the best material to use for engagers?

In general, a flowable and paste-type composite are good for engagers. However, one should consider wear factors such as patients with heavy occlusion that may require a filled or hybrid material that is more resistant to wear.




How do you place engagers without them overfilling?

A suggestion to help prevent the engager from overfilling is to puncture the engager bubble on the labial side with an explorer or a needle to create a vent and allow excess material to release before light curing.




What is the best way to deal with excess flash from the engager?

Excess flash is generally removed with a multi-fluted carbide burr and should be removed as it can lift the aligner slightly if it remains, which could in turn affect the aligner fit and cause tracking issues.




It’s sometimes hard to remove the engager template. What is the best way to do this?

The applying of petroleum jelly or mineral oil to the inner surface of the engager bubble usually helps to release the engager from the template. You can also try sectioning the template and using the segmented template to place the engagers.




How do I attach an engager to a decalcified tooth?

It’s very difficult to bond to a severely decalcified tooth. Glass ionomer materials may help.




How do I attach engagers to teeth that are significantly lingually inclined?

For lingually inclined teeth you can request for engagers to be placed later in treatment to allow for some improvement of the lingual inclination to occur before placing engagers.




What is the best way to remove engagers?

A multi-fluted carbide burr is generally the best tool to remove engagers.


 

 

What are the recommended movements for Standard Engagers?

Tipping, translations, retention, intrusion and torque.


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What are the recommended movements for Extended-beveled Engagers?

Rotations and extrusions.


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Will the Extended-beveled Engagers be automatically planned for rotations and extrusions?

No, at this moment we will be automatically placing standard engagers only. If you need to change it, you can type your request in the Additional information box in the prescription form, in the comments section in ClearPilot or you can use the 3D controls to make the adjustments yourself.


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What is the direction that ClearCorrect places the bevel of engagers?

By default, ClearCorrect places the bevel of the standard engagers towards the incisal edge to ease with insertion of the aligner. For extended-beveled engagers you can request the direction you want the bevel located on.


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What are the customizations I can do for engagers with the 3D controls in ClearPilot?

You can change the following: size, type, orientation, depth, location and rotation.


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Can I place engagers on the lingual side?

Yes, you can request to your technician in Additional information in the submission form, comments panel in ClearPilot or use the 3D controls in ClearPilot.


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Will my engagers be kept if I request a revision?

By default, ClearCorrect will digitally remove all old or “previously bonded” engagers and suggest new ones with your revision.


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Can I ask to keep my old engagers in the revision?

Yes, please indicate in your revision form your request to keep the old engagers.


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Can I use the Extended-beveled Engagers for other movements different to rotations and extrusions?

Yes, you can request extended beveled engagers for other movements different for rotations and extrusions.


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Can I place more than one engager in one tooth?

Yes, you can. Please send your request to your technician in the Additional information in the submission form, in the comment panel in ClearPilot or make the adjustment yourself using the 3D controls in ClearPilot.

 

 

 

 

 

 

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