Bite Ramps

General Information about Bite Ramps

What are Bite Ramps

Bite ramps are thermoformed features built into ClearCorrect aligners that create premature contact in the anterior or posterior region, which then takes the teeth out of occlusion helping to remove unwanted bite forces to allow certain tooth movements and correction to take place.

Indications

Bite Ramps are commonly used for:

• Treating deep bites
• Treating crossbites
• Treating open bites
• Leveling the Curve of Spee

Types of Bite Ramps

There are two classifications for bite ramps:

Anterior Bite Ramps

Placed lingually in the upper anterior region, you can customize the placement of anterior bite ramps in your treatment setup​:

• Central Incisors
• Lateral Incisors
• Canines  

They are commonly used to treat deep overbites/deep bites.

Posterior Bite Ramps

Posterior bite ramps are placed on the occlusal surface of the premolars or molars, in either the upper, lower or both arches. This feature has a coin design on the occlusal surface of posterior teeth and are built into the aligner without additional procedures.

They are commonly used to treat both anterior or posterior crossbites and/or open bites.

Default Protocols

Anterior Default Protocols

• Anterior Bite Ramps will be placed lingually in the upper 4 anterior teeth.
• If Anterior Bite Ramps don’t contact the opposing arch, the bite ramps will be placed only on the canines.
• Anterior Bite Ramp depth is 3 mm.
• No Arch Correction Simulation (ACS) will be applied unless specifically requested by the clinician.
• Anterior Bite ramps can be requested on new or existing cases through a revision (additional charges may apply).

Posterior Default Protocols

• Posterior bite ramps will be placed on lower molars by default
• Posterior bite ramps have two available prominences:
  • 1.5 mm or 2.0 mm
• Customizations (location of bite ramps) are possible when requested by Clinician in Prescription Form or through Comments in Clear Pilot®. 
• No Arch Correction Simulation (ACS) will be applied unless specifically requested by the clinician.
• Posterior Bite ramps can be requested on new or existing cases through a revision (additional charges may apply).

How to Request Bite Ramps

Anterior Bite Ramps

Anterior bite ramps can be requested in the prescription form. Depending on the patient's dental condition (crossbite or deep bite), you will be prompted with an option to indicate if you want anterior bite ramps added to the treatment. Anterior Bite Ramps can also be requested and customized in Dr. Edits in ClearPilot.

To make a custom request for anterior bite ramps, you'll need to communicate the following specifics in the Additional information section of the case submission form:

• The position of the anterior bite ramps
  • Incisors (Central & Lateral) (2x2)
  • Incisors and Canines (3x3)
  • Canines only
  • Custom

Posterior Bite Ramps

Posterior Bite Ramps can be requested in the prescription form. Depending on the patient's dental condition, you will be prompted with an option to indicate if you will want Posterior Bite Ramps added to the treatment. Posterior Bite Ramps can also be requested and customized in Dr. Edits in ClearPilot.

In case of customized requests, it is important to also include any other details regarding the request for Posterior bite ramps in the Additional information section of the case submission form. 

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