Aligner fitting and bite finishing guide

Aligner is not fitting

1. Attachments may have excessive flash.
2. Distorted initial impression or intraoral scan
3. Aligner lag, or not enough time for movement to be expressed due to variation in bone biology or tooth morphology.
4. Patient’s dental anatomy changed (e.g., restorations, crowns and fillings).

1. Remove excess flash and/or remove and rebond attachments with template fully seated
2. Must retake impressions or intraoral scan and restart treatment
3. Extend wear time of Aligners or backtrack an Aligner before moving forward. Ensure contacts are not binding on the teeth that are to rotate or need to take new impressions and resubmit to Whitesmile Clear Laboratory services for refinement
4. Must retake impressions and restart treatment (Mid‑Course correction).

*Complete restorations and other dental operations prior to scan/ impression

-Inflamed gingiva distal to the second molars (typical in teens).

-Inflamed incisal papilla.

1. Contaminated bond surfaces.
2. Attachment broken from use.
3. Attachments worn down from wear.
4. Occlusal interference, causing patient to shear off attachment.

1. Replace under better isolation
2. Section attachment template and reuse it on current tooth to rebond attachment. Never use an aligner as an attachment template.
3. Remove and replace attachment with higher-fill composite.
4. Adjust attachment with trimming bur to relieve.

*Aligners trimmed distal to second premolar to allow passive eruption (settling)