Can you really treat complex cases with aligners?

“We’ve done a study of myextraction cases... when you do one or two sets of additional aligners, thenyou will be able to get everything to ideal”

“I will never try to bring17 and 18 mesial to close space”

“The staging that eachcompany does, it does make a difference. If your technician doesn’t understandhow to move the teeth in the right stages… it’s never going to happen”

“If I have a patient whois not wearing the Class II elastics, then you cannot distalize.”

“If you learn to say no tosome of your patients, then you will be a more successful orthodontist.”

In this episode of Orthodontics in Interview,we sit down with world-renowned orthodontist Dr. Chris Laspos to explore thereal-world efficacy of aligners, hybrid treatment strategies, and the evolvingrole of auxiliaries and digital planning in modern orthodontics. With over 25years of experience and a background in craniofacial care and surgicalorthodontics, Chris shares insights into clinical decision-making, caseplanning, and the mindset needed for success. Extraction treatment, anterioropenbite and distalisation are discussed and how to improve outcomes, thisinterview is packed with clinical pearls and honest reflections of alignertreatment.

 00:00 - Introduction

01:45 - How did you find your way into aligners as an orthodontist?

03:42 - How do you reconcile aligner efficacy data with your clinical results?

06:24 - Can extraction cases be effectively treated with aligners?

07:10 - Do you prefer fixed appliances or aligners for extractions?

09:10 - Do you use more auxiliaries with aligners to compensate for efficacy?

12:03 - Are aligner systems heading toward minimal differences like fixed appliances?

12:49 - Do some aligner systems truly offer better outcomes?

17:59 - How do you manage anterior open bite cases with aligners?

21:02 - How predictable and reliable is distalization with aligners?

24:27 - Can aligners be used effectively in surgical orthodontic cases?

27:54 - What are your thoughts on remote/virtual monitoring?

30:26 - What are common mistakes orthodontists make with aligners?

32:33 - Should general dentists use aligners in practice?

34:15 - Could AI or case simplicity justify aligners by non-specialists?

38:12 - Beyond clinical skill, what makes a successful orthodontist?

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Farooq Ahmed