Reasons Why I don't do Invisalign. (Am I crazy or what?)
Ugh I've been dragging my feet on this blog entry.
PLEASE know that these are my personal opinions, and my
decision is not a moral one or based on some treatment superiority
complex. In fact it could change at any
time and one year from now who knows I
could end up being an elite provider of some sort! So if you do
IA know that I absolutely respect your decision and am a little envious that
you've made it work for you.
PLEASE also know that I move teeth every day with plastic.
We re-set our retainers for very limited movements like ortho relapse, and my
goal is to have a scanner and 3D printer in house hopefully by the end of this
year to allow us to dial in more precise movements.
SO WITHOUT FURTHER ADIEU HERE ARE MY REASONS I DON'T DO
INVISALIGN:
Evil Empire
Nope this isn't one of my reasons. Yes, Invisalign is happy
to get their product to as many GP's as possible, and yes they market directly
to consumers (which can make us feel helpless at times), but those things don't
really bother me that much.
Bottom Line: Invisalign is a business that is in business to
make a profit (like us). They have a product to offer, and we can decide if it
is in our best interest and our patients' to use it or not. Our arms are
twisted at times, but it's still our decision.
Cost
BIG FACTOR in my decision. I couldn't tell you at this point
if Invisalign is $500 a case or $1200 but it's certainly much more than I pay
for brackets, wires, adhesive, etc. I've finally got my supply costs down
significantly, and it's going to take a magic wand AND a miracle to get me to start
paying those huge supply bills again. And even if you increase your fee the
extra amount, by the time you spread the treatment payments out and are
competitive with your down payment requirements it never really seems to cover
the added cost, does it?
It's not (as) efficient
I don't think plastic can move teeth as effectively as
braces can do in a shorter amount of time. Don't get me wrong I've seen excellent cases
posted by great clinicians on Orthotown and elsewhere and I really feel the
results are very good; even better than I expected. However I'm not sure too
many could argue that the results wouldn't be better with fixed appliances in a
shorter time period.
So actually I do feel Invisalign can be EFFECTIVE when the
cases are chosen carefully. But I still feel it is not as EFFICIENT as fixed appliances.
I'm a perfectionist, and The patient demographic is the
exact group that is probably not the best fit for Invisalign
Ok hang in there with me on this one. I am NOT a perfectionist
with my treatment results. Yes I try my best to get "perfect" results
and I think I do a pretty good job but I don't kick myself if I can't get it
perfect. I don't spend several extra months in braces trying to get the perfect
result.
But what I am a perfectionist
in is patient satisfaction. I'll go the extra mile for patients doing re-treats
for no cost, multiple retainers with re-sets, to try to help a dissatisfied
patient (this drives my staff crazy and they often feel I should "cut the
cord" but hey I gotta be me).
So here's my reasoning on this. My pickiest patients are
adults. That's not to say I don't enjoy
treating them. I absolutely feel it
makes me a better Orthodontist when adults test my skills. But I know when we
get to the finish line if the patient is not extremely satisfied I'm going to
be pushing to put some appliances on to try to get things as perfect as
possible. And of course I won't be
charging them, especially if I already up-charged for invisalign.
IN SUMMARY:
Some adult patients can very picky. And this group can
overlap somewhat with those desiring IA.
They have paid a premium to avoid braces. And so have I!
Treatment time in general is longer than fixed appliances, often
with modified treatment goals.
The last thing at the end of treatment I want to do is try
to persuade patients to let me put appliances on them to get the result we both
desire.
FINAL MESSAGE:
So my conversation with a typical adult (often female) Invisalign seeking
patient goes something like this:
"Yes I've done some Invisalign, but with clear braces
I'm able to have full control over your teeth so I can really BROADEN your smile, and straighten them as
perfectly as possible in a much shorter time, for a lower fee."
This conversation usually leads to a start in fixed
appliances, although I'm sure I've lost my share of patients to more
experienced IA users. I've also potentially lost patients who never came in for
an exam in the first place because "You don't do Invisalign." I know
the latter is true because I've done re-treats on several of these patients in
my community.
SO THAT'S WHY, AT THIS POINT, INVISALIGN IS NOT FOR ME.
THANKS FOR READING!