Aligner treatments have become significantly more sophisticated over the past several years with mechanics becoming more involved than just diastema space closure. Consumer marketing has made it appear that aligners can treat most malocclusions as readily as braces. However, the “plug and play” approach of submitting an impression or digital scan and receiving a set of aligners that actually follow the computer generated treatment plan often does not produce the proposed result. Let’s look at why the computer “cartoons” often fail to accurately predict tooth movements and what to do to correct these plans so that we can more often meet our patient expectations.

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