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As you get more experienced with clear aligner therapy you learn a universal truth about those pesky lateral incisors that will refuse to extrude! I am joined by Dr Robin Bethell from Aligner Nation to help us learn more about the use of Elastics as auxiliaries for Clear Aligner protocols.
Protrusive Dental Pearl: The Bethell IPR Technique! Click Here for the Video of how Dr Bethell uses the bur for IPR
Interestingly, Dr Robin Bethell has not used intermaxillary elastics for over 3 years. He primarily uses them for vertical movements. I personally have used them extruding lateral incisors, which works very well. Here is the video to share how to extrude lateral incisors with elastics:
We also discussed:
- Common causes of Posterior Open Bites during aligner treatment
- How to manage Posterior Open Bites (the key is diagnosis)
- The role elastics play in clear aligner treatment
- Dr Bethell’s views on GDP Orthodontics
Here is the link to the evidence base Dr Bethell referred to
Be sure to follow Robin Bethell on Insta and check out @protrusivedental for more
if you enjoyed this, you will also like Comprehensive vs Compromised Orthodontics as part of the Straightpril series!

