We have begun to use the Carriere on the adults with Class II occlusions. No one wants extractions, which is the main alternative. This can really differentiate an office. I think dentists are more likely to refer to an office that is doing something different. I am seeing results here too in the adult patients. Results maybe a little slower, but just the same, extraction mechanics is fraught with negative side effects….tipping of teeth, periodontal considerations, etc. Plus, if I can treat more adult cases with a Carriere I can then treat most with Invisalign. Though we are an Elite provider of Invisalign, I still have not treated a patient with bicuspid extractions with Invisalign. There is simply less stress involved in treating patients with a Carriere and then Invisalign. I just checked my overhead. Through June it is 45.11% for the year. The McGill Advisory puts most orthodontists at 58 to almost 60% Conservatively, every 10 years I get one extra years pay over most orthodontists. The Carriere will make orthodontists money with less stress. Is there another factor to consider. Oh yeah, patients love it compared to anything else I show. (I literally show my competitions’ means for correcting Class II occlusions. That’s why I kept the forsus and Advansync models. I look forward to the day when all my patients in braces have had their occlusion corrected first.
Though we are an Elite provider of Invisalign, I still have not treated a patient with bicuspid extractions with Invisalign. There is simply less stress involved in treating patients with a Carriere and then Invisalign
We have used the Carriere with early cases even in the primary dentition. It works! I am reluctant to treat many cases early because my stats show that generally I earn less in the early treatment (Phase I ) cases. It is difficult to get a parents to sign up for Phase II when their insurance has been tapped. Whenever possible, I try to do more and more treatment in one phase when all the permanent teeth are erupted. I correct habits and crossbites in early treatment by in large. Those are more predictable for correction, low emergencies, and most profitable.