Angelattach Precise Attachment System

angelAttach Precise Attachment
System
*FDI tooth numbering system is used here.
AngelAttach, the Angel Attachment System, is a revolutionary attachment system validation

and optimized by the Angel Aligner masterForce platform. There are two types of
attachments, conventional attachments that are bonding to the teeth and aligner pressure
points designed and manufactured using our unique and advanced manufacturing
technology. Combining biomechanics, material science and mechanics, the position and
morphology of our attachments are designed to achieve better force expression and a more
effective and precise control of tooth movement with clear aligners. In addition Angel Aligner
allows the use of other auxiliary tools such as elastics, TADs and segmental archwires with our
unique innovations.
Conventional Attachments
1. Rectangular-Horizontal Attachment
Function: Assists with tooth angulation correction, root & bodily movement and anti-tipping
control;
Teeth: Canines, premolars and molars;
2. Rectangular-Vertical Attachment
Function: Assists with tooth angulation correction, root & bodily movement and anti-tipping
control;
3. Retention Attachment
Function: Assists with retention, extrusion, and intrusion when placed on the anchor teeth;
4. Rotation Attachment
Function: Assists with derotation;
Teeth: Incisors and canines;
5. Extrusion Attachment
Function: Assists with extrusion;

6. Rotation-Extrusion Attachment
Function: Assists with derotation and extrusion; and can also provide derotation and
anchorage for anterior tooth intrusion;
Teeth: Canines and premolars;
Precision Attachments
1. Precision Root Control Attachment
Function: Optimized angulation correction, root control, bodily movement and anti-tipping;
2. Precision Tipping Control Attachment
Function: Optimized angulation correction, root control, bodily movement and anti-tipping;
Teeth: Incisors;
3. Precision Rotation Attachment
Function: Optimized derotation or rotation+extrusion, optimized derotation and anchorage

for anterior tooth intrusion;
Tooth: Canines and premolars;
Pressure Ridges
1. Torque Ridge
Function: Provides lingual translation (via lingual root torque) and torque control of anterior
teeth;
Teeth: Incisors;
2. Intrusion Ridge
Function: Faciliates incisal intrusion, while controlling lingual tipping;
Teeth: Incisors;
3. Rotation Ridge
Function: Addresses minor rotation of incisors;
Teeth: Incisors;
Features
1. Pontic
Function: A temporary tooth shaped structure in an aligner to replace a missing tooth during
treatment;
Teeth: All;
2. Elastic Cut
Function: Indicates where an elastic (traction) hook will be added;
Teeth: All;
3. Button Cutout
Function: Indicates the cutout area of the aligner where a button can be bonded directly to a
tooth;
Teeth: All;
4. Bracket Cutout
Function: Indicates the cutout area of the aligner where a bracket can be bonded directly to a
tooth;
Teeth: All;
5. Bite Turbo
Function: Assists in anterior tooth intrusion/bite opening, also known as Bite Ramps;

6. Curve Turbo
Function: Actively advances the mandible in small amounts (less than 3mm) while opening
the bite. Also serves to maintain the mandible position after mandibular advancement;
Teeth: Incisors;
7. A6 Occlusal Block
Function: Assists in mandibular advancement and maintains maxillary position;
8. Power-Arm
Function: An attachment assisting a long-armed traction hook;

9. Occlusal Pad
Function: Assists in crossbite and deepbite correction, also known as Bite Turbo;
Teeth: Premolars and molars;
10. Eruption Guide
Function: A temporary tooth shaped structure created into the aligner that accomdates for
the natural eruption of teeth;
Teeth: All;
11. angelButton
Function: Provides an additional anchorage point manufactured directly into the aligner to
support the use of elastics;
Teeth: All;
angelButton
A brand-new traction feature that endows clear aligners with infinite possibilities.
Elastics plays an important role in orthodontic treatment, which can help doctors align teeth,
close space, tighten occlusion, adjust jaw position, enhance anchorage, conduct jaw
orthopedics, promote jaw growth and so on. Due to the morphological limitation of the clear
aligner itself, there are some problems in clear aligning treatment, such as monotonous elastic
mode, mucosal injury caused by aligner deformation due to elastics, inconvenient to wear,
button easy to fall off and so on.
angelButton is an ancillary feature manufactured directly into Angel Aligners. It provides an

additional anchorage point to support the extensive use of elastics in Angel Aligner treatment.
These buttons can be added and/or adjusted anywhere on the arch and the elastic could be
hung in any direction. AngelButtons are designed with high structural integrity to facilitate
efficient tooth movement via elastics. As a result, the teeth can be moved accurately and the
orthodontic efficiency can be improved at the same time.
angelButton -- now supports Angel Aligner Pro and Angel Aligner Select
angelButton Elastic-Characteristics and Clinical

Advantages
Common Problems in Traditional Elastic Mode of Clear Aligner

therapy
The limitation of traditional elastic mode of clear aligner therapy
The forming process of clear aligners limits the free design of elastics, and the morphological
characteristics of traditional clear aligners restrict the freer elastics design. For a long time, the
elastics of clear aligners is often limited to class II or III elastics.
Elastic force in clear aligner therapy will be transmitted through the aligner. Limited by the
morphology of the aligner, cutout can only be prefabricated or cut on the aligners, which is
difficult to match a variety of orthodontic treatment needs.
Common problems in traditional elastic mode of clear aligners
● Mucosal injury caused by the tilting up of the aligner edge at the elastic site;
● Button falling off;
● Risk of molar extrusion;
● The tracking of the aligner becomes worse, and the tooth movement at the elastic site is
limited.
● Influence the design of attachments and the expression of orthodontic force;
● Impossible to achieve a variety of elastic designs.
Characteristics and Clinical Advantages
1. Integrated structure
angelButton and aligners are integrated structure, which can avoid tedious chair-side
operation.
2. The force applying structure is reliable
angelbutton is made of high strength, tough and transparent material masterControl, and its
force applying structure is reliable, which meets the needs of various forces of elastics. Elastics
does not affect the fitting of aligner at anchorage teeth, and evenly distribute the anchorage
among aligner is more reasonable.
3. Excellent expression of orthodontic mechanics
The structural integrity ensures effective conduction and expression of orthodontic force, and
does not affect the realization of designed movement of adjacent tooth.
4. Independent design, 360° omni-directional elastics
The doctor can design the angelButton independently at the modification page on the iOrtho,
which supports flexibly adding to the labial, buccal and lingual surface of the tooth site and
between the adjacent teeth, and 360° omni-directional elastics realizes all kinds of elastics
possibilities.
5. AI precise positioning
The structural optimization algorithm avoids the weak areas of the structure, and makes
elastics more reliable; the mechanical optimization algorithm integrates the calculation of the
masterForce mechanics testing platform, and makes the elastics more effective.
6. Comfortable to wear
Ergonomic morphology design, high structural strength, not easy to deform and do injury to
oral mucosa, comfortable and non-irritating to wear; optimized elastic slot width to provide
convenient and reliable force points.
7. angelButton comprehensive elastic modes
Unlimited possible elastic mode-the angelButton can be placed flexibly according to the
needs of plan design and orthodontic force, and any elastics needed can be realized.
Flexible Application -- Improving The Efficiency of Clear Aligner

Therapy
1. Intrude anterior teeth with implanted anchorage
Vertical elastics with implanted screws and angelButton can be used to intrude the anterior
teeth, improve the deep overbite and gingival smile and so on. The elastics can be operated
conveniently, the best mechanical force point can be obtained, and the stability and intrusion
efficiency of the expression of force mechanics of a group of teeth can be improved at the
same time.
2. Class II elastics
The use of class II elastics with angelButton between maxillary lateral incisor and canine and
mandibular first molar can enhance the anchorage protection of posterior teeth, torque
control of anterior teeth and vertical control of anterior and posterior teeth. It has excellent
orthodontic mechanical expression in the design of closing anterior space and distalizing
maxillary molars.
3. Class III elastics
The use of class III elastics with angelButton between mandibular lateral incisor and canine
and maxillary first molar also has excellent anchorage control effect, which can be combined
with implanted anchorage to adjust occlussion and assist distalization of mandibular molars,
so as to ensure the effective transmission of elastic force and improve the overall realization
rate of mandibular molar distalization.
4. Interarch vertical elastics
angelButton realizes the anchorage sharing of the aligner as a whole, effectively controls the
vertical height of the teeth on the opposite jaw, and realizes the lower teeth extrusion of a
single jaw.
5. Interarch cross elastics
angelButton can be flexibly placed on the buccal or lingual surface of maxillary or mandibular
posterior teeth to correct the buccal crossbite or buccal-lingual malposition of individual teeth
with cross elastics, so as to improve the efficiency of orthodontic treatment.
6. Traction of malpositioned tooth
angelButton can be added to any position of the aligner. Arbitrarily design of elastic angle
and direction and cooperation with elastics can assist to correct malpositioned tooth, and
provide effective orthodontic force.
Breakthrough Application -- To Realize The Elastic Mode that Can

Not Be Realized by Traditional Clear Aligner Therapy, and Greatly
Improve The Ability of Clear Aligner Therapy.
1. Class II/III elastics at edentulous space
When the molar is lost, limited by material deformation and clinical maneuverability, class II/III
elastics is difficult be achieved effectively; AngelButton can be placed on the edentulous area
of the aligner, in order to make the impossible possible.
2. Flexible design of angelButton position
angelButton makes a breakthrough in the way of that angelButton could be placed between
teeth, which assists the movement of teeth under force without affecting the movement of
adjacent teeth.
3. One angelButton with multiple elastics
AngelButton can flexibly combine a variety of elastic methods, and the force structure is
reliable and effective, in order to ensure that the aligner does not deform locally and improve
the stability of the force system when multiple kinds of elastics are used at the same time.
4. Implanted anchorage assists anterior tooth retraction
AngelButton is placed between the anterior teeth, combined with the implanted anchorage to
realize intra-arch elastics, which can enhance the anchorage of the posterior teeth and assist
the retraction of the anterior teeth.
5. TADs assist intrusion
The position of the impacted teeth is ever-changing, and the angelButton can be placed
flexibly and the elastic direction and angle needed can be designed. In the process of elastics,
the position of the angelButton can be changed according to the demand of adjusting the
elastic direction, so as to improve the effectiveness and convenience of the impacted tooth
traction.
6. Other elastic forms
The position of the angelButton can be flexibly placed according to the need to achieve any
elastics needed.
Elastics Design Of angelButton
The Elastic Type That angelButton Is Used By Default.
At present, angelButton is used by default in the following five elastic types.
1. Conventional class II elastics
2. Conventional class III elastics

3. Diagonal elastics of anterior teeth
4. Anterior teeth retraction assisted by implanted screws
5. TADs assist intrusion

Other elastic types temporarily maintain the original elastic design, which can be
adjusted according to the individual needs of clinicians.
For other types of elastics, if you need to use angelButton, you can add it in two ways:
1. Please write down comments when submitting prescription, and specify the elastic
type, elastic tooth site, elastic timing and elastic effect of the desired design.
2. Independently design the elastic tooth site with angelButton through the "modify
attachment" function of iOrthoPC, and specify the elastic type, elastic timing and
elastic effect.
Example
1. Interarch vertical elastics: AngelButton is added to the buccal side of the maxillary
tooth 24-25, and a button is bonded to the buccal surface of mandibular tooth 35.
The vertical elastics extrude tooth 35 and the low position of 35 is corrected.
2. Elastics to correct tooth rotation: AngelButton is added on the lingual side of the
maxillary tooth 13, and a button is bonded to the distal lingual surface of tooth 16.
Intra-arch elastics assist to correct the rotation of tooth 16.
3. Cross elastics: AngelButton is added on the buccal side of the maxillary tooth 13-14,
and a button is bonded to the lingual surface of mandibular tooth Cross elastics
assist to correct the lingually tipping and the low position of tooth 45.
The Situation in Which angelButton Cannot Be Used.
1. Clinical Crown Is Too Short: there is not enough space for angelButton to be placed on
the aligner.
2. Interarch Interference: Due to insufficient interarch height, excessive occlusal collision /

interference happens after the addition of angelButton.
3. Serious Tooth Malposition: where the tooth malposition is too serious, such as tooth
overlap, interproximal position between severe low teeth, etc., the position and angle of
angelButton are limited.
4. Other Circumstances
Example: the lingual surfece of severe lingually tipped posterior teeth, the labial surfece of
severe proclined anterior teeth, etc.
Therefore, the angelButton added for target position or added independently by doctors
through iOrthoPC may not be used continuously in the elastic stages of staging design due to
the above reasons. In this case, the angelButton will be replaced by the traditional elastic
mode (elastic hook, elastic button, etc.) according to the symmetrical tooth position of the
same jaw.
Example: in the case of maxillary molar distalization, teeth 6.7 move diatally at the same time
from stage 5, and class II elastics is required; angelButton can not be used continuously from
stage 5 due to the occlusal interference of teeth 36 and 46, and angelButton on teeth 36 and
46 can be replaced by elastic buttons.
The Influence Of angelButton On Attachment
1. angelButton needs to keep some distance from the attachment.
Due to the production process requirements, the angelButton can not be placed on the
surface of the aligner attachment, so in the 3D design plan, the angelButton needs to keep
some distance from the attachment. When there is a position conflict between the
angelButton and the attachment and can not be resolved, it is necessary to change or grind
the attachment.
At present, when doctors independently add angelButton on the iOrthoPC, angelButton can
still be added even if there is interference or overlap with the attachment. However, because
angelButton needs to keep some distance from the attachment, the attachment needs to be
changed or deleted in order to resolve the position conflict with the angel buckle in the
staging design, and the original attachment or button needs to be grinded in the case of
stage adjustment.
2. Replacement of elastic mode of symmetrical teeth in the same jaw
If the doctor firstly chooses not to replace the attachment while maintaining the designed
elastic tooth position, the angelButton will be replaced by the traditional elastic method
(elastic hook, elastic button, etc.) according to the symmetrical tooth position of the same jaw.
3. Matching attachment of interarch elastics
When doctors independently design interarch elastics by iOrthoPC, in order to avoid aligner
dislocation, it is recommended to add attachment at the tooth position or adjacent teeth
where the angelButton is located to enhance aligner stabilization.
A6 Mandibular Advancement Solution

The orthopedic and orthodontic treatment of the convex anomaly caused by mandibular
deficiency is a breakthrough point to correct the bone deformity and complete the correction
of tooth malposition and achieve bite reconstruction.
Open the bite by forming a occlusal splint to complete the correction and alignment of the
malpositioned teeth. The treatment phase is combined into one, which greatly improves the
treatment efficiency and reduces the course of treatment.
Indication Suggestion
The A6 solution is applicable to all cases suitable for the use of Twin-Block appliances.
Note: the following indications are for clinicians' reference only. Whether the specific cases are
suitable for using A6 solution is determined by clinicians.
1. Mainly suitable for children and adolescents during the period of growth and
development.
2. Functional class II malocclusion.

3. Mild to moderate skeletal class II malocclusion.
Technical Advantages of A6 Mandibular Advancement

Solution
1. Bite Opening for Mandibular Advancement
With Angel Aligner A6 mandibular advancement solution, bite opening is realized by shaping
a occlusal blocks. at the orthodontic appliance of posterior teeth. The mandible is kept
forward to the advanced position through occlusal inclined planes between the maxillary and
mandibular occlusal block, and a normal posterior occlusion is formed gradually, thus guiding
the mandible forward to the correct position.
2. Simplified Operation by Software Design
The morphology of the occlusal block is automatically coordinated according to the vertical
height and the occlusion throughout treatment staging. Hence, the treatment process is
simplified without any chairside adjustment to the occlusal splint.
3. Combine Two Orthodontic Phases Into One
Traditional functional orthodontics include two stages: jaw orthopedics at phase I and
correction of tooth and occlusal problems at phase II. Angel Aligner A6 Mandibular
Advancement Solution combines the two orthodontic phases into one, which corrects and
aligns the malposed teeth and adjusts the occlusal relationship simultaneously, thus
improving the orthodontic efficiency, and shortening the orthodontic duration.
A6 Core Design Concept
A6 design is divided into two phases:
The first phase:
The occlusal splint phase, protrude the mandible, taking orthopedics as the main goal.
Occlusal splint is designed on the maxillary and mandibular aligner. Protrude the mandible
forward to the protruding position through the inclines between the maxillary and mandibular
occlusal splint and open the bite. At the same time, maxillary expansion can be designed to
align the dentition properly; molar distalization can be designed simultaneously; improve the
deep curve of Spee by the extrusion of mandibular posterior teeth and the intrusion of
mandibular incisors, and remove the restriction of occlusal interference on the mandible; and
molar distalization can be designed simultaneously.
The second phase:
It is the phase of routine orthodontic treatment, that is, the phase of accurate tooth alignment
and occlusion adjustment. To accurately realize the interdigitation with Class I posterior teeth
relationship and a good overbite and overjet of the anterior teeth.
The First Phase: The Occlusal Splint Phase
This phase is different from conventional orthodontic treatment in four aspects: 3D initial
occlusion, target position, attachment and staging.
3D initial occlusion
The initial occlusal state of the 3D model was matched according to the polysiloxane occlusal
record / oral scanning of the occlusion with protruded mandible sent by clinic.
Target position
Maxillary anterior teeth: preliminary alignment and removal of occlusal interference;
Maxillary Posterior Teeth: expand the arch and coordinate the width of the upper and lower
arch;
Mandibular anterior teeth: preliminary alignment, intrusion and leveling of lower incisors;
Mandibular posterior teeth: correct the rotation of posterior teeth, maintain or extrude of the
posterior teeth.
Attachment
Maxillary posterior teeth: buccal-lingual retention attachment-assist to expand the arch and
control posterior tooth torque;
Mandibular posterior teeth: buccal stabilizing attachment-intrude anterior teeth and / or
extrude posterior teeth, enhance the stabilization, avoid labial inclination of lower anterior
teeth
Upper and lower anterior teeth-extrusion attachment-align the dentition, enhance appliance
stabilization;
Occlusal splint-the advancement device (the position and angle are the same as the traditional
Twin-Block), added by the software adaptively.
Staging
About 20 steps, the bilateral posterior teeth of the maxilla are expanded synchronously, and
the shape of the occlusal splint is adjusted automatically.
The Second Phase: The Phase of Routine Orthodontic Treatment: No
Occlusal Splint
Continue to align and level the dentition, accurately adjust the occlusion, and can cooperate
with Class II elastics to maintain the stability of the mandible position.
According to the second phase treatment plan, complex movements such as molar
distalization / tooth extraction can be continued.
Key Points of Clinical Concern
A6 First Phase Orthopedic Treatment

Phase 1 (First-time wearing)
Main design in this phase: maxillary and mandibular double occlusal splint to protrude the
mandible
Key points of clinical concern
1. Try on the aligners and check whether the aligners tracks;
2. Check the occlusal splint position: whether the upper and lower occlusal splint
inclines fit;
3. Whether the position of the mandibular advancement after wearing the aligner is
consistent with the goal of occlusal reconstruction: midline, vertical, sagittal;
4. Experience the retention in the process of taking off and wearing.
Related bad performance
1. Non-tracking of the aligners;
2. Occlusal splint position does not match: whether the upper and lower occlusal splint
inclines fits;
3. The position of the mandibular advancement after wearing the aligner is consistent
with the goal of occlusal reconstruction;
4. Too tight or too loose stabilization in the process of taking off and wearing.
Solution recommendations
1. Check whether there are teeth erupting or exchanging while waiting for the aligners,
it is recommended to wear the retainer while waiting for the aligners. If a non-
tracking has occurred due to this, you can resubmit the model for redesign, and you
still need to wear a retainer while waiting.
2. Check whether the occlusal record is incorrect or the deformation causes the
occlusal splint position to be inconsistent or the occlusal reconstruction target to be
incorrect. The occlusal record can be resubmitted, and it is recommended to use
polysiloxane occlusal record or oral scanning document to record the occlusion.
3. If the occlusal splint position deviation or occlusal reconstruction deviation is in the

1mm and the occlusal record cannot be regained, you can feedback the intraoral
frontal photos and bilateral occlusal relationship photos when wearing the aligner
to the company's customer service. Ask the designer to adjust the design based on
the clinical data, and process the aligner for patients to try it on.
4. If the stabilization is too tight to affect the taking-off and wearing, the lingual
attachment can be grind off for the first-time wearing; on the contrary, if the
stabilization is too loose, the buccal / lingual attachment can be bonded at the
same time.
Clinical communication suggestions
1. Emphasize wearing time.
2. No need to wear in regular diets.
3. Teach patients to bite in the correct position of occlusal splint: do not deliberately
bite with the high points of upper and lower occlusal splint opposite.
4. Ask patients to pay attention to muscle, joint and other discomfort.
5. The face pattern will be improved by wearing the aligner: the chin is moved forward.
First 3 Steps (Adaptation period)
Main design in this stage
1. Maxillary and mandibular double occlusal splint to protrude the mandible;
2. The maxillary arch expansion begins;

3. The leveling of curve of Spee begins;
4. The solution of occlusal interference begins.
1. Whether the aligner tracks;
2. Whether the occlusal splint structure is complete;
3. Whether the patient can adapt to the protruded position of the mandible.
2. Deformation and wear of the occlusal splint structure;
3. The muscles and joints of the patient can not adapt to the protruded position:
whether there is obvious discomfort or not.
1. Emphasize compliance;
2. Prolong the wearing time;
3. Return to the previous appliance in turn;
4. If the advancement is too large, the first advancement can be reduced and divided
into several times: need to retake the occlusal record, redesign-refinement;
5. At the initial stage of wearing, there will be some muscle and joint discomfort
symptoms, this stage can continue to be observes. If the degree of discomfort is
serious unbearable or later persistent discomfort symptoms occur, you can consider
giving up the protruding plan if necessary.
1. Emphasize wearing time: if the aligners are worn enough time every day, after a
month of adaptation, most patients should have adapted to the occlusal splint
position;
2. Ask patients to pay attention to muscle, joint and other discomfort;
3. Bite during a meal may not be as comfortable as it used to be: from this step, the
mandibular position of most patients will gradually stabilize in the protruding state,
and the occlusal interference will begin to be corrected. In this case, when eating
with the aligner removed, as the upper and lower teeth
have not yet established a good cusp-fossa interdigitation occlusal relationship, the
patient may feel that the bite is not as comfortable as before, and clinicians can give
the patient a reasonable expectation in advance at this stage;
4. The face pattern will be improved by wearing the aligner: the chin is moved forward.
About 10 Stages
2. Maxillary arch expansion is basically completed;
3. The alignment of the upper and lower anterior teeth begins to improve;
4. Improvement of curve of Spee;
5. In the process of the release of occlusal interference.
2. Observe whether the protruded mandible position is basically stable;
3. Realization of the effect of maxillary arch expansion;
4. Whether the curve of Spee is being leveled and the occlusal interference is
improved.
2. Unstable protruded mandibular position: the patient's muscles and joints can not
adapt tor the protruded position: whether there is obvious discomfort;
3. The effect of maxillary arch expansion is not as expected: the width of upper and
lower dental arch does not match;
4. The curve of Spee and occlusal interference are not improved as expected.
3. Return to the previous aligners in turn;
4. If the advancement is too large, the first advancement can be reduced and divided
into several times: need to retake the occlusal record, redesign-refinement;
5. Check whether the potential of mandible advancement or joint reconstruction is not
good, leading to the unstable mandible position; abandon the protruding plan if
necessary;
6. Check whether there is a lack of structure and bone amount, which leads to poor
effect of arch expansion: surgery-assisted expansion if necessary;
7. Check whether there are local anatomical structures and individual biological factors
that affect tooth movement (can be diagnosed with CBCT and other auxiliary
methods);
8. Check whether insufficient space affects tooth movement.
1. Emphasize the wearing time: if the aligners are worn enough time every day, after
half a year of adaptation, the protruded mandible position of most patients should
be basically stable;
2. Ask patients to pay continuous attention to muscle, joint and other discomfort;
3. The posterior teeth begin to lose the bite: at this stage, because the protruded
mandible position has been basically stable, while the curve of Spee has not been
completely leveled, in most cases, the posterior teeth are in an open-bite state at
the protruded mandible position; as the curve of Spee continues to be leveled and
the occlusal interference continues to improved, this problem may be improved;
4. After this step, the alignment of the anterior teeth begins to improve;
5. The chin is moved forward with the aligner, and the chin is at a forward position
without the aligner for the patients whose protruded mandible position has been
stable.
About 10 Steps
2. Maxillary arch expansion is completed;
3. The alignment of the upper and lower anterior teeth is basically complete;
4. The curve of Spee of the mandible is basically leveled;
5. Occlusal interference relieved.

2. Observe the stability of the protruded mandible position;
3. Whether the effect of maxillary arch expansion meet the requirements of

orthodontic treatment;
4. Whether the alignment of the anterior teeth is consistent with the designed
expectations;
5. Whether the leveling of curve of Spee is improved;
6. Whether the occlusal interference is released.
2. Protruded mandible position is unstable: the mandible can still restrain and cannot
be stabilized in the protruded position.
3. The effect of maxillary arch expansion is not as expected: the width of upper and
lower dental arch does not match;
4. The alignment effect of the anterior teeth does not meet the expectations;
5. Curve of Spee and occlusal interference have not been improved as expected.
1. Check whether the potential of mandible advancement or joint reconstruction is not

good, leading to the unstable mandible position; abandon the protruding plan if
necessary;
2. Check whether there is a lack of structure and bone amount, which leads to poor
effect of arch expansion: surgery-assisted expansion if necessary;
methods);
4. Check whether insufficient space affects tooth movement.
5. Refinement, if you need to continue to protrude the mandible, you can continue to
protrude the mandible in the first stage of A6; if the protruded mandible position is
stable, you can enter the second stage into the stage of pure orthodontic treatment,
continue to align and adjust the occlusal relationship.
1. In some patients, the posterior teeth may still not be able to bite: because the
protruded mandible position is stable, while in some cases with deep occlusal curve,
the posterior teeth are still in an open-bite state in the protruded mandible position,
and the posterior teeth can be interdigitated in
the second stage of A6 (can be quickly corrected with interarch elastics).
2. The anterior teeth may not be fully aligned: the anterior teeth of some patients can
be aligned at the end of the first stage of A6; however, since the first stage of A6 has
only about 20-step aligners (because the mandibular advancement cycle is usually
6-12 months), the malposition of some patients with severe crowding or tooth
rotation is difficult to be completely corrected within 20 steps in the first stage of
A6, and this situation can continue to be corrected in the second stage of A6.
3. In most cases, the mandible position is stable in about 20 steps, and the chin stays
forward without aligners.
4. Occlusal interference has been corrected.
A6 Second Phase Routine Orthodontic Treatment
If the mandible advancement achieves the desired goal, clinicians can refinement to enter the
second stage of A6 to continue orthodontic treatment, continue to align and level the
dentition, accurately adjust the occlusion, and maintain the stability of the mandible position
with Class II elastics; according to the second stage treatment plan, complex movements such
as molar distalization / tooth extraction can be continued.
A7 The Solution Of Premolar Extraction
A7 the solution of premolar extraction aims at the common control difficulties in cases of
premolar extraction: Solutions developed for posterior anchorage control, anterior torque
control, canine axis
control and vertical control.
Indication Recommendation
A7 solution is applicable to all cases of planned premolar extraction.
Note: the following indications are for clinicians' reference only. Whether specific cases are
1. Angle Class I crowding cases;

2. Angle Class I cases with double arch advancement;
3. Dental Angle's Class II, Class III cases;
4. Patients with mild skeletal Class II and Class III planned to be treated with
camouflage treatment by tooth extraction.
5. Moderate and severe skeletal Class II and Class III cases planned to be treated with
combined surgical and orthodontic treatment, and premolars need to be extracted
to decompensate.
A7 Core Design Concept (Take the extraction of four first
premolars and strong anchorage to close the space as an
example)
A7 design mainly includes four core design concepts.
1. Posterior tooth anchorage control-controls the posterior tooth axis to prevent

mesial crown tipping during space closure;
2. Anterior teeth torque control-controls anterior tooth torque to prevent crown from
lingually tipping during anterior teeth retraction;
3. Canine distal translation-controls canine axis to prevent crown from distally tipping
during canine distalization;
4. Vertical control-vertical control of the entire dental arch to prevent the "bowing
effect " during space closure.
Posterior tooth anchorage control
Target position-posterior teeth anchorage preparation
Posterior teeth distal anchorage preparation, to compensate for the mesial inclination trend of
the posterior tooth axis.
Attachment-vertical rectangular double attachment / horizontal rectangular attachment

on first molars
After the first molar attachment is optimized, the optimized root control attachment is
adopted, which is more beneficial to the tooth axis control.
Staging-10-2-7,10-2-6,10-2-5 sequential anchorage preparation
7-6-5 anchorage preparation in order, is beneficial to the realization of the effect of

anchorage preparation.
Anterior teeth torque control
Target position - anterior teeth torque compensation design
The design of lingual torque compensation of anterior teeth is beneficial to the torque control
of anterior teeth.
Attachment-torque attachment on labial and lingual surfaces of incisors
Torque attachment on labial and lingual surfaces of incisors to enhance torque control effect.
Staging-Control torque during anterior tooth retraction
Enhance the root lingual torque control of anterior teeth during retraction.
Canine distal translation
Target position - design of canine axis compensation
Root distal movement designed to compensate the tooth axis of the canine, which is
beneficial to the control of the canine axis.
Attachment-optimized root control attachment
Optimized root control attachment on canines to enhance the effect of tooth axis control.
Staging - tooth axis control during canine distal translation
Enhance the tooth axis control by root distal movement during canine distal translation.
Vertical control
Target position- design of reverse curve to compensate longitudinal curve of occlusion
Design of reverse curve to compensate longitudinal curve of occlusion is beneficial to the

vertical control of dental arch.
Note: Take the cases of “retraction of anterior teeth with deep overbite through A7-strong
anchorage and a small amount of mesialization of posterior teeth” as an example.
The tracking degree of aligners is the key point of attention in each stage.
First stage
Sequential anchorage preparation of tooth site 7-6-5

Effect of posterior tooth anchorage preparation
Non-tracking of in aligner at the posterior area.
1. Check whether the third molar has been extracted as required;
4. Assist with chewies;
5. Return to the previous aligners in turn.
1. Multi-use of chewies on posterior teeth: the anchorage preparation stage mainly

includes the movement of posterior teeth, use of chewies can assist aligners to be
tracked and is helpful to achieve the effect of anchorage preparation, and teach
patients how to observe the degree of tracking.
2. Food impaction may begin to occur: when the posterior teeth are prepared distally,
irregular space may occur, and patients may find food impaction when eating;
finally, all the spaces can be closed after the
treatment.
3. There will be no improvement in the alignment of the anterior teeth: in the

anchorage preparation stage, only the posterior teeth are moved, and the anterior
teeth have not yet begun to be moved. Patients should have reasonable
expectations, and the alignment of the anterior teeth will not improve at this
stage.
4. The extraction space will not be reduced: the retraction of anterior teeth and the
mesialization of posterior teeth have not yet begun in the anchorage preparation
stage. Patients should have reasonable expectations that the extraction space will
not be reduced at this stage.
5. This stage is the key preparation stage before the extraction space closure, although
there is no obvious improvement effect, this stage is very important. Aligners need
to be worn carefully to ensure the realization of the treatment effect.
Second stage

1. Canine distal translation, and the spaces of anterior teeth are released to improve
the alignment;
2. Bite opening at the same time.
1. Control effect of canine axis;
2. Alignment effect of anterior teeth;
3. Effect of bite opening.
1. Aligner is not tracking an canine area / anterior teeth;
2. Canine axis / bite opening does not achieve the expected orthodontic goal;
3. The 3-3 alignment space of the anterior teeth is insufficient and the desired effect is
not achieved.
methods), such as whether there is cortical
anchorage between canine root and bone cortex, which affects the effect of canine
axis control.
6. Auxiliary means-if necessary, you can cooperate with relevant auxiliary means, such
as force adding with appliance forceps, elastics, long arm hook, implanted screw,
segmented arch and so on.
1. Multi-use of chewies on anterior teeth: the anterior teeth, especially the canine area,
are the main moved teeth at this stage, use of chewies can assist aligners to be
tracked and is helpful to realize the movement of anterior tooth area, and teach
patients how to observe the degree of tracking.
2. Diastema begins to appear at anterior teeth area: a small amount of space will
slowly appear in the anterior teeth to provide the necessary space for alignment,
there is no need to worry about the impact of this diastema on beauty, this
diastema can hardly be seen especially when aligners are worn;
3. The alignment of the anterior teeth begins to improve slowly: with the appearance
of the space between the anterior teeth, the alignment of the anterior teeth begins
to improve slowly;
4. The extraction space begins to be reduced: at this stage, the irregular space and
alignment of the anterior teeth will gradually reduce the extraction space;
5. The profile will not be improved: at this stage, the retraction of anterior teeth have
not yet begun, and the profile will not be improved.
The third stage
1. The canine distal translation continues;
2. Retraction of anterior teeth;
1. Control effect of canine axis;
2. Torque control effect of anterior teeth;
3. Control effect of posterior tooth axis;
4. Retraction effect of anterior teeth;
5. Effect of bite opening;
6. Occlusal relationship.
2. Canine axis / anterior tooth torque / posterior tooth axis has not achieved the
expected orthodontic goal;
3. The retraction effect of the anterior teeth does not meet the expectations: for
example, the profile or the overjet of the anterior teeth does not achieve the
expected improvement;
4. The bite opening of the anterior teeth does not achieve the desired effect: for
example, the premature contact of anterior teeth and the obvious root shape of
anterior teeth;
5. The occlusal relationship changes unexpectedly: for example, the Class I relationship
becomes the Class II relationship and so on.
methods), such as whether there is cortical anchorage between anterior teeth root
and bone cortex, which affects the effect of anterior teeth intrusion.
5. Return to the previous appliance in turn;
6. Differential wearing of maxillary and maxillary aligners: adjust the rhythm of upper
and lower aligners wearing-slow down the speed of aligner replacement of single
jaw, or suspend the aligner replacement of single jaw to differentiate the retraction
velocity of maxillary and mandibular anterior teeth and achieve the purpose of
relieving the premature contact of the anterior teeth.
7. Check whether insufficient anchorage affects the retraction effect of anterior teeth /
axis control effect / occlusal relationship, etc. Elastics or implanted screws can be
used to enhance anchorage if necessary;
segmented arch and so on.
9. Occlusion adjustment if necessary;
10. Check whether the uncoordinated width of the dental arch, less than expected
improved anterior teeth torque or overbite has affected the occlusal relationship,
and refinement if necessary;
11. Refinement-it is recommended to take panoramic film / lateral film / CBCT if

necessary, and problems such as tooth axis / torque found can be adjusted at the
same time during refinement. Based on comprehensive judgment, it is possible to
adjust the treatment plan.
1. Multi-use of chewies in whole dentition: teach patients how to observe the degree
of tracking;
2. Ask the patient to pay attention to the occlusal collision of the anterior teeth: ask
patients to pay attention to whether the upper and lower front teeth feel impact
and pain during normal occlusion and mastication, even teach patients to feel the
impact of incisors by palpation. If so, it is necessary to give timely feedback to the
doctor for examination and treatment;
3. The extraction space will continue to be reduced;
4. The prominence of the profile begins to be improved: at this stage, the anterior
teeth retraction begins, and the prominence of the profile begins to be improved
gradually.
The fourth stage
1. Continued retraction of anterior teeth;
2. Posterior teeth mesialization;
1. Axis control effect of canine;
2. Torque control effect of anterior teeth;
3. Axis control effect of posterior tooth;
4. Effect of bite opening;
5. Occlusal relationship;
6. Retraction effect of anterior teeth.
2. Canine axis / anterior tooth torque / posterior tooth axis / bite opening does not
achieve the expected orthodontic goal;
anterior teeth, etc.;
5. The occlusal relationship changes unexpectedly: for example, the Class I relationship
becomes the Class II relationship and so on.
and bone cortex, which affects the effect of anterior teeth intrusion;
jaw, or suspend the aligner replacement
of single jaw to differentiate the retraction velocity of maxillary and mandibular
anterior teeth and achieve the purpose of relieving the premature contact of the
anterior teeth;
7. Check whether insufficient anchorage affects the retraction effect of anterior teeth /
axis control effect / occlusal relationship, etc. Elastics or implanted screws can be
used to enhance anchorage if necessary;
segmented arch and so on;
9. Occlusion adjustment if necessary (how to carry out follow-up monitoring);
10. Check whether the uncoordinated width of the dental arch, less than expected
improved anterior teeth torque or overbite has affected the occlusal relationship,
and refinement if necessary;

of tracking;
3. The space between the posterior teeth has increased: from this stage, the posterior
teeth mesialize one by one, and the space between the posterior teeth increases
periodically, but the space can be closed eventually; if the dental plug is serious, it is
recommended to use dental floss and dental punch for maintenance;
4. The irregular spaces of the anterior teeth are gradually closed: the irregular spaces
of the anterior teeth are gradually closed as the anterior teeth moved into desired
place;
5. The extraction space is closed gradually: with the mesialization of the posterior
teeth, the closure of the extraction space is gradually approaching the end;
6. Before the mesialization of the posterior teeth, the treatment plan can be evaluated
for a second time: check whether there is a deviation between the clinical results
such as profile prominence and the anchorage design, refinement if necessary, and
redistribute the retraction of the anterior teeth and the mesialization of the
posterior teeth.
The fifth stage
Movement complete
Whether the dentition state meets the orthodontic goal.
Tooth alignment, space, torque / tooth axis / rotation, overbite and overjet, occlusal
relationship, soft tissue profile and so on do not reach the orthodontic goal.
methods);

Even after the last aligner worn, there may still be some problems that need to be adjusted,
for example, there are still a small amount of space residue, which can be solved through
accurate adjustment when refinement.
A8 Solution For Molar Distalization
A8 solution for molar distalization is developed to solve the common control difficulties
in the cases of molar distalization: anterior teeth proclining control, anterior overbite
control, posterior tooth height control, posterior tooth anchorage control.
Indication suggestion
The A8 solution is applicable to all cases suitable for molar distalization.
Note: the following indications are for clinicians' reference only. Whether the specific cases are
1. Crowding: mainly suitable for crowding cases;
2. Vertical characteristics: non-high-angle cases are recommended and openbite

tendency cases are not recommended;
3. Anteroposterior characteristics: molar distalization need sufficient bone amount; it is
recommended to avoid excessive labial inclination of the anterior teeth and distal
inclination of the posterior tooth axis.
A8 core design concept (distalization of monomaxillary

molars as an example)
A8 design mainly includes four core design concepts
1. Anterior teeth proclining control- provide adequate anchorage protection to the

anterior teeth to avoid undesired labial movement;
2. Anterior overbite control- during interarch elastics using, the anterior teeth intrusion
compensation is designed to counter the risk of deepening overbite caused by
elastics;
3. Posterior tooth height control- accurately control the bodily molar distalization,
prevent undesigned tipping and extrusion, and greatly reduce the risk of non-
tracking.
4. Posterior tooth anchorage control- reasonable distribution of posterior anchorage

to avoid mesial relapse and movement of molars and ensure the realization rate of
bodily distalization.
Anterior teeth proclining control
Target position-anterior teeth torque compensation design
By adding the lingual torque compensation design of the anterior crown, the A8 plan can
further protect the anchorage of the anterior teeth and reduce the force of anterior teeth
labial movement.
Attachment-elastics at the maxillary anterior area-angelButton > cut
When the posterior teeth are distalized, the force of the anterior teeth proclining can be
reduced by using elastics on the angelButton of the aligner between tooth 2-3.
Staging-gradual staging mode, adding elastics when two molars are distalized at the
same time
Start elastics when two molars are distalized, which can effectively control the anterior teeth
proclining.
Anterior overbite control
Target position-vertical compensation design of anterior teeth
The retraction of anterior teeth needs a reasonable vertical compensation control designed to
resist the risk of extrusion and realize the control of anterior teeth overbite.
Attachment-elastics at the maxillary anterior area-angelButton > cut > button
Aligners with elastics through angelButton can furtherly enhance the control of anterior
overbite.
Posterior tooth height control
Target position-compensation design of posterior occlusal curve
Intrusion compensation of posterior tooth is designed on the distal part of maxillary molar to
maintain the maxillary longitudinal curve and avoid the occlusal interference caused by the
molar distalization.
Attachment-elastics at the mandibular posterior area-angelButton > button
Interarch elastics through angelButton on the aligners can reduce the force of extrusion of
the molar on the opposite jaw.
Staging-intrusion compensation of posterior tooth is designed during maxillary molar
distalization to maintain the maxillary longitudinal curve and avoid the occlusal
interference.
Posterior tooth anchorage control
Attachment-elastics at the maxillary anterior area-angelButton > cut > button > no
elastics
Elastics with the angelButton can make elastics force transmission more effective.
Staging-gradual staging mode, adding elastics when two molars are distalized at the
same time
When two molars are distalized at the same time, the anchorage control of posterior and
anterior teeth can be significantly enhanced by adding elastics.
Aligner morphology-special treatment to aligner end
When the premolars are distalized, the end of the aligner is specially treated, and the
premolars can still obtain sufficient orthodontic force. The anchorage control of the second
molar is greatly improved, which reduces the mesial movement of the molars and ensures the
realization rate of the bodily distalization. There may be a risk of aligner detachment if the
stabilization of then second molar is insufficient, it is recommended to add an attachment.
Keypoints of clinical concern
Note: take the case of A8-monomaxillary molar distalization, combined with Class II elastics as
an example.
The tracking degree of the aligner is the key point of attention at each stage.
First Stages
Main design in this stage: tooth No. 7 is distalized alone
1. Distalization effect of tooth No. 7;

2. Vertical control effect of tooth No. 7.
1. Aligner does not track at the tooth No. 7 or other posterior area;
2. The occlusal relationship of tooth No. 7 does not improve as expected;
3. The expected space has not been opened in the mesial of tooth No. 7;
4. The vertical control of the posterior teeth is the advantage of clear aligner therapy,
and the vertical problems may be shown as follows: due to the abnormal wear and
tear of the teeth, there is occlusal
interference on the distalization path of the tooth No. 7.
1. Check whether the third molar has been extracted as required;
methods);
4. Assist with chewies: at the beginning of orthodontic treatment, the chewies should
be used seriously, especially in the molar area.
7. For the tooth No. 7 with short crown and insufficient stabilization, if the attachment
has been designed, it is recommended that the attachment should be bonded
immediately when it is distalized;
8. Check whether there is occlusal interference on the distalization path of tooth No. 7.
Occlusion adjustment if necessary (how to carry out follow-up monitoring);
1. Multi-use of chewies on posterior teeth: the process of molar distalization is the

process of space opening, during which the aligner wedges into the interproximal
space between two teeth, and this realization of wedging needs to be assisted with
chewiest; teach patients how to observe whether the aligner is completely in place
in the posterior area.
2. Dental plug appears: the posterior teeth are distalized in turn, and will irregular
space will appear, and dental plug may occur when eating; finally, all the spaces can
be closed after the treatment.
3. There will be no improvement in the alignment of the anterior teeth: during the
distalization of the posterior teeth, only the posterior teeth have been moved, and
the anterior teeth have not yet begun to be moved (unless in the cases that the
anterior teeth are allowed to procline, which can have early movement of anterior
teeth), the patients should have reasonable expectations. In most cases of molar
distalization, the alignment of anterior teeth will not improve at this stage.
The Second Stage
Main design in this stage: teeth No. 6 and No. 7 are distalized at the same time.
1. Distalization effect of teeth No. 7 and No. 6;
2. Anchorage control effect of anterior teeth;
3. Vertical control effect of teeth No. 6 and No. 7.
1. Non-tracking of the aligners at posterior/anterior teeth;
2. The occlusal relationship of teeth No. 7 and No. 6 does not improve as expected;
4. Undesigned proclining of anterior teeth, such as increased overjet of anterior teeth,

obvious root shape of anterior teeth, etc.
5. The vertical control of the posterior teeth is the advantage of clear aligner therapy,
and the vertical problems may be shown as follows: due to the abnormal wear and
tear of the teeth, there is occlusal interference on the distalization path of the teeth
No. 7 and No. 6.
methods);

6. For the tooth No. 7 with short crown and insufficient stabilization, it is
recommended that the attachment should be bonded immediately when it is
distalized;
7. Whether it is necessary to enhance the anchorage: increase the elastic force

appropriately and cooperate with the implanted screws if necessary;
8. Check whether there is occlusal interference on the distalization path of teeth No. 7
and No. 6. Occlusion adjustment if necessary (how to carry out follow-up
monitoring);
1. Multi-use of chewies in whole dentition: the process of molar distalization is the

chewiest; teach patients how to observe the degree of
tracking;
distalization, the alignment of anterior teeth will not improve at this stage;
4. Inform the patient of the importance of elastics at this stage: assist the distalization
of the posterior teeth and resist the reaction force of the proclining of the anterior
teeth, so as to obtain the initiative of the patient to cooperate.
The Third Stage
1. Distalization effect of teeth No. 7, No. 6 and No. 5;
2. Anchorage control effect of anterior teeth.

2. The occlusal relationship of teeth No. 7 ， No. 6 and No.5 does not improve as
expected;

methods);

7. Check whether there is occlusal interference on the distalization path of teeth No. 7,
No. 6 and No. 5. Occlusion adjustment if necessary (how to carry out follow-up
monitoring);


chewiest; teach patients how to observe the degree of tracking;
The Fourth Stage
1. Distalization effect of teeth No. 7, No. 6 ,No. 5 and No. 4;
3. The change of mandible position;
4. Whether the width of the dental arch matches.
2. The occlusal relationship of teeth No. 7, No. 6, No. 5 and No. 4 does not improve as
expected;

5. Unexpected changes in mandible position, such as reduced anterior teeth overjet,

double occlusion, etc.
6. The width of the maxillary and mandibular dental arch does not achieve the desired
matching effect: for example, the maxillary dental arch stenosis will cause Class II
relationship.
methods);

7. In the case of unexpected changes in mandible position, interarch elastics should be

reduced or stopped, and elastics with implanted anchorage screws should be used
instead.
8. Check whether the uncoordinated width of the dental arch which is less than
expected improved has affected the occlusal relationship, and refinement if
necessary;
9. Check whether there is occlusal interference on the distalization path of teeth No. 7,
No. 6, No. 5 and No. 4. Occlusion adjustment if necessary;


chewiest; teach patients how to observe the degree of
tracking;
2. Dental plug at posterior teeth appears: the posterior teeth are distalized in turn, and
will irregular space will appear, and dental plug may occur when eating; finally, all
the spaces can be closed after the treatment.
The Fifth Stage
1. Teeth No. 3 and No. 4 are distalized at the same time.
2. The spaces of anterior teeth are released to improve the alignment.
1. Distalization effect of teeth No. 7, No. 6 ,No. 5 , No. 4 and No. 3;
2. The occlusal relationship of teeth No. 7, No. 6, No. 5, No. 4 and No. 3 does not
improve as expected;


relationship.
methods);



instead.
necessary;
9. Check whether there is occlusal interference on the distalization path of teeth No.
7 , No. 6 , No. 5 , No. 4 and No. 3. Occlusion adjustment if necessary;

1. Multi-use of chewies: the process of molar distalization is the process of space

opening, during which the aligner wedges into the interproximal space between two
teeth, and this realization of wedging needs to be assisted with chewiest; teach
patients how to observe the degree of tracking;
2. Dental plug at posterior teeth appears: the posterior teeth are distalized in turn, and
will irregular space will appear, and dental plug may occur when eating; finally, all
the spaces can be closed after the treatment.
3. Diastema begins to appear at anterior teeth area: a small amount of space will
slowly appear in the anterior teeth to provide the necessary space for alignment,
there is no need to worry about the impact of this diastema on beauty, this
diastema can hardly be seen especially when aligners are worn;
4. The alignment of the anterior teeth begins to improve slowly: with the appearance
of the space between the anterior teeth, the alignment of the anterior teeth begins
to improve slowly;
The Sixth Stage
1. The tooth No. 3 continues to be distalized, and the anterior teeth continue to be
aligned;
1. Maintenance of the distalization effect of teeth No. 7, No. 6 ,No. 5 , No. 4 and No. 3;
2. Alignment effect of anterior teeth;
3. Bite opening effect of anterior teeth;
3. The 3-3 alignment space of the anterior teeth is insufficient and the desired effect is
not achieved;
4. The bite opening of the anterior teeth does not achieve the desired effect: observe
whether the root shape of anterior teeth is obvious;

relationship.
methods); for example, a lack of bone amount leads to poor effect of arch
expansion: surgery-assisted expansion if necessary;



instead.
necessary;

1. Multi-use of chewies on anterior teeth: the anterior teeth are the main moved teeth
at this stage, use of chewies can assist aligners to be tracked and is helpful to realize
the movement of anterior tooth area, and teach patients how to observe the degree
of tracking.
2. The posterior tooth space is basically closed: the posterior teeth are distalized in
place in turn, and the previous space is gradually closed, and the tooth plug will be
improved; finally, all the spaces can be closed again after orthodontic treatment.
3. The alignment of anterior teeth continues to be improved;
and resist the reaction force of the proclining of the anterior teeth, so as to obtain
the initiative of the patient to cooperate.
The Seventh Stage
1. Retraction of anterior teeth 3-3;

1. Maintenance of the distalization effect of teeth No. 7, No. 6 ,No. 5 , No. 4 and No. 3;
2. Retraction effect of anterior teeth;
3. Bite opening effect of anterior teeth;
anterior teeth;

relationship.
and bone cortex, which affects the effect of anterior teeth intrusion;
jaw, or suspend the aligner replacement of single jaw to differentiate the retraction
velocity of maxillary and mandibular anterior
teeth and achieve the purpose of relieving the premature contact of the anterior
teeth.


instead.
necessary;

of tracking;
3. The irregular spaces of the anterior teeth are gradually closed: the irregular spaces
of the anterior teeth are gradually closed as the anterior teeth moved into desired
place;
4. The prominence of the anterior teeth is gradually improved: at this stage, the
prominence of the patients' anterior teeth will be improved as the gradual retraction
of the anterior teeth.
retraction of the anterior teeth, so as to obtain the initiative of the patient to
cooperate.
The Eighth Stage
Movement complete
Whether the dentition state meets the orthodontic goal.
Tooth alignment, space, torque / tooth axis / rotation, overbite and overjet, occlusal
relationship, soft tissue profile and so on do not reach the orthodontic goal；
methods);

Even after the last aligner worn, there may still be some problems that need to be adjusted,
for example, there are still a small amount of space residue, which can be solved through
accurate adjustment when refinement.

Angelattach Precise Attachment System

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angelAttach Precise Attachment

AngelAttach, the Angel Attachment System, is a revolutionary attachment system validation

Teeth: Canines, premolars and molars;

Teeth: Canines, premolars and molars;

Teeth: Canines, premolars and molars;

Function: Assists with derotation;

Teeth: Incisors and canines;

Function: Assists with extrusion;

Teeth: Incisors and canines;

Teeth: Canines and premolars;

1. Precision Root Control Attachment

Teeth: Canines, premolars and molars;

2. Precision Tipping Control Attachment

3. Precision Rotation Attachment

Function: Optimized derotation or rotation+extrusion, optimized derotation and anchorage

Tooth: Canines and premolars;

Function: Faciliates incisal intrusion, while controlling lingual tipping;

Function: Addresses minor rotation of incisors;

Function: Indicates where an elastic (traction) hook will be added;

Teeth: Incisors and canines;

Function: Assists in mandibular advancement and maintains maxillary position;

Teeth: Canines, premolars and molars;

Function: An attachment assisting a long-armed traction hook;

Teeth: Canines, premolars and molars;

Teeth: Premolars and molars;

10. Eruption Guide

angelButton is an ancillary feature manufactured directly into Angel Aligners. It provides an

angelButton Elastic-Characteristics and Clinical

Common Problems in Traditional Elastic Mode of Clear Aligner

The limitation of traditional elastic mode of clear aligner therapy

Common problems in traditional elastic mode of clear aligners

● Button falling off;

● Risk of molar extrusion;

● Influence the design of attachments and the expression of orthodontic force;

● Impossible to achieve a variety of elastic designs.

Characteristics and Clinical Advantages

2. The force applying structure is reliable

3. Excellent expression of orthodontic mechanics

Flexible Application -- Improving The Efficiency of Clear Aligner

1. Intrude anterior teeth with implanted anchorage

3. Class III elastics

4. Interarch vertical elastics

5. Interarch cross elastics

Breakthrough Application -- To Realize The Elastic Mode that Can

1. Class II/III elastics at edentulous space

2. Flexible design of angelButton position

4. Implanted anchorage assists anterior tooth retraction

5. TADs assist intrusion

Elastics Design Of angelButton

The Elastic Type That angelButton Is Used By Default.

At present, angelButton is used by default in the following five elastic types.

1. Conventional class II elastics

2. Conventional class III elastics

4. Anterior teeth retraction assisted by implanted screws

5. TADs assist intrusion

The Situation in Which angelButton Cannot Be Used.

2. Interarch Interference: Due to insufficient interarch height, excessive occlusal collision /

1. angelButton needs to keep some distance from the attachment.

2. Replacement of elastic mode of symmetrical teeth in the same jaw