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What the 2025 evidence says about materials, attachments, and protocols
Materials, attachments, protocols. Three things every aligner brand markets. Here's what the 2025 evidence actually shows — and what it means for the next case on your screen.
Jesper Hatt DDS
May 233 min read


Why clear aligner treatment requires a risk management system - not just support
Most aligner complications are not technical failures.
They are risk decisions made too late - or not made at all.
This article explains why clear aligner treatment requires risk management, not just better support, software, or technicians - and why this is ultimately a leadership issue in modern dental practice.
Written for clinicians who already treat aligner patients.
Jesper Hatt DDS
Feb 74 min read


Most aligner complications are decided before treatment even starts
Most aligner treatments don’t fail because aligners “don’t work.”They fail because the wrong decisions were made before the first aligner was ever delivered.
That statement tends to make experienced clinicians
Jesper Hatt DDS
Jan 105 min read


The Challenge of Button Placement in Aligner Treatments
When Digital Perfection Meets Clinical Reality Every dentist who has treated a few aligner cases knows the feeling: the digital plan looks perfect. On the screen, movements are beautifully coordinated, attachments are ideally shaped, and occlusion is balanced to the tenth of a millimeter.Then, somewhere between the software and the patient’s mouth, things change.What seemed predictable in the plan behaves differently in reality. Forces shift, teeth respond unevenly, and the t
Jesper Hatt DDS
Nov 14, 20253 min read


The best clear aligner material
Every dentist wants the “secret sauce” behind the best clear aligner material - whether it’s PETG’s crystal clarity, SmartTrack®’s gentle resilience, or the futuristic promise of 3D‑printed resins. I get it, and I understand why I hear this question every week. In this post, you’ll get: A side‑by‑side comparison of today’s leading aligner plastics: their strengths, weaknesses, and ideal use cases. Insights on soft vs. hard durometers: why flexible sheets excel at crown tippin
Jesper Hatt DDS
Aug 23, 20256 min read


Staging and biomechanics in clear aligner therapy: Clinical control for predictable outcomes
Why staging and biomechanics are the core of predictable aligner treatments Success with clear aligners is not simply about creating a beautiful virtual setup.The real challenge lies in designing a treatment process where teeth are moved in the correct sequence, under stable biomechanical conditions, while respecting biological limitations. The combination of staging and biomechanical analysis is often what separates predictable, smooth treatments from frustrating refinements
Jesper Hatt DDS
Jul 13, 20254 min read


How staging and treatment preferences improve predictability in clear aligner treatment planning
Mastering macro-staging, micro-staging, and digital treatment preferences to achieve predictable aligner outcomes. When planning clear aligner treatments, clinicians face two critical challenges: How to stage the movements effectively How to set up treatment preferences that guide the software and technicians Both factors are central to predictability, efficiency, and long-term stability of treatment outcomes. In this article, we combine recent insights on macro-staging and m
Jesper Hatt DDS
Jun 27, 20254 min read


Managing CR-MIP discrepancies in clear aligner treatment
When planning clear aligner treatments for adult patients, discrepancies between Centric Relation (CR) and Maximum Intercuspation Position (MIP) are often overlooked - but they can significantly affect both functional stability and long-term success. Understanding how to identify, diagnose, and manage CR-MIP discrepancies is essential for any dentist performing clear aligner treatment and caring about the patients functional occlusion (Not just the static occlusion). Failure
Jesper Hatt DDS
Jun 15, 20258 min read


Clear Aligner Treatment Planning: Why "Just Align the Teeth" Isn’t Enough
At AlignerService, we receive daily requests from dentists who say they “just want the teeth aligned nicely.” But as any experienced clinician knows, clear aligner treatment planning requires far more than a simple request. Effective clear aligner treatment planning is a clinical discipline that takes into account the patient’s medical and dental history, facial aesthetics, functional dynamics, and biological limitations. Without this foundation, treatment outcomes become unp
Jesper Hatt DDS
May 10, 20253 min read


The Current Limitations of AI in Clear Aligner Treatment Planning
Artificial Intelligence (AI) is gaining traction in the dental industry, particularly in orthodontics and clear aligner therapy. While AI promises to simplify workflows and improve decision-making, it currently falls short when it comes to effective clear aligner treatment planning. Let’s examine why AI is not yet ready to handle the complexities of clear aligner treatment and why human expertise remains vital. 1. Doctor Preferences and Diverse Treatment Philosophies One of t
Jesper Hatt DDS
Feb 25, 20253 min read


The Challenges of Overcorrection using Clear Aligners
Overcorrection is a topic that often arises in conversations with colleagues who, like us, work with clear aligners. It’s a concept borrowed from fixed appliances, where the idea is to anticipate and counteract limitations in movement predictability by applying extra force or modifying the appliance. While this approach has its place in traditional orthodontics, applying the same mindset to clear aligners can lead to challenges that may compromise treatment outcomes. What is
Jesper Hatt DDS
Dec 16, 20245 min read


Transforming gummy smiles: Treatment options with clear aligners
we'll delve into the various treatment options available for treating gummy smiles with clear aligners
Jesper Hatt DDS
Jul 20, 20243 min read


Transforming gummy smiles with clear aligners
Understanding Causes and Treatment Options Gummy smiles, characterized by an excessive display of gum tissue when smiling, are a common concern among dental patients. Affecting between 10% to 33% of the population, this condition can present in various forms and have multiple causes and treatment options. In this blog, we will explore the causes and diagnostic methods for gummy smiles. Part 2 (coming soon) will discuss comprehensive treatment options, including orthodontic an
Jesper Hatt DDS
Jul 6, 20244 min read


Why adult patients are the ideal candidates for clear aligner treatment
Clear aligner treatments have revolutionised orthodontic care, offering a discreet and convenient alternative to traditional braces. While these treatments are suitable for patients of all ages, there are key considerations that make adult patients particularly well-suited for clear aligner therapy. In this blog post I will help you identify the ideal candidates for clear aligner treatment. Keep it simple Unlike children, adults have completed much of their craniofacial growt
Jesper Hatt DDS
May 11, 20243 min read


The Cornerstone of Successful Clear Aligner Treatment: Competent Diagnosis
Clear aligners have revolutionized the field of orthodontics, offering patients a discreet, comfortable alternative to traditional braces. However, the success of clear aligner therapy hinges on a foundational element: competent orthodontic diagnosis. In this blog post, we'll explore how a meticulous diagnosis lays the groundwork for effective treatment planning using clear aligners. Precision Assessment for Clear Aligner Suitability Before embarking on clear aligner treatmen
Jesper Hatt DDS
Jan 30, 20244 min read
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