ETIOLOGY, PREVENTION AND MANAGEMENTDr. St ep ha ne R ei nhardt,dmd
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About the authorIntroductionChapter 1 Understanding and ManagingExternal Apical Root Resorption inOrthodontic TreatmentChapter 2 Patient-Related Factors in RootResorptionChapter 3 Treatment-Related Factors in RootResorptionChapter 4 Root Resorption - A Clinical GuideChapter 5 Navigating the Challenge - theCLEAR Institute Protocol for Root ResorptionConclusionReference Articles LinksTestimonialsCONTENTlearn.theclearinstitute.com© 2024 The CLEAR Institute Inc. All rights reserved03
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learn.theclearinstitute.comDr. Stephane REINHARDT, DMD graduated from theUniversity of Montréal in 1992. He then started hisgeneral practice in Brossard, Quebec, Canada,where he developed a particular interest inorthodontics.In 2004 he introduced clear aligners in his practiceand quickly became passionate about thetechnique. He is the first Canadian dentist to winthe Invisalign Summit Shootout. With now morethan 1500 cases completed, Dr. Reinhardt is anexpert and a key opinion leader in the field ofclear aligners.Dr. Reinhardt is an international speaker for TheC.L.E.A.R. Institute and answers an increasingdemand for education by dentists and their teamsin understanding and integrating alignerorthodontics in the dental practice. He is a guestspeaker for the orthodontic residents at CaseWestern Reserve University. Dr. Reinhardt is a published author, a PEERreviewer of the International Journal ofOrthodontics (IJO), a (G)nathos Faculty, and amember of the IAO, AGD, ODQ, and MENSAInternational. When he is not on the road orworking, he enjoys good times with his threechildren and always finds a good excuse to playthe guitar ABOUT THE AUTHOR© 2024 The CLEAR Institute Inc. All rights reserved05
learn.theclearinstitute.com© 2024 The CLEAR Institute Inc. All rights reservedAt The CLEAR Institute, our education in clear aligner therapyis grounded in scientific facts and rich clinical experience, notjust checklists. We focus on understanding the fundamentalprinciples and mechanics, empowering dentists to makeinformed, superior care decisions.06
Root resorption, particularly within thecontext of orthodontic treatment, presents amultifaceted challenge. While the exertionof force is commonly identified as a keyparameter influencing susceptibility, it is agross oversimplification to attribute rootresorption solely to the application ofexcessive force. The dynamics of rootresorption are far more complex,encompassing a range of factors that extendbeyond mere mechanical stress.This text serves as the foundationalintroduction to "The CLEAR Path toUnderstanding Root Resorption," acomprehensive course meticulously craftedby The CLEAR Institute. Designed for dentalprofessionals, this course seeks to demystifythe complexities surrounding rootresorption, with a particular focus on theevolving domain of clear alignerorthodontics.As the dental landscape transforms with theburgeoning use of clear aligners, theimperative to grasp and manage conditionslike root resorption becomes increasinglyparamount. INTRODUCTIONlearn.theclearinstitute.com© 2024 The CLEAR Institute Inc. All rights reserved07
The uptick in adult orthodontic treatmentshas been significant, driven by the discreteand accessible nature of clear aligners. Thisshift not only represents a paradigm changein patient demographics but also heralds anew era of orthodontic market growth.Projections estimate a staggering tenfoldincrease from $4 billion to $40 billion over adecade, signifying an unprecedented influxof patients into orthodontic care.Adult patients, however, bring with them atapestry of dental history. The task at handis not just the straightening of teeth but alsoaddressing the multifaceted aspects ofdental aesthetics and health. Thus, settingrealistic expectations prior to treatment iscrucial, as pre-treatment observations serveas diagnostics, whereas post-treatmentobservations can become excuses. It iswithin this narrative that General Dentistsfind an intriguing role. By integratingorthodontics into comprehensive dentistry,practitioners can elevate the quality of careto be more conservative, creative, andaligned with the principles of minimallyinvasive dentistry.In an era where societal norms andexpectations are heavily influenced by the INTRODUCTIONlearn.theclearinstitute.com© 2024 The CLEAR Institute Inc. All rights reserved08
pervasive reach of social media, the demand for aesthetic perfection is at an all-timehigh. While not every desired outcome isfeasible, the role of the dentist transcendsbeyond merely delivering treatment—it isabout being a responsible healthcareprovider. In this context, while artificialintelligence and advanced software haverevolutionized treatment planning andvisualization, they fall short in areas such asthe prediction and prevention of rootresorption.The current array of digital tools at adentist's disposal is remarkable, offeringunprecedented levels of precision inplanning and executing treatments.However, these tools cannot account for theunpredictability of root resorption. This gapbetween virtual planning and clinical realityunderscores the need for a deepunderstanding of the conditions that lead toroot resorption and strategies to mitigate itsoccurrence.As the industry confronts these challenges,claims that clear aligners are immune to rootresorption are not only unfounded but aredangerously misleading. INTRODUCTIONlearn.theclearinstitute.com© 2024 The CLEAR Institute Inc. All rights reserved09
The reality is that root resorption is apotential complication, regardless of theorthodontic modality employed. The key liesnot in the avoidance of the issue but in theability to anticipate, recognize, and addressit effectively.This book will navigate through the nuancesof root resorption, leveraging scientificliterature, clinical case studies, anddiscussion of preventative measures. Readerswill gain a holistic view, allowing them todiscern the causes, predict potentialcomplications, and manage treatmenteffectively.Embarking on this educational journey,dental professionals will be equipped tohandle the complexities of root resorptionwith confidence. By reading this book (andeven more by registering to the onlinecourse!), practitioners will not only be adeptat preventing root resorption but will alsopossess the knowledge to address it adeptlyshould it occur.With an emphasis on the etiology of rootresorption, this book is an invitation toexplore the depths of a perplexing dentalphenomenon. INTRODUCTIONlearn.theclearinstitute.com© 2024 The CLEAR Institute Inc. All rights reserved10
Join us as we traverse the intricatelandscape of orthodontic care, enhancing ourunderstanding and refining our approach toensure the health, smiles, and overall well-being of our patients.Welcome to a transformative learningexperience—let’s be CLEAR about RootResorption!INTRODUCTIONlearn.theclearinstitute.com© 2024 The CLEAR Institute Inc. All rights reserved11
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learn.theclearinstitute.com© 2024 The CLEAR Institute Inc. All rights reservedIf you want to understand the principles, if you wantto be able to build your own treatment plans, if youwant to prevent problems and know what to dowhen things don't go like they are supposed to, thenthis is the course for you!Everything you need to get comfortable treating andplanning your phase I and teen cases. Theory andmechanics, case examples, mistakes we made andtips and tricks we developed over our 20 years ofexperience with aligners.
If you want to understand the principles, if you wantto be able to build your own treatment plans, if youwant to prevent problems and know what to dowhen things don't go like they are supposed to, thenthis is the course for you!This is THE program where you finally connect thedots and where everything starts making sense.Learn the mechanic's principles to fully control yourcases. The software and the AI are there to help, butYOU are the doctor.
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Schedule hereSpend private time online with one of oureducators on a Zoom meeting which will berecorded and sent to you afterward. Ask questionsabout your cases, review some features, somenotions, and principles, tips and tricks, orwhatever you would like to address during thisprivate meeting*.These private consultations are all recorded and alink will be sent to you so that you can review whatwas said during that consultation session**.We can also provide, on demand, a written andmotivated version of therecommendations that will be made during theseconsultations***.ONLINEONLINECONSULTATIONCONSULTATION© 2024 The CLEAR Institute Inc. All rights reservedlearn.theclearinstitute.com34
linkLEARN APPLYUNDERSTANDMASTER44 It is the responsibility of each course attendee to verify the requirements of the province or state licensing board(s) toensure CE hours are applied for license renewal. https://bit.ly/MOCA101
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46linkLEARN APPLYUNDERSTANDMASTERhttps://bit.ly/moca201 It is the responsibility of each course attendee to verify the requirements of the province or state licensing board(s) toensure CE hours are applied for license renewal.
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© 2024 The CLEAR Institute Inc. All rights reserved
Dr . St eph ane Rei nha rdt ,dm d© 2024 The CLEAR Institute Inc. All rights reservedETIOLOGY, P R E V ENTION AND MANAGEM E N T