Malocclusion Monitoring Program | Align AI
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DAS™ · Malocclusion Monitoring Program

What if malocclusion was monitored, not just mentioned?

Malocclusion is common,1 and it isn’t purely an aesthetic consideration.3 Yet in many practices, bite alignment is discussed only when a patient asks about straightening their teeth, or mentioned once and forgotten.

The Malocclusion Monitoring Program creates another path:

Identify it. Document it. Educate the patient. Monitor it over time.

Monitoring recordIllustrative · non-diagnostic workflow
Patient · M.R.
Adult · patient of record since 2019 · hygiene every 6 mo
Monitoring · reassess due
IdentifiedMar 2025 · hygiene visit
Baseline documentedScan + photos · Mar 2025
Provider noteLower anterior irregularity · observe
Education deliveredGuide + video · Mar, Sep
Last conversationSep 2025 · hygienist
Next reassessmentMar 2026 · recall
Clinical findings, diagnosis and treatment decisions remain with the provider.
Malocclusion is common
≈ 2 in 3

Approximately two-thirds of untreated U.S. adults studied had at least one clinically meaningful malocclusion.

A study of 8,804 untreated U.S. adults ages 17–46 using NHANES III data found that only one-third exhibited no clinically meaningful malocclusions.1

This is a population estimate. It does not mean two-thirds of any individual practice’s patients have malocclusion. It does mean the program is built for the size of the question.

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From cosmetic conversation to clinical stewardship

The conversation doesn’t have to start with straight teeth.

Traditional conversation
“Have you ever thought about clear aligners?”
A sales question, asked once, easy to decline, gone from the record.
Monitoring approach
“We’re seeing some things about your bite that we’d like to document and continue monitoring with you.”
A clinical observation, documented, revisited at every recall.

The objective is not to turn every observation into an immediate aligner presentation. It is to ensure clinically relevant malocclusion is recognized, documented, explained appropriately, and revisited rather than forgotten.

Your bite isn’t necessarily static

Occlusion and alignment can change over time.

Research has documented long-term changes in malocclusion traits,2 and U.S. population research found several clinically meaningful malocclusion traits varied significantly with age.1 That is one reason they deserve to be documented and periodically reassessed.

This is not a claim that malocclusion always gets worse. It is the reason the program creates a longitudinal record instead of treating every examination as an isolated snapshot.

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Today
Clinical observation
Scan / photos
Provider notes
Patient education
↓
Next recall
Reassessment
Comparison with baseline
Updated documentation
Continued education
↓
Over time
Longitudinal record
Changes identified
Provider assessment
Appropriate next step
The monitoring journey

Identify → Document → Educate → Monitor → Reassess → Activate → Treat → Maintain

Eight steps that live inside normal care. Select a step.

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What this looks like
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Not purely aesthetic

Different malocclusion traits can carry different clinical considerations.

The evidence supports associations, not universal outcomes. The program is built on the former and makes no promises about the latter.

Oral-health-related quality of life
Research has found associations between untreated malocclusion and oral-health-related quality of life, including physical and psychosocial dimensions.3
The included studies were cross-sectional, so the appropriate word is “associated with,” not “causes.”
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A trait-specific example · overjet
Research has associated increased overjet with greater risk of traumatic dental injury.4
This does not generalize to “malocclusion causes chipped teeth.” It illustrates why different traits deserve different clinical attention.
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Not every patient needs to say yes today

A “not now” doesn’t have to mean “never discussed again.”

Traditional · two states
Accepts treatment today→Declined · lost
Monitoring · a third state
Accepts treatment→Monitoring→Declined

The patient may not currently want treatment. That does not require the practice to repeatedly sell to them. Clinically appropriate observations remain part of the longitudinal record and are reassessed during future care.

Treatment acceptance is an event.
Monitoring is a process.

Connect monitoring to patient education

Education continues between visits.
Selling doesn’t.

Monitoring connects the program to the Activate Alignment Method: patients in monitoring receive relevant education over time, and the treatment conversation returns when the provider and the patient are ready.

It is a clinical pathway, not a disguised automated sales funnel.

Longitudinal patient journeyMonths to years
1Hygiene / recall
2Malocclusion identified
3Baseline documented
4Patient educated
5Monitoring
6Relevant educational content
7Future recall
8Reassessment
9Treatment conversation when appropriate
10Patient decision
Where Align AI helps

Monitoring one patient is easy.
Monitoring hundreds requires a system.

As the monitoring population grows, patients exist at many stages. Align AI organizes the workflow information: monitoring status, previous documentation, last relevant interaction, education delivered, upcoming recall, practice-defined reassessment workflows, follow-up tasks, engagement and team responsibilities.

Who needs attention?Why?Who on the team handles it?What happens next?

Align AI supports organization and workflow. Diagnosis and treatment decisions remain with qualified dental professionals.

Monitoring roster · 214 patientsIllustrative example
M.R.
Sep 2025 · hygienist
Education · Guide, video
Mar 2026Monitoring
J.T.
Aug 2025 · Dr. Smith
Education · Guide
Feb 2026Baseline documented
A.K.
Feb 2025 · hygienist
Education · Video ×2
Overdue · 3 wkReassess due
L.P.
Oct 2025 · TC
Education · Guide, story
Oct 14Consultation booked
S.D.
Jun 2025 · hygienist
Education · None logged
Dec 2025Monitoring
Workflow status only. No clinical assessment is made by Align AI.
The human moment

Technology surfaces the opportunity.
People make it matter.

It can organize the history, remind the team and recommend the workflow. The most important interaction still happens between people.

AI + Human Implementation →
A hygienistnotices something.
A dentistexplains it.
A treatment coordinatoranswers questions.
A patientmakes an informed decision.
Clinical references

The evidence behind this page.

Evidence is listed as published. Align AI’s interpretation is shown separately and does not extend the findings.

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Next in the methodology

AI can get you closer.
People get you across the finish line.

See how Align AI, DAS playbooks, human coaching and your team turn all of this into execution.

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