We all hate impressions!  Our adult and young patients would all tell you that impressions might be what they fear the most at the orthodontist.  We have utilized an I-Cat cone beam scan to gain not only our radiographs but digital models for quite some time.  Recently we have added the new iTero Element visual scanner. We can utilize this for study models, Invisalign treatment, and appliance construction without the need for impressions.  It is much faster than previous models and the images are more universally accepted.  Now we see smiles not only after orthodontics but before as well when they can use the iTero without impressions!