Since its introduction in 2014, the PowerScope device has undergone some modifications to improve and facilitate its clinical use. This article describes the latest innovation in the device, which consists of an alternative attachment nut. With this new nut, the concept changes a little because we are going to install the nut outside the patient’s mouth and not directly in his mouth as we did with the first two generations of the nut. The alternative attachment nut is another option for using the PowerScope. It is up to the orthodontist to decide which option best fits his way of working: continue with nut 2 (from 2015); use the alternative nut on the upper and lower arches; Use alternate nut on the upper arch and nut 2 on the lower arch.