4/29/2016. The statements, views and opinions expressed in. the speaker. Team Dentist/Hygienist!

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The statements, views and opinions expressed in ALIGN CLINICAL this program and related EDUCATION course materials are those of the speaker. Team Dentist/Hygienist!

Ben Miraglia,DDS & Lauren Gueits, RDH, BS Attendees are responsible for legal and regulatory compliance of any marketing and referral programs.

1 The statements, views and opinions expressed in ALIGN CLINICAL this program and related EDUCATION course materials are those of the speaker. Team Dentist/Hygienist! Providing Oral Align Health Technology, Solutions Inc. with may not endorse such Invisalign Clear Aligner statements, Therapy views or opinions. Ben Miraglia,DDS & Lauren Gueits, RDH, BS Attendees are responsible for legal and regulatory compliance of any marketing and referral programs. Clinical training provided by guest speakers reflects their own views and not necessarily those of Align Technology, Inc. Dr. Ben Miraglia has been providing Invisalign therapy to patients at his Mt. Kisco private practice for 10+ years. Since 2008, he has been an Invisalign faculty member speaking internationally to thousands of dentists. Recently honored with a position on the President s Council of N. Westchester Hospital in Mt. Kisco, New York. Dr. Miraglia is on the American Academy of Cosmetic Orthodontics Board of Directors and the American Academy of Physiological Medicine and Dentistry. He is a graduate of the State University of New York at Buffalo School of Dental Medicine and is a member of the Omicron Kappa Upsilon Dental Honor Society. He completed a general practice residency program at Danbury Hospital in Connecticut. Ben Miraglia, DDS Lauren Gueits, a dental hygienist of 20+ years and a recipient of the 2010 RDH Sunstar Award of Distinction, lectures nationally to health professionals on Comprehensive Care and Oral/Systemic links. Lauren received her degree from the State University of New York at Farmingdale in 1991 and post graduate training in Myofunctional Therapy through the AOMT in Lauren is a published author and has been seen on WNBC, WABC and the Colgate Oral Health Network raising awareness about diabetes and oral health. She is passionate about the perio-ortho connection and the health benefits of aligned teeth, thus enjoying her role as Hygiene Education Manager for Align Technology. Lauren Gueits, RDH, BS 1

Our Time Together Review of Ortho 101 How to asses if patients would benefit from orthodontics via Invisalign Clear Aligner Therapy Apply Problem - Consequence - Solution Model to patients to instill

2 Our Time Together Review of Ortho 101 How to asses if patients would benefit from orthodontics via Invisalign Clear Aligner Therapy Apply Problem - Consequence - Solution Model to patients to instill the value of Invisalign Therapy as an Oral health Solution Establish orthodontics as part of a Prevention Plan vs. a Treatment Plan Create an action plan to provide Invisalign therapy as an oral health solution in your office Team Approach in Patient Engagement EVALUATE EDUCATE ENGAGE Comprehensive Care Don t Forget the ORTHO! 2

Transverse Dimension: Arch Shape U Shape V Shape Square Omega Ortho 101 SAGITTAL (ANTERIOR-POSTERIOR) TRANSVERSE (HORIZONTAL) VERTICAL Transverse Dimension (Horizontal) Daskalogiannakis J.

3 Transverse Dimension: Arch Shape U Shape V Shape Square Omega Ortho 101 SAGITTAL (ANTERIOR-POSTERIOR) TRANSVERSE (HORIZONTAL) VERTICAL Transverse Dimension (Horizontal) Daskalogiannakis J., Glossary of Orthodontic Terms, Chicago, Il, 2000, Quintessence Publishing Co. Phinney, DJ, and Halstead, JH, Delmar s Dental Assisting; A Comprehensive Approach. Ed 1, Albany, NY, 2000, Delmar Thomson Learning 3

4 3 Causes of Crowding Improper Arch Form Improper Arch Width Buccolingual Inclination Proper vs. Improper Buccolingual Inclination 4

5 Slide 11 LG1 Wrong piture Lauren Gueits, 4/1/2016 Slide 12 LG2 add vertical horizontal Lauren Gueits, 4/1/2016

$2012 Abfractions are Non-Carious Class V Lesions LG3$ $The term abfraction refers to a non-carious Class V$ occlusal stress * * Lee WC, Eakle WS.

6 Mario vs. Luigi Non-carious Class V Lesions: What s Really Going on? Nichole Dicke, LDH,BS N.Dicke. Access Magazine, Nov.2012 Abfractions are Non-Carious Class V Lesions LG3 The term abfraction refers to a non-carious Class V Lesion with an etiology that includes tooth flexion and occlusal stress * * Lee WC, Eakle WS. Possible role of tensile stress in the etiology of cervical erosive lesions of teeth. J Prosthet Dent. 1984;52:

7 Slide 15 LG3 removew before and after Lauren Gueits, 4/1/2016

$Recession and Abfraction Improvements Courtesy or Ben$ Solution LG5 Would Your Patients Benefit From Proper

Assess Patient Chief Complaints Diagnose the Cause Check

biting cheek, food impaction, floss shredding, unhappy

Evaluate arch form, arch width and Buccal/Lingual

8 Recession and Abfraction Improvements Courtesy or Ben Miraglia, DDS Patient Treated Orthodontically Long Term Solution LG5 Would Your Patients Benefit From Proper Tooth Alignment? Assess Patient Chief Complaints Diagnose the Cause Check Occlusion Listen Cold sensitivity, receding gums, lisp, biting cheek, food impaction, floss shredding, unhappy with appearance Put your Ortho Goggles on! Evaluate arch form, arch width and Buccal/Lingual Inclination Teeth in Trauma Sliding or Colliding? 5 Clues: CLAWS Clefting, Lingual Inclination, Abfractions, Wear and Shifting 6

9 Slide 18 LG5 removed center of alveolus Lauren Gueits, 4/1/2016

10 My Patient Would Benefit From Proper Tooth Alignment Now What? How Do I Get them Engaged? Identify the Problem Discuss the Consequences of Malocclusion Offer a Solution Reinforce the Value of Treating the Problem not the Symptom Malpositioned teeth Show and tell Teeth are colliding rather than sliding This concerns me because.. ING s leading to hard and soft tissue damage Take the teeth out of trauma /Getting teeth properly aligned Focus: Prevention Plan vs. Treatment Plan Teeth that fit together properly last longer; requiring less costly dentistry Case Study Patient Name: Dana Age: 59 Invisalign Treatment: 15 months Assess Chief Complaint 7

Would Dana Benefit from Proper Tooth Alignment?

Check Occlusion Teeth Sliding or Colliding? Teeth in Trauma?

Dana Would Benefit from Proper Tooth Alignment Educating/Engaging

11 Would Dana Benefit from Proper Tooth Alignment? Diagnose the Cause Arch Form? Arch Width? Buccolingual Inclination? Would Dana Benefit from Proper Tooth Alignment? Check Occlusion Teeth Sliding or Colliding? Teeth in Trauma? Clues (CLAWS)? Yes! Dana Would Benefit from Proper Tooth Alignment Educating/Engaging the Patient This concerns me because... ING Identify Problem, Discuss Consequences, Offer Solution 8

12 Educating/Engaging the Patient See the After This concerns me because... ING Identify Problem, Discuss Consequences, Offer Solution Educating/Engaging the Patient See the After This concerns me because... ING Identify Problem, Discuss Consequences, Offer Solution Educating/Engaging the Patient See the After This concerns me because... ING Identify Problem, Discuss Consequences, Offer Solution 9

13 Dana LG6 Benefited from Invisalign Clear Aligner Therapy! Result Healthy, Happy Patient! 10

14 Slide 28 LG6 changed heading to Dan benefits Lauren Gueits, 4/1/2016

Chavez Benefit from Proper Tooth Alignment?

15 Case Study Patient Name Chavez Age: 17 Invisalign Treatment: 11 months Assess Chief Complaint Would Chavez Benefit from Proper Tooth Alignment? Diagnose the Cause Arch Form? Arch Width? Buccolingual Inclination? 11

Chavez Would Benefit from Proper Tooth Alignment Educating/Engaging the Patient This concerns me because.

16 Would Chavez Benefit from Proper Tooth Alignment? Evaluate Occlusion Teeth Sliding or Colliding? Teeth in Trauma? Clues (CLAWS)? YES! Chavez Would Benefit from Proper Tooth Alignment Educating/Engaging the Patient This concerns me because... ING Identify Problem, Discuss Consequences, Offer Solution Educating/Engaging the Patient See the After This concerns me because... ING Identify Problem, Discuss Consequences, Offer Solution 12

17 Educating/Engaging the Patient See the After This concerns me because... ING Identify Problem, Discuss Consequences, Offer Solution Chavez Benefited from Invisalign Clear Aligner Therapy! (36 aligners) Solution: Taking teeth out of trauma/properly aligned teeth. Reinforce the benefit of a Prevention Plan vs. a Treatment Plan This video is a simulation and treatment results may vary. The actual treatment plan is determined by your doctor. 13

18 Result Healthy, Happy Patient! Case Study Patient Name: Victoria Age: 60 Invisalign Treatment: 10 months Assess Chief Complaint 14

19 Would Victoria Benefit from Proper Tooth Alignment? Diagnose the Cause Arch Form? Arch Width? Buccolingual Inclination? Would Victoria Benefit from Proper Tooth Alignment? Evaluate Occlusion Teeth Sliding or Colliding? Teeth in Trauma? Clues (CLAWS)? Yes! Victoria Would Benefit from Proper Tooth Alignment 15

Educating/Engaging the Patient See the After

20 Educating/Engaging the Patient See the After Identify Problem, Discuss Consequences, Offer Solution Educating/Engaging the Patient See the After This concerns me because... ING Identify Problem, Discuss Consequences, Offer Solution Educating/Engaging the Patient See the After 16

21 Educating/Engaging the Patient See the After Victoria Benefited from Invisalign Clear Aligner Therapy! (5 YEARS) Result Healthy, Happy Patient! 17

22 Case Study Patient Name: Heather Age: 36 Invisalign Treatment: 15 months Assess Chief Complaint Would Heather Benefit from Proper Tooth Alignment? Diagnose the Cause Arch Form? Arch Width? Buccolingual Inclination? What else is going on? 18

23 Would Heather Benefit from Proper Tooth Alignment? Evaluate Occlusion Teeth Sliding or Colliding? Teeth in Trauma? Clues (CLAWS)? YES! Heather Would Benefit from Proper Tooth Alignment Educating/Engaging the Patient Educating/Engaging the Patient See the After INVISALIGN THERAPY RESTORATION 19

24 Educating/Engaging the Patient See the After INVISALIGN THERAPY RESTORATION Educating/Engaging the Patient See the After Educating/Engaging the Patient See the After This concerns me because... ING Identify Problem, Discuss Consequences, Offer Solution 20

25 Heather Benefited from Invisalign Clear Aligner Therapy! Result Healthy, Happy Patient! (5 YEARS) Invisalign Tx: 9 months - Total Tx: 11 Months Case Study Patient Name: Lori Age: 46 Invisalign Treatment: 15 months 21

26 Assess Chief Complaint Would Lori Benefit from Proper Tooth Alignment? Diagnose the Cause Arch Form? Arch Width? Buccolingual Inclination? Would Lori Benefit from Proper Tooth Alignment? Evaluate Occlusion B/L Inclination? Teeth Sliding or Colliding? Teeth in Trauma? Clues (CLAWS)? 22

YES! Lori Would Benefit from Proper Tooth

27 YES! Lori Would Benefit from Proper Tooth Alignment Educating/Engaging the Patient This concerns me because... ING Identify Problem, Discuss Consequences, Offer Solution Educating/Engaging the Patient See the After Educating/Engaging the Patient See the After 23

28 Lori Benefited from Invisalign Clear Aligner Therapy! Result Happy, Healthy Patient! Case Study Patient Name: Olivia Age: 17 Invisalign Treatment: 16 months 24

Assess Chief Complaint Would Olivia Benefit from

Would Olivia Benefit from Evaluate Occlusion

29 Assess Chief Complaint Would Olivia Benefit from Proper Tooth Alignment? Diagnose the Cause Arch Form? Arch Width? Buccolingual Inclination? Would Olivia Benefit from Proper Tooth Alignment? Evaluate Occlusion B/L inclination? Teeth Sliding or Colliding? Teeth in Trauma? Clues (CLAWS)? 25

30 YES! Olivia Would Benefit from Proper Tooth Alignment Educating/Engaging the Patient Educating/Engaging the Patient See the After Educating/Engaging the Patient See the After This concerns me because... ING Identify Problem, Discuss Consequences, Offer Solution 26

31 Olivia Benefited from Invisalign Clear Aligner Therapy! Result Healthy, Happy Patient! 27

32 Olivia Benefited from Invisalign Clear Aligner Therapy! Solution: Taking Teeth out of Trauma/ Properly aligned Teeth Case Study Patient Name: Evin Age: 23 Invisalign Treatment: 15 months Assess Chief Complaint 28

33 Orthodontic Problem Treated with an Orthodontic Solution Arch Form? Arch Width? Buccolingual Inclination? Evin 8 Years Later Prevention Plan vs. Treatment Plan 29

occlusion/ tooth positioning provides in creating Happy Healthy Patients Action Items: Ready, Set, Go!

34 Evin 8 Years Later Result Healthy, Happy Patient 8 YEARS LATER Summary: What did we Learn? Listen to the patient s chief concerns Diagnose the cause How to assess if patient would benefit from proper tooth alignment Connect to the patient engage don t lecture Understand the benefits proper occlusion/ tooth positioning provides in creating Happy Healthy Patients Action Items: Ready, Set, Go! Reach out to your TM for tools/role plays Doctor/Hygienist unite in implementing ortho in the GP practice Ask yourself- Would my patient benefit from proper tooth alignment? Diagnose the Cause and apply the PCS model on your next patient! Watch Archived ATE s on IDS Ben Miraglia, DDS Periodontal Improvements Lauren Gueits, RDH, BS ATE HYG Series Part 1 & 2 Share the Perio-Ortho- Restorative approach with team 30

Thank you! lgueits@aligntech.com To obtain your CE certificate for this program please complete a brief survey at: http://learn.invisalign.

35 Thank you! To obtain your CE certificate for this program please complete a brief survey at: Upon completion of your survey* you will have immediate access to your CE certificate. * This survey is only available to the participants who attend the live presentation via the webinar/phone. Participants who complete the archived program on the Education Tab of the Invisalign Doctor Site need to complete a CE test to obtain their CE certificate. 31

12/8/2016. The Hygienist s Role: Implementing Invisalign Therapy A Two-Part Series. About the Speaker: Lauren Gueits, RDH BS. The Hygienist s Role:

12/8/2016. The Hygienist s Role: Implementing Invisalign Therapy A Two-Part Series. About the Speaker: Lauren Gueits, RDH BS. The Hygienist s Role: The Hygienist s Role: Implementing Invisalign Therapy A Two-Part Series Lauren Gueits, RDH, BS About the Speaker: Lauren Gueits, RDH BS Lauren Gueits, a dental hygienist of 20+ years and a recipient of