Invisalign Quick Start Guide. ClinCheck plan review. Dedicated to help you treat with confidence.

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1 Invisalign Quick Start Guide. ClinCheck plan review. Dedicated to help you treat with confidence.

2 Treatment plans review. Tips Tricks. ClinCheck software is required to review all treatments. Install ClinCheck software from the Invisalign Doctors Site. ClinCheck software should be installed on all computers you plan to use/access for patient records, treatment planning and patient consultation purposes. Download the latest version of ClinCheck Software. Go to vip.invisalign.com Go to support tab to the technical support subtab. Download the latest version of the ClinCheck software. Procedure. Check the initial bite. Check the animation and the Staging Tab. Check the Coents Tab. Check the Treatment Tab. Check the final position. (especially the Tooth Movement assessment - see section 8) Images and content are subject to change.

3 Tooth movement assessment. Purpose. The Invisalign Tooth Movement Assessment provides guidance in identifying more significant movements present in the ClinCheck treatment plan, and skills that may be needed for the treatment. Suary view. Highlights teeth with movement above a set threshold. Tooth movement colour. Details view. Details of the teeth highlighted and coloured above. A OTH MOVEME NT ASSESSMENT B C D E F Tooth Assessment Movement Align Technology, Inc. 60 Orchard Value Pkwy, San Jose, CA 9 Range Tooth Assessment Movement V alue R ange. (UR) Blue Blue (UR) Black Black I.. >.0 >.0 7. (UR) l Blue Rotation Rotation - 7. (UR) Blue Blue G Right Blue Blue A-P Correction A B C D E F G Column identifies teeth highlighted in the suary view. Column identifies the colour for each tooth. Column identifies five types of movements that are above a set threshold (rotation, extrusion, intrusion, root movement or A-P correction). Column identifies the amount of movement prograed in the ClinCheck treatment plan. Column identifies the range that informs the colour category. Row shows example of tooth with compound movements. Row shows example of an assessment with A-P Correction.

4 Tooth movement assessment. Tooth movement colour. Blue Moderate movements The movements prograed have shown good results with the use of aligners and at times, benefit from additional techniques like the ones noted to the right; closer monitoring is recoended. Treatment management. Additional Refinements and/or Mid-Course Correction may be needed. Black Advanced movements The movements prograed have shown good results with the use of aligners, but often require additional orthodontic techniques as they are more challenging to achieve with the use of aligners alone; very close monitoring is recoended. Treatment Management. Additional Refinements and/or Mid-Course Correction may be needed. Blue and Black Additional options Change ClinCheck treatment plan to remove the specific movements and/or change treatment goal. May result in a compromised ClinCheck treatment plan. Post-Invisalign restorative solutions may be considered as part of the treatment plan. Notes: If a doctor requests to remove or change a default attachment that has been automatically placed according to the Invisalign Clinical Protocols, the tooth/teeth will be identified as blue or black and may require additional clinical skills and close monitoring. Skills/techniques that may be required. Anterior IPR Posterior IPR Attachments Monitoring interproximal contacts Detailing Pliers Pontics Button Elastics for Buttons Elastics for Rotation Inter-arch Class II/III elastics w/ Precision Cuts Sectional Fixed Braces Full Fixed Braces Pre-PVS treatment (expansion, A-P correction) Orthognathic Surgery The colour categories for assessing the difficulty of a treatment are provided for the doctor s reference only, based on the ClinCheck treatment plan. Each patient s situation is different. Doctor is solely responsible for evaluating whether Invisalign treatment options and/or products are appropriate for use with each patient and waives any claims against Align relating to the treatment or outcome of treatment. The Tooth Movement Assessment displays movements of extrusion, intrusion, rotation, root movement and A-P correction, which are prograed in the ClinCheck treatment plan.

5 Tooth movement assessment. RANGES APPLIED TO TOOTH MOVEMENT CATEGORIES*** RANGES APPLIED TO TOOTH MOVEMENT CATEGORIES Ranges applied to tooth movement categories.* RANGES APPLIED TO TOOTH MOVEMENT CATEGORIES*. Intrusion Intrusion Intrusion Intrusion of root apex Root Movement Measured by displacement of root apex Root Movement Measured by displacement 0 of root apex Root Movement Measured by displacement 0 Root Movement. Measured by displacement of root apex. A-P Correction Per quadrant A-P Correction Per quadrant A-P Correction. A-P Correction Per quadrant Per quadrant Rotation Rotation. Rotation Rotation * These ranges are applied as a guideline to assess the extent of movement present in the ClinCheck treatment plan as a guideline to assess the * These ranges extent of movement in the ClinCheck treatment plan. are applied present These ranges ranges are applied as a a guideline guideline to to assess assess the the extent extent of movement movement present in in the the ClinCheck ClinCheck treatment treatment plan. plan. present as ** These are applied of

6 key points for efficient ClinCheck Changes.. Use the drag and drop interfaces for attachments and Precision Cuts. Use the Changes Tab to type any other changes, and be precise in your request:. Give a goal. In which view? Which arch? Which tooth / teeth? By double clicking on a tooth in the D model, its number will automatically be displayed in the changes tab. Which reference point? Ex: Align the buccal surface of upper right central with the buccal surface of upper left central.. Specify how you want to achieve your goal. Which movement? Amount of movement? Direction of movement. Ex: Apply degrees distal-in rotation on upper right first molar.. Avoid general terms such as: Improve. Fix. Close the space. Ex: Close the space could mean interocclusal or interproximal space, or even black triangle. You would need to say Close the interproximal space between upper right lateral and upper right canine. Is that enough No! There is a goal, but no specification on the way to achieve it. You would need to say Close the interproximal space between upper right lateral and upper canine by mesialization of the canine.. Itemize your instructions. This will facilitate the technician work, and also your future review. Submit the changes. Another ClinCheck treatment plan will be accessible on your IDS within 8-7h. 6

7 0 Align Technology (BV). All Rights Reserved. Invisalign, ClinCheck and SmartTrack, among others, are trademarks and/or service marks of Align Technology, Inc. or one of its subsidiaries or affiliated companies and may be registered in the U.S. and/or other countries. B00-09 Rev A 7