Invisalign Quick Start Guide I.

Invisalign Quick Start Guide I. All you need to know to start treating 0-Invisalign-Quick Start Guide I-v0b-AW.indd 0/0/0 :56

Section : Invisalign Treatment Supplies Section : Clinical Preferences Section : Submission Process 6 Section : Patient Photographic Records 9 Section 5: Digital Impressions itero Ortho Scan 0 Section 6: Section 7: Treatment Plans Review Section 8: Tooth Movement Assessment Section 9: Attachments Placement 6 Section 0: Interproximal Reduction (IPR) 7 Section : Treatment Monitoring 8 Section : Treatment Monitoring FAQ 9 Section : The Invisalign Support Services 0-Invisalign-Quick Start Guide I-v0b-AW.indd 0/0/0 :56

Invisalign 0 Materials needed for submissions: For Online Photos: Digital camera Procedure For Dental Records: Invisalign impression trays itero Materials needed for treatment: For attachment placement: Dental supplies for Interproximal Reduction (IPR): 0-Invisalign-Quick Start Guide I-v0b-AW.indd 0/0/0 :56

0 Clinical Preferences are instructions that doctors can specify on the Invisalign guidelines for creating ClinCheck treatment plans consistently for ClinCheck plan through the software that creates the They cover: Prescription Form of that very patient: current Clinical Preferences are displayed on the right hand side of the screen so that the doctor The Clinical Preferences of a patient are displayed on the Prescription Form summary, for the doctor to refer to when checking the ClinCheck 0-Invisalign-Quick Start Guide I-v0b-AW.indd 0/0/0 :56

0 If the Clinical Preferences are not set-up, Align default will apply as follows: Clinical Preference. Tooth numbering system Palmer (UR8 - LR8). Dual arch treatment Simultaneous start. Passive aligners Not Available None None ClinCheck treatment plan Yes 5. Delay stage to start IPR and attachment No delay available No 6. Pontics for open spaces 7. Arch expansion Not Available increasing the width of the canines, premolars, & molars 8. Expansion per quadrant 9. Tooth size discrepancy Not Available leave space distal to the (upper) laterals 0. Upper arch tooth leveling than centrals. Aligner trimming trim aligners to / way between gingival margin and CEJ (cement to enamel junction) line. For space closure treatment, apply virtual C-chain None. Attachments. A-P Correction Not Available No defaults exist for Precision Cuts, so if you do not specify them in your Clinical Preferences, they will not be placed, 5. Stage to start Precision Cuts Not Available Stage 5 0-Invisalign-Quick Start Guide I-v0b-AW.indd 5 0/0/0 :56

0 Tips & Tricks. Retain an original copy of all records, submitted records For your own records take alginate impressions to Invisalign Submission Box Checklist. treatment submission: Procedure STEP : 5 6 Upload Patient Portrait and 6 0-Invisalign-Quick Start Guide I-v0b-AW.indd 6 0/0/0 :56

0 Procedure STEP : Choose Invisalign 5 6 Upload Patient Photos (intra-oral Check summary of the Prescription Form 7 8 9 Print out Print Shipping Page with barcode and include it in the Invisalign Optional: Print out the Prescription Form summary with barcode and include it in Final submitted prescription form available 7 0-Invisalign-Quick Start Guide I-v0b-AW.indd 7 0/0/0 :56

0 Procedure STEP : Use Invisalign Insert records into submission box with Print Shipping Page (printed prescription CHECKLIST FOR REQUIRED PATIENT RECORDS Doctor (Print Name) Patient (Print Name) Patient ID # PLEASE FILL OUT THIS CHECKLIST AFTER FILLING OUT THE ONLINE PRESCRIPTION FORM AND INCLUDE THEM IN THE SUBMISSION BOX. Please let us know if the required patient records are enclosed in the box or were submitted online by checking ( ) the appropriate box. Failure to provide all the required records will result in processing delays of this case. If one or more items are missing, the case will not be processed until all records are received. PATIENT RECORD INCLUDED IN BOX SUBMITTED ONLINE. Upper impression or intra-oral scan. Lower impression or intra-oral scan. Photos. Completed Prescription Form 5. Print Shipping Page Important: Records necessary for submission of an Invisalign order may not be UPS brand mark are trademarks that are used with permission by the 8 0-Invisalign-Quick Start Guide I-v0b-AW.indd 8 0/0/0 :56

0 Tips & Tricks Patient should stand against a white or lightly colored Materials Needed. Procedure. Tips & Tricks Include only teeth and surrounding gingival margins in photo Materials Needed. Procedure. Anterior, Frontal. Center midline; buccal surfaces of Buccal, Right and Left. region by pulling retractor towards Capture molar/canine relationship; position camera perpendicular to Occlusal, Upper and Lower. Mark occlusal contacts with Position occlusal mirrors at rear of terminal molar and opposite arch Center midline; take photo of image in mirror at 60 angle to 9 0-Invisalign-Quick Start Guide I-v0b-AW.indd 9 0/0/0 :56

Digital impressions - itero 05 Tips & Tricks. Use special Invisalign training, can be checked again on the Education tab Run Invisalign Outcome Simulator (IOSim) for improved Materials Needed. itero Procedure. Send Invisalign 5 The IOSim helps gain patient acceptance by making it easier to 0 0-Invisalign-Quick Start Guide I-v0b-AW.indd 0 0/0/0 :56

PVS impressions - one-step 06 Tips & Tricks. Use Invisalign Procedure. Materials Needed. Technique Note: To get the best results, doctors should use the impression Mix putty. Place putty bites in posterior of 5 6 Insert tray. Press fully to seat where the molars are Create a distal ledge. 7 8 9 Keep tip submerged in material to avoid For an upper impression, you do not need Key is to vertically seat the impression evenly, Seat slowly to allow air to escape/hold steady for 5 minutes or the setting time indicated by Approximately -mm of gingiva 0-Invisalign-Quick Start Guide I-v0b-AW.indd 0/0/0 :56

07 Tips & Tricks. ClinCheck Install ClinCheck software from the Invisalign ClinCheck software should be installed on all computers you plan to use/access for patient records, Download the latest version of ClinCheck Software. Go to vip.invisalign.com Procedure. Check the initial bite. Check the animation and the Staging Tab. Check the Comments Tab. 5 Check the Treatment Tab. (especially the Tooth Movement assessment - see section 8) 5 0-Invisalign-Quick Start Guide I-v0b-AW.indd 0/0/0 :56

08 Purpose. The Invisalign Tooth Movement Assessment provides present in the ClinCheck treatment plan, and skills Summary view. Highlights teeth with Tooth movement colour. Details view. A OTH MOVEMENT ASS E S S ME N T B C D E F Tooth Assessment Movement Align Technology, Inc. 560 Orchard Value Pkwy, San Jose, CA 95 www.invisalign.com Range Tooth Assessment Movement V alue Range. (UR5) Blue Blue Extrusion Extrusion 0.9 mm 0.9 mm 0.5 mm -.0 mm 0.5 mm-.0 mm.5 (UR) 5 Black Black I Extrusion. mm. mm >.0 mm >.0 mm 7. (UR) l Blue Rotation Rotation 0-0 7. (UR) Blue Blue Extrusion Extrusion..7 mm.5 -.5 mm G Upper Right Quadrant Blue Blue A-P Correction.. mm mm.0 mm -.0 mm A B C D E F G summary view. set threshold (rotation, extrusion, intrusion, root movement 0-Invisalign-Quick Start Guide I-v0b-AW.indd 0/0/0 :56

08 Tooth movement colour. Blue Moderate movements The movements programmed have shown good results Treatment management Black Advanced movements The movements programmed have shown good results to achieve with the use of aligners alone; very close Treatment Management. Blue and Black Additional options Change ClinCheck treatment plan to remove the Post-Invisalign restorative solutions may be considered Notes: attachment that has been automatically placed according to the Invisalign Clinical Protocols, the tooth/teeth will Skills/techniques Anterior IPR Posterior IPR Attachments Monitoring interproximal contacts Detailing Pliers Pontics Button & Elastics for Extrusion 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 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 The Tooth Movement Assessment displays movements of extrusion, intrusion, rotation, root movement and A-P correction, which are programmed in the ClinCheck 0-Invisalign-Quick Start Guide I-v0b-AW.indd 0/0/0 :56

08 Ranges applied to tooth movement categories.* Upper Central Incisors Upper Lateral Incisors Lower Incisors Upper & Lower Canines 0mm 5 6+ Upper & Lower Premolars Upper & Lower Molars 0mm 5 6+ Upper Central Incisors Upper Lateral Incisors Lower Incisors Upper & Lower Canines Upper & Lower Premolars Upper & Lower Molars Measured by displacement Upper Central Incisors Upper Lateral Incisors Lower Incisors Upper & Lower Canines Upper & Lower Premolars Upper & Lower Molars 0mm 5 6+ Quadrant 0mm 5 6+ 60 + 50 0 0 0 0 60 + 50 0 0 0 0 60 + 50 0 0 0 0 60 + 50 0 0 0 0 Upper Central Incisors Lower Lower Incisors Incisors 0 Upper & Lower Canines Upper & Lower Premolars 0 Upper Lateral Incisors Upper Lateral Incisors 0 Upper & Lower Molars Upper & Lower Molars 0 5 0-Invisalign-Quick Start Guide I-v0b-AW.indd 5 0/0/0 :56

09 Tips & Tricks. porcelain, use dental products designed to help condition porcelain so that attachment material may To prevent attachments from losing their shape or de-bonding, Align recommends the following dental composite materials: - Ivoclar Tetric EvoCeram - M Filtek Supreme Plus - M Filtek Z50 Materials Needed. Attachment materials or similar dental supplies, including: Procedure. Rinse the attachment template in cold Isolate teeth for bonding. Isolate the teeth and prepare each tooth that will receive an attachment Match tooth shade. Thoroughly dry template and load a small amount of attachment composite into each attachment well of the 5 6 Conform to teeth. Fully seat the loaded template onto the teeth and apply gentle pressure around each attachment to ensure Cure attachment. Cure each attachment according to Note for Root Control Attachments: 6 0-Invisalign-Quick Start Guide I-v0b-AW.indd 6 0/0/0 :56

0 IPR techniques. Manual diamond strips: up to the most coarse; increases accuracy and minimises compression Protect patient soft tissue with Slow speed diamond disk: Break any tight contacts with a diamond strip before using the To improve access to the contact area, interproximal wedges can be Use a disk guard, dental mirror, or tongue depressor to protect High speed bur: The smallest IPR increment that can be performed with the bur is To improve access to the contact area, interproximal wedges can be Take care near the cervical regions Techniques. Manual diamond/polishing strips. Open interproximal contact with the Slow speed diamond disk. Engage the disk against the High speed bur. Break interproximal contact with light, Use water spray to help reduce Procedure. Review/perform IPR. Review the IPR amounts on the form Feel for slight tactile resistance when Polish/verify. Polish interproximal surface with polishing strips, until adjacent surface Record date and amount of IPR in 7 0-Invisalign-Quick Start Guide I-v0b-AW.indd 7 0/0/0 :56

Tips & Tricks. Check the ClinCheck treatment plan before the Material needed. Procedure. Check attachments. Are they present? Are they sheared or worn? Place attachments and proceed with IPR if applicable. Optimized Attachments have a different shape than the recess in the aligner, and they can have Activation, meaning that they are positioned by the template on the tooth with an offset relative to the position of the The software determines the shape of the aligner with two considerations: during treatment, an additional attachment template use the original attachment template and cut out the additional attachment template can be ordered for any 8 0-Invisalign-Quick Start Guide I-v0b-AW.indd 8 0/0/0 :56

Question: Why is the shape of the Optimized Attachment different from the shape of the attachment recess in the aligner? Why do I see a gap between the attachment and the Aligner? Answer: software determines the shape of the aligner with two considerations: Question: Can I use a patient s aligner to re-bond an attachment that has fallen off? Answer: This depends on the kind of attachment:. Conventional attachments:. Optimized Attachments: It is not recommended to use the aligner to produce Attachments have a different shape than the recess template on the tooth with an offset relative to the Non-Active Surface (Gap) Active surfaces (no gap) treatment, an additional attachment template may be An additional attachment template can be ordered for Fig. Activation Fig. 9 0-Invisalign-Quick Start Guide I-v0b-AW.indd 9 0/0/0 :56

Question: When taking a new impression or intraoral scan for remove the attachments? Answer: must be removed in order to allow the activation to be built current position of the tooth, which will change the active must be removed before taking a new impression Question: With premolars, why on some treatments do I see two buccal Optimized Root Control Attachments and on some I see just one? Answer: Root Control Attachments are placed on the buccal surface or interferences predicted throughout treatment, the buccal surface and a Pressure Point will be placed on Question: On an upper lateral with the Optimized Root Control feature, it appears the aligner is not seated on a portion of the tooth near the incisal edge. Is this normal? Answer: In order to produce the desired force system, an aligner space is created between the tooth and the aligner along aligner space is positioned on the aspect of the tooth The aligner space appears only on the upper lateral with Question: If the Pressure Point and aligner space help the root movement for the lateral incisor, why are they not present on the central incisors? Answer: The central incisors are larger teeth and generally have Attachments, so the Pressure Point and aligner space are Pressure Point Pressure Point Aligner space Aligner space Fig. Aligner space on aligner at upper lateral incisor, combined Fig. the central and lateral incisors, with Pressure Point and Aligner For more information on using attachments for Invisalign Treatments visit the 0 0-Invisalign-Quick Start Guide I-v0b-AW.indd 0 0/0/0 :56

The Invisalign Support. Services helping you optimize your Invisalign treatments.. Practice Support. The Invisalign Doctor Site (IDS). Your personal Invisalign website provides you with everything you need to ensure your practice runs smoothly. You can: Access real time treatment status information. View, modify and approve your ClinCheck files. Order marketing materials and print advertising through the Webstore. Keep up to date with Invisalign news and updates.. Invisalign Support. Call your Invisalign Customer Care representative for support with general enquiries, or help redirecting your call to the appropriate team. Available: Monday to Friday 09:00 AM 5:00 PM Tel No:.08. Educational Support. The Invisalign Education Pathway provides you and your staff with the Invisalign fundamentals to help you confidently treat patients with Invisalign. UPS Contact number: 85. to 85.9 Align Account No: 8XR 586