SmartForce Clinical Innovations 2009 2010 2011 2013 2014 1.5 Release Optimized attachments for extrusion and rotation Invisalign G3 Improved Power Ridge feature for control of lingual root torque Invisalign G4 Multi-tooth extrusion for anterior open bite Multi-plane movement feature for control of laterals Optimized attachments for mesio-distal root tip control SmartTrack Invisalign G4E Improved control of tooth movement Invisalign G5 Innovations for Deep Bite 2
Tackling the Deep Bite Challenge INTRODUCING INVISALIGN G5 INNOVATIONS FOR DEEP BITE - ENGINEERED TO HELP YOU IMPROVE CLINICAL OUTCOMES IN DEEP BITE TREATMENT WITH INVISALIGN. 3
Comprehensive Features Dedicated to Deep Bite Treatment New Pressure Areas and optimized deep bite attachments are designed to level the curve of Spee by improving control of anterior intrusion and premolar extrusion for more predictable deep bite treatments. Precision bite ramps are designed to disocclude the posterior teeth for improved efficiency in deep bite treatments with Invisalign. 4
Pressure Area for Control of Anterior Intrusion THE PROBLEM THE SOLUTION v v Biomechanical testing shows that the intrusive force from aligners may not be directed along the long axis of the anterior teeth. Available for incisors and lower canines New Pressure Area on the lingual surface of aligners is designed to re-direct the intrusive force through the long axis of anterior teeth. 5
Optimized Deep Bite Attachment for Anchorage and Premolar Extrusion ANCHORAGE FOR ANTERIOR INTRUSION PREMOLAR EXTRUSION Optimized deep bite attachments on the premolars are designed to provide anchorage for anterior intrusion. Optimized deep bite attachments are activated to deliver extrusive forces to the premolars when needed. Available for upper and lower premolars 6
Precision Bite Ramps Precision bite ramps are designed to disocclude the posterior teeth for improved efficiency in deep bite treatments with Invisalign. THE PROBLEM THE SOLUTION Posterior bite forces can work against deep bite correction. Precision bite ramps disocclude the posterior teeth to remove unwanted posterior bite forces. 7
Precision Bite Ramps Precision bite ramps are prominences on the lingual surface of upper aligners (not filled with composite). Precision bite ramps are automatically customized for each patient and each aligner stage. The depth of bite ramps are up to 3.0mm to accommodate overjet. Bite ramp position is automatically adjusted to maintain anterior contact throughout all stages of movement. Available for upper incisors Note: Conventional bite ramps continue to be available for upper canines 8
How do I get Invisalign G5 features? 9
How do I get G5 features? Via the Rx form Pressure Areas on aligners Or via written request Optimized deep bite attachments on the premolars 10
What to expect with anterior intrusion only When you request: You will get: Pressure Areas on aligners Available on: Upper & Lower Incisors Lower Canines Upper Canines do not require them Optimized deep bite attachments on first premolar for anchorage Note that other attachments on premolars can serve as retention attachments 11 2014 Align Technology, Inc. All rights reserved
What to expect with anterior intrusion + premolar extrusion When you request: You will get: Pressure Areas on aligners Optimized deep bite attachments Activated for premolar extrusion and to serve as anchorage for anterior intrusion 12
What to expect with bite ramps When you request: You will get: Precision bite ramps on aligners Pressure Areas (for upper anterior intrusion) cannot exist in same place 13
What to expect with bite ramps When you request: You will get: Conventional bite ramps on upper canines Pressure Areas on upper incisors will be placed 14
In Conclusion When intruding the lower incisors: When intruding the upper incisors: You will get: Pressure Areas on lower aligners You will get: Pressure Areas on upper aligners You can request Precision bite ramps on upper incisors You can request conventional bite ramps on canines 15