What Today is About Clincheck Setup for the Occlusion Minded Dentist Guidelines for setting up a case Look at actual ClinCheck setups The statements, views and opinions expressed in this program and related course materials are those of the speaker. Align Technology, Inc. may not endorse such statements, views or opinions. Attendees are responsible for legal and regulatory compliance of any marketing and referral programs. A good ClinCheck treatment plan begins with the end in mind. Specify which tooth numbering system you want to use when prescribing Invisalign 1
Specify how you want staged when one arch has more treatment stages Align defaults are applicable as follows: Full Simultaneous Start Teen Simultaneous Start Express Simultaneous Finish Assist Not applicable (Simultaneous Start only) Allows you to prescribe IPR on your initial ClinCheck treatment plans by selecting Yes. Select No and no IPR will be set up in your initial ClinCheck treatment plan. Universal request for passive aligners for instances in which one arch has more stages Express Feature not available Assist Feature not available Allows you to delay the stage that attachments and IPR can begin (up to stage 4). You may request for instances in which one arch has more stages Passive aligners provide temporary retention while the opposing arch finishes treatment Passive Aligners Allows you to specify how you would like space for pontics applied to your treatments The Align default is to place full size pontic space on anterior spaces greater than 4mm and on posterior spaces greater than 6mm. Also, by default, if adjacent teeth are being moved (i.e., extraction cases) then half size pontics are placed Only available for Invisalign Full & Invisalign Teen orders 2
Pontics in Your ClinCheck Treatment Plan Where edentulous spaces are present or created, you may want to consider using the Invisalign Pontic System. Allows you to quantify the amount of expansion that should be applied per your Arch Expansion requests Doctor s Prescription: Reposition teeth back to their ideal positions to make space for fixed prosthesis or implants Posterior Pontic Space Doctor Preferences Expansion? Allows you to prescribe expansion of the dental arches, with options that vary according to which teeth are expanded Allows you to indicate how you want to address differences in the sizes of the upper and lower teeth 3
Real C-Chain or Power Chain Allows you to prescribe how the upper incisors should be leveled. Virtual C-Chain Allows you to specify how you want your patients aligners trimmed at the gingival margins when they present with gingival recession and/or large undercuts. Virtual C-Chain Virtual c-chain is an overcorrection technique with aligners which simulates the effect of using elastic c-chains in bracket and wire cases. At the ideal stage, the interproximal contacts have adequate contact at stage 10. Tighter Interproximal contacts To ensure that the contacts are tight clinically, the doctor has requested a virtual c-chain to cinch up the interproximal contacts. The treatment would now end at stage 13, due to the 3 overcorrection aligners. 4
Virtual C-Chain My Special Instructions WHAT TO CONSIDER: Use virtual c-chain aligners one at a time, on an as-needed basis WHY IT S IMPORTANT: If contacts are tight and virtual c-chain aligners continue to be dispensed, there is a high probability of inadvertent intrusion due to contacts becoming too tight. ClinCheck Golden Proportion Allows you to specify your attachments using a drag-anddrop communication tool. Golden Proportion Allows you to determine the stage you want to begin precision cuts. 5
Golden Proportion Buccal Corridor The more the buccal corridor is filled with teeth, the more youthful the smile. Stepwising Golden Proportion Lipline CC 6
Evaluate Rest Position Rule: 1-3 mm of tooth showing is esthetically pleasing Vig and Brundo Study: Age 30 3mm maxillary and.5mm mandibular incisor showing Age 70 0mm maxillary and 3mm mandibular incisor showing Correct Incisal Edge Position Incisal Edge Position 7
F and V Sounds Papilla intersects with the apical aspect of the contact point near the center of the tooth. Contact point needs to be 4.5-5mm above the crestal bone. Nasolabial Angle Men 90-95 degrees Women 95-105 degrees Nasolabial line angle CC 8
Nasolabial line angle Curve of Spee Nasolabial line angle Curve of Wilson Nasolabial line angle Steps to a Stable, Minimal Stress Occlusion Centric stop on all teeth No posterior contact in excursive movements Anterior guidance in harmony with the envelope of function Condyles work from centric relation 9
Centric stop on all teeth Bite Fx Canine Guidance Canine Guidance No interference in excursive movements Bite Fx Anterior guidance Anterior Guidance Cuspid Rise Bite Fx Ideal Tooth Contacts Ideal Tooth Contacts 10
Bite Fx Destructive Tooth Contacts ClinCheck #2 Destructive Tooth Contacts Pretreatment Photo ClinCheck #3 ClinCheck #1 Pretreatment Photos 11
ClinCheck #1 Mid Treatment ClinCheck #2 Mid Treatment ClinCheck #3 Pretreatment Photos 12
ClinCheck #1 ClinCheck #4 ClinCheck #2 Pretreatment Photos ClinCheck #3 ClinCheck #1 13
ClinCheck #2 To obtain your CE certificate for this program please complete a brief survey at: http://learn.invisalign.com/asksurvey 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. 14