clincheck setup for the occlusion minded dentist€¦ · clincheck setup for the occlusion minded...

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4/28/2014 1 Clincheck Setup for the Occlusion Minded Dentist Clincheck Setup for the Occlusion Minded Dentist 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. A good ClinCheck treatment plan begins with the end in mind. What Today is About What Today is About Clinical Preferences Clinical Preferences Guidelines for setting up a case Guidelines for setting up a case Look at actual ClinCheck setups Look at actual ClinCheck setups Clinical Preferences Clinical Preferences Clinical Preferences Clinical Preferences Specify which tooth numbering system you want to use when prescribing Invisalign

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Page 1: Clincheck Setup for the Occlusion Minded Dentist€¦ · Clincheck Setup for the Occlusion Minded Dentist ... Specify which tooth numbering system you want to use when prescribing

4/28/2014

1

Clincheck Setup for the

Occlusion Minded Dentist

Clincheck Setup for the

Occlusion Minded Dentist

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 ClinChecktreatment plan begins with the end in mind.

• A good ClinChecktreatment plan begins with the end in mind.

What Today is AboutWhat Today is About

Clinical PreferencesClinical Preferences

Guidelines for setting up a caseGuidelines for setting up a case

Look at actual ClinCheck setupsLook at actual ClinCheck setups

Clinical PreferencesClinical Preferences

Clinical PreferencesClinical PreferencesSpecify which tooth numbering system you want to use when prescribing Invisalign

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Clinical PreferencesClinical Preferences

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)

Universal request for passive aligners for instances in which one arch has more stages

Express Feature not available Assist Feature not available

Clinical PreferencesClinical Preferences

Passive aligners provide temporary retention while the opposing arch finishes treatment

You may request for instances in which one arch has more stages

Only available for Invisalign Full & Invisalign Teen orders

Passive AlignersPassive Aligners

Clinical PreferencesClinical Preferences

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.

Clinical PreferencesClinical Preferences

Allows you to delay the stage that attachments and IPR can begin (up to stage 4).

Clinical PreferencesClinical PreferencesAllows 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

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Pontics in Your ClinCheck Treatment PlanPontics in Your ClinCheck Treatment Plan

Doctor’s Prescription: Reposition teeth back to their ideal positions to make space for fixed prosthesis or implants

Where edentulous spaces are present or created, you may want to consider using the Invisalign Pontic System.

Posterior Pontic SpacePosterior Pontic Space

Clinical PreferencesClinical Preferences

Allows you to prescribe expansion of the dental arches, with options that vary according to which teeth are expanded

Allows you to quantify the amount of expansion that should be applied per your Arch Expansion requests

Clinical PreferencesClinical Preferences

Doctor PreferencesDoctor Preferences

Expansion?

Allows you to indicate how you want to address differences in the sizes of the upper and lower teeth

Clinical PreferencesClinical Preferences

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Allows you to prescribe how the upper incisors should be leveled.

Clinical PreferencesClinical Preferences

Clinical PreferencesClinical Preferences

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.

Clinical PreferencesClinical Preferences

Virtual c-chain is an overcorrection technique with aligners which simulates the effect of using elastic c-chains in bracket and wire cases.

Real C-Chain or Power ChainReal C-Chain or Power Chain

Virtual C-ChainVirtual C-Chain

At the “ideal” stage, the interproximal contacts have adequate contact at stage 10.

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.

Tighter Interproximal contacts

Virtual C-ChainVirtual C-Chain

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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.

Virtual C-ChainVirtual C-Chain

ClinCheck

Allows you to specify your attachments using a drag-and-drop communication tool.

Clinical PreferencesClinical Preferences

Clinical PreferencesClinical Preferences

•Allows you to determine the stage you want to begin precision cuts.

My Special InstructionsMy Special Instructions

Golden ProportionGolden Proportion

Golden ProportionGolden Proportion

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Golden ProportionGolden Proportion

StepwisingStepwising

Golden ProportionGolden Proportion

CC

Buccal CorridorBuccal Corridor

The more the buccal corridor is filled with teeth, the more youthful the smile.

LiplineLipline

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Evaluate Rest PositionEvaluate 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 PositionCorrect Incisal Edge Position

Incisal Edge PositionIncisal Edge Position

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“F” and “V” Sounds“F” and “V” Sounds

CC

• 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 crestalbone.

• 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 crestalbone.

Nasolabial AngleNasolabial Angle

• Men 90-95 degrees

• Women 95-105 degrees

• Men 90-95 degrees

• Women 95-105 degrees

Nasolabial line angleNasolabial line angle

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Nasolabial line angleNasolabial line angle

Nasolabial line angleNasolabial line angle

Nasolabial line angleNasolabial line angle

Curve of SpeeCurve of Spee

Curve of WilsonCurve of Wilson

Steps to a Stable, Minimal Stress Occlusion

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

• 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

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Centric stop on all teethCentric stop on all teeth

No interference in excursive movements

No interference in excursive movements

Cuspid RiseCuspid Rise

Canine Guidance

Bite Fx Canine Guidance Bite Fx Canine Guidance

Bite Fx Anterior guidanceBite Fx Anterior guidance

Anterior Guidance

Bite Fx Ideal Tooth ContactsBite Fx Ideal Tooth Contacts

Ideal Tooth Contacts

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Bite Fx Destructive Tooth Contacts

Bite Fx Destructive Tooth Contacts

Destructive Tooth Contacts

Pretreatment PhotoPretreatment Photo

ClinCheck #1ClinCheck #1

ClinCheck #2ClinCheck #2

ClinCheck #3ClinCheck #3

Pretreatment PhotosPretreatment Photos

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ClinCheck #1ClinCheck #1

ClinCheck #2ClinCheck #2

ClinCheck #3ClinCheck #3

Mid TreatmentMid Treatment

Mid TreatmentMid Treatment

Pretreatment PhotosPretreatment Photos

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ClinCheck #1ClinCheck #1

ClinCheck #2ClinCheck #2

ClinCheck #3ClinCheck #3

ClinCheck #4ClinCheck #4

Pretreatment PhotosPretreatment Photos

ClinCheck #1ClinCheck #1

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ClinCheck #2ClinCheck #2

To obtain your CE certificate for this program please complete a brief survey at:

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.

http://learn.invisalign.com/asksurvey