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