clincheck plan review....treatment plan. the colour categories for assessing the difficulty of a...

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Invisalign® Quick Start Guide. ClinCheck plan review.

Dedicated to help you treat with confidence.

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Images and content are subject to change.

Check the initial bite.

Check the Comments Tab.

Check the animation and the Staging Tab.

Check the final position.

Check the Treatment Tab.

(especially the Tooth Movement assessment - see section 8)

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Tips & Tricks.

• ClinCheck® software is required to review all treatments.

• Install ClinCheck software from the Invisalign Doctors Site.

• ClinCheck software should be installed on all computers you plan to use/access for patient records, treatment planning and patient consultation purposes.

Procedure.

Download the latest version ofClinCheck Software.

• Go to vip.invisalign.com

• Go to support tab to the technical support subtab.

• Download the latest version of the ClinCheck software.

Treatment plans review.

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Purpose.

The Invisalign Tooth Movement Assessment provides guidance in identifying more significant movements present in the ClinCheck treatment plan, and skills that may be needed for the treatment.

Column identifies teeth highlighted in the summary view.

Column identifies the colour for each tooth.

Column identifies five types of movements that are above a set threshold (rotation, extrusion, intrusion, root movement or A-P correction).

Column identifies the amount of movement programmed in the ClinCheck treatment plan.

Column identifies the range that informs the colour category.

Row shows example of tooth with compound movements.

Row shows example of an assessment with A-P Correction.

Tooth movement assessment.

Align Technology, Inc. 2560 Orchard Pkwy, San Jose, CA 95131 www.invisalign.comAlign Technology, Inc. 2560 Orchard Pkwy, San Jose, CA 95131 www.invisalign.com

O T H MO V E ME N T A S S E S S ME N T

T ooth A ssessm ent Movem ent V alue R ange

4 Blue Extrusion 0.9 mm 0.5 mm-1.0 mm

5 Black I 1.2 mm > 1.0 mm

7 l Rotation

7 Blue Extrusion 2.

Blue 3.3 mm

T ooth A

TOOTH MOVEMENT ASSESSMENT OVERVIEW

A

SUMMARY VIEW highlights teeth with movement above a set threshold

DETAILS VIEW Details of the teeth highlighted and coloured above

A

F

F

G

G

B

B

C

C

D

D

E

E

Tooth Assessment Movement Value Range

1.4 (UR5) Blue Extrusion 0.9 mm 0.5 mm - 1.0 mm

1.5 (UR4) Black Extrusion 1.2 mm >1.0 mm

1.2 (UR2) Blue Rotation 31° 30° - 40°

1.2 (UR2) Blue Extrusion 2.7 mm 2.5 - 3.5 mm

Upper Right Quadrant Blue A-P Correction 3.3 mm 2.0 mm - 4.0 mm

Column identifies teeth highlighted in the SUMMARY VIEW

Column identifies the colour for each tooth

Column identifies five types of movements that are above a set threshold (rotation, extrusion, intrusion, root movement or A-P correction)

Column identifies the amount of movement programmed in the ClinCheck treatment plan

Column identifies the range that informs the colour category

Row shows example of tooth with compound movements

Row shows example of an assessment with A-P Correction

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Tooth movement COLOUR

PURPOSEThe Invisalign® Tooth Movement Assessment provides guidance in identifying more significant movements present in the ClinCheck® treatment plan, and skills that may be needed for the treatment.

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Summary view.

Highlights teeth with movement above a set threshold.

Details view.

Details of the teeth highlighted and coloured above.

Tooth movement colour.

A

D

B

E

C

F

G

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Tooth movement colour.

Blue – Moderate movements

The movements programmed have shown good results with the use of aligners and at times, benefit from additional techniques like the ones noted to the right; closer monitoring is recommended.

Treatment management.

Additional Refinements and/or Mid-Course Correction may be needed.

Black – Advanced movements

The movements programmed have shown good results with the use of aligners, but often require additional orthodontic techniques as they are more challenging to achieve with the use of aligners alone; very close monitoring is recommended.

Treatment Management.

Additional Refinements and/or Mid-Course Correction may be needed.

Blue and Black – Additional options

• Change ClinCheck treatment plan to remove the specific movements and/or change treatment goal. May result in a compromised ClinCheck treatment plan.

• Post-Invisalign restorative solutions may be considered as part of the treatment plan.

Notes:

If a doctor requests to remove or change a default attachment that has been automatically placed according to the Invisalign Clinical Protocols, the tooth/teeth will be identified as blue or black and may require additional clinical skills and close monitoring.

The Tooth Movement Assessment displays movements of extrusion, intrusion, rotation, root movement and A-P correction, which are programmed in the ClinCheck treatment plan.

The colour categories for assessing the difficulty of a treatment are provided for the doctor’s reference only, based on the ClinCheck treatment plan. Each patient’s situation is different.

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 of treatment.

Skills/techniques that may be required.


SKILLS/TECHNIQUES THAT MAY BE REQUIRED

The colour categories for assessing the difficulty of a treatment are provided for the doctor’s reference only, based on the ClinCheck treatment plan. Each patient’s situation is different.

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 of treatment.

TOOTH MOVEMENT COLOUR

BLUE – Moderate movementsThe movements programmed have shown good results with the use of aligners and at times, benefit from additional techniques like the ones noted to the right; closer monitoring is recommended.

Treatment ManagementAdditional Refinements and/or Mid-Course Correction may be needed.

BLACK – Advanced movementsThe movements programmed have shown good results with the use of aligners, but often require additional orthodontic techniques as they are more challenging to achieve with the use of aligners alone; very close monitoring is recommended.

Treatment ManagementAdditional Refinements and/or Mid-Course Correction may be needed.

BLUE AND BLACK – Additional options• Change ClinCheck treatment plan to remove the

specific movements and/or change treatment goal. May result in a compromised ClinCheck treatment plan.

• Post-Invisalign restorative solutions may be considered as part of the treatment plan.

NOTES

If a doctor requests to remove or change a default attachment that has been automatically placed according to the Invisalign Clinical Protocols, the tooth/teeth will be identified as blue or black and may require additional clinical skills and close monitoring.

The Tooth Movement Assessment displays movements of extrusion, intrusion, rotation, root movement and A-P correction, which are programmed in the ClinCheck treatment plan.

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

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Ranges applied to tooth movement categories.*

* These ranges are applied as a guideline to assess the extent of movement present in the ClinCheck treatment plan.


Extrusion.

50°60°+

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Upper Central Incisors

Upper Lateral Incisors

Lower IncisorsUpper & Lower CaninesUpper & Lower Premolars

Upper & Lower Molars

50°60°+

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RANGES APPLIED TO TOOTH MOVEMENT CATEGORIES*

Rotation

Extrusion

Intrusion

Root Movement Measured by displacement of root apex

A-P Correction Per quadrant

Upper Central IncisorsUpper Lateral Incisors

Lower IncisorsUpper & Lower Canines

Upper & Lower PremolarsUpper & Lower Molars

Quadrant

0mm 1 2 3 4 5 6+

0mm 1 2 3 4 5 6+

0mm 1 2 3 4 5 6+

Quadrant



Upper & Lower PremolarsUpper & Lower Molars 0mm 1 2 3 4 5 6+








Quadrant

0mm 1 2 3 4 5 6+

0mm 1 2 3 4 5 6+

0mm 1 2 3 4 5 6+







Upper Central IncisorsLower Incisors Upper Lateral IncisorsUpper & Lower Canines

Upper & Lower Premolars Upper & Lower Molars

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Root Movement.Measured by displacement of root apex.

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Rotation

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0mm 1 2 3 4 5 6+

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Quadrant

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0mm 1 2 3 4 5 6+









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A-P Correction. Per quadrant.

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Rotation

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0mm 1 2 3 4 5 6+

0mm 1 2 3 4 5 6+

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Quadrant











Quadrant

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0mm 1 2 3 4 5 6+

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Quadrant

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Rotation.

Intrusion.

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Rotation

Extrusion

Intrusion






Quadrant

0mm 1 2 3 4 5 6+

0mm 1 2 3 4 5 6+

0mm 1 2 3 4 5 6+

Quadrant











Quadrant

0mm 1 2 3 4 5 6+

0mm 1 2 3 4 5 6+

0mm 1 2 3 4 5 6+









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4. Avoid general terms such as:

• Improve.

• Fix.

• Close the space.

Ex: “Close the space” could mean interocclusal or interproximal space, or even black triangle.

You would need to say “Close the interproximal space between upper right lateral and upper right canine”.

Is that enough…No! There is a goal, but no specification on the way to achieve it.

You would need to say “Close the interproximal space between upper right lateral and upper canine by mesialization of the canine”.

5. Itemize your instructions.

• This will facilitate the technician work, and also your future review.

2. Give a goal.

• In which view?

• Which arch?

• Which tooth / teeth?

By double clicking on a tooth in the 3D model, its number will automatically be displayed in the changes tab.

• Which reference point?

Ex: Align the buccal surface of upper right central with the buccal surface of upper left central.

3. Specify how you want to achieve your goal.

• Which movement?

• Amount of movement?

• Direction of movement.

Ex: Apply 5 degrees distal-in rotation on upper right first molar.

Use the Changes Tab to type any other changes, and be precise in your request:

1. Use the drag and drop interfaces for attachments and Precision Cuts.

5 key points for efficient ClinCheck Changes.

Submit the changes.Another ClinCheck treatment plan will be accessible on your IDS within 48-72h.

7B10023-09 Rev A

© 2014 Align Technology (BV). All Rights Reserved.Invisalign®, ClinCheck® and SmartTrack®, among others, are trademarks and/or service marks of Align Technology, Inc. or one of its subsidiaries or affiliated companies and may be registered in the U.S. and/or other countries.

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