ATTACHMENTS, SMART FORCES

AND PROTOCOLS.
SMARTFORCE FEATURES - OVERVIEW

FEATURE MOVEMENT AVAILABLE ON VISUAL

Buccal Power Ridge Lingual root torque Upper and lower incisors May

November

Buccal Power Ridge + Lingual root torque and

Upper incisors
Lingual Power Ridge retraction

Optimized Rotation Upper and lower canines and

Rotation
Attachment premolars

Optimized Extrusion Upper and lower incisors and

Extrusion
Attachment canines

Multi tooth anterior

Extrusion Upper incisors
extrusion

• Upper central and

Optimized Root Control lateral incisors
Tipping
Attachment • Upper and lower canines
and premolars

Optimized Multi-plane Extrusion ± crown tipping ±

Upper lateral incisors
Movement features rotation

During anterior intrusion,

Deep Bite Attachments are
Deep Bite Attachments used for anchorage/retention Upper and lower premolars
or activated for premolar
extrusion

Pressure Areas Anterior intrusion Incisors and lower canines

Precision Bite Ramps

(are not SmartForce® features
per se, but can be prescribed
Disocclude the posterior teeth Upper incisors
by the Provider, and are placed
depending on compatibility
with other features).

Optimized
Retraction Canine retraction Upper and lower canines
Attachment
Multi-Tooth
Unit
Optimized Note: variation in type of
Upper and lower second
Anchorage Posterior anchorage attachment, or variation of
premolars and molars attachment placement can
Attachment occur for short crowns.

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SMARTFORCE FEATURES - DEFAULT PROTOCOLS1

FEATURE MOVEMENT AVAILABLE ON MAXIMUM VELOCITY

Buccal Power Ridge Lingual root torque 3° of torque 1o/stage

Buccal Power Ridge + Lingual root torque and 3° of torque,

1o/stage
Lingual Power Ridge retraction and retraction

Optimized Rotation
Rotation 5°of rotation 2o/stage
Attachment

Optimized Extrusion
Extrusion 0.5 mm of extrusion 0.25 mm/stage
Attachment

Multi tooth anterior 0.5 mm of extrusion

Extrusion for upper incisors 0.25 mm/stage
extrusion of the 4 incisors

• 0.75 mm for central and

lateral incisors
Optimized Root Control
Tipping • 0.75 mm translations from 0.25 mm/stage
Attachment
the center of resistance for
canines and premolars

Absolute extrusion 0.1 mm

Optimized Multi-plane Extrusion ± crown tipping ±
AND crown tipping and/or –
Movement features rotation
rotation

During anterior intrusion,

Deep Bite Attachments
Deep Bite Attachments are
When anterior intrusion is
used for anchorage/retention –
planned
or activated for premolar
extrusion

Pressure Areas 2 Anterior intrusion 0.5 mm intrusion 0.25 mm/stage

Precision Bite Ramps

(are not SmartForce® features
per se, but can be prescribed
Disocclude the posterior teeth – –
by the Provider, and are placed
depending on compatibility
with other features).

Optimized
Retraction Canine retraction
Attachment First premolar extraction
planned for maximum
Multi-Tooth
anchorage or up to 2 mm 0.25 mm/stage
Unit
of mesial crown posterior
Optimized movement
Anchorage Posterior anchorage
Attachment

1. The default protocols described in this document are used to create the initial ClinCheck ®

2. Do not apply forces, but re-direct forces applied by aligner to improve intrusion predictability.
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 CONVENTIONAL ATTACHMENTS
The table below shows conventional attachments that can be prescribed in addition or in lieu to any
other attachment or SmartForce® feature placed by default (depending on compatibility).

ELLIPSOID RECTANGULAR RECTANGULAR BEVELED

0.5 mm

3 mm,
3 mm 4 mm,
5 mm 2 mm
3, 4, 5 mm

2 mm 1 mm 2 mm 1 mm 1.25 mm

Default sizes for conventional attachments:

• Ellipsoid horizontal, ellipsoid vertical: 3 mm height, 2 mm width, 1 mm prominence.

• Rectangular horizontal, rectangular vertical: 3, 4, or 5 mm height, 2 mm width, 1 mm prominence.

• Rectangular beveled horizontal incisal, rectangular beveled horizontal gingival, rectangular beveled
vertical distal, rectangular beveled vertical mesial: 3, 4, or 5 mm height, 2 mm width, 0.5-1.25 mm
prominence.

Conventional attachments can be placed directly on the 3-D model by dragging/dropping to the
desired tooth, and removed (as for the Optimized Attachments) by dragging them to the trashcan.
With ClinCheck® Pro, their placement can be adjusted and they can be rotated for higher control on
the position. Conventional rectangular attachments can also be adjusted for prominence and degree
of beveling.

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CONVENTIONAL ATTACHMENTS - DEFAULT PROTOCOLS1
For certain Invisalign treatments conventional attachments will be placed by default. Some of
these default protocols combine conventional attachments with SmartForce® features (Optimized
Attachments). The table below shows the Invisalign default protocols in which conventional attachments
in the prescription form for a

MOVEMENT DEFAULT PROTOCOL1 EXAMPLE

Space closure Vertical rectangular 1 mm thick

conventional attachment on the two teeth
lower incisor extraction adjacent to the extraction space

Space closure
• First premolar extraction not planned Optimized or conventional attachments
for maximum anchorage (or more (depending on the movement) on the canine
than 2 mm mesial crown posterior and premolar, and 1 mm thick conventional
movement) attachment on the molar
• Second premolar extraction

Aligner retention 2 ATTACHMENTS NOT OFFERED BY DEFAULT

premolars

For more details on SmartForce features, please visit learn.invisalign.com/treatmentOptions/innovations

1. The default protocols described in this document are used to create the initial ClinCheck ®

2. Note about aligner retentiveness: Providers may request attachments when aligner retentiveness is a concern.