Professional Documents
Culture Documents
2
01 Getting Started with
Invisalign Go System
Step 1. Log in on the Invisalign Doctor 1
Site (IDS)
• Use your username and password to access your
Invisalign personal domain (IDS). You will be directed
to your landing page
• Take some time to visit the different tabs to get an
overview of IDS and all the possibilities and resources
you can find on it
IFU subtab
• Download UPS instructions
1. UPS and the UPS brand mark are trademarks that are used with permission by the owner, United Parcel Service of America, Inc. All rights reserved.
3
02 Invisalign Treatment Supplies
Materials Needed for Submissions: Materials Needed for Treatment:
For Online Photos: For Attachment Placement:
• Digital camera • Composite material for creating attachments2
(10 megapixel with macro-focusing lens
• Bonding agent2
recommended)
• Composite dispenser2
• Cheek Retractors
• Finishing burs to remove any flash
• Articulating Paper
• Unwaxed floss to check interproximal contacts
• Photographic / Palatal Mirrors
• Adobe Flash Player 10 Dental Supplies for Interproximal Reduction (IPR):
• Manual diamond strip2
For Dental Records:
• Polishing strips2
1. For PVS impressions:
• PVS materials for impressions
• Vinyl, nitrile or powder free latex gloves
• Invisalign impression trays
Small, medium, large and x-large trays are
available
2. For virtual impressions:
• Align’s iTero intra-oral scanner and software1
• Cotton rolls and water for cleaning of lens
1. Other scanners such as 3M™ TrueDefinition and CEREC Omnicam are also compatible.
2. Please refer to manufacturer’s instructions for use.
4
03 Patient Photographic Records:
Extra-Oral Pictures
Step by Step Procedure
Extra-Oral Pictures
1 Position the Patient
Standing in front of non distracting background, slightly away from the background to avoid
background shadows.
2 Position Yourself
Standing directly in front of the patient to avoid angulations.
3 Instructions to Patient
• Repose pictures: Instruct the patient to look forward, and keep teeth together, lips relaxed, and chin parallel to
the floor
• Smiling picture: Instruct the patient to smile naturally with teeth together
4 Point and Shoot
• Profile picture: patient’s face centered in the frame
• Frontal pictures: patient’s nose centered in the frame, chin near the lower border
5 Verify Pictures Before Submission
• Verify on the camera‘s LCD display that your photos are acceptable
• The most common reasons for photos being rejected:
• Out of focus
• Teeth omitted from photo
• Not symmetrical/centered
• Distracting background
• Too dark/too light
• Re-shoot any photos that are not clear and well-composed
5
03 Patient Photographic Records:
Intra-Oral Pictures
Step by Step Procedure
Intra-Oral Pictures
1 Position the Patient
On the chair, provide the patient with cheek retractors and show how to use them
2 Instructions to patient
Upper arch, lower arch
• Position large end of palatal mirror to rear of upper/lower second molars while tilting mirror down until it
touches incisors in opposite arch. Correctly placed mirror will reflect lingual surface of incisors
• Frame photograph showing all teeth
Anterior, right buccal, left buccal
• Position the camera in front of the patient (anterior) or perpendicular to the buccal segment in the premolar
area (right/left buccal)
• Occlusal plane parallel to the floor and centered
• Make sure you capture the buccal surface of molars (anterior) or molar and canine relationship (right/left
buccal)
4 Verify pictures before submission
• See step 5 in the - Step by Step Procedure for extra-oral pictures - (previous page)
6
03 Patient Photographic Records
Tips & Tricks – Extra-Oral Photographs
• Patient should stand against a white or lightly colored non-distracting background
• Keep patient slightly away from the background to reduce shadows
• Have patient close in maximum intercuspation
1 2 3
1 2
7
03 Patient Photographic Records:
Mobile Photo Uploader
Materials Needed:
• An iPhone or iPad with iOS8 and higher
• Invisalign Mobile Photo Uploader App
• Cheek Retractors
• Photographic / Palatal Mirrors
• Open the Mobile Photo Uploader app, create a new patient and add
patient info
• Provide the patient with cheek retractors and show how to use them
• Align the photo template grid with the patients teeth to take all intra-
oral photos required: anterior in occlusion, anterior half open, right and
left buccal in occlusion, right and left buccal half open, upper arch, and
lower arch
8
04 Case Assessment:
Invisalign Doctor Site
• Case Assessment tool will easily help you to identify suitable patients for Invisalign Go treatment
• After uploading intra-oral pictures of your patient to our proprietary system, you receive an automated
assessment of the case’s difficulty level directly from us – so you can determine whether to treat the patient with
the Invisalign Go system
• Upload Intral-oral pictures (10 mexapixel or • Identify missing teeth, landmark teeth
higher; JPEG format) in original format. Extra-oral
• Submit case for assessment
pictures are optional at this point
• Review case assessment result on patient’s file • Evaluate case assessment result and
proceed with next steps accordingly:
You will receive 3 recommendations from the
Case Assessment result:
1. Recommend Treatment
2. Review ClinCheck Results
3. Refer to Specialist (see case referral)
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04 Case Assessment:
Mobile Photo Uploader
• The Case Assessment tool is also available through our Mobile Photo Uploader. This application is available for
download on your iPhone or iPad with an IOS of 8.0 or higher
• After uploading all photos required in the template, you will submit photos to our proprietary system, and receive
an automated assessment of the case difficulty level, so you can determine whether to continue with Invisalign Go
treatment, or refer the patient to an Invisalign specialist
Assessment Results
• Your Case Assessment result will be delivered via notification to your
iphone or ipad
• If the result is: Recommend Treatment, the doctor can take action in
IDS and create the treatment plan
• If the result is: Treatment may be possible, you have two options:
To refer the case to an Invisalign specialist, log into your IDS account and choose the referral recipient doctor.
10
05 Case Referral
• Digitally aided referral process allows you to transfer patient photos to a more experienced Invisalign Specialist if
the case is too complex for Invisalign Go treatment and/or Invisalign Go treatment Provider
• Referrals can be done at any time before approving the ClinCheck Treatment Plan. This includes after evaluating
the Case Assessment result or during ClinCheck Treatment Plan review
3 4
• Complete the Patient Referral Form for • Choose or search for a Referral Recipient Doctor
authorization
• You can choose another Referral Recipient
Doctor if preferred
• Send the referral request to the Referral
Recipient Doctor
Step 4. Check Status of Requests
5
Patients Account Store Academy Support
• Check the status of your Patient Referral
requests in the Pending Requests tab
• If the referral request is accepted, the patient’s
photos and information will be transferred to the
selected Referral Recipient Doctor
• If declined, you can send the Patient Referral
request to another Referral Recipient Doctor
11
06 Submission Process
Tips & Tricks
• Retain an original copy of all records, submitted records will not be returned
• For your own records take alginate impressions to create study models, or take an intra-oral scan if desired
• Go to the patient’s file and • Choose Invisalign Go • Fill out questions with specific
select “Start Prescription” treatment option patient treatment plan
Patients Account Store Academy Support
• Check summary of the • Print out shipping page with • Final submitted Prescription
Prescription Form before barcode and include it in Form available at Patient File
submitting it the Invisalign submission Page for reference
box. Optional: Print out the
Prescription Form summary
with barcode and include it in
the Invisalign submission box
12
Procedure – Step 2. Prepare Invisalign Submission Box for Shipment
SUBMISSION PROCESS
1 2
2
Procedure – STEP 3 : Prepare Box for Shipment
1 2 v
Use Invisalign ® submission box Insert records into submission box with
Print Shipping Page (printed prescription
• Always use an Invisalign submissionform
boxistooptional to include)
• Insert records into submission box with printed
submit your Invisalign Go treatments shipping page (printed Prescription Form is
optional to include)
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DOCUMENTS DU PAT ou
1. Empreinte maxillaire IENT
scan intra-oral INCLUS DANS LA BOÎTE ENVOYÉS EN LIGNE
07 Digital Impression – iTero Scan
Tips & tricks
• Use the special Invisalign scanning technique (for reference, the instructional video is available on the Academy
tab in IDS)
• Run Invisalign Outcome Simulator (IOSim) for improved patient/provider communication
Procedure
Step 1. Scan patient and register bite 1
14
Step 4. Connect to IDS and add 4
Invisalign treatment scan for patient
Patients Account Store Academy Support
submission
15
08 PVS Impressions
Tips & Tricks
• Wear vinyl, nitrile, or powder free latex gloves
• Use Invisalign treatment impression trays only
• Use PVS for impressions, not other materials
• Use a timer to monitor setting time
of tray
Note: to get the best results use the impression technique that you are more comfortable with. *Please refer to manufacturer’s instructions for use.
16
Step 4. Insert tray into patient’s mouth 4
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Step 8. Insert tray into patient’s mouth 8
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09 ClinCheck Treatment Plan Review
Tips & Tricks
• Review ClinCheck Treatment Plan in set up
• Evaluate completed position of teeth at last aligner stage
• Compare or Approve, Refer or Make further changes
NEW
Final position
does not meet
treatment goals
Select
Further MODIFY REFER to COMPARE and
APPROVE treatment treatment plan: add experienced adjust IPR and
plan: final position text comments Invisalign provider: Attachment
meets treatment OR and submit for OR treatment plans do options to alter
goals and patient’s modifications. not achieve desired treatment
chief concern Open dialogue with results, select plan results
an Align technician REFER
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09 ClinCheck Tools
Side by Side Comparison
• Review the patient’s initial malocclusion with multiple
treatment plans by selecting COMPARE
• View each stage of the assumed final position by
selecting VIEW
1 2 3 4
• Staging bar indicates the position of the teeth at each aligner interval
• The green box indicates which aligner is active for the patient.
• The shades of grey indicate active, passive or no aligner present for the treatment.
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10 Attachments Placement
Tips & Tricks
• Bonding to porcelain can be difficult and technique sensitive. If you need to bond an attachment to porcelain, use
dental products designed to help condition porcelain so that attachment material may adhere to them
• For optimal dimensional accuracy, wear resistance and bond strength, Align recommends certain composites
and compatible bonding adhesives*
* You can refer to the list of recommended materials accessible via the Academy tab on IDS
Materials Needed
• Attachment template
• Attachment materials or similar dental supplies, including:
• Composite material for creating attachments • Finishing burs to remove any flash
• Bonding agent • Composite dispenser
Procedure
Step 1. Test fit 1
Note: Check the Appointment Plan in the Treatment Requirements PDF to see if IPR is planned for that appointment. You can download the PDF from the Treatment
Overview section in Patient’s file on IDS.
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Step 4. Conform to teeth 4
Fully seat the loaded template onto the teeth and apply
gentle pressure around each attachment to ensure full
adaptation. Do not disturb the template when it is in the
patient’s mouth for attachment placement. This can
cause movement resulting in bonding failure.
Note: Optimized Root Control Attachments are smaller than other attachments, additional care and consideration should be taken when bonding to your patient’s teeth.
In order to minimize flash between the attachments do not attempt to deposit the composite directly from the unidose capsule into the template. This method does not
dispense small amounts well. For better results, try dispensing the composite onto a dental composite spatula instrument, then transfer the composite into the attachment
well of the template and remove excess.
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11 Interproximal Reduction (IPR)
Carefully review the exact amount of IPR programmed for that specific stage.
Procedure 1
Step 2. Gauges 2
Step 3. Polishing 3
Each provider takes full responsibility and is solely liable for the techniques and methodologies used in treatment. Providers are encouraged to utilise the techniques and
materials that are best suited for each patient. Please refer to manufacturer’s instructions for use.
Note: Check the Appointment Plan in the Treatment Requirements PDF to see if IPR is planned for that appointment. You can download the PDF from the Treatment
Overview section in Patient’s file on IDS.
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12 Treatment Monitoring
• You can download the Invisalign
treatment overview pdf from the
recent documents section on the
Patient’s file on IDS
PATIENT NAME: Scenario1, Yoda #6974627 05/30/2018 PATIENT NAME: Scenario1, Yoda #6974627 05/30/2018
This Invisalign Treatment Overview reflects the application of the Invisalign Go clinical protocols as requested in your prescription.
TREATMENT REQUIREMENTS
X.X mm TOTAL IPR
<y before stage 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Buccal Buccal
____ ____ ____ ____
____
____
____
____
____
____
____
____
ATTACHMENT
MISSING TOOTH/
UPPER
____ ____ ____ ____ PONTIC
0.3mm 0.2mm 0.2mm 0.2mm ANCILLARY Lingual Lingual
<1 <4 <1 <4
MULTI-TOOTH UNIT
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
____ ____ ____
____ ____ ____ ____
____ ____ ____ ____
____ ____ ____ ____
0.3mm ____ 0.2mm 0.2mm
<1 0.3mm <4 <4
<4
RIGHT
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
LEFT
32 31 30 29 28 27 26 25 24 23 22 21 20 19 18 17 Lingual 32 31 30 29 28 27 26 25 24 23 22 21 20 19 18 17 Lingual
LOWER
0.2mm 0.2mm Buccal Buccal
<4 <7
32 31 30 29 28 27 26 25 24 23 22 21 20 19 18 17
____ ____
____ ____
____ ____
____ ____
0.2mm stages
<4
____
7-13
____
BUTTON CUTOUT POWER RIDGE Learn More
____ ERUPTION COMPENSATION
Primary tooth should be extracted about this aligner objects
____ ELASTIC HOOKS PRESSURE POINT
Align Technology, Inc. 2820 Orchard Pkwy, San Jose, CA 95134 6020 Rev H Align Technology, Inc. 2820 Orchard Pkwy, San Jose, CA 95134 6020 Rev H
The treatment overview shows you if attachments The second page of the treatment overview points
and/or interproximal reduction is necessary. out any special aligner features that the software
programmed to aid in tooth movement.
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Checklist
• The basic actions you have to take during monitoring appointments:
• Check for fit of current aligners
• Check to ensure all attachments are intact. Replace attachments if needed
• Check all contacts with unwaxed dental floss to determine if there are tight contacts
• Proceed with IPR or placing/removing attachments if programmed
• Deliver next sets of aligners
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13 Treatment Finishing
Overcorrection
• In traditional orthodontics, overcorrection is tooth movement beyond the ideal final position to compensate for
potential dental relapse
• In terms of Invisalign treatment, overcorrection is tooth movement beyond the ideal final position that is built into
the aligner to compensate for the lag in tooth movement and to guide the tooth to its desired final position
• Overcorrection can be added to any Invisalign Go treatment by adding text comments requesting modification
from a technician. This should be requested before approving the ClinCheck treatment plan
Procedure
• The basic actions you have to take during overcorrection appointments:
• Check for fit of current aligners before delivering overcorrection
• Check interproximal contacts
• If contacts are tight and treatment goals are met, then treatment is complete.
Do not deliver overcorrection aligners and instead proceed to retention
• If contacts are tight and there are other treatment goals to be met, order Additional
Aligners to continue treatment
• Deliver overcorrection aligners and test fit
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Retention
• Retention is the phase of orthodontic treatment which maintains the teeth in their orthodontically corrected
positions following the cessation of active orthodontic tooth movement
• This approach is supported by histological studies which have shown that the supracrestal periodontal fibers
remain stretched and displaced for more than 7 months after the cessation of orthodontic tooth movement,
suggesting that the retention period should generally be at least 7 months
• The paradigm today is that retention is for life
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Vivera Retainers
Definition
• Vivera retainers are the Invisalign option for removable
clear retention
• They can be ordered for any patient regardless of if
they have gone through Invisalign treatment or not
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Step 4. Retainer customization 4
Vivera retainer with pontics. Vivera retainer covering a Vivera retainer with Precision
lingual wire. Bite Ramps.
also be prescribed
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Notes
Notes
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Notes
Notes
22
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