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Invisalign Go treatment

Quick Start Guide


From initial assessment to final outcome:
The simplified way to confident smiles
Index
Section 1 Getting Started with the Invisalign Go System 03

Section 2 Invisalign Treatment Supplies 04

Section 3 Patient Photographic Records 05

Section 4 Case Assessment 09

Section 5 Case Referral 11

Section 6 Submission Process 12

Section 7 Digital Impression – iTero Scan 14

Section 8 PVS Impressions 16

Section 9 ClinCheck Treatment Plan Review 19

Section 10 Attachments Placement 21

Section 11 Interproximal Reduction (IPR) 23

Section 12 Treatment Monitoring 24

Section 13 Treatment Finishing 26

Images and content are subject to change.

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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

Step 2. Discover All Your Online 2


Patients Account Store Academy Support

Invisalign Educational Resources


• Visit the Academy tab: with educational assets to
support you throughout your Invisalign journey from
treatment submission to retention

Step 3. Check Out UPS Instructions1 3

• Go to the Support tab; then to the Policies, Forms and


Patients Account Store Academy Support

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.

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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

Procedure – Log in to Invisalign Doctor Site

Enter username and password.

1. Other scanners such as 3M™ TrueDefinition and CEREC Omnicam are also compatible.
2. Please refer to manufacturer’s instructions for use.

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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

Tips & Tricks


• Avoid background shadows by keeping the patient slightly away from the backdrop
• Use a consistent, non-distracting backdrop
• Use the camera‘s auto flash, not surgery lights
• Keep the camera horizontal, do not turn the camera vertically
• Stand directly in front of the patient, avoid angulation

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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

• Open wide and tilt chin downward


• Use cheek retractors to pull upper/lower lip upward/downward, laterally and slightly forward Anterior,
right buccal, left buccal
• Pull the cheek retractors laterally both sides (anterior), or laterally on one side (right/left) and relax the
other side
• Keep teeth together and tongue back
3 Point and Shoot
Upper arch, lower arch pictures

• 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)

Tips & Tricks


• Use the camera’s auto flash, not surgery lights
• Keep the camera horizontal, do not turn the camera vertically
• Eliminate any saliva, lipstick, plaque, blood, etc., that obscures the teeth
• For occlusal pictures, submerge mirror in warm water to prevent fogging

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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

Right profile Frontal repose Frontal smiling

Tips & Tricks – Intra-Oral Photographs


• Eliminate all distractions in the field of view: saliva, • Using retractors, pull lip out of intra-oral photo view
lipstick, blood, etc.
• Include only teeth and surrounding gingival margins in • Mirrors can be placed in warm water to prevent
photo (position camera, zoom) fogging during use

1 2

Anterior, Frontal. Buccal, Right and Left


• Maximize cheek retraction as • Maximize exposure of the molar region by pulling retractor towards
patient bites down completely the ear
• Centre midline; buccal surfaces • Capture molar/canine relationship; position camera perpendicular to
of molars should be showing buccal segment

3 Occlusal, Upper and Lower.


• Recline chair and patient’s head as far as possible; tilt patient’s
chin up (with mouth open)
• Mark occlusal contacts with articulating paper
• Position occlusal mirrors at rear of terminal molar and opposite
arch incisors
• Center midline; take photo of image in mirror at 60° angle to
mirror surface

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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

Step 1. Create a Patient 1

• Open the Mobile Photo Uploader app, create a new patient and add
patient info

Step 2. Take Initial Extra-Oral Photos 2

• For extra-oral photos, position the patient in front of a non distracting


background, with some distance to prevent background shadows
• Stand directly in front of the patient and align with the photo guide on
the template

Step 3. Take Initial Intra-Oral Photos 3

• 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

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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

Step 1. Create Patient’s Profile


1 2 Patients Account Store Academy Support

Patients Account Store Academy Support

• Select “Add new patient” • Enter patient’s data

Step 2. Submit Case


3 Patients Account Store Academy Support
4

• 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

Step 3. Evaluate Case Assessment Result


Patients Account Store Academy Support
5 6
Patients Account Store Academy Support

• 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

Step by Step Procedure:


Step 1. Send Photos to Invisalign Doctor Site 1

and Request a Case Assessment

Step 2. Select the Patient’s Chief Concern 2

Step 3. Receive Notification of Case 3

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:

1. Proceed with treatment based on full or partial treatment result


2. Refer to a specialist

To refer the case to an Invisalign specialist, log into your IDS account and choose the referral recipient doctor.

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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

Preselect Invisalign Specialists Step 1. Click on Refer


Patients Account Store Academy Support

1 2 Patients Account Store Academy Support

• Go to your Dr. Profile page on IDS and preselect


Invisalign Specialists as Referral Recipient
Doctors
• Make changes at any time by visiting your
Dr. Profile page

Step 2. Complete Referral Form Step 3. Send Referral to Specialist


Patients Account Store Academy Support Patients Account Store Academy Support

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

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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

Invisalign submission box checklist


The following records are required for Invisalign treatment submission:

• Upper and lower PVS impressions or intra-oral scan


• Online Prescription Form
• Online photos (extra-oral are optional)

Procedure – Step 1. Prescription Form


1 2 3 Patients Account Store Academy Support

• 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

4 Patients Account Store Academy Support 5 6

• Upload intra-oral scan or • Upload patient photos • Upload radiographs


indicate that you will send (optional step)
PVS impressions

7 8 9 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

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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

• Capture 2 mm of gingival tissue


• Capture wall of the terminal teeth
• Scan the complete incisal/occlusal surfaces of both
mandible and maxilla
• Accurate bite with the patient in centric occlusion

Step 2. Process model in viewing 2

mode, fill holes if needed

Step 3. Send Invisalign scan 3

14
Step 4. Connect to IDS and add 4
Invisalign treatment scan for patient
Patients Account Store Academy Support

submission

Step 5. The IOSim helps gain patient 5

acceptance by making it easier to


show what their Invisalign treatment
outcome might look like

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

Procedure - One-Step Modified Technique

Step 1. Mix putty 1

Step 2. Place putty bites in posterior 2

of tray

Step 3. Adapt putty to tray walls 3

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

Step 5. Pull the tray out 5

Step 6. Create a distal ledge 6

Step 7. Release the PVS light/ 7

medium body wash into the tray


• Keep the tip submerged when filling the tray to avoid
air bubbles
• Overflow both ends of the tray to capture distal of 2nd
molars

17
Step 8. Insert tray into patient’s mouth 8

Step 9. Pull the tray out 9

• When inspecting the impressions check for defects


such as air bubbles, double impression, missing
anatomy, push through, or blended tooth and gingiva.
Retake any impressions that contain these defects.

18
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

ClinCheck Treatment Plan Review and Approval Procedure

REVIEW initial position and


suggested Invisalign Go
treatment plan

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

19
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

ClinCheck Tool Bar

1 2 3 4

Section 1: Section 2: Section 3: Section 4:


Zoom, Rotate & Pan Select all or partial Superimposition tool, Switch on and off
views of the ClinCheck and view occlusal view tooth numbering,
treatment plan mode of the model attachments, IPR
indictors and pontics

ClinCheck Staging Bar

• 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.

20
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

Rinse the attachment template in cold water and test fit


in the mouth

Step 2. Isolate teeth for bonding 2

Isolate the teeth and prepare each tooth that


will receive an attachment according to the
material instructions. Be sure teeth are free of
contamination and completely dry before bonding the
attachment

Step 3. Match tooth shade 3

Thoroughly dry template and load a small amount


of attachment composite into each attachment well
of the template until it is slightly overfilled. Ensure the
composite material is evenly distributed in the template
well, and leveled or slightly above the top of the well

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.

20
21
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.

Step 5. Cure attachment 5

Cure each attachment according to composite


manufacturer’s instructions.

Step 6. Remove template and flash 6

Remove the template and any flash from the teeth


using a carbide finishing bur. Inspect the attachments
for any voids, cracks, or bubbles. Repeat process for
opposite arch.

Step 7. Check aligner fit 7

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.

22
11 Interproximal Reduction (IPR)
Carefully review the exact amount of IPR programmed for that specific stage.

Procedure 1

Step 1. Finishing Strips


• Work up from the finest to the most coarse strip until the
desired amount of enamel reduction is reached
• Protect soft tissues using cheek retractors or
cotton rolls
• Open interproximal contact with the thinnest diamond strip.
Use a gentle back and forth motion until the strip is passive
• Step to a thicker strip to widen the contact. Work to the
thickest strip needed
• Take care near the cervical regions of contact to avoid
creating ledges
• Exercise caution using IPR when there is restricted access,
insufficient enamel thickness, or restorative work such as
crown and bridges

Step 2. Gauges 2

• Confirm the amount of interproximal enamel removed with


thickness gauges
• Feel for slight tactile resistance when the correct amount has
been removed

Step 3. Polishing 3

• Polish interproximal surface with polishing strips, until adjacent


surface is rounded and smooth
• Verify the final gap dimension with thickness gauges
• Record date and amount of IPR in patient record

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.

23
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

DOCTOR: NADirect PAGE 1 OF 2 DOCTOR: NADirect PAGE 2 OF 2

Invisalign Go INVISALIGN® TREATMENT OVERVIEW Invisalign Go INVISALIGN® TREATMENT OVERVIEW

This Invisalign Treatment Overview reflects the application of the Invisalign Go clinical protocols as requested in your prescription.

Active Aligner Stages - U: 1-10, L: 1-13 ALIGNER FEATURES


Passive Aligner Stages - U: 11-13

Attachment templates have been provided for stages - U: 1; L: 1


Please review your ClinCheck treatment plan or Staging tab for details.

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

ERUPTION TAB PRESSURE AREA

MISSING TOOTH BITE RAMP

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.

24
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

What to do in case of poor fit?


Poor Fit
Have patient wear If tracking issue is less than 1 mm and you
aligner longer are unsure about patient compliance

If tracking issue is more than 1 mm


Take new records
OR
and order Additional
If longer wear time did not lead
Aligners
to recapturing movement
Do NOT place next aligner.

25
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

26
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

Fixed vs. Removable clear retention

Fixed retention Removable clear retention

• Effective • Esthetic and effective


• Dependable as it requires minimum patient • Good for de-bonding and delivering
Pros
cooperation retainers on the same appointment
• Good for de-bonding and delivering retainers • Proper fit
on the same appointment

• Technique sensitive to place • Patient compliance


• Difficult for patients to maintain • Patients can lose them
• Can adversely impact oral hygiene
Cons
• If wire breaks, kinks or becomes active, can
cause unwanted tooth movement
• Usually limited to anterior teeth and lowers as
uppers are in occlusion

27
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

How to order Vivera Retainers 1

Step 1. Select Vivera retainers to


start Prescription Form
Via IDS link, you can access the Prescription Form.

Step 2. Select the preferred options 2


Patients Account Store Academy Support

following the prescription step by


step

Step 3. Choose records for order 3


Patients Account Store Academy Support

• Retainer orders can be based on the last stage


of the ClinCheck Treatment Plan or a new
impression/scan
• Align Technology recommends using new
impressions/scan for retainers in order to capture
the most current and accurate position of the
patient’s teeth

28
Step 4. Retainer customization 4

Pontics and fixed wires can be prescribed to


customize Vivera retainers.

With fixed lingual wires, there are 3 options:


• Maintain the wire and cover it with the retainer
• Maintain the wire and trim the retainer around
• Virtually remove the wire

Vivera retainer with pontics. Vivera retainer covering a Vivera retainer with Precision
lingual wire. Bite Ramps.

Step 5. Precision Bite Ramps can 5

also be prescribed

Step 6. Confirm the order 6 Patients Account Store Academy Support

29
Notes
Notes

22

30
Notes
Notes

22

31
Align Technology BV © 2018 Align Technology (BV). All Rights Reserved. Invisalign, ClinCheck and iTero, Among others, are trademarks and/ or service
Arlandaweg 161 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.
1043HS Amsterdam 205577 Rev B
The Netherlands

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