Uploaded byVaniVidhyasagar1
PPTX, PDF364 views

What Is Invisalign1.pptx

Invisalign is a clear aligner orthodontic treatment that uses a series of clear, custom-made, removable aligners to gradually move teeth into the desired position. It combines 3D computer imaging with clear aligners to project tooth movement. The Invisalign process involves submitting records, reviewing the virtual ClinCheck treatment plan, starting treatment by placing attachments and performing interproximal reduction as needed, and then monitoring progress and finishing treatment.

Embed presentation

Downloaded 15 times
1 / 141
2 / 141
3 / 141
4 / 141
5 / 141
6 / 141
7 / 141
8 / 141
9 / 141
10 / 141
11 / 141
12 / 141
13 / 141
14 / 141
15 / 141
16 / 141
17 / 141
18 / 141
19 / 141
20 / 141
21 / 141
22 / 141
23 / 141
24 / 141
25 / 141
26 / 141
27 / 141
28 / 141
29 / 141
30 / 141
31 / 141
32 / 141
33 / 141
34 / 141
35 / 141
36 / 141
37 / 141
38 / 141
39 / 141
40 / 141
41 / 141
42 / 141
43 / 141
44 / 141
45 / 141
46 / 141
47 / 141
48 / 141
49 / 141
50 / 141
51 / 141
52 / 141
53 / 141
54 / 141
55 / 141
56 / 141
57 / 141
58 / 141
59 / 141
60 / 141
61 / 141
62 / 141
63 / 141
64 / 141
65 / 141
66 / 141
67 / 141
68 / 141
69 / 141
70 / 141
71 / 141
72 / 141
73 / 141
74 / 141
75 / 141
76 / 141
77 / 141
78 / 141
79 / 141
80 / 141
81 / 141
82 / 141
83 / 141
84 / 141
85 / 141
86 / 141
87 / 141
88 / 141
89 / 141
90 / 141
91 / 141
92 / 141
93 / 141
94 / 141
95 / 141
96 / 141
97 / 141
98 / 141
99 / 141
100 / 141
101 / 141
102 / 141
103 / 141
104 / 141
105 / 141
106 / 141
107 / 141
108 / 141
109 / 141
110 / 141
111 / 141
112 / 141
113 / 141
114 / 141
115 / 141
116 / 141
117 / 141
118 / 141
119 / 141
120 / 141
121 / 141
122 / 141
123 / 141
124 / 141
125 / 141
126 / 141
127 / 141
128 / 141
129 / 141
130 / 141
131 / 141
132 / 141
133 / 141
134 / 141
135 / 141
136 / 141
137 / 141
138 / 141
139 / 141
140 / 141
141 / 141
INVISALIGN
What Is Invisalign®?  Aesthetic orthodontic treatment developed for adults and teens who can benefit from straight teeth  A series of clear, custom made, removable Aligners created to effectively move teeth into their desired position  Combines proven orthodontic science with 3-D computer graphics to project tooth movement.
• Invisalign is designed, manufactured, and marketed by Align Technology from 1999 onwards. • Instead of necessitating a new set-up for each new aligner, creation of an Invisalign appliance involves computer-aided-design and computer-aided- manufacturing (CAD-CAM) technology, combined with laboratory techniques, to fabricate a series of positioners (aligners) that can move teeth in small increments of about 0.25 to 0.3 mm. Made of thin, see-through plastic Fit over the buccal, lingual, and occlusal surfaces of teeth
What Is Invisalign®? • Aligners are worn 24 hours and removed for eating, drinking, brushing and flossing • Patients wear each set of aligners in two-week intervals.
This Idea Is Not New
Historical Review • 1945 Kesling Serial Positioners • 1964 Nahoum Vacuum Appliances • 1971 Ponitz Vacuum Retainers • 1985 McNamara Minor Tooth Movement • 1999 Align Technology Cutting Edge 3-D Computerized Treatment.
Aligners are sent to the doctor office Aligner Delivery Fabricating Aligners Doctor sends patient records and treatment plan to Align PVS Impressions Align scans impressions and creates 3 D digital models 3D Model Each tooth in the digital model is cut virtually. Technicians and software stage serial movement to create simulation of treatment according to doctor's instructions ClinCheck Using advanced manufacturing technology, resin models are created for each virtual stage Resin Models Plastic is formed over each resin model to create an aligner for every stage planned and approved by the doctor Aligner Fabrication
8 Invisalign Terms
ClinCheck Software • Provides a virtual visualization of treatment plan • Shows how the teeth are expected to move throughout treatment, and what the treatment outcome will look like • Depending on the product selected, various features of the software may or may not be presented
10 Attachments Attachments • Three dimensional shapes added to tooth geometry to enhance the interaction between an aligner and the teeth • Provides movement control or retention • Chairside procedure done at the start of treatment using a template
Power Ridges Power Ridges • Three dimensional shapes added to the aligner to enhance the interaction between an aligner and the teeth • Helps deliver lingual root movements for upper incisors • Software determines whether or not power ridges are designed into the aligners
Interproximal Reduction (IPR) • Interproximal reduction of enamel • Done chairside during the treatment period when additional space is needed • Information and instructions are provided with each individual case
Align Clinical Set Up Protocols Align Clinical Set Up Protocols • Based on over a million cases in treatment • Defaults used by the software and Align technicians to create the prescribed treatment plan • Examples include: • Speed of each tooth movement • Location and timing of IPR • Location and type of attachments
Case Refinement • Part of the Invisalign process to help ensure the expected patient outcomes • An option to order additional aligners before the end of Invisalign Treatment if additional tooth movement is desired • This “fine tuning” should be expected as part of overall treatment plan with most Invisalign treatments
Aligner Tracking Refers to the fit of aligners on the teeth If aligners are NOT “tracking,” this means there are gaps/fit issues
Invisalign aligners and Vivera retainers are produced from USP Class VI medical grade, high molecular weight, polyurethane resins. Aligners and retainers do not contain Bisphenol-A nor phthalate plasticizers
PATIENT Benefits • Removable • (nearly) Invisible • Comfortable • Brush and floss normally • No food restrictions • Minimal changes to activity and lifestyle
Potential CLINICAL Benefits Reduce Risk of Decalcification Position Teeth to Optimize Restorative Results Limit Occlusal Abrasion from Para-Functional Habits Visualize Your Treatment Plan Before You Start Straightening Teeth May Improve Overall Oral Health
commonly used for • Spacing – Mild, Moderate and Severe Spacing – Diastema • Crowding – Mild, Moderate and Severe Crowding – Crossbite and Incisor Extraction • Other – Open Bite – Deep Bite – Class II Correction – Restorative Treatment Plan
Difficult Moderate Aligner Capabilities and Patient Selection Aligner Only Doctor is likely to achieve the desired patient outcome with aligners only Buttons & Elastics maybe required Doctor may need buttons & elastics to achieve more challenging movements planned Doctor may need other orthodontic techniques (ie fixed appliances) to achieve more challenging movements planned Other Orthodontic techniques maybe required Easy
Challenging Movements with Aligners Only Significant Rotations (especially upper laterals, bicuspids and molars) Vertical Changes Anterior- Posterior Changes
Rotation Aligner Only Buttons & Elastics Maybe Required Other Orthodontic techniques maybe required (i.e fixed appliances) Upper & Lower Canines ≤ 45 deg 45- 55 deg 55+ deg Upper Central Incisors ≤ 40 deg 40- 50 deg 50+ deg Lower Incisors ≤ 40 deg 40- 50 deg 50+ deg Upper Lateral Incisors ≤ 30 deg 30- 40 deg 40+ deg Upper & Lower Bicuspids ≤ 30 deg 30- 40 deg 40+ deg Upper & Lower Molars ≤ 20 deg 20- 30 deg 30+ deg Extrusion & Intrusion Aligner Only Buttons & Elastics Maybe Required Other Orthodontic techniques maybe required (i.e. fixed appliances) Anterior Teeth (Incisors & Canines) ≤ 2.5 mm 2.5- 3.5 mm 3.5+ mm Bicuspids ≤ .5 mm .5- 1 mm 1+ mm Molars ≤ .5 mm .5- 1 mm 1+ mm Root Movement Aligner Only Buttons & Elastics Maybe Required Other Orthodontic techniques maybe required (i.e. fixed appliances) Any Single Tooth (measured by the displacement of the center of the root) ≤ 3.5 mm 3.5- 4 mm 4+ mm DISCLAIMER: The clinical product recommendations are based on Align Technology knowledge and expertise with its products and processes. Actual results may vary depending among other things on skill of dental practitioner. Clinical decisions remain the responsibility of the treating doctor Tooth Movement by Degree of Difficulty
A shorter-duration Invisalign treatment for pre-restorative work and treating minor crowding/spacing malocclusions Clear thermoplastic retainers that are designed to be used after completing orthodontic or cosmetic treatment. The Invisalign family of products are designed to provide you with a full range of choices to address your patients’ needs effectively and confidently. Foundation product. Provides a full spectrum of treatment options and may require advanced experience and/or adjuncts to achieve ideal results for complex case types. The Invisalign Product Family Invisalign Full Invisalign Express Provides doctors with additional product support throughout treatment process to help deliver patient outcomes you expect . Invisalign Assist Unique features for the non-adult patient. Invisalign Teen Vivera Retainers
Prior to Initiating Invisalign… • All necessary restorative work must be completed • No active periodontal disease
Submitting a Case Reviewing ClinCheck Starting Treatment Monitoring & Finishing Retention 1 2 3 4 5 The Invisalign Process
Submitting a Case 1 The Invisalign Process
• Prior to impressions • Retainer necessary • Buttons placed lingual of 4 and 6 • 5 and 6 bonded together to increase anchorage • C-chain placed 4-6 Addressing Rotations BEFORE Invisalign
Major Rotation UL 1st Bicuspid Before
Records - Preparation • Impressions • Bite Registration • Photographs • X-rays • Prescription Form
Records Preparation Submitting the Perfect Impression • Key to success with proper-fitting aligners begins with great impression • Impressions must always be taken using PVS impression material • Any other material such as polyethers (Impregum) or alginates (Jeltrate) are not acceptable
Recommended Technique Modified 1-step Technique: Putty Base & Low Viscosity Wash
Benefits of Modified 1-Step Technique • No need to make custom tray • Forces material to get distal to 2nd and 3rd molars if present • Can take impression in a moist field • Maximum chair efficiency • Lower cost impression • Minimize re-takes
Helpful Suggestion…mouth rinse • PVS material is hydrophilic • Saliva can cause voids in the material • Suggestion: – Small cup of mouth rinse (Listerine) for patient to rinse, swish and spit immediately prior to tray insertion
Impression Examination • All margins appear crisp and clean • Material is > 2mm beyond free gingival margin (CEJ if recession is present) on buccal/lingual surfaces • All cusps & incisal edges show clearly • No presence of fold, wrinkles, draws, or voids • No tray or thin wall of material present • All facial & lingual anatomy present If occlusal contact with tray, ok if less than 1mm
Records - Preparation • Impressions • Bite Registration • Photographs • X-rays • Prescription Form
Bite Registration • PVS Only, No Wax bite Records - Preparation
• Regisil® (Caulk) • Blu-Mousse® (Parkell) • Presidente Jet Bite (Coltene/Whaledent) • Occlufast Rock (Zhermack). Materials and Technique PVS Bite Registration
PVS Bite Registration Technique
PVS Bite Registration Taken in Maximum Intercuspation
Show Through is Good
Records - Preparation • Impressions • Bite Registration • Photographs • X-rays • Prescription Form
Profile Repose Lower Occlusal Left Buccal Upper Occlusal Right Buccal Anterior Extraoral Intraoral Required Photographs
Records - Preparation • Impressions • Bite Registration • Photographs • X-rays • Prescription Form
X-rays • One current panoramic X-ray or full mouth series (Taken within last 24 months) • If submitting electronically, use JPG format.
Records - Preparation • Impressions • Bite Registration • Photographs • X-rays • Prescription Form – Online vs. Hardcopy – Full Prescription Form
Start a New Case Online:
Invisalign Full Prescription Form General Patient Info Diagnostic Findings Treatment Summary Info
Records - Submission • Invisalign Orthodontic Records Submission Box Contents: 1. Original PVS upper and lower impressions 2. Original PVS bite registration 3. Duplicate photos and x-rays 4. Prescription Form ONLINE submission of Photos, X-rays, & form PREFERRED
Submitting a Case Reviewing ClinCheck 1 2 The Invisalign Process
Clincheck Virtual Treatment Plan • Technician utilizes treatment form and images of patient impression scans in conjunction with Clincheck software to generate computerized virtual treatment plan of all stages from start to finish
How teeth in general will move—all together or individual teeth moving at various times Align's Clinical Set Up Protocols General Staging Tooth Velocity IPR Attachments How fast/slow should individual teeth be staged to move in each aligner When and where will additional space be necessary during the treatment period so teeth have room to move towards their ideal positions Where and what type of attachments will be necessary to aid in tooth movement/aligner retention? Power Ridges™ When lingual root torque is needed on upper incisors
Cases are staged to enable combination movements to occur simultaneously for each tooth Align's Clinical Set Up Protocols General Staging Tooth Velocity IPR Power Ridges™ Attachments
Using digital dental reference points, ClinCheck® set- ups are designed to factor in a combination of root movement, crown movement and rotational speed at every aligner stage. Maximum velocity is .25 mm linear and 2 degrees for rotations per stage Align's Clinical Set Up Protocols General Staging Tooth Velocity IPR Power Ridges™ Attachments
In crowding cases, IPR is set-up in later stages of treatment when space is needed and when tooth contacts requiring IPR may be easier to access. Align's Clinical Set Up Protocols General Staging Tooth Velocity IPR Power Ridges™ Attachments Less predictable More predictable
Software detects when optimized force is needed for uprighting retroclined upper incisors Align's Clinical Set Up Protocols General Staging Tooth Velocity IPR Power Ridges™ Attachments Force Force
Software detects a variety of clinical situations when attachments will be needed. All attachments serve a purpose during the duration of the treatment period since all teeth are moving simultaneously. Align's Clinical Set Up Protocols General Staging Tooth Velocity IPR Power Ridges™ Attachments
Attachments can be... Passive  Tooth doesn’t move: • Intrusion Anchorage • Aligner Retentiveness Active  Tooth moves: • Rotations of round teeth • Root Control • Extrusion
Types of Attachments Align Technology has four Optimized Attachments that will be applied by default: Cuspid Extrusion Mesial Cuspid Rotation Incisor Extrusion Distal Cuspid Rotation For upper and lower canines & incisors
Optimized Attachments Optimized Extrusion Attachment Optimized Rotation Attachment Designed to optimize forces for improved incisor extrusions and canine rotations using standard tooth velocities
There are very few reasons we would ever want to modify or change these protocols
Potential Reasons to Modify Default IPR The treating clinician, needs to determine if the amount, location, and timing of IPR proposed is appropriate Orthodontist want the IPR to be spread out or relocated Enamel may be too thin for IPR created in the set up (check x-rays) Potential Reasons to Modify Default IPR Poor oral hygiene Prior orthodontics with IPR
Submitting a Case Reviewing ClinCheck Starting Treatment 1 2 3 The Invisalign Process
Initial Treatment - Attachments • Attachments are bonded to at the beginning of treatment using ready-made template.
Invisalign® Treatment Overview Form Gives Attachment and IPR information Teeth requiring attachments are indicated on the Treatment Overview Form
2. Composite Ivoclar Tetric EvoCeram • Classification - Nanohybrid • Latest composite technology • Smaller particle size results in higher packing density & lower shrinkage • Translucent color (matches well with any tooth shade) • Ease-of-use – handles easily due to non-tacky characteristics 1. Bonding Agent GC America G-Bond • 7th generation adhesive • Latest adhesive technology • Self-etching (for general use) • However, pre-etching is recommended (for attachments) due to use on uncut enamel • Ease-of-use - Fewer clinical steps compared to some earlier generation materials The Invisalign Attachment Kit contains two items: (enough for 3 typical patients) Attachment Kit
Attachments
Attachments
Attachments
Attachments
Attachments
Attachments
Place Material in Attachment Well Attachments
Attachments
Cure Material Attachments
Attachments
Initial Treatment - IPR INTERPROXIMAL REDUCTION OF ENAMEL Also known as reproximation, cosmetic contouring, enamel reduction
Initial Treatment - IPR
IPR Interproximal Reduction • Based on computerized measurements, staging, and tooth movements, IPR is sometimes required to allow the teeth to align • IPR is specified by amount, and by the stage when it is required.
Indications for Reproximation • Proclined Incisors • Inadequate Periodontal Support • Tooth-Size Discrepancy • Black Triangle Potential • Overjet Creation
Inadequate Space - IPR Needed
Black Triangle Camouflage Via Use of IPR
Remove the amount of tooth structure and record on the form. Single aligner number per contact by which all IPR should be completed makes the IPR timing more easy to remember.
Vision-Flex Diamond Strips 0.13 mm 0.10 mm 0.08 mm THICKNESS
Slow Speed Technique Diamond Disc 0.2 mm (minimum) thickness
High Speed Technique Diamond Bur 0.3 mm minimum thickness Raintree-Essix 55000 Diamond Bur Premier Dental –201.3 VF Diamond Bur
Gauge System – IPR Accuracy
Initial Treatment - Pontics
Single 1st Bicuspid Extraction
Pontic in Place Where 1st Bicuspid Was Extracted
Initial Treatment - Aligner Delivery Delivery to Patient • Deliver aligners and Starter Kit (with instructions for use) to the patient • Patient wears the aligners in two-week intervals until treatment is complete.
Aligner Delivery
Aligner Delivery
Good Fitting Aligner
Patient Education Future treatment discussed with patient
Submitting a Case Reviewing ClinCheck Starting Treatment Monitoring & Finishing 1 2 3 4 The Invisalign Process
Monitoring Attachments Check attachment form to ensure all are present
Monitoring Space Need space to move teeth
Monitoring / Space / IPR Review Reproximation information each visit
Monitoring Aligner Adjustment Trim aligners, if necessary, to aid in seating and tooth movement
Extrusion Interarch Technique Interarch Technique
Extrusion Triangulation • Before aligners are placed • While aligners are on
Interarch Techniques Extrusion • Prior to impressions • Place three composite or metal buttons • Have patient wear triangular elastic until occlusion locks in • Then take PVS impressions for aligners. Triangulation before aligners are placed
Extrusion Intraarch Technique Intraa Technique
IntraArch One Button Technique Extrusion • Two slits cut in aligner lingual of targeted tooth • Portion of aligner on facial of targeted tooth cut away
IntraArch One Button Technique Extrusion • Bond clear button to gingival area of clinical crown • Place IntraArch elastic from button, across incisal edge, to slits
Bonding Buttons for Class II Elastics
Important Note: • If Class II Correction is requested, Align will assume use ofClass II Elastics from the initial aligner for the duration of treatment • In the final ClinCheck, the technician will set up a “Virtual Jump” • The Final Stage will show a full Class II correction (Virtual Jump)
ClinCheck Before Virtual Jump
ClinCheck After Virtual Jump (last stage)
Mid-Course Correction* Re-start as a result of: 1. Poor Patient Compliance 2. New Dental Work 3. Change in Treatment Goals after ClinCheck acceptance or mid-treatment
Residual Spacing and Crowding Solutions • Case refinement aligners (spacing and crowding) • Detail pliers (crowding only)
Correcting Minor Rotations • Detail Pliers • Overcorrection at Case Refinement • Key is if desired movement is already present in aligner • IPR performed if space is needed.
Detail Pliers • Minor Anterior Rotations • Tightens light interproximal contacts • Enhances aligner retention in undercut regions • Creates Pressure points up to 1mm in depth.
The Detail Plier
The Eraser Plier
Placing a Pressure Point
Three Pressure Points Created
Rotations Where Pressure Will Be Applied
After Aligners Worn With Pressure Points in Place
Finish- Invisalign Detail & Eraser Pliers
Finish- Invisalign Detail & Eraser Pliers • Heat-free and adjustable • Detail Pliers • To modify minor discrepancies in alignment • To nudge teeth into positions already built into aligner • To increase retention • Eraser Pliers  Remove or reposition pressure points as desired.
Posterior Open Bite Potential Causes: • Anterior interference • Insufficient leveling • Bowing of arch due to insufficient IPR • Material thickness
Posterior Open Bite Solutions: • Additional leveling • Intrusion buttons • Occlusal equilibration • Section aligner post-treatment
Posterior Open Bite • Trim aligners distal to 2nd bicuspid • Allows passive eruption (settling)
Case Refinement Refinement is an option to order additional aligners at or near the end of treatment if further tooth movement is desired. Reasons Refinement is needed: – Tight contacts – Excessive IPR and/or residual spaces left at the end of treatment – Modification not communicated in ClinCheck setup – Patient compliance – Additional fine-tuning requests by the patient
Submitting a Case Reviewing ClinCheck Starting Treatment Monitoring & Finishing Retention 1 2 3 4 5 The Invisalign Process
Why Vivera? • Vivera is a retainer solution that: – May help prevent relapse – Accommodates Lingual Wires and Pontics
Vivera • Other materials can crack within weeks, loose strength or do not maintain strength to prevent relapse. Crack Warping
Accommodation for Lingual Wires Option #1: Vivera comfortably fits over the Lingual Wire.
Accommodation for Lingual Wires Option #2: Vivera stops at the top of the Lingual Wire.
Support for Pontics • Provides an aesthetic solution for the masking of dental spaces while providing orthodontic retention of the entire arch • Preserves spaces and prevent the collapse of neighboring teeth • An aesthetic solution for the masking of dental spaces after the placement of implants.
Pontic Examples Doctors will place the pontic material in their office.
A Few Notes About Invisalign Teen
Patient Compliance Erupting Permanent Dentition Root Movement Compliance Indicators 6 Free Replacement Aligners Eruption Tabs Accommodates Natural Eruption Power Ridge™ Technology Invisalign Teen Addresses Potential Concerns
Compliance Tools Optional, for use as needed. Patient Compliance
• Provided at no charge. • Addresses lost or broken aligners during the treatment period. 6 Free Replacement Aligners* * Some conditions apply.
The tab extends over the mesial cusp of the 2nd molar to help prevent supra-eruption. Occlusal View Eruption Tab The height of the tab matches the occlusal plane anticipating the full eruption of the second molar and as molar erupts, the tab acts as a stop to help prevent supra-eruption.

More Related Content

PPTX
Seminar clear aligner 1
byhardik lalakiya
 
PPTX
Biomechanics of clear aligners
byDeeksha Bhanotia
 
PPTX
orthodontic initial alignmen.pptx
byMaher Fouda
 
PPTX
Headgear
byranjitha govindaraju
 
PPT
preadjusted edgewise appliance
byDr. Khushbu Agrawal
 
PPT
Interceptive orthodontics (2)
byMasuma Ryzvee
 
PPTX
orthodontic bracket prescription 1
byMaher Fouda
 
PPT
Damon archwire secuencing
byManuel Estuardo Bravo Calderon
 
Seminar clear aligner 1
byhardik lalakiya
 
Biomechanics of clear aligners
byDeeksha Bhanotia
 
orthodontic initial alignmen.pptx
byMaher Fouda
 
Headgear
byranjitha govindaraju
 
preadjusted edgewise appliance
byDr. Khushbu Agrawal
 
Interceptive orthodontics (2)
byMasuma Ryzvee
 
orthodontic bracket prescription 1
byMaher Fouda
 
Damon archwire secuencing
byManuel Estuardo Bravo Calderon
 

What's hot

PPT
invisalign Pereperd by dr.abdulghani ,Aloulefi .Alhaddad.ppt
byAbdulghaniAlmohaya
 
PPTX
clear aligner in orthodontics a complete guid.pptx
byHasnathShamsudeen
 
PPTX
Clear aligner therapy
byKunaal Agrawal
 
PPTX
Adjunctive Orthodontics
bySana Mateen Munshi
 
PPT
Surgical Orthodontics O.ppt
byDentalYoutube
 
PPT
Roth prescription.ppt
bysakthivelram3
 
PPTX
Extractions in orthodontics
byShweta Dhope
 
PPT
Using activator as first phase of treatment
byMaher Fouda
 
PPTX
Elastics in Orthodontics -part I
byKunal Ajay Patankar
 
PPTX
Sectional fixed orthodontic appliance
byMaher Fouda
 
PPTX
Management of crowded lower incisors
byMaher Fouda
 
PPTX
smile analysis in Orthodontics
byWaqar Jeelani
 
PPTX
Sliding mechanics
bypaul3060
 
PPTX
Mbt technique part
bydromarmohdortho
 
PPTX
Wire bending in orthodontics (dr nayaungbds phd)
byNay Aung
 
PPTX
selection of preformed archwires during the alignment stage of preadjusted or...
byMaher Fouda
 
PPTX
Torque in orthodontics
byHawa Shoaib
 
PPTX
Pa ceph analysis
byKumar Adarsh
 
PPTX
Tweed's Occlusion
byDeeksha Bhanotia
 
PPT
leveling and aligning in orthodontics
byJasmine Arneja
 
invisalign Pereperd by dr.abdulghani ,Aloulefi .Alhaddad.ppt
byAbdulghaniAlmohaya
 
clear aligner in orthodontics a complete guid.pptx
byHasnathShamsudeen
 
Clear aligner therapy
byKunaal Agrawal
 
Adjunctive Orthodontics
bySana Mateen Munshi
 
Surgical Orthodontics O.ppt
byDentalYoutube
 
Roth prescription.ppt
bysakthivelram3
 
Extractions in orthodontics
byShweta Dhope
 
Using activator as first phase of treatment
byMaher Fouda
 
Elastics in Orthodontics -part I
byKunal Ajay Patankar
 
Sectional fixed orthodontic appliance
byMaher Fouda
 
Management of crowded lower incisors
byMaher Fouda
 
smile analysis in Orthodontics
byWaqar Jeelani
 
Sliding mechanics
bypaul3060
 
Mbt technique part
bydromarmohdortho
 
Wire bending in orthodontics (dr nayaungbds phd)
byNay Aung
 
selection of preformed archwires during the alignment stage of preadjusted or...
byMaher Fouda
 
Torque in orthodontics
byHawa Shoaib
 
Pa ceph analysis
byKumar Adarsh
 
Tweed's Occlusion
byDeeksha Bhanotia
 
leveling and aligning in orthodontics
byJasmine Arneja
 

Similar to What Is Invisalign1.pptx

PDF
Clear Aligner Treatment
byDr. Arun Bosco Jerald
 
PPTX
Removable Clear Appliance
byShweta Dhope
 
PPTX
Clear aligner treatment
byKunal Ajay Patankar
 
PPTX
Clear Aligners in Orthodontics.pptx
bySafa B Alawy
 
PPTX
Clear aligner part ii
byKunal Ajay Patankar
 
PPT
clear aligners.ppt
byNeha323962
 
PPTX
Aligners
byShadowFighter1
 
PPTX
Invisalign in pediatric dentistry
byDr Ramesh R
 
PPTX
Invisalign
byRabab Khursheed
 
PDF
Aligner Theraphy - Demystified.pdf
byDr. Harsimran Singh Kapoor
 
PPTX
Invisalign
byDr.Nishat Oishi
 
PPTX
Clear aligner therapy and invisalign
byRoni Kuttickal
 
PDF
clear aligners and invisalign,,,,.pdf
byamarnath956154
 
PPTX
Invisalign
byDR KARUNA SHARMA
 
PPTX
1.removable appliances and alligners.pptx
bydebosmitaasanyal1
 
DOCX
Clear aligner appliances / for orthodontists by Almuzian
byUniversity of Sydney and Edinbugh
 
PPTX
Austin Invisalign process presentation
byaustin cosmetic
 
PPTX
Clear Aligners, Orthodontics, SDC, by Dr. Tannu Singh
byfg4t4jptfn
 
PPTX
THE INVISALIGN aligner in orthodontics .pptx
byMaen Dawodi
 
PDF
The Science Behind Invisalign: How It Works and Why It's Effective
byMatt Shaw
 
Clear Aligner Treatment
byDr. Arun Bosco Jerald
 
Removable Clear Appliance
byShweta Dhope
 
Clear aligner treatment
byKunal Ajay Patankar
 
Clear Aligners in Orthodontics.pptx
bySafa B Alawy
 
Clear aligner part ii
byKunal Ajay Patankar
 
clear aligners.ppt
byNeha323962
 
Aligners
byShadowFighter1
 
Invisalign in pediatric dentistry
byDr Ramesh R
 
Invisalign
byRabab Khursheed
 
Aligner Theraphy - Demystified.pdf
byDr. Harsimran Singh Kapoor
 
Invisalign
byDr.Nishat Oishi
 
Clear aligner therapy and invisalign
byRoni Kuttickal
 
clear aligners and invisalign,,,,.pdf
byamarnath956154
 
Invisalign
byDR KARUNA SHARMA
 
1.removable appliances and alligners.pptx
bydebosmitaasanyal1
 
Clear aligner appliances / for orthodontists by Almuzian
byUniversity of Sydney and Edinbugh
 
Austin Invisalign process presentation
byaustin cosmetic
 
Clear Aligners, Orthodontics, SDC, by Dr. Tannu Singh
byfg4t4jptfn
 
THE INVISALIGN aligner in orthodontics .pptx
byMaen Dawodi
 
The Science Behind Invisalign: How It Works and Why It's Effective
byMatt Shaw
 

Recently uploaded

PDF
19 January 2026 Andreas Schleicher Digital Education Outlook 2026.pdf
byEduSkills OECD
 
PPTX
Insertion of Suppositories..........pptx
byAneetaSharma15
 
PDF
PULSE according to Physiology special pdf for all medical sectors students & ...
byhttps://www.facebook.com/profile.php?id=61578457231735
 
PPTX
VAGINAL IRRIGATION..................pptx
byAneetaSharma15
 
PDF
GIÁO ÁN KẾ HOẠCH BÀI DẠY NĂNG LỰC SỐ MÔN TIẾNG ANH LỚP 10 CẢ NĂM - GLOBAL SUC...
byNguyen Thanh Tu Collection
 
PDF
Agents in Artificial Intelligence: Types, Architecture and Real-World Examples
byARTHIDEVARANIP
 
PPTX
OCCULTISM IN JEHOVAH'S WITNESSES' ARTWORK
byDaniel Barnea
 
PPTX
How to Add or Remove Multiple Followers in a Records
byCeline George
 
PDF
Freshman Geography Chapter 7-Population of Ethiiopia
bytfeven44
 
PPTX
Introduction Pharmacotherapeutics _ PT1 2026.pptx
byRavinandan A P
 
PPTX
When UDL is no longer enough: Examining post-UDL reflections on inclusive des...
byFrederic Fovet
 
PPTX
special senses-eye, ear, nose, tongue.pptx
byAshish Umale
 
PDF
BÀI GIẢNG POWERPOINT CHÍNH KHÓA PHIÊN BẢN AI TIẾNG ANH 6 CẢ NĂM, THEO TỪNG BÀ...
byNguyen Thanh Tu Collection
 
PPTX
Introduction of Carbohydrates - Dr.M.Jothimuniyandi
byJothimuniyandi
 
PPTX
VITAMINS CHAPTER NO.05 PHARMACOGNOSY D. PHARMACY
byGanu Gavade
 
PPTX
Complete and Detailed Overview of Odoo 18 Contact
byCeline George
 
PPTX
Allow Quantity Modification in Combo in Odoo 19 pos
byCeline George
 
PPTX
Redox Titration - Oxidation and Reduction
byKhushbu Shah
 
PDF
Fanatics of LDM a Time Capsule By LDMMIA
by©LDMMIA, ©Reiki Yoga
 
PPTX
THEORIES OF LEARNING Shilpa Hotakar.pptx
bySHILPA HOTAKAR
 
19 January 2026 Andreas Schleicher Digital Education Outlook 2026.pdf
byEduSkills OECD
 
Insertion of Suppositories..........pptx
byAneetaSharma15
 
PULSE according to Physiology special pdf for all medical sectors students & ...
byhttps://www.facebook.com/profile.php?id=61578457231735
 
VAGINAL IRRIGATION..................pptx
byAneetaSharma15
 
GIÁO ÁN KẾ HOẠCH BÀI DẠY NĂNG LỰC SỐ MÔN TIẾNG ANH LỚP 10 CẢ NĂM - GLOBAL SUC...
byNguyen Thanh Tu Collection
 
Agents in Artificial Intelligence: Types, Architecture and Real-World Examples
byARTHIDEVARANIP
 
OCCULTISM IN JEHOVAH'S WITNESSES' ARTWORK
byDaniel Barnea
 
How to Add or Remove Multiple Followers in a Records
byCeline George
 
Freshman Geography Chapter 7-Population of Ethiiopia
bytfeven44
 
Introduction Pharmacotherapeutics _ PT1 2026.pptx
byRavinandan A P
 
When UDL is no longer enough: Examining post-UDL reflections on inclusive des...
byFrederic Fovet
 
special senses-eye, ear, nose, tongue.pptx
byAshish Umale
 
BÀI GIẢNG POWERPOINT CHÍNH KHÓA PHIÊN BẢN AI TIẾNG ANH 6 CẢ NĂM, THEO TỪNG BÀ...
byNguyen Thanh Tu Collection
 
Introduction of Carbohydrates - Dr.M.Jothimuniyandi
byJothimuniyandi
 
VITAMINS CHAPTER NO.05 PHARMACOGNOSY D. PHARMACY
byGanu Gavade
 
Complete and Detailed Overview of Odoo 18 Contact
byCeline George
 
Allow Quantity Modification in Combo in Odoo 19 pos
byCeline George
 
Redox Titration - Oxidation and Reduction
byKhushbu Shah
 
Fanatics of LDM a Time Capsule By LDMMIA
by©LDMMIA, ©Reiki Yoga
 
THEORIES OF LEARNING Shilpa Hotakar.pptx
bySHILPA HOTAKAR
 

What Is Invisalign1.pptx

  • 1.
  • 2.
    What Is Invisalign®? Aesthetic orthodontic treatment developed for adults and teens who can benefit from straight teeth  A series of clear, custom made, removable Aligners created to effectively move teeth into their desired position  Combines proven orthodontic science with 3-D computer graphics to project tooth movement.
  • 3.
    • Invisalign isdesigned, manufactured, and marketed by Align Technology from 1999 onwards. • Instead of necessitating a new set-up for each new aligner, creation of an Invisalign appliance involves computer-aided-design and computer-aided- manufacturing (CAD-CAM) technology, combined with laboratory techniques, to fabricate a series of positioners (aligners) that can move teeth in small increments of about 0.25 to 0.3 mm. Made of thin, see-through plastic Fit over the buccal, lingual, and occlusal surfaces of teeth
  • 4.
    What Is Invisalign®? •Aligners are worn 24 hours and removed for eating, drinking, brushing and flossing • Patients wear each set of aligners in two-week intervals.
  • 5.
    This Idea IsNot New
  • 6.
    Historical Review • 1945Kesling Serial Positioners • 1964 Nahoum Vacuum Appliances • 1971 Ponitz Vacuum Retainers • 1985 McNamara Minor Tooth Movement • 1999 Align Technology Cutting Edge 3-D Computerized Treatment.
  • 7.
    Aligners are sentto the doctor office Aligner Delivery Fabricating Aligners Doctor sends patient records and treatment plan to Align PVS Impressions Align scans impressions and creates 3 D digital models 3D Model Each tooth in the digital model is cut virtually. Technicians and software stage serial movement to create simulation of treatment according to doctor's instructions ClinCheck Using advanced manufacturing technology, resin models are created for each virtual stage Resin Models Plastic is formed over each resin model to create an aligner for every stage planned and approved by the doctor Aligner Fabrication
  • 8.
  • 9.
    ClinCheck Software • Providesa virtual visualization of treatment plan • Shows how the teeth are expected to move throughout treatment, and what the treatment outcome will look like • Depending on the product selected, various features of the software may or may not be presented
  • 10.
    10 Attachments Attachments • Three dimensionalshapes added to tooth geometry to enhance the interaction between an aligner and the teeth • Provides movement control or retention • Chairside procedure done at the start of treatment using a template
  • 11.
    Power Ridges Power Ridges •Three dimensional shapes added to the aligner to enhance the interaction between an aligner and the teeth • Helps deliver lingual root movements for upper incisors • Software determines whether or not power ridges are designed into the aligners
  • 12.
    Interproximal Reduction (IPR) • Interproximalreduction of enamel • Done chairside during the treatment period when additional space is needed • Information and instructions are provided with each individual case
  • 13.
    Align Clinical SetUp Protocols Align Clinical Set Up Protocols • Based on over a million cases in treatment • Defaults used by the software and Align technicians to create the prescribed treatment plan • Examples include: • Speed of each tooth movement • Location and timing of IPR • Location and type of attachments
  • 14.
    Case Refinement • Partof the Invisalign process to help ensure the expected patient outcomes • An option to order additional aligners before the end of Invisalign Treatment if additional tooth movement is desired • This “fine tuning” should be expected as part of overall treatment plan with most Invisalign treatments
  • 15.
    Aligner Tracking Refers tothe fit of aligners on the teeth If aligners are NOT “tracking,” this means there are gaps/fit issues
  • 16.
    Invisalign aligners andVivera retainers are produced from USP Class VI medical grade, high molecular weight, polyurethane resins. Aligners and retainers do not contain Bisphenol-A nor phthalate plasticizers
  • 17.
    PATIENT Benefits • Removable •(nearly) Invisible • Comfortable • Brush and floss normally • No food restrictions • Minimal changes to activity and lifestyle
  • 18.
    Potential CLINICAL Benefits ReduceRisk of Decalcification Position Teeth to Optimize Restorative Results Limit Occlusal Abrasion from Para-Functional Habits Visualize Your Treatment Plan Before You Start Straightening Teeth May Improve Overall Oral Health
  • 19.
    commonly used for •Spacing – Mild, Moderate and Severe Spacing – Diastema • Crowding – Mild, Moderate and Severe Crowding – Crossbite and Incisor Extraction • Other – Open Bite – Deep Bite – Class II Correction – Restorative Treatment Plan
  • 20.
    Difficult Moderate Aligner Capabilities andPatient Selection Aligner Only Doctor is likely to achieve the desired patient outcome with aligners only Buttons & Elastics maybe required Doctor may need buttons & elastics to achieve more challenging movements planned Doctor may need other orthodontic techniques (ie fixed appliances) to achieve more challenging movements planned Other Orthodontic techniques maybe required Easy
  • 21.
    Challenging Movements withAligners Only Significant Rotations (especially upper laterals, bicuspids and molars) Vertical Changes Anterior- Posterior Changes
  • 22.
    Rotation Aligner Only Buttons& Elastics Maybe Required Other Orthodontic techniques maybe required (i.e fixed appliances) Upper & Lower Canines ≤ 45 deg 45- 55 deg 55+ deg Upper Central Incisors ≤ 40 deg 40- 50 deg 50+ deg Lower Incisors ≤ 40 deg 40- 50 deg 50+ deg Upper Lateral Incisors ≤ 30 deg 30- 40 deg 40+ deg Upper & Lower Bicuspids ≤ 30 deg 30- 40 deg 40+ deg Upper & Lower Molars ≤ 20 deg 20- 30 deg 30+ deg Extrusion & Intrusion Aligner Only Buttons & Elastics Maybe Required Other Orthodontic techniques maybe required (i.e. fixed appliances) Anterior Teeth (Incisors & Canines) ≤ 2.5 mm 2.5- 3.5 mm 3.5+ mm Bicuspids ≤ .5 mm .5- 1 mm 1+ mm Molars ≤ .5 mm .5- 1 mm 1+ mm Root Movement Aligner Only Buttons & Elastics Maybe Required Other Orthodontic techniques maybe required (i.e. fixed appliances) Any Single Tooth (measured by the displacement of the center of the root) ≤ 3.5 mm 3.5- 4 mm 4+ mm DISCLAIMER: The clinical product recommendations are based on Align Technology knowledge and expertise with its products and processes. Actual results may vary depending among other things on skill of dental practitioner. Clinical decisions remain the responsibility of the treating doctor Tooth Movement by Degree of Difficulty
  • 23.
    A shorter-duration Invisaligntreatment for pre-restorative work and treating minor crowding/spacing malocclusions Clear thermoplastic retainers that are designed to be used after completing orthodontic or cosmetic treatment. The Invisalign family of products are designed to provide you with a full range of choices to address your patients’ needs effectively and confidently. Foundation product. Provides a full spectrum of treatment options and may require advanced experience and/or adjuncts to achieve ideal results for complex case types. The Invisalign Product Family Invisalign Full Invisalign Express Provides doctors with additional product support throughout treatment process to help deliver patient outcomes you expect . Invisalign Assist Unique features for the non-adult patient. Invisalign Teen Vivera Retainers
  • 24.
    Prior to InitiatingInvisalign… • All necessary restorative work must be completed • No active periodontal disease
  • 25.
  • 26.
  • 27.
    • Prior toimpressions • Retainer necessary • Buttons placed lingual of 4 and 6 • 5 and 6 bonded together to increase anchorage • C-chain placed 4-6 Addressing Rotations BEFORE Invisalign
  • 28.
    Major Rotation UL1st Bicuspid Before
  • 29.
    Records - Preparation •Impressions • Bite Registration • Photographs • X-rays • Prescription Form
  • 30.
    Records Preparation Submitting thePerfect Impression • Key to success with proper-fitting aligners begins with great impression • Impressions must always be taken using PVS impression material • Any other material such as polyethers (Impregum) or alginates (Jeltrate) are not acceptable
  • 31.
  • 32.
    Benefits of Modified1-Step Technique • No need to make custom tray • Forces material to get distal to 2nd and 3rd molars if present • Can take impression in a moist field • Maximum chair efficiency • Lower cost impression • Minimize re-takes
  • 33.
    Helpful Suggestion…mouth rinse •PVS material is hydrophilic • Saliva can cause voids in the material • Suggestion: – Small cup of mouth rinse (Listerine) for patient to rinse, swish and spit immediately prior to tray insertion
  • 34.
    Impression Examination • All marginsappear crisp and clean • Material is > 2mm beyond free gingival margin (CEJ if recession is present) on buccal/lingual surfaces • All cusps & incisal edges show clearly • No presence of fold, wrinkles, draws, or voids • No tray or thin wall of material present • All facial & lingual anatomy present If occlusal contact with tray, ok if less than 1mm
  • 36.
    Records - Preparation •Impressions • Bite Registration • Photographs • X-rays • Prescription Form
  • 37.
    Bite Registration • PVSOnly, No Wax bite Records - Preparation
  • 38.
    • Regisil® (Caulk) •Blu-Mousse® (Parkell) • Presidente Jet Bite (Coltene/Whaledent) • Occlufast Rock (Zhermack). Materials and Technique PVS Bite Registration
  • 39.
  • 40.
    PVS Bite Registration Takenin Maximum Intercuspation
  • 41.
  • 42.
    Records - Preparation •Impressions • Bite Registration • Photographs • X-rays • Prescription Form
  • 43.
    Profile Repose Lower Occlusal LeftBuccal Upper Occlusal Right Buccal Anterior Extraoral Intraoral Required Photographs
  • 44.
    Records - Preparation •Impressions • Bite Registration • Photographs • X-rays • Prescription Form
  • 45.
    X-rays • One currentpanoramic X-ray or full mouth series (Taken within last 24 months) • If submitting electronically, use JPG format.
  • 46.
    Records - Preparation •Impressions • Bite Registration • Photographs • X-rays • Prescription Form – Online vs. Hardcopy – Full Prescription Form
  • 47.
    Start a NewCase Online:
  • 48.
    Invisalign Full PrescriptionForm General Patient Info Diagnostic Findings Treatment Summary Info
  • 49.
    Records - Submission •Invisalign Orthodontic Records Submission Box Contents: 1. Original PVS upper and lower impressions 2. Original PVS bite registration 3. Duplicate photos and x-rays 4. Prescription Form ONLINE submission of Photos, X-rays, & form PREFERRED
  • 50.
  • 51.
    Clincheck Virtual TreatmentPlan • Technician utilizes treatment form and images of patient impression scans in conjunction with Clincheck software to generate computerized virtual treatment plan of all stages from start to finish
  • 52.
    How teeth ingeneral will move—all together or individual teeth moving at various times Align's Clinical Set Up Protocols General Staging Tooth Velocity IPR Attachments How fast/slow should individual teeth be staged to move in each aligner When and where will additional space be necessary during the treatment period so teeth have room to move towards their ideal positions Where and what type of attachments will be necessary to aid in tooth movement/aligner retention? Power Ridges™ When lingual root torque is needed on upper incisors
  • 53.
    Cases are stagedto enable combination movements to occur simultaneously for each tooth Align's Clinical Set Up Protocols General Staging Tooth Velocity IPR Power Ridges™ Attachments
  • 54.
    Using digital dentalreference points, ClinCheck® set- ups are designed to factor in a combination of root movement, crown movement and rotational speed at every aligner stage. Maximum velocity is .25 mm linear and 2 degrees for rotations per stage Align's Clinical Set Up Protocols General Staging Tooth Velocity IPR Power Ridges™ Attachments
  • 55.
    In crowding cases,IPR is set-up in later stages of treatment when space is needed and when tooth contacts requiring IPR may be easier to access. Align's Clinical Set Up Protocols General Staging Tooth Velocity IPR Power Ridges™ Attachments Less predictable More predictable
  • 56.
    Software detects whenoptimized force is needed for uprighting retroclined upper incisors Align's Clinical Set Up Protocols General Staging Tooth Velocity IPR Power Ridges™ Attachments Force Force
  • 57.
    Software detects avariety of clinical situations when attachments will be needed. All attachments serve a purpose during the duration of the treatment period since all teeth are moving simultaneously. Align's Clinical Set Up Protocols General Staging Tooth Velocity IPR Power Ridges™ Attachments
  • 58.
    Attachments can be... Passive Tooth doesn’t move: • Intrusion Anchorage • Aligner Retentiveness Active  Tooth moves: • Rotations of round teeth • Root Control • Extrusion
  • 59.
    Types of Attachments AlignTechnology has four Optimized Attachments that will be applied by default: Cuspid Extrusion Mesial Cuspid Rotation Incisor Extrusion Distal Cuspid Rotation For upper and lower canines & incisors
  • 60.
    Optimized Attachments Optimized Extrusion Attachment OptimizedRotation Attachment Designed to optimize forces for improved incisor extrusions and canine rotations using standard tooth velocities
  • 61.
    There are veryfew reasons we would ever want to modify or change these protocols
  • 62.
    Potential Reasons toModify Default IPR The treating clinician, needs to determine if the amount, location, and timing of IPR proposed is appropriate Orthodontist want the IPR to be spread out or relocated Enamel may be too thin for IPR created in the set up (check x-rays) Potential Reasons to Modify Default IPR Poor oral hygiene Prior orthodontics with IPR
  • 63.
  • 64.
    Initial Treatment -Attachments • Attachments are bonded to at the beginning of treatment using ready-made template.
  • 65.
    Invisalign® Treatment Overview Form Gives Attachment andIPR information Teeth requiring attachments are indicated on the Treatment Overview Form
  • 66.
    2. Composite Ivoclar TetricEvoCeram • Classification - Nanohybrid • Latest composite technology • Smaller particle size results in higher packing density & lower shrinkage • Translucent color (matches well with any tooth shade) • Ease-of-use – handles easily due to non-tacky characteristics 1. Bonding Agent GC America G-Bond • 7th generation adhesive • Latest adhesive technology • Self-etching (for general use) • However, pre-etching is recommended (for attachments) due to use on uncut enamel • Ease-of-use - Fewer clinical steps compared to some earlier generation materials The Invisalign Attachment Kit contains two items: (enough for 3 typical patients) Attachment Kit
  • 67.
  • 68.
  • 69.
  • 70.
  • 71.
  • 72.
  • 73.
    Place Material inAttachment Well Attachments
  • 74.
  • 75.
  • 76.
  • 78.
    Initial Treatment -IPR INTERPROXIMAL REDUCTION OF ENAMEL Also known as reproximation, cosmetic contouring, enamel reduction
  • 79.
  • 80.
    IPR Interproximal Reduction •Based on computerized measurements, staging, and tooth movements, IPR is sometimes required to allow the teeth to align • IPR is specified by amount, and by the stage when it is required.
  • 81.
    Indications for Reproximation • ProclinedIncisors • Inadequate Periodontal Support • Tooth-Size Discrepancy • Black Triangle Potential • Overjet Creation
  • 82.
  • 83.
  • 84.
    Remove the amountof tooth structure and record on the form. Single aligner number per contact by which all IPR should be completed makes the IPR timing more easy to remember.
  • 85.
    Vision-Flex Diamond Strips 0.13mm 0.10 mm 0.08 mm THICKNESS
  • 86.
    Slow Speed Technique DiamondDisc 0.2 mm (minimum) thickness
  • 87.
    High Speed Technique DiamondBur 0.3 mm minimum thickness Raintree-Essix 55000 Diamond Bur Premier Dental –201.3 VF Diamond Bur
  • 88.
    Gauge System –IPR Accuracy
  • 89.
  • 90.
  • 91.
    Pontic in PlaceWhere 1st Bicuspid Was Extracted
  • 92.
    Initial Treatment -Aligner Delivery Delivery to Patient • Deliver aligners and Starter Kit (with instructions for use) to the patient • Patient wears the aligners in two-week intervals until treatment is complete.
  • 93.
  • 94.
  • 95.
  • 96.
    Patient Education Future treatmentdiscussed with patient
  • 97.
  • 98.
    Monitoring Attachments Check attachmentform to ensure all are present
  • 99.
  • 100.
    Monitoring / Space/ IPR Review Reproximation information each visit
  • 101.
    Monitoring Aligner Adjustment Trim aligners,if necessary, to aid in seating and tooth movement
  • 102.
  • 103.
    Extrusion Triangulation • Before alignersare placed • While aligners are on
  • 104.
    Interarch Techniques Extrusion • Priorto impressions • Place three composite or metal buttons • Have patient wear triangular elastic until occlusion locks in • Then take PVS impressions for aligners. Triangulation before aligners are placed
  • 105.
  • 106.
    IntraArch One ButtonTechnique Extrusion • Two slits cut in aligner lingual of targeted tooth • Portion of aligner on facial of targeted tooth cut away
  • 107.
    IntraArch One ButtonTechnique Extrusion • Bond clear button to gingival area of clinical crown • Place IntraArch elastic from button, across incisal edge, to slits
  • 109.
    Bonding Buttons forClass II Elastics
  • 110.
    Important Note: • IfClass II Correction is requested, Align will assume use ofClass II Elastics from the initial aligner for the duration of treatment • In the final ClinCheck, the technician will set up a “Virtual Jump” • The Final Stage will show a full Class II correction (Virtual Jump)
  • 111.
  • 112.
    ClinCheck After VirtualJump (last stage)
  • 113.
    Mid-Course Correction* Re-start asa result of: 1. Poor Patient Compliance 2. New Dental Work 3. Change in Treatment Goals after ClinCheck acceptance or mid-treatment
  • 114.
    Residual Spacing andCrowding Solutions • Case refinement aligners (spacing and crowding) • Detail pliers (crowding only)
  • 115.
    Correcting Minor Rotations •Detail Pliers • Overcorrection at Case Refinement • Key is if desired movement is already present in aligner • IPR performed if space is needed.
  • 116.
    Detail Pliers • MinorAnterior Rotations • Tightens light interproximal contacts • Enhances aligner retention in undercut regions • Creates Pressure points up to 1mm in depth.
  • 117.
  • 118.
  • 119.
  • 120.
  • 121.
  • 122.
    After Aligners Worn WithPressure Points in Place
  • 123.
  • 124.
    Finish- Invisalign Detail& Eraser Pliers • Heat-free and adjustable • Detail Pliers • To modify minor discrepancies in alignment • To nudge teeth into positions already built into aligner • To increase retention • Eraser Pliers  Remove or reposition pressure points as desired.
  • 126.
    Posterior Open Bite PotentialCauses: • Anterior interference • Insufficient leveling • Bowing of arch due to insufficient IPR • Material thickness
  • 127.
    Posterior Open Bite Solutions: •Additional leveling • Intrusion buttons • Occlusal equilibration • Section aligner post-treatment
  • 128.
    Posterior Open Bite •Trim aligners distal to 2nd bicuspid • Allows passive eruption (settling)
  • 129.
    Case Refinement Refinement isan option to order additional aligners at or near the end of treatment if further tooth movement is desired. Reasons Refinement is needed: – Tight contacts – Excessive IPR and/or residual spaces left at the end of treatment – Modification not communicated in ClinCheck setup – Patient compliance – Additional fine-tuning requests by the patient
  • 130.
  • 131.
    Why Vivera? • Viverais a retainer solution that: – May help prevent relapse – Accommodates Lingual Wires and Pontics
  • 132.
    Vivera • Other materialscan crack within weeks, loose strength or do not maintain strength to prevent relapse. Crack Warping
  • 133.
    Accommodation for LingualWires Option #1: Vivera comfortably fits over the Lingual Wire.
  • 134.
    Accommodation for LingualWires Option #2: Vivera stops at the top of the Lingual Wire.
  • 135.
    Support for Pontics •Provides an aesthetic solution for the masking of dental spaces while providing orthodontic retention of the entire arch • Preserves spaces and prevent the collapse of neighboring teeth • An aesthetic solution for the masking of dental spaces after the placement of implants.
  • 136.
    Pontic Examples Doctors willplace the pontic material in their office.
  • 137.
    A Few NotesAbout Invisalign Teen
  • 138.
    Patient Compliance Erupting Permanent Dentition RootMovement Compliance Indicators 6 Free Replacement Aligners Eruption Tabs Accommodates Natural Eruption Power Ridge™ Technology Invisalign Teen Addresses Potential Concerns
  • 139.
    Compliance Tools Optional, foruse as needed. Patient Compliance
  • 140.
    • Provided atno charge. • Addresses lost or broken aligners during the treatment period. 6 Free Replacement Aligners* * Some conditions apply.
  • 141.
    The tab extendsover the mesial cusp of the 2nd molar to help prevent supra-eruption. Occlusal View Eruption Tab The height of the tab matches the occlusal plane anticipating the full eruption of the second molar and as molar erupts, the tab acts as a stop to help prevent supra-eruption.