Case Submission For Invisalign Presented by: David A. Chenin, DDS Department of Restorative Dentistry, Univ. of Pacific Former Manager of Clinical Process Development, Align Technology Introduction Manager of Clinical Process Development, Manufacturing Department − Managed the incoming inspection of >50K cases − Clinical Trainer for Costa Rica Treat Operations facility − Developed the Online Case Evaluation Process − Developed the Online Treatment Planning Forms − Contributor to Certification Training, Clinical Monitoring Guide, and numerous other publications Investigator for the first clinical study on Invisalign, University of the Pacific Invisalign Feasibility Study Faculty, Restorative Department, University of the Pacific School of Dentistry Topic of Discussion Part 1: Case Submission Required Records Importance of Quality Records Review of Invisalign Timeline Part 2: VIP (Virtual Invisalign Practice) Tour of VIP Case Evaluation Process Online Prescription & Diagnosis Forms Overview Part 1: Case Submission Required Records – Prescription & Diagnosis Form – Photographs – X-ray – PVS Impressions – PVS Bite Registration Prescription and Diagnosis Form Invisalign Anterior or Invisalign Full Photographs 8 Total 3 extra oral 5 intraoral Use the Kodak Software to create a composite image Records Preparation (Photographs) Radiographs Panoramic or Full Mouth Series (COPIES!) PVS Impression Start Loading Tray From Distal Most common defect: •Incomplete capture of the terminal portion of molar INCOMPLETE CAPTURE OF TERMINAL MOLARS •Prevent by seating impression tray from the posterior to anterior. •Use putty in posterior region of impression tray to prevent PVS from flowing posterior. (Refer to Invisalign ‘Tips & Techniques Guide’) •Use larger size impression tray. PVS Bite Registration Taken in Maximum Intercuspation Topic of Discussion Part 1: Case Submission Required Records Importance of Quality Records Review of Invisalign Timeline Part 2: VIP (Virtual Invisalign Practice) Tour of VIP Case Evaluation Process Online Prescription & Diagnosis Forms Importance of Quality Records Align Internal Record Issues Record not Submitted ~10% Poor PVS impressions ~5% Non-Diagnostic Photos ~10% Poor Bite Registration ~5% Record accuracy dictates treatment, how well aligners fit, and treatment outcome. Presenting cases to colleagues, study clubs, publications, patient reception area Importance of Quality Records Prescription Form •ORDER FORM •Shipping /Billing •Type of Case •Patient Info •Tx instructions Importance of Quality Records Photos •Verifying Proper Patient •Detailing/trimming of 3-D models (ensure better fit of aligners) •Setting Occlusion (ensure better final result) •Verifying Restorations (attachment placement) Importance of Quality Records X-Rays •Verifying Proper Patient •Verifying Restorations (attachment placement) •Verifying Tooth Movement (Crowns/Bridges) Importance of Quality Records PVS •This is raw data to fabricate ClinCheck and Aligners. Importance of Quality Records Bite Registration •Verifying the interarch relationship + Importance of Quality Records (garbage in = garbage out) •Record accuracy dictates how well Aligners fit & Perform Example of poor quality intra oral photos (from an actual case) Topic of Discussion Part 1: Case Submission Required Records Importance of Quality Records Review of Invisalign Timeline Part 2: VIP (Virtual Invisalign Practice) Tour of VIP Case Evaluation Process Online Prescription & Diagnosis Forms Timeline Receive Case (2 Days after doctor ships) ClinCheck (6-12 business days after receipt) Aligners Ship (10 business days after CC approval) Problem notification within 5 business days of receipt: •Missing Items •Unacceptable impressions •Unclear Treatment Goals Other Timelines Ship within: 48 hrs: Re-ClinCheck 48 hrs: Replacement Aligner 48 hrs: Invisalign Retainer Topic of Discussion Part 1: Case Submission Required Records Importance of Quality Records Review of Invisalign Timeline Part 2: VIP (Virtual Invisalign Practice) Tour of VIP Case Evaluation Process Online Prescription & Diagnosis Forms Go to www.invisalign.com Click on Tab that reads “I’m a Doctor” I’m a Doctor Enter User Name and Password Enter username Enter password FIRST: Download ClinCheck® Action vs. No Action Invisalign cases waiting for Your Response Topic of Discussion Part 1: Case Submission Required Records Importance of Quality Records Review of Invisalign Timeline Part 2: VIP (Virtual Invisalign Practice) Tour of VIP Case Evaluation Process Online Prescription & Diagnosis Forms Diagnosis - Case Evaluation Case Evaluation is an on-line only service that assists you in determining which Invisalign Product can best achieve your treatment goals and is most applicable for your patient It assists you in assessing if your patient falls within Invisalign Anterior or Invisalign Full. Diagnosis - Case Evaluation Optional and Free A response is posted on your VIP page within two business days. Case Evaluation is NOT part of the Submission Process. Case Evaluation is NOT a Treatment Planning Advice Service VIP Home Page Go to “Start Case Evaluation” Diagnosis - Case Evaluation Step 1 - Enter patient’s name / age and confirm your billing / shipping addresses Step 2 - Provide us with your basic treatment goals Step 3 - Send digital photos of patient (8 required views) Step 4 - Review Case Evaluation response on your VIP page after 2 business days Step 5 - Submit case. Case Evaluation - Results Topic of Discussion Part 1: Case Submission Required Records Importance of Quality Records Review of Invisalign Timeline Part 2: VIP (Virtual Invisalign Practice) Tour of VIP Case Evaluation Process Online Prescription & Diagnosis Forms Online Record Submission Recommended Images can be uploaded with the forms Handwriting errors are eliminated Once submitted, the forms will be retrievable in VIP 24 hours per day Auto Check for form completion Larger special instructions box Editable treatment preferences Faster ClinChecks for Refinements with photos Patient Information Treatment Information Page 10 Photographs Recommended Radiographs Page 11 Submission Box Bite Registration Include print out of RX to identify the patient TWO WEEKS LATER…………… ClinCheck® Other Online Resources RSVP Online tool to share your virtual treatment plan (ClinCheck) with a third party consultant. Practice Development Material Print & TV advertising templates Hygienist program Public Relations Material Auxiliary Product catalog & ordering Clinical Education Center (invisaligncec.com) This is a free online website that is comprehensive clinical resource. Case Galleries, Tips and Techniques, Clinical Updates, etc. Live Walk Through of VIP QUESTIONS???? Presented by: David A. Chenin, DDS