Invisalign- Case Submission

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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%
ƒ Record accuracy dictates treatment, how
well aligners fit, and treatment outcome.
ƒ 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
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