hey it's Dr Amanda with Street smile Solutions Street smilesolutions.com and today we're going
to talk about invisalign's new cbct integration into six clinchex 6.0 and actually I think it
released a while ago earlier this year but they're really starting to promote it more
now I would really love it if they did some webinars and some other stuff there's like so
little education around this I mean I've asked for more information they give you like a PDF
handout which is like super confusing to be honest so I'm gonna try to translate it for you I've kind
of been reading it and I've been talking to a lot of doctors that are doing it a lot of the doctors
who are working with us at Street smile Solutions are doing it and I definitely see some reasons I
would consider I think that GPS should do it I don't know as an orthodontist then I routinely
do this I mean to be honest I do take steps so you know when we do cases and especially
if it's a case where we're considering AP changes or vertical changes and we want to you know take a
look at it and see where the incisors are relative to the cranial base relative to the Denture bases
can we digitalize can we not how will the profile look so I'm already doing that so I have all the
information I need the bad part about this cbct integration it's nice because basically
I think it's going to be good for General Dennis in that they don't have that understanding or that
fundamental understanding that an orthodox would have about a ceph I can look at a set
I don't even need numbers I can look at SF and I know exactly what I need to do and how I can make
this contact awesome I don't need to plunk it into this machine to have it look pretty okay I
think it's great for educating patients though because that's really hard to explain that's
always been an issue like hey I'm looking at this stuff and I see this so that's why we have to do
the Invisalign this way and they're like huh you know and there's no way you're going to be able
to explain it to them fully they just have to take your word so by plunking this cbct in it
then it's like oh I see that there's a dehiscence when I when I flare the incisors you know like
it's really obvious that we ran out of bone so for that reason for patient education reason or
for General dentists who maybe don't understand it I think it's going to help because you can
visualize it and it makes more sense from a dental point of view okay so that's why I think it's good
well I use it probably not really I might we have one case where gonna maybe do it on in my
husband's office it's impacted canine case and I think this oh man it's a nightmare um really
really interdisciplinary case and it would be really really great for him to be able to see
so I see it but he doesn't understand it so yeah so these are the steps step one when submitting a
case you have to click on stands and Impressions and click the cbct tab so when you are clicking
the case through you're going to see it at the bottom of that that page and that's where you're
going to upload it right there's a few notes Here and I don't we don't own a cbct yet and we
Outsource for cbcts so I probably don't understand this stuff as well as you guys do have it but it
does say it needs to be in the dicom format it has to be a single large dicom file with all layers or
it can be a list of small.dinecom files so slices it can be a lot of slices or it can be one big
one so I know it's going to be a slow upload for sure and we're going to do a little more content
over it um shortly but um yeah so you just have to select it the one thing I did notice is when
it does come back the gums don't look good on it like what looks really slick with the gums in the
regular setup you're not going to have it I don't know if you can toggle back and forth that would
be nice I haven't figured it out yet it just looks you can't really see the gum so it looks weird
um but I bet there's a way to do that um the other thing that's really important for those of you who
are doing like molis or Galler or have started selecting the whole traditional RX versus uh
sorry the there's traditional RX and then there's oh what's it called there's two different options
and I'm blinking out traditional is the one you want that's the main one the new one which is like
computerized and I can't remember what they're calling it they're calling it something else but
that's one you don't want you want to make sure you're picking traditional and you always want a
picture additional anyways because traditional means a human looks at it another computer so
do what you're already doing what I'm already telling you to do which is Click traditional
when you submit it through but yeah you can't do the the fast computerized you can't be using
your engines and doing this I don't think because the engines need the the Slick one
um so yeah I mean that's pretty much it and then um you can now enable Roots button oh so it sounds
like there's a Roots button in the toolbar that you can turn on and off oh okay so maybe
you can turn it off so next time I see one I'm gonna I'm gonna play around with it and see but
um they are saying that you have to pick you do have to pick um the clinch up Pro you have to have
that downloaded in order to do this I saw that in this paperwork however the cases I've seen didn't
all have clinchek Pro so I don't know I I haven't figured that part out of it yet but I mean clearly
I feel like they kind of put the card before the horse with this they kind of like pushed it out
super fast without educating people and we're just kind of all clicking around and just winging it
um and so far I've been relatively pleased but yeah just wanted to let you guys know it is here
and I think it definitely has a good functionality it's definitely a start all right thanks