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hey it's dr amanda with straight smile solutions straight smile solutions.com
and today we're going to be talking about the newest version of clinchack
i believe it's cling check 6.0 am i getting this right 8.0 i can't keep them trying keep
track of them but in any case it is october 2020 so whatever one just came out
so i wanted to go over a few tips and tricks that i found that are pretty cool on the new clint jack
and as always i have to give this disclaimer these opinions are the opinions of myself and
straight smile solutions i'm just an orthodontist i make these videos not for profit but to help
people who ask for help and i post them because doctors need help and yes i do do um orthodontic
consulting and i do help doctors if they ask for help with their clinchex that's part of what i do
but i also offer these free videos and doctors from around the world can access them to do
better work with invisalign so i would really appreciate it if invisalign would not send me
any more nasty emails from their legal teams or letters from their legal teams threatening to sue
me when i post these because really it's meant to benefit invisalign and patients and doctors we all
win and if you invisalign cannot explain things well and easily then other people need to and
doctors are asking for this help so i'm doing this just to help please do not give me a hard time
thank you so much for the disclaimer all right so y'all i would go into an actual clinch and show
you around how this stuff works but i get nasty letters from malign technology when i do that so
i can't do that you know they're a little bit of a bully sometimes but in any case we'll see how
long this stays up before i get a letter in the mail and if they're smart they would realize this
is just to help them and i take a little bit of offense when they send me rude letters in the mail
anyways all right but you know that's big business that's big technology sometimes they don't think
about the why behind you know people are just trying to help you so um in any case let's
talk a little bit about the newest latest and greatest and this is all positive so please do
align technology let me keep this video up i put a lot of time and effort into creating these so and
it's just to help people all right no more talking about that i just want to get my point across
um couple things that have come up a lot yes you can add more photos and x-rays after our clin
check is ready for review but what you need to do is go into the notes and go into the revision say
hey i'm gonna add new a pano or i'm gonna add some additional photos where i've used articulating
paper and i'd like you to take another look and do another setup or something like that you do
that and then you once you do that you email the records with the patient name and id number with
the attachments to records aligntech.com okay personally i recommend giving them a call on the
doctor support line and letting them know too i think it goes faster and they often review it
quicker if you do that it kind of connects all the dots if you don't get see any movement on traction
on this after a few days i would repeat um and ultimately it's good but yes you should always
submit a panel if you have one absolutely because you can get a way better clinchack um if you
submit x-rays right of course so um okay so let's talk about the white yellow and blue diamonds
that are in your clinch treatment plan that's associated with ipr and i have a
lot of videos on how to do ipr and if you want to access them feel free to reach out to us at
straightsmilesolutions.com they are totally free and we'd be glad to show you how to do
better and more efficient ipr but um basically in a nutshell white diamonds show the total amount
of ipr as always i believe there shouldn't be any more than 0.5 millimeters historically cumulative
per interproximal space but they will do way more than that if you don't stop them
so you really need to realize that if you're prescribing ipr this is just a suggestion from a
from some software they don't know if that's okay so i mean there's so many things you need
to take into account and before you okay that ipr right i mean first of all i like to think
should is is this a filling do i want to do ipr on this filling certainly i don't necessarily
want to do it on a crown i might be okay on an amalgam i don't want to do it on a veneer
i do want to do it on natural teeth but also depends on how much enamel the patient has
and i think more than ever a lot of people aren't thinking a lot of patients are re-treatment cases
for previous you know aligners or even braces and they may have had ipr before so you really need to
look at the shape of that tooth and you need to look at the bite wings of the posterior and you
need to look at the pas in the anterior and you need to measure that enamel and say can i do ipr
because i've seen people get pulpal death from overdoing ipr and you know needing a root canal so
think about it before you do it and don't let too much ipr be done if that's not something you feel
comfortable with okay so as you drag the orange little slider at the bottom of your clincher
the diamonds will turn yellow and that shows you when you need to do the ipr buy it's like i like
to give the analogy it's like a library book you need to get it done before that date so you can do
the ipr anytime before you know it's due basically and then once it turns blue the ipr is completed
all right and then remember you can historically on the revision it's going to show you hey
you've already done 0.4 millimeters plus we're adding 0.2 millimeters don't go over that 0.5
you need to be cognizant of what was done check your charting did i actually do it you
know and if they're asking for too much printer proximal space you can ask them to restage it
more posterior on other teeth if it's possible not always possible okay this is a really popular one
how do i share my clinch act with the patient and this is a new feature i'm having some issues with
it and maybe it's because i have a mac but they have two different workflows one if you
have clean check pro one if you don't but the one that you don't still doesn't work for me so
but this is what i see when i go in on my computer so when i go to the newest clinch
act this is the newest one and i click on the patient's name and then it's gonna say what type
of treatment it is and then it's gonna say export and then it's supposed to say movie screenshots
stl or sample case mine only says screenshots and stl so the screenshot shows me
the before and after just a static image the stl is the stl that's nothing you can do with
an stl but this is cool this is something very very new that i didn't even know that
they had so i want to give i've been asking for this so i want to give a lion kudos for
having this because i can see a big need for this for example i want to export my stl to my local
lab because perhaps my invisalign treatment is going to be combined with a combination
of veneers afterwards so i want to see if the final setup the final stage you know let's say
this is 20 aligners if a liner 20 the way the setup is that they've set it up so i can do a
digital treatment planning so i can do a digital wax up so i want to send that final stl to my
you can either only do initial or final basically they're not going to let you do all the stls that
would be smart because then you just export it to some third-party lab and they'd make white label
aligners so of course they're not done you're not going to do that but you can get the final one and
i'm cool with that that's all i wanted so that way i can do virtual wax ups and things like that so i
can show the patient what it's going to look like with the rest of the restorative right it's really
accurate so and we can plan in advance for like um the spatial staging and stuff like that so it's
awesome however i'd like to say that i was super excited about this and i went to try it out today
didn't work i got an error message so i don't know if there's a bug in the system or again if it's
just me but it wasn't working for me but the fact that it's there is huge so this is how you do that
okay this is how you do it with oh yeah and this is what it's supposed to look like stl export
initial stage or final stage and then this is their tos they say it's there to help you
develop more efficient dental treatment plans which may integrate with invisalign or other
dental procedures awesome fantastic it is not intended for manufacturing aligners or retainers
to straighten or retain teeth that's fine so um if the clincheck plan related to this stl is not
accepted or is later cancelled they reserve the right to charge you for the creation of
oh i didn't even get that until i saw that now so this is really really really important and very
smart i support this so they're saying that if you go because you know how you can do a workup
and you may not proceed with it okay so if you go and you do a workup and you export that stl um
they might charge you for it if you do not accept it actually pay for the treatment so they reserve
the right to do that very very smart and i totally support that online technology that makes sense so
anyways um if you're using cleancheck web if you want to share the treatment plan this is how you
do it with the patient you're going to click share like i said i already did and i have clinch web
and then they're going to tell you what things you want the patients to see attachments bite
ramps power arms the hexapower power ridge um precision cuts ipr spaces are posix so
you can select supposedly and not select different things if you don't want the patient to get like
overwhelmed by all the different things that are there you could just make it just the teeth only
depending on what you're trying to share with them you're going to hit share and then what it's
going to do is the patient gets two emails from invisalign and a lot of times this is how doctors
communicate communicate with me too if they don't want to do a zoom meeting or if you want
to go over a case sometimes they'll send it to me like i'm a patient and i'll get two different
emails one of them will be um the initial email you'll have to put in a password which comes in
a separate email so it's not unlike what they do with hipaa compliant email where it comes in two
different things and you have a password and then it doesn't say the patient's name on it so you're
just gonna get this random setup in the mail so i mean obviously my doctors when they communicate
with me like that they'll send me a message through my secure email say hey i'm gonna send you
the clint check for sally b and it's coming right now so when i get it i know oh that's sally beezy
um set up but it doesn't have our name or any phi on at all so that's how that works basically so
all right so basically in a nutshell this first review i did was a little bit more about the
newest clinchack ipr staging ipr quantification cumulative ipr and how to share a clint check
and how to export an stl from the initial or final stage of your clinch act all right stay
tuned i have a little bit more coming shortly hey this is dr amanda with straight smile solutions
straightsmilesolutions.com and we're going to move on to part two of our updates with our
new clin check in 2020 a couple more cool things that are happening right now that you can access
first of all yes you can view various clint check treatment plans side by side which i love um a lot
of times i'll work up multiple treatment plans one has ipr one doesn't have the ipr when we fix
the midlines when we don't fix the midlines once we just do anterior movement when we just we do
full movement with elastics and fix the bite i might have three four five six seven eight options
and now you can easily toggle there was a toggle button before and you may have seen
my other videos but now you can just go to this button right here which is on the left top side
and you can see the various setups and you can bring them all up or compare one with another
um so that way the patient can see a versus b and they can understand it so it's really great
so basically open clinch click on treatment timeline select the treatment plans you want
to compare click on tools view and compare plans you can do up to four treatment plans
at one time so really great um good thing about this new clint check is you can hover your mouse
over the different buttons and it tells you what they are so in time and you could also
reorganize the whole top panel to make it easier to understand so um to configure so that's pretty
cool all right another cool thing you can do now is you can enter private notes in the clin check
by the way this little thing is a little thing if you have private notes but you can click
on that and you can add notes like um i mean obviously you're probably putting notes in your
own practice management system but this is a great way to make notes about things that
you talked about that are related to the invisalign treatment because if you've got
a lot of invisalign cases going on you're gonna forget so it just pops up and it's a private note
and only you and your team is gonna see them um and if and or if you've created staff accounts um
the staff won't be able to necessarily see them just the doctor so and i do recommend that if you
are doing invisalign one of the best things about and again people in business likes to think that i
don't like them which is so not the truth at all i madly respect invisalign and i like the fact that
i can give feedback and a lot of times they listen to it and then they create new things because all
these ideas were ideas that i already gave them so um these are things that were on my list when
i met with them last year in person i told them here's things i want you to work on here's things
doctors are asking for and i don't know maybe they already had them in the in the pipeline but pretty
much everything i told them i liked and that i wanted them to do they did so um you know that's
awesome but yeah i mean it's super important and it's really important one of the best parts when
i talk to people that are considering invisalign i say look they have the best possible dashboard
they're constantly updating their dashboard what you are paying for yes they have a high lab fee
but you're paying for convenience you're paying for an all-in-one solution you're paying for this
dashboard where if you're in a big office you can have one master account and multiple doctor
accounts under one you know master account that's run by the owner you can have sub staff accounts
and consultant accounts that go under as a staff with all with different um you know permissions
someone is only dealing with money um someone's only dealing with you know clin checks and
impressions and whatever so different people have different permissions and different access
and it's really really great that you can do that and if you're not sure how to do it i mean it is a
little bit complicated but you can definitely talk to your tm or territory manager and if you don't
know who your tm is i think now more than ever we don't necessarily have a lot of direct contact
with our tms like we used to they'd all come to our office and bring donuts and whatever and they
mine stopped by like every other week um you know and we were going out to lunch and going
over cases and they'd like hands-on help you well they don't have the bandwidth for that anymore you
know they have way more doctors they work with and unless you are a super high status doctor that's
probably not happening so you know everybody needs help so definitely feel free to connect with
me i'm glad to give you some tips and tricks on managing your clinch x but yeah the notes feature
is really awesome that's great um lastly i think we already talked about ipr a lot but keep an eye
on the red flags on the ipr diamonds that's super important especially in eurovision's refinements
you need to know how much previous ipr was done and remember that's just based on your treatment
plan if the patient has had invisalign in the past it's not going to be on there so as always
you need to take x-rays and you need to think before you prescribe ipr you know so um and i
like to keep my max like this 0.5 millimeters all right thanks so much hopefully that was helpful