it's dr amanda with straight smile solutions street smile solutions.com and today let's talk
about what information we need in order to do an invisalign or clear correct refinement or revision
and this is the information that i always tell my doctors to have prepared before we work with them
on a refinement or revision if they're looking for help and even if you're not looking for help you
should still have all this information because you're going to need it in order to fill it out
now if you want to step by step on how to do a refinement or a revision i do have it
a video on this um specifically if you go to um street smile solutions youtube
channel so go to youtube put in the search bar straight smile solutions three different words
and then once you are there you can scroll down to the playlist go to invisalign and you'll see
one or you can even put in refinement and comma invisalign and it should pop up and it literally
takes you step by step but specifically today i want to talk about what four things i ask
doctors for if they ask me to help them with the refinement or revision or to submit it for them
of course doctors always have to do the ultimate approval but just to help get
it submitted like paperwork kind of stuff so these are the four things i need to know
number one what a liner are you currently holding on did you finish the whole initial set or did you
stop somewhere in the middle for whatever reason maybe it wasn't fitting right maybe it wasn't
tracking right maybe they're getting a posterior open bite maybe the patient had a new filling need
to make a change whatever reason so what a liner is the patient holding it remember they can't
keep going they need to if you had 30 aligners and you're stopping at 20 you have to hold in 20 until
the new set comes in because otherwise it won't fit assuming you took a new impression or scan
at that one so what numbers you might be on 20 upper and 15 lower so lower and upper numbers
number two the other question is did you take off the attachments or buttons if they have them
or are they still on in the refinement scan and again i take you step by step through this
if you want to watch the actual step-by-step video but specifically that's all i need to
know did you take them off or did you leave them on i sometimes i can tell by looking at the scan
but it's such a tiny thumbnail i can't tell so um and sometimes people don't take pictures so
it's important because i need to let them know what to do okay it's totally fine and we have
specific videos answering this question but in a nutshell it's totally fine to leave them
on if it's something super minor but if it look crazy didn't track it's better to take them off
and we'll just completely redo them so if you leave them on they might give you new ones to
put on other teeth or they might swap some out so you know but if you really can't let's say you're
actually mailing the aligners to somebody they're off at college you need to be specific and say
no new attachments okay so this is information we need to know um number three they ask you if
you completed the ipr that was prescribed if it was if it was prescribed so that's
important to know because if you did they want to mark that you did it if they didn't they're
going to have you do it again and we don't want to overdo the ipr right on same sites
number four if you had any issue you should always always every appointment the patient comes
in for any aligner be checking the articulation because if you start to get a posterior open bite
on one side or on both sides first of all you want to stop and refine add anterior bite turbos if
that's a feature of it um but number two you don't want to keep going because it'll just get worse
and i've seen cases that were done as lights or expresses and the doctors didn't notice that they
were getting pobs and oh my goodness it took like they had anticipated maybe 10 aligners now it's
40. and they ended up paying ridiculous losing money on this case because they didn't notice the
pob so i always recommend at refinements take the pictures of the occlusion with articulating paper
and always send it to the text now if they're if it's like a super solid occlusion and we've got
bite on every tooth no need you know it'll get picked up in the scan
that's not a problem but if the occlusion is at all funky you want to always take pictures
of the occlusion with articulate paper this is who how you email it records at aligntech.com
or support clearcorrect.com and then you put in when you submit the the case i
emailed photos of the articulation to records at aligntech.com or support clearcorrect.com
please use those photos to articulate it because i can't tell you even if you
had an itero even if you have a scanner even if you're using bite registration i can't tell you
probably in these cases almost 80 of the time it's set wrong they're just doing the best
they can with what you gave them and ultimately it's your job to double check the articulation
if you don't have these little marks you don't know if it's done right if it's not done right
you're gonna get a weird outcome you know and it's gonna end up taking a whole nother revision
refinement to fix it you'll figure it out later so really really easy stuff so these are the four
things that i need in order to do your refinement or revision for you if you would like support with
that again ultimately you're the doctor you're going to be the one that does the approval
but just to help you with the workflow this is what we need all right thanks so much