Tech Tip: Tips on submitting a case

Submitting a new case? Here are a few tips:

If you have any other questions about submitting a case, give your account rep a call.

Until next time...

Update: As of March 15, 2016, bite registrations are no longer required in submitting a case to ClearCorrect, and you can watch an updated video on case submission here.

Tech Tip: Trimming questions

1. Why do your aligners overlap the gumline?

As we announced in September, we now trim our aligners with a smooth contour, overlapping the attached gingiva. We made this change based on clinical research which demonstrated big improvements to retention using this technique.

New trimming protocol

2. Can I make custom trimming requests?

Unfortunately, we are not able to accept custom trimming requests. We trim all aligners using the same standard protocol. If you want to customize your aligners, you can do so fairly easily in your office with a buffing wheel (like the ones available in our online store).

3. What should I look for if my patient complains of sore gums?

ClearCorrect aligners go through a multi-stage polishing process, so actual rough or sharp edges should be quite rare.

It is fairly common, however, to experience some discomfort for the first few days wearing an aligner. This often indicates that the soft tissue is getting used to having foreign material present in the mouth. Changes to the mucosa eventually fade away when the patient stops wearing aligners.

If the gums are being impinged, one possibility is that the gingiva were not captured accurately in the impression. We prefer 4-5 millimeters of gum to be included. Incomplete impressions will affect our production models.

Frenum_pullYou may also want to look for frenum pulls. These can be difficult to detect because the aligner may feel comfortable at first, but as the patient speaks and moves around, the frenum becomes irritated and ulcerated. Unfortunately this dynamic movement is not captured in the impression. Clear photographs can help to identify these. Gingival frenum pulls are rare, but when they occur, they are typically found in the maxillary premolar and midline areas. If this proves to be a problem, you may want to trim the aligner shorter in the affected areas.

Tech Tip: Keeping your patient on track

Your patient just bought a one-way ticket to Straight Tooth City. Here are a few tips for conducting the ClearCorrect train to arrive on schedule without getting derailed.

  1. Set up an incentive for the patient. For example, you can offer a free cleaning or whitening when the patient finishes their treatment.
  2. Explain osteoclastic and osteoblastic activity. By not wearing the aligners 22 hours a day, the teeth are being moved back and forth, which disrupts this bone activity.
  3. Make sure your patient is wearing their previous aligner when they come in for their appointment.  Check how it is seating. It should sit flush with the incisal edges of the teeth, and should be loose after three weeks of wear.
  4. Suspect non-compliance if your patient starts missing appointments and/or frequently reschedules. Re-incentivize your patient as needed. Use the original treatment setup to remind the patient of their end goal.
  5. Emphasize the importance of good oral hygiene. Poor dental hygiene can hinder your progress.
  6. Compare each moving tooth to the setup at each appointment. Ensure the tooth is moving according to plan. You can refer to our wiki for help with stubborn movements.
  7. Keep an IPR tracking sheet. Record everything. By keeping track of these things, diagnosing future issues will be easier.
  8. Check your compliance checkpoints. Gaps that have not closed may be a sign that the aligner has not been worn long enough. If you suspect non-compliance, give the aligner another week or two.
  9. Insert the next aligner in the office and make sure it fits. If there are gaps on the incisal edges, check the setup. It's likely the teeth need a few days to move into position before the aligner will seat. Chewies are useful for increasing pressure on the aligner

That's it for now! If you have any tips on how you keep your patients on track, we'd love to hear them. As always, you can share your approach by replying to this email. 

Tech Tip: New video - How to place engagers

Engagers are handy composite bumps placed on the surface of the teeth to help aligners achieve difficult tooth movements. Think of them as handles that give the aligners greater leverage. In our new tutorial video, we'll take you through the steps necessary to place engagers on your patients' teeth.

 

We hope you found this video tutorial useful. If you have any questions at all, give us a call at 888-331-3323, or visit our Wiki online

For written step-by-step instructions on how to place engagers, click here

Tech Tip: New video - Compliance checkpoints

Compliance checkpoints tell you when we expect gaps caused by IPR to have closed. Knowing when to examine these compliance checkpoints and what to do if there's still a gap is important to keeping your patient's treatment on schedule. Lucky for you, we made a video to explain all that.

Give it a watch:

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We hope you found this instructional video useful. If you have any questions, give us a call at 888-331-3323.

Until next time...

Tech Tip: New IPR tutorial video

Interproximal reduction is a technique that removes small amounts of enamel from the edges of crowded teeth, which gives them the room they need to align. After watching our new and improved provider training video, you'll have a good understanding of how to perform this useful procedure.

Check it out:

 

We hope you found this video tutorial useful. If you have any questions, give your ClearCorrect representative a call at (888) 331-3323. 

Tech Tip: Top 6 tips from our support team

This week, we're sharing the top 6 tips from our support team:

  1. Take close-up, in-focus photos. The photos should clearly capture the full details of the arches in and out of occlusion, all the way back to the rear of the molars. Use a good camera in conjunction with cheek retractors and intraoral mirrors.
  2. Check your impressions for imperfections like voids, bubbles, poorly-defined gum lines, unclear distal molar areas, etc. If the impressions aren't accurate, it's pretty likely that treatment won't work as planned. Learn what makes a good impression on our wiki.
  3. The submission form is your chance to explain what is happening with the case and what you want to accomplish.  The more details you provide on the submission form, the better. Do you want engagers to be placed on the lingual side of the teeth, or avoided altogether? Are you going to extract teeth before treatment begins? Do you want pontics? Or bars to fill the gaps between teeth? If you don't tell us what to do, we cant guarantee it's going to happen.
  4. Carefully review the treatment setup before hitting "accept." Evaluate each step of treatment to confirm that it matches what you want to prescribe for your patient. Examine the models for issues that might affect the treatment outcome. If you approve a setup with misshapen teeth or incomplete molars, that's what you're going to get in your aligners. Don't set yourself up for an unpleasant surprise down the line.
  5. When you request a revision, clearly restate what you are trying to accomplish, and what you want to change. It’s almost always best to submit new impressions or scans for a revision, so we can match the exact position of the patient's teeth. If that's not possible, and if the aligners  fit  well, we can use the existing models. But if the patient's teeth haven't been tracking, they may not be accurate.
  6. Remove engagers before you take new impressions. Engagers can cause tears and pulls in the impression material. Don't remove the engagers if you're requesting a revision based on existing models—we'll stage the case under the assumption that the existing engagers are still there.

That's it for today. Until next time…

Tech tip: treatment setup troubleshooting

If you're experiencing trouble viewing the treatment setup, take a look at the following troubleshooting guide. Also, remember that the loading time of the treatment setup may vary depending on the speed of your computer. While the left side of the screen says, "loading", keep an eye on the progress bar below the model to see how much longer you have to wait.

As a reminder, the new treatment setups cannot yet be viewed on Apple mobile devices, like the iPad or iPhone.

If you cannot view the treatment setup even after downloading and installing the required Adobe software, try the following:

1. Open up the treatment setup again for this patient. Once it has loaded go to the top, click “Edit”, then select “Preferences”

 
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2. Once the new window has opened, select “3D & Multimedia”

 
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3. Once that has been selected, under “Preferred Renderer” select “DirectX 9”


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4. Then, under “Optimization Scheme for Low Framerate,” select “None”


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5. Click “OK,” close the Adobe Reader program. Then reopen the treatment setup.

This should get it working. If this process helped you get your treatment setups displaying properly, let us know! 

While we're on the subject...

If the models occasionally flicker, you can fix it by adjusting your settings. In Adobe Reader, go to Preferences > 3D & Multimedia and change Optimization Scheme for Low Framerate to None.

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Until next time, enjoy your Labor Day weekend!

Tech Tip: Video guide to case selection

Moving teeth is an unpredictable business. It's difficult to judge how much clear aligner treatment is required to achieve your patient's goals.

Because there are so many variables involved in tooth movement, we've put together a collection of resources to help. For example, you may have seen our case parameters document, which illustrates the different types of tooth movements and their respective difficulty levels. There's also the case selection chart, which pairs the different types of tooth movements with their recommended treatment options.

Today, we'd like to introduce you to the newest resource to help you choose what treatment option is best for your patient: our video guide to case selection!

 

 

We hope you find this video guide helpful! Of course, your personal representative is there to help you if you  have any questions.

Until next time!

Tech Tip: Tips on closing patients

This week, our very own Dr. Mah chimes in to give us all a few tips on talking to patients about ClearCorrect. 

What's the best way to approach the subject of clear aligners with a patient who needs corrective treatment? What should you do if your patient balks at the cost of their aligners? How can your staff pitch in to help, and why is staff participation so important? What good will aligners do for them besides just giving them a nice looking smile? Click the video to hear what Dr. Mah has to say and find out!

DrMah

We hope you found this video useful. If you'd like to tell us how you approach the subject of clear aligners with patients, drop us a line and share your advice! 

Until next time...