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Clinical Preferences

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1. Tooth numbering system Learn More

2. Dual arch treatment Learn More

3. Passive Aligners Learn More

4. IPR on first ClinCheck treatment plan Learn More

5. Delay stage to start IPR, attachments and extractions Learn More

6. Pontics for open spaces Learn More

7. Arch expansion Learn More

8. Expansion per quadrant Learn More

9. Tooth size discrepancy Learn More

10. Upper arch tooth leveling Learn More

Universal (#1 - #32)

Palmer (UR8 - LR8)

FDI (1.8 - 4.8)

Align Defaults

Simultaneous Start

Simultaneous Finish

Yes

No

Yes

No

No Delay

2

3

4

Full size Pontics are automatically placed on spaces >4mm. If adjacent teeth are being moved (i.e., extraction treatments),the pontics will adjust their width automatically as the space increases or decreases.

Other, please specify one or both of the following

No pontics on extraction treatments

No pontics on posterior spaces

Increasing the arch width between canines, premolars and molars

Increasing the arch width between canines and premolars only

Increasing the arch width between premolars and molars only

To establish and maintain arch forms, but not expand

<=2 mm per quadrant

2+ mm per quadrant

Leave space distal to the laterals

Leave spaces equally around the laterals

IPR opposing arch

Level incisal edges

Laterals level with centrals

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Palmer (UR8 - LR8)

FDI (1.8 - 4.8)

Align Defaults

Simultaneous Start

Simultaneous Finish

Yes

No

Yes

No

No Delay

2

3

4









<=2 mm per quadrant

2+ mm per quadrant



IPR opposing arch

Level incisal edges


Recommended Invisalign Clinical Preferences

Clinical Preferences in blue text are Align defaults

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1

Pre-Invisalign G3 Clinical Preferences

11. Aligner trimming Learn More

(for gingival recession or large undercuts)

12. For space closure treatments, apply virtual C-chain Learn More

(Overcorrection for space closure treatments)

13. Attachments Learn More

Attachment Interface

14. A-P Correction Learn More

Precision Cuts Interface

15. Stage to start Precision Cuts Learn More

16. Special Instructions Learn More


Laterals 0.5mm more gingival than centrals

Level gingival margins

Trim aligners to 1/2 way between gingival margin and CEJ line

Trim aligners to CEJ line

Yes No

Place Optimized Attachment instead of Precision Cut

If necessary, change Button Cutout to Hook and keep Optimized Attachment

Place Precision Cut instead of Optimized Attachment

Place Precision Cut along with a conventional attachment

Choose the tooth numbering system of your preference

Allows for an equal number of aligners for both arches on every case. Otherwise, one arch finishes early and patient wears last aligner for an

expended period, creating a hygiene issue and cracked appliances. Passive aligners are not available on Assist.

Requesting “No Relay” in IPR or attachments is most efficient and most productive use of chair time. Just make sure you pre-heat patient at the consult phase, regarding the reality and the

benefits of both IPR and attachments. Sample verbiage: Attachments- “To help with the accuracy of tooth movement and to decrease your total treatment time, the computer will often program the use of small tooth colored attachments that are

temporarily bonded to some of the teeth. Sometimes this even includes the front teeth.” (Let each patient feel attachment on Invisalign typodont prior to presenting treatment plan);

IPR- “Crowding is often the result of teeth being too wide to fit into your smile properly; the computer

On question#8 you are requesting maximum expansion, so marking “Yes” here does not increase the amount of IPR on your case.

Treatment is more predictable, and IPR will be less, by requesting maximum expansion.

85% of maxillary spacing spacing cases are the result of subtle tooth size discrepancies. This preference provides you with an initial

clincheck with canines and central incisors optimally positioned. If residual space does exist, then you can either modify the clincheck with

lower IPR or propose veneers or bonding of the undersized laterals. Look for tooth size discrepancy in the consult phase of treatment so

that these discussions do not come as an afterthought.

analysis may determine that a few teeth need to be strategically slenderized to achieve an optimal bite and smile.”

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Palmer (UR8 - LR8)

FDI (1.8 - 4.8)

Align Defaults

Simultaneous Start

Simultaneous Finish

Yes

No

Yes

No

No Delay

2

3

4









<=2 mm per quadrant

2+ mm per quadrant



IPR opposing arch

Level incisal edges



Save Changes


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Yes No






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1

















Yes No





Since upper laterals will OFTEN unintentionally intrude during treatment, selecting that the laterals finish even with the centrals, in the clincheck,

will give you a clinical result with incisal edge of laterals 0.5mm more gingival than centrals.

Virtual c-chain creates 3 stages at the end of the clincheck that are designed to close any residual anterior space. These aligners are nice to have if you accidentally do too much IPR. The c-chain

(over correction) aligners are illustrated as the “brown stages” in the aligner sequence.

Only use these overcorrection aligners if space exists at that stage of treatment. Overcorrection aligners are dispensed one at a time and checked every two weeks to see if residual space has closed.

If there is no residual space, do NOT use overcorrection aligners, proceed to either refinement or retainers.


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I desire MAXIMUM expansion to reduce IPR. When IPR is needed, I desire it FIRST & MOST in the bicuspid/cuspid area; LAST & LEAST in the anteriors.When using using “My Class II” precision cuts, always add a high profile, horizontal rectangular attachment to the medial-buccal of lower 1st molars.When using using “My Class III” precision cuts, always add a high profile, horizontal rectangular attachment to the medial-buccal of upper 1st molars.

Click Save

Click on Elastic Hook image and drag to the corresponding tooth and then release the image.

Repeat for both upper canines and both lower first molars. Click “Save” and then click on the

“My Class III” tab.

Click on Elastic Hook image and drag to the corresponding tooth and then release the image.Repeat for both upper fist molars and both lower

first canines. Click “Save”

Click on the “Precision Cuts Interface to launch the pop up windows illustrated at the bottom of this page.

Using Elastic Hooks will eliminate the need for bonding buttons to teeth when Class II or Class III elastics are needed. Clinical Preferences in blue text are Align defaults

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Home page for Dr. Hodge & Mongrain Dr. Profile …...Tooth numbering system Learn More Laterals...

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