Pacific Coast Society of Orthodontists Bulletin Spring 2015 - (Page 39)

SUMMARY ANNUAL SESSION TREATMENT POSSIBILITIES WITH INVISALIGN® Presented by Dr. Bill Kottemann, PCSO Annual Session, October 4, 2014. Summarized by Jenifer Vetter. D r. Kottemann shared tips for efficient Invisalign treatment that staff and orthodontists can utilize. With a few proactive steps, preferences can be pre-set, allowing clinicians to be more efficient with their time. Random Tips * Pay attention to all details before hitting the "done" button. * Check for tight contacts. You can use lightening strips to check contacts; the middle of a lightening strip is thinner than floss. * Use only optimized or beveled attachments; aligners can stretch over them with more control. * Finish with Vivera retainers. The protocol is as follows: 1. Set your preferences in ClinCheck.® ClinCheck has the ability to add interproximal reduction (IPR) preferences, adjust for Bolton discrepancies, and adjust and auto-calculate measurements to your preferences. You will save time by presetting these preferences in ClinCheck. 2. Utilize the Vivera® retainer option. Dr. Kotteman delivers two sets of Vivera retainers to the patient at deband, and keeps a third set at his office in case the patient loses the first two sets. Dr. Kottemann - Full-time wear for first two weeks. - 12 hours per day for the next six months. 3. Refinement. - Bedtime wear for the second six months. It is not necessary to perform a new scan or make impressions for Invisalign refinements. However, you will want to reposition attachments for the refinement, ensuring that a heavily filled composite is used and no flash is left. - Wear every other night for the next 12 months. Bonding Time Savers: * Pre-fill attachment template. * Liberally apply self-etching primer to corresponding teeth; do not air dry. - Post 24 months, the patient can wear retainer(s) one to two nights per week, as desired. Pros and Cons of Treating With Invisalign PROs Patients can eat whatever they want Lost aligners Patients are able to keep their teeth cleaner Attachments break off Rough edges on aligners * Firmly insert template onto teeth, then immediately remove template. No loose wires or brackets * Remove flash from inside of the template with a scaler or plastic instrument. Fewer emergency calls (include emery board with welcome kit) * SPRING CONs Air dry teeth, reinsert template, light cure. 2015 * PCSO BULLETIN Shorter treatment time Appeals to adults and teens S 39

Table of Contents for the Digital Edition of Pacific Coast Society of Orthodontists Bulletin Spring 2015

The Whole is Greater Than Its Parts
The Land of Opportunity
Donated Orthodontic Services Program — AAO-DOS
Trustee Report
AAO Council on Scientific Affairs (COSA) Report
Component Reports
AAOF Report
AAO Leaders Complete Terms in San Francisco: The End of an Era for PCSO
Preparing for the Unexpected: Your Emotional SOS Plan Part I
Resident Spotlight: Dr. Mona Afrand, Orthodontic Resident, University of Alberta Department of Orthodontics; Younger Member Spotlight: Dr. Mostafa Altalibi, Calgary, Canada
PCSO At A Glance
The AEODO Research Data Portal: Restructuring Workflow
The Aveolar Bone Housing — The Orthodontist’s World
Case Report Pre-Treatment
Smile and Appliance Esthetics — New Understandings
How to Remember Names and Places: A Dale Carnegie Program
The Latest Trends in Orthodontic Treatment: Part I
Training and Giving Feedback to The Clinical Staff to Ensure a Well-Tuned Team
Treatment Possibilities with Invisalign®
Class III Treatment: Timing and Protocol
Orthodontics: The Key to Successful Interdisciplinary Treatment
CBCT: Assessment of Anatomical Boundary Conditions Important to Orthodontists
Case Report Post-Treatment
Sectional Mechanics for Class II Correction
Dr. Donald Poulton

Pacific Coast Society of Orthodontists Bulletin Spring 2015