Invisalign Clinical (Gardner) Flashcards

1
Q

What is the key to have with Invisalign?

A

Backup plan

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2
Q

Does an orthodontist look at every invisalign case before sending it to the General dentist for approval?

A

No

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3
Q

If a general dentist does Invisalign, to what standard is the general dentist held?

A

The orthodontist

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4
Q

What case is good to start with?

A

Mild crowding (Class I mechanics) no skeletal problems

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5
Q

Should invisalign be used for canine expansion, particularly in the mandible?

A

No

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6
Q

Is invisalign indicated if a retainer would work?

A

No

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7
Q

Can invisalign be used to correct skeletal discrepancies?

A

No

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8
Q

What is the only ortho extraction that is compatible with invisalign?

A

Mandibular incisors only

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9
Q

If a patient is not compliant, are they a good candidate for invisalign?

A

No

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10
Q

Is it easy to correct deep bites with invisalign?

A

No

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11
Q

Can invisalign be used to correct an open bite?

A

No

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12
Q

Which is less expensive, more accurate, and able to accomplish more comprehensive movements: braces or invisalign?

A

Braces

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13
Q

How many sets of aligners should you almost always use?

A

2 sets (the second one is the refiner)

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14
Q

When can invisalign be done with surgery: pre- or post-surgery?

A
  1. Presurgery

2. Post surgery must go to standard braces

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15
Q

What can be done to allow the aligner to grab the tooth and bring the roots together?

A

Lean the tooth

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16
Q

What can be done virtually to plan the aligner to move the teeth closer and close space?

A

Virtual C-chain

17
Q

Why would bringing the roots together be a concern in ortho?

A

Can use that to close a dark triangle

18
Q

What else can be used as an adjunct to close a dark triangle?

A

Interproximal reduction

19
Q

What is the hygiene for the aligner?

A
  1. Ultrasonic cleaner
  2. Place in water when eating
  3. Clean with a toothbrush before adding toothpaste
20
Q

What is a concern when trying to correct crowding by proclining the teeth?

A

Patient must have adequate attached keratinized attached gingiva

21
Q

What are some ways to correct crowding?

A
  1. Interproximal reduction
  2. Expansion (not lower canines)
  3. Proclination (watching the attached gingival)
  4. 4xEXT, braces 1st premolar to molars, close the space, anterior teeth will move into the space
  5. Air Rotor stripping
22
Q

What is a concern when doing Air Rotor Stripping to make room to correct crowding?

A

After remove spacers ensure you do not create a ledge or a food trap

23
Q

When doing expansion (Transverse corrections) how much more should you expand?

A

1/3 more than you need

24
Q

What are methods for doing sagittal movements?

A

Rubber bands attached to the aligners or TADS for a single arch

25
Q

When should sagittal movements be done in invisalign treatment?

A

Close to the beginning of treatment

26
Q

What is a good thing about the early posterior contact with invisalign with respect to closing an anterior open bite?

A

The early posterior contact will intrude the molars and naturally close the anterior open bite

27
Q

What can be done if the patient has a forward tongue position contributing to an open bite (Vertical correction)?

A

Use a cross arch rubber band to remind tongue to stay back

28
Q

What would you like to extrude to open a deep bite?

A

The premolars

29
Q

What can be done to the aligners to help posterior teeth erupt a bit to open a deep bite?

A

Put turbos or elastics on the linguals of the anterior aligners that opens up space for posteriors to erupt into

30
Q

What can be used if there are tracking problems?

A

Have the patient chew whenever you put the aligner in.

31
Q

What are 2 movements that require attachments?

A
  1. Rotations

2. Extrusions

32
Q

How are attachments placed?

A

In the direction you want to move the tooth

33
Q

Should attachments be placed in the first visit (i.e. with the first set of aligners?

A

No. Give them 2 trays (1 month) then place attachments at one month visit

34
Q

Is there any urgency to replace an attachment if it falls off?

A

No, unless you are rotating teeth

35
Q

What is used to do rotations in invisalign?

A

Place buttons on buccal and lingual, then use a band to rotate

36
Q

What is common in the rotation of canines pretreatment?

A

Canines usually rotated in the same direction

37
Q

What is caused by wearing aligners well, and how can it be corrected?

A

Posterior open bite is caused. At the end, cut the tray distal to the lower canines and give them 2 weeks.

38
Q

Who diagnoses the invisalign case?

A

The dentist, NOT the lab tech

39
Q

What is the key with invisalign, besides starting easy?

A

Have a backup plan, especially if the patient does not wear the aligners