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One of the most important steps when converting the treatment plan into a digital plan is the medical prescription. The way this information is transmitted to the Recode technical team is key, and will make it possible to design a proposed treatment more quickly, that meets the desired objectives and is as predictable as possible. […]
One of the most important steps when converting the treatment plan into a digital plan is the medical prescription. The way this information is transmitted to the Recode technical team is key, and will make it possible to design a proposed treatment more quickly, that meets the desired objectives and is as predictable as possible.
The Recode Aligners team studies and evaluates each case individually. Considering proposals tailored to each patient requires good communication between the professionals, transmitting aspects such as whether the patient is motivated and compliant, whether the number of aligners and treatment time are important to them, if there are recession problems and if the speed of the movements has to be reduced, whether the finish of aligner has to be scalloped or if they prefer it to be straighter. Every detail, as insignificant as it may seem, it essential to personalize the treatment.
The success of the treatment lies in the professional’s experience, but the background work and communication with the technician are fundamental in fulfilling objectives.
By following these simple pieces of advice, we can streamline the approval of the digital plan:
1.Always fill in the field “doctor’s observations” in the case prescription, in the Recode Aligners portal.
In the prescription, choose from the options: improve, maintain or correct, for the different fields. Taking a moment to specify each aspect in the final observations is essential for the technician to understand the main objective of the case, beyond simply correcting malocclusion, or improving the aesthetics and smile.
2. Avoid making excessive modifications to the sequencing of the movements before checking the final position of each tooth.
On many occasions the clinician starts by revising only specific movements of the teeth and requesting changes to the programmed sequence, to try to reduce the amount of aligners, which may affect the final outcome of the case.
It is essential to evaluate the final position of each tooth in an initial revision of the proposal. Once the result has been accepted, it is time to check the sequencing of the movements.
The order of revision for an initial proposal must include these simple points:
3. If necessary, request hypercorrection from the first set-up instead of waiting for the refinement.
The main aim of most orthodontic treatments is to correct malocclusion. While the objective of refinement should only be to adjust occlusion, points of contact and perhaps minor aesthetic details, it should not be to finish movements that have not been achieved during the first phase of treatment.
4. Talk to the technician about how to approach the case before you receive the first treatment proposal.
Thanks to the literature, we know that sometimes aligners alone are not the best option, and auxiliary techniques such as buttons combined with elastic, TADs or complementary fixed braces may be needed to guarantee the success of the case. It is imperative to communicate these intentions to the technician from the start, so they can present a proposal in accordance with the objectives.
5. Be precise and specify how you want the interproximal reduction (IPR).
The clinician must give all details of this stage precisely, so that the Recode technical team can reflect all of this information in the plan. For example, if the IPR must be done before beginning the treatment, during the first stage or sequentially during several stages; if you prefer to do the IPR on all teeth equally or adapting to a template depending on tooth size; if a specific sector (front or rear) must be done or according to the movement to be made; etc.
All of this information, along with the criteria applied by the technical team, will enable the objective of the treatment to be met without unnecessary delays to the final approval of the case.
6. Revise the position of the clasps.
It is very important to carefully check where the clasps are going to be placed, in addition to indicating the number of the aligner from which they are going to be removed so they can be trimmed, or if the position is modified for trimming when considered opportune. If you do not have the experience to be able to evaluate this, the technicians are trained to do so, but it is important to give these indications.
7. Define the point you want to reach with the treatment.
If you know the real limits of the case and are aware that the objective cannot be met, this must be mentioned previously, to be able to work more efficiently.
8. Specify how you want to treat the arches.
The clinician must transmit how they want to treat the arches, above all in cases in which a different number of aligners are needed for each arch. In these cases you can proceed in different ways, by equalling the number of aligners including passive aligners or retainers, with or without clasps, by reducing the speed of movement, sequencing more if possible, etc.
9. Dedicate the time needed to revise the proposal.
It is essential to dedicate the time necessary to write up the changes you require, to continue being accurate and concise with any modifications.
10. Resolve any doubts that arise before continuing with the case.
Finally, do not take anything for granted and always ask to resolve any doubts that come up, both when the case is being carried out and during the revisions, etc. You can contact the Recode technical team remotely to revise the plan or clarify any aspects necessary. Never approve a proposal if you still have doubts. Remember, we’re here to help!
And finally, remember that when you start working with a new system of aligners, start with a simple case. This will help you get to know the workflow, the communication channels, the processes, materials and people. Starting with something simple will let you work more comfortably and see your first results sooner.
Start slowly and gradually increase in complexity!
Any more doubts? Contact us!
Until next time!