About the Course

Clear Aligner systems, such as Invisalign, have changed the landscape of the orthodontic profession forever, and will continue to do so. Such an appliance, when mastered, can and will treat the majority of malocclusions with near the same, equal, or even better outcomes compared to traditional fixed appliances. With the ever changing orthodontic landscape, it is critical that our specialty learn to master this tool in our arsenal, and to further differentiate ourselves from our “competition”. This does not implicate that the specialist should treat every case with aligners; but rather, that the specialist should know how to treat these cases with aligners.

For many of us, the techniques of moving teeth with plastic were not formally taught to us in residency.  Others maybe attempted to move teeth with aligners historically, and became disenchanted with less than desirable outcomes. Thankfully, the science and knowledge behind moving teeth with plastic has come a long way. We invite you to join us on an intensive, four month course to learn how to master the nuances of this appliance so you can treat all case types with confidence and better practice efficiency. In addition to a heavy clinical focus, the course content will also review the economics of being able to successfully integrate aligner therapy into your practice.

This fellowship will be facilitated through a private Facebook study group lead and moderated by Drs. Moshiri and Nicozisis, where they will teach and review all their intellectual property on delivering aligner therapy.  Think of it as a live and dynamic text book at your fingertips, in the comfort of your home, office, or mobile devices without having to travel.  You do not have to be present and in front of a computer at a certain time to participate.  Rather, you can view the recordings at your leisure throughout the week.  You can review previous weeks’ content and discussion at any time.  You will be able to download all recordings for your keeping and future reference when treatment planning.   All content will be delivered as outlined below with at least 2 submissions per week reviewing concepts, supplemented by case examples, with the opportunity for discussion and dialogue of each topic along the way during the week. Enrollment will be limited to not overwhelm discussion within the groups. After the 4 month course, the “graduates” will remain in the Facebook study group to continue to learn and participate with their fellow graduates/peers to further review cases in perpetuity within their closed forum. New content will be delivered as it becomes relevant on the secondary forum (ie. new generation changes of Invisalign, etc.) by Drs. Moshiri and Nicozisis, but not on a formal basis as with the initial course. Should attendees choose to want to join another Fellowship course, there will be an option for them to do so described below to engage in new discussions.

Sample Course Videos

Course Syllabus

  1. Week 1: Proper treatment planning and case submission
    • Records review- occlusal markings, etc.
    • Itero scanning
    • Case submission forms
    • Bonding of attachments, tray delivery recommendations, OHI
    • In-office systems/ processes for delivery and appointment sequencing
  2. Weeks 2-3: Biomechanical considerations of moving teeth with plastic
    • Thorough discussion with examples of every type of orthodontic movement with plastic, and the considerations behind them (attachment design, overtreatment of movements if needed, etc.) to address extrusion, rotation, torque, second order bodily movement, etc.
  3. Week 4: Thorough review of the Clincheck Pro software
    • Review of  benefits and detriments of optimized versus conventional attachments
    • Discussion of all of the tools within the software to aid in diagnosis and treatment planning
      • Staging Tool- elaboration of tooth velocities associated  with certain movements
      • Tooth Size Discrepancy Analysis Tool
      • Treatment Overview Tab, Tooth Movement Assessment, Tooth Mov’t Table
      • Attachment and Precision Cut Interface
      • Superimposition Tool
      • Grid Tool
  4. Week 5: Treating the transverse dimension with Invisalign, AND a review incorporating the Bolton Analysis/TSD into your diagnosis for proper set-up of your Clincheck and more predictable clinical results
    • Phase I mechanics prior to comprehensive treatment
    • Invisalign First/ interceptive orthodontics with Invisalign
    • A review of interproximal reduction (IPR) as it applies to the Invisalign system, and proper IPR techniques will also be reviewed
  5. Weeks 6-7: Deep Bite malocclusions
    • Discussion of attachments needed for anchorage to make treatment predictable, along with proper staging and mechanics will be reviewed
    • Adult versus teen considerations
    • Case discussion and examples
  6. Weeks 8-9: Open Bite malocclusions
    • Discussion of attachments needed for anchorage to make treatment predictable, along with proper staging and mechanics will be reviewed
    • Adult versus teen considerations
    • Case discussion and examples
  7. Weeks 10-11: Class II malocclusions
    • Discussion of attachments needed for anchorage to make treatment predictable, along with proper staging and mechanics will be reviewed
    • Case discussion and examples- adult versus teen consideration for the following
      • Molar rotation correction
      • Segmental distalization
      • Arch coordination- aka “bite jump”
      • Phase I adjuncts”- MARA, Carriere distalizers, etc.
      • The Mandibular Advancement Feature (MAF) from Invisalign
  8. Week 12: Class III malocclusions
    • Discussion of attachments needed for anchorage to make treatment predictable, along with proper staging and mechanics will be reviewed
    • Case discussion and examples- adult versus teen considerations for the following
      • Lower or upper segmental movements versus arch coordination (ie bite jump)
      • Tooth size discrepancy and CR-CO shifts
  9. Week 13: Orthognathic surgical considerations
    • Orthognathic surgery: Single jaw, double jaw, and segmental maxillary surgery considerations will all be reviewed
      • Presurgical leveling and alignment
      • Surgical considerations for both the orthodontist and Oral surgeon
      • Post-surgical finishing
  10. Week 14: Extraction and impaction/exposure considerations with Invisalign
    • Cuspid exposure considerations/scenarios
    • Extractions: lower incisor and premolar extraction considerations
      • Discussion of attachments needed for anchorage to make treatment predictable, along with proper staging and mechanics will be reviewed
      • Case discussion and examples
    • Complex malocclusions treated with TADs and aligners
  11. Weeks 15-16: Finishing and retention considerations when treating with aligners
    • Diagnosis and treating the 12 causes of posterior open bites with aligners
      • Finishing mechanics
      • Retention choices and considerations
    • 3D printing of Aligners- processes and considerations
  12. Week 17: The economics of treating more Invisalign cases in your practice
    • Invisalign consultations
    • The “plastic employee”, and how to treat cost effectively with aligners
    • Discussions of down payment structures
    • Economic consideration of 3D printing/in-house fabrication of aligners versus sending the case out

***There will not be any individual case review/mentorship on this forum, as given the amount of material and discussion required to comprehensively learn the content, there simply is not enough time. Drs. Moshiri and Nicozisis will show many comprehensive case examples, with a discussion of what the original case set-up was from Invisalign, and what was done to change the Clincheck to get the actual clinical outcome. Participants are welcome to use yourorthocoach.com as an avenue to pursue customized and personal one-on-one answers