Detailed Course Learning Objectives

Week 1:

Maz Moshiri

  1. 1. Students will be able to understand proper patient communication and education, stating the differences between clear aligners and fixed appliances. An understanding of attachment communication, aligner wear compliance, and oral hygiene will be reviewed in the video, supplemented by patient and doctor specific handouts.
  2. Student will understand how to specifically schedule clear aligner patients in comprehensive treatment to take advantage of longer appointment intervals offered with clear aligner treatment.
  3. Students will understand how to bond attachments properly to decrease bond failure, flash, and overall chair time with their placement.
  4. 1. Students will appreciate how to make attachment bonding simpler and more predictable.

 

Jonathan Nicozisis

  1. Effective digital work flow and treatment planning for seamlessly and efficiently bonding attachments.
  2. Learn what properties and qualities materials should have to best allow this deliver of treatment.
  3. Demonstration on actually bonding attachment onto patient teeth.

 

Week 2-3:

Maz Moshiri

  1. 1. Students will be able to understand the basic fundamental differences in biomechanics between pushing teeth with plastic and pulling on teeth with metal fixed appliances.
  2. Students will begin to gain an understanding of how not paying careful attention to certain movements and attachment design may lead to iatrogenic posterior bite opening, a phenomenon once thought to be caused by the presence of the plastic only, which we now know if actually more complicated and able to be avoided with proper case set-up.
  3. Students will understand scenarios where software recommended attachments for particular movements may need to be either modified/replaced with a) other “optimized” features instead b) conventional attachments or c) changing the staging of the prescribed movement (how a tooth moves towards its path of correction).

II.1. Students will be able to understand how to better control stubborn maxillary lateral incisor movements with clear aligners

  1. Students will begin to gain an understanding of how not paying careful attention to certain movements and attachment design may lead to iatrogenic posterior bite opening, a phenomenon once thought to be caused by the presence of the plastic only, which we now know if actually more complicated and able to be avoided with proper case set-up
  2. Students will understand scenarios where software recommended attachments for particular movements may need to be either modified/replaced with A) Other “optimized” features instead, B) Conventional attachments, or C) Changing the staging of the prescribed movement (how a tooth moves towards its path of correction).

 

Jonathan Nicozisis

  1. Command three basic principles when it comes to moving teeth with aligners.
  2. Learn how best to translate the action of fixed appliances to aligner therapy for all types of tooth movement.
  3. Attachment design for each individual tooth for each type of movement given the desired clinical movement.

 

Week 4:

Bart Iwasik

  1. To differentiate WHAT ClinCheck represents, a Dynamic Study Model vs An Aligner Design Tool
  2. Understand how to make basic Design changes in ClinCheck to achieve predictable clinical outcomes.
  3. Summarize a systematic review process that will allow for repetitive comprehensive evaluate and modification of ClinCheck.

 

Maz Moshiri

  1. Students will be able to understand how to set up initial preferences for proper and efficient ClinCheck set-ups. This is supplemented with a handout to accompany the video.
  2. Students will begin to gain an understanding of a reproducible thought process on how to repeatably set up digital treatment plans to take into account all variables needed for a successful outcome.
  3. Students will understand scenarios how to set-up digital treatment plans for various malocclusions.

 

Week 5:

Donna Galante

  1. Discover specific techniques using Invisalign First for phase one
  2. Learn how to set-up the digital treatment plan effectively for successful results
  3. Understand the best time to start Invisalign First for your patients

 

William Kottemann

  1. Prescribe adequate expansion protocols for crowded mixed dentition patients.
  2. Determine best protocols for early Class II correction in very young patients.
  3. Manipulate the ClinCheck for most predictable tooth movements.

 

Maz Moshiri

  1. 1. Students will be able to understand how to set up the ClinCheck using the tooth size discrepancy information to their advantage for more predictable movements and clinical outcomes.
  2. Students will understand how certain movements will express quite differently than what is predicted in the virtual treatment plan (ie, bite deepening during space closure).
  3. Students will understand scenarios when may or may not be recommended to correct transverse issues, and how to incorporate adjunct mechanics (ie, expanders) when indicated.
  4. 1. Students will be able to understand how to manage and perform IPR clinically.
  5. Students will understand when IPR is recommended and how to track it clinically.
  6. Students will learn what a safe amount of IPR is to perform clinically.

III.1. Students will understand the clinical technique of micro osteoperforation.

Jonathan Nicozisis

  1. 1. Understand the benefits of using aligners compared to traditional fixed appliances in early treatment.
  2. Comprehend proper business model options to make phase 1 with aligners pragmatic.
  3. 1. Mastering an IPR technique for seamless integration and use prior to scanning, during treatment, or at time of scanning for additional aligners.
  4. Gain experience with an IPR approach that produces no trauma to periodontal tissues and does not ledge dental enamel.

 

Week 6-7:

Maz Moshiri

  1. 1. Students will be able to understand how to set up digital treatment plans for predictable clinical bite opening, specifically:
  2. A) how to incorporate the concept of virtual overtreatment of particular movements necessary to establishing proper force systems with the plastic aligner.
  3. B) how to set-up proper anchorage with appropriate attachment design.
  4. 1. Students will be able to understand how to set up digital treatment plans for predictable closure of anterior open bites by learning:
  5. A) how to incorporate the concept of virtual overtreatment of particular movements (posterior intrusion), which may be necessary to establishing proper force systems with the plastic aligner for anterior open bite treatment.
  6. B) how to set up the virtual treatment plan for predictable anterior extrusive movements.

 

Jonathan Nicozisis

  1. Understand the benefits of using aligners compared to traditional fixed appliances in deep over bite cases.
  2. Comprehend how to translate the action of fixed appliances to aligners when treating a deep bite.
  3. Be able to apply these skills in both growing and non-growing patients.

 

Week 8-9:

Willy Dayan

  1. Identify those patients who are most suited to be treated using Aligners to close anterior openbite malocclusions.
  2. Analyze and select which teeth should be intruded and which teeth should be held as anchorage to use this specific technique of selective posterior intrusion to close anterior openbite malocclusions.
  3. Modify the ClinCheck of a patient to apply the technique of selective posterior intrusion for specific patients using aligners to close their anterior openbite.

 

Maz Moshiri

  1. 1. Students will be able to understand how to set up digital treatment plans for predictable closure of anterior open bites by learning:
  2. A) How to incorporate the concept of virtual overtreatment of particular movements (posterior intrusion) which may be necessary to establishing proper force systems with the plastic aligner for anterior open bite treatment.
  3. B) How to set up the virtual treatment plan for predictable anterior extrusive movements.

II.1. Students will be able to understand how to set up digital treatment plans for predictable closure of anterior open bites by learning:

  1. A) How to incorporate the concept of virtual overtreatment of particular movements (posterior intrusion) which may be necessary to establishing proper force systems with the plastic aligner for anterior open bite treatment.
  2. B) How to set up the virtual treatment plan for predictable anterior extrusive movements.

 

Jonathan Nicozisis

  1. Understand the benefits of using aligners compared to traditional fixed appliances in anterior open bite cases.
  2. Comprehend how to translate the action of fixed appliances to aligners when treating an open bite.
  3. Be able to apply these skills in both growing and non-growing patients and in some cases replacing the need for surgical correction.

 

Week 10-11:

Donna Galante

  1. Learn how to set up ClinChecks properly for the Mandibular Advancement Feature (MAF).
  2. Discover the effective pre- Mandibular Advancement Feature movements needed for success.
  3. Understand the benefits of the Mandibular Advancement Feature for your patients.

 

Barry Glaser

  1. Understand the evidence-based rationale for Class II correction in growing patients
  2. Treatment plan for both sequential distalization and Class II correction simulation
  3. Recognize the clinical conditions favorable for Class II correction using clear aligners

 

Bruce McFarlane

  1. Thoroughly analyze the modern methods of Class II clear aligner correction.
  2. Contrast the strengths and weaknesses of each Class II correction method.
  3. Be confident in applying the correct technique to each clinical situation.

 

Maz Moshiri

  1. 1. Students will be able to understand how to set up digital treatment plans for predictable dental Class II correction of Class II malocclusions by focusing on the benefits of maxillary molar rotation.
  2. Students will learn how to properly communicate to the technician to perform molar rotation.
  3. Students will begin to understand options for addressing class II malocclusions should molar rotation not resolve the malocclusion fully (ie bite jump).
  4. 1. The student will learn proper mechanics to predictably use molar rotation mechanics to address mild to moderate Class II malocclusions.
  5. The concept of “bite jump” – aka arch coordination with elastics, will be reviewed.
  6. The concept of segmental distalization will be reviewed.

 

Jonathan Nicozisis

  1. Understand the benefits of using aligners compared to traditional fixed appliances in Class II cases.
  2. Comprehend the work flow advantages of treatment planning Class II correction with scanning auxiliaries.
  3. Be able to apply appropriate differential diagnostic criteria when deciding how to best design corrective mechanics with aligners alone or in conjunction with treatment auxiliaries.

 

Week 12:

Christian Fournier

  1. Identify which case TADS are the most useful combined with Invisalign.
  2. Design and adapt force system of elastics with TADs.
  3. Create and modify the ClinCheck to counteract side effects of elastics placed on TADs.

 

Maz Moshiri

  1. The student will learn proper mechanics to predictably treat Class III malocclusions.
  2. The use of retromolar TADs to treat Class III malocclusions will be discussed.
  3. Both mandibular distalization and maxillary mesialization to address anterior crossbites will be discussed.

 

Jonathan Nicozisis

  1. Understand the benefits of using aligners compared to traditional fixed appliances in Class III cases.
  2. Display uses with auxiliaries to help with Class III correction with aligners.
  3. Review the clinical application of TADs with aligners to help accomplish sagittal and vertical correction.

 

Week 13:

William Kottemann

  1. How to set up the ClinCheck to remove dental compensations to maximize surgical correction.
  2. Best application of metal buttons for intermaxillary fixation at the time of surgery.
  3. Appropriate case selection criteria for surgery in conjunction with clear aligner therapy.

 

Maz Moshiri

  1. 1. The student will learn how to set-up an aligner case for orthognathic surgery, including taking into account variables that need to be address that could lead to post-operative issues.
  2. The concept of “bite jump” – aka arch coordination with an orthognathic surgical simulation, will be reviewed.
  3. Post-operative management and detailing will be reviewed.
  4. 1. The student will learn how to set-up an aligner case for orthognathic surgery, including taking into account variables that need to be address that could lead to post-operative issues.
  5. The concept of “bite jump” – aka arch coordination with an orthognathic surgical simulation, will be reviewed.
  6. Post-operative management and detailing will be reviewed.

 

Jonathan Nicozisis

  1. Understand the benefits of using aligners compared to traditional fixed appliances in cases involving surgical correction.
  2. Present a wide array of case types demonstrating aligner work flow for surgical cases.
  3. Comprehend how best to communicate with oral surgeons to incorporate aligners with surgical cases.

 

Week 14:

Christian Fournier

  1. 1. Identify the cases that will be best treated for impactions in conjunction with Invisalign.
  2. Create clinically the pull force and the proper elastic design in all planes of space.
  3. Modify the ClinCheck to move simultaneously all teeth and adapt the pull force on the impacted tooth/teeth.
  4. 1. Customize attachments in a better position and shape for complex movement in complex cases.
  5. Create clinical situations of making different types of push surfaces (artificial and natural).
  6. Modify the ClinCheck to move simultaneously all teeth and predict the space closure.

 

Mike Lanzetta

  1. Evaluate when the G6 Protocol is in effect
  2. Analyze when the G6 protocol is best utilized
  3. Evaluate the results of the G6 Protocol

 

Maz Moshiri

  1. The student will learn how to set-up an aligner case via staging (how a tooth moves) and attachment design for predictable closure of extraction sites with aligners.
  2. A review of g6 from Invisalign, and its benefits and potential pitfalls will be reviewed.
  3. Concepts of overtreatment for compensation of potential iatrogenic sequelae will be discussed.

 

Jonathan Nicozisis

  1. 1. Understand the how to translate the action and mechanics of traditional fixed appliances to aligner therapy to best close extractions space.
  2. Present a wide array of case types demonstrating aligner work flow for extraction cases.
  3. 1. Present a wide array of case types demonstrating aligner work flow for impacted cuspid cases.
  4. Comprehend how best to communicate with oral surgeons to incorporate aligners with impacted cuspid cases.

 

Week 15-16:

Oleg Eisenstein

  1. To be able to distinguish between different 3D printing modalities.
  2. To be able to create aligner design and fabrication in your In-House lab.
  3. To be able to identify the cases suitable for In-House Aligners Treatment.

 

Maz Moshiri

  1. 1. To review the potential causes of posterior open bite with aligners, and how to avoid them.
  2. The process of “refinement” will be reviewed, allowing for proper communication to the technician to finish cases properly.
  3. 1. To instruct on proper finishing mechanics with elastics.
  4. The thinking process of how to diagnose and address finishing issues will be discussed with a specific case example.

Jonathan Nicozisis

  1. 1. Understand the how to translate the action and mechanics of traditional fixed appliances to aligner therapy to best settle occlusions and finish cases.
  2. Present a wide array of case types demonstrating these mechanics being designed in aligners.
  3. 1. Comprehend an alternative approach to pontic placement.
  4. Understand this approach’s mechanical advantages related to biomechanics.
  5. Comprehend an alternative approach to pontic placement along with its mechanical advantages.

 

Week 17:

Mike Lanzetta

  1. Illustrate changes in office dynamics, efficiencies and protocols.
  2. Analyze the relationship between overhead and increased case starts.
  3. Understand how an increase in cost/case can eventually lead to a decrease in overhead.

 

William Layman

  1. Analyze the difference between outsourcing aligners and making in house.
  2. Be able to define the inputs in your workflow that are used to compare in house and outsource decisions.
  3. Construct a cost function for your in-house production of aligners.

 

Maz Moshiri

  1. To review the clinical, and related business, advantages of offering clear aligners in one’s practice.
  2. Appointment sequencing for maximum efficiency will be reviewed.
  3. Invisalign consultation tips will be detailed.

 

Jonathan Nicozisis

  1. Understand the how the same unit cost of lab fee compared to labor, generates more revenue.
  2. Appreciate how a digital work flow increases efficiencies, same day starts and positively affects the net bottom line of a P&L statement.
  3. Comprehend what percentage points/ranges of starts in aligners helps to realize these advantages.