Initial Delivery

Setting up for your appointment

List of instruments/materials required:

  • The patient’s aligner boxes
  • Air/water syringe
  • Mirror & Explorer
  • Scaler
  • Composite filling instrument
  • Suction tip
  • Cotton rolls
  • Rubber dam cheek retractor (or NOLA)
  • Microbrush
  • Dental etch
  • Bonding agent
  • Composite resin
  • Curing light
  • UV blacklight flashlight
  • Polishing white stone rounded burr
  • Elastics (3 bags of each)
  • 3/16 in 6.5 oz
  • 1/4 in, 4.5 oz
  • 1/4 in 6.5 oz
  • IPR strips/handle/disk
  • IPR measuring gauge

1. Access the iOrtho simulation 

  1. Click on the “3D Simulation” link. It will redirect you to the aligner portal.
3D Simulation
  1. Log into iOrtho using your credentials
iOrtho login page
  1. After opening the patient’s card, click on “3D” to open the simulation
iOrtho Patient’s Card – 3D Simulation
  1. Select stage 1 on the bar below. Now you can move the simulation around to see on which teeth you need to bond attachments (they show like red blocks on the teeth), bond buttons (windows will show like light blue curves) and between which teeth you need to perform IPR (only the diamond shaped indicators that are colored in light blue). The number in the indicator shows you how much IPR is needed (in mm).
    Alternatively, you can find where attachments need to be placed and where IPR needs to be performed in the papers provided in your aligner box.
3D simulation attachment and IPR view

2. Bond attachments and perform IPR

Here are two videos if you need a reminder on bonding attachments and one for performing IPR:

How to Bond Attachments

How to perform Interproximal Reduction (IPR)

3. Give the aligners and the supplies to your patient

  1. Help them wear aligners #1 
  2. Give them the rest of the sets (or as many as you would like) to take home along with the case, the chewies and the removal tool that are in the aligners box.
Aligner Bag
  1. Give them 3 bags of each kind of elastics (3/16” 6.5 oz, ¼” 4.5 oz, ¼” 6.5 oz) 
Elastics Bags

There is no need to give your patient any instructions on how to wear their aligners, elastics, how to use the extra tools or how to take care of the aligners. We will be handling all that education through our communication with the patient

4. Start Monitoring

  1. Go to the “Monitoring Overview” tab and click Start.
Start Monitoring
  1. Ask the patient to find an email invitation that has been sent to them from Dental Monitoring titled “Welcome to DentalMonitoring”.
    If they have not received it, you can click on the “Mail” button in the actions tab to re-send them the invitation email.
Resend invitation email
  1. Confirm that the patient selects “ScanBox Pro” as their Scan Settings. if not, click on “EDIT SCAN SETTINGS” and select “ScanBox Pro”. Also confirm that the patient allows notifications from the app when asked.
Edit Scan Settings

ScanBox Pro
  1. Once the Dental Monitoring app asks them to perform a scan, hand them the Dental Monitoring kit and help them do their first scan. Here is a video if you need a reminder on how to scan with Dental Monitoring:
How to Scan with DM

5. Write clinical notes and update Visit status

Click on “Mark Complete” and add any notes to the Office Visit if any of the planned actions could not be done as planned (e.g. could not bond attachment on tooth #…).

Add notes and mark office visit complete

6. Explain Communication, Check to-do List and Dismiss Patient

Tell the patient that they will be receiving all the communication of instructions, what to do from now on and future appointments through the Dental Monitoring app. They will also be using the Dental Monitoring app to text us back with any questions/concerns that might come up. Make sure that you checked all the to-do list and dismiss them.

Make sure that you checked all the to-do list and dismiss the patient.

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