Invisalign Assist System

Announcing Invisalign Assist Service for Invisalign-Accredited Gold Coast Dentists

Cosmetic Dental Design in association with Medland Orthodontics have launched a new service to help Gold Coast dentists treat orthodontic cases more easily using the Invisalign system.

Many Gold Coast dentists are Invisalign-accredited but would like some further assistance to start effectively using Invisalign.  Alternatively, you may already be using the Invisalign system but find interpretation and changes to the treatment plan using the ClinCheck software is challenging. 

Benefits Of The Service:

·         How would you like your Invisalign cases scanned and sent off for no extra fee?  It’s less work for you and the scan fee is built in (provided your patient proceeds with treatment).

·         No more full arch PVC impressions.

·         Faster submission of Invisalign cases. 

·         Valuable assistance of an expert practitioner at the ClinCheck stage.

·         Assistance with treatment progression and monitoring via Medland Orthodontics.

How It Works: 

1.       If advice is needed on whether the case is suitable, either study models or good clinical photographs can be emailed to invisalignassist@medlandorthodontics.com.au

2.       Once you’ve assessed that the patient is suitable for Invisalign an appointment is made for an iTero scan with Cosmetic Dental Design – the scan fee is $225 (this fee is then included as part of the total Invisalign fee – see point 4 below).  There is no further submission fee to develop the Invisalign treatment plan.  For a small extra fee of $125, Cosmetic Dental Design can also take the required photographs (the patient will also require an OPG and lateral headfilm).  This results in faster submission to Invisalign as the scan is submitted electronically avoiding full arch PVS impressions.   

3.       The ClinCheck is assessed by Medland Orthodontics, modified as necessary and before approval, a copy of the ClinCheck is sent to you for discussion of the overall treatment plan with Medland Orthodontics.  During the treatment, any questions that arise or aligner progress monitoring, Medland Orthodontics is behind you.

4.       The standard Invisalign lab fee plus the photography fee (if applicable) is billed to you through Medland Orthodontics’ Invisalign account.  Once the patient proceeds with Invisalign treatment the scan fee of $225 is included in the standard lab fee of $3025 (Full), $3245 (Teen), $1760 (Lite) including GST. 

5.       During the treatment, for any problems that arise, you can call upon the expertise of Medland Orthodontics  
 phone 5597 3344 or email invisalignassist@medlandorthodontics.com.au

We look forward to lending you a helping hand in climbing the Invisalign learning curve.   

USEFUL LINKS:

For information on Invisalign accreditation courses run by Southern Cross Dental Lab click here.

Invisalign Australia will also be holding accreditation courses in Sydney in October/November – dates to be advised.  For more information about Invisalign click here.  

Impacted Canines - Treatment Planning

Maxillary Canines – Recipe for a Problem:

      - Develop high in maxilla

   - Complete their development late 

   - Long path of eruption

   - Erupt after adjacent teeth

The problem arises when canines become impacted within the alveolus of soft tissue and don’t erupt into the mouth without intervention.

The maxillary canine follows the longest (22mm) and most tortuous path of eruption of any tooth. At age 3 its high in the maxilla (right under the eye). From age 4-8 it travels mesially and palatally and you can’t usually palpate them. Between ages 8-11 the canine starts to move upright and move buccally and by age 10 you can usually feel a “buccal  bulge” above the primary canine if they are doing the right thing.

By age 9 or 10, you should be able to palpate the maxillary canine as it starts to move buccally and distally.

Bucally Impacted Maxillary Canines:
Labial impaction of the maxillary canine over the maxillary lateral incisor occurs occasionally. This type of impaction is due to one of two caues. Either the canine moves ectopically over the labial surface of maxillary lateral incisor root and fails to erupt, or the maxillary dental midline may shift toward the canine, causing it to be impacted labially.

96% of canines will erupt if cusp tip is distal to the lateral incisor (Sector 1).

 

Signs of Potentially Impacted Canines:

   - Over-retained primary canine.

   - Absence of labial canine bulge age 10.

   - Distal tipping and flaring of lateral incisor.

   - Abnormal eruption sequence.

   - OPG shows canine tip overlaps completely formed lateral incisor root.

   - Family history.

   - Small or missing lateral incisors.

Summary of Diagnosis and Recommendations for Maxillary Canines:

   - Before age 10, screen for impacted canines by palpation.

   - At age 10, Take OPG especially if :          

                a) Canine is not palpable (or if both canines aren’t symmetrically palpable on the labial).

        b) Lateral incisor is proclined or crown has distal tip.                                                         

        c) If lateral incisor is small or missing or primary lateral is still present.

Treatment:

Extraction of the deciduous canine is the treatment of choice to attempt correction of palatally displaced canines in individuals aged 10-13, provided that there is not excessive crowding. If improvement is going to occur, it will do so within the first 12 months. Removal of deciduous canines allows palatally displaced canines to assume a more normal erupive pathway in a majority of cases. This procedure is less successful if there is significant crowding. If the angulation of the impacted canine to the mid-sagittal plane exceeds 30 degrees, the likelihood of improvement is reduced. The more the canine is overlapped, the less likely it will self-correct after primary canine removal. If there is not significant improvement in impacted canine position 12 months after removal of the primary canine, then further improvement without orthodontic/surgical intervention is unlikely.

Once you have extracted the primary canine, however, you must see the treatment through. If the permanent canine still fails to erupt, the patient will have a gap requiring treatment.  Permanent palatal canine position should improve within 6-12 months after removal of primary canine.  If not, further intervention may be necessary.

Steps to bring in Impacted Canine

   - Locate.

   - Need space available and adjacent tooth roots out of  the way  (this often requires braces).

   - Surgical exposure and bond bracket to canine.

   - Orthodontic traction (good anchorage —TPA) to bring canine through attached tissue.

Dental Ed Lecture Series - August 2 2012 Invitation

Dental Ed Lecture Series - July 3 2012

Dental Ed Lecture Series

July 3 2012

 

We recently hosted a special 'Double Feature' presentation for local dentists and hygienists, with lectures from Dr David M Roessler and Dr Bill Robbins.

 

To fight the Winter cold we served up a delicious hot buffet.

 

Internet Marketing That Makes A Difference

Internet Marketing That Makes A Difference

 

There's no resting on our laurels here! We're constantly striving to improve the services we offer our patients, so hot on the heels of our trip to Hawaii we sent a few staff members to a course with renowned marketing expert Jeff Behan.

He gave our staff a few tips on how to better communicate with patients both in and out of the practice, and how to better improve our web presence.

2012 AAO Annual Session

2012 AAO Annual Session

 

Drs Bill and Patty Medland and a lucky few of the crew at Medland Orthodontics earlier this month attended the 2012 AAO Annual Conference in Hawaii. The American Association of Orthodontists is the world's largest and most respected orthodontic association and is at the forefront of treatment research and development. We learned some great new techniques and ideas to bring back to our practice and share with you - oh, and we squeezed in just a little sightseeing too!

 

 

Dental Ed Lecture Series - May 1, 2012

Dental Ed Lecture Series

May 1, 2012

 

Photography in the Dental Practice:

How to get Great Images with a Low Cost Consumer Camera

 

We were very excited to host renowned dental photographer Rita Bauer, from the University of Toronto, in her only Queensland appearance for a live lecture on dental photography.

 

Over 140 dentists, therapists and hygienists joined us for the evening.

Dental Photography Camera Recommendations:

Dental Photography Camera Recommendations:

Orthodontic Photography Made Easy: Capture the Perfect Smile - A Workshop by Rita Bauer

Orthodontic Photography Made Easy:
Capture the Perfect Smile
A Workshop by Rita Bauer

We had the pleasure of hosting Rita Bauer recently, a renowned dental photographer from the University of Toronto. She gave our staff specialised training in capturing stunning photos of our patients.