Download PerfectSmile info and general procedure

PerfectSmile
TM
Aligners by
Aligning process from start to finish including
cephalometric tracing for treatment planning
PerfectSmile is a smoothly sequenced therapy for the correction of misaligned
teeth with a series of clear, almost invisible aligners processed with the latest
digital technology in Toronto, Canada.
Starting with the patient’s present condition, a progression of set-ups is created
aligning the teeth step by step and registered in 3D printed models. Clear aligners
are fabricated based in those set ups in a special thermoformed polyurethane
material engineered specifically for orthodontic movement. These aligners are
cosmetic, thin, comfortable and removable.
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How does PerfectSmile work?
This sequence of almost undetectable devices, will act without interfering with
speech, work or other social activities. By seating them on the dental arches, the
physical properties of the material they are made of, provide slight forces on the
teeth aligning them progressively.
Patients are requested to use each set of aligners for 2 to 4 weeks for most part of
the day, being removed only for eating and brushing. According to the severity of
the case, the number of treatment phases, number of aligners to be used and the
time of treatment may vary.
In general, aligners are delivered in group of six or six sets.
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PerfectSmile Benefits
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A clear alternative to braces
Cosmetics! It is almost invisible
Effective in treating a variety of orthodontic cases
Straighten the teeth
Patient can eat any kind of food
Freedom to remove the appliance whenever it is
necessary
Allows better cleaning and plaque control.
Better care of periodontal health
Less risk of enamel decalcification
Less appointments
Comfortable
Why choosing PerfectSmile?
PerfectSmile is processed in Shaw Toronto, part of the Shaw Group, a Canadian
company with more than 70 years in the dental laboratory field with the greatest
tradition in quality products and best service.
It is the best way of increasing your practice income. You can now expand the
scope of your practice with a rewarding service and help your patients to smile
with confidence again!
Supported by the latest technology and with no customs to clear, it is the most
affordable and convenient clear aligners system to be used in your practice.
We accept all digital scans in addition to the traditional impressions and models.
What do you receive with each case?
After Dr.’s approves the treatment plan, a PerfectSmile kit containing the aligners
will be delivered.
Included in the package, you will also find:
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1 Free set of PerfectSmile initial aligners to allow patients to get used easily to
the clear aligners therapy and to confirm the accuracy of the scans or
impressions.
1 Free set of PerfectSmile engagers builder trays. Designed to build up in office
little composite bumps (engagers) in specific geometric shapes on the teeth
whenever it is necessary, to provide better retention and anchorage for dental
movement.
After treatment is completed we will send a Free set of PerfectSmile clear
retainers.
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General procedure
 First, Dr. completes the case submission form (online or hardcopy) and
sends it with the scans or /impressions or/ models from the case, bite
registration, along with available photos and x-rays. Usually a personal
phone conversation will follow to assure a good understanding of the
prescription.
 PerfectSmile will support your clinical evaluation, providing a free
cephalometric tracing with your submission of a lateral ceph X ray.
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 After approximately 5 business days, Dr. will receive in digital format the
Virtual Treatment Preview (VTP) for his/her assessment.
 Based in his/her indications from the Case Submission form, Dr. will find
animation files illustrating the evolution of the planned treatment step by
step, images of the final expected outcome, composite attachments and
Interproximal reduction guides in case any of these procedures were
necessary.
 After Dr. reviews the VTP there will be 3 options to choose:
a) to approve it,
b) to hold it waiting for a further communication with PerfectSmile or
c) to introduce changes in the treatment plan before approving it.

Each set of aligners is numbered on the labial surface of the right last molar
and they should be worn for at least 2 weeks as a default procedure.
 The first set to be given to the patient to be used as a first step is the
PerfectSmile initial aligners set marked as U 0/ L 0 for upper and lower
arches. This set provides the patient with a comfortable therapeutic start
for better adaptation to the treatment. If composite attachments on the
teeth are planned, do not place them yet, wait until the next appointment.
 Composite attachments should be placed on the teeth with a special set of
trays, PerfectSmile engagers’ builder trays, made specifically for this
purpose in a softer and accurate material that does not bond to the
composite. There is no need to use a release agent, no hassle!
 Aligners should be used day and night, only removed for eating and
cleaning and brushing teeth.
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Case selection
Clear aligners therapy can improve most types of malocclusion.
Misaligned teeth cases are of diverse complexity. Some may need more
treatment time and a more extensive series of aligners than others, to achieve the
planned treatment goals. Interproximal reduction, arch expansion and/or pro
inclination of the teeth may be considered as resources to obtain the necessary
space.
Some others, due to factors like amount of dental movement required, dental
anatomy or patient’s compliance, may need the utilization of traditional braces or
different techniques combined to achieve the optimum success.
For this reason, it is important to do a good case selection. The ones that are ideal
for aligners treatment are those in which the alignment and rotation required is
moderate and the space available is not too compromised.
ROTATIONS
OPENBITE
DIASTEMAS
DEEP BITE
CROWDING
ANTERIOR CROSSBITE
More complex cases are suitable to be treated too, depending on different
variables including Dr.’s experience with clear aligners therapy.
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As a general guideline, we can say that the possible corrections with clear
aligners are within the following parameters.
Crowding
1.0- 5.0 mm per arch
Spacing
1.0- 5.0 mm per arch
Midline correction
3 mm in total
Distalization
2 a 4 mm per quadrant
Expansion
2 a 4 mm per quadrant.
Default amount of tooth movement per tray approximately:
Rotation
3 degrees
Tipping
1 degree
Inclination
1 degree
Mesial- distal
0.20 mm
Labial- lingual
0.20 mm
Intrusion/ extrusion
0.12 mm
PerfectSmile phases
The treatment is staged in phases and the aligners are delivered in sets of
six per dental arch according to the complexity of the crowdedness or the
difficulty of achieving the final planned outcome. By doing so and setting
partial treatment goals to achieve in each phase the results are more
accurate and predictable.
After a 3 phases’ treatment, a few more steps or a fourth phase may be
needed for refinement before retention. In case of more complex cases,
they will be assessed individually following Dr.’s guidelines.
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Crowding
Spacing
Tipping
Rotation
Midline misalignment
Anterior misalignment
Bicuspid misalignment
Torquing
1 Phase
2 Phases
up to 1.5 mm
up to 1.5 mm
minor
minor
minor
minor
up to 2.5 mm
up to 2.5 mm
moderate
moderate
up to 2.5 mm
moderate
minor
3 Phases
up to 5.0 mm
up to 5.0 mm
severe
severe
up to 3 mm
severe
moderate
minor
You can count with PerfectSmile professional technical support to assist you in
every step. Let’s start today!
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