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Orden Purealign
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Home
Orden Purealign
Subir estudios
Treatment request:
Doctor
Work Center/Dental Office
Health manager
Patient's name*
Patient's last name*
Date of birth*
Genre
Female
Male
Clinical conditions:
Crowded teeth
Spaces
Class II division 1
Class II division 2
Class III
Open bite
Anterior cross bite
Posterior cross bite
Deep bite
Narrow arch
Protruded teeth
Other
¿Would the doctor like to do the treatment planning ? (If the answer is "yes" skip to question 12. If the answer is "no" continue filling patients information):
Yes
No
1.- Select archs to treat (aligners are for both archs, nevertheless you can select a single option):
Treat both archs
Treat upper arch with passive aligners in the lower arch
Treat lower arch with passive aligners in the upper arch
2.- Dental movement restrictions (dental bridges, implants,etc.):
None (Move all teeth)
These specific teeth should not be moved
Movement restriction selection:
1.1
1.2
1.3
1.4
1.5
1.6
1.7
1.8
2.1
2.2
2.3
2.4
2.5
2.6
2.7
2.8
3.8
3.7
3.6
3.5
3.4
3.3
3.2
3.1
4.1
4.2
4.3
4.4
4.5
4.6
4.7
4.8
3.- Attachments:
Place attachments as needed
Do not put attachments on these teeth:
Attachments selection:
1.1
1.2
1.3
1.4
1.5
1.6
1.7
1.8
2.1
2.2
2.3
2.4
2.5
2.6
2.7
2.8
3.8
3.7
3.6
3.5
3.4
3.3
3.2
3.1
4.1
4.2
4.3
4.4
4.5
4.6
4.7
4.8
4.- Relationship (A-P).
Keep currents:
Right
Left
Keep only canine relationship
Right
Left
Improve canine-molar relationship:
Right
Left
Correction to Class I (canine and molar)
Right
Left
5.-Overject
Improve overject after aligment
Keep current overject
Improve final overject with dental stripping
6.- Overbite
Sow final overbite after alignment
Keep current overbite
Open bite correction
Deep bite correction
Bite corrections indications
7.- Biteramps
Automatically place precision biteramps when the intrusion of the lower incisor is more than 1.5 mm.
None
Place biteramps when the intrusion of these upper teeth
Incisor
Central incisors
Lateral incisors
Canines:
Canines
8.- Midline
Show final midline after aligment
Keep current midline dental
Improve midline with stripping
Upper:
To patient's right side
To patient's left side
Lower:
To patient's right side
To patient's left side
9.-Posterior cross bite (If it exists)
Don't correct
Correct
10.0 Space and crowded teeth (Arch length discrepancy).
No.
Remove these teeth
To remove teeth selection:
1.1
1.2
1.3
1.4
1.5
1.6
1.7
1.8
2.1
2.2
2.3
2.4
2.5
2.6
2.7
2.8
3.8
3.7
3.6
3.5
3.4
3.3
3.2
3.1
4.1
4.2
4.3
4.4
4.5
4.6
4.7
4.8
10.- Space and crowded teeth
Close all spaces
Keep specific spaces
Specific spaces indications
Fix upper
Expandi:
Preferably
As needed
No
Tilt teeth
Preferably
As needed
No
11.- Special instructions:
12.-Orthodontic diagnosis aids
¿Do you have diagnosis aids already?
Yes
No
Submit request
