Case Revisions

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When teeth don't move as planned, you can request a case revision

When you request a Revision your patient's treatment will be re-staged to target the original treatment goal, starting from the current position, unless you have requested otherwise. If you want to add an arch, you may simply request this in your revision form. For Flex cases, additional fees will apply. 

What to do before submitting a revision

If a patient comes in for an appointment in the middle of treatment and their next set of aligners doesn't fit, there are a number of reasons this can occur. We recommend you check out the following articles on this subject to prevent an unnecessary revision. 

If the case does need a revision, you can simply take new impressions and request a revision online. (Remember to remove any engagers before taking new impressions to improve accuracy.)

How to submit a case revision

The case revision can only be submitted online. 

When you select a case with a phase scheduled, you'll see a blue "Revise" button in the action area. After you click that, the title will change to "Requesting revision."

If all planned phases have shipped, you will find the case under the "closed" tab and it will look like this:

revision_case_closed.png

Basic Information 

Make sure to mark the correct step number for each aligner the patient is currently wearing, so that we can verify the progress of the patient's treatment. While you are waiting for your revised phase to arrive, have your patient continue to wear the current step.

Instructions 

What's the problem? In this section, describe the existing condition of the treatment and indicate any issues that you wish to overcome in the revised phase. Please be as detailed as possible as to avoid potential miscommunication. If your instructions are unclear, you will be contacted by email to confirm before we manufacture your revised phase.

For example:

Engagers on #6-7 are not tracking with aligner. #7 is not rotating as planned.

If you would like to overcorrect any teeth in the revision, mark it in this section. 

If you leave this section blank, we will update the next phase based on any new impressions submitted.

We can base the revision on existing models, on new impressions, or on new intraoral scans. If the aligners fit well and you just want to request a change (for instance, adding engagers or requesting overcorrection), select "existing model." If you choose "new impression," you'll be presented with an option to ship it after you submit the revision request. If you choose "new intraoral scan," you can upload it along with the revision request, or submit the request first and upload the scans later.

Whichever option you choose, you'll need to provide some instructions explaining why you want a revision, and what you'd like us to change. Then select "submit", and you're good to go. You don't need to send in a paper form, but if you want one for your records, you can download one by clicking the revision form icon in the case history.

Please make sure that every revision submission with new impressions has all engagers removed. If you would like the same engager placement in your revision, you will need to specify in the revision instructions which teeth you would like the engagers to be placed and/or remain in the treatment. Be prepared to remove all existing engagers and replace them using the new template. The reason being, that we cannot assure the existing engagers will be accurate with the fit of the aligners.

If you're submitting a revision for for “ill-fitting aligners”, for "engagers not fitting in the aligner" or for a specific tooth "not tracking", there isn’t a way for us to manipulate the patient’s current condition unless new impressions or scans are sent in. So for these types of revision submissions we always require new impressions/scans to get to the root cause.

When you request a revision for a case, the treatment plan will reflect that you have received the revision with a small break as in the graph below:

All revisions are numbered based on the next odd aligner in sequence. For example, if the patient is wearing step 7, then the treatment and revision setup will now begin on step 9, regardless of how many aligners we’ve shipped in between. 

Once you have submitted the revision, you will receive a revised Treatment setup within a few days for your approval.

Tips for requesting an effective case revision

Here are some helpful tips for requesting a case revision:

  • Write everything down. The more information you give us, the better. Our technicians use all of it to work with to make your next set of aligners as accurate and effective as possible.
  • Note misbehaving engagers. Engagers that aren't tracking point to bigger problems than fitting issues. If you've followed the engager troubleshooting techniques but issues still arise, let us know.
  • What if troubleshooting techniques didn't work? Our technicians will have a better idea of how to re-route your patient's treatment if they know what steps you've already taken to correct fitting or tracking issues. Make sure to note these in your online revision request.
  • Is your patient really compliant? Non-compliance is the leading cause of fitting or tracking issues experienced during treatment. Though your patient may promise that they've worn their aligners for 22 hours a day, you may want to stress that compliance is essential to achieving the best results during treatment. Check the treatment plan for any indicated Compliance Checkpoints. These are usually a good way to see if the patient is wearing their aligners as much as they should be.
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ClearCorrect is a medical device manufacturer and does not practice dentistry. The treating physician is solely responsible for prescribing and administering orthodontic treatment. Clear aligner therapy is unpredictable. ClearCorrect does not guarantee a successful treatment outcome. Individual results will vary.

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