HOW TO ADD A PANO AT REFINEMENT WHEN ROOT UPRIGHTING IS A PROBLEM IN INVISALIGN
I. The Role of Panoramic X-rays in Refinements
• Panoramic X-rays (PANO) are crucial for monitoring root positions, resorption, and pathology during Invisalign refinements, especially in cases requiring root uprighting.
• ClinCheck currently lacks a direct option to upload a PANO during a refinement, only allowing CBCT uploads if CBCT was included in the initial submission.
• Dr. Amanda highlights this as a limitation and advocates for PANO inclusion as a standard of care.
II. How to Add a PANO at Refinement
• Use a creative workaround by uploading the PANO in one of the available photo slots—e.g., replacing the profile photo or another image if necessary.
• Include clear treatment notes: “Refer to PANO in the photo section. Please upright tooth #__ as shown.”
• Email the PANO directly to Align Technology ([email protected]) with the case number and timing, noting in ClinCheck: “PANO sent at [time]; please refer to PANO to upright [tooth number].”
• Without clear notes, Align won’t act on the PANO—AI doesn’t diagnose or plan, it follows clinician instructions.
III. Misuse of AI in Treatment Planning
• Many clinicians overly rely on engines or AI-based Flex Rx setups without reviewing or adjusting plans.
• Dr. Amanda stresses that AI is a tool, not a replacement for clinical diagnosis and planning.
• In legal cases or complaints, clinicians are held accountable for poor planning.
• Always review AI-generated plans critically; override errors like unnecessary IPR or expansion.
IV. Clinical Recommendations
• Take PANO updates every 6–12 months or more frequently if clinical signs suggest root issues.
• Guide Align Technology with explicit directions—AI should assist, not replace, your judgment.
• The extra step of including a PANO helps ensure accurate root positioning and minimizes long-term complications.