1. Invisalign Update Staff Meeting, August 10, 2005

2. Purpose Have it on our minds Have it on our minds “Invisalign goggles” “Invisalign goggles” Be able to answer questions Be able to answer questions “5 big questions” “5 big questions”

3. Disclaimer We are not an orthodontic office We are not an orthodontic office We are not the terminal point for any recognized dental specialty, except for restorative and cosmetic dentistry. We are not the terminal point for any recognized dental specialty, except for restorative and cosmetic dentistry. We do not specialize in “dentofacial orthopedics.” We do not specialize in “dentofacial orthopedics.”

4. Format: State of things State of things FAQ’s FAQ’s Dialogues Dialogues Consult form/protocol Consult form/protocol

5. State of Invisalign… It’s growing It’s growing Less than 8% of general dentists are currently offering it Less than 8% of general dentists are currently offering it Certification courses are offered all over the country. Certification courses are offered all over the country. More general dentists are using it than orthodontists More general dentists are using it than orthodontists Great to be an early adopter (bleaching example) Great to be an early adopter (bleaching example) It’s expensive It’s expensive Web site is great Web site is great Great marketing package Great marketing package Continuing ed courses are great Continuing ed courses are great It is much more carefully monitored than before It is much more carefully monitored than before It is still just a lab – they do what you tell them to do It is still just a lab – they do what you tell them to do

6. Where we’re at with Invisalign: Currently the top referring office in the Utah Idaho region! Currently the top referring office in the Utah Idaho region! We are early adopters We are early adopters Patients are very interested Patients are very interested It is taking a lot of after- hours work It is taking a lot of after- hours work Clincheck works well Clincheck works well

7. Where we’re at with Invisalign: 9+ patients currently in treatment. 9+ patients currently in treatment. 1: My wife 1: My wife 1: Referred by David Gallup 1: Referred by David Gallup 3: Have an office staff connection 3: Have an office staff connection 2: Referred by the Invisalign web site 2: Referred by the Invisalign web site 6 were already patients 6 were already patients 3 Came into the practice because of Invisalign 3 Came into the practice because of Invisalign None would have undergone tx with an orthodontist. None would have undergone tx with an orthodontist.

8. Some Invisalign FAQ’s: Is Invisalign profitable? Is Invisalign profitable? Potentially, but not automatically. Potentially, but not automatically. Fee must be high enough Fee must be high enough Tx must be highly systematized Tx must be highly systematized

9. Some Invisalign FAQ’s: Who are we treating? Who are we treating? Adults. Second molars still need to be in place. Adults. Second molars still need to be in place. Pts who wouldn’t go to the orthodontist anyway Pts who wouldn’t go to the orthodontist anyway We still refer to the orthodontist. We still refer to the orthodontist. We need to follow up on consults. We need to follow up on consults. What is the timeline of treatment? What is the timeline of treatment?

10. Some Invisalign FAQ’s: What about retention? What about retention? “Only till I’m dead…” “Only till I’m dead…” Common protocol Common protocol Thinking has changed through the years Thinking has changed through the years Teeth are going to shift with age, just like other parts of your body. Teeth are going to shift with age, just like other parts of your body. What is the average length of tx? What is the average length of tx? 11 months. 11 months.

11. Some Invisalign FAQ’s: What does Invisalign do well? What does Invisalign do well? Everything mapped out beforehand with expert guidance Everything mapped out beforehand with expert guidance What doesn’t it do well? What doesn’t it do well? Cost Cost Extrusion Extrusion Posterior cross bites Posterior cross bites Changing AP relationship Changing AP relationship Distalization Distalization Rotation past a certain point Rotation past a certain point

12. The Five Big Invisalign Questions: 1. What is Invisalign? How does it work? 2. Is it really effective? 3. How much does it cost? 4. How long will treatment take? 5. Will it work for me?

13. What is Invisalign? How does it work? Invisible, removable, comfortable way to straighten your teeth without braces Invisible, removable, comfortable way to straighten your teeth without braces Uses a series of clear, removable “aligners” to straighten teeth without metal wires or brackets Uses a series of clear, removable “aligners” to straighten teeth without metal wires or brackets Patients wear them for about two weeks – 24 hrs a day, except when eating, brushing or flossing Patients wear them for about two weeks – 24 hrs a day, except when eating, brushing or flossing Patients visit the dentist about once every 6 weeks Patients visit the dentist about once every 6 weeks

14. Is it really effective? Proven effective in both clinical research and on thousands of patients in private practices worldwide Proven effective in both clinical research and on thousands of patients in private practices worldwide Advanced 3-D computer imaging technology lets you see how the teeth will move before the aligners are made or treatment begins Advanced 3-D computer imaging technology lets you see how the teeth will move before the aligners are made or treatment begins Over 175,000 patients are currently in treatment – more every day! Over 175,000 patients are currently in treatment – more every day!

15. How much does it cost? Comparable to traditional braces Comparable to traditional braces Depends on complexity of your case and length of treatment Depends on complexity of your case and length of treatment Invisalign is covered by orthodontic insurance – similar to traditional orthodontics Invisalign is covered by orthodontic insurance – similar to traditional orthodontics Affordable monthly payment plans available Affordable monthly payment plans available

16. How long will treatment take? Approximately the same as traditional braces – average treatment is about a year Approximately the same as traditional braces – average treatment is about a year Depends on the complexity of your case Depends on the complexity of your case The doctor can give specifics after the consultation The doctor can give specifics after the consultation

17. Will it work for me? “Let’s schedule an evaluation for the doctor to determine if you’re a candidate for Invisalign treatment” “Let’s schedule an evaluation for the doctor to determine if you’re a candidate for Invisalign treatment” Invisalign works for a broad range of patients (crowding, spacing, open bites, crossbites, ortho relapse, etc) Invisalign works for a broad range of patients (crowding, spacing, open bites, crossbites, ortho relapse, etc) Over 175,000 have been treated worldwide Over 175,000 have been treated worldwide Second molar eruption is necessary Second molar eruption is necessary