Treatment planning and progress tracking systems and methods

• US 10,342,638 B2
• Filed: 05/29/2008
• Issued: 07/09/2019
• Est. Priority Date: 06/08/2007
• Status: Active Grant

• Current Assignee: Align Technology Incorporated
• Original Assignee: Align Technology Incorporated
• Inventors: Kitching, Ian, Sterental, Rene, Kuo, Eric, Shuman, Lou
• Primary Examiner(s): Najarian, Lena
• Application Number:
  US12/129,578
• Publication Number:
  US 20080305454A1
• Time in Patent Office: 4,058 Days
• Field of Search: 705 2, 705 3, 433 24
• CPC Class Codes: A61C 7/00 Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
• CPC Class Codes: A61C 7/002 Orthodontic computer assisted systems
• CPC Class Codes: G16H 20/00 ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
• CPC Class Codes: G16H 50/50 for simulation or modelling of medical disorders

Abstract

The present invention provides systems and methods of managing planning and delivery of an orthodontic treatment using planning tools, treatment guidelines, instructions and appointment planning tools customized to the individual patient being treated, as well as tools and methods for tracking delivery and patient progression through an orthodontic treatment plan.

Claims

1. A method of managing delivery of an orthodontic treatment plan, comprising:

generating a treatment plan for a patient using a computer processor, the plan comprising a plurality of digital models of successive tooth arrangements for moving teeth along a treatment path from an initial arrangement toward a selected final arrangement, the treatment plan further comprising a scheduled treatment-progress tracking event timed to correspond to the patient wearing at least one retention appliance and embodied in a tangible medium;

providing a set of orthodontic shell appliances to the patient, the set of orthodontic shell appliances shaped based on the plurality of digital models of successive tooth arrangements and including the at least one retention appliance, the at least one retention appliance being a duplicate orthodontic shell appliance having the same geometries with respect to tooth receiving cavities as another appliance of the set of orthodontic shell appliances;

tracking progression of the patient'"'"'s teeth along the treatment path after administration of the set of orthodontic shell appliances to the patient, the tracking comprising comparing a digital model of a current arrangement of the patient'"'"'s teeth to a digital model of a planned arrangement of the teeth, wherein the tracking is timed to correspond to the patient wearing the at least one retention appliance according to the treatment plan;

generating a revised treatment plan where it is determined that treatment has progressed substantially off-track.

2. The method of claim 1, wherein the at least one retention appliance comprises a plurality of duplicate shell appliances successively worn by the patient.

3. The method of claim 1, wherein the treatment plan is based on an initial model of the patient'"'"'s teeth generated prior to starting the treatment plan.

4. The method of claim 1, wherein the revised treatment plan comprises a plurality of successive tooth arrangements to move the teeth along a revised treatment path from the current arrangement directly toward the selected final arrangement.

5. The method of claim 1, further comprising setting an orientation of upper and lower jaws of the digital model of the current arrangement to substantially match a coordinate system of a previously segmented model.

6. The method of claim 1, wherein generating the revised treatment plan comprises revising at least a portion of a gingival margin in a previously segmented model based on data from the digital model of the current arrangement.

7. The method of claim 1, wherein generating the revised treatment plan comprises revising a tooth shape in a previously segmented model based on data from the digital model of the current arrangement.

8. The method of claim 7, wherein the revised tooth shape represents an inter-proximal region reduction to the patient'"'"'s teeth.

9. The method of claim 1, further comprising comparing the digital model of the current arrangement to one or more previously segmented models so as to assess a cause for an off-track progression.

10. The method of claim 1, further comprising synchronizing one or more aspects of the revised treatment plan so as to integrate revised treatment with an expectation of a treating professional or patient.

11. The method of claim 10, wherein the synchronizing comprises selecting indicia designating order of use of prescribed appliances according to the revised treatment plan to sequentially follow appliances previously provided to the patient.

12. A method of managing orthodontic treatment of a patient, comprising:

generating a treatment plan for a patient using a computer processor, the plan comprising a plurality of digital models of successive tooth arrangements for moving teeth along a treatment path from an initial arrangement toward a selected final arrangement, the treatment plan further comprising a scheduled treatment-progress tracking event timed to correspond to the patient wearing at least one retention appliance;

providing a set of orthodontic shell appliances to the patient, the set of orthodontic shell appliances shaped based on the plurality of digital models of successive tooth arrangements and including the at least one retention appliance, the at least one retention appliance being a duplicate orthodontic shell appliance having the same geometries with respect to tooth receiving cavities as another appliance of the set of orthodontic shell appliances;

tracking progression of the patient'"'"'s teeth along the treatment path after administration of the set of orthodontic shell appliances, the tracking comprising comparing a current arrangement of the patient'"'"'s teeth to a planned arrangement of the teeth;

generating a revised treatment plan where it is determined that treatment has progressed substantially off-track, the revised treatment plan comprising one or more digital models of successive tooth arrangements for moving teeth along a second treatment path; and

synchronizing at least one aspect of the revised treatment plan so as to integrate revised treatment with an expectation of a treating professional or the patient.

13. A method of providing orthodontic treatment to a patient, comprising:

generating an orthodontic treatment plan for a patient using a computer processor, the plan comprising a plurality of digital models of successive tooth arrangements for moving teeth along a treatment path from an initial arrangement toward a selected final arrangement, the treatment plan further comprising a scheduled treatment-progress tracking event timed to correspond to the patient wearing at least one retention appliance;

providing a set of shell appliances based on the treatment plan, a first subset of the set of shell appliances shaped such that when successively worn by the patient in a designated sequence progressively move the patient'"'"'s teeth at least partially along the treatment path and a second subset of the set of shell appliances including the at least one retention appliance, the at least one retention appliance being a duplicate appliance having the same geometries with respect to tooth receiving cavities as another appliance of the set of shell appliances;

receiving a representation of a current arrangement of the patient'"'"'s teeth following administration of the set of shell appliances and prior to completion of the orthodontic treatment plan;

tracking progression of the patient'"'"'s teeth along the treatment path after administration of the set of shell appliances, the tracking comprising comparing a current arrangement of the patient'"'"'s teeth to a planned arrangement of the teeth by matching teeth from a previously segmented digital model to a surface of an unsegmented digital representation of the current arrangement and calculating one or more positional differences between the current and planned arrangements of at least some of the corresponding digital teeth;

generating a revised treatment plan where it is determined that treatment has progressed substantially off-track, the revised treatment plan comprising one or more digital models of successive tooth arrangements for moving teeth along a second treatment path; and

synchronizing at least one aspect of the revised treatment plan so as to integrate revised treatment with an expectation of a treating professional or the patient.