ATTACHMENT PROTOCOL SUMMARY

The table below shows the default attachments that are placed for Invisalign treatments unless otherwise specified by the doctor
in Clinical Preferences or on a prescription form for a specific patient.

SITUATION DEFAULT SIZE/PLACEMENT EXAMPLES

Root Control Optimized Root Control Attachments

On lateral, 1 buccal attachment and up to 2
(Upper central & lateral incisors) Pressure Points when needed

Root Control Optimized Root Control Attachments

On bicuspids, 2 buccal attachments (space permitting)
(Cuspids & bicuspids) or 1 attachment and 1 Pressure Point

Multi-Plane Movement Optimized Multi-Plane Features

(Upper lateral incisors) Optimized Attachment on buccal and Pressure Point
on Lingual when needed

Rotation*
(Cuspids & bicuspids) Optimized Rotation Attachments

Extrusion*
Optimized Extrusion Attachments
(Individual & multi-tooth)

Extraction Closure Optimized Root Control Attachments

On Canine; Vertical Rectangular, 1mm thick attachment
(Bicuspid) on two distal teeth

Extraction Closure Vertical Rectangular, 1mm thick

Placement on two teeth adjacent to the
(Lower incisor) extraction site

Anterior Intrusion Horizontal Beveled occlusally, 1mm thick

Attachments placed bilaterally on first premolar
(No bicuspid rotation) (1 in each quadrant)

Horizontal Beveled occlusally, 1mm thick

Anterior Intrusion Optimized attachments are applied to bicuspids needing
Plus bicuspid rotation rotation; if both are rotating, no retention attachment is placed

Root Torque† / Aligner Retention** Attachments NOT offered by default

NOTES AND LIMITATIONS

* Limitation for Cuspid Rotation, Bicuspid Rotation, and Anterior Extrusion: Optimized attachments cannot be combined with lingual attachments.
Optimized Root Control Attachments cannot be combined with Precision Cuts.
† Root Torque: Power Ridge® is automatically placed on buccal tooth surface of upper and lower incisors when lingual root torque is present. When retraction
is combined with lingual root torque on upper incisors, a second Power Ridge® is also placed automatically on lingual tooth surface. For torque on teeth other
than incisors, doctor may request attachments. Attachments cannot co-exist on a tooth with a Power Ridge.®
**Note about Aligner Retentiveness: Doctors may request attachments when aligner retentiveness is a concern.

The default protocols described in this document are used to create the initial ClinCheck® treatment plan,
based on your prescription. However, the final ClinCheck treatment plan remains the responsibility of the treating
dental professional and should be reviewed carefully and modified as necessary before the ClinCheck treatment
plan is approved.

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