US20050159986A1 - Health-care systems and methods - Google Patents

Health-care systems and methods Download PDF

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US20050159986A1
US20050159986A1 US11/033,097 US3309705A US2005159986A1 US 20050159986 A1 US20050159986 A1 US 20050159986A1 US 3309705 A US3309705 A US 3309705A US 2005159986 A1 US2005159986 A1 US 2005159986A1
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patient
view
user
doctor
case
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US11/033,097
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Joe Breeland
Amir Abolfathi
David Etheridge
Jason Shelton
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Align Technology Inc
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Align Technology Inc
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Priority to US11/033,097 priority Critical patent/US20050159986A1/en
Publication of US20050159986A1 publication Critical patent/US20050159986A1/en
Assigned to ALIGN TECHNOLOGY, INC. reassignment ALIGN TECHNOLOGY, INC. ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: ABOLFATHI, AMIR, SHELTON, JASON, ETHERIDGE, DAVID, BREELAND, JOE
Priority to US16/825,933 priority patent/US11798046B2/en
Abandoned legal-status Critical Current

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    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q30/00—Commerce
    • G06Q30/06—Buying, selling or leasing transactions
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records

Definitions

  • the Internet has become a significant medium for communication and commerce and has enabled millions of people to share information and conduct business electronically.
  • the unique characteristics of the Internet such as its ability to provide enhanced communication, rich text, and graphic environment, provide an ideal support for a wide variety of electronic commerce transactions. For example, a consumer can search, review, and extensively shop a number of competing chains in an instant. As such, consumers benefit by being able to obtain a good price relatively quickly and easily.
  • On-line retailers also benefit, since these retailers can carry a larger number of products at a lower cost and with greater merchandising flexibility without the physical constraints faced by traditional retailers. Additionally, they can assist the consumer's purchase decision by providing relevant information and enabling consumers to shop at their convenience by remaining open 24 hours a day, seven days a week. Online retailers can also provide personalized services and use direct marketing efforts based on information provided by customers.
  • the Internet has evolved into a unique sales and marketing channel.
  • the ubiquity and convenience of the Internet makes it ideal for dispensing information on certain topics that traditionally require visits to specialists.
  • certain consumers may be interested in products and services associated with orthodontics and dentofacial orthopedics that specializes in the diagnosis, prevention and treatment of dental and facial irregularities (“malocclusion” or “bad bite”).
  • the orthodontic treatment process typically uses corrective appliances such as braces and/or other fixed or removable appliances to bring the teeth, lips and jaws into proper alignment and to achieve a facial balance.
  • the pervasiveness of the Internet makes it an ideal source for information relating to these products and services.
  • a virtual health-care electronic commerce community includes a network to communicate information relating to the community; one or more patients coupled to the network; one or more treating professionals coupled to the network; and a server coupled to the network, the server storing data for each patient and securely sharing health-care information for authorized professionals.
  • Implementations of the above aspect may include one or more of the following.
  • the treating professional can view one or more of the following patient data visualization over the network: a right buccal view; a left buccal view; a posterior view; an anterior view; a mandibular occlusal view; a maxillary occlusal view; an overjet view; a left distal molar view; a left lingual view; a lingual incisor view; a right lingual view; a right distal molar view; an upper jaw view; and a lower jaw view.
  • the treating professionals can include dentists or orthodontists working singly or in combination with other professionals.
  • One or more partners can be connected to the network.
  • the partners can be a financing partner, a supplier, or a delivery company.
  • the treating professionals can perform office management operations using the server.
  • the office management operations include one or more of the following: patient scheduling, patient accounting, and claim processing.
  • the patients and the treating professionals can access the server using browsers.
  • the treating professionals can share the patient's information with another authorized treating professional for consultations and assistance, among others.
  • a method for performing dental-related electronic commerce includes transmitting teeth data associated with a patient from a dental server to a treating professional computer over the Internet upon an authorized request; displaying a three-dimensional computer model of the teeth at the treating professional computer using a browser; allowing a treating professional to manipulate the three-dimensional computer model of the teeth using the browser or an application running on a patient computer; transmitting the computer model from the treating professional computer to the server; and generating an appliance to treat the patient based on the computer model of the teeth.
  • Implementations of the above aspect may include one or more of the following.
  • the system can provide financing options for the patient using one or more financing partners.
  • the system can offer an on-line shop geared to the patient's dental requirements and/or office needs/supplies.
  • the system also allows a treating professional to manipulate the three-dimensional computer model of the teeth using the browser or an application running on a local computer and further comprises displaying a plurality of dental views.
  • a treating professional can manipulate the three-dimensional computer model of the teeth using the browser and may further comprise clicking on a tooth to adjust its position.
  • the system can display x, y and z axes to allow the treating professional to adjust the position of the tooth. Treating professionals can show the models to other authorized professionals. Supplemental services can also be offered to the patient, including teeth whitening services.
  • a server supports a health-care electronic commerce community with one or more patients and one or more service providers.
  • the server includes a processor adapted to communicate with a network; a data storage device coupled to the processor and adapted to store data for each patient; and software to communicate 3D patient data in response to a patient request.
  • Implementations can include one or more of the following.
  • a browser can receive the patient request and can transmit the request to the server.
  • the browser can use a viewer plug-in to visualize patient data in 3D.
  • an application running on a local patient computer can visualize the patient data.
  • the providers can provide health-care services such as dentistry applications, cosmetic augmentation, hair-care enhancements, liposuction, or plastic or reconstructive surgery.
  • the system supports a virtual community of dental patients, dentists, specialists such as orthodontists and oral surgeons, financial institutions, benefit providers and the providers of dental equipment or services.
  • the system provides a one-stop solution for planning patient treatments, managing communication with patients, storing patient records and sharing records with relevant persons outside the doctor's office, including for example, consulting professionals who advise the doctor of preferred treatment plans.
  • the system can act as the repository for the file notes and visual imagery (photographs, x-rays and virtual treatment plans) associated with the course of treatment.
  • the doctors can control access to the centralized patient file.
  • Various tools are provided to support the interpretation of information and the diagnostic process.
  • the system allows doctors to retrieve and analyze patient information and to simulate present and potential patient dental structure using two and three-dimensional visual imagery of the patient's teeth and other anatomical structures.
  • the system supports visualization of the expected outcome of a particular course of treatment. These images can enhance the patient's understanding of the benefits of treatment and can act as a valuable selling tool for the doctor.
  • the system also provides diagnostic decision-support capabilities such as visualizing the placement of implantations, veneers and crowns before or after a course of treatment to straighten the teeth.
  • the system provides an animated prediction of the suggested treatment that can help the patient and the doctor to visualize the pace of treatment. Using these tools, the doctor can easily and quickly view and/or edit the treatment plan.
  • the system disseminates aspects of the plan and the relevant patient records to the appropriate members of the virtual community, thus reducing the cost and delay associated with traditional physical shipment of patient information. Aspects of the final treatment plan can be used to generate appliances used in the physical treatment.
  • the information associated with the patient's treatment (visual images, virtual treatment plans, file notes and the like) are digitized and maintained in a central storage facility in a secure manner. Doctors and patients can have access to these files without the need to extract files and models from storage and with reduced risk of records being misplaced.
  • the system allows a dental office to be managed more efficiently without requiring the treating professional to purchase and maintain special software.
  • the system keeps track of all patients that need to be contacted for an appointment. Scheduling can be done automatically or can be customized to the office's preference and availability of treating professionals and supporting resources.
  • the system can electronically mail (email) patients with reminders. Alternatively, the system can print reminder cards that can be mailed to patients reminding them of their appointment.
  • the system can also automatically generate personalized correspondence to patients relating to data collected in the initial exam and treatment recommendations. Moreover, the patient can review the treatment proposed by the treating professional anywhere.
  • the system also simplifies and streamlines the processing of insurance claims to produce an orderly flow of information. Insurance claims can flow through the treating professional's office from pre-authorization to continuation of treatment with a minimal amount of intervention.
  • the system also provides accounting functions to check out patients, post charges, setup contracts, add comments to ledgers, post payments, adjust ledgers, and display all transactions applied to specific ledgers.
  • treating professionals can leverage the collective purchasing power of the system by being able to order supplies required or requested by patients directly through the system at a discount. These supplies can be directly shipped to the patients, thus avoiding overhead costs associated with handling the supplies. Further, information reviewed or generated by the treating professionals is provided through a secure on-line connection. Thus, the patient's privacy as well as the treating professional's sensitive office information is not compromised.
  • the system provides a broad array of dental-care resources that help consumers find answers to their critical dental questions and make informed purchasing decisions.
  • the system also enables people to share their experiences and to support one another in managing their medical conditions. This is done through forums where Internet users with interests and concerns about their dental health can interact with each other, to interact in a community environment and to access content created by others.
  • the system is convenient to use and provides informative shopping experience through which dental care services and dental-related products can be dispensed. Consumers can access the system using an intuitive, easy-to-use shopping interface that is available 24 hours a day, seven days a week. Consumers can shop quickly and conveniently from anywhere Internet access is available. A customer can store his or her dental history and other relevant dental information, as well as create personalized shopping lists for quick and easy reordering of his or her dental supplies.
  • FIG. 1 is a diagram of an exemplary environment supporting electronic commerce.
  • FIG. 2 is a diagram of a server structure and corresponding link to a network, such as the internet, to support electronic commerce within the context of an embodiment of the invention.
  • FIG. 3 is a structural diagram of a web site that may run on the server of FIG. 2 .
  • FIG. 4 is a flowchart of a process for selecting dental services, from the perspective of a patient.
  • FIG. 5 is a flowchart of a process for providing dental services, from the perspective of a treating professional.
  • FIG. 6 is a flowchart of a process to render 3D views of a patient's teeth on a browser.
  • FIG. 7 is an exemplary output of the process of FIG. 6 using the browser.
  • FIG. 8 is a diagram of a system for manufacturing appliances.
  • FIG. 9 is a diagram illustrating a computer system to support the fabrication of appliances.
  • FIG. 10 is a diagram schematically showing information flow within and exterior of a network application according to an embodiment of the invention.
  • FIG. 11 is a flowchart showing a case submission scheme according to an embodiment of the invention.
  • FIG. 12 is a flowchart showing a case management scheme according to an embodiment of the invention.
  • FIG. 13 shows a diagram illustrating potential activity on the website upon submission of a new case.
  • FIG. 14 is a flowchart illustrating another aspect of a new case submission, as well as a case review series of steps.
  • FIG. 15 is an exemplary home page of the web based interface.
  • FIGS. 16-17 show exemplary treatment planning forms on a website according to an embodiment of the invention.
  • FIG. 18A shows a web page depicting static image displays, “before” and “after”, of various views of a patient's gums and teeth.
  • FIG. 18B shows a more detailed view of a static image from FIG. 18A .
  • FIGS. 19-23 show an embodiment of a second opinion service (SOS) that provides an opportunity for inexperienced professionals to receive advice from experienced professionals in treating patients.
  • SOS second opinion service
  • the system 100 communicates over a network 102 that can be a local area network or a wide area network such as the Internet.
  • One or more patient computers 104 - 105 can be connected to the network 102 .
  • the patient computers execute a suitable browser such as Navigator® from Netscape, Inc. or Internet Explorer® from Microsoft Corp.
  • Navigator® from Netscape, Inc.
  • Internet Explorer® from Microsoft Corp.
  • the user can jump from the current web page to a new web page address associated with the link—with the new page displayed on the screen.
  • the user can “surf the web” by clicking on an almost endless succession of links going to page after page all following a common thread as defined by the text or graphic component of the link label.
  • the patient computers 104 - 105 can access a health server, for example a dental server 106 that houses dental information.
  • the dental server 106 serves a web site, a portal, a vortal (vertical portal), or a content site for providing dental-related information to interested parties such as dental patients, dentists, orthodontists, and others.
  • SSL Secure Socket Layer
  • the server 106 can be a stand-alone computer or can be a server farm that can distribute processing and communication activity across a computer network so that no single device is overwhelmed. During load balancing, if one server is swamped with requests, excess requests are forwarded to another server with more capacity.
  • the network 102 connects the dental server 106 to one or more treating professional workstations 108 - 109 .
  • the workstations 108 - 109 allow treating professionals access to a plethora of services provided by the dental server 106 such as patient treatment and office management, among others.
  • the dental server 106 stores information associated with patient history on-line in a secure manner and also provides the treating professional a comprehensive view of the patient's treatment history at any time using a suitable browser, eliminating the need to pull treatment files or charts or to search for misfiled or lost charts.
  • the dental server 106 also provides treating professionals with tools to analyze patient data, for example, tools to reconstruct a 3D model or rendering of the patient's teeth.
  • the treating professional can request the dental server 106 to animate the progress of the treatment plan.
  • the treatment prescription is used to automatically generate appliances, as described in more detail below.
  • the software allows the treating professional to perform office management, purchasing and other logistical operations using the browser and the dental server 106 .
  • the dental server 106 can communicate with one or more partners 110 using the network 102 .
  • the partners 110 can be product suppliers, service providers, or any suitable commercial entities.
  • one partner 110 can be a financing partner that offers customers one or more electronic financing options.
  • the financing partner can be a credit card processing company.
  • the credit card processing company can accept a customer's existing credit card or can issue the customer with a new credit card.
  • the credit card can be issued under the name of a third-party bank, the name of the credit card processing company, or the name of the site supported by the dental server 106 under a co-branding arrangement.
  • the customer enters the sensitive data such as credit card number, shipping address, among others, onto a purchase form.
  • the credit data is then submitted, collected and passed securely through the dental server 106 , e.g., using SSL.
  • This data can be processed in real-time online or can be collected by mail or telephone and then entered by an operator.
  • a processor at the credit card processing company then verifies that the credit card number is valid and is not stolen, among other anti-fraud measures. If the credit card information is valid, the purchase price will be reserved from the issuing bank of the consumer's credit card and allocated to the account associated with the server 106 . Periodically, the credit card processor settles all accounts; it is at this time that all monies move. Funds reserved are transmitted from the issuing bank of the cardholder's credit card to the account of the server 106 . Also, discount fees are paid from these funds, as they are moving.
  • the financing partner can debit from the customer's checking account over the Internet.
  • check debiting services is the MerchanTrustTM Paperless ChecksTM Services, available from Merchant Commerce, Inc. These services provide customers with the convenience of making online purchases by checking account debits, with no manual data entry required of a merchant.
  • a customer fills in a form at the site with bank information printed at the bottom of his or her personal check. The information is processed as an Electronic Funds Transfer (EFT) to the customer's account using the Automated Clearinghouse (ACH) payment system.
  • EFT Electronic Funds Transfer
  • ACH Automated Clearinghouse
  • Yet another possible partner 110 is a dental supply retailer providing an on-line shop on the web site to retail dental products to the customers and treating professionals.
  • the retailer can be a co-branding partner that uses the brand name linked or suitably associated with the web site of the server 106 such that users of the server 106 would not know that the on-line shop is actually operated by a third party.
  • the retailer can offer dental products for brushing, flossing, and cleaning of dental implants and bridges. Other dental products include anti-plaque rinse and plaque-fighting toothpaste.
  • the retailer can also sell other health-care-related products such as prescription drugs; non-prescription drugs; personal care products; beauty and spa products; vitamins; herbs and nutrition; and medical supplies. Additionally, the retailer can serve the needs of the treating professionals by offering products such as brackets, buccal tubes, bands, archwire products, bonding adhesives, hand instruments, systems, supplies and equipment.
  • Yet another partner 110 can be a shipping partner.
  • the shipping partner delivers dental supplies or goods received from a multiplicity of producers and manufacturers for ultimate distribution to each customer.
  • the facilities for warehousing and introduction of goods into a transportation stream for redistribution are the so-called “cross-docking” facilities.
  • the article of supply or good flows in bulk from a producer or a manufacturer to one or more cross-docking facilities owned by either the shipping partner or the operator of the server 106 . The items are then be broken into smaller unit sizes and distributed to the customers.
  • partners lists only exemplary partners and is not an exhaustive list.
  • Other possible partners include value-added service providers such as third party software providers who provide plug-in viewing and diagnostic enhancements that can be used by the professionals.
  • the dental server 106 can perform dynamic targeting and information gathering.
  • the users provide demographic information when they register for the service, and the dental server 106 can track the users' behavior the entire time they are online.
  • the dental server 106 can deliver targeted advertisements and can further measure their effectiveness.
  • users can receive ads from a brokerage firm when they are viewing sites containing stock quotes or financial news, or receive promotions from a bookseller when browsing sites containing book reviews.
  • the dental server 106 can provide a prominent and sustained advertising medium to the community. In contrast to most portal and content sites which display advertising, the site remains with users the entire time they are online.
  • the site remains in full view throughout the session, including when they are waiting for pages to download, navigating the Internet, or even engaging in non-browsing activities such as sending or receiving e-mail.
  • the constant visibility of the site allows advertisements to be displayed for a specified period of time.
  • the dental server 106 forms a hub that links dental patients using patient computers 104 - 105 , treating professionals using workstations 108 - 109 , and partners 110 into a living electronic commerce (e-commerce) community.
  • e-commerce electronic commerce
  • FIG. 2 shows an embodiment of the dental server 106 .
  • the dental server 106 includes a web server 140 , a patient information server 142 , a resource planning (RP) server 144 , a treatment server 146 and a streaming media server 148 .
  • the RP server 144 runs Microsoft SQL server and provides information relating to a doctor or a patient such as address and history.
  • the data is pulled from the patient information server 142 .
  • media data such as video
  • the streaming media server 148 can send the stream.
  • the streaming data is stored in QuickTime format on a Linux-based server running the QuickTime server software.
  • the servers can be clustered.
  • cluster-enabled applications such as Microsoft's SQL Server and Exchange may be employed.
  • Cluster Server two servers can run applications at the same time. When one server fails, the remaining server handles its application as well as the failed server's applications. Next, the remaining server adopts the IP address of the failed server and mounts one or more data drives that the two systems share. The remaining server is rebooted and applications such as SQL Server can be restarted and reinitialized on this server. Persistent viewers can re-attach to the server and continue to operate.
  • a diagram 200 shows various major functions supported by the dental server 106 .
  • the process 200 may perform an automatic detection for the existence of a browser welcome plug-in (step 202 ). If the welcome plug-in exists, an introductory animation (Flash) is shown to the viewer (step 204 ). From step 202 or 204 , the process 200 shows a home page (step 206 ) with one or more links. A link is created by having a word in a text field (or a graphic image on a web page) linked to the location of another web page via a string of information setting forth the new web page address presented in hypertext transfer protocol (HTTP), among others.
  • HTTP hypertext transfer protocol
  • the user can navigate the home page to join a particular site from a constellation of related sites. For instance, the user can navigate to a patient's site (step 208 ), a doctor's site (step 210 ), a privacy statement site (step 212 ), one or more additional sites or links (step 214 ), and an “About” site (step 216 ), among others.
  • the additional sites can be an on-line shopping store that is co-branded with the web site hosted by the server 106 , or the on-line shopping store can be directly affiliated with a third party such as planet-rx.com, among others.
  • the additional sites can also be third party value-added providers of products and/or services.
  • FIG. 4 illustrates an exemplary usage of the system of FIG. 1 from a patient's perspective.
  • a prospective patient using a patient computer 104 visits the web site on the dental server 106 and identifies a treating professional meeting one or more criteria (step 230 ), for example, a professional whose location is closest to his or her home address.
  • the patient schedules an appointment with the treating professional (step 232 ).
  • an assistant captures various anatomical data from the patient by taking digital photographs of the face and teeth, taking x-rays of the front, back, side, and top/bottom of the patient, taking one or more impressions, among others (step 234 ).
  • certain or all of this information is entered into a form on the server 106 .
  • the data is then digitized (step 236 ), stored on the dental server 106 , and made available to treating professionals and the patient over the Internet (step 238 ).
  • the server 106 and one or more orthodontic treating persons process the patient data and render the patient's teeth in a plurality of alternative final states (step 240 ). Based on the choices, the patient selects a desired final state (step 242 ).
  • the dental server 106 can also perform other value-added services (step 244 ).
  • processes executed by the dental server 106 can simulate the color of the patient's enamel and show the color of the teeth before and after bleaching.
  • processes on the dental server 106 can simulate the color of the patient's silver fillings (amalgam) and show the teeth after cosmetic work to cover the amalgam (step 246 ).
  • the patient After visualizing the effects of the operations, comparing the before and after operations, and reviewing guideline pricing (step 248 ) for the orthodontic operation as well as add-ons such as bleaching, the patient makes a decision on the case (step 250 ).
  • the dental server 106 offers the patient with one or more financing options from one of its financial partners (step 256 ). Additionally, the dental server 106 can guide the patient to an on-line shopping store to purchase products relating to his or her dental health (step 258 ). For example, the patient can buy cleaning supplies, brushes, and flossing supplies at a price competitive to his or her traditional stores. Moreover, the products can be delivered to the patient using one or more delivery partners at a convenient time (step 260 ).
  • FIG. 5 illustrates an exemplary usage of the system of FIG. 1 from a treating professional's perspective.
  • a prospective patient uses a patient computer 104 and visits the web site on the dental server 106 (step 280 ).
  • the patient identifies a treating professional and schedules an appointment with the treating professional (step 281 ).
  • a referring dentist can refer the patient to the treating professional.
  • the referring dentist can visit the website on the dental server 106 and use one or more dental esthetic tools to show patients the potential benefits of treatment, e.g., anterior and posterior esthetic restorations, and if the patient is interested, refers the patient to the treating professional (step 282 ).
  • the potential benefits of treatment e.g., anterior and posterior esthetic restorations
  • the treating professional or an assistant may take, e.g., a set of digital facial and intraoral images which is uploaded to a secure, collaborative workspace on the dental server 106 (step 284 ).
  • the workspace is shared with the referring dentist.
  • the treating professional generates a dentofacial treatment visualization showing the patient's face and smile before and after treatment.
  • the treating professional can also combine the patient's face and an aligner into the intraoral image to show how inconspicuous the appliance will be (step 285 ).
  • the treating professional takes impressions and a bite registration and sends the information to the company (step 284 ).
  • the treating professional may also capture other data, such as by taking a lateral ceph and a panorex (step 286 ), and upload them to the company and/or workspace and/or website ( 287 ).
  • the treating professional may also generate or create a treating prescription or plan and upload the same to the company and/or website and/or to the workspace (step 288 ).
  • the treating professional may review the treatment plan and adjust or approve the same (step 290 ).
  • the professional's assistant creates a separate workspace for the patient, uploads selected “before and after” images to the company and/or workspace and/or website and invites the patient to review the images (step 292 ).
  • the aligners may then be accordingly fabricated as described below.
  • step 296 another professional reviews the records and decides to accept or decline the case. If accepted, the models are scanned, and the intraoral images are retrieved and used to texture-map enamel and gingiva (step 298 ). The data is then sent to the company and/or workspace and/or website and the treating professional is notified (step 300 ).
  • the tooth models may be posted on a hypertext transfer protocol (http) web site for limited access by the corresponding patients and treating clinicians. Since realistic models have a large volume of data, the storage and transmission of the models can be expensive and time-consuming.
  • data associated with the model is compressed. The compression is done by modeling the teeth meshes as a curve network before transmission to the treating professional or website. Once the curve network is received, the 3D model is reconstructed from the curve network for the treating professional to analyze. More information on the compression is disclosed in U.S. Pat. No. 6,633,789, issued Oct. 14, 2003, entitled “EFFICIENT DATA REPRESENTATION OF TEETH MODEL”, the contents of which are hereby incorporated by reference in their entirety.
  • the treating professional can, at his or her convenience, check the setup, and review the information sent in step 300 (step 302 ).
  • the treating professionals can use a variety of tools to interpret patient information. For example, the treating professional can retrieve and analyze patient information through a reconstructed 3D model of the patient's teeth and other anatomical structures.
  • the professional can view animations showing the progress of the treatment plan to help the treating physician visualize the pace of treatment. Using these tools, the treating professional can easily and quickly view and/or edit the treatment plan.
  • the treating professional can adjust one or more teeth positions at various intermediate stages of treatment (step 304 ).
  • a variety of diagnostic decision-support capabilities such as automated teeth collision detection can be used to aid the treating professional in adjusting the teeth positions.
  • the treatment information is automatically collected by the system over the Internet, thus eliminating the cost and delay associated with the traditional physical shipping of patient information (step 306 ). These modifications are then retrofitted onto the dataset used to generate the aligners (step 308 ). The aligners may then be physically fabricated (step 294 ).
  • FIG. 6 shows a process 400 associated with a viewer that allows the treating professional to visualize the patient's teeth over the network 102 such as the Internet.
  • a browser checks for a viewer plug-in module embodying the process 400 in a “plugins” subdirectory (Windows) or Plug-ins folder (Mac OS) in the same folder or directory as the browser (step 402 ). If the viewer plug-in module is available, the browser looks for a MIME type and extension info from the version resource. Through a TYPE attribute, the browser knows the MIME type and can load a registered plug-in first and, if there are no matches for the MIME type, the browser looks for a helper application.
  • the browser loads the viewer plug-in code into memory (step 404 ); initializes the viewer plug-in (step 406 ); and creates a new instance of the viewer plug-in (step 408 ).
  • the viewer plug-in instance is deleted.
  • the plug-in code is unloaded from memory.
  • data files are downloaded to the viewer plug-in (step 410 ).
  • the viewer plug-in downloads a data file from the dental server 102 using a suitable protocol such as a file transfer protocol (FTP).
  • FTP file transfer protocol
  • the viewer plug-in uses the downloaded file to present the treatment plan graphically to the clinician.
  • the viewer plug-in also can be used by the treatment plan designer at the host site to view images of a patient's teeth.
  • FIG. 7 shows an exemplary user interface for the viewer plug-in of FIG. 6 .
  • the professional can change views, select a particular tooth and change its position as desired (step 412 ).
  • 3-D images of various orthodontic views can then be rendered after each instruction from the treating professional is received (step 414 ).
  • an origin point, or “look from” point associated with a camera view is generated.
  • a “look at” point or a focus point associated with the camera view is determined.
  • the line from LookFromPoint to LookAtPoint defines the direction the camera is shooting.
  • a camera Z vector, or up vector is determined.
  • the appliances may be fabricated as illustrated in FIG. 8 .
  • Common fabrication methods employ a rapid prototyping device 201 such as a stereolithography machine.
  • a particularly suitable rapid prototyping machine is Model SLA-250/50 available from 3D Systems, Valencia, Calif.
  • the rapid prototyping machine 201 selectively hardens a liquid or other non-hardened resin into a three-dimensional structure which can be separated from the remaining non-hardened resin, washed, and used either directly as the appliance or indirectly as a mold for producing the appliance.
  • the prototyping machine 201 receives the individual digital data sets and produces one structure corresponding to each of the desired appliances.
  • the rapid prototyping machine 201 may utilize a resin having non-optimum mechanical properties and which may not be generally acceptable for patient use, the prototyping machine typically is used to produce molds which are, in effect, positive tooth models of each successive stage of the treatment.
  • a conventional pressure or vacuum molding machine 251 is used to produce the appliances from a more suitable material, such as 0.03 inch thermal forming dental material, available from Tru-Tain Plastics, Rochester, Minn. Suitable pressure molding equipment is available under the trade name BIOSTAR from Great Lakes Orthodontics, Ltd., Tonawanda, N.Y.
  • BIOSTAR Great Lakes Orthodontics, Ltd., Tonawanda, N.Y.
  • the molding machine 251 produces each of the appliances directly from the positive tooth model and the desired material.
  • Suitable vacuum molding machines are available from Raintree Essix, Inc.
  • the appliances can be supplied to the treating professional all at one time.
  • the appliances are marked in some manner, typically by sequential numbering directly on the appliances or on tags, pouches, or other items which are affixed to or which enclose each appliance, to indicate their order of use.
  • written instructions may accompany the system which set forth that the patient is to wear the individual appliances in the order marked on the appliances or elsewhere in the packaging. Use of the appliances in such a manner will reposition the patient's teeth progressively toward the final tooth arrangement.
  • the treating clinician may wish to evaluate the patient's progress during the course of treatment.
  • the system can also do this automatically, starting from a newly-measured in-course dentition. If the patient's teeth do not progress as planned, the clinician can revise the treatment plan as necessary to bring the patient's treatment back on course or to design an alternative treatment plan.
  • the clinician may provide comments, oral or written, for use in revising the treatment plan.
  • the clinician can also form another set of plaster castings of the patient's teeth for digital imaging and manipulation.
  • the clinician may wish to limit initial aligner production to only a few aligners, delaying production on subsequent aligners until the patient's progress has been evaluated and alignment configuration can be more accurately estimated.
  • FIG. 9 is a simplified block diagram of a data processing system 500 that may be used to develop orthodontic treatment plans.
  • the data processing system 500 typically includes at least one processor 502 that communicates with a number of peripheral devices via bus subsystem 504 .
  • peripheral devices typically include a storage subsystem 506 (including a memory subsystem 508 and a file storage subsystem 514 ), a set of user interface input and output devices 518 , and an interface to outside networks 516 , including the public switched telephone network.
  • This interface is shown schematically as “Modems and Network Interface” block 516 , and is coupled to corresponding interface devices in other data processing systems via communication network interface 524 .
  • Data processing system 500 could be a terminal or a low-end personal computer or a high-end personal computer, workstation or mainframe.
  • the user interface input devices 518 typically include a keyboard and may further include a pointing device and a scanner.
  • the pointing device may be an indirect pointing device such as a mouse, trackball, touchpad, or graphics tablet, or a direct pointing device such as a touch screen incorporated into the display, or a three dimensional pointing device, such as the gyroscopic pointing device described in U.S. Pat. No. 5,440,326.
  • Other types of user interface input devices, such as voice recognition systems, can also be used.
  • User interface output devices typically include a printer and a display subsystem, which includes a display controller and a display device coupled to the controller.
  • the display device may be a cathode ray tube (CRT), a flat-panel device such as a liquid crystal display (LCD), or a projection device.
  • the display subsystem may also provide non-visual display such as audio output.
  • Storage subsystem 506 maintains the basic required programming and data constructs. The program modules discussed above are typically stored in storage subsystem 506 . As noted above, storage subsystem 506 typically comprises a memory subsystem 508 and a file storage subsystem 514 .
  • Memory subsystem 508 typically includes a number of memories including a main random access memory (RAM) 510 for storage of instructions and data during program execution and a read only memory (ROM) 512 in which fixed instructions are stored.
  • RAM main random access memory
  • ROM read only memory
  • the ROM would include portions of the operating system; in the case of IBM-compatible personal computers, this would include the BIOS (basic input/output system).
  • File storage subsystem 514 provides persistent (non-volatile) storage for program and data files, and typically includes at least one hard disk drive and at least one floppy disk drive (with associated removable media). There may also be other devices such as a CD-ROM drive and optical drives (all with their associated removable media). Additionally, the system may include drives of the type with removable media cartridges.
  • the removable media cartridges may be, for example, hard disk cartridges, such as those marketed by Syquest and others, and flexible disk cartridges, such as those marketed by Iomega.
  • One or more of the drives may be located at a remote location, such as in a server on a local area network or at a site on the Internet's World Wide Web.
  • bus subsystem is used generically so as to include any mechanism for letting the various components and subsystems communicate with each other as intended.
  • the other components need not be at the same physical location.
  • portions of the file storage sub-system could be connected via various local-area or wide-area network media, including telephone lines.
  • the input devices and display need not be at the same location as the processor, although it is anticipated that personal computers and workstations typically will be used.
  • Bus subsystem 504 is shown schematically as a single bus, but a typical system has a number of buses such as a local bus and one or more expansion buses (e.g., ADB, USB, SCSI, ISA, EISA, MCA, NuBus, or PCI), as well as serial and parallel ports. Network connections are usually established through a device such as a network adapter on one of these expansion buses or a modem on a serial port.
  • the patient computer may be a desktop system or a portable system.
  • Scanner 520 is responsible for scanning casts 521 of the patient's teeth obtained either from the patient or from an orthodontist and providing the scanned digital data set information to data processing system 500 for further processing.
  • scanner 520 may be located at a remote location and communicate scanned digital data set information to data processing system 500 via network interface 524 .
  • Fabrication machine 522 fabricates dental appliances 523 based on intermediate and final data set information received from data processing system 500 .
  • fabrication machine 522 may be located at a remote location and receive data set information from data processing system 500 via network interface 524 .
  • the system is a web-based transaction environment that allows qualified orthodontists and dental practitioners to submit malocclusion cases as candidates for treatment.
  • the system is also used for managing the cases accepted for treatment.
  • the treating professional can accomplish the case submission and case management process entirely within the web-based environment.
  • an orthodontist or treating professional 702 submits cases into a case submission system 710 .
  • the treating professional can also view and manage the case using a case management system 720 .
  • the case management system 720 also interacts with a provider 712 , which operates the system of FIG. 8 in producing aligners for patients based on instructions from the treating professional 702 .
  • FIG. 11 shows a process for submitting a new case.
  • Case submission is the process of creating and submitting a malocclusion case as a candidate for the system's treatment, all within a web-based environment.
  • the user clicks on a Start a New Case link to take the user to an On-line Treatment Planning Form where the user can complete the On-line Treatment Planning form and submit the form.
  • the orthodontist or treatment professional initiates the case submission process by first logging in to the web application (step 730 ).
  • the doctor information is updated (step 732 ). After a successful login, the treating professional can begin the case creation process.
  • the treating professional enters the patient information (step 734 ), their practice information, the billing (step 736 ) and shipping (step 738 ) information, and finally the diagnosis (step 740 ) and treatment (step 742 ) plan.
  • the treating professional submits the case information (step 744 ).
  • the treating professional can submit the associated digital images (step 746 ) and x-rays (step 748 ).
  • the submitted case is received by the provider 712 . This completes the case submission process.
  • the user may print copies of the ‘Treatment Planning Form Summary’, save one copy for the user's records, and place the second copy in the Orthodontics Records box along with the same materials the user typically sends to the system.
  • the user prints a shipping label by clicking on the ‘Print UPS Label’ button that appears when the user submits a new case on-line.
  • the shipping label is affixed to the outside of an orthodontics records box that contains a Treatment Planning Form Summary, a PVS impression of each arch in a separate foam bag, a bite registration in a separate foam bag, copies of the patient's x-rays, and copies of the patient's photos (intraoral and extraoral), for example.
  • a new case is started (step 800 ). This can be done using a treatment planning form (step 802 ).
  • the treatment planning form allows the user to select a case type and to evaluate orthodontic conditions that may be encountered.
  • the process then captures doctor and patient information (step 804 ) using a doctor and patient information form (step 806 ). This form verifies address information and shipping information, patient information, and allows the doctor to enter or otherwise select case refinement coverage options, among others.
  • the doctor enters a diagnosis (step 808 ). This can be done through a diagnosis form (step 810 ).
  • the doctor then enters the treatment goals (step 812 ). This can be done using a treatment goals form (step 814 ). From step 812 , the doctor then summarizes the case (step 816 ) using a treatment plan summary preview (step 818 ). From step 816 , the case is submitted (step 820 ). This can be done using a treatment plan summary (step 822 ). From step 822 , a shipping label is printed (step 824 ) using for example, a UPS label printing process (step 824 ) as described above for cases that are shipped using UPS.
  • Case management takes place after the treating professional has submitted the case, and includes the recursive review and approval process all taking place within the web environment.
  • the case management process ends when the treating professional has finished and closed the case.
  • the treating professional submits the case (step 750 ) as, e.g., shown in FIGS. 11 and 12 .
  • the system receives the case over the network (step 752 ), and an experienced professional reviewer reviews the case (step 754 ).
  • the completed review is submitted to the server (step 756 ) and the treating professional can review and approve the case (step 758 ).
  • the case manager accepts the case (step 760 ).
  • the case is then forwarded to the system of FIG. 9 to develop a computer model (step 762 ).
  • the computer model is then presented to the case manager (step 764 ), who in turn forwards the model to the treating professional for approval (step 766 ).
  • the treating professional reviews and if he or she accepts the treatment plan, sends an approval to the case manager (step 768 ).
  • the system of FIG. 9 then manufacturers the aligners (step 770 ).
  • the produced aligners are then shipped (step 772 ) to the treating professional.
  • the treating professional can finish the case (step 776 ).
  • the case is closed (step 778 ) and the system of FIG. 9 sends an instruction to the case manager to close the case (step 780 ).
  • a user logs in (step 850 ).
  • doctor information can be processed or input (step 852 ).
  • a new case can be started (step 854 ).
  • case type information can be collected (step 856 )
  • patient information data can be collected (step 858 )
  • diagnosis information can be collected (step 860 )
  • treatment goals can be collected (step 862 ).
  • the case can be submitted (step 864 ). This can be done over the network and a submission receipt can be delivered (step 866 ). Additional case submission information can also be submitted (step 868 ).
  • This additional information may include PVS impressions, wax bites, x-rays, and digital images, among others.
  • the information from the case submitted and the additional case submission data, if any, is then reviewed (step 870 ).
  • the reviewer can modify (step 872 ), accept (step 876 ), or reject (step 874 ) the case.
  • FIG. 15 shows an exemplary home page of the web-based interface.
  • the web-based system of FIGS. 15-18B allows users such as doctors to manage the system practices on-line. The user can view all aspects of the patients' cases on-line. The user can also order advertising marketing materials, chat on-line with other system doctors, review the system's how-to tutorials, and link to the user's personal website.
  • the web-based system helps users such as the treating doctors to ensure that appliances received from the provider 712 will treat the patient the way the user and provider intended.
  • the system does this with a dynamic 3-D animation called a virtual treatment model.
  • the system not only shows the user's patient's teeth going through their projected movement as a result of wearing the system appliances (aligners), but it also gives the user the ability to manipulate the model in time and space to ensure the treatment sequence is exactly what the user intended.
  • the system gives the user control over the aligners the user will receive: if the animation the user sees does not depict the treatment or outcome the user intended, the system allows the user to send feedback to the provider 712 with instructions on how to re-set the case. After the provider 712 has received the user's explicit approval, the appliances are manufactured and sent to the user's office.
  • the system contacts the provider's computer system over the Internet and downloads the treatment model to the user's computer, e.g., at work or at home.
  • the system then allows the user to play an animation showing the treatment progressing over time, starting and stopping at any point during the treatment. It also allows the user to inspect the treatment from any angle, or from as far away or as close as the user desires.
  • the system allows a treating professional, described below as a “user”, to view the status of all the cases at any point in time.
  • a Patient Chart appears on the right hand side of the page. The chart is divided into two columns—those cases that require action—Action Required 902 —and those that do not—No Action Required 904 .
  • a status 908 will appear next to each patient's name 906 . This status 908 identifies the current point of treatment for the patient 906 . For example, if the user has patient John Doe in the Action Required column, and his status reads Awaiting Your Approval, the user will need to view and approve of an aspect of Mr. Doe's file in order to continue with his treatment.
  • Case Received and Under Review is a category of patients whose clinical items (Treatment Planning Forms, PVS impressions, Bite Registrations, X-rays, Photos) the provider 712 has received and is in the process of confirming that these patients are candidates for the system treatment. If the case is accepted for treatment, the status will change to Order Accepted by the provider 712 . If the case is not accepted for treatment, the status will change to Order Not Accepted by the provider 712 and a representative will notify the user's office.
  • Clinical items Treatment Planning Forms, PVS impressions, Bite Registrations, X-rays, Photos
  • Order Accepted is a category of patients whose cases have been accepted for treatment by the provider 712 .
  • the next status the user will see for this patient will be Under Development.
  • the status will then change status to Awaiting Approval. At that time, feedback to the system will be required in order to continue processing the case.
  • Awaiting Approval is a category of patients whose files are ready for review and feedback.
  • the user can click on the patient name in the home page.
  • the user will be linked to the patient's Summary Page where the user, e.g., can view models. If the user accepts a patient's case, the status for the patient will change to The Aligner in Production. If the user requests modification of the file, the status will change back to Under Development.
  • Shipments Scheduled is a category of patients whose the aligners are currently being produced and are due to ship in the near term.
  • the user can click on his or her name.
  • the user will be linked to the patient's Summary Page where the user can view the ship date.
  • the status will change to Aligners Shipped.
  • Aligners Shipped is a category of patients whose aligners have already shipped. The user can check the date the aligners were shipped by clicking on the patient's name. The user will be linked to the patient's Summary Page where the user can view the ship date. This is the last status for a patient.
  • Case Refinement Waiting to be Submitted is a category of patients whose Case Refinement Form the user started, but did not yet submit to the provider 712 .
  • the user can click on the patient's name.
  • the user will be linked to the patient's Summary Page. From this page the user can continue filling out the form and submit it to the provider 712 .
  • the status will change to Case Refinement Submitted.
  • Case Refinement Submitted is a category of patients whose Case Refinement Form the user submitted to the provider 712 .
  • the provider 712 begins developing a new file for these patients, the patient status will change to Under Development.
  • the patient status will change to Awaiting Approval. At that time, feedback to the system will be required in order to continue processing the case.
  • Screening Form Waiting to be Submitted is a category of patients whose Screening Forms the user started, but did not submit to the provider 712 .
  • a user can click on the patient's name. The user will be linked to the patient's Summary Page. From this page the user can continue filling out the form and submit it to the provider 712 .
  • the status will change to Case Currently Being Screened.
  • Case Currently Being Screened is a category of patients whose Screening Forms the user submitted to the provider 712 . These cases are currently being reviewed by the provider 712 —when the review process is complete, the patient status will change to Case Screening Result is Ready.
  • Case Screening Result is Ready is a category of patients whose Screening Forms the user submitted to the provider 712 and whose results are ready for review. These cases are currently being reviewed by the provider 712 —when the review process is complete, the patient status will change to Case Screening Result is Ready. After that status is achieved review the case screening results for a patient, the user can click on the patient's name.
  • Case on Hold Awaiting New Impressions is a category of patients whose cases have been placed on hold by the provider 712 due to unusable PVS impressions.
  • the provider 712 places a case on hold, the user's office will be notified so that steps can be taken to resume the case as quickly as possible.
  • Case Waiting to be Resumed by Doctor is a category of patients whose cases the user has placed on hold—these cases will remain on hold until the user resumes them.
  • the user can click on the patient's name.
  • the user will be linked to the patient's Summary Page. From this page the user can click on the Resume This Case link.
  • Case Hold Requested by Doctor is a category of patients' whose cases the user has requested that the provider 712 place on hold. Before the provider 712 places the case on hold, the user will be called to confirm that the user wants the provider 712 to stop processing the case. Once the provider 712 has confirmed that the user wants the case placed on hold, the status will change to Case Waiting to be Resumed by Doctor. The user can then resume it by clicking on the patient's name. The user will be linked to the patient's Summary Page. From this page the user can click on the Resume This Case link.
  • Case Hold Requested by Doctor is a category of patients whose cases the user has requested that the provider 712 place on hold.
  • the user's office will be notified confirm that the user wants the provider 712 to stop processing the case.
  • the status will change to Case Waiting to be Resumed by Doctor.
  • the user can then resume it by clicking on the patient's name.
  • the user will be linked to the patient's Summary Page. From this page the user can click on the Resume This Case link.
  • Cancellation Requested by Doctor is a category of patients whose cases the user has requested that the provider 712 cancel.
  • the user's office will be called to confirm that the user wants the provider 712 to stop processing the case.
  • the case will be removed from the database.
  • Midcourse Correction Form Waiting to be Submitted is a category of patients whose Midcourse Correction Forms the user started, but did not submit to the provider 712 .
  • the user can click on the patient's name.
  • the user will be linked to the patient's Summary Page. From this page the user can continue filling out the form and submit it to the provider 712 .
  • the status will change to Midcourse Correction Submitted.
  • the provider 712 has had a chance to review the user's request, the patient status will change to Under Development.
  • Midcourse Correction Submitted is a category of patients' whose Midcourse Correction Forms the user recently submitted to the provider 712 . Once the provider 712 has had a chance to review and process the request, the patient status will change to Under Development.
  • Further Materials Required is a category of patients whose files are incomplete and cannot be processed further until additional materials are sent to the provider 712 . In most cases, this means that the submission Box sent to the provider 712 did not include all necessary patient materials. When a case enters this status, the provider 712 will call the user's office to let the user know that further materials are required.
  • the user may click on the status category in the Case Summary box that the user is interested in viewing. For example, if the user would like to view only cases that are in the Awaiting Approval phase, the user clicks on that link.
  • the patient chart on the right side of the page will now only display cases in the Awaiting Approval phase.
  • the user can also sort cases within any patient list by clicking on one of the column headings. For example, to sort cases by patient name, the user may click on the Patient Name heading.
  • the cases will now be sorted in alphabetical order by patient name. The user can always identify how the patient list is sorted by noting which column heading is italicized.
  • the Patient Summary Page allows the user to view all aspects of a patient's case, from their file to their treatment history.
  • To access a Patient's Summary Page the user clicks on the name of the patient whose file the user would like to view. The user can find a list of all the patients on the Home Page. From the Patient Summary Page, the user can do each of the following:
  • One function supported by the system is to enable the user to complete an On-line Treatment Planning Form (see FIG. 16 ) quickly and efficiently.
  • a template called Treatment Preferences can be used to allow the user to enter treatment information one time—this information is then incorporated into each form the user fills out, eliminating the need to enter redundant information each time the user submits a new case.
  • the Treatment Preferences form will automatically appear in a separate window when the user clicks on the Start a New Case link for the first time.
  • For each On-line Treatment Planning Form the user fills out, at the beginning of the form the user is given the option of activating the Treatment Preferences for that form.
  • the user can change the Treatment Preferences at any time by clicking on the Treatment Preferences link that appears after the user has clicked on the Start a New Case link.
  • the form does not allow the user to advance to subsequent pages until the current page is completely filled out.
  • the form has built-in logic; it does not permit the user to send in a form that has contradictory inputs, nor can the user submit a case that does not meet predetermined case selection criteria. These features greatly increase the likelihood that each submitted case would be accepted for treatment. If the user requires assistance in filling out the form, the user clicks on the question mark symbol within the form to view the comprehensive Help section.
  • Case Selection Expansion allows doctors experienced in the system to submit cases beyond the limits of what is normally accepted through the On-line Treatment Planning Form. If the user is an experienced user who has submitted a large number of cases, the user is eligible for Case Selection Expansion. Once classified as an experienced user, the user will see a screen asking whether the user would like to use the standard On-line Treatment Planning Form or the Case Selection Expansion Form, which allows more flexibility. If the user selects the Case Selection Expansion Form, the user is prompted to sign a waiver. Besides relaxed case selection criteria for the Case Selection Expansion Form, the user will find the two submission forms are identical.
  • Case screening If the user is not sure whether a case is appropriate for system treatment and would like feedback from the system, the user can use the Case Screening feature. The user must be able to submit digital photos on-line to use this feature.
  • the user clicks on a Case Screening link enters the office information and the patient's information, enters the treatment plan and goals for the patient, and uploads digital photos of the case—either individual photos or a composite photo.
  • a professional reviewer at the provider end, reviews and provides comments and/or suggestions for treatment. If a patient's screening result is ready, that patient's status is listed as Case Screening Result is Ready. The user can then click on the patient's name to view the screening result and to submit the case for treatment.
  • the system can also handle case refinement situations. Case refinement occurs when additional aligners beyond the last stage are needed to move a patient's teeth closer to the desired final outcome approved by the user in the system. If the user has a case that qualifies for Case Refinement, the user's next step is to submit a Case Refinement Form for that case. Once the user has submitted a Case Refinement Form, the user can track the status of the form through the Home Page shown in FIG. 15 . When the form is submitted, the patient's status will change to Case Refinement Submitted. When a new file begins production, the status will change to Under Development. Once the file is ready for review, the status will change again to Awaiting Approval.
  • a Mid-Course Correction is necessary. This may be due to any or a combination of the following:
  • the next step is to submit a Mid-Course Correction Form for that case.
  • the user can track the status of the form through the Home Page.
  • the patient's status will change to Mid-Course Correction Form Submitted.
  • the status will change to Under Development.
  • Mid-Course Correction files do not require feedback. Once the file is ready, the status will change again to Aligner Shipments Scheduled.
  • FIGS. 18A and 18B show exemplary views of static images of a patient's teeth.
  • the benefit of the static images is that they provide the user with initial and final images of the depicted treatment at a high resolution.
  • the user can click on the View Static Images link within the Options menu bar on the left side of a Patient's Summary Page.
  • the user can access static images by clicking on the Static Images link at the bottom of a Patient's Summary Page.
  • the user can enlarge them for a better view by clicking on them.
  • the user can scroll the mouse over the image to view the initial and final views of the patient's depicted treatment.
  • the bottom images provide a side-by-side comparison of the initial and final views.
  • the system can also allow the user to view a patient's dental model.
  • To view a patient's file the user clicks on the name of the patient whose file the user would like to view.
  • the user can use the system to see many different views of a treatment model.
  • the user can zoom in and out, hide the upper and lower arches, and rotate the model to allow viewing from different angles.
  • the user can choose to see the model, in one embodiment, from fourteen different pre-set angles.
  • the user can rotate a model to any angle, making it seem to spin in the window.
  • the user can position the mouse inside the model window and click and hold the left mouse button while dragging the mouse in the direction that the user wants to move the model.
  • the model rotates as the user moves the mouse.
  • the user can start with the right buccal view of the model.
  • the user must click and hold the left mouse button and drag the mouse from right to left.
  • the model rotates so the user can see all of the teeth as the model moves.
  • the user can zoom in. Conversely, if the user would like to see a view of the model from further away, the user can zoom out.
  • the user may press and hold the Control (Ctrl) key. Positioning the mouse inside the model window, the user may click and hold the left mouse button and drag the mouse up to zoom out and down to zoom in. The further the user drags, the further the user will zoom.
  • the mouse has a mouse wheel, the user can turn the mouse wheel to zoom in and out.
  • the user can also slide the model up and down, and left and right. To slide the model, the user may, e.g., press and hold the Shift key, then click and drag the mouse.
  • the model consequently moves in the direction of the mouse motion.
  • This motion can be useful when the user has a zoomed-in view of the model, and the user wishes to view another part of the model.
  • the user can hide the upper or lower arch to see an unobstructed view of the other arch. This is useful, for example, when looking at the occlusal surface of either arch.
  • To hide the upper arch the user may click the checked box next to Show Upper Jaw in the left menu bar. The check mark is then removed and the upper arch disappears from view.
  • To hide the lower arch the user may click the checked box next to Show Lower Jaw in the Dialog box. The check mark is then removed and the lower arch disappears from view.
  • the user can still rotate the model so the user can see it from various angles.
  • the user can show it again.
  • the user must re-select the Show Upper Jaw or Show Lower Jaw check box from the left bar menu.
  • the boxes show check marks, the arches are shown.
  • the user can also select the level of detail of the model.
  • the options Show Low Resolution and Show High Resolution appear. By default, Show Low Resolution is selected.
  • the user can select Show High Resolution to show a more detailed version of the model.
  • the user may click the Print icon or right-click the mouse over the window and select Print from the right mouse button menu.
  • the animation allows the user to see how a patient is projected to progress using the system.
  • the user can play, stop, rewind and fast-forward the animation.
  • the user can also step forward or backward through the animation stage by stage (e.g., where a stage corresponds to one set of aligners).
  • stage e.g., where a stage corresponds to one set of aligners.
  • To play an animation the user clicks the Play button.
  • the Play button then becomes the Stop button.
  • To stop an animation the user clicks the Stop button.
  • the Play button is clicked.
  • the model returns to its beginning position.
  • the user can click the Rewind ( ⁇ ) button.
  • the user can click the Back ( ⁇ ) button and the model will rewind one stage.
  • the model advances to its final position.
  • the user can click the Fast Forward (>>) button.
  • the user can click the Forward (>) button and the model will advance one stage.
  • FIG. 10 Other features supported by the web-based system of FIG. 10 includes Viewing Current/Archived News; Viewing the Case Gallery where the user can view before and after pictures of past system patients by visiting the system Case Gallery; Downloading All Files at Once, where the user can view the patients' cases without being connected to the Internet by downloading a series of patient files; Printing a List of All Patients; and a Message Board, where the users talk with other system doctors to share experiences with the product so the user can learn from and offer suggestions to other doctors who are using the provider 712 .
  • FIGS. 19-23 show one embodiment of a second opinion service (SOS) that provides an opportunity for inexperienced professionals to receive advice from experienced professionals in treating their patients.
  • a second opinion service process 1000 is started when a doctor submitter receives notice on his or her web page that a clinical check (CC) file is present and awaits approval ( 1002 ).
  • the CC file specifies teeth movement in each treatment stage, where each stage causes teeth to be incrementally moved.
  • the CC file allows the doctor to visualize the treatment plan, including the teeth position at each stage.
  • the doctor sends a prescription to a provider/company 712 ( FIG. 10 ).
  • One such provider/company 712 is Align Technology, Inc. in Santa Clara, Calif.
  • the provider 712 generates a CC file and allows the doctor to review and approve the CC file over the Internet in this embodiment.
  • a web-based system called Virtual Invisalign Practice (VIP) available from Align Technology is used to securely communicate patient information over the Web.
  • the doctor is given an opportunity to view the proposed CC file (from provider 712 ) and comments are either entered by him or by the provider/company 712 .
  • the doctor can view files and other materials previously submitted such as x-rays, photographs or comments ( 1006 ).
  • the doctor has the opportunity to request a SOS by clicking a button, for example, the doctor is shown an agreement form such as a waiver form ( 1008 ).
  • the form describes each party's responsibilities with respect to the SOS process. If the doctor agrees, the doctor can proceed. Alternatively, if the doctor disagrees, the process loops back to 1006 .
  • the doctor can also modify or accept the ClinCheck file, in which case no change is noted in 1030 - 1032 . Also, the doctor can check on “what is SOS,” and a frequently asked question (FAQ) page is displayed at 1034 .
  • FAQ frequently asked question
  • the doctor enters a doctor identification of a consulting doctor or planning doctor who plans or revises the treatment plan for the requesting doctor.
  • the system can perform a directory search at 1040 .
  • the system shows the consulting doctor's contact information and gives the requesting doctor an opportunity to confirm.
  • the doctor can enter comments and send a message to the planning doctor to request SOS assistance at 1014 .
  • the consulting doctor sees a status of “SOS Requested” on his home page.
  • the information sent includes ClinCheck form, prescription data, and supporting data such as X-rays, photos, comments, static images, attachment forms and reproximation forms.
  • buttons are disabled when the case status involves SOS Request, Approve ClinCheck, and Modify ClinCheck, among others ( 1018 ).
  • the requesting doctor can cancel the request before the planning doctor has accepted the SOS.
  • the doctor has an option to include additional comments.
  • a confirmation is generated to update the patient status on the doctor's home page to indicate “SOS Cancelled” ( 1028 ).
  • the planning doctor's home page will show a new patient with status of “SOS Requested by Doc Name.”
  • the patient detail page shows recent comments and CC information.
  • the doctor clicks on the patient detail page the doctor also views all other details and information that the submitting doctor has.
  • the planning doctor's home page shows an action item “SOS requested” by the requesting doctor's name.
  • the patient detail page is updated with the SOS Requested by Doctor Name ( 1102 ).
  • the doctor can click on the patient detail and review information from the submitting doctor.
  • the comment to the doctor is captured ( 1106 ), and upon transmission, the system updates the status as Comments Have Been Sent ( 1108 ).
  • the planning/consulting doctor can look at the CC file and decide if the doctor wishes to accept the case. If the doctor wants to decline the case, the doctor can enter a comment and send to the requesting doctor. Otherwise, the doctor can choose whether the doctor wants to decline or agree, as shown in more details in FIGS. 21-22 .
  • the planning doctor submits a comment to the submitting doctor the submitting doctor will see a status item on his home page as “Read comment” from the planning doctor.
  • the doctor chooses to reply the doctor can click on reply to enter comments to the planning doctor.
  • the send button a notification will be provided to provide feedback that a reply has been sent to the planning doctor.
  • the doctor is taken to the patient's detail page indicating “No action required—SOS requested from doctor name.”
  • the doctor adds a comment the planning doctor will then see a status change on his web page stating that “Action is required SOS requested by doctor's name”.
  • the doctor clicks on the patient's name the doctor is taken to the patient's detail page, and at 1124 , the doctor can review the patient's detailed information, as previously discussed.
  • FIG. 21 at 1200 —Planners VIP has the patient name listed under “Action required” where status is “SOS Requested.”
  • the patient detail page is updated with the Action “SOS Requested by Doctor Name.”
  • the doctor reviews the information and has the option to accept or decline the case. If the doctor accepts the case, the process jumps to 1300 and if not, the process proceeds to 1206 , where the doctor sends a cancellation request to the submitting doctor.
  • the doctor can change his/her decision. In this case, the SOS Request is declined and the submitter's page is updated with the status that “ClinCheck Ready” at 1210 .
  • the process shows the doctor a confirmation that his/her message has been sent and the SOS request has been declined.
  • the doctor is shown the patient detail page where the doctor views the patient's information.
  • the buttons to Agree, Decline and Comment are disabled at 1220 .
  • the doctor has the option to erase all information relating to a patient's case so that the doctor will no longer have a record of the patient on his web page. From either 1214 or 1216 , the home page can be accessed at 1218 .
  • doctor has accepted the SOS case and the patient name is displayed on the web page and the doctor can click on the patient's name to review the case information.
  • the treatment detail is communicated.
  • the planning doctor can communicate with the submitting doctor through comments. If the doctor chooses to comment, the process jumps to 1100 . If the doctor chooses to decline, the process proceeds to 1200 .
  • the doctor can accept the SOS request and at 1320 , once the doctor has accepted the SOS, a confirmation is sent to both himself and to the submitting doctor. If the SOS Request is accepted, the submitter's home page is updated in 1312 and the patient detail page is updated in 1314 .
  • the links such as Cancel SOS, Comment, among others are disabled.
  • the treatment prescription is updated at 1322 , and the process can update the VIP home page with action required as “SOS Requested by Doctor Name” at 1300 .
  • the doctor has the option to modify the CC data as previously mentioned, which proceeds to FIG. 23 , or at any point during the SOS process the doctor has the option to cancel SOS and go to 1100 or to 1200 as displayed on FIG. 22 .
  • the doctor sees all the information available to the submitting doctor.
  • the planning doctor then has an option to request modification of the ClinCheck (CC) file.
  • the doctor can also enter comments and request certain modifications and the information is sent to the company/provider such as Align Technology on behalf of the submitting doctor. If the doctor agrees, the doctor can enter a comment to the submitting doctor.
  • the doctor can see the patient name on the home page with action required “Complete SOS for doctor name”.
  • the doctor clicks on the patient's name the doctor views all the same information the submitting doctor has in his patient summary page at 1402 .
  • the doctor can review the same information available to the submitting doctor.
  • the doctor can cancel SOS (go to 1200 ), or the doctor can submit a comment to the submitting doctor (go to 1100 ).
  • the ClinCheck modification request is sent to the dental supplier such as Align Technology, Inc., at 1420 .
  • the process notes that the CC file is ready and loops to 1400 .
  • the submitter's home page is updated at 1432 and the patient detail page is updated at 1434 . Also, the treatment detail page is updated at 1436 .
  • the doctor can request to modify CC data, or the doctor can enter comments to the company provider at 1410 . If so, notification is then provided to him that the comment has been sent successfully to the company.
  • the doctor's VIP page is updated to show that No Action Required—“CC Modification Requested”.
  • the doctor can click on an SOS complete button, at that point the doctor has the option to enter additional comments that the doctor can then submit to the submitting doctor.
  • the case status is updated at 1452 .
  • the doctor then gets a confirmation.
  • the doctor has the option to erase all patient information from his system upon completion of the case.
  • the doctor is prompted to print out information on the case to be removed.
  • the doctor upon erasure, a notification will be provided that the case has been erased.
  • the doctor clicks on an OK button the doctor is returned to the VIP homepage.
  • the submitting doctor is notified that an updated CC file awaits approval on his VIP homepage. At that point the doctor can then click on the patient name.
  • the doctor can see the patient detail information.
  • the doctor can click on the updated CC file and view the modifications requested by the planning doctor.
  • the doctor can accept the CC file if the doctor approves of the proposed changes. If not, at 1462 , the doctor can request another modification of the CC file. Alternatively, the doctor can request a second SOS to the same planning doctor or a different planning doctor. If so, the process loops to 1000 .
  • the invention has been described in terms of particular embodiments. Other embodiments are within the scope of the following claims.
  • the three-dimensional scanning techniques described above may be used to analyze material characteristics, such as shrinkage and expansion, of the materials that form the tooth castings and the aligners.
  • the 3D tooth models and the graphical interface described above may be used to assist clinicians that treat patients with conventional braces or other conventional orthodontic appliances, in which case the constraints applied to tooth movement would be modified accordingly.

Abstract

A virtual health-care electronic commerce community includes a network to communicate information relating to the community; one or more patients coupled to the network; one or more treating professionals coupled to the network; and a server coupled to the network, the server storing data for each patient and performing patient data visualization in response to a user request.

Description

    RELATED APPLICATION
  • This application is a continuation of U.S. application Ser. No. 10/205,026, filed Jul. 23, 2002, which is a continuation-in-part of U.S. application Ser. No. 09/534,461, filed Mar. 24, 2000, the content of which are hereby incorporated herein by reference.
    • BACKGROUND
  • The Internet has become a significant medium for communication and commerce and has enabled millions of people to share information and conduct business electronically. The unique characteristics of the Internet, such as its ability to provide enhanced communication, rich text, and graphic environment, provide an ideal support for a wide variety of electronic commerce transactions. For example, a consumer can search, review, and extensively shop a number of competing chains in an instant. As such, consumers benefit by being able to obtain a good price relatively quickly and easily.
  • On-line retailers also benefit, since these retailers can carry a larger number of products at a lower cost and with greater merchandising flexibility without the physical constraints faced by traditional retailers. Additionally, they can assist the consumer's purchase decision by providing relevant information and enabling consumers to shop at their convenience by remaining open 24 hours a day, seven days a week. Online retailers can also provide personalized services and use direct marketing efforts based on information provided by customers.
  • As such, the Internet has evolved into a unique sales and marketing channel. The ubiquity and convenience of the Internet makes it ideal for dispensing information on certain topics that traditionally require visits to specialists. For example, certain consumers may be interested in products and services associated with orthodontics and dentofacial orthopedics that specializes in the diagnosis, prevention and treatment of dental and facial irregularities (“malocclusion” or “bad bite”). The orthodontic treatment process typically uses corrective appliances such as braces and/or other fixed or removable appliances to bring the teeth, lips and jaws into proper alignment and to achieve a facial balance. The pervasiveness of the Internet makes it an ideal source for information relating to these products and services.
    • SUMMARY
  • In one aspect, a virtual health-care electronic commerce community includes a network to communicate information relating to the community; one or more patients coupled to the network; one or more treating professionals coupled to the network; and a server coupled to the network, the server storing data for each patient and securely sharing health-care information for authorized professionals.
  • Implementations of the above aspect may include one or more of the following. The treating professional can view one or more of the following patient data visualization over the network: a right buccal view; a left buccal view; a posterior view; an anterior view; a mandibular occlusal view; a maxillary occlusal view; an overjet view; a left distal molar view; a left lingual view; a lingual incisor view; a right lingual view; a right distal molar view; an upper jaw view; and a lower jaw view. The treating professionals can include dentists or orthodontists working singly or in combination with other professionals. One or more partners can be connected to the network. The partners can be a financing partner, a supplier, or a delivery company. The treating professionals can perform office management operations using the server. The office management operations include one or more of the following: patient scheduling, patient accounting, and claim processing. The patients and the treating professionals can access the server using browsers. The treating professionals can share the patient's information with another authorized treating professional for consultations and assistance, among others.
  • In another aspect, a method for performing dental-related electronic commerce includes transmitting teeth data associated with a patient from a dental server to a treating professional computer over the Internet upon an authorized request; displaying a three-dimensional computer model of the teeth at the treating professional computer using a browser; allowing a treating professional to manipulate the three-dimensional computer model of the teeth using the browser or an application running on a patient computer; transmitting the computer model from the treating professional computer to the server; and generating an appliance to treat the patient based on the computer model of the teeth.
  • Implementations of the above aspect may include one or more of the following. The system can provide financing options for the patient using one or more financing partners. The system can offer an on-line shop geared to the patient's dental requirements and/or office needs/supplies. The system also allows a treating professional to manipulate the three-dimensional computer model of the teeth using the browser or an application running on a local computer and further comprises displaying a plurality of dental views.
  • A treating professional can manipulate the three-dimensional computer model of the teeth using the browser and may further comprise clicking on a tooth to adjust its position. The system can display x, y and z axes to allow the treating professional to adjust the position of the tooth. Treating professionals can show the models to other authorized professionals. Supplemental services can also be offered to the patient, including teeth whitening services.
  • In another aspect, a server supports a health-care electronic commerce community with one or more patients and one or more service providers. The server includes a processor adapted to communicate with a network; a data storage device coupled to the processor and adapted to store data for each patient; and software to communicate 3D patient data in response to a patient request.
  • Implementations can include one or more of the following. A browser can receive the patient request and can transmit the request to the server. The browser can use a viewer plug-in to visualize patient data in 3D. Alternatively, an application running on a local patient computer can visualize the patient data. The providers can provide health-care services such as dentistry applications, cosmetic augmentation, hair-care enhancements, liposuction, or plastic or reconstructive surgery.
  • Advantages of the system may include one or more of the following. The system supports a virtual community of dental patients, dentists, specialists such as orthodontists and oral surgeons, financial institutions, benefit providers and the providers of dental equipment or services. For treating professionals, such as dentists and orthodontists, the system provides a one-stop solution for planning patient treatments, managing communication with patients, storing patient records and sharing records with relevant persons outside the doctor's office, including for example, consulting professionals who advise the doctor of preferred treatment plans. The system can act as the repository for the file notes and visual imagery (photographs, x-rays and virtual treatment plans) associated with the course of treatment. The doctors can control access to the centralized patient file. Various tools are provided to support the interpretation of information and the diagnostic process. For example, the system allows doctors to retrieve and analyze patient information and to simulate present and potential patient dental structure using two and three-dimensional visual imagery of the patient's teeth and other anatomical structures. The system supports visualization of the expected outcome of a particular course of treatment. These images can enhance the patient's understanding of the benefits of treatment and can act as a valuable selling tool for the doctor. The system also provides diagnostic decision-support capabilities such as visualizing the placement of implantations, veneers and crowns before or after a course of treatment to straighten the teeth. The system provides an animated prediction of the suggested treatment that can help the patient and the doctor to visualize the pace of treatment. Using these tools, the doctor can easily and quickly view and/or edit the treatment plan. When doctor and patient choose the final treatment plan the system disseminates aspects of the plan and the relevant patient records to the appropriate members of the virtual community, thus reducing the cost and delay associated with traditional physical shipment of patient information. Aspects of the final treatment plan can be used to generate appliances used in the physical treatment. The information associated with the patient's treatment (visual images, virtual treatment plans, file notes and the like) are digitized and maintained in a central storage facility in a secure manner. Doctors and patients can have access to these files without the need to extract files and models from storage and with reduced risk of records being misplaced.
  • Administratively, the system allows a dental office to be managed more efficiently without requiring the treating professional to purchase and maintain special software. The system keeps track of all patients that need to be contacted for an appointment. Scheduling can be done automatically or can be customized to the office's preference and availability of treating professionals and supporting resources. Based on the appointments, the system can electronically mail (email) patients with reminders. Alternatively, the system can print reminder cards that can be mailed to patients reminding them of their appointment. The system can also automatically generate personalized correspondence to patients relating to data collected in the initial exam and treatment recommendations. Moreover, the patient can review the treatment proposed by the treating professional anywhere.
  • The system also simplifies and streamlines the processing of insurance claims to produce an orderly flow of information. Insurance claims can flow through the treating professional's office from pre-authorization to continuation of treatment with a minimal amount of intervention. The system also provides accounting functions to check out patients, post charges, setup contracts, add comments to ledgers, post payments, adjust ledgers, and display all transactions applied to specific ledgers.
  • Moreover, treating professionals can leverage the collective purchasing power of the system by being able to order supplies required or requested by patients directly through the system at a discount. These supplies can be directly shipped to the patients, thus avoiding overhead costs associated with handling the supplies. Further, information reviewed or generated by the treating professionals is provided through a secure on-line connection. Thus, the patient's privacy as well as the treating professional's sensitive office information is not compromised.
  • For patients, the system provides a broad array of dental-care resources that help consumers find answers to their critical dental questions and make informed purchasing decisions. The system also enables people to share their experiences and to support one another in managing their medical conditions. This is done through forums where Internet users with interests and concerns about their dental health can interact with each other, to interact in a community environment and to access content created by others.
  • The system is convenient to use and provides informative shopping experience through which dental care services and dental-related products can be dispensed. Consumers can access the system using an intuitive, easy-to-use shopping interface that is available 24 hours a day, seven days a week. Consumers can shop quickly and conveniently from anywhere Internet access is available. A customer can store his or her dental history and other relevant dental information, as well as create personalized shopping lists for quick and easy reordering of his or her dental supplies.
    • BRIEF DESCRIPTION OF THE DRAWINGS
  • Other advantages will be apparent from the description that follows, including the figures and claims, in which:
  • FIG. 1 is a diagram of an exemplary environment supporting electronic commerce.
  • FIG. 2 is a diagram of a server structure and corresponding link to a network, such as the internet, to support electronic commerce within the context of an embodiment of the invention.
  • FIG. 3 is a structural diagram of a web site that may run on the server of FIG. 2.
  • FIG. 4 is a flowchart of a process for selecting dental services, from the perspective of a patient.
  • FIG. 5 is a flowchart of a process for providing dental services, from the perspective of a treating professional.
  • FIG. 6 is a flowchart of a process to render 3D views of a patient's teeth on a browser.
  • FIG. 7 is an exemplary output of the process of FIG. 6 using the browser.
  • FIG. 8 is a diagram of a system for manufacturing appliances.
  • FIG. 9 is a diagram illustrating a computer system to support the fabrication of appliances.
  • FIG. 10 is a diagram schematically showing information flow within and exterior of a network application according to an embodiment of the invention.
  • FIG. 11 is a flowchart showing a case submission scheme according to an embodiment of the invention.
  • FIG. 12 is a flowchart showing a case management scheme according to an embodiment of the invention.
  • FIG. 13 shows a diagram illustrating potential activity on the website upon submission of a new case.
  • FIG. 14 is a flowchart illustrating another aspect of a new case submission, as well as a case review series of steps.
  • FIG. 15 is an exemplary home page of the web based interface.
  • FIGS. 16-17 show exemplary treatment planning forms on a website according to an embodiment of the invention.
  • FIG. 18A shows a web page depicting static image displays, “before” and “after”, of various views of a patient's gums and teeth.
  • FIG. 18B shows a more detailed view of a static image from FIG. 18A.
  • FIGS. 19-23 show an embodiment of a second opinion service (SOS) that provides an opportunity for inexperienced professionals to receive advice from experienced professionals in treating patients.
    • DESCRIPTION
  • Referring now to FIG. 1, an environment supporting a dental system 100 is shown. The system 100 communicates over a network 102 that can be a local area network or a wide area network such as the Internet.
  • One or more patient computers 104-105 can be connected to the network 102. In one embodiment where the network 102 is the Internet, the patient computers execute a suitable browser such as Navigator® from Netscape, Inc. or Internet Explorer® from Microsoft Corp. By clicking on the highlighted text (or specific graphic image), the user can jump from the current web page to a new web page address associated with the link—with the new page displayed on the screen. In this manner, the user can “surf the web” by clicking on an almost endless succession of links going to page after page all following a common thread as defined by the text or graphic component of the link label.
  • Through the network 102, the patient computers 104-105 can access a health server, for example a dental server 106 that houses dental information. The dental server 106 serves a web site, a portal, a vortal (vertical portal), or a content site for providing dental-related information to interested parties such as dental patients, dentists, orthodontists, and others. When sensitive information is communicated through the dental server 106, such information may be securely encrypted using Secure Socket Layer (“SSL”) technology throughout the transaction. The server 106 can be a stand-alone computer or can be a server farm that can distribute processing and communication activity across a computer network so that no single device is overwhelmed. During load balancing, if one server is swamped with requests, excess requests are forwarded to another server with more capacity.
  • The network 102 connects the dental server 106 to one or more treating professional workstations 108-109. The workstations 108-109 allow treating professionals access to a plethora of services provided by the dental server 106 such as patient treatment and office management, among others. The dental server 106 stores information associated with patient history on-line in a secure manner and also provides the treating professional a comprehensive view of the patient's treatment history at any time using a suitable browser, eliminating the need to pull treatment files or charts or to search for misfiled or lost charts. The dental server 106 also provides treating professionals with tools to analyze patient data, for example, tools to reconstruct a 3D model or rendering of the patient's teeth. For example, using the browser, the treating professional can request the dental server 106 to animate the progress of the treatment plan. When the treating professional arrives at a prescription or other final designation or diagnosis, the treatment prescription is used to automatically generate appliances, as described in more detail below. Further, in addition to aiding treating professionals in treating patients, the software allows the treating professional to perform office management, purchasing and other logistical operations using the browser and the dental server 106.
  • In addition to communicating with patients and treating professionals, the dental server 106 can communicate with one or more partners 110 using the network 102. The partners 110 can be product suppliers, service providers, or any suitable commercial entities.
  • For example, one partner 110 can be a financing partner that offers customers one or more electronic financing options. In one implementation, the financing partner can be a credit card processing company. The credit card processing company can accept a customer's existing credit card or can issue the customer with a new credit card. Further, the credit card can be issued under the name of a third-party bank, the name of the credit card processing company, or the name of the site supported by the dental server 106 under a co-branding arrangement.
  • The customer enters the sensitive data such as credit card number, shipping address, among others, onto a purchase form. The credit data is then submitted, collected and passed securely through the dental server 106, e.g., using SSL. This data can be processed in real-time online or can be collected by mail or telephone and then entered by an operator. A processor at the credit card processing company then verifies that the credit card number is valid and is not stolen, among other anti-fraud measures. If the credit card information is valid, the purchase price will be reserved from the issuing bank of the consumer's credit card and allocated to the account associated with the server 106. Periodically, the credit card processor settles all accounts; it is at this time that all monies move. Funds reserved are transmitted from the issuing bank of the cardholder's credit card to the account of the server 106. Also, discount fees are paid from these funds, as they are moving.
  • Alternatively, the financing partner can debit from the customer's checking account over the Internet. One such check debiting services is the MerchanTrust™ Paperless Checks™ Services, available from Merchant Commerce, Inc. These services provide customers with the convenience of making online purchases by checking account debits, with no manual data entry required of a merchant. In this embodiment, a customer fills in a form at the site with bank information printed at the bottom of his or her personal check. The information is processed as an Electronic Funds Transfer (EFT) to the customer's account using the Automated Clearinghouse (ACH) payment system.
  • Yet another possible partner 110 is a dental supply retailer providing an on-line shop on the web site to retail dental products to the customers and treating professionals. The retailer can be a co-branding partner that uses the brand name linked or suitably associated with the web site of the server 106 such that users of the server 106 would not know that the on-line shop is actually operated by a third party. The retailer can offer dental products for brushing, flossing, and cleaning of dental implants and bridges. Other dental products include anti-plaque rinse and plaque-fighting toothpaste. The retailer can also sell other health-care-related products such as prescription drugs; non-prescription drugs; personal care products; beauty and spa products; vitamins; herbs and nutrition; and medical supplies. Additionally, the retailer can serve the needs of the treating professionals by offering products such as brackets, buccal tubes, bands, archwire products, bonding adhesives, hand instruments, systems, supplies and equipment.
  • Yet another partner 110 can be a shipping partner. The shipping partner delivers dental supplies or goods received from a multiplicity of producers and manufacturers for ultimate distribution to each customer. The facilities for warehousing and introduction of goods into a transportation stream for redistribution are the so-called “cross-docking” facilities. The article of supply or good flows in bulk from a producer or a manufacturer to one or more cross-docking facilities owned by either the shipping partner or the operator of the server 106. The items are then be broken into smaller unit sizes and distributed to the customers.
  • The above list of partners lists only exemplary partners and is not an exhaustive list. Other possible partners include value-added service providers such as third party software providers who provide plug-in viewing and diagnostic enhancements that can be used by the professionals.
  • The dental server 106 can perform dynamic targeting and information gathering. The users provide demographic information when they register for the service, and the dental server 106 can track the users' behavior the entire time they are online. As a result, the dental server 106 can deliver targeted advertisements and can further measure their effectiveness. As examples, users can receive ads from a brokerage firm when they are viewing sites containing stock quotes or financial news, or receive promotions from a bookseller when browsing sites containing book reviews. As such, the dental server 106 can provide a prominent and sustained advertising medium to the community. In contrast to most portal and content sites which display advertising, the site remains with users the entire time they are online. Once users are logged on, the site remains in full view throughout the session, including when they are waiting for pages to download, navigating the Internet, or even engaging in non-browsing activities such as sending or receiving e-mail. The constant visibility of the site allows advertisements to be displayed for a specified period of time.
  • In combination, the dental server 106 forms a hub that links dental patients using patient computers 104-105, treating professionals using workstations 108-109, and partners 110 into a living electronic commerce (e-commerce) community.
  • FIG. 2 shows an embodiment of the dental server 106. The dental server 106 includes a web server 140, a patient information server 142, a resource planning (RP) server 144, a treatment server 146 and a streaming media server 148. In one embodiment, the RP server 144 runs Microsoft SQL server and provides information relating to a doctor or a patient such as address and history. When a patient's case or a static snapshot of the case is needed, the data is pulled from the patient information server 142. When media data, such as video, needs to be streamed to a requesting viewer such as a doctor or a patient, the streaming media server 148 can send the stream. In one implementation, the streaming data is stored in QuickTime format on a Linux-based server running the QuickTime server software.
  • The servers can be clustered. In one embodiment using Microsoft's Cluster Server, cluster-enabled applications such as Microsoft's SQL Server and Exchange may be employed. With Cluster Server, two servers can run applications at the same time. When one server fails, the remaining server handles its application as well as the failed server's applications. Next, the remaining server adopts the IP address of the failed server and mounts one or more data drives that the two systems share. The remaining server is rebooted and applications such as SQL Server can be restarted and reinitialized on this server. Persistent viewers can re-attach to the server and continue to operate.
  • Referring now to FIG. 3, a diagram 200 shows various major functions supported by the dental server 106. First, the process 200 may perform an automatic detection for the existence of a browser welcome plug-in (step 202). If the welcome plug-in exists, an introductory animation (Flash) is shown to the viewer (step 204). From step 202 or 204, the process 200 shows a home page (step 206) with one or more links. A link is created by having a word in a text field (or a graphic image on a web page) linked to the location of another web page via a string of information setting forth the new web page address presented in hypertext transfer protocol (HTTP), among others.
  • The user can navigate the home page to join a particular site from a constellation of related sites. For instance, the user can navigate to a patient's site (step 208), a doctor's site (step 210), a privacy statement site (step 212), one or more additional sites or links (step 214), and an “About” site (step 216), among others. The additional sites can be an on-line shopping store that is co-branded with the web site hosted by the server 106, or the on-line shopping store can be directly affiliated with a third party such as planet-rx.com, among others. The additional sites can also be third party value-added providers of products and/or services.
  • FIG. 4 illustrates an exemplary usage of the system of FIG. 1 from a patient's perspective. First, a prospective patient using a patient computer 104 visits the web site on the dental server 106 and identifies a treating professional meeting one or more criteria (step 230), for example, a professional whose location is closest to his or her home address. Next, the patient schedules an appointment with the treating professional (step 232). At the meeting, an assistant captures various anatomical data from the patient by taking digital photographs of the face and teeth, taking x-rays of the front, back, side, and top/bottom of the patient, taking one or more impressions, among others (step 234). Next, certain or all of this information is entered into a form on the server 106. The data is then digitized (step 236), stored on the dental server 106, and made available to treating professionals and the patient over the Internet (step 238). Next, the server 106 and one or more orthodontic treating persons process the patient data and render the patient's teeth in a plurality of alternative final states (step 240). Based on the choices, the patient selects a desired final state (step 242).
  • In addition to performing orthodontic operations, the dental server 106 can also perform other value-added services (step 244). For example, processes executed by the dental server 106 can simulate the color of the patient's enamel and show the color of the teeth before and after bleaching. Further, processes on the dental server 106 can simulate the color of the patient's silver fillings (amalgam) and show the teeth after cosmetic work to cover the amalgam (step 246). After visualizing the effects of the operations, comparing the before and after operations, and reviewing guideline pricing (step 248) for the orthodontic operation as well as add-ons such as bleaching, the patient makes a decision on the case (step 250).
  • Once the patient has accepted a particular treatment selection, the dental server 106 offers the patient with one or more financing options from one of its financial partners (step 256). Additionally, the dental server 106 can guide the patient to an on-line shopping store to purchase products relating to his or her dental health (step 258). For example, the patient can buy cleaning supplies, brushes, and flossing supplies at a price competitive to his or her traditional stores. Moreover, the products can be delivered to the patient using one or more delivery partners at a convenient time (step 260).
  • FIG. 5 illustrates an exemplary usage of the system of FIG. 1 from a treating professional's perspective. A prospective patient uses a patient computer 104 and visits the web site on the dental server 106 (step 280). The patient identifies a treating professional and schedules an appointment with the treating professional (step 281). Alternatively, a referring dentist can refer the patient to the treating professional.
  • The referring dentist can visit the website on the dental server 106 and use one or more dental esthetic tools to show patients the potential benefits of treatment, e.g., anterior and posterior esthetic restorations, and if the patient is interested, refers the patient to the treating professional (step 282).
  • During an initial examination, the treating professional or an assistant may take, e.g., a set of digital facial and intraoral images which is uploaded to a secure, collaborative workspace on the dental server 106 (step 284). The workspace is shared with the referring dentist.
  • Next, the treating professional generates a dentofacial treatment visualization showing the patient's face and smile before and after treatment. The treating professional can also combine the patient's face and an aligner into the intraoral image to show how inconspicuous the appliance will be (step 285).
  • Once the patient requests treatment, the treating professional takes impressions and a bite registration and sends the information to the company (step 284). The treating professional may also capture other data, such as by taking a lateral ceph and a panorex (step 286), and upload them to the company and/or workspace and/or website (287). The treating professional may also generate or create a treating prescription or plan and upload the same to the company and/or website and/or to the workspace (step 288). At any time, the treating professional may review the treatment plan and adjust or approve the same (step 290). The professional's assistant creates a separate workspace for the patient, uploads selected “before and after” images to the company and/or workspace and/or website and invites the patient to review the images (step 292). The aligners may then be accordingly fabricated as described below.
  • At the company, another professional reviews the records and decides to accept or decline the case (step 296). If accepted, the models are scanned, and the intraoral images are retrieved and used to texture-map enamel and gingiva (step 298). The data is then sent to the company and/or workspace and/or website and the treating professional is notified (step 300).
  • In one embodiment, the tooth models may be posted on a hypertext transfer protocol (http) web site for limited access by the corresponding patients and treating clinicians. Since realistic models have a large volume of data, the storage and transmission of the models can be expensive and time-consuming. To reduce transmission problems arising from the large size of the 3D model, in one embodiment, data associated with the model is compressed. The compression is done by modeling the teeth meshes as a curve network before transmission to the treating professional or website. Once the curve network is received, the 3D model is reconstructed from the curve network for the treating professional to analyze. More information on the compression is disclosed in U.S. Pat. No. 6,633,789, issued Oct. 14, 2003, entitled “EFFICIENT DATA REPRESENTATION OF TEETH MODEL”, the contents of which are hereby incorporated by reference in their entirety.
  • The treating professional can, at his or her convenience, check the setup, and review the information sent in step 300 (step 302). The treating professionals can use a variety of tools to interpret patient information. For example, the treating professional can retrieve and analyze patient information through a reconstructed 3D model of the patient's teeth and other anatomical structures. The professional can view animations showing the progress of the treatment plan to help the treating physician visualize the pace of treatment. Using these tools, the treating professional can easily and quickly view and/or edit the treatment plan.
  • If necessary, the treating professional can adjust one or more teeth positions at various intermediate stages of treatment (step 304). A variety of diagnostic decision-support capabilities such as automated teeth collision detection can be used to aid the treating professional in adjusting the teeth positions.
  • When the treating professional arrives at a prescription or other final designation, the treatment information is automatically collected by the system over the Internet, thus eliminating the cost and delay associated with the traditional physical shipping of patient information (step 306). These modifications are then retrofitted onto the dataset used to generate the aligners (step 308). The aligners may then be physically fabricated (step 294).
  • FIG. 6 shows a process 400 associated with a viewer that allows the treating professional to visualize the patient's teeth over the network 102 such as the Internet. In one embodiment, during start-up, a browser checks for a viewer plug-in module embodying the process 400 in a “plugins” subdirectory (Windows) or Plug-ins folder (Mac OS) in the same folder or directory as the browser (step 402). If the viewer plug-in module is available, the browser looks for a MIME type and extension info from the version resource. Through a TYPE attribute, the browser knows the MIME type and can load a registered plug-in first and, if there are no matches for the MIME type, the browser looks for a helper application.
  • Once the viewer plug-in is identified, the browser loads the viewer plug-in code into memory (step 404); initializes the viewer plug-in (step 406); and creates a new instance of the viewer plug-in (step 408). When the professional leaves the site or closes the window, the viewer plug-in instance is deleted. When the last instance of the viewer plug-in is deleted, the plug-in code is unloaded from memory.
  • Next, data files are downloaded to the viewer plug-in (step 410). In one implementation, the viewer plug-in downloads a data file from the dental server 102 using a suitable protocol such as a file transfer protocol (FTP). The viewer plug-in uses the downloaded file to present the treatment plan graphically to the clinician. The viewer plug-in also can be used by the treatment plan designer at the host site to view images of a patient's teeth. FIG. 7 shows an exemplary user interface for the viewer plug-in of FIG. 6. The professional can change views, select a particular tooth and change its position as desired (step 412).
  • 3-D images of various orthodontic views can then be rendered after each instruction from the treating professional is received (step 414). In this process, an origin point, or “look from” point associated with a camera view is generated. Next, a “look at” point or a focus point associated with the camera view is determined. In this system, the line from LookFromPoint to LookAtPoint defines the direction the camera is shooting. Additionally, a camera Z vector, or up vector, is determined.
  • Once the intermediate and final data sets have been created, the appliances may be fabricated as illustrated in FIG. 8. Common fabrication methods employ a rapid prototyping device 201 such as a stereolithography machine. A particularly suitable rapid prototyping machine is Model SLA-250/50 available from 3D Systems, Valencia, Calif. The rapid prototyping machine 201 selectively hardens a liquid or other non-hardened resin into a three-dimensional structure which can be separated from the remaining non-hardened resin, washed, and used either directly as the appliance or indirectly as a mold for producing the appliance. The prototyping machine 201 receives the individual digital data sets and produces one structure corresponding to each of the desired appliances. Generally, because the rapid prototyping machine 201 may utilize a resin having non-optimum mechanical properties and which may not be generally acceptable for patient use, the prototyping machine typically is used to produce molds which are, in effect, positive tooth models of each successive stage of the treatment. After the positive models are prepared, a conventional pressure or vacuum molding machine 251 is used to produce the appliances from a more suitable material, such as 0.03 inch thermal forming dental material, available from Tru-Tain Plastics, Rochester, Minn. Suitable pressure molding equipment is available under the trade name BIOSTAR from Great Lakes Orthodontics, Ltd., Tonawanda, N.Y. The molding machine 251 produces each of the appliances directly from the positive tooth model and the desired material. Suitable vacuum molding machines are available from Raintree Essix, Inc.
  • After production, the appliances can be supplied to the treating professional all at one time. The appliances are marked in some manner, typically by sequential numbering directly on the appliances or on tags, pouches, or other items which are affixed to or which enclose each appliance, to indicate their order of use. Optionally, written instructions may accompany the system which set forth that the patient is to wear the individual appliances in the order marked on the appliances or elsewhere in the packaging. Use of the appliances in such a manner will reposition the patient's teeth progressively toward the final tooth arrangement.
  • Because a patient's teeth may respond differently than originally expected, the treating clinician may wish to evaluate the patient's progress during the course of treatment. The system can also do this automatically, starting from a newly-measured in-course dentition. If the patient's teeth do not progress as planned, the clinician can revise the treatment plan as necessary to bring the patient's treatment back on course or to design an alternative treatment plan. The clinician may provide comments, oral or written, for use in revising the treatment plan. The clinician can also form another set of plaster castings of the patient's teeth for digital imaging and manipulation. The clinician may wish to limit initial aligner production to only a few aligners, delaying production on subsequent aligners until the patient's progress has been evaluated and alignment configuration can be more accurately estimated.
  • FIG. 9 is a simplified block diagram of a data processing system 500 that may be used to develop orthodontic treatment plans. The data processing system 500 typically includes at least one processor 502 that communicates with a number of peripheral devices via bus subsystem 504. These peripheral devices typically include a storage subsystem 506 (including a memory subsystem 508 and a file storage subsystem 514), a set of user interface input and output devices 518, and an interface to outside networks 516, including the public switched telephone network. This interface is shown schematically as “Modems and Network Interface” block 516, and is coupled to corresponding interface devices in other data processing systems via communication network interface 524. Data processing system 500 could be a terminal or a low-end personal computer or a high-end personal computer, workstation or mainframe.
  • The user interface input devices 518 typically include a keyboard and may further include a pointing device and a scanner. The pointing device may be an indirect pointing device such as a mouse, trackball, touchpad, or graphics tablet, or a direct pointing device such as a touch screen incorporated into the display, or a three dimensional pointing device, such as the gyroscopic pointing device described in U.S. Pat. No. 5,440,326. Other types of user interface input devices, such as voice recognition systems, can also be used. User interface output devices typically include a printer and a display subsystem, which includes a display controller and a display device coupled to the controller. The display device may be a cathode ray tube (CRT), a flat-panel device such as a liquid crystal display (LCD), or a projection device. The display subsystem may also provide non-visual display such as audio output.
  • Storage subsystem 506 maintains the basic required programming and data constructs. The program modules discussed above are typically stored in storage subsystem 506. As noted above, storage subsystem 506 typically comprises a memory subsystem 508 and a file storage subsystem 514.
  • Memory subsystem 508 typically includes a number of memories including a main random access memory (RAM) 510 for storage of instructions and data during program execution and a read only memory (ROM) 512 in which fixed instructions are stored. In the case of Macintosh-compatible personal computer the ROM would include portions of the operating system; in the case of IBM-compatible personal computers, this would include the BIOS (basic input/output system).
  • File storage subsystem 514 provides persistent (non-volatile) storage for program and data files, and typically includes at least one hard disk drive and at least one floppy disk drive (with associated removable media). There may also be other devices such as a CD-ROM drive and optical drives (all with their associated removable media). Additionally, the system may include drives of the type with removable media cartridges. The removable media cartridges may be, for example, hard disk cartridges, such as those marketed by Syquest and others, and flexible disk cartridges, such as those marketed by Iomega. One or more of the drives may be located at a remote location, such as in a server on a local area network or at a site on the Internet's World Wide Web.
  • In this context, the term “bus subsystem” is used generically so as to include any mechanism for letting the various components and subsystems communicate with each other as intended. With the exception of the input devices and the display, the other components need not be at the same physical location. Thus, for example, portions of the file storage sub-system could be connected via various local-area or wide-area network media, including telephone lines. Similarly, the input devices and display need not be at the same location as the processor, although it is anticipated that personal computers and workstations typically will be used.
  • Bus subsystem 504 is shown schematically as a single bus, but a typical system has a number of buses such as a local bus and one or more expansion buses (e.g., ADB, USB, SCSI, ISA, EISA, MCA, NuBus, or PCI), as well as serial and parallel ports. Network connections are usually established through a device such as a network adapter on one of these expansion buses or a modem on a serial port. The patient computer may be a desktop system or a portable system.
  • Scanner 520 is responsible for scanning casts 521 of the patient's teeth obtained either from the patient or from an orthodontist and providing the scanned digital data set information to data processing system 500 for further processing. In a distributed environment, scanner 520 may be located at a remote location and communicate scanned digital data set information to data processing system 500 via network interface 524.
  • Fabrication machine 522 fabricates dental appliances 523 based on intermediate and final data set information received from data processing system 500. In a distributed environment, fabrication machine 522 may be located at a remote location and receive data set information from data processing system 500 via network interface 524.
  • Referring now to FIG. 10, a virtual orthodontic practice system is shown. The system is a web-based transaction environment that allows qualified orthodontists and dental practitioners to submit malocclusion cases as candidates for treatment. The system is also used for managing the cases accepted for treatment. The treating professional can accomplish the case submission and case management process entirely within the web-based environment. As shown in FIG. 10, an orthodontist or treating professional 702 submits cases into a case submission system 710. The treating professional can also view and manage the case using a case management system 720. The case management system 720 also interacts with a provider 712, which operates the system of FIG. 8 in producing aligners for patients based on instructions from the treating professional 702.
  • FIG. 11 shows a process for submitting a new case. Case submission is the process of creating and submitting a malocclusion case as a candidate for the system's treatment, all within a web-based environment. First, the user clicks on a Start a New Case link to take the user to an On-line Treatment Planning Form where the user can complete the On-line Treatment Planning form and submit the form. The orthodontist or treatment professional initiates the case submission process by first logging in to the web application (step 730). The doctor information is updated (step 732). After a successful login, the treating professional can begin the case creation process. The treating professional enters the patient information (step 734), their practice information, the billing (step 736) and shipping (step 738) information, and finally the diagnosis (step 740) and treatment (step 742) plan. After the case details are finished, the treating professional submits the case information (step 744). Subsequently, the treating professional can submit the associated digital images (step 746) and x-rays (step 748). The submitted case is received by the provider 712. This completes the case submission process.
  • Once the user has submitted the On-line Treatment Planning Form, the user may print copies of the ‘Treatment Planning Form Summary’, save one copy for the user's records, and place the second copy in the Orthodontics Records box along with the same materials the user typically sends to the system. Next, the user prints a shipping label by clicking on the ‘Print UPS Label’ button that appears when the user submits a new case on-line. The shipping label is affixed to the outside of an orthodontics records box that contains a Treatment Planning Form Summary, a PVS impression of each arch in a separate foam bag, a bite registration in a separate foam bag, copies of the patient's x-rays, and copies of the patient's photos (intraoral and extraoral), for example.
  • Referring now to the greater detail shown in FIG. 12, a website activity diagram for submitting a new case is detailed. First, a new case is started (step 800). This can be done using a treatment planning form (step 802). The treatment planning form allows the user to select a case type and to evaluate orthodontic conditions that may be encountered. From step 800, the process then captures doctor and patient information (step 804) using a doctor and patient information form (step 806). This form verifies address information and shipping information, patient information, and allows the doctor to enter or otherwise select case refinement coverage options, among others. From step 804, the doctor enters a diagnosis (step 808). This can be done through a diagnosis form (step 810). From step 808, the doctor then enters the treatment goals (step 812). This can be done using a treatment goals form (step 814). From step 812, the doctor then summarizes the case (step 816) using a treatment plan summary preview (step 818). From step 816, the case is submitted (step 820). This can be done using a treatment plan summary (step 822). From step 822, a shipping label is printed (step 824) using for example, a UPS label printing process (step 824) as described above for cases that are shipped using UPS.
  • Turning now to FIG. 13, the case management process is detailed. Case management takes place after the treating professional has submitted the case, and includes the recursive review and approval process all taking place within the web environment. The case management process ends when the treating professional has finished and closed the case.
  • First, the treating professional submits the case (step 750) as, e.g., shown in FIGS. 11 and 12. The system receives the case over the network (step 752), and an experienced professional reviewer reviews the case (step 754). The completed review is submitted to the server (step 756) and the treating professional can review and approve the case (step 758). Upon receiving approval, the case manager accepts the case (step 760). The case is then forwarded to the system of FIG. 9 to develop a computer model (step 762). The computer model is then presented to the case manager (step 764), who in turn forwards the model to the treating professional for approval (step 766). The treating professional reviews and if he or she accepts the treatment plan, sends an approval to the case manager (step 768). The system of FIG. 9 then manufacturers the aligners (step 770). The produced aligners are then shipped (step 772) to the treating professional. Upon receipt of the fabricated aligners (step 774), the treating professional can finish the case (step 776). Upon conclusion of treatment, the case is closed (step 778) and the system of FIG. 9 sends an instruction to the case manager to close the case (step 780).
  • Referring now to FIG. 14, an online prescription workflow for new cases is shown. First, a user logs in (step 850). In this process, doctor information can be processed or input (step 852). Next, a new case can be started (step 854). In this step, case type information can be collected (step 856), patient information data can be collected (step 858), diagnosis information can be collected (step 860), or treatment goals can be collected (step 862). From step 854, the case can be submitted (step 864). This can be done over the network and a submission receipt can be delivered (step 866). Additional case submission information can also be submitted (step 868). This additional information may include PVS impressions, wax bites, x-rays, and digital images, among others. The information from the case submitted and the additional case submission data, if any, is then reviewed (step 870). The reviewer can modify (step 872), accept (step 876), or reject (step 874) the case.
  • One web-based implementation of FIGS. 10-14 is discussed next. FIG. 15 shows an exemplary home page of the web-based interface. The web-based system of FIGS. 15-18B allows users such as doctors to manage the system practices on-line. The user can view all aspects of the patients' cases on-line. The user can also order advertising marketing materials, chat on-line with other system doctors, review the system's how-to tutorials, and link to the user's personal website.
  • The web-based system helps users such as the treating doctors to ensure that appliances received from the provider 712 will treat the patient the way the user and provider intended. The system does this with a dynamic 3-D animation called a virtual treatment model. The system not only shows the user's patient's teeth going through their projected movement as a result of wearing the system appliances (aligners), but it also gives the user the ability to manipulate the model in time and space to ensure the treatment sequence is exactly what the user intended. The system gives the user control over the aligners the user will receive: if the animation the user sees does not depict the treatment or outcome the user intended, the system allows the user to send feedback to the provider 712 with instructions on how to re-set the case. After the provider 712 has received the user's explicit approval, the appliances are manufactured and sent to the user's office.
  • When the user views the case online through the provider 712's web site (for example, at www.invisalign.com), the system contacts the provider's computer system over the Internet and downloads the treatment model to the user's computer, e.g., at work or at home. The system then allows the user to play an animation showing the treatment progressing over time, starting and stopping at any point during the treatment. It also allows the user to inspect the treatment from any angle, or from as far away or as close as the user desires.
  • The system allows a treating professional, described below as a “user”, to view the status of all the cases at any point in time. Within the home page 900, a Patient Chart appears on the right hand side of the page. The chart is divided into two columns—those cases that require action—Action Required 902—and those that do not—No Action Required 904. Within these lists, a status 908 will appear next to each patient's name 906. This status 908 identifies the current point of treatment for the patient 906. For example, if the user has patient John Doe in the Action Required column, and his status reads Awaiting Your Approval, the user will need to view and approve of an aspect of Mr. Doe's file in order to continue with his treatment.
  • Status categories that appear under Action Required can include the following:
      • Awaiting Approval
      • Treatment Form Waiting to be Submitted
      • Case Refinement Waiting to be Submitted
      • Screening Form Waiting to be Submitted
      • Case Screening Result is Ready
      • Case on Hold Awaiting New Impressions
      • Case Waiting to be Resumed by Doctor
      • Midcourse Correction Waiting to be Submitted
      • Further Materials Required
  • Status categories that can appear under No Action Required include the following:
      • Treatment Form Submitted to the Provider
      • Case Received and Under Review
      • Order Accepted by the Provider
      • Under Development
      • Shipments Scheduled
      • Aligners Shipped
      • Case Refinement Submitted
      • Case Currently Being Screened
      • Case Hold Requested by Doctor
      • Case Resume Requested by Doctor
      • Cancellation Requested by Doctor
      • Midcourse Correction Submitted
  • Certain status categories are now described in more detail.
  • Treatment Form Waiting to be Submitted
  • This means that the user started a standard Online Treatment Planning Form for a patient, but did not submit it to the provider 712. The case will be stored under this category until submitting it.
  • Case Received and Under Review
  • Case Received and Under Review is a category of patients whose clinical items (Treatment Planning Forms, PVS impressions, Bite Registrations, X-rays, Photos) the provider 712 has received and is in the process of confirming that these patients are candidates for the system treatment. If the case is accepted for treatment, the status will change to Order Accepted by the provider 712. If the case is not accepted for treatment, the status will change to Order Not Accepted by the provider 712 and a representative will notify the user's office.
  • Order Accepted
  • Order Accepted is a category of patients whose cases have been accepted for treatment by the provider 712. The next status the user will see for this patient will be Under Development. When this patient's file has been developed, the status will then change status to Awaiting Approval. At that time, feedback to the system will be required in order to continue processing the case.
  • Under Development
  • Under Development is a category of patients whose files are currently being developed by the provider 712. As noted above, when the system is ready, the patient's status will change to Awaiting Approval. At that time, feedback to the system will be required in order to continue processing the case.
  • Awaiting Approval
  • Awaiting Approval is a category of patients whose files are ready for review and feedback. To review a patient's file, the user can click on the patient name in the home page. The user will be linked to the patient's Summary Page where the user, e.g., can view models. If the user accepts a patient's case, the status for the patient will change to The Aligner in Production. If the user requests modification of the file, the status will change back to Under Development.
  • Shipments Scheduled
  • Shipments Scheduled is a category of patients whose the aligners are currently being produced and are due to ship in the near term. To view a patient's scheduled ship date, the user can click on his or her name. The user will be linked to the patient's Summary Page where the user can view the ship date. Once the patient's aligners are shipped, the status will change to Aligners Shipped.
  • Aligners Shipped
  • Aligners Shipped is a category of patients whose aligners have already shipped. The user can check the date the aligners were shipped by clicking on the patient's name. The user will be linked to the patient's Summary Page where the user can view the ship date. This is the last status for a patient.
  • Case Refinement Waiting to be Submitted
  • Case Refinement Waiting to be Submitted is a category of patients whose Case Refinement Form the user started, but did not yet submit to the provider 712. To submit this form for a patient, the user can click on the patient's name. The user will be linked to the patient's Summary Page. From this page the user can continue filling out the form and submit it to the provider 712. Once the form is submitted, the status will change to Case Refinement Submitted.
  • Case Refinement Submitted
  • Case Refinement Submitted is a category of patients whose Case Refinement Form the user submitted to the provider 712. Once the provider 712 begins developing a new file for these patients, the patient status will change to Under Development. When the system is ready, the patient status will change to Awaiting Approval. At that time, feedback to the system will be required in order to continue processing the case.
  • Screening Form Waiting to be Submitted
  • Screening Form Waiting to be Submitted is a category of patients whose Screening Forms the user started, but did not submit to the provider 712. To submit this form for a patient, a user can click on the patient's name. The user will be linked to the patient's Summary Page. From this page the user can continue filling out the form and submit it to the provider 712. Once the form is submitted, the status will change to Case Currently Being Screened.
  • Case Currently being Screened
  • Case Currently Being Screened is a category of patients whose Screening Forms the user submitted to the provider 712. These cases are currently being reviewed by the provider 712—when the review process is complete, the patient status will change to Case Screening Result is Ready.
  • Case Screening Result is Ready
  • Case Screening Result is Ready is a category of patients whose Screening Forms the user submitted to the provider 712 and whose results are ready for review. These cases are currently being reviewed by the provider 712—when the review process is complete, the patient status will change to Case Screening Result is Ready. After that status is achieved review the case screening results for a patient, the user can click on the patient's name.
  • Case on Hold Awaiting New Impressions
  • Case on Hold Awaiting New Impressions is a category of patients whose cases have been placed on hold by the provider 712 due to unusable PVS impressions. When the provider 712 places a case on hold, the user's office will be notified so that steps can be taken to resume the case as quickly as possible.
  • Case Waiting to be Resumed by Doctor
  • Case Waiting to be Resumed by Doctor is a category of patients whose cases the user has placed on hold—these cases will remain on hold until the user resumes them. To resume a case, the user can click on the patient's name. The user will be linked to the patient's Summary Page. From this page the user can click on the Resume This Case link.
  • Case Hold Requested by Doctor
  • Case Hold Requested by Doctor is a category of patients' whose cases the user has requested that the provider 712 place on hold. Before the provider 712 places the case on hold, the user will be called to confirm that the user wants the provider 712 to stop processing the case. Once the provider 712 has confirmed that the user wants the case placed on hold, the status will change to Case Waiting to be Resumed by Doctor. The user can then resume it by clicking on the patient's name. The user will be linked to the patient's Summary Page. From this page the user can click on the Resume This Case link.
  • Case Resume Requested by Doctor
  • Case Hold Requested by Doctor is a category of patients whose cases the user has requested that the provider 712 place on hold. Before the provider 712 places the case on hold, the user's office will be notified confirm that the user wants the provider 712 to stop processing the case. Once the provider 712 has confirmed that the user wants the case placed on hold, the status will change to Case Waiting to be Resumed by Doctor. The user can then resume it by clicking on the patient's name. The user will be linked to the patient's Summary Page. From this page the user can click on the Resume This Case link.
  • Cancellation Requested by Doctor
  • Cancellation Requested by Doctor is a category of patients whose cases the user has requested that the provider 712 cancel. Before the provider 712 cancels a case, the user's office will be called to confirm that the user wants the provider 712 to stop processing the case. Once the provider 712 has confirmed that the user wants the case cancelled, the case will be removed from the database.
  • Midcourse Correction Form Waiting to be Submitted
  • Midcourse Correction Form Waiting to be Submitted is a category of patients whose Midcourse Correction Forms the user started, but did not submit to the provider 712. To later submit this form for a patient, the user can click on the patient's name. The user will be linked to the patient's Summary Page. From this page the user can continue filling out the form and submit it to the provider 712. Once the form is submitted, the status will change to Midcourse Correction Submitted. Once the provider 712 has had a chance to review the user's request, the patient status will change to Under Development.
  • Midcourse Correction Submitted
  • Midcourse Correction Submitted is a category of patients' whose Midcourse Correction Forms the user recently submitted to the provider 712. Once the provider 712 has had a chance to review and process the request, the patient status will change to Under Development.
  • Further Materials Required
  • Further Materials Required is a category of patients whose files are incomplete and cannot be processed further until additional materials are sent to the provider 712. In most cases, this means that the Submission Box sent to the provider 712 did not include all necessary patient materials. When a case enters this status, the provider 712 will call the user's office to let the user know that further materials are required.
  • To view only certain cases, the user may click on the status category in the Case Summary box that the user is interested in viewing. For example, if the user would like to view only cases that are in the Awaiting Approval phase, the user clicks on that link. The patient chart on the right side of the page will now only display cases in the Awaiting Approval phase.
  • To return to a view of all the cases, the user clicks on Total to take the user back to the original patient chart. The user can also sort cases within any patient list by clicking on one of the column headings. For example, to sort cases by patient name, the user may click on the Patient Name heading. The cases will now be sorted in alphabetical order by patient name. The user can always identify how the patient list is sorted by noting which column heading is italicized.
  • Each of the patients in treatment has their own Patient Summary Page. The Patient Summary Page allows the user to view all aspects of a patient's case, from their file to their treatment history. To access a Patient's Summary Page, the user clicks on the name of the patient whose file the user would like to view. The user can find a list of all the patients on the Home Page. From the Patient Summary Page, the user can do each of the following:
      • View a Patient's Model
      • View Static Images
      • View Treatment History
      • View On-line Forms—Attachment and Reproximation
      • Create an Aligner Schedule
      • Place a Case on Hold
      • Cancel a Case
  • One function supported by the system is to enable the user to complete an On-line Treatment Planning Form (see FIG. 16) quickly and efficiently.
  • On the Treatment Planning Form page the user can access the following:
      • On-line Treatment Planning Form
      • Paper Treatment Planning Form
      • Case Refinement Form
      • Mid-course Correction Form
  • A template called Treatment Preferences can be used to allow the user to enter treatment information one time—this information is then incorporated into each form the user fills out, eliminating the need to enter redundant information each time the user submits a new case. The Treatment Preferences form will automatically appear in a separate window when the user clicks on the Start a New Case link for the first time. For each On-line Treatment Planning Form the user fills out, at the beginning of the form the user is given the option of activating the Treatment Preferences for that form. The user can change the Treatment Preferences at any time by clicking on the Treatment Preferences link that appears after the user has clicked on the Start a New Case link.
  • In this system, the form does not allow the user to advance to subsequent pages until the current page is completely filled out. In addition, the form has built-in logic; it does not permit the user to send in a form that has contradictory inputs, nor can the user submit a case that does not meet predetermined case selection criteria. These features greatly increase the likelihood that each submitted case would be accepted for treatment. If the user requires assistance in filling out the form, the user clicks on the question mark symbol within the form to view the comprehensive Help section.
  • Yet another feature is a Case Selection Expansion option. Case Selection Expansion allows doctors experienced in the system to submit cases beyond the limits of what is normally accepted through the On-line Treatment Planning Form. If the user is an experienced user who has submitted a large number of cases, the user is eligible for Case Selection Expansion. Once classified as an experienced user, the user will see a screen asking whether the user would like to use the standard On-line Treatment Planning Form or the Case Selection Expansion Form, which allows more flexibility. If the user selects the Case Selection Expansion Form, the user is prompted to sign a waiver. Besides relaxed case selection criteria for the Case Selection Expansion Form, the user will find the two submission forms are identical.
  • Yet another feature in this embodiment is case screening. If the user is not sure whether a case is appropriate for system treatment and would like feedback from the system, the user can use the Case Screening feature. The user must be able to submit digital photos on-line to use this feature. In one embodiment, to screen a new case, the user clicks on a Case Screening link, enters the office information and the patient's information, enters the treatment plan and goals for the patient, and uploads digital photos of the case—either individual photos or a composite photo. After submission, a professional reviewer, at the provider end, reviews and provides comments and/or suggestions for treatment. If a patient's screening result is ready, that patient's status is listed as Case Screening Result is Ready. The user can then click on the patient's name to view the screening result and to submit the case for treatment.
  • The system can also handle case refinement situations. Case refinement occurs when additional aligners beyond the last stage are needed to move a patient's teeth closer to the desired final outcome approved by the user in the system. If the user has a case that qualifies for Case Refinement, the user's next step is to submit a Case Refinement Form for that case. Once the user has submitted a Case Refinement Form, the user can track the status of the form through the Home Page shown in FIG. 15. When the form is submitted, the patient's status will change to Case Refinement Submitted. When a new file begins production, the status will change to Under Development. Once the file is ready for review, the status will change again to Awaiting Approval.
  • In instances where clinical results deviate from the original treatment plan such that the aligner(s) no longer fit, a Mid-Course Correction is necessary. This may be due to any or a combination of the following:
      • Patient underwent dental work during the course of treatment
      • Poor patient compliance
      • Treatment goal has changed
      • Case has deviated from the approved course of treatment
  • If the user has a case that qualifies for Mid-Course Correction, the next step is to submit a Mid-Course Correction Form for that case. Once the user has submitted a Mid-Course Correction Form, the user can track the status of the form through the Home Page. When the form is submitted, the patient's status will change to Mid-Course Correction Form Submitted. When a new file begins production, the status will change to Under Development. Unlike Case Refinement Cases, Mid-Course Correction files do not require feedback. Once the file is ready, the status will change again to Aligner Shipments Scheduled.
  • FIGS. 18A and 18B show exemplary views of static images of a patient's teeth. The benefit of the static images is that they provide the user with initial and final images of the depicted treatment at a high resolution. To view a patient's static images, the user can click on the View Static Images link within the Options menu bar on the left side of a Patient's Summary Page. Alternatively, the user can access static images by clicking on the Static Images link at the bottom of a Patient's Summary Page. Once viewing the images, the user can enlarge them for a better view by clicking on them. The user can scroll the mouse over the image to view the initial and final views of the patient's depicted treatment. The bottom images provide a side-by-side comparison of the initial and final views.
  • The system can also allow the user to view a patient's dental model. To view a patient's file, the user clicks on the name of the patient whose file the user would like to view. The user can use the system to see many different views of a treatment model. The user can zoom in and out, hide the upper and lower arches, and rotate the model to allow viewing from different angles. The user can choose to see the model, in one embodiment, from fourteen different pre-set angles. The user can rotate a model to any angle, making it seem to spin in the window. The user can position the mouse inside the model window and click and hold the left mouse button while dragging the mouse in the direction that the user wants to move the model. The model rotates as the user moves the mouse. As an example, the user can start with the right buccal view of the model. The user must click and hold the left mouse button and drag the mouse from right to left. As the user does so, the model rotates so the user can see all of the teeth as the model moves.
  • If the user would like to take a closer look at a model, the user can zoom in. Conversely, if the user would like to see a view of the model from further away, the user can zoom out. To zoom, the user may press and hold the Control (Ctrl) key. Positioning the mouse inside the model window, the user may click and hold the left mouse button and drag the mouse up to zoom out and down to zoom in. The further the user drags, the further the user will zoom. Alternatively, if the mouse has a mouse wheel, the user can turn the mouse wheel to zoom in and out. The user can also slide the model up and down, and left and right. To slide the model, the user may, e.g., press and hold the Shift key, then click and drag the mouse. The model consequently moves in the direction of the mouse motion. This motion can be useful when the user has a zoomed-in view of the model, and the user wishes to view another part of the model. The user can hide the upper or lower arch to see an unobstructed view of the other arch. This is useful, for example, when looking at the occlusal surface of either arch. To hide the upper arch, the user may click the checked box next to Show Upper Jaw in the left menu bar. The check mark is then removed and the upper arch disappears from view. To hide the lower arch, the user may click the checked box next to Show Lower Jaw in the Dialog box. The check mark is then removed and the lower arch disappears from view. When the user hides either arch, the user can still rotate the model so the user can see it from various angles. Once the user has hidden an arch, the user can show it again. To show an arch once the user has hidden it, the user must re-select the Show Upper Jaw or Show Lower Jaw check box from the left bar menu. When the boxes show check marks, the arches are shown. The user can also select the level of detail of the model. On the left menu bar, the options Show Low Resolution and Show High Resolution appear. By default, Show Low Resolution is selected. Alternatively, the user can select Show High Resolution to show a more detailed version of the model. To print a model in its current view, the user may click the Print icon or right-click the mouse over the window and select Print from the right mouse button menu. The animation allows the user to see how a patient is projected to progress using the system. Using the animation controls located in the lower right corner of the model window, the user can play, stop, rewind and fast-forward the animation. The user can also step forward or backward through the animation stage by stage (e.g., where a stage corresponds to one set of aligners). To play an animation, the user clicks the Play button. The Play button then becomes the Stop button. To stop an animation, the user clicks the Stop button. To resume playing the animation, the Play button is clicked. When the user rewinds an animation, the model returns to its beginning position. To rewind an animation, the user can click the Rewind (<<) button. To rewind the model stage-by-stage, the user can click the Back (<) button and the model will rewind one stage. When the user fast-forwards an animation, the model advances to its final position. To fast-forward an animation, the user can click the Fast Forward (>>) button. To view the model stage-by-stage, the user can click the Forward (>) button and the model will advance one stage.
  • Other features supported by the web-based system of FIG. 10 includes Viewing Current/Archived News; Viewing the Case Gallery where the user can view before and after pictures of past system patients by visiting the system Case Gallery; Downloading All Files at Once, where the user can view the patients' cases without being connected to the Internet by downloading a series of patient files; Printing a List of All Patients; and a Message Board, where the users talk with other system doctors to share experiences with the product so the user can learn from and offer suggestions to other doctors who are using the provider 712.
  • FIGS. 19-23 show one embodiment of a second opinion service (SOS) that provides an opportunity for inexperienced professionals to receive advice from experienced professionals in treating their patients. Referring now to FIG. 19, a second opinion service process 1000 is started when a doctor submitter receives notice on his or her web page that a clinical check (CC) file is present and awaits approval (1002). The CC file specifies teeth movement in each treatment stage, where each stage causes teeth to be incrementally moved. The CC file allows the doctor to visualize the treatment plan, including the teeth position at each stage. In one embodiment, the doctor sends a prescription to a provider/company 712 (FIG. 10). One such provider/company 712 is Align Technology, Inc. in Santa Clara, Calif. The provider 712 generates a CC file and allows the doctor to review and approve the CC file over the Internet in this embodiment. In one embodiment, a web-based system called Virtual Invisalign Practice (VIP) available from Align Technology is used to securely communicate patient information over the Web.
  • In 1004, the doctor is given an opportunity to view the proposed CC file (from provider 712) and comments are either entered by him or by the provider/company 712. The doctor can view files and other materials previously submitted such as x-rays, photographs or comments (1006). From 1006, the doctor has the opportunity to request a SOS by clicking a button, for example, the doctor is shown an agreement form such as a waiver form (1008). In one embodiment, the form describes each party's responsibilities with respect to the SOS process. If the doctor agrees, the doctor can proceed. Alternatively, if the doctor disagrees, the process loops back to 1006. The doctor can also modify or accept the ClinCheck file, in which case no change is noted in 1030-1032. Also, the doctor can check on “what is SOS,” and a frequently asked question (FAQ) page is displayed at 1034.
  • In 1010-1012, if the doctor accepts the agreement, the doctor enters a doctor identification of a consulting doctor or planning doctor who plans or revises the treatment plan for the requesting doctor. The system can perform a directory search at 1040. The system shows the consulting doctor's contact information and gives the requesting doctor an opportunity to confirm. Once the doctor verifies that there is no typographical error the doctor can enter comments and send a message to the planning doctor to request SOS assistance at 1014. At 1014, once the message has been sent, the consulting doctor sees a status of “SOS Requested” on his home page. At 1016, the information sent includes ClinCheck form, prescription data, and supporting data such as X-rays, photos, comments, static images, attachment forms and reproximation forms. Next, buttons are disabled when the case status involves SOS Request, Approve ClinCheck, and Modify ClinCheck, among others (1018). At 1020-1024, after the SOS has been requested, the requesting doctor can cancel the request before the planning doctor has accepted the SOS. Upon requesting a cancellation, the doctor has an option to include additional comments. At 1026, if a cancellation occurs, a confirmation is generated to update the patient status on the doctor's home page to indicate “SOS Cancelled” (1028).
  • At 1050, upon submission of the SOS by the submitting doctor, the planning doctor's home page will show a new patient with status of “SOS Requested by Doc Name.” At 1052, the patient detail page shows recent comments and CC information. At 1054, when the doctor clicks on the patient detail page, the doctor also views all other details and information that the submitting doctor has.
  • Turning now to FIG. 20, at 1100, the planning doctor's home page shows an action item “SOS requested” by the requesting doctor's name. The patient detail page is updated with the SOS Requested by Doctor Name (1102). At 1104, the doctor can click on the patient detail and review information from the submitting doctor. At 1108, the comment to the doctor is captured (1106), and upon transmission, the system updates the status as Comments Have Been Sent (1108).
  • The planning/consulting doctor can look at the CC file and decide if the doctor wishes to accept the case. If the doctor wants to decline the case, the doctor can enter a comment and send to the requesting doctor. Otherwise, the doctor can choose whether the doctor wants to decline or agree, as shown in more details in FIGS. 21-22.
  • At 1110, when the planning doctor submits a comment to the submitting doctor the submitting doctor will see a status item on his home page as “Read comment” from the planning doctor. The doctor clicks on the patient name and the doctor proceeds to 1112 where the doctor can review a particular patient's detail page and the case comments. At 1114, if the doctor chooses to reply the doctor can click on reply to enter comments to the planning doctor. At 1116, when the requesting doctor clicks the send button, a notification will be provided to provide feedback that a reply has been sent to the planning doctor. At 1118, the doctor is taken to the patient's detail page indicating “No action required—SOS requested from doctor name.” At 1120, when the doctor adds a comment the planning doctor will then see a status change on his web page stating that “Action is required SOS requested by doctor's name”. At 1122, when the doctor clicks on the patient's name the doctor is taken to the patient's detail page, and at 1124, the doctor can review the patient's detailed information, as previously discussed.
  • Turning now to FIG. 21, at 1200—Planners VIP has the patient name listed under “Action required” where status is “SOS Requested.” At 1202, the patient detail page is updated with the Action “SOS Requested by Doctor Name.” At 1204, the doctor reviews the information and has the option to accept or decline the case. If the doctor accepts the case, the process jumps to 1300 and if not, the process proceeds to 1206, where the doctor sends a cancellation request to the submitting doctor. At 1208, the doctor can change his/her decision. In this case, the SOS Request is declined and the submitter's page is updated with the status that “ClinCheck Ready” at 1210. At 1212, if the doctor wants to continue with SOS, the process shows the doctor a confirmation that his/her message has been sent and the SOS request has been declined. At 1214, the doctor is shown the patient detail page where the doctor views the patient's information. The buttons to Agree, Decline and Comment are disabled at 1220.
  • At 1216, the doctor has the option to erase all information relating to a patient's case so that the doctor will no longer have a record of the patient on his web page. From either 1214 or 1216, the home page can be accessed at 1218.
  • Turning now to FIG. 22, at 1304, doctor has accepted the SOS case and the patient name is displayed on the web page and the doctor can click on the patient's name to review the case information. At 1306, the treatment detail is communicated. At 1308, the planning doctor can communicate with the submitting doctor through comments. If the doctor chooses to comment, the process jumps to 1100. If the doctor chooses to decline, the process proceeds to 1200. At 1310, the doctor can accept the SOS request and at 1320, once the doctor has accepted the SOS, a confirmation is sent to both himself and to the submitting doctor. If the SOS Request is accepted, the submitter's home page is updated in 1312 and the patient detail page is updated in 1314. At 1316, the links such as Cancel SOS, Comment, among others are disabled. The treatment prescription is updated at 1322, and the process can update the VIP home page with action required as “SOS Requested by Doctor Name” at 1300.
  • Once the doctor has accepted the SOS the doctor has the option to modify the CC data as previously mentioned, which proceeds to FIG. 23, or at any point during the SOS process the doctor has the option to cancel SOS and go to 1100 or to 1200 as displayed on FIG. 22. The doctor sees all the information available to the submitting doctor. The planning doctor then has an option to request modification of the ClinCheck (CC) file. The doctor can also enter comments and request certain modifications and the information is sent to the company/provider such as Align Technology on behalf of the submitting doctor. If the doctor agrees, the doctor can enter a comment to the submitting doctor.
  • Referring now to FIG. 23, at 1400, the doctor can see the patient name on the home page with action required “Complete SOS for doctor name”. When the doctor clicks on the patient's name the doctor views all the same information the submitting doctor has in his patient summary page at 1402. At 1406-1408, the doctor can review the same information available to the submitting doctor. At this point, the doctor can cancel SOS (go to 1200), or the doctor can submit a comment to the submitting doctor (go to 1100).
  • From 1408, the ClinCheck modification request is sent to the dental supplier such as Align Technology, Inc., at 1420. Upon receipt by the supplier at 1422, the process notes that the CC file is ready and loops to 1400.
  • If comments are to be shared with the submitter at 1430, the submitter's home page is updated at 1432 and the patient detail page is updated at 1434. Also, the treatment detail page is updated at 1436.
  • Alternatively, the doctor can request to modify CC data, or the doctor can enter comments to the company provider at 1410. If so, notification is then provided to him that the comment has been sent successfully to the company. At 1412, once the doctor submits a comment to the company to request CC modification, the doctor's VIP page is updated to show that No Action Required—“CC Modification Requested”. At 1450, when the planning doctor accepts the modified clinical check file, the doctor can click on an SOS complete button, at that point the doctor has the option to enter additional comments that the doctor can then submit to the submitting doctor. The case status is updated at 1452. At 1470, the doctor then gets a confirmation. At 1472, the doctor has the option to erase all patient information from his system upon completion of the case. If he selects this option, at 1474, the doctor is prompted to print out information on the case to be removed. At 1476, upon erasure, a notification will be provided that the case has been erased. At 1478, when the doctor clicks on an OK button, the doctor is returned to the VIP homepage.
  • At 1454, once the SOS work has been completed by the planning doctor, the submitting doctor is notified that an updated CC file awaits approval on his VIP homepage. At that point the doctor can then click on the patient name. At 1456, the doctor can see the patient detail information. At 1458, the doctor can click on the updated CC file and view the modifications requested by the planning doctor. At 1460, the doctor can accept the CC file if the doctor approves of the proposed changes. If not, at 1462, the doctor can request another modification of the CC file. Alternatively, the doctor can request a second SOS to the same planning doctor or a different planning doctor. If so, the process loops to 1000.
  • The invention has been described in terms of particular embodiments. Other embodiments are within the scope of the following claims. For example, the three-dimensional scanning techniques described above may be used to analyze material characteristics, such as shrinkage and expansion, of the materials that form the tooth castings and the aligners. Also, the 3D tooth models and the graphical interface described above may be used to assist clinicians that treat patients with conventional braces or other conventional orthodontic appliances, in which case the constraints applied to tooth movement would be modified accordingly.

Claims (24)

1. A virtual health-care electronic commerce community, comprising:
a network to communicate information relating to the community;
one or more patients coupled to the network;
one or more treating professionals coupled to the network; and
a server coupled to the network, the server storing data for each patient and facilitating secured data sharing by the community.
2. The community of claim 1, wherein the treating professional views one or more of the following patient data visualization over the network: a right buccal view; a left buccal view; a posterior view; an anterior view; a mandibular occlusal view; a maxillary occlusal view; an overjet view; a left distal molar view; a left lingual view; a lingual incisor view; a right lingual view; a right distal molar view; an upper jaw view; and a lower jaw view.
3. The community of claim 1, wherein the treating professionals include dentists or orthodontists.
4. The community of claim 1, further comprising one or more partners coupled to the network.
5. The community of claim 4, wherein the partners include a financing partner.
6. The community of claim 4, wherein the partners include a supplier.
7. The community of claim 4, wherein the partners include a delivery company.
8. The community of claim 1, wherein the treating professionals perform office management operations using the server.
9. The community of claim 8, wherein the office management operations include one or more of the following: patient scheduling, patient accounting, and claim processing.
10. The community of claim 1, wherein the treating professionals share a patient's information with a second authorized treating professional for consultation.
11. A computer-implemented method for performing dental-related electronic commerce, comprising:
transmitting teeth data associated a patient from a dental server to a treating professional computer over the Internet upon an authorized request;
displaying a three-dimensional computer model of the teeth at the treating professional computer using a browser;
allowing a treating professional to manipulate the three-dimensional computer model of the teeth using the browser;
transmitting the computer model from the treating professional computer to the server; and
generating an appliance to treat the patient based on the computer model of the teeth.
12. The method of claim 11, further comprising providing financing options for the patient using one or more financing partners.
13. The method of claim 11, further comprising offering an on-line shop geared to the patient's dental requirements.
14. The method of claim 11, further comprising providing office management utilities for the treating professional.
15. The method of claim 14, wherein the office management utilities include one or more of the following: patient scheduling, patient accounting, and claim processing.
16. The method of claim 11, wherein allowing a treating professional to manipulate the three-dimensional computer model of the teeth using the browser further comprises displaying a plurality of dental views.
17. The method of claim 16, wherein the dental views include one or more of the following: a right buccal view; a left buccal view; a posterior view; an anterior view; a mandibular occlusal view; a maxillary occlusal view; an overjet view; a left distal molar view; a left lingual view; a lingual incisor view; a right lingual view; a right distal molar view; an upper jaw view; and a lower jaw view.
18. The method of claim 11, wherein allowing a treating professional to manipulate the three-dimensional computer model of the teeth using the browser further comprises clicking on a tooth to adjust its position.
19. The method of claim 18, further comprising displaying x, y and z axis to allow the treating professional to adjust the position of the tooth.
20. The method of claim 11, further comprising providing supplemental services to the patient, including teeth whitening services.
21. A server to support a health-care electronic commerce community with one or more patients and one or more service providers, comprising:
a processor adapted to communicate with a network;
a data storage device coupled to the processor and adapted to store data for each patient; and
software to communicate 3D patient data in response to a patient request.
22. The server of claim 21, further comprising a browser adapted to receive the patient request and transmitting the request to the server.
23. The server of claim 22, wherein the browser further comprises a viewer plug-in to visualize patient data in 3D.
24. The server of claim 21, wherein the providers service one or more of the following health-care applications: dentistry applications, cosmetic augmentation, hair-care enhancements, liposuction, plastic or reconstructive surgery.
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Cited By (71)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050049897A1 (en) * 2003-08-28 2005-03-03 Kameda Medical Information Laboratory Medical information system and computer program product
US20070168223A1 (en) * 2005-10-12 2007-07-19 Steven Lawrence Fors Configurable clinical information system and method of use
US20070214011A1 (en) * 2006-03-08 2007-09-13 Hospital Transitions, Llc Patient Discharge System and Associated Methods
US20090149929A1 (en) * 2007-08-21 2009-06-11 Levinson Mitchell E Monitoring the cooling of subcutaneous lipid-rich cells, such as the cooling of adipose tissue
US20100035212A1 (en) * 2008-08-11 2010-02-11 Jean Robichaud Preparation of dental implant surgery and prosthesis installation
WO2010036732A1 (en) 2008-09-25 2010-04-01 Zeltiq Aesthetics, Inc. Treatment planning systems and methods for body contouring applications
US20100105009A1 (en) * 2008-10-29 2010-04-29 Inpronto Inc. System, Method And Apparatus For Tooth Implants
US20100105011A1 (en) * 2008-10-29 2010-04-29 Inpronto Inc. System, Method And Apparatus For Tooth Implant Planning And Tooth Implant Kits
US7720696B1 (en) * 2007-02-26 2010-05-18 Mk3Sd, Ltd Computerized system for tracking health conditions of users
US20100235180A1 (en) * 2009-03-11 2010-09-16 William Atkinson Synergistic Medicodental Outpatient Imaging Center
US20100299155A1 (en) * 2009-05-19 2010-11-25 Myca Health, Inc. System and method for providing a multi-dimensional contextual platform for managing a medical practice
US7854754B2 (en) 2006-02-22 2010-12-21 Zeltiq Aesthetics, Inc. Cooling device for removing heat from subcutaneous lipid-rich cells
US7925578B1 (en) 2005-08-26 2011-04-12 Jpmorgan Chase Bank, N.A. Systems and methods for performing scoring optimization
US20110093448A1 (en) * 2008-06-20 2011-04-21 Koninklijke Philips Electronics N.V. System method and computer program product for pedigree analysis
US7945492B1 (en) 1998-12-23 2011-05-17 Jpmorgan Chase Bank, N.A. System and method for integrating trading operations including the generation, processing and tracking of and trade documents
US7987501B2 (en) 2001-12-04 2011-07-26 Jpmorgan Chase Bank, N.A. System and method for single session sign-on
US8020754B2 (en) 2001-08-13 2011-09-20 Jpmorgan Chase Bank, N.A. System and method for funding a collective account by use of an electronic tag
US8078528B1 (en) 2008-02-21 2011-12-13 Jpmorgan Chase Bank, N.A. System and method for providing borrowing schemes
US8145549B2 (en) 2003-05-30 2012-03-27 Jpmorgan Chase Bank, N.A. System and method for offering risk-based interest rates in a credit instutment
US8160960B1 (en) 2001-06-07 2012-04-17 Jpmorgan Chase Bank, N.A. System and method for rapid updating of credit information
US8175908B1 (en) 2003-09-04 2012-05-08 Jpmorgan Chase Bank, N.A. Systems and methods for constructing and utilizing a merchant database derived from customer purchase transactions data
US8185940B2 (en) 2001-07-12 2012-05-22 Jpmorgan Chase Bank, N.A. System and method for providing discriminated content to network users
US8192474B2 (en) 2006-09-26 2012-06-05 Zeltiq Aesthetics, Inc. Tissue treatment methods
US8301493B2 (en) 2002-11-05 2012-10-30 Jpmorgan Chase Bank, N.A. System and method for providing incentives to consumers to share information
US20120284630A1 (en) * 2011-05-02 2012-11-08 Frank May Window Proxy
US8447672B2 (en) 2005-05-27 2013-05-21 Jp Morgan Chase Bank, N.A. Universal payment protection
US8523927B2 (en) 2007-07-13 2013-09-03 Zeltiq Aesthetics, Inc. System for treating lipid-rich regions
US8533031B2 (en) 2000-10-17 2013-09-10 Jpmorgan Chase Bank, N.A. Method and system for retaining customer loyalty
US8554631B1 (en) 2010-07-02 2013-10-08 Jpmorgan Chase Bank, N.A. Method and system for determining point of sale authorization
US8603073B2 (en) 2008-12-17 2013-12-10 Zeltiq Aesthetics, Inc. Systems and methods with interrupt/resume capabilities for treating subcutaneous lipid-rich cells
US8622308B1 (en) 2007-12-31 2014-01-07 Jpmorgan Chase Bank, N.A. System and method for processing transactions using a multi-account transactions device
US8676338B2 (en) 2010-07-20 2014-03-18 Zeltiq Aesthetics, Inc. Combined modality treatment systems, methods and apparatus for body contouring applications
US8702774B2 (en) 2009-04-30 2014-04-22 Zeltiq Aesthetics, Inc. Device, system and method of removing heat from subcutaneous lipid-rich cells
US8793160B2 (en) 1999-12-07 2014-07-29 Steve Sorem System and method for processing transactions
US8849716B1 (en) 2001-04-20 2014-09-30 Jpmorgan Chase Bank, N.A. System and method for preventing identity theft or misuse by restricting access
US9058626B1 (en) 2013-11-13 2015-06-16 Jpmorgan Chase Bank, N.A. System and method for financial services device usage
US9132031B2 (en) 2006-09-26 2015-09-15 Zeltiq Aesthetics, Inc. Cooling device having a plurality of controllable cooling elements to provide a predetermined cooling profile
US9314368B2 (en) 2010-01-25 2016-04-19 Zeltiq Aesthetics, Inc. Home-use applicators for non-invasively removing heat from subcutaneous lipid-rich cells via phase change coolants, and associates devices, systems and methods
US9545523B2 (en) 2013-03-14 2017-01-17 Zeltiq Aesthetics, Inc. Multi-modality treatment systems, methods and apparatus for altering subcutaneous lipid-rich tissue
USD777338S1 (en) 2014-03-20 2017-01-24 Zeltiq Aesthetics, Inc. Cryotherapy applicator for cooling tissue
US9844460B2 (en) 2013-03-14 2017-12-19 Zeltiq Aesthetics, Inc. Treatment systems with fluid mixing systems and fluid-cooled applicators and methods of using the same
US9861421B2 (en) 2014-01-31 2018-01-09 Zeltiq Aesthetics, Inc. Compositions, treatment systems and methods for improved cooling of lipid-rich tissue
US20180368943A1 (en) * 2017-06-21 2018-12-27 SmileDirectClub LLC Arrangements for remote orthodontic treatment
US10332164B2 (en) 2000-03-24 2019-06-25 Align Technology, Inc. Health-care E-commerce systems and methods
US10383787B2 (en) 2007-05-18 2019-08-20 Zeltiq Aesthetics, Inc. Treatment apparatus for removing heat from subcutaneous lipid-rich cells and massaging tissue
US10524956B2 (en) 2016-01-07 2020-01-07 Zeltiq Aesthetics, Inc. Temperature-dependent adhesion between applicator and skin during cooling of tissue
US10555831B2 (en) 2016-05-10 2020-02-11 Zeltiq Aesthetics, Inc. Hydrogel substances and methods of cryotherapy
US10568759B2 (en) 2014-08-19 2020-02-25 Zeltiq Aesthetics, Inc. Treatment systems, small volume applicators, and methods for treating submental tissue
US10636522B2 (en) 2017-06-21 2020-04-28 SmileDirectClub LLC Arrangements for intraoral scanning
US10675176B1 (en) 2014-03-19 2020-06-09 Zeltiq Aesthetics, Inc. Treatment systems, devices, and methods for cooling targeted tissue
US10682297B2 (en) 2016-05-10 2020-06-16 Zeltiq Aesthetics, Inc. Liposomes, emulsions, and methods for cryotherapy
US10722395B2 (en) 2011-01-25 2020-07-28 Zeltiq Aesthetics, Inc. Devices, application systems and methods with localized heat flux zones for removing heat from subcutaneous lipid-rich cells
US10765552B2 (en) 2016-02-18 2020-09-08 Zeltiq Aesthetics, Inc. Cooling cup applicators with contoured heads and liner assemblies
US20200350053A1 (en) * 2019-05-01 2020-11-05 Iamthinking LLC Diagnostic communication systems, diagnostic data collection kits, and methods for generating and conveying oral condition data sets and treatment plans
US10935174B2 (en) 2014-08-19 2021-03-02 Zeltiq Aesthetics, Inc. Stress relief couplings for cryotherapy apparatuses
US10952891B1 (en) 2014-05-13 2021-03-23 Zeltiq Aesthetics, Inc. Treatment systems with adjustable gap applicators and methods for cooling tissue
US11076879B2 (en) 2017-04-26 2021-08-03 Zeltiq Aesthetics, Inc. Shallow surface cryotherapy applicators and related technology
US11154418B2 (en) 2015-10-19 2021-10-26 Zeltiq Aesthetics, Inc. Vascular treatment systems, cooling devices, and methods for cooling vascular structures
US11189364B1 (en) * 2018-03-07 2021-11-30 Iqvia Inc. Computing platform for establishing referrals
US11246687B2 (en) 2017-06-21 2022-02-15 Sdc U.S. Smilepay Spv Dental impression retake kit and methods therefor
US11253409B2 (en) 2017-06-21 2022-02-22 Sdc U.S. Smilepay Spv Systems and methods for mobile dentition scanning
US11337778B2 (en) 2017-06-21 2022-05-24 Sdc U.S. Smilepay Spv Distributed system for fabricating dental aligners
US11382790B2 (en) 2016-05-10 2022-07-12 Zeltiq Aesthetics, Inc. Skin freezing systems for treating acne and skin conditions
US11419701B2 (en) 2017-12-29 2022-08-23 Align Technology, Inc. Augmented reality enhancements for dental practitioners
US11446175B2 (en) 2018-07-31 2022-09-20 Zeltiq Aesthetics, Inc. Methods, devices, and systems for improving skin characteristics
US20220310256A1 (en) * 2020-12-15 2022-09-29 Orchid Exchange Inc. Systems and methods for providing virtual health services
US11559377B2 (en) 2016-12-16 2023-01-24 Align Technology, Inc. Augmented reality enhancements for dental practitioners
US11704876B2 (en) 2016-12-16 2023-07-18 Align Technology, Inc. Mobile device for viewing of dental treatment outcomes
US11721417B2 (en) 2018-11-07 2023-08-08 Align Technology, Inc. Multi-dimensional cryptographically secured datastores for managing medical records
US11798046B2 (en) 2000-03-24 2023-10-24 Align Technology, Inc. Health-care systems and methods
US11819375B2 (en) 2016-11-04 2023-11-21 Align Technology, Inc. Methods and apparatuses for dental images

Families Citing this family (111)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11026768B2 (en) 1998-10-08 2021-06-08 Align Technology, Inc. Dental appliance reinforcement
US7337123B2 (en) * 2000-06-26 2008-02-26 Epic Systems Corporation Rules based ticketing for self-scheduling of appointments
US8688474B2 (en) 2000-06-26 2014-04-01 Epic Systems Corporation Patient health record access system
US8050944B2 (en) 2000-09-20 2011-11-01 Epic Systems Corporation Intelligent patient visit information management and navigation system
US6983423B2 (en) 2000-12-22 2006-01-03 Epic Systems Corporation Electronic system for collecting and communicating clinical order information in an acute care setting
US7275220B2 (en) * 2000-12-22 2007-09-25 Epic Systems Corporation System and method for a seamless user interface for an integrated electronic health care information system
US20020120472A1 (en) * 2000-12-22 2002-08-29 Dvorak Carl D. System and method for integration of health care records
US20020138746A1 (en) * 2001-03-23 2002-09-26 Mark Buttner Method of generating a secure output file
US20020138636A1 (en) * 2001-03-23 2002-09-26 Mark Buttner Method for automatically mass generating personalized data report outputs
US20030065526A1 (en) * 2001-10-01 2003-04-03 Daniela Giacchetti Historical beauty record
US20040083207A1 (en) * 2002-03-18 2004-04-29 Jeffries David J. Multiple option search technology
US20030220815A1 (en) * 2002-03-25 2003-11-27 Cathy Chang System and method of automatically determining and displaying tasks to healthcare providers in a care-giving setting
US20040010422A1 (en) * 2002-05-20 2004-01-15 Cliff Michalski Method and apparatus for batch-processed invoicing
BR0311367A (en) * 2002-05-28 2005-02-22 Ortho Tain Inc Method and system for distributing a preformed dental device to a patient
US7979294B2 (en) 2002-07-31 2011-07-12 Epic Systems Corporation System and method for providing decision support to appointment schedulers in a healthcare setting
US20040152036A1 (en) * 2002-09-10 2004-08-05 Amir Abolfathi Architecture for treating teeth
US20040197728A1 (en) * 2002-09-10 2004-10-07 Amir Abolfathi Architecture for treating teeth
US20040172520A1 (en) * 2002-09-19 2004-09-02 Michael Smit Methods and apparatus for visually creating complex expressions that inform a rules-based system of clinical decision support
US20040088188A1 (en) * 2002-11-01 2004-05-06 Hamadeh Mohamed Ali Method and apparatus for reconciling patient and procedure information in a medical facility computer network and imaging system
US20050010450A1 (en) * 2003-05-05 2005-01-13 Geodigm Corporation Method and apparatus for utilizing electronic models of patient teeth in interdisciplinary dental treatment plans
JP2005070898A (en) * 2003-08-20 2005-03-17 Toshiba Corp Information processor and display control method
US20050114177A1 (en) * 2003-11-26 2005-05-26 Sweeney Patrick J. System and method for accessing health care procedures
US7880751B2 (en) * 2004-02-27 2011-02-01 Align Technology, Inc. Method and system for providing dynamic orthodontic assessment and treatment profiles
US9492245B2 (en) * 2004-02-27 2016-11-15 Align Technology, Inc. Method and system for providing dynamic orthodontic assessment and treatment profiles
US7904308B2 (en) 2006-04-18 2011-03-08 Align Technology, Inc. Method and system for providing indexing and cataloguing of orthodontic related treatment profiles and options
US8260591B2 (en) * 2004-04-29 2012-09-04 Align Technology, Inc. Dynamically specifying a view
DE102005016852A1 (en) * 2004-06-30 2006-02-09 Siemens Ag Time management system for medical applications, especially in the clinical environment
US7904306B2 (en) 2004-09-01 2011-03-08 Search America, Inc. Method and apparatus for assessing credit for healthcare patients
US8140370B2 (en) 2005-01-20 2012-03-20 Epic Systems Corporation System and method for reducing the steps involved in searching for available appointment times and scheduling appointments in a health care environment
US20070046653A1 (en) * 2005-09-01 2007-03-01 Halfpenny Technologies, Inc. Digital pen methods and apparatus for healthcare systems
US7711636B2 (en) 2006-03-10 2010-05-04 Experian Information Solutions, Inc. Systems and methods for analyzing data
US8799148B2 (en) 2006-08-31 2014-08-05 Rohan K. K. Chandran Systems and methods of ranking a plurality of credit card offers
US11887175B2 (en) 2006-08-31 2024-01-30 Cpl Assets, Llc Automatically determining a personalized set of programs or products including an interactive graphical user interface
US8036979B1 (en) 2006-10-05 2011-10-11 Experian Information Solutions, Inc. System and method for generating a finance attribute from tradeline data
US20080288289A1 (en) * 2007-05-14 2008-11-20 Align Technology, Inc. Method and system for efficient orthodontic treatment information management
US20080294540A1 (en) 2007-05-25 2008-11-27 Celka Christopher J System and method for automated detection of never-pay data sets
US7878805B2 (en) 2007-05-25 2011-02-01 Align Technology, Inc. Tabbed dental appliance
US8738394B2 (en) 2007-11-08 2014-05-27 Eric E. Kuo Clinical data file
US8108189B2 (en) 2008-03-25 2012-01-31 Align Technologies, Inc. Reconstruction of non-visible part of tooth
US9492243B2 (en) 2008-05-23 2016-11-15 Align Technology, Inc. Dental implant positioning
US8092215B2 (en) 2008-05-23 2012-01-10 Align Technology, Inc. Smile designer
US8172569B2 (en) 2008-06-12 2012-05-08 Align Technology, Inc. Dental appliance
US7991689B1 (en) 2008-07-23 2011-08-02 Experian Information Solutions, Inc. Systems and methods for detecting bust out fraud using credit data
US9256904B1 (en) 2008-08-14 2016-02-09 Experian Information Solutions, Inc. Multi-bureau credit file freeze and unfreeze
US8412593B1 (en) 2008-10-07 2013-04-02 LowerMyBills.com, Inc. Credit card matching
US8152518B2 (en) 2008-10-08 2012-04-10 Align Technology, Inc. Dental positioning appliance having metallic portion
US8292617B2 (en) 2009-03-19 2012-10-23 Align Technology, Inc. Dental wire attachment
US8765031B2 (en) 2009-08-13 2014-07-01 Align Technology, Inc. Method of forming a dental appliance
EP2504783A4 (en) * 2009-11-24 2015-02-25 Ice Edge Business Solutions Inc Securely sharing design renderings over a network
US9652802B1 (en) 2010-03-24 2017-05-16 Consumerinfo.Com, Inc. Indirect monitoring and reporting of a user's credit data
US9241774B2 (en) 2010-04-30 2016-01-26 Align Technology, Inc. Patterned dental positioning appliance
US9211166B2 (en) 2010-04-30 2015-12-15 Align Technology, Inc. Individualized orthodontic treatment index
US8930262B1 (en) 2010-11-02 2015-01-06 Experian Technology Ltd. Systems and methods of assisted strategy design
US9147042B1 (en) 2010-11-22 2015-09-29 Experian Information Solutions, Inc. Systems and methods for data verification
CN102004858A (en) * 2010-11-29 2011-04-06 北京益家时代科技服务有限公司 Online servo system and evaluation method based on multi-evaluation early warning mechanism
US9558519B1 (en) 2011-04-29 2017-01-31 Consumerinfo.Com, Inc. Exposing reporting cycle information
US9403238B2 (en) 2011-09-21 2016-08-02 Align Technology, Inc. Laser cutting
US9375300B2 (en) 2012-02-02 2016-06-28 Align Technology, Inc. Identifying forces on a tooth
US9220580B2 (en) 2012-03-01 2015-12-29 Align Technology, Inc. Determining a dental treatment difficulty
US9414897B2 (en) 2012-05-22 2016-08-16 Align Technology, Inc. Adjustment of tooth position in a virtual dental model
US10255598B1 (en) 2012-12-06 2019-04-09 Consumerinfo.Com, Inc. Credit card account data extraction
US9697263B1 (en) 2013-03-04 2017-07-04 Experian Information Solutions, Inc. Consumer data request fulfillment system
US20150046184A1 (en) * 2013-08-12 2015-02-12 Dental Imaging Technologies Corporation Managing dental photographs acquired by portable computing devices
WO2015054746A1 (en) * 2013-10-15 2015-04-23 Tod Marcus Alexander Orthodontic treatments
US9610141B2 (en) 2014-09-19 2017-04-04 Align Technology, Inc. Arch expanding appliance
US10449016B2 (en) 2014-09-19 2019-10-22 Align Technology, Inc. Arch adjustment appliance
US9744001B2 (en) 2014-11-13 2017-08-29 Align Technology, Inc. Dental appliance with cavity for an unerupted or erupting tooth
US10504386B2 (en) 2015-01-27 2019-12-10 Align Technology, Inc. Training method and system for oral-cavity-imaging-and-modeling equipment
US11850111B2 (en) * 2015-04-24 2023-12-26 Align Technology, Inc. Comparative orthodontic treatment planning tool
US11931222B2 (en) 2015-11-12 2024-03-19 Align Technology, Inc. Dental attachment formation structures
US11554000B2 (en) 2015-11-12 2023-01-17 Align Technology, Inc. Dental attachment formation structure
US10757154B1 (en) 2015-11-24 2020-08-25 Experian Information Solutions, Inc. Real-time event-based notification system
US11596502B2 (en) 2015-12-09 2023-03-07 Align Technology, Inc. Dental attachment placement structure
US11103330B2 (en) 2015-12-09 2021-08-31 Align Technology, Inc. Dental attachment placement structure
US10383705B2 (en) 2016-06-17 2019-08-20 Align Technology, Inc. Orthodontic appliance performance monitor
WO2017218947A1 (en) 2016-06-17 2017-12-21 Align Technology, Inc. Intraoral appliances with sensing
DK3578131T3 (en) 2016-07-27 2020-12-21 Align Technology Inc Intraoral scanner with dental diagnostic features
WO2018102770A1 (en) 2016-12-02 2018-06-07 Align Technology, Inc. Force control, stop mechanism, regulating structure of removable arch adjustment appliance
WO2018102702A1 (en) 2016-12-02 2018-06-07 Align Technology, Inc. Dental appliance features for speech enhancement
AU2017366755B2 (en) 2016-12-02 2022-07-28 Align Technology, Inc. Methods and apparatuses for customizing rapid palatal expanders using digital models
CN110035708B (en) 2016-12-02 2021-11-05 阿莱恩技术有限公司 Palatal expander and method of expanding a palate
US10548700B2 (en) 2016-12-16 2020-02-04 Align Technology, Inc. Dental appliance etch template
CA3050139A1 (en) 2017-01-31 2018-08-09 Experian Information Solutions, Inc. Massive scale heterogeneous data ingestion and user resolution
US10779718B2 (en) 2017-02-13 2020-09-22 Align Technology, Inc. Cheek retractor and mobile device holder
US10613515B2 (en) 2017-03-31 2020-04-07 Align Technology, Inc. Orthodontic appliances including at least partially un-erupted teeth and method of forming them
US11045283B2 (en) 2017-06-09 2021-06-29 Align Technology, Inc. Palatal expander with skeletal anchorage devices
WO2019005808A1 (en) 2017-06-26 2019-01-03 Align Technology, Inc. Biosensor performance indicator for intraoral appliances
US10735183B1 (en) 2017-06-30 2020-08-04 Experian Information Solutions, Inc. Symmetric encryption for private smart contracts among multiple parties in a private peer-to-peer network
US10885521B2 (en) 2017-07-17 2021-01-05 Align Technology, Inc. Method and apparatuses for interactive ordering of dental aligners
CN111107806B (en) 2017-07-21 2022-04-19 阿莱恩技术有限公司 Jaw profile anchoring
WO2019023461A1 (en) 2017-07-27 2019-01-31 Align Technology, Inc. Tooth shading, transparency and glazing
EP4278957A3 (en) 2017-07-27 2024-01-24 Align Technology, Inc. System and methods for processing an orthodontic aligner by means of an optical coherence tomography
WO2019035979A1 (en) 2017-08-15 2019-02-21 Align Technology, Inc. Buccal corridor assessment and computation
WO2019036677A1 (en) 2017-08-17 2019-02-21 Align Technology, Inc. Dental appliance compliance monitoring
US10813720B2 (en) 2017-10-05 2020-10-27 Align Technology, Inc. Interproximal reduction templates
EP3700458B1 (en) 2017-10-27 2023-06-07 Align Technology, Inc. Alternative bite adjustment structures
CN111295153B (en) 2017-10-31 2023-06-16 阿莱恩技术有限公司 Dental appliance with selective bite loading and controlled tip staggering
EP3703607A2 (en) 2017-11-01 2020-09-09 Align Technology, Inc. Automatic treatment planning
WO2019100022A1 (en) 2017-11-17 2019-05-23 Align Technology, Inc. Orthodontic retainers
EP3716885B1 (en) 2017-11-30 2023-08-30 Align Technology, Inc. Orthodontic intraoral appliances comprising sensors
WO2019118876A1 (en) 2017-12-15 2019-06-20 Align Technology, Inc. Closed loop adaptive orthodontic treatment methods and apparatuses
WO2019141106A1 (en) 2018-01-18 2019-07-25 成都贝施美医疗科技股份有限公司 C/s architecture-based dental beautification ar smart assistance method and apparatus
AU2019212649A1 (en) 2018-01-26 2020-07-02 Align Technology, Inc. Diagnostic intraoral scanning and tracking
US11937991B2 (en) 2018-03-27 2024-03-26 Align Technology, Inc. Dental attachment placement structure
CN116211501A (en) 2018-04-11 2023-06-06 阿莱恩技术有限公司 Palate expander, palate expander device and system, and method for forming palate expander
GB2595041A (en) * 2018-04-19 2021-11-17 SmileDirectClub LLC Arrangements for intraoral scanning
US11620403B2 (en) 2019-01-11 2023-04-04 Experian Information Solutions, Inc. Systems and methods for secure data aggregation and computation
US11837350B2 (en) * 2021-04-20 2023-12-05 Clear Blue Smiles LLC System and method of treatment for correcting tooth malocclusions
EP4337148A2 (en) 2021-05-12 2024-03-20 Accessibe Ltd. Systems and methods for making websites accessible
CN113726772B (en) * 2021-08-30 2023-07-07 深圳平安智慧医健科技有限公司 Method, device, equipment and storage medium for realizing online inquiry session
WO2023117110A1 (en) * 2021-12-23 2023-06-29 Hirsch Dynamics Holding Ag Stand-alone web browser-based or app-based treatment plan viewer

Citations (62)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4793803A (en) * 1987-10-08 1988-12-27 Martz Martin G Removable tooth positioning appliance and method
US4837732A (en) * 1986-06-24 1989-06-06 Marco Brandestini Method and apparatus for the three-dimensional registration and display of prepared teeth
US4937928A (en) * 1987-10-07 1990-07-03 Elephant Edelmetaal B.V. Method of making a dental crown for a dental preparation by means of a CAD-CAM system
US5005126A (en) * 1987-04-09 1991-04-02 Prevail, Inc. System and method for remote presentation of diagnostic image information
US5011405A (en) * 1989-01-24 1991-04-30 Dolphin Imaging Systems Method for determining orthodontic bracket placement
US5053883A (en) * 1988-12-23 1991-10-01 Scientific-Atlanta, Inc. Terminal polling method
US5139419A (en) * 1990-01-19 1992-08-18 Ormco Corporation Method of forming an orthodontic brace
US5273429A (en) * 1992-04-03 1993-12-28 Foster-Miller, Inc. Method and apparatus for modeling a dental prosthesis
US5338198A (en) * 1993-11-22 1994-08-16 Dacim Laboratory Inc. Dental modeling simulator
US5368478A (en) * 1990-01-19 1994-11-29 Ormco Corporation Method for forming jigs for custom placement of orthodontic appliances on teeth
US5395238A (en) * 1990-01-19 1995-03-07 Ormco Corporation Method of forming orthodontic brace
US5431562A (en) * 1990-01-19 1995-07-11 Ormco Corporation Method and apparatus for designing and forming a custom orthodontic appliance and for the straightening of teeth therewith
US5440326A (en) * 1990-03-21 1995-08-08 Gyration, Inc. Gyroscopic pointer
US5447432A (en) * 1990-01-19 1995-09-05 Ormco Corporation Custom orthodontic archwire forming method and apparatus
US5454717A (en) * 1990-01-19 1995-10-03 Ormco Corporation Custom orthodontic brackets and bracket forming method and apparatus
US5474448A (en) * 1990-01-19 1995-12-12 Ormco Corporation Low profile orthodontic appliance
US5533895A (en) * 1990-01-19 1996-07-09 Ormco Corporation Orthodontic appliance and group standardized brackets therefor and methods of making, assembling and using appliance to straighten teeth
US5590248A (en) * 1992-01-02 1996-12-31 General Electric Company Method for reducing the complexity of a polygonal mesh
US5605459A (en) * 1995-04-14 1997-02-25 Unisn Incorporated Method of and apparatus for making a dental set-up model
US5607305A (en) * 1993-07-12 1997-03-04 Nobelpharma Ab Process and device for production of three-dimensional dental bodies
US5683243A (en) * 1992-11-09 1997-11-04 Ormco Corporation Custom orthodontic appliance forming apparatus
US5725376A (en) * 1996-02-27 1998-03-10 Poirier; Michel Methods for manufacturing a dental implant drill guide and a dental implant superstructure
US5742700A (en) * 1995-08-10 1998-04-21 Logicon, Inc. Quantitative dental caries detection system and method
US5799100A (en) * 1996-06-03 1998-08-25 University Of South Florida Computer-assisted method and apparatus for analysis of x-ray images using wavelet transforms
US5851115A (en) * 1993-12-06 1998-12-22 Nobel Biocare Ab Method and arrangement for collecting data for production of replacement dental parts for the human body
US5879158A (en) * 1997-05-20 1999-03-09 Doyle; Walter A. Orthodontic bracketing system and method therefor
US5882192A (en) * 1997-10-30 1999-03-16 Ortho-Tain, Inc. Computerized orthodontic diagnosis and appliance dispenser
US5964587A (en) * 1998-09-16 1999-10-12 Sato; Mikio Bite control point and a method to form a projection on tooth surface
US5975893A (en) * 1997-06-20 1999-11-02 Align Technology, Inc. Method and system for incrementally moving teeth
US5995138A (en) * 1996-07-25 1999-11-30 Image Science Corporation Transparency film digitizer peripheral and transparency film image management and communication system for internet
US6044170A (en) * 1996-03-21 2000-03-28 Real-Time Geometry Corporation System and method for rapid shape digitizing and adaptive mesh generation
US6044309A (en) * 1996-11-07 2000-03-28 Kabushiki Kaisha F A Labo Three-dimensional machining method and recording medium stored with a three-dimensional machining control program
US6049743A (en) * 1996-09-06 2000-04-11 Technology Research Association Of Medical And Welfare Appartus Method of designing dental prosthesis model and computer program product therefor
US6089868A (en) * 1998-05-14 2000-07-18 3M Innovative Properties Company Selection of orthodontic appliances
US6091982A (en) * 1995-05-04 2000-07-18 Sirona Dental Systems Gmbh & Co. Kg Diagnostic installation with a mobile signal pick-up unit and a stationary evaluation unit remote therefrom
US6210168B1 (en) * 1998-03-16 2001-04-03 Medsim Ltd. Doppler ultrasound simulator
US6217334B1 (en) * 1997-01-28 2001-04-17 Iris Development Corporation Dental scanning method and apparatus
US6227850B1 (en) * 1999-05-13 2001-05-08 Align Technology, Inc. Teeth viewing system
US6250918B1 (en) * 1999-11-30 2001-06-26 Orametrix, Inc. Method and apparatus for simulating tooth movement for an orthodontic patient
US6261248B1 (en) * 1999-03-29 2001-07-17 Yoshitomo Takaishi Maxillary tooth dimension determining system
US6283761B1 (en) * 1992-09-08 2001-09-04 Raymond Anthony Joao Apparatus and method for processing and/or for providing healthcare information and/or healthcare-related information
US6315553B1 (en) * 1999-11-30 2001-11-13 Orametrix, Inc. Method and apparatus for site treatment of an orthodontic patient
US6318994B1 (en) * 1999-05-13 2001-11-20 Align Technology, Inc Tooth path treatment plan
US6350120B1 (en) * 1999-11-30 2002-02-26 Orametrix, Inc. Method and apparatus for designing an orthodontic apparatus to provide tooth movement
US20020025503A1 (en) * 1999-12-29 2002-02-28 Eric Chapoulaud Custom orthodontic appliance forming method and apparatus
US20020042038A1 (en) * 1999-05-13 2002-04-11 Miller Ross J. Systems and methods for dental treatment planning
US6371761B1 (en) * 2000-03-30 2002-04-16 Align Technology, Inc. Flexible plane for separating teeth models
US20020048741A1 (en) * 1997-09-22 2002-04-25 3M Innovative Properties Company Methods for use in dental articulation
US6422864B1 (en) * 1998-09-30 2002-07-23 Marc J. Glatt Facial registration tool
US6431870B1 (en) * 1999-11-30 2002-08-13 Ora Metrix, Inc. Method and apparatus for generating a desired three-dimensional digital model of an orthodontic structure
US6464496B1 (en) * 1999-11-30 2002-10-15 Orametrix, Inc. Method and apparatus for determining and monitoring orthodontic treatment
US6471512B1 (en) * 1999-11-30 2002-10-29 Ora Metrix, Inc. Method and apparatus for determining and monitoring orthodontic treatment
US6540512B1 (en) * 1999-11-30 2003-04-01 Orametrix, Inc. Method and apparatus for treating an orthodontic patient
US6575751B1 (en) * 1998-11-03 2003-06-10 Shade Analyzing Technologies, Inc. Interactive dental restorative network
US6633789B1 (en) * 2000-02-17 2003-10-14 Align Technology, Inc. Effiicient data representation of teeth model
US6632089B2 (en) * 1999-11-30 2003-10-14 Orametrix, Inc. Orthodontic treatment planning with user-specified simulation of tooth movement
US6757898B1 (en) * 2000-01-18 2004-06-29 Mckesson Information Solutions, Inc. Electronic provider—patient interface system
US6776614B2 (en) * 2002-02-13 2004-08-17 Lingualcare, Inc. Modular system for customized orthodontic appliances
US20050084826A1 (en) * 2000-01-14 2005-04-21 Pilaro Anthony M. Tooth whitening and image enhancement center method
US7027642B2 (en) * 2000-04-28 2006-04-11 Orametrix, Inc. Methods for registration of three-dimensional frames to create three-dimensional virtual models of objects
US7107226B1 (en) * 1999-01-20 2006-09-12 Net32.Com, Inc. Internet-based on-line comparison shopping system and method of interactive purchase and sale of products
US7156655B2 (en) * 2001-04-13 2007-01-02 Orametrix, Inc. Method and system for comprehensive evaluation of orthodontic treatment using unified workstation

Family Cites Families (122)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2467432A (en) 1943-07-23 1949-04-19 Harold D Kesling Method of making orthodontic appliances and of positioning teeth
US3407500A (en) 1966-05-06 1968-10-29 Peter C. Kesling Tooth positioner
US3660900A (en) 1969-11-10 1972-05-09 Lawrence F Andrews Method and apparatus for improved orthodontic bracket and arch wire technique
US3600808A (en) 1970-01-22 1971-08-24 James Jackson Reeve Anterior root-torquing auxiliary wire
US3860803A (en) 1970-08-24 1975-01-14 Diecomp Inc Automatic method and apparatus for fabricating progressive dies
US3683502A (en) 1970-09-14 1972-08-15 Melvin Wallshein Orthodontic systems
US3738005A (en) 1972-03-22 1973-06-12 M Cohen Method and apparatus for applying orthodontic brackets and the like
US3916526A (en) 1973-05-10 1975-11-04 Fred Frank Schudy Method and apparatus for orthodontic treatment
US3922786A (en) 1974-01-30 1975-12-02 Joseph L Lavin Method and apparatus for forming and fitting orthodontic appliances
US3983628A (en) 1975-01-24 1976-10-05 Raul Acevedo Dental articulator, new bite registration guide, and diagnostic procedure associated with stereodont orthodontic study model
US3950851A (en) 1975-03-05 1976-04-20 Bergersen Earl Olaf Orthodontic positioner and method for improving retention of tooth alignment therewith
US4014096A (en) 1975-03-25 1977-03-29 Dellinger Eugene L Method and apparatus for orthodontic treatment
JPS5358191A (en) 1976-11-05 1978-05-25 Osamu Yoshii Method of producing dental correction treating instrument using silicon resin material
US4348178A (en) 1977-01-03 1982-09-07 Kurz Craven H Vibrational orthodontic appliance
US4195046A (en) 1978-05-04 1980-03-25 Kesling Peter C Method for molding air holes into a tooth positioning and retaining appliance
US4324547A (en) 1978-09-16 1982-04-13 Vishay Intertechnology, Inc. Dentistry technique
US4253828A (en) 1979-04-09 1981-03-03 Coles Donna C Orthodontic appliance
DE2936847A1 (en) 1979-09-12 1981-03-19 Paul Dr. 6054 Rodgau Heitlinger METHOD FOR PRODUCING DENTAL SPARE AND DEVICE FOR IMPLEMENTING THE METHOD
US4575805A (en) 1980-12-24 1986-03-11 Moermann Werner H Method and apparatus for the fabrication of custom-shaped implants
DE3203937C2 (en) 1982-02-05 1985-10-03 Luc Dr. 4150 Krefeld Barrut Method and device for machine restoration or correction of at least one tooth or for machine preparation of at least one tooth for a fixed prosthetic restoration and for machine production of the fixed prosthetic restoration
FR2525103B1 (en) 1982-04-14 1985-09-27 Duret Francois IMPRESSION TAKING DEVICE BY OPTICAL MEANS, PARTICULARLY FOR THE AUTOMATIC PRODUCTION OF PROSTHESES
US4663720A (en) 1984-02-21 1987-05-05 Francois Duret Method of and apparatus for making a prosthesis, especially a dental prosthesis
US4500294A (en) 1983-10-03 1985-02-19 Epic International Corporation Method and device for detecting dental cavities
US4526540A (en) 1983-12-19 1985-07-02 Dellinger Eugene L Orthodontic apparatus and method for treating malocclusion
DE3415006A1 (en) 1984-04-19 1985-11-07 Helge Dr. 8000 München Fischer-Brandies DENTAL PROCESS AND DEVICE FOR BENDING AND TURNING A WIRE PIECE
US4798534A (en) 1984-08-03 1989-01-17 Great Lakes Orthodontic Laboratories Inc. Method of making a dental appliance
US4575330A (en) 1984-08-08 1986-03-11 Uvp, Inc. Apparatus for production of three-dimensional objects by stereolithography
US4609349A (en) 1984-09-24 1986-09-02 Cain Steve B Active removable orthodontic appliance and method of straightening teeth
US4591341A (en) 1984-10-03 1986-05-27 Andrews Lawrence F Orthodontic positioner and method of manufacturing same
US4664626A (en) 1985-03-19 1987-05-12 Kesling Peter C System for automatically preventing overtipping and/or overuprighting in the begg technique
US4763791A (en) 1985-06-06 1988-08-16 Excel Dental Studios, Inc. Dental impression supply kit
GB2176402B (en) 1985-06-20 1989-04-19 Craig Med Prod Ltd Wound management appliance for use on the human skin
US4936862A (en) 1986-05-30 1990-06-26 Walker Peter S Method of designing and manufacturing a human joint prosthesis
US4877398A (en) 1987-04-16 1989-10-31 Tp Orthodontics, Inc. Bracket for permitting tipping and limiting uprighting
CA1284040C (en) 1986-06-26 1991-05-14 Peter C. Kesling Edgewise bracket to provide both free crown tipping and a predetermineddegree of root uprighting
US4676747A (en) 1986-08-06 1987-06-30 Tp Orthodontics, Inc. Torquing auxiliary
US4983334A (en) 1986-08-28 1991-01-08 Loren S. Adell Method of making an orthodontic appliance
US4755139A (en) 1987-01-29 1988-07-05 Great Lakes Orthodontics, Ltd. Orthodontic anchor appliance and method for teeth positioning and method of constructing the appliance
US4850864A (en) 1987-03-30 1989-07-25 Diamond Michael K Bracket placing instrument
US4850865A (en) 1987-04-30 1989-07-25 Napolitano John R Orthodontic method and apparatus
US5186623A (en) 1987-05-05 1993-02-16 Great Lakes Orthodontics, Ltd. Orthodontic finishing positioner and method of construction
US4856991A (en) 1987-05-05 1989-08-15 Great Lakes Orthodontics, Ltd. Orthodontic finishing positioner and method of construction
US4836778A (en) 1987-05-26 1989-06-06 Vexcel Corporation Mandibular motion monitoring system
DE3723555C2 (en) 1987-07-16 1994-08-11 Steinbichler Hans Process for the production of dentures
US4880380A (en) 1987-10-13 1989-11-14 Martz Martin G Orthodonture appliance which may be manually installed and removed by the patient
US5130064A (en) 1988-04-18 1992-07-14 3D Systems, Inc. Method of making a three dimensional object by stereolithography
US4941826A (en) 1988-06-09 1990-07-17 William Loran Apparatus for indirect dental machining
US5100316A (en) 1988-09-26 1992-03-31 Wildman Alexander J Orthodontic archwire shaping method
US5055039A (en) 1988-10-06 1991-10-08 Great Lakes Orthodontics, Ltd. Orthodontic positioner and methods of making and using same
US4935635A (en) 1988-12-09 1990-06-19 Harra Dale G O System for measuring objects in three dimensions
IL88842A (en) 1988-12-30 1990-07-26 Shafir Aaron Apparatus and method for digitizing the contour of a surface particularly useful for preparing a dental crown
WO1990008505A1 (en) 1989-01-24 1990-08-09 Dolphin Imaging Systems Inc. Method and apparatus for generating cephalometric images
US4889238A (en) 1989-04-03 1989-12-26 The Procter & Gamble Company Medicament package for increasing compliance with complex therapeutic regimens
US4975052A (en) 1989-04-18 1990-12-04 William Spencer Orthodontic appliance for reducing tooth rotation
US5121333A (en) 1989-06-09 1992-06-09 Regents Of The University Of Minnesota Method and apparatus for manipulating computer-based representations of objects of complex and unique geometry
US5184306A (en) 1989-06-09 1993-02-02 Regents Of The University Of Minnesota Automated high-precision fabrication of objects of complex and unique geometry
US5257203A (en) * 1989-06-09 1993-10-26 Regents Of The University Of Minnesota Method and apparatus for manipulating computer-based representations of objects of complex and unique geometry
US5128870A (en) 1989-06-09 1992-07-07 Regents Of The University Of Minnesota Automated high-precision fabrication of objects of complex and unique geometry
US5027281A (en) 1989-06-09 1991-06-25 Regents Of The University Of Minnesota Method and apparatus for scanning and recording of coordinates describing three dimensional objects of complex and unique geometry
JPH039712U (en) 1989-06-20 1991-01-30
FR2652256A1 (en) 1989-09-26 1991-03-29 Jourda Gerard DEVICE FOR ESTABLISHING THE TRACE OF A REMOVABLE PARTIAL DENTAL PLATE.
US5562448A (en) 1990-04-10 1996-10-08 Mushabac; David R. Method for facilitating dental diagnosis and treatment
US5569578A (en) 1990-04-10 1996-10-29 Mushabac; David R. Method and apparatus for effecting change in shape of pre-existing object
JPH0428359A (en) 1990-05-24 1992-01-30 Mitsubishi Petrochem Co Ltd Manufacture of mouthpiece for teeth set correction
US5452219A (en) 1990-06-11 1995-09-19 Dentsply Research & Development Corp. Method of making a tooth mold
US5340309A (en) 1990-09-06 1994-08-23 Robertson James G Apparatus and method for recording jaw motion
SE468198B (en) 1990-12-12 1992-11-23 Nobelpharma Ab PROCEDURE AND DEVICE FOR MANUFACTURE OF INDIVIDUALLY DESIGNED THREE-DIMENSIONAL BODIES USEFUL AS TENDERS, PROTESTES, ETC
US5131844A (en) 1991-04-08 1992-07-21 Foster-Miller, Inc. Contact digitizer, particularly for dental applications
US5131843A (en) 1991-05-06 1992-07-21 Ormco Corporation Orthodontic archwire
US5145364A (en) 1991-05-15 1992-09-08 M-B Orthodontics, Inc. Removable orthodontic appliance
US5176517A (en) 1991-10-24 1993-01-05 Tru-Tain, Inc. Dental undercut application device and method of use
SE469158B (en) 1991-11-01 1993-05-24 Nobelpharma Ab DENTAL SENSOR DEVICE INTENDED TO BE USED IN CONNECTION WITH CONTROL OF A WORKING EQUIPMENT
US5328362A (en) 1992-03-11 1994-07-12 Watson Sherman L Soft resilient interocclusal dental appliance, method of forming same and composition for same
US5384862A (en) 1992-05-29 1995-01-24 Cimpiter Corporation Radiographic image evaluation apparatus and method
FR2693096B1 (en) 1992-07-06 1994-09-23 Deshayes Marie Josephe Process for modeling the cranial and facial morphology from an x-ray of the skull.
US5542842A (en) 1992-11-09 1996-08-06 Ormco Corporation Bracket placement jig assembly and method of placing orthodontic brackets on teeth therewith
US5456600A (en) 1992-11-09 1995-10-10 Ormco Corporation Coordinated orthodontic archwires and method of making same
US5528735A (en) 1993-03-23 1996-06-18 Silicon Graphics Inc. Method and apparatus for displaying data within a three-dimensional information landscape
SE501333C2 (en) 1993-05-27 1995-01-16 Sandvik Ab Method for making ceramic tooth restorations
SE501411C2 (en) 1993-07-12 1995-02-06 Nobelpharma Ab Method and apparatus for three-dimensional body useful in the human body
CN1054737C (en) 1993-07-12 2000-07-26 欧索-泰公司 A multi-racial preformed orthodontic treatment appliance
NL9301308A (en) 1993-07-26 1995-02-16 Willem Frederick Van Nifterick Method of securing a dental prosthesis to implants in a patient's jawbone and using means thereof.
US5382164A (en) 1993-07-27 1995-01-17 Stern; Sylvan S. Method for making dental restorations and the dental restoration made thereby
US5435902A (en) 1993-10-01 1995-07-25 Andre, Sr.; Larry E. Method of incremental object fabrication
SE502427C2 (en) 1994-02-18 1995-10-16 Nobelpharma Ab Method and device utilizing articulator and computer equipment
US5621648A (en) 1994-08-02 1997-04-15 Crump; Craig D. Apparatus and method for creating three-dimensional modeling data from an object
US5880961A (en) 1994-08-02 1999-03-09 Crump; Craig D. Appararus and method for creating three-dimensional modeling data from an object
SE503498C2 (en) 1994-10-04 1996-06-24 Nobelpharma Ab Method and device for a product intended to be part of the human body and a scanning device for a model for the product
US5549476A (en) 1995-03-27 1996-08-27 Stern; Sylvan S. Method for making dental restorations and the dental restoration made thereby
US5645421A (en) 1995-04-28 1997-07-08 Great Lakes Orthodontics Ltd. Orthodontic appliance debonder
US5655653A (en) 1995-07-11 1997-08-12 Minnesota Mining And Manufacturing Company Pouch for orthodontic appliance
DE69626287T2 (en) 1995-07-21 2003-11-27 Cadent Ltd METHOD AND SYSTEM FOR THREE-DIMENSIONAL IMAGE DETECTION OF TEETH
US6382975B1 (en) 1997-02-26 2002-05-07 Technique D'usinage Sinlab Inc. Manufacturing a dental implant drill guide and a dental implant superstructure
US5692894A (en) 1996-04-08 1997-12-02 Raintree Essix, Inc. Thermoformed plastic dental retainer and method of construction
US5823778A (en) * 1996-06-14 1998-10-20 The United States Of America As Represented By The Secretary Of The Air Force Imaging method for fabricating dental devices
US5725378A (en) 1996-08-16 1998-03-10 Wang; Hong-Chi Artificial tooth assembly
AUPO280996A0 (en) 1996-10-04 1996-10-31 Dentech Investments Pty Ltd Creation and utilization of 3D teeth models
SE9603677L (en) 1996-10-08 1998-04-09 Afp Imaging Corp Operational network for digital dental imaging
SE509141C2 (en) 1997-04-10 1998-12-07 Nobel Biocare Ab Arrangements and systems for dental product production and information provision
US5957686A (en) 1997-04-29 1999-09-28 Anthony; Wayne L. Incisor block
US5848115A (en) 1997-05-02 1998-12-08 General Electric Company Computed tomography metrology
US5866058A (en) 1997-05-29 1999-02-02 Stratasys Inc. Method for rapid prototyping of solid models
AU744385B2 (en) 1997-06-20 2002-02-21 Align Technology, Inc. Method and system for incrementally moving teeth
US6705863B2 (en) 1997-06-20 2004-03-16 Align Technology, Inc. Attachment devices and methods for a dental appliance
US6183248B1 (en) 1998-11-30 2001-02-06 Muhammad Chishti System and method for releasing tooth positioning appliances
US6309215B1 (en) 1997-06-20 2001-10-30 Align Technology Inc. Attachment devices and method for a dental applicance
US5934288A (en) 1998-04-23 1999-08-10 General Electric Company Method and apparatus for displaying 3D ultrasound data using three modes of operation
US5971754A (en) 1998-07-30 1999-10-26 Sondhi; Anoop Indirect bonding method and adhesive for orthodontic treatment
US6572372B1 (en) 2000-04-25 2003-06-03 Align Technology, Inc. Embedded features and methods of a dental appliance
US6123544A (en) 1998-12-18 2000-09-26 3M Innovative Properties Company Method and apparatus for precise bond placement of orthodontic appliances
US6190165B1 (en) 1999-03-23 2001-02-20 Ormco Corporation Plastic orthodontic appliance having mechanical bonding base and method of making same
US6587828B1 (en) 1999-11-30 2003-07-01 Ora Metrix, Inc. Method and apparatus for automated generation of a patient treatment plan
US6648640B2 (en) 1999-11-30 2003-11-18 Ora Metrix, Inc. Interactive orthodontic care system based on intra-oral scanning of teeth
US7003472B2 (en) 1999-11-30 2006-02-21 Orametrix, Inc. Method and apparatus for automated generation of a patient treatment plan
US6463344B1 (en) 2000-02-17 2002-10-08 Align Technology, Inc. Efficient data representation of teeth model
US7904307B2 (en) 2000-03-24 2011-03-08 Align Technology, Inc. Health-care e-commerce systems and methods
US20020188478A1 (en) 2000-03-24 2002-12-12 Joe Breeland Health-care systems and methods
US6971873B2 (en) 2000-04-19 2005-12-06 Orametrix, Inc. Virtual bracket library and uses thereof in orthodontic treatment planning
US6524101B1 (en) 2000-04-25 2003-02-25 Align Technology, Inc. System and methods for varying elastic modulus appliances
US6402707B1 (en) 2000-06-28 2002-06-11 Denupp Corporation Bvi Method and system for real time intra-orally acquiring and registering three-dimensional measurements and images of intra-oral objects and features
US6482298B1 (en) 2000-09-27 2002-11-19 International Business Machines Corporation Apparatus for electroplating alloy films
US7104790B2 (en) 2002-05-31 2006-09-12 Cronauer Edward A Orthodontic appliance with embedded wire for moving teeth and method

Patent Citations (69)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4837732A (en) * 1986-06-24 1989-06-06 Marco Brandestini Method and apparatus for the three-dimensional registration and display of prepared teeth
US5005126A (en) * 1987-04-09 1991-04-02 Prevail, Inc. System and method for remote presentation of diagnostic image information
US4937928A (en) * 1987-10-07 1990-07-03 Elephant Edelmetaal B.V. Method of making a dental crown for a dental preparation by means of a CAD-CAM system
US4793803A (en) * 1987-10-08 1988-12-27 Martz Martin G Removable tooth positioning appliance and method
US5053883A (en) * 1988-12-23 1991-10-01 Scientific-Atlanta, Inc. Terminal polling method
US5011405A (en) * 1989-01-24 1991-04-30 Dolphin Imaging Systems Method for determining orthodontic bracket placement
US5139419A (en) * 1990-01-19 1992-08-18 Ormco Corporation Method of forming an orthodontic brace
US5533895A (en) * 1990-01-19 1996-07-09 Ormco Corporation Orthodontic appliance and group standardized brackets therefor and methods of making, assembling and using appliance to straighten teeth
US5454717A (en) * 1990-01-19 1995-10-03 Ormco Corporation Custom orthodontic brackets and bracket forming method and apparatus
US5368478A (en) * 1990-01-19 1994-11-29 Ormco Corporation Method for forming jigs for custom placement of orthodontic appliances on teeth
US5395238A (en) * 1990-01-19 1995-03-07 Ormco Corporation Method of forming orthodontic brace
US5431562A (en) * 1990-01-19 1995-07-11 Ormco Corporation Method and apparatus for designing and forming a custom orthodontic appliance and for the straightening of teeth therewith
US5474448A (en) * 1990-01-19 1995-12-12 Ormco Corporation Low profile orthodontic appliance
US5447432A (en) * 1990-01-19 1995-09-05 Ormco Corporation Custom orthodontic archwire forming method and apparatus
US5440326A (en) * 1990-03-21 1995-08-08 Gyration, Inc. Gyroscopic pointer
US5590248A (en) * 1992-01-02 1996-12-31 General Electric Company Method for reducing the complexity of a polygonal mesh
US5273429A (en) * 1992-04-03 1993-12-28 Foster-Miller, Inc. Method and apparatus for modeling a dental prosthesis
US6283761B1 (en) * 1992-09-08 2001-09-04 Raymond Anthony Joao Apparatus and method for processing and/or for providing healthcare information and/or healthcare-related information
US6616444B2 (en) * 1992-11-09 2003-09-09 Ormco Corporation Custom orthodontic appliance forming method and apparatus
US6015289A (en) * 1992-11-09 2000-01-18 Ormco Corporation Custom orthodontic appliance forming method and apparatus
US5683243A (en) * 1992-11-09 1997-11-04 Ormco Corporation Custom orthodontic appliance forming apparatus
US6244861B1 (en) * 1992-11-09 2001-06-12 Ormco Corporation Custom orthodontic appliance forming method and apparatus
US20020006597A1 (en) * 1992-11-09 2002-01-17 Ormco Corporation Custom orthodontic appliance forming method and apparatus
US5607305A (en) * 1993-07-12 1997-03-04 Nobelpharma Ab Process and device for production of three-dimensional dental bodies
US5338198A (en) * 1993-11-22 1994-08-16 Dacim Laboratory Inc. Dental modeling simulator
US5851115A (en) * 1993-12-06 1998-12-22 Nobel Biocare Ab Method and arrangement for collecting data for production of replacement dental parts for the human body
US5605459A (en) * 1995-04-14 1997-02-25 Unisn Incorporated Method of and apparatus for making a dental set-up model
US6091982A (en) * 1995-05-04 2000-07-18 Sirona Dental Systems Gmbh & Co. Kg Diagnostic installation with a mobile signal pick-up unit and a stationary evaluation unit remote therefrom
US5742700A (en) * 1995-08-10 1998-04-21 Logicon, Inc. Quantitative dental caries detection system and method
US5725376A (en) * 1996-02-27 1998-03-10 Poirier; Michel Methods for manufacturing a dental implant drill guide and a dental implant superstructure
US6044170A (en) * 1996-03-21 2000-03-28 Real-Time Geometry Corporation System and method for rapid shape digitizing and adaptive mesh generation
US6205243B1 (en) * 1996-03-21 2001-03-20 Viewpoint Corp. System and method for rapid shape digitizing and adaptive mesh generation
US5799100A (en) * 1996-06-03 1998-08-25 University Of South Florida Computer-assisted method and apparatus for analysis of x-ray images using wavelet transforms
US5995138A (en) * 1996-07-25 1999-11-30 Image Science Corporation Transparency film digitizer peripheral and transparency film image management and communication system for internet
US6049743A (en) * 1996-09-06 2000-04-11 Technology Research Association Of Medical And Welfare Appartus Method of designing dental prosthesis model and computer program product therefor
US6044309A (en) * 1996-11-07 2000-03-28 Kabushiki Kaisha F A Labo Three-dimensional machining method and recording medium stored with a three-dimensional machining control program
US6217334B1 (en) * 1997-01-28 2001-04-17 Iris Development Corporation Dental scanning method and apparatus
US5879158A (en) * 1997-05-20 1999-03-09 Doyle; Walter A. Orthodontic bracketing system and method therefor
US5975893A (en) * 1997-06-20 1999-11-02 Align Technology, Inc. Method and system for incrementally moving teeth
US6217325B1 (en) * 1997-06-20 2001-04-17 Align Technology, Inc. Method and system for incrementally moving teeth
US20020048741A1 (en) * 1997-09-22 2002-04-25 3M Innovative Properties Company Methods for use in dental articulation
US5882192A (en) * 1997-10-30 1999-03-16 Ortho-Tain, Inc. Computerized orthodontic diagnosis and appliance dispenser
US6210168B1 (en) * 1998-03-16 2001-04-03 Medsim Ltd. Doppler ultrasound simulator
US6089868A (en) * 1998-05-14 2000-07-18 3M Innovative Properties Company Selection of orthodontic appliances
US6350119B1 (en) * 1998-05-14 2002-02-26 3M Innovative Properties Company Selection of orthodontic appliances
US5964587A (en) * 1998-09-16 1999-10-12 Sato; Mikio Bite control point and a method to form a projection on tooth surface
US6422864B1 (en) * 1998-09-30 2002-07-23 Marc J. Glatt Facial registration tool
US6575751B1 (en) * 1998-11-03 2003-06-10 Shade Analyzing Technologies, Inc. Interactive dental restorative network
US7107226B1 (en) * 1999-01-20 2006-09-12 Net32.Com, Inc. Internet-based on-line comparison shopping system and method of interactive purchase and sale of products
US6261248B1 (en) * 1999-03-29 2001-07-17 Yoshitomo Takaishi Maxillary tooth dimension determining system
US6318994B1 (en) * 1999-05-13 2001-11-20 Align Technology, Inc Tooth path treatment plan
US20020042038A1 (en) * 1999-05-13 2002-04-11 Miller Ross J. Systems and methods for dental treatment planning
US6227850B1 (en) * 1999-05-13 2001-05-08 Align Technology, Inc. Teeth viewing system
US6540512B1 (en) * 1999-11-30 2003-04-01 Orametrix, Inc. Method and apparatus for treating an orthodontic patient
US6250918B1 (en) * 1999-11-30 2001-06-26 Orametrix, Inc. Method and apparatus for simulating tooth movement for an orthodontic patient
US6431870B1 (en) * 1999-11-30 2002-08-13 Ora Metrix, Inc. Method and apparatus for generating a desired three-dimensional digital model of an orthodontic structure
US6464496B1 (en) * 1999-11-30 2002-10-15 Orametrix, Inc. Method and apparatus for determining and monitoring orthodontic treatment
US6471512B1 (en) * 1999-11-30 2002-10-29 Ora Metrix, Inc. Method and apparatus for determining and monitoring orthodontic treatment
US6632089B2 (en) * 1999-11-30 2003-10-14 Orametrix, Inc. Orthodontic treatment planning with user-specified simulation of tooth movement
US6315553B1 (en) * 1999-11-30 2001-11-13 Orametrix, Inc. Method and apparatus for site treatment of an orthodontic patient
US6350120B1 (en) * 1999-11-30 2002-02-26 Orametrix, Inc. Method and apparatus for designing an orthodontic apparatus to provide tooth movement
US20020025503A1 (en) * 1999-12-29 2002-02-28 Eric Chapoulaud Custom orthodontic appliance forming method and apparatus
US20050084826A1 (en) * 2000-01-14 2005-04-21 Pilaro Anthony M. Tooth whitening and image enhancement center method
US6757898B1 (en) * 2000-01-18 2004-06-29 Mckesson Information Solutions, Inc. Electronic provider—patient interface system
US6633789B1 (en) * 2000-02-17 2003-10-14 Align Technology, Inc. Effiicient data representation of teeth model
US6371761B1 (en) * 2000-03-30 2002-04-16 Align Technology, Inc. Flexible plane for separating teeth models
US7027642B2 (en) * 2000-04-28 2006-04-11 Orametrix, Inc. Methods for registration of three-dimensional frames to create three-dimensional virtual models of objects
US7156655B2 (en) * 2001-04-13 2007-01-02 Orametrix, Inc. Method and system for comprehensive evaluation of orthodontic treatment using unified workstation
US6776614B2 (en) * 2002-02-13 2004-08-17 Lingualcare, Inc. Modular system for customized orthodontic appliances

Non-Patent Citations (3)

* Cited by examiner, † Cited by third party
Title
Google patents search, 09/03/2015 *
Web-based 3D online crown preparation course for dental students by Heiko Spallek, DMD, PhD, Ronald Kaiser, Kenneth Boberick, DMD, Daniel Boston, DMD and Titus Schleyer, DMD, PhD, Department of Dental Informatics and Department of Restorative dentistry, Temple University School of Dentistry, Philadelphia, USA, University of Applied science,Germany *
WO1998058596A1, Chishti et al., Publication Date: 12/30/1998 *

Cited By (121)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7945492B1 (en) 1998-12-23 2011-05-17 Jpmorgan Chase Bank, N.A. System and method for integrating trading operations including the generation, processing and tracking of and trade documents
US8793160B2 (en) 1999-12-07 2014-07-29 Steve Sorem System and method for processing transactions
US11798046B2 (en) 2000-03-24 2023-10-24 Align Technology, Inc. Health-care systems and methods
US10332164B2 (en) 2000-03-24 2019-06-25 Align Technology, Inc. Health-care E-commerce systems and methods
US8533031B2 (en) 2000-10-17 2013-09-10 Jpmorgan Chase Bank, N.A. Method and system for retaining customer loyalty
US10380374B2 (en) 2001-04-20 2019-08-13 Jpmorgan Chase Bank, N.A. System and method for preventing identity theft or misuse by restricting access
US8849716B1 (en) 2001-04-20 2014-09-30 Jpmorgan Chase Bank, N.A. System and method for preventing identity theft or misuse by restricting access
US8160960B1 (en) 2001-06-07 2012-04-17 Jpmorgan Chase Bank, N.A. System and method for rapid updating of credit information
US8185940B2 (en) 2001-07-12 2012-05-22 Jpmorgan Chase Bank, N.A. System and method for providing discriminated content to network users
US8020754B2 (en) 2001-08-13 2011-09-20 Jpmorgan Chase Bank, N.A. System and method for funding a collective account by use of an electronic tag
US8707410B2 (en) 2001-12-04 2014-04-22 Jpmorgan Chase Bank, N.A. System and method for single session sign-on
US7987501B2 (en) 2001-12-04 2011-07-26 Jpmorgan Chase Bank, N.A. System and method for single session sign-on
US8301493B2 (en) 2002-11-05 2012-10-30 Jpmorgan Chase Bank, N.A. System and method for providing incentives to consumers to share information
US8145549B2 (en) 2003-05-30 2012-03-27 Jpmorgan Chase Bank, N.A. System and method for offering risk-based interest rates in a credit instutment
US8306907B2 (en) 2003-05-30 2012-11-06 Jpmorgan Chase Bank N.A. System and method for offering risk-based interest rates in a credit instrument
US7174335B2 (en) * 2003-08-28 2007-02-06 Kameda Medical Information Laboratory Medical information system and computer program product
US20050049897A1 (en) * 2003-08-28 2005-03-03 Kameda Medical Information Laboratory Medical information system and computer program product
US8175908B1 (en) 2003-09-04 2012-05-08 Jpmorgan Chase Bank, N.A. Systems and methods for constructing and utilizing a merchant database derived from customer purchase transactions data
US8447672B2 (en) 2005-05-27 2013-05-21 Jp Morgan Chase Bank, N.A. Universal payment protection
US8447670B1 (en) 2005-05-27 2013-05-21 Jp Morgan Chase Bank, N.A. Universal payment protection
US8473395B1 (en) 2005-05-27 2013-06-25 Jpmorgan Chase Bank, Na Universal payment protection
US7925578B1 (en) 2005-08-26 2011-04-12 Jpmorgan Chase Bank, N.A. Systems and methods for performing scoring optimization
US10290054B2 (en) 2005-08-26 2019-05-14 Jpmorgan Chase Bank, N.A. Systems and methods for performing scoring optimization
US8762260B2 (en) 2005-08-26 2014-06-24 Jpmorgan Chase Bank, N.A. Systems and methods for performing scoring optimization
US20070168223A1 (en) * 2005-10-12 2007-07-19 Steven Lawrence Fors Configurable clinical information system and method of use
US8337539B2 (en) 2006-02-22 2012-12-25 Zeltiq Aesthetics, Inc. Cooling device for removing heat from subcutaneous lipid-rich cells
US7854754B2 (en) 2006-02-22 2010-12-21 Zeltiq Aesthetics, Inc. Cooling device for removing heat from subcutaneous lipid-rich cells
US20070214011A1 (en) * 2006-03-08 2007-09-13 Hospital Transitions, Llc Patient Discharge System and Associated Methods
US11219549B2 (en) 2006-09-26 2022-01-11 Zeltiq Aesthetics, Inc. Cooling device having a plurality of controllable cooling elements to provide a predetermined cooling profile
US11395760B2 (en) 2006-09-26 2022-07-26 Zeltiq Aesthetics, Inc. Tissue treatment methods
US8192474B2 (en) 2006-09-26 2012-06-05 Zeltiq Aesthetics, Inc. Tissue treatment methods
US10292859B2 (en) 2006-09-26 2019-05-21 Zeltiq Aesthetics, Inc. Cooling device having a plurality of controllable cooling elements to provide a predetermined cooling profile
US9375345B2 (en) 2006-09-26 2016-06-28 Zeltiq Aesthetics, Inc. Cooling device having a plurality of controllable cooling elements to provide a predetermined cooling profile
US9132031B2 (en) 2006-09-26 2015-09-15 Zeltiq Aesthetics, Inc. Cooling device having a plurality of controllable cooling elements to provide a predetermined cooling profile
US11179269B2 (en) 2006-09-26 2021-11-23 Zeltiq Aesthetics, Inc. Cooling device having a plurality of controllable cooling elements to provide a predetermined cooling profile
US7720696B1 (en) * 2007-02-26 2010-05-18 Mk3Sd, Ltd Computerized system for tracking health conditions of users
US11291606B2 (en) 2007-05-18 2022-04-05 Zeltiq Aesthetics, Inc. Treatment apparatus for removing heat from subcutaneous lipid-rich cells and massaging tissue
US10383787B2 (en) 2007-05-18 2019-08-20 Zeltiq Aesthetics, Inc. Treatment apparatus for removing heat from subcutaneous lipid-rich cells and massaging tissue
US8523927B2 (en) 2007-07-13 2013-09-03 Zeltiq Aesthetics, Inc. System for treating lipid-rich regions
US9655770B2 (en) 2007-07-13 2017-05-23 Zeltiq Aesthetics, Inc. System for treating lipid-rich regions
US11583438B1 (en) 2007-08-21 2023-02-21 Zeltiq Aesthetics, Inc. Monitoring the cooling of subcutaneous lipid-rich cells, such as the cooling of adipose tissue
US20090149929A1 (en) * 2007-08-21 2009-06-11 Levinson Mitchell E Monitoring the cooling of subcutaneous lipid-rich cells, such as the cooling of adipose tissue
US8285390B2 (en) 2007-08-21 2012-10-09 Zeltiq Aesthetics, Inc. Monitoring the cooling of subcutaneous lipid-rich cells, such as the cooling of adipose tissue
US10675178B2 (en) 2007-08-21 2020-06-09 Zeltiq Aesthetics, Inc. Monitoring the cooling of subcutaneous lipid-rich cells, such as the cooling of adipose tissue
US9408745B2 (en) 2007-08-21 2016-08-09 Zeltiq Aesthetics, Inc. Monitoring the cooling of subcutaneous lipid-rich cells, such as the cooling of adipose tissue
US8622308B1 (en) 2007-12-31 2014-01-07 Jpmorgan Chase Bank, N.A. System and method for processing transactions using a multi-account transactions device
US8078528B1 (en) 2008-02-21 2011-12-13 Jpmorgan Chase Bank, N.A. System and method for providing borrowing schemes
US8725611B1 (en) 2008-02-21 2014-05-13 Jpmorgan Chase Bank, N.A. System and method for providing borrowing schemes
US8706625B2 (en) 2008-02-21 2014-04-22 Jpmorgan Chase Bank, N.A. System and method for providing borrowing schemes
US8554652B1 (en) 2008-02-21 2013-10-08 Jpmorgan Chase Bank, N.A. System and method for providing borrowing schemes
US8538876B2 (en) 2008-02-21 2013-09-17 Jpmorgan Chase Bank, N.A. System and method for providing borrowing schemes
US8190522B1 (en) 2008-02-21 2012-05-29 Jpmorgan Chase Bank, N.A. System and method for providing borrowing schemes
US20110093448A1 (en) * 2008-06-20 2011-04-21 Koninklijke Philips Electronics N.V. System method and computer program product for pedigree analysis
US20100035212A1 (en) * 2008-08-11 2010-02-11 Jean Robichaud Preparation of dental implant surgery and prosthesis installation
WO2010036732A1 (en) 2008-09-25 2010-04-01 Zeltiq Aesthetics, Inc. Treatment planning systems and methods for body contouring applications
US8275442B2 (en) * 2008-09-25 2012-09-25 Zeltiq Aesthetics, Inc. Treatment planning systems and methods for body contouring applications
US20100105009A1 (en) * 2008-10-29 2010-04-29 Inpronto Inc. System, Method And Apparatus For Tooth Implants
US8083522B2 (en) 2008-10-29 2011-12-27 Inpronto Inc. Method for tooth implants
US20100105011A1 (en) * 2008-10-29 2010-04-29 Inpronto Inc. System, Method And Apparatus For Tooth Implant Planning And Tooth Implant Kits
US9737434B2 (en) 2008-12-17 2017-08-22 Zeltiq Aestehtics, Inc. Systems and methods with interrupt/resume capabilities for treating subcutaneous lipid-rich cells
US8603073B2 (en) 2008-12-17 2013-12-10 Zeltiq Aesthetics, Inc. Systems and methods with interrupt/resume capabilities for treating subcutaneous lipid-rich cells
US20100235180A1 (en) * 2009-03-11 2010-09-16 William Atkinson Synergistic Medicodental Outpatient Imaging Center
US9861520B2 (en) 2009-04-30 2018-01-09 Zeltiq Aesthetics, Inc. Device, system and method of removing heat from subcutaneous lipid-rich cells
US11452634B2 (en) 2009-04-30 2022-09-27 Zeltiq Aesthetics, Inc. Device, system and method of removing heat from subcutaneous lipid-rich cells
US11224536B2 (en) 2009-04-30 2022-01-18 Zeltiq Aesthetics, Inc. Device, system and method of removing heat from subcutaneous lipid-rich cells
US8702774B2 (en) 2009-04-30 2014-04-22 Zeltiq Aesthetics, Inc. Device, system and method of removing heat from subcutaneous lipid-rich cells
US8620683B2 (en) 2009-05-19 2013-12-31 Myca Health Inc. System and method for providing a multi-dimensional contextual platform for managing a medical practice
US20100299155A1 (en) * 2009-05-19 2010-11-25 Myca Health, Inc. System and method for providing a multi-dimensional contextual platform for managing a medical practice
US9314368B2 (en) 2010-01-25 2016-04-19 Zeltiq Aesthetics, Inc. Home-use applicators for non-invasively removing heat from subcutaneous lipid-rich cells via phase change coolants, and associates devices, systems and methods
US9844461B2 (en) 2010-01-25 2017-12-19 Zeltiq Aesthetics, Inc. Home-use applicators for non-invasively removing heat from subcutaneous lipid-rich cells via phase change coolants
US9111278B1 (en) 2010-07-02 2015-08-18 Jpmorgan Chase Bank, N.A. Method and system for determining point of sale authorization
US8554631B1 (en) 2010-07-02 2013-10-08 Jpmorgan Chase Bank, N.A. Method and system for determining point of sale authorization
US10092346B2 (en) 2010-07-20 2018-10-09 Zeltiq Aesthetics, Inc. Combined modality treatment systems, methods and apparatus for body contouring applications
US8676338B2 (en) 2010-07-20 2014-03-18 Zeltiq Aesthetics, Inc. Combined modality treatment systems, methods and apparatus for body contouring applications
US10722395B2 (en) 2011-01-25 2020-07-28 Zeltiq Aesthetics, Inc. Devices, application systems and methods with localized heat flux zones for removing heat from subcutaneous lipid-rich cells
US20120284630A1 (en) * 2011-05-02 2012-11-08 Frank May Window Proxy
US9844460B2 (en) 2013-03-14 2017-12-19 Zeltiq Aesthetics, Inc. Treatment systems with fluid mixing systems and fluid-cooled applicators and methods of using the same
US9545523B2 (en) 2013-03-14 2017-01-17 Zeltiq Aesthetics, Inc. Multi-modality treatment systems, methods and apparatus for altering subcutaneous lipid-rich tissue
US9058626B1 (en) 2013-11-13 2015-06-16 Jpmorgan Chase Bank, N.A. System and method for financial services device usage
US9460469B1 (en) 2013-11-13 2016-10-04 Jpmorgan Chase Bank, N.A. System and method for financial services device usage
US10201380B2 (en) 2014-01-31 2019-02-12 Zeltiq Aesthetics, Inc. Treatment systems, methods, and apparatuses for improving the appearance of skin and providing other treatments
US10575890B2 (en) 2014-01-31 2020-03-03 Zeltiq Aesthetics, Inc. Treatment systems and methods for affecting glands and other targeted structures
US10806500B2 (en) 2014-01-31 2020-10-20 Zeltiq Aesthetics, Inc. Treatment systems, methods, and apparatuses for improving the appearance of skin and providing other treatments
US11819257B2 (en) 2014-01-31 2023-11-21 Zeltiq Aesthetics, Inc. Compositions, treatment systems and methods for improved cooling of lipid-rich tissue
US10912599B2 (en) 2014-01-31 2021-02-09 Zeltiq Aesthetics, Inc. Compositions, treatment systems and methods for improved cooling of lipid-rich tissue
US9861421B2 (en) 2014-01-31 2018-01-09 Zeltiq Aesthetics, Inc. Compositions, treatment systems and methods for improved cooling of lipid-rich tissue
US10675176B1 (en) 2014-03-19 2020-06-09 Zeltiq Aesthetics, Inc. Treatment systems, devices, and methods for cooling targeted tissue
USD777338S1 (en) 2014-03-20 2017-01-24 Zeltiq Aesthetics, Inc. Cryotherapy applicator for cooling tissue
US10952891B1 (en) 2014-05-13 2021-03-23 Zeltiq Aesthetics, Inc. Treatment systems with adjustable gap applicators and methods for cooling tissue
US10568759B2 (en) 2014-08-19 2020-02-25 Zeltiq Aesthetics, Inc. Treatment systems, small volume applicators, and methods for treating submental tissue
US10935174B2 (en) 2014-08-19 2021-03-02 Zeltiq Aesthetics, Inc. Stress relief couplings for cryotherapy apparatuses
US11154418B2 (en) 2015-10-19 2021-10-26 Zeltiq Aesthetics, Inc. Vascular treatment systems, cooling devices, and methods for cooling vascular structures
US10524956B2 (en) 2016-01-07 2020-01-07 Zeltiq Aesthetics, Inc. Temperature-dependent adhesion between applicator and skin during cooling of tissue
US10765552B2 (en) 2016-02-18 2020-09-08 Zeltiq Aesthetics, Inc. Cooling cup applicators with contoured heads and liner assemblies
US10555831B2 (en) 2016-05-10 2020-02-11 Zeltiq Aesthetics, Inc. Hydrogel substances and methods of cryotherapy
US10682297B2 (en) 2016-05-10 2020-06-16 Zeltiq Aesthetics, Inc. Liposomes, emulsions, and methods for cryotherapy
US11382790B2 (en) 2016-05-10 2022-07-12 Zeltiq Aesthetics, Inc. Skin freezing systems for treating acne and skin conditions
US11819375B2 (en) 2016-11-04 2023-11-21 Align Technology, Inc. Methods and apparatuses for dental images
US11704876B2 (en) 2016-12-16 2023-07-18 Align Technology, Inc. Mobile device for viewing of dental treatment outcomes
US11559377B2 (en) 2016-12-16 2023-01-24 Align Technology, Inc. Augmented reality enhancements for dental practitioners
US11076879B2 (en) 2017-04-26 2021-08-03 Zeltiq Aesthetics, Inc. Shallow surface cryotherapy applicators and related technology
US11253409B2 (en) 2017-06-21 2022-02-22 Sdc U.S. Smilepay Spv Systems and methods for mobile dentition scanning
US11246687B2 (en) 2017-06-21 2022-02-15 Sdc U.S. Smilepay Spv Dental impression retake kit and methods therefor
US11328814B2 (en) 2017-06-21 2022-05-10 Sdc U.S. Smilepay Spv Arrangements for intraoral scanning
US11337778B2 (en) 2017-06-21 2022-05-24 Sdc U.S. Smilepay Spv Distributed system for fabricating dental aligners
US11094414B2 (en) 2017-06-21 2021-08-17 SmileDirectClub LLC Arrangements for intraoral scanning
US11382718B2 (en) * 2017-06-21 2022-07-12 Sdc U.S. Smilepay Spv Arrangements for remote orthodontic treatment
US10692598B2 (en) 2017-06-21 2020-06-23 SmileDirectClub LLC Arrangements for intraoral scanning
US11908572B2 (en) 2017-06-21 2024-02-20 Sdc U.S. Smilepay Spv Arrangements for intraoral scanning
US11894131B2 (en) 2017-06-21 2024-02-06 Sdc U.S. Smilepay Spv Arrangements for intraoral scanning
US11309077B2 (en) 2017-06-21 2022-04-19 SmileDirectClub LLC Distributed processing of scan data for fabricating dental aligners
US10978201B2 (en) 2017-06-21 2021-04-13 Sdc U.S. Smilepay Spv Arrangements for intraoral scanning
US20180368943A1 (en) * 2017-06-21 2018-12-27 SmileDirectClub LLC Arrangements for remote orthodontic treatment
US10636522B2 (en) 2017-06-21 2020-04-28 SmileDirectClub LLC Arrangements for intraoral scanning
US10861599B2 (en) 2017-06-21 2020-12-08 SmileDirectClub LLC Arrangements for intraoral scanning
US11419701B2 (en) 2017-12-29 2022-08-23 Align Technology, Inc. Augmented reality enhancements for dental practitioners
US11189364B1 (en) * 2018-03-07 2021-11-30 Iqvia Inc. Computing platform for establishing referrals
US11446175B2 (en) 2018-07-31 2022-09-20 Zeltiq Aesthetics, Inc. Methods, devices, and systems for improving skin characteristics
US11721417B2 (en) 2018-11-07 2023-08-08 Align Technology, Inc. Multi-dimensional cryptographically secured datastores for managing medical records
US20200350053A1 (en) * 2019-05-01 2020-11-05 Iamthinking LLC Diagnostic communication systems, diagnostic data collection kits, and methods for generating and conveying oral condition data sets and treatment plans
US20220310256A1 (en) * 2020-12-15 2022-09-29 Orchid Exchange Inc. Systems and methods for providing virtual health services

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