Risk assessment & planning
Review complexity, movement predictability, staging, expected duration, compliance demands and package scope before the first aligner is approved.
Review pre-treatment support
Back to Doctor WebsiteFULL-CYCLE TECHNICAL SERVICEManage the case
Manage the case
before and during treatment.
LUMOSCO connects pre-treatment risk review, structured planning guidance and in-treatment monitoring in one doctor-led workflow.
Explore the workflow Doctor approval remains central
One connected serviceRisk review → planning → follow-up
THE SERVICE MODEL
Clinical decisions stay with the doctor. Technical support stays connected.
The LUMOSCO design team organizes case observations into two linked phases, helping the practice understand risk before approval and monitor how the case is tracking after delivery.
Monitoring & guidance
Use fit checks, updated scans and plan comparison to support timely recommendations, next-set ordering and refinement decisions.
Review monitoring support01 · PRE-TREATMENT RISK ASSESSMENT
Know the complexity before the first tray.
Representative reviews turn technical observations into practical points the doctor can evaluate and discuss with the patient before treatment begins.
FromDr. House · LUMOSCO Design Medical Center
ToTreating doctor
SubjectCOMPLEXITY & PREDICTABILITY
Hi, Doctor,
A representative skeletal Class III review may flag extensive lower-arch distalization and upper-arch mesialization as clinically demanding movements with limited predictability.
- Set expectations that the final clinical result may not fully reproduce the digital setup.
- Confirm that elastic wear and patient compliance are essential to treatment effectiveness.
- Explain that meaningful improvement from the current condition can still be reasonably anticipated.
- Anticipate a 24–30 month pathway, with possible refinements and an Unlimited package recommendation for a complex case.
Please review the complexity, duration, compliance requirements and treatment scope with the patient before proceeding.
Dr. House
Clinical review attachment10 annotated observations
02 · CLINICAL PLANNING GUIDANCE
Specific observations, connected to the setup.
Instead of generic comments, the service points to the movement, contact or design decision that needs the doctor’s attention.
Create room, then control the release.
Every visible source value restoredIPR + movement markersConfirm sufficient spaceAdditional IPR only if inadequateCreate room for upcoming tooth movement
01
Space and IPR checks
Confirm sufficient space at every annotated contact. The redrawn figure restores the source values around the arch—including 0.16, 0.24, −0.11, 0.11, −0.05 and 0.20—together with the posterior contact and 0.5 movement markers. When space is inadequate, perform additional interproximal reduction as needed to create room for the upcoming movement.
First set · 12 traysTray 9 · fit check + updated scanIf fit is good · release following traysStage 06 · full contact + movement dataDistalization opt. · IPRStage 15 · full contact + movement dataEnough IPR
02
Staged tray delivery
For this staged example, order 12 trays for the first set, check fit at tray 9 and submit an updated scan. If everything fits and tracks well, release the following trays. The original setup also compares distalization and IPR annotations at stages 6 and 15.
Plan the movement—and the clinical expression.
Tooth #9Notable mesial rotation present0.5 movement markers · ×3Planned correction · final refinementProbability noted in source
03
Rotation and refinement
Flag the notable mesial rotation of tooth #9. The source note indicates that this movement will probably be corrected during the final refinement phase, allowing the doctor to plan the pathway and communicate it early.
ClinCheck readyFurther overcorrection addedUpper + lower anterior teeth0.5 movement markers · ×3Vertical dimensionLabiolingual torque controlClinical opening · ≈70% of animationRed-line reference
04
Vertical and torque control
Use further digital overcorrection for the upper and lower anterior teeth in both the vertical dimension and labiolingual torque control. Clinically, final occlusal opening is anticipated to reach about 70% of the opening shown by the red line in the animation.
Habitual right-sided chewingAbnormal occlusal wearEarly contact · tooth #2#2 · intentional overcorrectionMinimize occlusal interferenceMinimize further wear
05
Occlusal interference
In the source case, habitual right-sided chewing is associated with abnormal occlusal wear and an early contact on tooth #2. Intentional overcorrection of #2 is designed to minimize occlusal interference and further wear.
Make the trade-off visible before approval.
0.4 movement labels · ×6Red-line referenceAll existing bonding · virtually removedAlignment + relapse control#9/#10 restorative modification#7/#8 enamel reductionRestorative modification · preferred
06
Esthetic treatment decisions
The source plan virtually removes existing bonding and optimizes alignment with relapse control in mind. For maxillary anterior symmetry, compare restorative modification of #9 and #10 with enamel reduction of #7 and #8; the stated preference is restorative modification.
Representative, de-identified planning examples. They illustrate communication and workflow support—not a substitute for the treating doctor’s diagnosis, prescription or clinical judgment.
03 · IN-TREATMENT MONITORING
Check progress before the current set runs out.
When the patient has about two aligners left, the practice can capture the latest clinical position and use it to inform the next treatment step.
Recommended checkpointApproximately two aligners before the end of the current set
- 01
Fit check
When approximately two aligners remain in the current set, evaluate seating, tracking and patient wear.
- 02
Updated scan
Capture an updated intraoral scan so the current tooth positions can be reviewed accurately.
- 03
Upload the record
Add the scan and a concise clinical note to the follow-up record for design-team review.
- 04
Plan comparison
Compare the latest scan with the approved treatment plan and identify any meaningful deviation.
- 05
Guidance & next set
Receive targeted recommendations, confirm the clinical direction and order the next aligner set or refinement.
A CLEAR DIVISION OF RESPONSIBILITY
Supported by LUMOSCO. Directed by the doctor.
Diagnoses, prescribes and approves.
The treating doctor selects the patient, defines clinical goals, evaluates recommendations and gives final approval at every decision point.
Reviews, communicates and supports.
The design team organizes records, highlights risks, prepares reviewable setups and provides technical observations during follow-up.
BRING US THE NEXT CASE
Put full-cycle treatment management into your workflow.
Start with a case conversation and see how LUMOSCO can support the path from risk review to follow-up.