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How to Start a Clear Aligner Case: Records to Submission

Starting an aligner case end to end — choosing the right patient, capturing complete records, writing a precise prescription, and submitting a clean case. Get the first two steps right and everything downstream gets easier.

Every aligner case is started the same way: choose the right patient, capture the records, and submit the case to the lab. What follows walks that path end to end — and shows why getting the first two steps right makes everything downstream easier.

The path every case follows

  1. 1 Records
  2. 2 Submit
  3. 3 Virtual Setup
  4. 4 Review & Approve
  5. 5 Bond & Deliver
  6. 6 Monitor & Finish
One path, every case: records → submit → Virtual Setup → review & approve → bond & deliver → monitor & finish.

You capture records and submit. The lab builds a Virtual Setup — a 3D plan of every tooth movement. You review it, request changes, and approve. Then you bond the attachments, deliver the aligners, and monitor through finishing and retention. Nail the first two — patient and records — and the rest gets easier.

Step 1 — Start with the right patient

For your first cases, pick the movements aligners perform most predictably, and have the conversation before you take a scan.

The case:

  • Mild-to-moderate crowding or spacing
  • A non-growing patient
  • A healthy periodontium

The conversation:

  • 22 hours a day — success depends on compliance
  • Informed consent
  • Realistic expectations, set before the scan

Step 2 — Records: your plan is only as good as your records

The quality of your plan is decided by the quality of your records. You need three things:

Digital scan Both arches, capturing the bite
Clinical photos Extraoral, intraoral & occlusal — per the photo guidelines
Radiographs Panoramic, plus a ceph where indicated
A precise scan, clinical photos to guideline, and recent radiographs — everything the setup is built from.

Remember: poor records produce a poor Virtual Setup, and no amount of editing later fully recovers it.

Step 3 — The prescription

The prescription is your instructions to the design team. Be specific:

  • Chief complaint & treatment goals
  • IPR — allowed? and where
  • Teeth to leave untouched
  • Extractions — planned, or none
  • One arch, or both
The more precisely you prescribe, the closer the first Virtual Setup lands — and the fewer revision rounds you'll need.

Step 4 — Submit a complete case

Submit through the portal: upload the scan, the photos, and the radiographs, and attach your prescription. Everything the design team needs should travel with the case in one complete submission — an incomplete case simply waits while records are chased.

What happens next

From here, the lab builds your Virtual Setup and returns it for review. You examine the plan, check the bite and the staging, request any changes, and approve. Nothing is manufactured until you approve — so this review is where you stay in control of the final result. (We cover it in detail in the plan-review lesson.)

Key takeaways

A case begins with four things done well: the right patient, complete records, a precise prescription, and a clean, complete submission. Get patient selection and records right up front, and every step after them — the setup, the review, the treatment — gets easier.

Shafaf partners with trained dentists across Iraq and the region. Talk to us about partnering or find a Shafaf provider.

Frequently Asked Questions

How do you start a clear aligner case?

Choose the right patient, capture complete records (a digital scan, clinical photos, and radiographs), write a precise prescription of your goals and constraints, and submit it all in one complete case through the portal. From there the lab builds a Virtual Setup for you to review and approve before anything is manufactured.

What records do you need for a clear aligner case?

Three things: a precise digital scan of both arches capturing the bite; a full set of clinical photos (extraoral, intraoral, and occlusal) per the photo guidelines; and recent radiographs — a panoramic, plus a cephalometric where indicated. Poor records produce a poor Virtual Setup that later editing can't fully recover.

What goes in a clear aligner prescription?

Your instructions to the design team: the chief complaint and treatment goals, whether IPR is allowed and where, any teeth to leave untouched, any planned extractions, and whether you're treating one arch or both. The more precise the prescription, the closer the first Virtual Setup lands and the fewer revision rounds you'll need.

What is a Virtual Setup?

A Virtual Setup is a three-dimensional plan of every tooth movement in the case, built by the lab from your records and prescription. You review it — checking the bite and the staging — request changes, and approve. Nothing is manufactured until you approve, so the review is where you stay in control of the final result.