Orthodontic Consultation

An initial orthodontic consultation at Ortodesign Clinic with MUDr. Gabriela Machytková covers assessment of teeth, jaw, and bite using clinical examination, dental X-ray (PaX-i panoramic system), and an iTero intraoral 3D scan. For Invisalign candidates, a ClinCheck simulation is generated showing the planned tooth movement pathway and estimated outcome. The consultation establishes which Invisalign programme (Express, Lite, Moderate, First, or Comprehensive) is appropriate — or whether fixed braces offer a better outcome for the specific case. Online booking is available via the Medevio patient platform.

The initial consultation is the essential first step for any patient considering orthodontic treatment at Ortodesign Clinic. Led by MUDr. Gabriela Machytková — a specialist with 2nd-degree certification in Orthodontics and membership in the Czech Orthodontic Society — it provides a thorough clinical assessment and a clear treatment recommendation. **What happens at the consultation:** *Clinical examination:* Assessment of teeth, gums, and jaw including the nature and severity of any crowding, spacing, or bite discrepancy (overjet, overbite, crossbite, open bite). Assessment of the number and position of any unerupted or impacted teeth. *Radiographic assessment:* A PaX-i digital panoramic X-ray provides a full view of all teeth including roots, bone levels, and any unerupted permanent teeth — essential for treatment planning, particularly for younger patients in mixed dentition and for assessing root morphology. *iTero 3D scan:* For patients interested in Invisalign, an iTero intraoral 3D scan creates a precise digital model of both arches without physical impression materials. The Outcome Simulator then shows how the teeth would move under a proposed Invisalign treatment plan. *ClinCheck simulation:* For Invisalign candidates, a 3D ClinCheck animation is generated showing the planned tooth movement stage by stage, the predicted final position, and the number of aligner stages required. This preview allows the patient to see the expected result before committing to treatment. *Treatment recommendation:* MUDr. Machytková recommends the most appropriate treatment — which Invisalign tier, or whether fixed braces would produce a better outcome for the specific case — along with timeline, cost, and an explanation of the clinical rationale. **After the consultation:** Patients who wish to proceed with Invisalign have a ClinCheck plan refined and approved by MUDr. Machytková before aligners are ordered from Align Technology's manufacturing facility. Treatment typically starts within a few weeks of the consultation.