See Dr Wesley‘s Invisalign Journey Episode 3: Reviewing the Clin-check. When you submit your records into an aligner company such as align, a technician will help to set the case up according to your guidelines. They are NOT orthodontists and it is very rare that we can simply hit approve and expect a good result. It takes a lot of communication between the orthodontist and technician. On average, Dr Wesley will send the clin-check back for edits at least 3-4 times. Many times the orthodontist has to move the teeth on their own or add attachments were there might be difficult tooth movements. This video gives you an overview of this process but cannot possibly be all-inclusive. Please contact us if you wish to learn more about this process.