Ortho Tribune U.S. No. 1, 2012
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ORTHO TRIBUNE
The World’s Orthodontic Newspaper · U.S. Edition
spring 2012 — Vol. 7, No. 1
www.ortho-tribune.com
CBCT imaging
and orthodontics
An interview with Dr. Sameshima and Dr. Tong
at the Herman Ostrow School of Dentistry at USC
By Eric J. Ploumis, DMD
coming lower and are within the therapeutic range, while providing impor” See CBCT, page 3
” See NewConn, page 3
T
The accuracy of cone-beam computed tomography is changing some areas of orthodontics.
Photographs by Alice Yoo, DDS 2013
The accuracy of CBCT is very high, and
it can adequately provide vital information such as temporomandibular joint
disorders, skeletal problems, periodontal disease and other pathologies.
With current advanced technology,
radiation generated by CBCT are be-
April event takes
place in New York
We are constantly bombarded with
advertising that promotes the next
great piece of hardware to effortlessly
move teeth. Little or no consideration
is given to how teeth really move. We
will review the fundamental biology,
physiology, histology and mechanics
of tooth movement. If you understand
these, it doesn’t matter what appliance
you use. If you ignore them, you do so
at your own professional peril.
The NewConn Symposium is designed to re-acquaint the orthodontist
with what really happens when we
place brackets and wires. Our panelists
will explore the immutable biological
laws that govern tooth movement, review current research and technology
that is enhancing our ability to move
teeth, and look at emerging concepts
that may one day create an entirely
new tooth-movement paradigm.
Seminar participants will come away
with an enhanced understanding of
how to better move teeth and obtain
favorable dental and bony responses.
In the true NewConn format, we will
separate myth from fact and provide
attendees with something to take to
their offices every Monday for the rest
By Myat Htut, DDS 2013
Dental Tribune America
116 West 23rd Street
Suite #500
New York, N.Y. 10011
he orthodontic research activities at Herman Ostrow School
of Dentistry of University of
Southern California are focused on several areas: using ConeBeam Computed Tomography (CBCT)
to determine the exact location of teeth
in the alveolar bone before and after
orthodontic treatment, studying of
root resorption caused by orthodontic
tooth movement, evaluating accuracy
of three-dimensional model scanning
and evaluating treatment claims.
Dr. Glenn Sameshima, director of the
Advanced Orthodontic Program, emphasizes that the research currently
being headed by Dr. Hongsheng Tong,
a graduate of both the orthodontic and
craniofacial PhD programs at USC, is
the most active area right now.
Tong has a visiting scholar from Beijing, Dr. Maria Xin, a number of orthodontic residents (Dr. Garrett Fong, Dr.
Thao Nguyen, Dr. Nathan Coughlin,
Dr. Bita Moalej), as well as a few predoctoral students, working with him,.
They are using three-dimensional
DICOM image that is generated by our
CBCT machine at the Redmond Imaging Center,to study the exact location of
the roots for all the teeth in occlusion.
NewConn
Symposium:
‘How Teeth
Really Move’
AD
PRSRT STD
U.S. Postage
PAID
San Antonio, TX
Permit #1396
[2] =>
2
From the Editor
Ortho Tribune U.S. Edition | Spring 2012
Will right-brainers
be the future leaders
of orthodontics?
Part I
By Dennis J. Tartakow,
DMD, MEd, EdD, PhD, Editor in Chief
Orthodontic education is at a crossroad as are many other dental specialties. The world is increasingly interconnected, employment is changing rapidly,
the economic upheavals roll on, and
now we must ask: (a) Have we as educators kept up with this evolution of global
consciousness? (b) Have we considered
the possibility that the status quo no
longer meets the challenges of today’s
world? (c) If necessary, are we prepared
to transform an entire system of pedagogies and administrative infrastructures? (d) Will future clinicians have to
be right-brainers as well as left-brainers
in order to survive and compete in the
orthodontic market?
Our left-brain is linear, logical and bythe-numbers; the right side is artistic,
creative and empathetic. According to
Daniel Pink (2005), right-brain thinkers are better wired for 21st-century
success and anyone can tap into the
right-brain mind-set. Pink, who was the
chief speechwriter for Vice President Al
Gore, stated in his book “A Whole New
Mind” that our country was entering a
new era: the so-called Conceptual Age,
during which right-brained skills such
as storytelling and design will become
far more crucial than traditionally leftbrained skills such as computer programming or analytical design. While
the latter skills are freely outsourced,
the ability to change with regard to creativity and empathy are crucial for a different formula of thinking, as in serving
the public.
As a right-brain kind of person and orthodontist, I envision our professional
future with enthusiasm and excitement
as a result of our creative skills. One of
the trademarks of the Conceptual Age
is outsourcing traditional blue- and
some white-collar jobs to less-expensive
overseas workers, particularly in Asia.
However, creativity skills cannot be outsourced.
These skills not only keep our competitive nature at the forefront in the
workplace, they also improve our lives
and our world. In many professions,
abilities associated with the brain’s left
hemisphere, such as linear, sequential,
spreadsheet kind of faculties, matter
the most. They still matter today, but investigators point out that in the future,
they may just not be enough to succeed
in the office. Important characteristics
of the brain’s right hemisphere are empathy, artistry, creativity and big-picture
thinking.
These skills have become first and
foremost, paralleling educational acumen, expertise and perspicuity in delivering orthodontic care. This does not
mean that left-brainers will be left out of
the picture, but it does mean that they
will have some work to do in order to
compete with right-brainers. I happen to
be an extremely left-brained individual;
my instinct is not to draw a picture but
rather generate a chart, trying to get
my right-brain muscles into shape. This
shift toward right-brain abilities has the
potential to make orthodontists better
clinicians in a deeper sense.
Today, machines have replaced our
hand skills necessary for many jobs in
orthodontics, such as cephalometric
tracing, archwire formation, etc. Software is replacing our left-brains by performing and completing sequential,
logical work. In Asia, where much of the
manufacturing takes place, new generations of skilled laborers are writing computer codes for such tasks. When our
needs can be reduced to a spreadsheet,
a script, a formula or to a series of steps
that achieves results and answers, are we
more successful in achieving adequate
patient care? I am of the belief that, as
orthodontists, we must still be wirebenders and possess hand-skills that
were inspired by our forefathers.
When right-brain aptitudes are bound
with left-brain thinking, the combination can result in a whole new mindset
that may help us to enter the conceptual
age where design, purpose, meaning
and harmony will be more significant
than merely formulaic thinking alone.
The left-brain clinician possesses logical
and linear abilities, while right-brainers are often seen as spacey, flighty or
artsy-fartsy. When one uses both leftand right-brain to research facts and
provide exceptional patient care, it becomes clear that the scales are tilting.
This also suggests that such new pro-
gressions of thought must be addressed
in dental school training.
My generation’s parents told their
children to become a doctor, lawyer, accountant or engineer in order to provide
them with a solid foothold in the middle
class. As orthodontists, our approach to
serving patients must not be outsourced
by ignoring right-brain thinking and
training, but incorporated in our training as well. Ultimately, it is about following your intrinsic motivation. Think
about the skill called Symphony, which
is the aptitude for seeing the big picture,
connecting the dots and combining contrasting thoughts into something new. It
is a moniker of success and a signature
aptitude for star performance in providing exceptional patient care.
(To be continued.)
Reference
Pink, D. (2005). A whole new mind. The Berkley
Publishing Group: New York, N.Y.
ORTHO TRIBUNE
Publisher & Chairman
Torsten Oemus t.oemus@dental-tribune.com
Chief Operating Officer
Eric Seid e.seid@dental-tribune.com
Group Editor
Robin Goodman r.goodman@dental-tribune.com
Editor in Chief ORTHO Tribune
Prof. Dennis Tartakow
d.tartakow@dental-tribune.com
International Editor Ortho Tribune
Dr. Reiner Oemus r.oemus@dental-tribune.com
Managing Editor ORTHO Tribune
Sierra Rendon s.rendon@dental-tribune.com
Managing Editor Show Dailies
Kristine Colker k.colker@dental-tribune.com
Managing Editor
Fred Michmershuizen
f.michmershuizen@dental-tribune.com
Managing Editor
Robert Selleck, r.selleck@dental-tribune.com
Account Manager
Gina Davison g.davison@dental-tribune.com
Account Manager
Humberto Estrada h.estrada@dental-tribune.com
Account Manager
Mark Eisen m.eisen@dental-tribune.com
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a.wlodarczyk@dental-tribune.com
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Lorrie Young l.young@dental-tribune.com
DIRECTOR OF INTERNATIONAL EDUCATION
Christiane Ferret c.ferret@dtstudyclub.com
Dental Tribune America, LLC
116 West 23rd Street, Suite 500
New York, NY 10011
Phone (212) 244-7181
Fax (212) 244-7185
Published by Dental Tribune America
© 2012 Dental Tribune America, LLC
All rights reserved.
Dental Tribune strives to maintain the utmost accuracy in its news and clinical reports. If you find a
factual error or content that requires clarification,
please contact Managing Editor Sierra Rendon at
s.rendon@dental-tribune.com.
Dental Tribune cannot assume responsibility for the
validity of product claims or for typographical errors. The publisher also does not assume responsibility for product names or statements made by advertisers. Opinions expressed by authors are their own
and may not reflect those of Dental Tribune America.
Editorial Board
Image courtesy of Dr. Earl Broker.
Corrections
Ortho Tribune strives to maintain the utmost
accuracy in its news and clinical reports. If
you find a factual error or content that
requires clarification, please report the details
to Managing Editor Sierra Rendon at
s.rendon@dental-tribune .com.
Tell us what you think!
Do you have general comments or criticism you
would like to share? Is there a particular topic
you would like to see articles about in Ortho
Tribune? Let us know by e-mailing feedback@
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out) please send us an e-mail at database@
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to process.
Jay Bowman, DMD, MSD (Journalism & Education)
Robert Boyd, DDS, MEd (Periodontics & Education)
Earl Broker, DDS (T.M.D. & Orofacial Pain)
Tarek El-Bialy, BDS, MS, MS, PhD
(Research, Bioengineering & Education)
Donald Giddon, DMD, PhD (Psychology & Education)
Donald Machen, DMD, MSD, MD, JD, MBA
(Medicine, Law & Business)
James Mah, DDS, MSc, MRCD, DMSc
(Craniofacial Imaging & Education)
Richard Masella, DMD (Education)
Malcolm Meister, DDS, MSM, JD (Law & Education)
Harold Middleberg, DDS (Practice Management)
Elliott Moskowitz, DDS, MSd (Journalism & Education)
James Mulick, DDS, MSD
(Craniofacial Research & Education)
Ravindra Nanda, BDS, MDS, PhD
(Biomechanics & Education)
Edward O’Neil, MD (Internal Medicine)
Donald Picard, DDS, MS (Accounting)
Howard Sacks, DMD (Orthodontics)
Glenn Sameshima, DDS, PhD (Research & Education)
Daniel Sarya, DDS, MPH (Public Health)
Keith Sherwood, DDS (Oral Surgery)
James Souers, DDS (Orthodontics)
Gregg Tartakow, DMD (Orthodontics) & Ortho
Tribune Associate Editor
[3] =>
Digital imaging
Ortho Tribune U.S. Edition | Spring 2012
“ CBCT, Page 1
tant information regarding the special
relationship between structures of interest. Herman Ostrow School of Dentistry
of USC was one of the first dental schools
in the nation to acquire a CBCT machine.
Sameshima explains that Tong’s shortterm goal, as in any new methodology,
is to prove the CBCT method is valid.
This has involved testing the method on
data that was generated from an in-vitro
static model created by a research group
from the University of Alberta, Canada.
Two publications on Tong’s research
have been accepted by American Journal of Orthodontics and Dentofacial Orthopedics, and one of them will be published in the May issue this year. Also,
according to Sameshima, this method
has already been adopted for consideration by a major imaging company for
orthodontics: Dolphin Imaging.
Tong’s laboratory is currently applying his methods to study root positions
in patients with different types of malocclusion and from different ethnic
groups. The method will also be used to
study current American Board of Orthodontics standards in regards to root positions. Another application for clinical
orthodontics will be the merging of this
project with our long history of investigating orthodontic root resorption.
Tong’s three-dimensional images will
finally allow us to see how far the root
apices moved during treatment; this will
integrate with our model scanning and
root resorption study currently headed
by second-year resident Dr. Scott Morita
under Sameshima’s supervision.
“There are a lot of questions still unanswered in orthodontics,” Tong said. “As
an orthodontist, the fundamental question we are trying to ask is where exactly
you want to put the teeth.”
He explains that previously root position was not a major consideration in
orthodontic treatment. Perhaps one of
the reasons is that orthodontists are accustomed to not being able to identify
the exact location of the roots. He also
gives an analogy on the importance of
the root position.
“If the foundation is not in the right
place, the building may not stay. The
root may be the foundation of where the
tooth needs to be. If you are not putting
the roots in a right position, you are creating the situation that is more likely to
have relapse after treatment.”
He states that currently, the only way
to manage the relapse problem is to instruct the patient to wear a retainer for
possibly the rest of his or her life. Placing the root in the right position doesn’t
necessarily resolve the relapse issue, but
it will certainly facilitate and maximize
the retention to result better treatment
outcomes. Despite the importance of
positioning of the roots, there are unquestionably many other factors that
can dictate the occlusion and relapse.
Most conventional 2-D radiographs are
insufficient in providing precise position of the teeth. We now have the CBCT
to solve this very problem by generating
3-D images of the teeth and the maxillofacial structures, allowing us to see the
exact place of both crowns and roots and
their relation to the neighboring tissues.
With the help of this new technology
and 3-D imaging software, diagnosis and
treatment planning can be achieved in a
fashion that was not possible before.
3
Tong adds that CBCT may eventually
replace panoramic radiograph in orthodontic diagnosis and treatment planning due to its ability to provide detail
and precise 3-D information without
distortion. By utilizing this information, ideal positioning for every single
tooth can be achieved, eventually leading to an optimal occlusion.
CBCT not only can provide a great diagnostic tool but also can eliminate the
need to taking impression to create diagnosis models. Coupled with imaging
programs, you can now have several
digital models that you can access anytime without needing an extra space in
your office to store the stone models. It
will become a lot easier to do comparisons when doing research without going through all the hurdles. By using
digital models, you can easily segment
” See CBCT, page 4
Dr. Glenn Sameshima
Dr. HongSheng Tong
AD
[4] =>
Industry
4
Ortho Tribune U.S. Edition | Spring 2012
OrthoAccel announces clinical consultant
OrthoAccel® Technologies, Inc. developers of the AcceleDent™ System,
an appliance to accelerate orthodontic
treatment, announced this week that
it has engaged Dr. S. Jay Bowman as a
clinical consultant. Bowman’s clinical
experience, expertise and reputation
on the orthodontic lecture circuit will
help advance the clinical education of
the AcceleDent System from the podium in lectures given around the world.
AcceleDent is a simple, removable
appliance that an orthodontic patient
wears in the mouth for 20 minutes
daily to accelerate orthodontic tooth
movement. A randomized, controlled
clinical trial conducted at the University of Texas Health Science Center at San
Antonio under the guidance of Dr. Dubravko Pavlin demonstrated, with statistical significance, that tooth move-
ment could be safely accelerated by 38
percent to 50 percent during space closure and even more so during the alignment phase. Bowman’s background and
educational lectures are particularly
relevant to OrthoAccel’s focus as is his
experience running three private practices in Portage, Kalamazoo and Paw
Paw, Mich.
Michael Kaufman, vice president of
business development and marketing
of OrthoAccel®, commented: “We are always looking for effective ways to teach
other clinicians about the clinical benefits of AcceleDent for the patient and
the ensuing benefits to the orthodontic
practice. Dr. Bowman is recognized as a
preeminent educator among his peers.
“His keen understanding of the supporting science and the clinical outcomes associated with AcceleDent will
Myat M. Htut
About the author
Myat M. Htut, Class of 2013 Dental Student, Herman
Ostrow School of Dentistry of University of Southern California, 1001 N. Stoneman Ave. #B, Alhambra,
Calif. 91801. (626) 466-5492 or e-mail htut@usc.edu.
In the future, Tong envisions his
method of seeing all the roots and
crowns in occlusion will be useful to
other areas of dentistry, including implantology, oral surgery, and restorative dentistry.
• Dr. Vince Kokich: Moderator
Who
• Dr. James Hartsfield: “The impact of
genetics on tooth movement.”
• Drs. Bill and Tom Wilcko: “Accelerated tooth movement using alveolar
decortications: what really happens.”
• Dr. Kujipers-Jagtman: “Biological
variables affecting tooth movement.”
• Dr. Rodrigo Viecilli: “Contemporary
biomechanics of tooth movement:
combining engineering analysis with
biological observations.”
• Dr. James Zahrowski: “Pharmacological impact upon tooth movement.”
• Dr. Birte Melsen: “Histology of
tooth movement.”
Based in Houston, OrthoAccel Technologies, Inc. is a privately owned medical device company currently engaged
in the development, manufacturing
and marketing of products to enhance
dental care and orthodontic treatment.
Dr. S. Jay Bowman
Moskowitz Give A Smile fund also created
“ NewConn, Page 1
of their careers.
About OrthoAccel Technologies
NYU College of Dentistry
to name Elliott M. Moskowitz
Orthodontic Wing in
honor of $1.2 million gift
“ CBCT, Page 3
the teeth apart and put them into a desired occlusion, simulating the entire
orthodontic process prior to the beginning of the treatment and allowing you
to envision the end result.
Also, based on 3-D images of teeth,
custom orthodontic appliances can be
made to fit different patient perfectly
for the best treatment outcome possible
for each patient.
Tong’s current research is based upon
the data obtained from 76 patients who
have near normal occlusion. Via collaboration with Dolphin Imaging, a customized subprogram was created within the
3-D imaging module, which allows him
to carry out the crucial angular measurements for his project.
Among those measurements, specific
attention was paid to two parameters:
the mesiodistal angulation and buccolingual angulation, which were recorded
for every tooth from each case, and statistical analysis was formulated. Tong’s
objective is to establish the norms for
these two angular measurements so orthodontists may use this as a guide for
diagnosis and treatment planning.
help accelerate the educational awareness throughout the orthodontic community.”
Bowman said, “For several years, I’ve
been intrigued by the concept of vibrational acceleration of tooth movement
and, specifically, the developments at
OrthoAccel.”
OrthoAccel has been selling the
AcceleDent system outside the United
States since October 2009. FDA clearance is pending based on application
submitted earlier this year.
When
Friday April 13, and Saturday April 14,
2012
Where
White Plains, N.Y. (30 minutes from
Midtown Manhattan)
Topic
“How Teeth Really Move: Biology,
Physiology, Histology, Biomechanics”
More information
NewConn Orthodontic Foundation,
453 Second Ave., New York, N.Y. 10010.
(917) 873-1997 or e-mail ericploumis@
aol.com.
The New York University College of
Dentistry (NYUCD) will name the Dr. Elliott M. Moskowitz Orthodontic Wing in
recognition of a $1.2 million gift from Dr.
Moskowitz to help transform a 20th century clinical and research environment
to reflect 21st century technology, design,
and function.
NYUCD has also created the Elliott M.
Moskowitz Give a Smile Fund, which will
build on Moskowitz’s gift to secure the
additional resources required to achieve
this goal.
Moskowitz, an alumnus of the NYU
College of Dentistry and an internationally respected orthodontist, researcher,
author and editor for more than 40
years, is also a longtime faculty member
of the NYU Department of Orthodontics
and a distinguished alumni leader, having served both as president of the NYU
Dental Alumni Association and the NYU
Orthodontic Alumni Society.
According to Moskowitz, “the past several years have seen immense strides by
the NYU Department of Orthodontics in
education, research and patient care, including the creation of the Consortium
for Translational Orthodontic Research,
or CTOR, which functions as a nucleus for
the integration of basic science, clinical
science and industrial resources in the
field of orthodontics.
“The department has also expanded
the scope of its community services,
which each year includes care for thousands of medically-indigent youngsters
and adolescents suffering from a wide
range of orthodontic conditions. Excitement and enthusiasm among faculty
and alumni have never been greater; fa-
Dr. Elliott M. Moskowitz
Photo/Provided by NYU College of Dentistry,
Leo Sorel, photographer
cilities, however, have not kept pace with
these advances. I made my gift in order to
give something meaningful back to my
department; for me, that means providing the seed money to build physical facilities that are commensurate with the
department’s increasingly visible role in
the profession and the community.”
Dr. Charles N. Bertolami, dean of the
NYU College of Dentistry said: “Dr. Moskowitz’s great generosity testifies both to
his extraordinary devotion to his alma
mater and the future of his specialty
area and to his sense of giving something
back as an integral part of contributing to
society. We are honored to name the Elliott M. Moskowitz Orthodontic Wing in
recognition of his thoughtful and generous gift and hopeful that others will join
him in ensuring the ability of the NYU
Department of Orthodontics to continue
to fulfill its leadership potential.”
For more information on the Elliott M.
Moskowitz Give a Smile Fund, call (212)
998-9920.
[5] =>
Industry
Ortho Tribune U.S. Edition | Spring 2012
5
Dr. Eric Howard discusses benefits
of SureSmile’s new diagnostic tools
Since October, Dr. Eric Howard has
planned more than 50 cases using the
latest release of SureSmile software,
SureSmile 6.0. The software is the first
tool that enables orthodontists to plan
orthodontic care with information
about root position within supporting
bone. He answered a few questions for
Ortho Tribune:
First, can you tell me about SureSmile
and how care is improved using its diagnostic tools and archwires?
SureSmile provides a fully customized
approach to orthodontic care. It begins
with 3-D imaging of teeth and, now,
supporting bone. A dynamic model is
created that allows you to virtually position teeth, design an occlusal scheme
and evaluate the outcome based on your
own standards or those defined by the
ABO. Finally, a series of computer designed, robotically fabricated archwires
are produced to help achieve the plan.
We’ve heard that the new SureSmile software is “groundbreaking.” What will most
excite an orthodontist about the new release?
Among the most significant updates in
SureSmile 6.0 is the ability to visualize
and virtually treat teeth within supporting bone. Static 3-D images give us
important information about the quality and quantity of bone, but the ability
to plan tooth movement within the context of the bone support provides unparalleled diagnostic clarity. This ability
to model the surface layer of bone and
the position of the roots within the alveolus is going to change the way we think
about orthodontics, both in planning
care and when evaluating our treatment
results. In previous versions of the software, I could see the patient’s crowns
and roots, but now, with bone modeling,
there is a more complete representation
of each patient’s anatomy. This is an absolutely amazing advance that provides
a new level of diagnostic power.
For what case types have you found SS
6.0 to be most useful and why?
I learn something valuable from each
case that I plan using SureSmile 6.0. Patients benefit from a 3-D visual prediction of each step in their care. This provides an ideal tool for communication
with both patients and their families
and with our referring dentists. There
are several interdisciplinary planning
and communication enhancements in
6.0. In one patient, where a Bolton discrepancy prevented space closure in
the upper anterior, I used the virtual
restorative features to estimate the size
of the restorations and provide a visual
prediction of the restorative treatment
outcome. I conveyed this information to
the patient’s dentist in an online meeting in order best visualize the dynamic
3-D images.
In another recent case, I sat chairside
with an OMS colleague planning a com-
plex two-jaw surgery. While we’ve always collaborated on these cases, much
of the conversation involved crude
manipulation of plaster models to estimate surgical outcomes. This time,
we sat together in front of a computer
monitor with a 3-D model manipulating
jaw positions on the screen. We could
rapidly test multiple virtual treatment
strategies in 3-D. While surgical predic-
Virtual articulating paper
and tooth roots.
(Photos/Provided by
” See SureSmile, page 6
SureSmile)
AD
[6] =>
Industry
6
Ortho Tribune U.S. Edition | Spring 2012
About the clinician
“ SureSmile, Page 5
After attending the
tion is not a new feature, SureSmile 6.0
adds modeled bone, which clearly elevated our ability to plan and interact
professionally and visualize clinical
outcomes.
University of Pennsylvania, School of
Dental
Medicine,
Dr. Eric Howard obtained his certificate in orthodon-
Can you give an example of how you
might approach a case differently using
SureSmile 6.0?
I’ll give you two examples. An exercise that opened my eyes to the value
of an individualized approach to care
was when I simulated treatment in a
straight-forward orthodontic case that
I thought could be treated well with
straight wires and a stock prescription.
When I virtually imposed the tooth
movement by the fully-expressed
bracket prescription, the lower anterior
tooth roots violated the boundary of
the labial cortical bone. For this patient
with a Class I malocclusion, it appeared
a popular stock prescription did not adequately position his lower teeth,
In one patient, we were planning to
extract a patient’s lateral incisor and
replace it with an implant. The patient
brought a periapical radiograph to his
consultation, which suggested absence
of bone support for an upper lateral incisor. After 3-D imaging and bone modeling, it was apparent that labial bone
support is present. In addition, simulating the bite with the virtual articulator
tics and PhD from
the University of
Rochester, N.Y. He
now practices orthodontics in Lancaster, Pa. He is a clinical associate at the University of Pennsylvania where he provides clinical
instruction to the orthodontic residents. He began offering SureSmile in 2009 and is now a
leading provider of this technology. Howard is an
instructor for SureSmile, and he provides doctor
training for new providers.
Test image for build ups.
in the SureSmile software allowed us to
visualize trauma to the lateral incisor
during function and devise a plan to
protect this tooth early in treatment.
How does this technology impact the future of orthodontic treatment?
We are being challenged in the way we
think, plan and deliver care. The ability
to clearly visualize tooth position within supporting bone at the beginning of
treatment is a huge advance in planning
care. The future will provide important
information about the appliances that
we use and their impact on each patient
as we compare pre- and post-treatment
images.
Is there anything else you would like to
add?
It is clear that our profession is at a
crossroads. On one hand, we have colleagues practicing with one-size-fits-all
approaches to orthodontics with stock
bracket prescriptions and archforms. In
contrast, there is a growing list of companies that provide a patient-specific
appliance with the goal of individualized care. 3-D imaging and bone modeling are going to have a significant
impact on our profession as research is
conducted to validate some of our methods and discredit others. In the end, this
will lead to better understanding of orthodontics and, most importantly, better care for each of our patients.
AD
OrthoTech Global offers
fashion ligature ties,
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By OrthoTech Global
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For your first purchase, we would
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If you desire to do so, our account
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