Ortho Tribune U.S. No. 1, 2015
Case Study: ClearCorrect treatment of crowding and constricted archforms
/ ‘Bridging Science and Technology’
/ The paradox of quality treatment
/ Patrick Corbin teams up with the AAO to promote National Facial Protection Month
/ Industry
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[1] =>
ORTHO TRIBUNE
The World’s Orthodontic Newspaper · U.S. Edition
AAO Preview EDITION 2015 — Vol. 10, No. 1
www.ortho-tribune.com
‘Bridging Science
and Technology’
CASE STUDY
ClearCorrect
treatment of
crowding and
constricted
archforms
By Dr. Mark J. Bentele
hat better site for
a meeting focused
on “Bridging Science and Technology” than San
Francisco, the site
of the historic Golden Gate Bridge and
just north of Silicon Valley?
The American Association of Orthodontists will host its 115th session at the
famed Moscone Center in San Francisco
from May 15-19.
AAO President Robert E. Varner, DMD,
said the meeting’s education program
will “encompass the latest information
on every aspect of technology applicable to orthodontic clinical care and
practice management, while also delving deeply into clinical topics and scientific advances on the horizon.”
At the event, more than 100 doctors’
A 21-year-old male presented with
a chief complaint of relapse of adolescent orthodontic treatment. He
expressed an interest in clear aligner
therapy for alignment and improved
esthetics. Past medical history was
unremarkable other than he was a
nasal breather.
The examination showed a slightly
convex profile with a long face. Lips
were competent but the lower lip was
slightly everted due to the position of
the maxillary incisor (Figs. 1–3). TMJs
and facial musculature were asymptomatic. CR-CO slide was within normal limits. Periodontal examination
showed no recession and adequate
attached tissue, with a PSR score of 1
with slight bleeding on probing upper right.
The patient had good oral hygiene.
Third molars were absent, with moderate restorative history on teeth
Nos. 2, 3, 4, 5, 13, 14, 15 and 30 but no
active caries. Areas of enamel hypoplasia and cervical decalcification
were present.
The records taken included: photographs, a panoramic radiograph, centric occlusion bite registration and
PVS impressions. The maxillary arch
exhibited a mixture of crowding
and spacing with a net of 0 mm arch
length discrepancy. The mandibular
arch exhibited 2.5 mm arch length
discrepancy. The maxillary midline
was right 1 mm and the mandibular
midline left 1 mm.
The patient had a Class I right, Class
I left (1 mm discrepancy) molar relationship, with a Class I right, endon Class II left canine relationship.
Transverse
maxillary/mandibular
archforms were narrow. The patient
had an overjet of 4 mm and an overbite of 4 mm as well (Figs. 4-9).
A ClearCorrect Unlimited Case
was prescribed for treatment. Upon
case submission, an improved upper
midline was requested, along with an
improved lower midline, which was
limited due to crowding. We requested an idealized overjet, improved
” See AAO, page 8
” See CLEAR, page 4
The American Association of Orthodontists’ 115th Annual Session will take place May 15–19 in San Francisco. Photo/www.freeimages.com
AAO to host its 115th annual
session in San Francisco
By Sierra Rendon, Managing Editor
W
Tribune America
116 West 23rd Street
Suite #500
New York, N.Y. 10011
PRST STD
U.S. Postage
PAID
Permit #1239
Bellmawr, N.J.
[2] =>
From the Editor
2
The paradox of
quality treatment
By Dennis J. Tartakow,
DMD, MEd, EdD, PhD, Editor in Chief
Doctors are educated to diagnose and
treat health problems. Within these
margins, most clinicians fulfill this role
with patients very successfully. The traditional role of the doctor is carried out
within a broader, historical, political
and social context – where the diagnosis
AD
and treatment of system failures are as
important as clinical interactions with
individual patients. A doctor’s ability to
improve health outcomes in an increasingly complex milieu will always be challenged, and the doctor must be willing
to understand and influence this wider
framework. Such understanding can be
achieved by engaging in the emerging
” See PARADOX, page 8
Ortho Tribune U.S. Edition | AAO PREVIEW 2015
ORTHO TRIBUNE
Publisher & Chairman
Torsten Oemus t.oemus@dental-tribune.com
President/Chief Executive Officer
Eric Seid e.seid@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
group editor
Kristine Colker k.colker@dental-tribune.com
Managing Editor ORTHO Tribune
Sierra Rendon s.rendon@dental-tribune.com
Managing Editor
Fred Michmershuizen
f.michmershuizen@dental-tribune.com
Managing Editor
Robert Selleck, r.selleck@dental-tribune.com
product/Account Manager
Humberto Estrada h.estrada@dental-tribune.com
product/Account Manager
Will Kenyon w.kenyon@dental-tribune.com
Marketing director
Anna Kataoka
a.kataoka@dental-tribune.com
Accounting coordinator
Nirmala Singh n.singh@dental-tribune.com
Education DIRECTOR
Christiane Ferret c.ferret@dtstudyclub.com
Tribune America, LLC
116 West 23rd Street, Suite 500
New York, NY 10011
Phone (212) 244-7181
Fax (212) 244-7185
Published by Tribune America
© 2015 Tribune America, LLC
All rights reserved.
Tribune America 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.
Tribune America 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 Tribune America.
Editorial Board
Jay Bowman, DMD, MSD (Journalism &
Education)
Robert Boyd, DDS, MEd (Periodontics &
Education)
Earl Broker, DDS (TMD & Orofacial Pain)
Tarek El-Bialy, BDS, MS, MS, PhD
(Research, Bioengineering and Education)
Donald Giddon, DMD, PhD (Psychology and
Education)
Donald Machen, DMD, MSD, MD, JD, MBA
(Medicine, Law and Business)
James Mah, DDS, MSc, MRCD, DMSc
(Craniofacial Imaging and Education)
Richard Masella, DMD (Education)
Malcolm Meister, DDS, MSM, JD (Law and
Education)
Harold Middleberg, DDS (Practice Management)
Elliott Moskowitz, DDS, MSd (Journalism and
Education)
James Mulick, DDS, MSD
(Craniofacial Research and Education)
Ravindra Nanda, BDS, MDS, PhD
(Biomechanics & Education)
Edward O’Neil, MD (Internal Medicine)
Donald Picard, DDS, MS (Accounting)
Glenn Sameshima, DDS, PhD (Research and
Education)
Daniel Sarya, DDS, MPH (Public Health)
Keith Sherwood, DDS (Oral Surgery)
James Souers, DDS (Orthodontics)
Gregg Tartakow, DMD (Orthodontics) and
Ortho Tribune Associate Editor
[3] =>
from the editor
Reliance
3
[4] =>
case study
4
Ortho Tribune U.S. Edition | AAO PREVIEW 2015
“ CLEAR, Page 1
Fig. 1
(Photos/Provided by Dr. Mark J. Bentele)
Fig. 2
Fig. 4
Fig. 3
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
overbite and improvement of the constricted arch forms. Molar relationships
were to be maintained, and proclination
of the mandibular incisors was requested. We requested #11 be distalized into a
proper Class I relationship. In addition,
we requested all spaces be closed and the
teeth aligned.
ClearCorrect presented a treatment
setup that estimated six phases of treatment or 24 sets of aligners. ClearCorrect
ships its aligners in phases, each of which
contains four sets of aligners. This makes
for a flexible system and allows changes
to be made mid-treatment, with no added cost to the office.
At the same time the treatment setup
was received, a set of starter aligners was
delivered to the patient, which fit well.
The starter aligners help ease the patient
into treatment before the first phase of
aligners arrive. After review, the treatment setup was approved. The patient
was instructed to wear each set of aligners, including his starter aligners, for
three weeks and at least 22 hours a day.
Phase 1 was received from ClearCorrect, and the patient was given the
first set of aligners at our office. The second set of aligners was given to the patient to be changed at home after three
weeks. The patient returned to the office
after six weeks to receive the third and
fourth sets of aligners. During this first
phase of treatment, facial translation of
premolars and canines occurred.
When Phase 2 was received from
ClearCorrect, engagers were placed on
teeth Nos. 7, 10, 22 and 27, and 0.3 mm
IPR was performed on the mesial/distal
#27, using Raintree diamond discs and
followed with Duraphat fluoride varnish.
Henry Schein Natural Elegance Microhybrid composite was used for the engagers, as well as Natural Elegance Flowable
and Natural Elegance Universal Bond.
The engager template was cut so that
it only extended a tooth and a half past
the engager on either side, allowing the
template to fully seat while also making
the template easier to remove. A stellite,
a plastic filling instrument purchased
from Henry Schein (Fig. 10), was used
to peel the template off laterally, rather
than pulling the template off vertically,
which could potentially dislodge the
newly placed engager. After placement of
the engagers was completed, the patient
received his fifth set of aligners and was
also given his sixth set to take home. Primarily facial translation and rotation of
incisors would occur during this phase of
treatment.
The patient continued to come in every
six weeks to receive new sets of aligners. During phase three, a contact check
on tooth #27 was performed to ensure
patient compliance and to check tracking of the teeth. Alignment of teeth Nos.
22 and 23 was completed during phase
four, which completed the patient’s total
treatment. Patient compliance was excellent throughout treatment, and there
were no problems tracking or fitting of
subsequent trays. The patient progressed
more quickly than originally treatment
planned and only needed four phases (16
sets of aligners) as opposed to six phases
(24 sets of aligners).
At the end of treatment, all objectives
” See CLEAR, page 6
Fig. 11
Fig. 12
Fig. 13
[5] =>
Ortho Tribune U.S. Edition | AAO PREVIEW 2015
industry clinical/products
Ortho Synetics
5
[6] =>
case study
6
Fig. 14
Fig. 15
Fig. 16
Fig. 17
AD
Ortho Tribune U.S. Edition | AAO PREVIEW 2015
Fig. 18
“ CLEAR, Page 4
were accomplished (see Figs. 11-18).
The patient was referred back to his
general dentist, Dr. Steve Carlson of Vista
Grande Dental Center, for anterior esthetic restorative treatment of tooth #8.
Clearfil SE Bond was used, utilizing a layered technique with shade A1, Herculite
and Ivoclar Vivadent Tetric EvoFlow.
Due to change in shape of tooth #8,
an in-house Essix aligner was fabricated
for the maxillary arch, and the ClearCorrect supplied retainer was inserted
for the mandibular arch. The patient was
instructed to wear the retainers at nighttime indefinitely. We scheduled a followup appointment with the patient at one
month, seven months and 19 months
after treatment. The patient was very
happy with the results.
The patient’s results truly speak for
themselves, while also speaking to the
effectiveness of clear aligner therapy.
About the author
Dr. Mark J. Bentele received his DDS from the
University of Missouri, Kansas City School of Dentistry and graduated from an Air Force hospital
General Practice Residency. He completed
a
three-year
orthodontic
residency at
the
Ohio
State University
College
of Dentistry,
receiving his
certificate in
orthodontics
and master’s
in science. He
completed
his Air Force
career as chief of orthodontics, U.S. Air Force
Academy, where he was also a member of a dental
implant team, the craniofacial deformities board
and a faculty member for the advanced education
in general dentistry program. He retired from the
Air Force as a colonel in 2007 and has been in private practice in Colorado Springs since then. Bentele is a member of the American Dental Association, the Colorado Dental Association, the
Colorado Springs Dental Society, the American Association of Orthodontists and the American Cleft
Palate Association
[7] =>
Carestream
[8] =>
8
AAO Preview
Ortho Tribune U.S. Edition | AAO PREVIEW
“ AAO, Page 1
lectures will focus on numerous clinical
and practice-management topics.
Featured speakers include Dr. Laura
Berman, a world-renowned sex and relationship educator and therapist; TV,
radio and Internet host; and assistant
clinical professor of ob-gyn and psychiatry at the Feinberg School of Medicine
at Northwestern University in Chicago.
Berman has helped countless couples
build stronger relationships, improve
their sex lives and achieve more intimacy through her TV and radio shows,
books, columns and website, along with
her private practice based in Chicago.
She serves on the advisory board for
“The Dr. Oz Show” and is a regular guest
on The Steve Harvey Show. Her session is
“The Passion Prescription.”
Sixteen Pacific Rim speakers will lecture on topics such as management of
third molars, photobiomodulation and
lingual orthodontics using mini-tube
appliances (MTAs).
A wide variety of other educational
sessions are available, including:
• “Lessons Learned in 35 Years of Treating Obstructive Sleep Apnea” with Harry Legan
• “Efficient Mechanics with TADs to
Jay Leno will be the keynote speaker at the ‘Excellence in Orthodontics Awards Ceremony.’
Manage Complex Orthodontic Problems” with Ravindra Nanda
•
“Digital
Orthodontics:
Efficiency and Effectiveness of Tooth
Alignment with the SureSmile System”
by Anthony Puntillo
• “Micro-perforations: Indications and
Application in Your Daily Orthodontic
Practice” with Mani Alikhani
• “Surgery-facilitated Orthodontic
Patrick Corbin teams up with
the AAO to promote National
Facial Protection Month
T
hroughout April, the American Association of Orthodontists (AAO) partnered
with Arizona’s starting
pitcher, Patrick Corbin, to
promote National Facial
Protection Month.
An all-star example of safety on the
field, Corbin consistently wears a mouthguard for his position on the pitching
mound and while at bat.
Corbin is dedicated to facial protection,
and created a radio public service campaign to encourage athletes of all ages
to cover their bases when it comes to
protecting their mouth, teeth and face.
His goal is to remind players of the importance of wearing a mouth guard and
the serious repercussions of an injury to
the teeth.
National Facial Protection Month is an
annual initiative that reminds athletes
to play it safe during recreational and
organized sports by wearing a mouth
guard and appropriate safety gear at every practice and every game.
Corbin, all-star starting pitcher for Arizona, is a prime example of a professional athlete who takes protecting his teeth
seriously. When baseballs can be hit at
speeds of more than 100 mph, Corbin
protects himself on the pitching mound
by always wearing a mouth guard.
“Wearing a mouth guard on the field
is just as important as any other protective gear,” Corbin said. “In baseball, a line
drive can come at you when you least ex-
Pitcher Patrick
Corbin is helping
AAO to promote
National Facial
Protection Month.
Photo/AAO
pect it, and it’s crucial to be protected at
all times.”
About National Facial Protection
Month
National Facial Protection Month is
sponsored annually during the month
of April by the American Association of
Orthodontists (www.mylifemysmile.org),
the American Association of Oral and
Maxillofacial Surgeons (www.aaoms.
org), the American Academy of Pediatric
Dentistry (www.mychildrensteeth.org),
the Academy for Sports Dentistry (www.
academyforsportsdentistry.org) and the
American Dental Association (www.
mouthhealthy.org).
About the American Association
of Orthodontists
Founded in 1900, the American Association of Orthodontists (AAO) is the
world’s oldest and largest dental specialty organization.
It represents 17,000 orthodontist
members throughout the United States,
Canada and abroad. The AAO encourages and sponsors key research to enable
its members to provide the highest quality of care to patients.
For more information, visit www.
mylifemysmile.org.
(Source: American Association of
Orthodontists)
Tooth Movement: What is the Evidence
and How Does it Work?” by Yijin Ren
On top of all of the learning opportunities, this year’s AAO session is also
jam-packed with a bevy of interactive
and social events attendees won’t want
to miss. Some of these include:
• Opening ceremonies on Saturday,
May 16, from 5-7 p.m. featuring legendary rock ‘n’ roll band Huey Lewis and the
News. Tickets are $25.
• 5K Fun Run and Walk on Sunday, May
17, from 6:30-8 a.m. $25 per person and
includes T-shirt.
• Excellence in Orthodontics Award
Ceremony, noon to 2:15 p.m. Sunday,
May 17, at the Moscone Center. It’s $60
per ticket and includes lunch (or $15
ticket for awards/speaker, not including
lunch). Keynote speaker Jay Leno is sure
to make this a fun and exciting event.
Finally, attendees will definitely want
to check out the 300,000-square-feet
AAO Exhibit Hall featuring more than
300 exhibitors all gathered under one
roof. If you have questions about a new
product or want to learn what technology is best for your practice, you will
want to save some time to browse the
hall.
To learn more about the AAO’s Annual
Session, visit www.aaoinfo.org or download the AAO mobile app on your phone.
“ PARADOX, Page 2
science of quality improvement, where
the approach to improve quality and
assess this attitude has brought us, in
spite of contradictions and paradoxes.
A paradox is a statement that apparently contradicts itself and yet might be
true. Most logical paradoxes are known
to be invalid arguments but are still
valuable in promoting critical thinking.
More commonly, the word paradox often refers to statements that are unexpected or ironic, such as “…the paradox
that standing is more tiring than walking.”
Examples of a paradoxical effect or
reaction might be when: (1) people with
unrelenting or ominous disabilities
report experiencing good or excellent
quality of life but to many outside observers, these individuals seem to live
an undesirable daily existence; (2) effects of a certain drug are opposite to
what is normally expected, such as allergy or even anaphylaxis; (3) a painrelief medication causes increased
rather than decreased pain; (4) a surgical procedure produces a scar, such as a
keloid rather than perfect incision closure; and (5) an orthodontist expects his
or her treatment to produce a certain
reaction or tooth movement, but the
resultant outcome is contrary to what is
expected, such as relapse or resorption.
These are the aberrant, abnormal consequences rather than the normal, expected results … or rather the paradoxes
of quality of treatment, they are the
“scars” of medicine, dentistry and orthodontics. Can they be predicted? Does
it mean that the treatment was improper? Sometimes yes but most times no. It
is up to the clinician to diagnose properly and even then, poor results can occur
in spite of good judgment, proper treatment and excellent diagnosis. Unfortunately, our profession is not an exact
science; this is not an excuse, but a fact!
[9] =>
Ortho Tribune U.S. Edition | january 2014
industry
Ultradent
9
[10] =>
industry
10
New advances
in treatment,
education from
Myofunctional
Research Co.
By Myofunctional Research Staff
R
ecently, Myofunctional Research Co. (MRC) took the
opportunity to showcase
the company’s latest development in patient education, advanced intraoral
appliance technology and upper airway
and neuromuscular dysfunction treatment systems.
Patient education:
Myobrace Activities app
Airway and neuromuscular dysfunction
has been identified as a major contributor
to the cause of malocclusion, and based
on modern research, myofunctional orthodontics works to address these underlying causes of crooked teeth. MRC has
recognized patient compliance as a vital
aspect of myofunctional orthodontics
and that by encouraging patients to play
an active role in their own treatment,
impressive and stable results can be obtained. In order to foster this compliance,
patient education performs an essential function in Myobrace® treatment.
Recently, MRC launched the company’s
latest development in patient-education
programs.
The highly interactive Myobrace Activities™ app is intended to be used in conjunction with the Myobrace appliances
and is specifically designed to present
consistent educational information to
young patients, at a level they understand
and enjoy. While trained auxiliaries play
a necessary role in patient education, the
app decreases the amount of time these
staff members must spend on the education component of Myobrace treatment.
MRC’s targeted Myobrace Activities are
exercises that are focused on correcting
the patient’s poor breathing, incorrect
tongue position and dysfunctional swallowing patterns as well as strengthening
lips and cheeks and correcting posture.
By offering a sequence of videos demonstrating each of these activities then
quizzing patients on how and why they
should correctly complete the activity,
the app encourages compliance and helps
to ensure patients receive the maximum
possible benefit from the Myobrace Activities program. The app is designed to
engage the patient as well as provide an
interactive environment with individual
goals and incentives.
Ortho Tribune U.S. Edition | AAO PREVIEW 2015
By combining education and goal setting with entertainment, the groundbreaking Myobrace
Activities app encourages children to play an active role in their treatment.. Photos/Provided by
Myofunctional Research
While this series of activities has been
intuitively structured to guide the patient through the entire suite of activities
in an order targeted toward providing the
greatest benefit, there is an option for the
practitioner to customize an activity sequence for individual cases. Compatible
with most desktop, tablet and mobile devices, the Myobrace Activities app is designed with children of all ages in mind.
Intraoral appliance technology
The Myobrace System™ is a highly developed myofunctional orthodontic system,
which combines myofunctional habit
correction, arch expansion and dental
alignment into one integrated system
that satisfies the increasing parental demand for modern, early pre-orthodontic
treatments. The intuitively structured
Myobrace appliance systems have enabled practitioners around the world to
easily and successfully implement myofunctional orthodontic treatment methods into their practice, the company asserts.
The Myobrace for Braces™ series, which
was included in MRC’s 2015 product
showcase, is a new addition to the Myobrace appliance range. The Myobrace for
Braces series is a three-stage appliance
system, which facilitates the treatment
of the habits causing malocclusion alongside simultaneous treatment with fixed
orthodontic braces. The appliance series,
which can assist in providing more stable
orthodontic treatment results, incorporates the B1 for habit correction, B2 for
habit correction and arch expansion and
the B3 for habit correction in the retention phase with clear aligners.
The Myobrace System by MRC is the
world’s most advanced myofunctional
orthodontic treatment system, according to the company. The system allows
practitioners to treat more children earlier, improve patient flow and increase
efficiency by delegation while providing
financial benefits for the doctor and parent.
Airway and neuromuscular
dysfunction treatment systems
Observations have highlighted an increasing number of 21st century children
who exhibit upper airway or neuromuscular dysfunction. For the past 25 years,
MRC has identified these issues as a major cause of malocclusion. Furthermore,
the medical profession has now recog-
The Myobrace for Braces series is the newest addition to MRC’s Myobrace range.
nized that this upper airway dysfunction
can cause serious health issues such as
behavioral problems, ADHD or learning
difficulties in children as well as circulation or heart problems and obstructive
sleep apnea in adults.
MRC understands that correcting
upper airway compromise and neuromuscular dysfunction assists to unlock
a child’s genetic potential for natural
growth and development. Put simply,
a child who breathes through the nose
with correct tongue posture (in the maxilla) and swallowing patterns will most
likely develop properly with little need
for orthodontic treatment, whereas a
child who mouth breathes and cannot
posture the tongue correctly in the maxilla will have an aberrant swallow as well
as most likely have a malocclusion and
experience other airway-related health
issues.
As well as offering the potential for
preventive pre-orthodontic treatment,
MRC’s treatment systems can decrease
the severity of malocclusion and often
prevent the need for traditional extraction and fixed braces techniques. As a
result, MRC now has appliance systems,
educational systems and clinical management systems available to provide
the dental profession with a new dimension in profitable practice expansion.
These systems address upper airway and
neuromuscular dysfunction and are already highly beneficial for the health and
Mouth breathing contributes to airway
dysfunction.
development of a growing child. Additionally, in 2015 MRC intends to expand
the treatment to include breathing disorders in the adult population with a series
of adult myofunctional sleep appliances,
myOSA®.
MRC’s advanced patient education,
intraoral appliance technology and upper airway and neuromuscular dysfunction treatment systems allow practitioners to treat more patients, improve
patient flow and increase efficiency by
delegation as well as adding financial
benefits for both the doctor and parent.
To learn more about MRC’s myofunctional orthodontic systems, including
the new additions launched during 2015,
visit the website at myoresearch.com or
attend a seminar.
[11] =>
Ortho Tribune U.S. Edition | AAO PREVIEW 2015
industry
11
Reliance introduces newest addition
to its lingual retention line: Extend LTR
By Paul Gange Jr., President
Reliance Orthodontic Products
O
ne of the many difficult
decisions you will face
on a daily basis is how to
achieve long-term retention when the patient is
out of your control. Reliance has two excellent options (Retainium
and Ortho Flex Tech) when a case calls for
a lingual retainer that is bonded on every
tooth.
These wires provide a proven retention
method that is far better than relying on
patient compliance with a removable retainer. However, there’s one drawback:
hygiene.
Dentists’ and dental hygienists’ biggest complaint about fixed retainers is
neither they — nor the patient — can adequately cleanse around wires bonded
to every tooth. They maintain, rightly so,
that the wires bonded to every tooth are
a catch-point for calculus and debris. The
good news is not every case necessitates
a retainer to be bonded on every tooth.
In fact, a six bonding pad retainer would
be overkill in many Class I “minor movement” cases.
Reliance is proud to introduce our newest addition to our lingual retention line:
Extend LTR.
We have improved a popular labgenerated retainer wire to allow for chairside wire selection and placement. No lab
lead time and no lab costs. The ideal case
where Extend will be utilized is in a patient who has little anterior crowding and
no facial torqueing.
Extend is fabricated from a nickel-free
(.027) TMA wire. A bendable or shapeable
super-elastic wire, TMA has some give or
flexibility without changing the formed/
shaped characteristics. This feature allows
Extend a slight amount of flexion without
deforming under mastication forces. Ideal
for holding cuspid width, Extend is not
only flattened at the cuspid segment of the
wire but also incorporates 20-degree angulated bonding pads to allow the proper
wire-lingual surface adaptation.
For the remaining anteriors, Extend
must be adapted to the lingual sides of
each tooth. A bird beak plier should be
used for slight adaptation bends, while
more extensive bends can be achieved
with a three-prong plier without work
hardening the wire. Available in five sizes:
18, 20, 22, 24 and 26 mm.
The Extend arch measuring device
makes chairside size selection accurate
and simple. With the numbered-side facing up, seat the contact groove of the
measuring device at the midline. The first
number to fully clear the distal edge of the
lateral will be the number to correspond
with the designated wire size.
Chairside steps are as follows: 1) adapt
Extend on a study model, 2) prophy the
cuspids, 3) sandblast the cuspids, 4) etch
the cuspids, 5) apply one coat of Assure
and air dry, 6) place a small amount of LCR
paste in the middle of the cuspids, place
wire and light cure and 7) apply the final
At the AAO
For more information, visit booth No. 805.
coat of LCR to fabricate a custom pad of
composite, smooth with a resin-saturated
sponge pellet as needed and light cure.
Extend will be available in single size
packs of five for $45 or a kit that includes:
(12) measuring device, (1) EX18, (2) EX20, (4)
EX22, (4) EX24, (1) EX26 at an introductory
price of $99.
Extend in mouth.
Extend measuring device.
Photos/Provided by Reliance Orthodontic Products
AD
[12] =>
Dolphin Center
[13] =>
Spread
[14] =>
industry
14
Ortho Tribune U.S. Edition | AAO PREVIEW 2015
Partnering to build a world
of healthy, beautiful smiles
By Barbara Filmalter
Global Marketing Manager, 3M Unitek
H
ave you ever noticed
how a great smile
can light up a room?
Of course you have.
You also know how a
bright, beautiful smile
can change a life. At 3M Unitek, combining science and imagination to create
products that change the way your patients live and give them more time to
enjoy life with family, friends and loved
ones is what we’re all about. Innovation
and curiosity are a way of life with us,
and we partner with you and your staff
to effectively deliver better, more beautiful results (Fig. 1).
Your patients have better things to do
than sit in an orthodontist’s chair — or
wear braces — any longer than necessary. That’s why we create products that
can reduce time spent at the orthodontist’s office, as well as overall treatment
time. So they can enjoy more personal
time, hanging out with friends or being
with their families.
Our APC™ Flash-Free Adhesive Coated
Appliance system saves time for patients, doctors and staff by eliminating
the flash removal step, and allows you to
move directly from bracket placement to
bracket cure. It also simplifies debonding
and remnant clean-up, greatly improving the patient experience.
This advanced adhesive has shown
a reduction in bonding time by up to
40 percent per bracket, and reduces
required bonding steps. A user study
showing a bond failure rate of less than
2 percent means less rework, providing
additional time savings that result in
happier patients — and more productive
orthodontic staff.
Clarity™ ADVANCED Ceramic Brackets provide the look patients want with
the functionality orthodontists prefer.
These small translucent brackets are
designed to blend in with the patient’s
natural tooth color, providing brilliant
esthetics and minimizing the social discomfort of wearing braces (Fig. 2).
Patients appreciate that these ceramic
brackets resist staining, so they look
great throughout treatment. The finegrained ceramic material and domeshaped design with smooth, rounded
corners enhance patient comfort. And
the unique design enables easy debonding, on or off the archwire, for a better
patient treatment experience.
For patients who don’t want to be
seen with braces, we have a complete
solution for invisible orthodontics: the
Incognito™ Appliance System. Highprecision bracket slots enhance performance, and lingual bracket design
enables invisible esthetic treatment. To
optimize patient comfort and maximize
the delivery of customized prescrip-
Fig. 2
Fig. 3
Fig. 1
(Photos/Provided by 3M Unitek)
Fig. 4
tions, the low profile bases are custom
designed (Fig. 3).
Because patient comfort is a primary
concern in everything we do, we’ve developed Incognito brackets with low profiles, smooth radius surfaces and flush
hooks to reduce discomfort without
sacrificing performance. These brackets
look great, but more importantly they
feel good for your patients.
Are the latest digital practice enhancements your passion? You will find advanced 3M technology throughout the
3M™ True Definition Scanner and our
Unitek™ Treatment Management Portal,
to increase accuracy and efficiency with
a complete digital workflow (Fig. 4).
Finally, what patient wouldn’t appreciate an option that offered shorter treatment time, required fewer office visits
with longer appointment intervals and
reduced chair time? Our full range of
self-ligating systems provides orthodontists with more options when in search of
the ideal treatment for a patient. And our
SmartClip™ Self-Ligating Appliance
System has helped create brilliant smiles
for more than 1 million patients while using gentle forces on the teeth.
3M Unitek provides unique solutions
that enhance the overall experience for
patients, while helping improve the way
you work and run your practice more
efficiently. But we’re not resting on past
success. We continue to explore exciting
new materials that can streamline the
treatment process and improve the experience for patients and orthodontists
while providing excellent results.
We like challenges, and we strive to
better understand your needs and concerns. 3M Unitek is committed to finding
the best solutions that enhance patients’
lives and help orthodontic professionals
work more efficiently. We partner with
you to build healthy, beautiful smiles.
[15] =>
Reliance
[16] =>
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industry
Ortho Tribune U.S. Edition | AAO PREVIEW 2015
CEREC meets Invisalign: Sirona expands
its orthodontic product line to include
Invisalign digital impression submission
By Sirona Staff
Photos/Provided by Sirona
AD
T
wo powerful players in
the dental industry are set
to engage in a new cooperation: As announced at
the IDS 2015 in March, the
CEREC Omnicam and the
new CEREC Ortho Software can now be
used to submit digital impressions for
Invisalign® clear aligner therapy.
“We are delighted to offer our CEREC
Omnicam customers the ability to submit their digital impressions to the
Invisalign system. After 30
years of leading
dentistry into
a digital era,
Sirona’s focus
has expanded
to
orthodontic treatment.
(The) announcement is another
example
of
our strategy to
provide best-in-class products and customer support, as we integrate the market leader in clear aligner treatment into
the CEREC world,” said Jeffrey T. Slovin,
president and chief executive officer of
Sirona.
“With the seamless digital model submission to the Invisalign doctor’s site,
we once again show our dedication to
providing our customers with truly integrated systems that make dentistry better, safer and more efficient and improve
the patient experience. We believe that
this strategy combined with our continuous innovation will drive penetration of
digital dentistry and will deliver increasing value to our important customer
base and patients around the globe.”
The new CEREC Ortho SW 1.1 features a
patent-pending guided scanning process
and connects the CEREC world with Invisalign treatment by allowing seamless
digital impression submission. CEREC is
already the most frequently used system
for digital impressions, Sirona asserts,
and no other system is used more often
for chairside restorations. This solution
is not only safe and reliable but also
scientifically proven, according to the
company. Orthodontic treatment can be
planned in the Invisalign treatment process using the digital impression data.
How it works
Digital models created from CEREC
Omnicam intraoral data are transferred
to Align Technology and used as part of
the record submission for an Invisalign
treatment. This eliminates the process
of creating and sending physical impressions, which results in faster processing
of the case. Patients may benefit from the
earlier start of the therapy and the digital
impression taking instead of conventional impression material.
CEREC’s proven digital impressioning
system provides a safe and reliable step
into the process for general practitioners
and orthodontic specialists alike, Sirona
asserts. The required new software, exclusive for CEREC Omnicam systems, will
be available in selected markets by this
summer. Existing users should contact
their representatives for availability.
[17] =>
lanmark 360
[18] =>
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industry
Ortho Tribune U.S. Edition | AAO PREVIEW 2015
My Orthodontist mobile
app for your patients
Dolphin Management offers more ways to connect and enhance
the relationship between patient and practice
By Todd Blankenbecler
Manager of software development,
Dolphin Management
M
y
Orthodontist
mobile app is the
latest addition to
Dolphin’s line of
mobile products.
It is also Dolphin’s
first product designed for the patients to
use, and we’re pretty excited about it. The
response from practices has been overwhelmingly
positive.
Using
My
Or thodontist
on their iOS
or Android device puts your
practice in the
center of their
lifestyle. It is an
interactive mobile application, Blankenbecler
offering
patients so much
more than a static web page. One of the
many things they can do is fill out their
medical history form and submit it prior
to their initial appointment, saving time
during their visit.
My Orthodontist is entirely customizable to the practice. It offers more than 25
color themes to choose from in addition
to the ability to add the practice logo. It
can also be personalized with information about the doctor and staff, contact
information and any interesting details
of the practice.
Photo/Provided by Dolphin Management
What is My Orthodontist?
My Orthodontist is a mobile app for patients, providing them access to information about themselves, their treatment
and your practice. Once they download
My Orthodontist to their smartphone,
they have access to:
Patient information
• Appointments
• Patient images
• Account balance/payment posting
• Online questionnaires
• Shared Aquarium© patient-education
videos
Practice information
• FAQs
• Media files such as videos, images
• News items
• Contact info (email, phone)
• Social media such as Facebook, Instagram, Google+ and Twitter
izable for your practice. Using a new
My Orthodontist setup screen in AnywhereDolphin, you set up your profile
information: details about the practice,
doctors and staff. You can also include
links to website items such as news, RSS
feeds and social media. Personalize the
app by uploading your logo and choosing
from more than 25 color themes.
Is My Orthodontist customizable?
What does it cost my patients to
download?
Yes! My Orthodontist is easily custom-
How does it work? Is it secure?
My Orthodontist connects to our secure
AnywhereDolphin site to validate users
and access data from your server (via
our Dolphin Ocean Service). No devices
directly connect to your server, and the
connection from your server to AnywhereDolphin to My Orthodontist is encrypted for security (using industry standard SSL and HTTPS).
The app is free to download from the App
Store or Google Play.
Does the app have the practice
name on the App Store or Google
Play?
No. The app is listed as My Orthodontist
on the App Store or Google Play. Once the
user logs into the app, your customized
My Orthodontist app is displayed.
Do we use My Orthodontist for
mobile access?
No. Dolphin Mobile is our practice-facing
mobile app, developed specifically for
use by doctors and staff. For more information, visit www.dolphinimaging.com/
dolphinmobile.
What version of Dolphin
Management is required?
My Orthodontist requires Dolphin Management 6
At the AAO
For more information, visit booth Nos. 729/829.
Is My Orthodontist released?
Yes! We started shipping My Orthodontist in April. It is currently available to
Dolphin Management users.
I only have Dolphin Imaging or
Aquarium. Is it available for me?
Yes! But not yet … The initial version requires Dolphin Management, but plans
are in place to release an imaging-only
version soon after.
Got more questions? Feel free to contact us at (800) 548-7241 or visit www.
dolphinimaging.com/myortho.
[19] =>
Ortho Classic
[20] =>
industry
20
Ortho Tribune U.S. Edition | AAO PREVIEW 2015
Ormco at AAO: Hands-on demos
and speakers you won’t want to miss
Take the opportunity to learn more about My Smile Consult,
Ormco Custom, the Damon System, Insignia and more
By Ormco Staff
A
s you prep for San Francisco, we recommend
scheduling time to stop
by the Ormco booth (No.
1119). A staple exhibitor
at the AAO Annual Session, once again this year Ormco will
be hosting a number of hands-on technology demos and educational sessions
with leading practitioners.
With a heightened focus on education and tools to help you deliver the
best results for patients and grow your
practice, Ormco will debut My Smile
Consult™ — a new online consultation
tool designed to increase case starts by
educating patients on the benefits of
orthodontia. Furthermore, for those of
you interested in learning how to dramatically streamline your workflow
and reduce treatment times, explore
Ormco Custom’s digital solutions via a
guided hands-on tour.
At the AAO
For more information, visit booth No. 1119.
times the rotational control* for meticulous finishing and efficient treatment.
Scan. Design. Build. Bond.
Stop by the booth for a guided tour
of Ormco Custom. See firsthand how
digital practice optimization — made
possible through the combined solutions of Lythos™, Insignia™ and AOA
integrated custom lab services — can
increase efficiencies for greater practice
profitability. It begins with harnessing
the power of digital scanning to overcome the inherent challenges associated with traditional impressions and
ends with custom bracket placement,
custom formed arch wires, custom
bracket prescriptions and a happy patient with a beautiful smile.
Network, share best practices and
learn from industry experts
In addition to in-booth lectures, top
clinicians will be available for one-onone discussions. Visit Ormco’s booth
for your chance to speak candidly with
leaders in the field. Lecturers and oneon-one session clinicians include Drs.
Mark Coreil, Terry Dischinger, Stuart
Frost, John Graham, Jeff Kozlowski and
Sonia Palleck.
The daily schedule is as follows.
Saturday, May 16—Monday, May 18:
• 11 a.m.–3 p.m.: One-on-one sessions
with leading clinicians
• 11:15 a.m.–1:15 p.m.: Clinical/practice
management in-booth lectures:
Differentiate your practice,
educate your patients … and grow!
At the show, learn how to grow your
practice by differentiating your treatment offerings with the Damon™
System and educating your patients
with one of the industry’s latest consultation tools, My Smile Consult. In a
personalized fashion that relates directly to the patient prospect, My Smile
Consult enables doctors and staff to
efficiently and effectively present the
benefits of orthodontic treatment —
before, during and after the consultation. Be sure to visit the Ormco booth
for your hands-on demonstration and
to register your practice for this powerful new tool.
To meet the needs of today’s imageconscious adults and teens, Damon
Clear passive self-ligating brackets will
also be on display at the Ormco booth.
Damon Clear2 brackets feature a new
ultra-precision slot that provides two
More value for your practice
Photos/Provided by Ormco
Looking to drive more patients to your
practice? Learn about Ormco’s consumer websites for the Damon System,
Insignia and Inspire ICE™. Each site
educates consumers on the benefits of
treatment and drives consumers to providers via custom doctor locator search
tools.
To support local practice marketing
programs, Ormco also offers a complete
range of online marketing and education resources — including lobby/website videos, consultation presentations
and patient photography — for practices treating with the Damon System,
Insignia, Lythos and Inspire ICE.
For added value, stop by the booth to
learn about Ormco’s Lifetime Rewards
Program. The unique rewards program
allows members to earn points that
never expire. The concept is simple:
Earn points on every dollar you spend
on Ormco’s selection of orthodontic appliances, then redeem for free course
tuition and product.
At the booth, Ormco will also be sharing an exclusive sneak peak of its new
lingual bracket system, and the AOA
Lab team will be available for doctors looking to learn more about AOA
Access, AdvanSync 2 and AOA’s extensive line of custom built appliances.
Be sure to stop by booth No. 1119 at
the AAO!
* As compared to Damon Clear, data
on file. Standard torque, upper 3-3
brackets.
[21] =>
NDA
[22] =>
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industry
Ortho Tribune U.S. Edition | AAO PREVIEW 2015
LED Medical Diagnostics enters
into agreement with OrthoSynetics
Preferred-supplier status brings new opportunities in orthodontic imaging market
LED Medical Diagnostics Inc. recently announced a new agreement with
OrthoSynetics, a leading provider of administrative, marketing and financial
services to 350 orthodontic practices
across the United States. The agreement
designates LED Medical Diagnostics
Inc.’s subsidiary LED Dental as the preferred imaging technology supplier for
OrthoSynetics.
With the agreement, OrthoSynetics
clients will have access to exclusive pricAD
ing on imaging solutions from LED Dental, including the Rayscan Alpha imaging
system from RAY, a former subsidiary of
Samsung.
While customers of OrthoSynetics benefit from the new group pricing incentive, LED Dental sees this development
as a new avenue for expanding its market
share in the orthodontic space.
“We entered the orthodontic imaging
market at the American Association of
Orthodontists Annual Session in 2014
and immediately recognized the potential to serve this specialty,” said Dr. Jeffrey
Brooks, vice president of imaging for LED
Dental. “We have already worked with
several OrthoSynetics clients to implement the Rayscan Alpha imaging system
in their practice and look forward to helping additional orthodontists realize the
treatment benefits of exceptional imaging technology.”
Dr. Jack Devereux and Dr. Phuong
Nguyen of Devereux & Nguyen Ortho-
dontics in Metairie, La., are two of the first
OrthoSynetics clients to work with LED
Dental to bring new imaging technology
into their practice. Additionally, both doctors have become key opinion leaders for
LED Dental.
“We are very proud to be working with
the LED Dental team to provide clinical
feedback on these imaging solutions,”
Devereux said. “It’s great to be at the forefront of technological innovation, and it’s
exciting to have input into current and
future products.”
The OrthoSynetics team prides itself on
helping clients achieve long-term growth
and profitability for their practices.
“Working with companies like LED
Dental allows us to bring new technologies to our clients at a great value, which
is what our company is all about,” said
John O’Brien, vice president of procurement for OrthoSynetics. “In the end, we
want our customers to continuously grow
their practices and create successful businesses. Working with suppliers like LED
Dental reinforces the value of being an
OrthoSynetics client.”
“The orthodontic community is a large
market segment that is vital to the success of LED,” added Dr. David Gane, CEO
of LED Medical Diagnostics Inc. “Entering
into this agreement with OrthoSynetics
pairs us with a similar white-glove service organization in the dental technology space and furthers our goal of being
the leading provider of digital imaging
technologies across the dental industry.
This relationship is an excellent example
of the type of efficient and synergistic
scale-up opportunities that we’ll look to
find and execute as a part of our broader
growth strategy.”
For more information about LED
Dental or the Rayscan Alpha imaging
system, visit www.leddental.com. For details on the services provided by OrthoSynetics, go to www.orthosynetics.com.
About LED Medical Diagnostics Inc.
Founded in 2003 and headquartered
in Burnaby, British Columbia, Canada,
LED Medical Diagnostics Inc., through
its wholly-owned subsidiaries LED
Dental Inc. and LED Dental Ltd, provides dentists and specialists with advanced diagnostic imaging products
and software, in addition to the awardwinning VELscope® Vx tissue fluorescence
visualization technology. LED Dental is
committed to providing practitioners with
the best technology by identifying and
adding products to its growing portfolio.
About OrthoSynetics
OrthoSynetics provides members with a
comprehensive service unlike any other
in the industry. A team of business experts helps your practice in marketing,
purchasing, patient benefit and eligibility
verification, collections, human resources, real estate and facilities management,
tech support, practice consulting and
education.
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[24] =>
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