Ortho Tribune U.S. No. 1, 2016Ortho Tribune U.S. No. 1, 2016Ortho Tribune U.S. No. 1, 2016

Ortho Tribune U.S. No. 1, 2016

AAO in Orlando / Industry / Ortho programs incentivize the board exam as the ‘Gold Standard’ with preparatory support / Now’s the time for excellence

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            [1] => 







ORTHO TRIBUNE
The World’s Orthodontic Newspaper · U.S. Edition

AAO Preview EDITION 2016 — Vol. 11, No. 1

www.ortho-tribune.com

FROM THE EDITOR

AAO in
Orlando

Historical
overview of
orthodontic
education
From 1961-2000:
Part III
By Dennis J. Tartakow,
DMD, MEd, EdD, PhD, Editor in Chief

tributed to the late Walt Disney, is also
applicable to the AAO 2016 Annual Session, said AAO President Morris Poole.
Orthodontists display great intellectual
curiosity about both the discipline of
orthodontics as well as myriad other
subjects, he said. Poole noted the Disney
quote also expressed what he believes
the AAO annual meeting will be.
The AAO’s 2016 Doctors Scientific Program will offer a wealth of clinical and
scientific information in application to
orthodontic practice, as well as in-depth
information about every aspect of effective practice management.
In addition to the typical events and
educational sessions you might expect
at these types of events, the AAO has
some special activities and highlights
for attendees, including:
• Opening Ceremonies at Sea World on
Saturday, April 30.
• The Excellence in Orthodontics
Awards Ceremony and Luncheon, featuring an address by 2012 Republican
presidential nominee Mitt Romney, on
Sunday, May 1.
• The International Members Reception at the Hilton Orlando Promenade
Lawn on Sunday, May 1.

Orthodontic education accreditation for all undergraduate and postgraduate educational programs in
the United States and Canada was
initiated in the early 1970s. The creation of the Commission of Dental
Accreditation occurred in the 1990s,
operating under the auspices of the
ADA, in order to standardize the accreditation process for all postgraduate orthodontic programs (American
Dental Association, 2008).
This was a peer review mechanism
that included orthodontic specialists, educational institutions, practitioners, the dental licensing community, as well as public representatives.
Their responsibility was to ensure the
quality of each orthodontic education program. The Joint Commission
on National Board of Dental Examiners established Test Construction
Committees in order to examine all
undergraduate and graduate dental
students for knowledge and proficiency.
Since 1990, the issue regarding recruitment and retention of qualified
orthodontic faculty members had
been the most important and challenging topic of discussion at every
orthodontic conference (Roberts,
1997). Since 1994, the AAO Council
on Orthodontic Education (COE) has
sponsored conferences for the chairs
of orthodontic departments to share
common challenges and solutions
(Larson, 1998). According to Larson,
the Orthodontic Section of the American Association of Dental Schools
(AADS) also recognized this critical
challenge.
In 1990, the faculty vacancy rate
was six percent. At the time of the
1993 survey, 171 full-time faculty positions were funded at the programs
that returned the survey and of
these, 20 positions were unfilled for

” See AAO, page 2

” See HISTORY, page 2

Crowds wait for the evening fireworks at Disney World in Orlando, Fla. The AAO 2016 Annual Session will take place in Orlando from April 29–
May 3. Photos/www.freeimages.com

T

he American Association
of Orthodontists will host
its annual meeting April
29-May 3 at the Orange
County Convention Center
in Orlando, Fla., with the
goal of “Bringing Us Together.”
“When you’re curious, you find lots
of interesting things to do,” a quote at-

Tribune America
116 West 23rd Street
Suite #500
New York, N.Y. 10011

Feed your
curiosity at
2016 annual
session

By Sierra Rendon, Managing Editor

PRST STD
U.S. Postage
PAID
Permit #1239
Bellmawr, N.J.


[2] =>
2

From the Editor

“ HISTORY, Page 1
a vacancy rate of 12 percent. In l997, the
vacancy rate increased to 42 percent.
If orthodontics can provide an environment that makes education and research
a reasonable choice through which one
can make a decent living, the specialty
will maintain its high standards and continue to flourish (Peck, 2003). Typically,
the best dental students are attracted
to orthodontics, and a large number of
them do have an interest in teaching and
research (Larson, 1998).
According to Noble, Hechter, Karaiskos and Wiltshire (2009), there are more
than 700 orthodontic residents enrolled
in the 65 postgraduate orthodontic programs in the United States. Approximately 400 new residents per year are
accepted in 69 postgraduate orthodontic programs in the United States and
Canada (Johnson, 2008). All postgraduate orthodontic programs range from
two to four years in duration; some offer
certificates in orthodontics and others
offer M.Sc. and/or Ph.D. degrees. The to-

Dennis J. Tartakow, DMD, MEd, EdD, PhD,
Editor in Chief

tal number of residents averages 800 to
1,200 per year.
By 1997, these issues were finally
brought to the surface by an important
and landmark survey of all orthodontic
department chairs. The COE and AADS

Ortho Tribune U.S. Edition | AAO PREVIEW 2016

surveyed all orthodontic programs in
the United States and Canada in order to
visualize the problem and develop greater understanding for the negative trends
of orthodontic faculty recruitment and
retention (Larson, 1998).
Larson noted that two orthodontic
educators, Storey (Department of Orthodontics, University of Toronto, Faculty of
Dentistry, Ontario, Canada) and Biggerstaff (University of Texas, Department of
Orthodontics, Health Science Center, San
Antonio, Texas), constructed a survey
instrument in order to reassess previous data from similar projects that were
completed in 1990 and 1993. This survey
instrument was modified to allow for
comparison with those earlier results regarding faculty retention. Those results
confirmed that there was an increase in
unfilled faculty positions.
To be continued …
Editor’s note: References will be included
at the end of the final portion of this series.

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

Product/Account Manager
Maria Kaiser
m.kaiser@dental-tribune.com
Business development manager
Travis Gittens
t.gittens@dental-tribune.com

“ AAO, Page 1
• The AAO Gala at Universal Studios,
Orlando, on Monday, May 2.
• The Featured Speaker series with
leaders in the field including Lou Mongello, Dick Hoyt, Bruce Christopher and
Brad Barton.
The AAO 2016 Annual Session named
lecture speakers will be:
• Jacob A. Salzmann Lecture: Dr. Larry
Andrews. Andrews, founder of the Six
Keys™ to Optimal Occlusion and the
Six Elements of Orofacial Harmony™, is
a clinical professor in the orthodontic
residency program at the University of
California at San Francisco. He authored
the textbook “Straight Wire, The Concept and Appliance.”
• Edward H. Angle Lecture: Dr. Birte
Melsen. Melsen served for many years
as a professor and head of the Department of Orthodontics at The School of
Dentistry, Aarhus University, Denmark.
She has a private practice in Lübeck,
Germany, that focuses exclusively on
adult orthodontics. She continues to
lecture and conduct research.
• John Valentine Mershon Lecture: Dr.
Sheldon Peck. Peck previously was a clinical professor of developmental biology
at the Harvard School of Dental Medicine. He is now an adjunct professor of
orthodontics at the University of North
Carolina at Chapel Hill and an associate
editor of The Angle Orthodontist.
In addition to the bountiful educational opportunities, the AAO 2016 Annual Session offers a great chance to
learn about new products and technology in the orthodontic industry.
More than 300 companies will exhibit the latest and greatest products
and services available to orthodontists
throughout the Orange County Convention Center.
Nicknamed “The City Beautiful,” and
known worldwide for its theme parks,
Orlando offers AAO 2016 Annual Session attendees a perfect setting in which
to relax, have fun and learn, according
to the AAO Annual Session planning
committee.
To make it easier for attendees and

ORTHO TRIBUNE

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
© 2016 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

Both Universal Studios and Sea World will host AAO 2016 Annual Session Events. Check the
AAO guide to make sure you don’t miss anything.

their families to enjoy Orlando, annual
session lectures will end daily at 2:45
p.m. (with the exception of Saturday,
April 30, when lectures will end at 3:15
p.m.). AAO Tours of Orlando may be

booked during registration.
For more information and a complete guide to the AAO 2016 Annual
Session, please visit www.aaoinfo.org/
meetings/2016-annual-session.


[3] =>
from the editor

Reliance

3


[4] =>
4

industry

Ortho Tribune U.S. Edition | AAO PREVIEW 2016

Why digital marketing?
See how Kaleidoscope can make a difference for your practice
By Kaleidoscope Staff

I

t’s time to have a digital marketing presence in your practice that
sets you apart from the competition. The competitive differences
of Kaleidoscope, a digital marketing tool, can have a huge impact
in your lobby and reception areas.
Digital marketing is important because:
• It builds and strengthens relationships.
• New products and services will be
discovered.
• Sixty-five percent of people are visual
learners.
You want to make sure your digital
marketing is providing fresh content
and including what’s important to your
practice. Kaleidoscope is doing just that!
Kaleidoscope, a digital marketing tool, is
offering an exciting new feature called
“Automatic Updates.”
Many Kaleidoscope clients have shared
with us that they would prefer to handle
information about their office for their
display but would like everything else

At the AAO
To learn more about Kaleidoscope and how it
can help you with digital marketing, visit
booth No. 340 or request a brief online demo.
You

may

also

visit

its

website

at

www.theKaleidoscope.com.

to change automatically for categories
such as Trivia, Life Tips, Nature and
Travel. Now Kaleidoscope offers both
full customization features, as well as
automatic updates.
When choosing a digital marketing
tool, consider what Kaleidoscope offers:
• excellent customer service
• superior quality layouts, templates,
backgrounds, and photos
• wide variety of designed layouts and
templates to choose from
• a way to subtly market and display
your personalized content
• fast and easy setup, with the initial
customization being completed for you
by the Kaleidoscope team
• an opportunity where your input is
valued and often integrated in product

enhancements
Kaleidoscope asserts it leads the way
in patient experience. It provides poignant visual bytes and information that
captures the attention of both parents
and patients. The visual graphics and
photos draw people in and engage them
in learning more about the practice.
Then there’s the added value of having Kaleidoscope Founder and President
Charis Santillie help you and your understanding of the orthodontic/dental
market. Her 25 years of business accomplishments in consulting, marketing
and product launches encompass a variety of industries. She chose to launch
her own marketing company, which has
helped hundreds of orthodontic and
dental practices achieve greater success.

Santillie’s very personal experience
in working with her dentist husband,
Don L. Wilson, DDS, MSD, and helping
to build his successful practice from the
ground up gives her a unique perspective and understanding of this industry.
Seeing a true need for out-of-the-box
marketing within the dental community at-large, Santillie designed and developed Kaleidoscope, a digital marketing
tool. You may recognize Santillie from
her segment on “What a Great Idea” with
Bob Circosta.
Kaleidoscope is different from the
competition and offers all of the above
and more. The best way to find out
about Kaleidoscope is to request a brief
online demo or visit its website, www.
theKaleidoscope.com.

AcceleDent attributes its success to both a growing
body of clinical evidence, high patient satisfaction
By AcceleDent Staff

At the AAO
To learn more about AcceleDent and how to

Now available in more than 3,000 orthodontic locations in North America, AcceleDent® is being integrated into orthodontic practices in the United States and
internationally as standard of care for accelerated orthodontic treatment.
AcceleDent is an FDA-cleared, Class
II medical device that speeds up orthodontic treatment by as much as 50
percent and relieves pain often associated with treatment. Patients simply bite
down on AcceleDent’s gently pulsating
mouthpiece for 20 minutes daily, and the
hands-free, noninvasive device employs
patented SoftPulse Technology® that
accelerates bone remodeling and tooth
movement at the cellular level.
Many respected orthodontists, including Dr. Sam Daher, Dr. Sonia Palleck, Dr.
Jay Bowman and Dr. John Graham, choose
AcceleDent as the preferred accelerated
treatment modality because it has been
clinically proven to address the two most
common barriers to treatment: length of
treatment and discomfort.
Manufactured by OrthoAccel Technologies, AcceleDent’s rapid adoption by
orthodontists is credited to both a growing body of clinical evidence supporting
the device’s safety and effectiveness, as
well as high patient satisfaction among
AcceleDent users.

offer the leading accelerated orthodontic
treatment device at your practice, schedule a
one-on-one consultation with an OrthoAccel
representative by visiting www.booknow.so/
AcceleDentConsult. Orthodontists, treatment
coordinators and staff members are invited
to visit the OrthoAccel booth, No. 1141.

In September 2015, a peer-reviewed article published in Angle Orthodontist titled
“Pain Control in Orthodontics Using a Micropulse Vibration Device: A Randomized
Clinical Trial” reported that micropulse
vibration, as used in AcceleDent, significantly lowers biting pain and overall pain
during orthodontic treatment.
Orthodontists such as Dr. Katie Graber,
who practices in Illinois, say the reduction in discomfort is a huge benefit of
treating patients with AcceleDent.
“This study clearly demonstrates that,
in addition to faster tooth movement,
AcceleDent provides ‘pure’ pain management for orthodontic patients who
frequently report discomfort during
treatment,” Graber said. “I’ve found that
patients and parents appreciate AcceleDent’s reduction in discomfort because it
eliminates the need for over-the-counter
or prescription pain medication.”

Another clinical trial appeared in the
September 2015 issue of Seminars in Orthodontics, and the results revealed that
pulsatile forces, which AcceleDent employs, significantly accelerate tooth movement. This prospective, double-blind, randomized, controlled trial, demonstrates
that gentle, non-invasive vibration increases the rate of tooth movement.
This scientific evidence reinforces the
clinical results that AcceleDent providers have been achieving with this medical device for the past several years. The
evidence is underscored by consistently
positive patient reviews. In an independent survey, 100 percent of patients surveyed report they are satisfied with their
experience using AcceleDent.
“The strong support from orthodontists
and consumers is how we know that AcceleDent is such a game changer for the
orthodontic industry,” said Michael K.

Lowe, president and CEO of OrthoAccel.
“Orthodontists understand the science
that makes AcceleDent work, and patients
are eager to receive the benefits of accelerated orthodontic treatment with AcceleDent.”
OrthoAccel captured No. 69 on the 2015
Deloitte Fast 500 ranking of the fastest
growing technology companies in North
America. Among the top 100 companies
ranked on the prestigious list are some
of this era’s most dynamic and respected
technology brands such as Tesla, Fitbit
and Twitter.
“The fact that OrthoAccel is the only
orthodontic company ranked on the 2015
Deloitte Fast 500 shows the wealth of
industry experience that our team has,”
Lowe said. “As an innovation company, we
remain laser-focused on revolutionizing
the orthodontic industry by enhancing
the patient treatment experience.”


[5] =>
Ortho Tribune U.S. Edition | AAO PREVIEW 2015

industry clinical/products

5


[6] =>
industry

6

Ortho Tribune U.S. Edition | AAO PREVIEW 2016

Easing chairside stress with the All Surface Kit
By Reliance Orthodontics Staff

O

ne of Reliance’s flagship
products, Assure®, has
been the answer for so
many difficult bonding
situations for the past
15 years. Assure has created a foundation as the go-to primer for
everyday enamel bonding thanks to its
variable reducing properties, according
to Reliance Orthodontics.
Recently, Assure Plus was introduced to
bond to micro-etched porcelain without
the use of hydrofluoric acid and zirconia.
As you may know, Assure and Assure Plus
bond to wet or dry healthy enamel. Furthermore, they bond to wet or dry atypical surfaces (hypocalcified, aprismatic,
AD

Fig. 1a: Medium diamond roughening.
Photos/Provided by Reliance Orthodontics

Fig. 1b: Sandblasted (50 micron aluminum
oxide).

fluorosced, primary dentition and even
dentin/cementum) without additional
primers.
If you experience an enamel side bond

failure (the composite pad debonds clean
off the enamel), immediately contamination is blamed. If you are not using Assure
or Assure Plus, this may not be the case.

The enamel could have been aprismatic;
no other primer will bond to this difficult surface. The use of Assure or Assure
Plus on the initial bonding appointment
would eliminate this atypical variable.
As the demographics of orthodontic
patients shift to include an increasingly
larger number of adults, artificial substrate preparation becomes a major topic
of discussion for clinicians. It is no secret
that the foundation of artificial substrate
bonding lies in a good mechanical preparation.
Traditional methods using a diamond
bur, greenstone or disc to roughen metal
or porcelain surfaces does not always
produce adequate mechanical retention;
however, microetching with aluminum
oxide does. The SEM pictures (Figs. 1a,
1b) clearly illustrate the stark mechanical differences between utilizing a rotary
instrument and an intraoral microetcher
to prepare non-enamel surfaces.
Reliance now offers a kit that will reduce your inventory and produce maximum strength for chairside bonding,
regardless of the substrate involved
— enamel or non-enamel. The ASK (All
Surface Kit) only includes three components: 6cc Assure Plus*, All Surface Bonding Resin, 8 cc Porcelain Conditioner and
an Etchmaster microetcher with 10 tips.
The Etchmaster is a small sleek design
that allows easy access to the posterior
and very little clean up when used with
high-speed evacuation. Simply unscrew
your handpiece from a high- or lowspeed air line, attach the Etchmaster
sandblaster, insert the preloaded tips
(filled with 50 micron aluminum oxide)
and begin sandblasting.
Clinicians now can eliminate all other
artificial surface primers as well as numerous different protocols, according
to Reliance Orthodontics. With the All
Surface Kit, all non-enamel substrates
are handled with only two protocols:
1) Porcelain: Sandblast, rinse and dry.
Apply one coat of porcelain conditioner.
Wait one minute. Apply Assure Plus. Dry
and light cure.
2) Composite, zrconia, gold, amalgam,
stainless steel, acrylic, temporary, Pontic
teeth: Sandblast, rinse and dry. Apply Assure Plus. Dry and light cure.
Reduce inventory, reduce failures, reduce costs and simplify procedures with
Reliance Orthodontics.
* Assure Plus Unidose 50 pack can be
substituted for an additional $10.

At the AAO
The All Surface Kit is available at the AAO for
an exclusive price of $245. To learn more, visit
booth No. 929.


[7] =>
Ortho Tribune U.S. Edition | AAO PREVIEW 2016

interview

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8

industry

Ortho Tribune U.S. Edition | AAO PREVIEW 2016

A toehold in Europe
leads to a global footprint
By MRC Staff

I

t seems logical that if the goal is
international success, one of the
steps toward growing a prosperous company would be to establish a strong presence in the
domestic market. Compared to
overseas, though, the Australian dental
industry is quite small, and international
companies, such as Henry Schein and
DENTSPLY, dominate in the local market.
However, there are industry innovators
in Australia bucking this trend and becoming significant players on the international stage.
By offering modern treatment options
along with the systems necessary to deliver them effectively and efficiently,
Myofunctional Research Co. (MRC) has
grown to become established internationally as a frontrunner in a 21st-century niche of the market. While the head
office is based in Australia, the company’s earliest inroads were in Europe,
and while MRC is becoming well-known
as dental innovators domestically, since
1995 when distribution started, MRC
Europe has grown a significant business
footprint from its base in Holland.
MRC Founder Dr. Chris Farrell said the
company’s European origins grew from
the acceptance of an idea. “Twenty-five
years ago, we were less globally connected,” he said. “At that time, Australian dentists and orthodontists could not see the
importance or potential of our Trainer
and Myobrace® systems, whereas the European orthodontists were able to.”
MRC Europe’s first distribution contract was signed more than 20 years ago
for France, where the distributor sold
exclusively to orthodontists. Farrell said
these orthodontists quickly recognized
the potential for MRC’s treatment systems and continue to be enthusiastic
about what MRC offers today.
“They were more educated in certain
areas and understood about function
and early treatment, so they immediately took our pre-trainer on board,” he said.
“France remains one of our best markets,
and when I lecture there these days, they
want to learn everything they can about
new appliances as well as how we have
developed the integrated Myofunctional
Activity System and practice management systems to optimize efficiency and
patient compliance.
“Our Myofunctional Activity production, which includes an educational series focused on nutrition and diet is now
available in French.”
While it was the French willingness to
accept an idea that helped MRC establish
a toehold in Europe, a regular presence
at the International Dental Show (IDS)
in Cologne increased awareness and the
fading of a 20th century superpower
opened access to new European markets.

Myofunctional Research Co. headquarters in Europe. Photos/Provided by MRC

MRC’s booth at IDS in Cologne, Germany, 2015.

“We have had a presence at every IDS
since 1997 and now have distributors in
every European country,” Farrell said.
“When the former Soviet Union changed,
we found that orthodontists in Eastern
European countries were already learning about mouth breathing and poor
myofunctional habits causing malocclusion, so when MRC came along with a better way to treat, the acceptance was quite
high.”
Nowadays, the European headquarters
naturally includes the standard corporate sales and distribution departments,
but Farrell said continuing to educate
European dental professionals regarding
myofunctional dysfunction and modern
pre-orthodontic preventive treatment
was an integral part of MRC Europe’s operation.
“The European HQ includes a substantial training center with a fully equipped
training clinic to show European dental

MRC International Training Facility in Australia.

professionals and their staff how to deliver cost-effective pediatric pre-orthodontic care for millions of growing children
all over Europe,” he said. “Nowadays, we
have training sessions almost every week
for doctors from all over Europe, and Holland is an excellent hub for this.”
The acceptance MRC received in Europe
was not always the norm, though, and
spreading beyond European borders, particularly into the United States, provided
a fair share of challenges.
Farrell said establishing MRC in the
United States caused more of a struggle,
as it required a change in thinking for
those U.S. dental professionals.
“Linking malocclusion to myofunctional disorder, which can be more difficult to
see was a different way of thinking,” he
said. “We simplified our education and
training process to return to basics and
show how you must treat the dysfunction first, then the teeth.

“The Myobrace System is more about
health, growth and development in
younger children rather than a novel way
to straighten teeth. To begin with, bracesoriented orthodontists had trouble believing that the system can straighten
teeth while only being used for one hour
per day and at night. Once they realized,
they were amazed at the results, and so
during the last two years, all our USA
courses have been at capacity and sales
of Myobrace were up 51 percent for North
America in 2015.”
Farrell said that when it came to recognizing the potential of MRC’s treatment
systems, European dental professionals
initially had a slight advantage but their
American counterparts had caught on.
“Europeans have always used functional appliances so there was already basic
foundation of knowledge to build on,” he
” See MRC, page 10


[9] =>
Clear Correct


[10] =>
10

Myobrace Activities in French.

AD

industry

Ortho Tribune U.S. Edition | AAO PREVIEW 2016

MRC Europe Training Facility.

“ MRC, Page 8
said. “Establishing MRC in America took
longer than in Europe because the basics
of our system were not taught in North
American universities. Now there are
several taking on MRC post-grad courses
so pediatric and orthodontic specialists
can work together to resolve health and
orthodontic issues in growing children.”
With awareness and acceptance established internationally, in 2015, MRC
brought focus back to the Australian
market. Farrell said that, just like in Europe and the U.S., education was a central
part of MRC’s operation in Australia.
“2015 was a watershed year for MRC in
Australia,” he said. “In November 2014,
we opened our new training facility at
our Queensland office. The first delegates
to come for training were orthodontists
and their staff from China, but I am
pleased all our Australian courses have
also been well-accepted by local dentists.
All the Australian courses have been at
capacity with special courses being put
on for dentists and orthodontists from
Japan, Taiwan, Korea and Singapore.”
Farrell said MRC’s success demonstrated how a willingness to be innovative
and recognize opportunity as well as persistence and dedication could enable 21stcentury dental professionals to adapt to a
changing profession.
“We have to understand that a niche
market has a global reach, and you no
longer need a lot of products to be successful,” he said. “One thing I’m certain of
is that education is the key to a healthier
and more prosperous future. It took us 20
years to figure out: It was all about education and get that message out globally.”

At the AAO
To learn more about Myofunctional Research
Co. and its products, visit booth No. 1667.


[11] =>
Propel


[12] =>
industry

12

Ortho Tribune U.S. Edition | AAO PREVIEW 2016

Clear aligner therapy:
Begin with the end in mind
Digitally reshaping treatment setups for orthodontists
By Ken Fischer, DDS

F

orty-one years ago, when I
began my journey as an orthodontist, I was fortunate
to have been invited to associate with Dr. Robert Ricketts
and Dr. Ruel Bench in their
Pacific Palisades, Calif., practice.
During those 11 years of working closely with them, I learned many valuable
lessons, but the one I call upon every day
in my practice is to “begin with the end
in mind.” In other words, visualize the
treatment objectives before starting the
treatment. Ricketts and Bench developed
and promoted the Visual Treatment
Objective, or VTO, as a technique to create that visualization.
Today, the emergence of clear aligners
as an accepted modality for orthodontic treatment has brought us the digital
VTO in the form of a treatment setup.
Once the software technician has manipulated the original digital models to
represent a satisfactory treatment goal,
not only is the new occlusion visualized
but the sequential pathway from beginning to end animates how the teeth will
move to arrive at their destination.
Anyone who has moved teeth with
clear aligners understands just how important it is for the clinician to master
the nuances of the treatment setup. This
mastery begins with the information
and direction the clinician provides the
technician before the software moves a
single tooth.
The technicians’ skill set grows with
their experience in creating the setups;
however, it is much better when they
understand clearly what objectives and
preferences the doctor wants to achieve
with the treatment. Remember the adage, “garbage in, garbage out”? Well, it
can be very aptly applied here.
For example, ClearCorrect provides
forms in its online portal for the doctor
to submit the information the technicians will need to reset the teeth, and
additionally, areas where the doctor can
provide further directions to aid the
technician in staging, engager placement, IPR, etc. Therefore, ClearCorrect
allows for greater doctor control over the
treatment plan and offers more flexibility to reach the desired goals.
Once the original treatment setup is
completed, the doctor must scrutinize
it, starting with the final result: Does it
meet the clinician’s objectives for occlusion, interdigitation, appropriate overbite and overjet, rotation correction,
staging or treatment time and facial esthetics? If the criteria are met, the setup
is approved and the fabrication of the

At the AAO
To learn more about
ClearCorrect,

visit

booth No. 401. You
can

also

visit

ClearCorrect.com

or

call (888) 331-3323.

Photos/Provided by Ken Fischer, DDS

aligners begins; if the doctor rejects any
part of the setup, the doctor submits his
objections and instructions for correcting or improving the identified issues
and the setup is revised. Within a couple
of days, the review process is repeated.
ClearCorrect does not charge a fee for
preparing the treatment setup or even
multiple setups in case the doctor would
like to visualize alternative treatment
plans, e.g., in borderline cases where extraction may result in a more favorable
result than non-extraction.
Setups can be prepared for each scenario, giving the clinician the opportunity to analyze both results and approve
the one that would best meet the treatment objectives. Additionally, ClearCorrect works with most intraoral scanners,
making it easy for clinicians to submit
cases and allows for more precise treatment setup plans.
Even after the final approval of the
original setup, the value of the digital
VTO lives on. It offers the doctor an opportunity to demonstrate the treatment
goals to the patient visually.
Although not required to do so, showing the setup to patients stimulates their

anticipation to begin treatment and
raises their confidence in the clinician’s
competence.
The setup can also be an important tool
for monitoring progress throughout the
treatment. When aligners are not “tracking” adequately, often the reason why
can be determined by analyzing the staging amounts in the setup.
The technology that has made orthodontic treatment with clear aligners
possible has also digitally re-shaped the
appearance of Ricketts’ and Benchs’ VTO
and made it a much more powerful and
valuable tool, now known as the treatment setup.
Rearranging teeth on digital models,
sequential staging of tooth movement,
enhanced graphics, online communication between clinician and technician,
and competitive pricing all combine to
make the utilization of this valuable tool
available to any who are willing to learn
how to properly apply it.
Where Invisalign once held the competitive advantage, ClearCorrect is rapidly emerging as many clinicians’ choice
as their clear aligner provider. The doctor
can feel confident that the ClearCorrect

aligners will produce the same results as
any other aligner system; it is only the clinicians’ experience and training that determines the quality of their orthodontic
treatment. ClearCorrect does, however,
offer a subset of unique benefits:
• An aligner trim line research-proven
to be optimally effective;
• A simplified, efficient online case submission portal;
• Aligners delivered in phases for doctor convenience;
• The opportunity for the clinician to
choose one-, two- or three-week wear
schedules;
• Acceptance of a large number of various scanners for submitting digital models; and
• A $25 discount if digital scans are submitted in lieu of PVS impressions.

About the author
During his 41 years as an orthodontic specialist and
after treating nearly 1,500 clear aligner cases,
Dr. Ken Fischer enthusiastically offers clear aligner
treatment to most of his patients, including those
needing four bicuspid extractions. He frequently
lectures and has published a number of articles on
clear aligner treatment.


[13] =>
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[14] =>
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14

Ortho Tribune U.S. Edition | AAO PREVIEW 2016

How to hire the right staff
Four keys to
choosing and
retaining the
right employees
By Dr. Mark Sanchez
Founder and CEO of tops Software

I

t surprises me how often I meet
orthodontists who bring up the
challenges of hiring great employees for their practice. Finding and retaining good people
can be hard. In fact, mis-hiring
is far more costly than most of us realize.
For example, you hire someone who
leaves after only four months on the
job; you may think that your loss is
the four months of salary for that employee. Actually, once you factor in
your time looking for this employee,
training time and time spent by other
staff members to cover for them while
you start the search all over again, you
could find yourself spending 10 to 15
times that four-month salary. My hope
is to give you a few ideas on how to hire
and retain a great staff while saving
money and time building your team. 


What I’d like to do here is offer up my
“Reader’s Digest” version of the course
I teach on hiring the right staff. There
are “Four Keys to Hiring and Retaining
The Right Employees.” I usually expand
more in the class, but for our purposes,
we’ll touch the high points:
• Make a checklist — Identify the
skills, characteristics and goals you expect of a potential employee. If a candidate does not meet those criteria at a
high level, move on to the next.
• Develop a hiring process — Start by
developing a phone screening process,
followed by the interviewing process.
From there, you’ll need to develop a
character reference process. Don’t just
talk to acquaintances/friends. Talk to
all of their past managers/employers
for the last 10 to 15 years.
• Build a bench — Create a list of possible future employees. NEVER hire in
an emergency. Have people in mind
before you actually need them. Stay on
top of who’s available. Ask trusted staff
members to be on the lookout for new
team members. You never know where
a great potential candidate might pop
up. Consider your friends, colleagues
and even your spouse as part of your
hiring team.
• Create a culture — This is important,
and it starts with you. You set up and
create the kind of work environment
you want. Then help build it by hiring
staff that add to that culture. Do you
want to work with smart and happy people? (That’s what I’ve created with “team
tops.”) We want hard working people
who want to have fun. You might want
a more formal workplace? That leads

Photo/www.freeimages.com

us further into the culture. What practice characteristics lend themselves to
a great office environment? These are
characteristics we nurture at tops.
• We’re a team. We fit together and
share goals.
• We’re a family. We spend more awake
time with each other than our family.
Make it count.
• Sense of freedom. Hire people you
can delegate work to; trust them to do
a great job.
• Fun. My personal favorite. If you’re
not enjoying it, why do it? We take orthodontics and practice management
very seriously and we have a good time
doing it. 


That’s just a glimpse into my secrets
for hiring and retaining a great staff.

For most American businesses, there is
a hiring success rate of only 40 percent.
That’s largely due to ignoring many of
the key steps listed above. If you follow
them, you can easily set a goal for a 90
percent hiring success rate. I always
have a really good idea about someone
before I ever meet him or her for the
first time. 


And finally, I’ll close with a friendly
warning: If you ever bring in someone
for an interview and your gut gives you
any doubt, remember that it’s better
not to hire a good candidate than it is to
hire a bad one.
The good candidate that may have
gotten away can automatically be sent
to your bench for a future opportunity.
Good luck building your perfect team!

TM

At the AAO
To learn more about tops Software, visit booth
No. 821. You can also call (770) 627-2527 or
email sales@topsortho.com.

‘You never know where a great potential
candidate might pop up. Consider your friends,
colleagues and even your spouse as part of
your hiring team.’


[15] =>
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[16] =>
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16

Ortho Tribune U.S. Edition | AAO PREVIEW 2016

Power-driven acceleration with
Propel’s new Excellerator PT
By Jonathan Nicozisis, DMD, MS

Fig. 1

Fig. 2

T

he patient goal of shortening orthodontic treatment
time is not new. It has only
been in the last several
years that orthodontists
have had practical, costefficient options to meet this long-held
patient desire.
I view offering accelerated treatment
as critical to the future success of my
practice, particularly at a time when
adult starts are outpacing slow growth in
overall treatment starts.
I have tried several devices designed
to accelerate treatment in my practice.
When considering control, predictability,
ability to be used with both braces and
aligners, cost efficiency and case outcomes, I consider the gold standard to be
Propel’s Excellerator drivers.
The Propel drivers are used to perform
a procedure developed at NYU, called
micro-osteoperforation (MOP) which
stimulates the patient’s own biological inflammatory response resulting in
faster bone remodeling and accelerated
tooth movement.1
Micro-osteoperforation is typically
applied once or twice during treatment,
with each application consisting of multiple perforations as dictated by the dentition and treatment plan.
The procedure is performed chairside,
and after a minimal learning curve, a
single application takes literally minutes. Anesthesia can be administered via
compound topical or local infiltration,
with patients experiencing little to no
discomfort and returning to normal activities immediately post appointment.
The results of this simple procedure
are profound. My clear aligner patients
are able to change trays in three to seven
days, shortening treatment time considerably. The Propel Excellerator drivers
work equally well with fixed appliances
to unlock difficult, time-consuming
movements, such as large space closures.
Propel gets cases finished much faster
than would otherwise be expected.

Adding power to ‘excelleration’
The heart of Propel’s technology is the
patented tips, which are made from surgical stainless steel and have a unique
thread pitch designed specifically for the
MOP procedure. I had been getting great
results with the Excellerator RT, which
combines replaceable tips with a reusable driver (Fig. 2).
Late last year, I had the opportunity to
try the Excellerator PT (Power Tip), which
marries Propel’s proprietary tip design
with a specially configured cordless
torque driver. During this pre-launch
trial, I saw immediate advantages to this
latest addition to the Excellerator Driver
family.
The components of the Excellerator

At the AAO
To learn more about Propel
technology,

please

visit

booth No. 451.

Fig. 3

Fig. 1: The Propel Excellerator PT. Newly released for 2016.
Photos/Provided by Propel Orthodontics

Fig. 2: The Excellerator RT.
Fig. 3: Excellerator PT and its components.

PT system include: a powered handpiece
with charging station, a contra-angle
head attachment and single-application
tips (Fig. 3).
The handpiece itself has a simple intuitive interface and digital display. It has
clearly marked buttons for:
• Power (on/off)
• Torque
• RPM
• Forward/reverse
• Start/stop
The digital display indicates settings
for when the device is in reverse mode,
battery power, settings for torque (from
10 to 30 N-cm) and speed in RPM’s (low,
med, high). It should be noted that the
speed of the Excellerator PT handpiece is
higher than that of other standard cord-

less torque drivers.
I always use the power driver offered by
Propel at the highest RPM setting. Typical
MOP applications involve multiple perforations, so that extra speed is very important for efficiency.
The driver itself is easy to operate,
smooth, comfortable ergonomically
speaking and quiet. The contra-angle
attachment provides convenient fullmouth access. Performing MOP in the
posterior regions is certainly facilitated
by the contra-angle, which can be rotated
for optimal orientation.
Another compelling argument for the
Excellerator PT is that its smooth fluid
operation provides increased patient
comfort during the procedure. Once
the gingiva is penetrated, the rotational

speed gently draws the tip forward to create the perforation in the cortical plate
eliminating the need for manual perpendicular force. While the device is very
quiet, I have found that leaving suction
running in the patient’s mouth further
enhances the patient experience by completely covering the motor noise.
Based on my experience with the Excellerator PT, Propel is continuing to advance the gold standard in acceleration,
by expanding clinician choices within its
Excellerator Driver offering.

References
1.)

Alikhani M, Raptis M, Soldan B, et al. Effect
of micro-osteoperforations on the rate of
tooth movement. Am J Orthod Dentofacial
Orthop. 144:639-648; 2013.


[17] =>
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[18] =>
18

education

Ortho Tribune U.S. Edition | AAO PREVIEW 2016

Ortho programs incentivize the board exam as
the ‘Gold Standard’ with preparatory support

O

rthodontists are choosing to get board certified
by the American Board
of Orthodontics (www.
americanboardor tho.
com) at an earlier point
in their career than ever before — thanks
to support from graduate programs equipping students with preparatory exercises,
instructional courses and, in some cases,
financial backing.
In 2007, the ABO implemented a new
certification pathway to engage more new
orthodontists to participate in the certification process. The revised criterion allows
AD

new orthodontists to sit for the boards
earlier in their careers, and many graduate
programs and residents are taking advantage of this opportunity.
The ABO wants dental students who are
considering becoming orthodontic specialists to make informed decisions. By
soliciting orthodontic graduate programs
across the country, the ABO has put together a survey of the strategies and practices many programs are offering to encourage students to take the boards.
“ABO certification establishes a format
to allow graduates to objectively assess
their clinical outcomes as well as provides

a measuring gauge to assess future clinical
outcomes as lifelong learners,” said Richard Kulbersh, DMD, MS, professor, chairman and program director at the University of Detroit. “In addition, the ABO is the
only orthodontic organization that has
instituted a program for future recertification. And, I believe that future certification
and recertification will be a requirement
for all specialties in the near future.”
A separate fact sheet is available for
a look at how other schools around the
country are emphasizing the board exam
with unique programs and incentives. To
receive the fact sheet, contact Lindsay Si-

hilling at Lindsay@Visintineandryan.com.
Here’s a sampling of some creative ways
schools are encouraging their students:

Louisiana State University
(www.lsusd.lsuhsc.edu)
LSU Department of Orthodontics introduced the Pay It Forward Program in 2014.
Through this program, the Dr. J.M. Chadha
Orthodontic Educational Foundation,
which is supported by alumni donations,
reimburses recent LSU graduates for the
fees associated with the Clinical Examination, which are presently $1,875.
“We only ask that they (the graduates)
consider donating at least a like amount
over their careers back to the foundation
so that future graduates have the same
opportunity,” said Hector Maldonado,
DDS, clinical associate professor of orthodontics.
The Pay It Forward Program is also designed to streamline the reimbursement
process. “Through the cooperation of the
staff at the ABO, we even have an agreement where the ABO will bill the foundation for the exam fees automatically and
not the registrant,” said Maldonado, who is
the secretary-treasurer of the foundation.
When the foundation introduced the program, it extended the offer not only to the
2014 graduating class but also to the 2013
graduates who were still eligible to take
the clinical examination.
This was good news for Merrell Irby,
DDS, who graduated in 2013. Irby wanted
to take the clinical examination immediately after graduation, but she could not
afford the exam fees at that time.
Later, when she had the financial
means, the examination coincided with
her wedding. She then registered for
the September 2015 exam, her last opportunity to present residency cases.
Soon after, the foundation informed
her that she qualified for the Pay It Forward program, a welcome turn of events.
“All and all, it’s a great change,” Irby said.
“I encourage (the residents) to go as soon
as possible.”
Each graduating class has four residents,
and, to date, three recent graduates have
used the program.
“Dr. J.M. Chadha, the founder of the department, and Dr. Paul Armbruster, the
current chair, have always been adamant
about pursuing board certification,” Maldonado said. “It’s the culture around the
orthodontic department. We’re trying to
make it as easy as possible. This new program encourages them to get it done before they get caught up in their lives postgraduation.”

Arizona School of Dentistry & Oral
Health (www.atsu.edu/asdoh)
Orthodontic residents at the Arizona
School of Dentistry & Oral Health Postgraduate Orthodontic Program are encouraged to become board-certified orthodontists shortly after graduation.
The school sees the process of taking the
exam as both an opportunity to objectively gauge skills as much as it is an occasion
” See EXAM, page 20


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[20] =>
education

20
“ EXAM, Page 18
for personal self-reflection.
Last year, all five residents succeeded in
achieving this distinction thanks to board
certified full-time and part-time faculty
members.
“They are ‘in-house’ promoters of the
certification process and do an excellent
job of helping residents prepare their
cases,” said John Grubb, DDS, an ABO past
president, who is a part of the program’s
adjunct faculty and is an invaluable resource for preparing residents for the
clinical exam.
“Residency is the time for exposure to
numerous materials, methods and philosophies, but there must be a filtering
process to ensure that the techniques we
teach are sound, evidence-based and not
subject to individual bias,” said Jae Hyun
Park, DMD, MSD, MS, PhD, diplomate,
American Board of Orthodontics, profesAD

sor and chair, postgraduate orthodontic
program at the Arizona School of Dentistry & Oral Health.
“Many programs require that the written ABO exam be taken during residency,
with some requiring a passing grade,”
Park said. “The process of preparing board
cases allows for self-reflection and a discussion of alternative treatment plans.
This self-analysis helps residents to become better clinicians, which will likely
be evidenced in the cases presented at
recertification.”

Jacksonville University
Jacksonville University, Brooks Rehabilitation College of Healthcare Sciences, School
of Orthodontics, stresses the educational
value of taking the board exam, and bolsters that value with financial help to give
all residents the opportunity to take the
exam.
Toward the end of the JU Orthodontics
residency, the program offers financial

Ortho Tribune U.S. Edition | AAO PREVIEW 2016

and logistical support for all residents so
they may finish at least six cases that meet
the criteria of the ABO Initial Certification
Examination.
The program also absorbs the written
exam registration fee for all 15 residents
each year. All new JU ABO certified graduates are celebrated through a campuswide press release and recognition on the
school’s alumni social media outlets.
“From early on, ABO certification is emphasized to our residents,” said Mark Alarbi, DDS, MS, CAGS, diplomate of ABO, associate dean and program director. “Thanks
to the meticulous and dedicated effort of
faculty and graduating residents to preselect the cases, the consistent support and
validation of quality of records, weekly
treatment progress seminars, and end of
year audits and oral exams, the residents
at JU have enjoyed a tremendous success
in the past five years in acquiring the status of ABO Diplomate through the initial
certification process (ICE).”

Saint Louis University
(www.slu.edu/cade)
Like many orthodontic graduate programs, Saint Louis University (SLU) offers
a series of review sessions to go over the
many topics on the ABO-provided reading
list as well as special courses for additional
support for students. SLU encourages students to take the board exam by reimbursing the cost of the written exam for those
students who pass.
When asked about the value of taking
the board, Rolf G. Behrents, DDS, MS, PhD,
orthodontic program director of the Center for Advanced Dental Education keeps it
simple: “It monitors quality,” he said. “Like
the Good Housekeeping Seal of Approval,
it shows doctors have engaged in a personal quest to demonstrate the quality of the
work they do.”

Seton Hill University for
Orthodontics (www.setonhill.edu/
shusmiles/index.php)
“We started a unique program at Seton
Hill to enhance the ability of our residents to become ABO certified,” said Dan
Rinchuse, DMD, MS, MDS, PhD, professor
and program director of the graduate
program in orthodontics. “Our program
is 30 months, but we developed an ‘ABO
Case Completion Course’ which is free for
our new graduates that allows them to
return as needed for eight more months
to complete their resident board cases.
So this gives them 38 months to work on
board cases. This has been embraced by
our residents.”

University of Iowa (www.dentistry.
uiowa.edu/orthodontics)
Tom Southard, MS, DDS, professor and
head of the department of orthodontics
says all orthodontic programs need a
chairman who is passionate about the value of the board, and dedicated faculty to
accompany and instruct residents on how
to master the exams.
“I look upon the board as an educational
experience,”
he
said.
The program makes certification optional,
although close to 90 percent of residents
opt in.
Southard names two faculty, Steve
Marshall, DDS, MS, and Clay Parks, DDS,
MS, as instrumental in taking the lead to
oversee the program’s residents through
the certification process, including individual instruction in the identification
of potential ABO-qualifying cases, preparatory exercises for the clinical and
written exams and a mock board exam.
“I’ve read that 70 percent of what you’re
ever going to learn as an orthodontist you
will learn during your residency. I think
another 10 percent of what you will ever
learn you will learn while preparing for
the board.”

About the ABO
Founded in 1929 as the first specialty board in dentistry, the American
Board of Orthodontics is the only
orthodontic specialty board recognized by the American Dental Association and in affiliation with the
American Association of Orthodontists.
The ABO sets the standard for the highest
level of patient care and promotes excellence in orthodontics for all of its certified orthodontists. ABO serves to protect
the orthodontic specialty and encourage
orthodontists to achieve certification,
demonstrating their commitment to
lifelong learning and excellent care.


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Ortho Tribune U.S. Edition | Month 2012

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22

education

Ortho Tribune U.S. Edition | AAO PREVIEW 2016

Now’s the time
for excellence
By Mark Duncan,
DDS, LVIF, FAGD, FICCMO

The Las Vegas Institute for Advanced Dental Studies has been teaching clinical excellence and
communication and business systems for years. Photo/Sierra Rendon, Managing Editor
AD

A

nother one of those
days. All morning long
you were struggling to
keep on track with the
schedule. Your team is
frustrated because they
haven’t had their full lunch hour more
than one day a week in as long as they
can remember.

For more information
For more information on the Las Vegas
Institute for Advanced Dental Studies,
visit www.lviglobal.com.

You walked by the sterilization
room 15 minutes ago, and it sure
sounded like they were complaining to each other because you said
to work in that emergency and they
were trying to figure out how to pick
up their child at daycare on time.
Again.
You want them to enjoy working
here, but you have to be able to pay
the bills. And your best assistant
asked you again if she can have that
raise you have been promising her.
Don’t they understand?!
It feels like half of your patients
are crankier than you are, and your
team isn’t really talking to you today,
and when you get home all you want
to do is go to sleep and wake up on
Saturday – except it’s still Tuesday! It
doesn’t make sense.
You have taken C.E. courses every
time they come to town. The new insurance plan was supposed to make
things easier. You bought a bunch
of new equipment to save money on
taxes — of course, now you have to
pay for it every month — but why
does it seem like the harder you work
the further behind you get?! There
has to be a simple reason.
Well, it turns out there actually
is — and it’s something you learned
when you were about 5. Do unto others. More specifically, build systems
in your office so that you can treat
your patients the way you would
want to be treated — comprehensively and with exceptional information
to make good decisions — and with
a system that produces a consistent
experience time after time.
While doing that, add exceptional
care — esthetic excellence like you
see in the journals. But how?
Well, the answer happens to be the
foundation that LVI was built upon:
building excellence in a patient-centered practice.
The programs at LVI have been
teaching clinical excellence and communication and business systems for
almost 20 years to help clinicians to
do a better job of not only seeing the
patient but, more importantly, connecting with them. Two decades of
not only communication but comprehensive diagnosis and clinical
excellence. As a result, the doctors at
LVI have a statistically higher professional satisfaction and income.
Isn’t it time you go find out what
they are doing differently? Yes. Yes, it
is. And congratulations on the journey you are about to start.


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AAO in Orlando / Industry / Ortho programs incentivize the board exam as the ‘Gold Standard’ with preparatory support / Now’s the time for excellence

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