Ortho Tribune U.S. No. 3, 2015

‘Rejuventation & Innovation’ / Carrière explains facially driven treatment for Class II and Class III / Paquette joins Henry Schein Orthodontics / Managing treatment with the Myobrace Activities app

Open PDF View E-paper Edit Epaper Edit Epaper ads save

Table of contents

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

PCSO Preview EDITION 2015 — Vol. 10, No. 3

www.ortho-tribune.com

‘Rejuventation
& Innovation’

FROM THE EDITOR

Historical
overview of
orthodontic
education
From the beginning
up through the
21st century: Part II
By Dennis J. Tartakow,
DMD, MEd, EdD, PhD, Editor in Chief

Background of orthodontic
education in early 1900s

Palm Springs will be the site of the 79th annual session of the PCSO from Oct. 22-25. Photo/www.freeimages.com

he Pacific Coast Society of
Orthodontists will host its
79th annual session at the
Westin Mission Hills Resort & Spa in Palm Springs,
Calif., from Oct. 22-25.
The theme of this year’s event is “Rejuvenation & Innovation: Cutting-Edge
Orthodontics at a Desert Retreat.”

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

PCSO offers
‘Cutting-Edge
Orthodontics
at a Desert
Retreat’

By Sierra Rendon, Managing Editor

Here’s just a sampling of the many
speakers and topics on tap for the PCSO:
• “President’s Lecture: Orthodontics in
an Era of Evidence-Based Clinical Practice,” with Dr. Katherine Vig
• “How to Achieve the Strongest Bond
to All Enamel and Non-Enamel Surfaces,” with Paul Gange
• “Invisalign and Orthognathic Surgery,” with Dr. Sam Daher
• “Shortcomings of 2-D Cephalometric
Analsis and Quantification of 3-D Images,” with Dr. Won Moon
In addition to the educational sessions, which offer more than 20 C.E.
credits for clinicians and staff, the PCSO
has many activities planned for interaction and camaraderie, such as the PCSO
Welcome Party, which will take place at
the Palm Springs Air Museum, and the
PCSO Kickoff Party in the lobby of the
Westin.
If you learn about a product that you
can’t live without during an educational
session, you just might be able to pick it
up on site!
Make sure you schedule time to visit
the PCSO’s exhibit hall, which will feature more than 100 vendors and showonly specials.
For more information on the 79th annual session or on other PCSO activities,
visit www.pcsortho.org.

During the 1940s-1950s, dentists
seeking to specialize in orthodontics were required to work for several years with an established, boardcertified orthodontist as a preceptor
(Asbell, 1988; Wahl, 2006). In addition to learning to become clinically
proficient, additional science courses
were necessary, such as: growth and
development, human anatomy, physiology, histology and biomechanics.
These courses were taken at an accredited dental school. According to
Wahl, all clinical aspects were under
close supervision of the orthodontist.
The preceptorship program typically
lasted for three to four years.
Preceptor programs were used
until special graduate departments
were established in several of the
dental schools (Asbell, 1988; Wahl,
2006). These two types of training
methods (preceptorships and dental
school graduate courses) continued
until the end of the 1950s, when the
preceptorship program was becoming obsolete, for it was recognized
that not only clinical expertise
training was necessary but also the
academic or scientific foundation of
knowledge and information for orthodontic health care must be provided
to the graduate student.
By the early 1960s, preceptorships
were totally phased out (Wahl, 2006).
The preceptor educational system
was replaced with two-year, full-time
orthodontic programs in hospitals
and universities. They were meticulously examined by the American
Dental Association (ADA) to ensure
that the educational experience was
well above the minimum standards
of excellence. The American Dental
” See HISTORY, page 2

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

[2] =>

From the Editor

“ HISTORY, Page 1

Corrections

Association (ADA), American Board of
Orthodontists (ABO), American Association of Orthodontists (AAO) and the U.S.
Department of Education created these
standards for all general dental and specialty programs for the protection of the
public and the advancement of orthodontic health care for all human beings
(American Dental Association, 2008).

Ortho Tribune strives to maintain the utmost
accuracy in its news and clinical reports. If
you find a factual error or content that
requires clarification, please report the details
to Managing Editor Sierra Rendon at
s.rendon@dental-tribune .com.

Tell us what you think!

To be continued …
Editor’s note: References will be included
at the end of the final portion of this series.

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

‘ ...it was recognized that not only clinical expertise training
was necessary but also the academic or scientific foundation
of knowledge and information for orthodontic health care
must be provided to the graduate student.’
AD

Ortho Tribune U.S. Edition | PCSO PREVIEW 2015

Do you have general comments or criticism you
would like to share? Is there a particular topic
you would like to see articles about in Ortho
Tribune? Let us know by emailing feedback@
dental-tribune. com. We look forward to hearing from you! If you would like to make any
change to your subscription (name, address or
to opt out) please send us an email at database@
dental-tribune.com and be sure to include which
publication you are referring to. Also, please
note that subscription changes can take up to six
weeks to process.

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

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

interview

Ortho Tribune U.S. Edition | PCSO PREVIEW 2015

Carrière explains facially driven
treatment for Class II and Class III
A Q&A with the inventor of the Carrière Self-Ligating Bracket and
the Carrière Motion Appliance, including the new Class III appliance
By Ortho Tribune Staff

r. Luis Carrière obtained
his dental degree from
the University of Complutense in Madrid
(UCM), in 1991. He then
attended the University
of Barcelona (UB), where he completed
his orthodontic training and received his
master of science in orthodontics in 1994.
In 2006, he received his doctorate in orthodontics, cum laude, from the University of Barcelona.
Carrière is the inventor of the
Carriere Self-Ligating Bracket and the
Carriere MotionTM Appliance. He is a
world-renowned lecturer on these products, in addition to many other topics.
How long has the Motion appliance for
Class III malocclusions been on the market?
We just presented the appliance this year
at the AAO annual meeting, but the approach is not new; we have been working
on it for few years. The Class II appliance
was invented for Class II cases. But after
giving several courses on Class II, especially in Asia, many doctors were asking
about the Class III possibility of using it.
So one day we started to try and see if
this was a good option, and it’s showed
amazing results of using the Class II motion appliance in Class III cases.
So we realized, this appliance was really changing the relation in which the
mandible interacts with the maxilla, harmonizing soft tissues and balancing the
face of the case. We were amazed and totally surprised about the fantastic facial
outcomes that we were having only with
a minimal approach like this. We decided
to create a special design according to the
needs of the mandible: the Class III Motion appliance. So the approach is not
new. But the appliance by itself, the real
strictly Class III appliance, is brand new
and officially presented at the 2015 AAO
Annual Meeting.
Could you briefly describe the design features of the Motion Class III Appliance?
Why does the Class III Motion only have a
simple molar bonding pad with this little
step in the arm? What is the function of
this little step? Why did you give up on
the joint design you have with the Class II
Motion (rotation of the molar)?
If we take a look at occlusion of the lower
arch in relation with the upper, normally
there is an inclination of the posterior
segments because the buccal side of the
lower molars should fit in between the
buccal and the lingual pad of the upper
ones. This means that if we use the tra-

Fig. 1: Carrière Class III Motion
Appliance.
Photos/Provided by Dr. Carrière

Fig. 2a: Carrière Class III Motion
Appliance with new Pad-Lok Base.

Fig. 2b: Carrière Class III Motion
Appliance with new Pad-Lok Base.

ditional Class II pad ball, its design is too
bulky and, many times, it can interfere
with the occlusion at the beginning of
the bonding. We decided to create a flat
surface on the posterior segment in order to avoid the unnecessary collisions
on the Class III mandibular positioning
of the appliance.
Now, what we have created is a design
that is very clean and simple but has exactly the same features that we need. But,
at the same time, we have adjusted it to
the real needs of the Class III malocclusion. So we used Class II Motion appliances at the beginning in Class III patients,
but we needed to create something that
was really special and was really dedicated to the Class III cases. We did that
by flattening the profile, that is now very
slim, and it is a very clean appliance,
completely dedicated and designed for
Class III treatments.
It is very important to understand that
the Carriere Motion appliance is the way
in which we start 95 percent or more of
our fixed cases in our office. This means
that Motion is not restricted only to Class
II or Class III malocclusions but is also extremely useful for those cases in which
we have small crowding, and we need to
open limited space in between upper or
lower incisors in order to align the upper
teeth or the lower anterior teeth without
protruding.
At the same time, this accomplishes
what we like to call a Super Class I posterior occlusion. So we use the Motion to
start the case, simple and minimalistic. I
personally feel this is an elegant and efficient approach to the case that diminishes dramatically the period of brackets in
mouth for our patients. Shortening the
bracket-in-the-mouth stage is a very important factor to most of society today.
Regarding invisible systems such as
Invisalign, this approach works amazingly well in simplifying the treatment
and dramatically shortening the aligner
period. So many complex cases of Class
” See CLASS III, page 6

Fig. 3: Designed to be minimally invasive, the Motion Appliance is intended to treat Class III malocclusions without extractions, orthognathic
surgery or facemasks.

[5] =>

Ortho Tribune U.S. Edition | AAO PREVIEW 2015

industry clinical/products

5

[6] =>

interview

Ortho Tribune U.S. Edition | PCSO PREVIEW 2015

“ CLASS III, Page 4

Fig. 5a
Fig. 4a

II or Class III can be easily converted into
light Invisalign treatment of less than 14
aligners. This also makes treatments less
expensive for the patient and can boost
the reputation of the clinicians because
they are treating complex cases with
simple procedures.
The combined use of Motion with our
new Passive self-ligating bracket Carriere SLX and Archwire sequence is really
transforming complexity into simplicity
while creating a dynamic and efficient
scenario in our treatments. We feel satisfied having been able to create the new
Carrière SLX. Technically speaking, it
has been a challenge. We needed to create a masterpiece of precision, so our engineers did their work, and we achieved
the highest level of technical bracket outcomes. It’s a real game changer.
How many cases have been treated with
the appliance so far?
In our office, right now around 100 cases
already have been treated with Class III
Motion. It can be astonishing to see the
consistency of the extraordinary change
to the face of the patient. Changes that
you could imagine have been accomplished surgically are not even being
treated with a single extraction. I think
the reason for this effect is the balanced
combination of distalization of the lower posterior segments, change of the
posterior occlusal plane and counterclockwise rotation of the mandible,
completely changing the relation of the
maxilla with the mandible. Distalization in the mandible is extremely fast
and efficient, mainly because we have
an almost “empty” highway in between
the external cortical bone and the internal cortical bone. That is the reason why
we need very low force elastics in terms
of traction. We only use 6¼ oz., and we
normally never use 8 oz. in Class III as we
would normally use in our Class II cases.
In relation to the occlusal planes, in
Class III we are going to see that we intrude the lower molars with the Motion,
and we extrude the canines. This extrusion of canines and intrusion of molars
is welcome in Class III and is necessary to
change the occlusal plane. We bring the
mandible back in a better functional and
more esthetic position. The change in between the maxilla and the mandible that
happens in our Class II and Class III cases
is the main reason why we changed the
name of Distalizer to Motion.
So the Carriere Motion appliance will
change the relation in between the maxilla and the mandible in some part by
changing the posterior occlusal planes,
bringing the mandible and the maxilla
into a better functional position while
balancing the face in our Class II and
Class III cases.
In retrognatic Class II patients, we are
going to combine upper distalization,
controlled upper molar distal rotation
and uprighting with mandibular reposition in a better functional relation, giving stability to the case, balancing the
position of TMJ anatomical structures
and harmonizing the soft-tissue facial
esthetics. In Class III patients, we are
promoting the posterior mandible reposition, changing the posterior occlusal
planes and combining it with distalization of the posterior segments from
canine to molars. Many times, this approach will be combined with a certain

Fig. 4b

Fig. 5b

Fig. 5c
Figs. 4a, 4b: Patient before (a) and after (b) 14-month treatment.

Fig. 6a

Fig. 6b

Figs. 5a-5c: Initial intra-oral shot (a), after
one month of treatment with Class III
Motion appliance, (b) shows the transparent prototype, which is not yet available,
and (c) final treatment outcome in
14-month follow-up.

Fig. 7

Figs. 6a, 4b: Patient before (a) and after (b) three month of treatment with Class III Motion
appliance.

upper arch development with the Carriere SLX passive system to compensate
for the typical premaxillary hypoplasia
related to this type of malocclusion. Our
main objective is to establish a stable and
solid occlusion while balancing the face
of the patient.
Were there also cases where the Class III
occlusion could not been corrected? Did
you notice any TMJ problems during the
Class III treatment?
In Class III, we normally find two types of
Class III patients: dental and skeletal.
The Motion Class III is an option for
both. The skeletal discrepancies have
been treated normally with a combination of surgery together with orthodontics. But many patients reject the option
of maxillofacial surgery. For many reasons, they reject the treatment, and they
stay like they were.
At this point, with this new approach,
we can provide another minimally invasive treatment alternative to change that.
This is a treatment modality in which we
can provide to the patient great facial
changes while keeping the facial icon and
family traits.
The Motion appliance in Class III is for
dental and skeletal Class III cases. It is a
plan B for those surgical cases. That is a
great plan B that will be keeping the family traits while balancing the structures
in a harmonious position on the icon of

the face of the patient.
We will not alter completely the structure of the patient’s face, but we will balance what features the patient has in a
nicer position. And we will realign the
patient’s features in a more harmonious
way, so he can interact with others in his
life with more self-confidence, compensated occlusion, facial improvement and
spiritual equilibrium.
No TMJ problems have been found at
this point. Not a single patient has had
any problem or symptomatology of TMJ
with this approach. Class III many times
has an additional functional shift of the
mandible. So while balancing the occlusion, we balance the TMJ anatomical
structural and functional relations and
give peace to the area.
Are there any studies that show the proportion of the mesialisation effect in the
upper jaw and the proportion of the distalisation effect in the lower jaw of the total correction of the Class III?
This is a relatively new approach. We have
no studies at this point, but related to the
Carriere Class II Motion effect, Professor James McNamara from the University of Michigan and Professor Lorenzo
Franchi from the University of Florence
are studying our records and measuring them in order to give answers to this.
They are tracing our cases to see what
is going on, so we will have the results

Fig. 7: Initial intra-oral shot.

very soon. We can see clinically good and
stable occlusion along many years. For
example, you could now observe in my
lecture several cases that have been out
of retention for more than 10 years with
a complete stability. But now we need explanations from the experts.
What forces of elastics do you recommend
for children and adults, and what is the
recommended wearing time?
Wearing time of elastics normally with
the Motion appliance is 24 hours, except
for eating, and with fresh elastics after
each meal. In Class III in between the
external cortical bone and the internal
cortical bone in the sagital direction,
from mesial to distal, we have a highway.
There is no resistance, so we don’t need
that much force. We only use 6 oz.
In mixed dentition cases, in younger
cases, such as a 7-year-old, in which we
place a Class III Motion Appliance from
the lower first molar to the lower temporary canine, what we are going to do is
to slightly minimize the force. So we are
going to go for 4 oz., or one quarter of an
inch. That will be enough, and we can rise
up to 6 oz. if we want, one half of an inch.
With this technology, we will see huge
changes on the face of the patient, beautiful balance of the face of the patient.
This happens in our Class II and Class
III patients in mixed dentition. Why?
Because we change the the posterior oc-

[7] =>

Ortho Tribune U.S. Edition | PCSO PREVIEW 2015

clusal planes and stimulate the orthopedic effect in a new functional relation. I
think this is the keystone.

interview

Fig. 8a

7
Fig. 8b

What degree of a dental Class III can be
corrected with the appliance in children?
We can completely change the scenario
by controlling the posterior occlusal
planes and change the relation between
the maxilla and mandible. There are
things that we can’t change today on our
patients: What we can’t change is the genetic capacity of the patient to grow, we
can’t affect at this point genetics, but
what we can do is everything on our side
to modify the direction of the growth, to
modify the position of the structures and
to bring structures into another position
in order to try to modify the direction of
things and to change completely the scenario in a way that we really desire.
What degree of a dental Class III can be
corrected with the appliance in adults?
We can completely change full step Class
III’s in our adult patients. We are treating patients of all ages with this system,
teenagers, 30s, 40s 50s and older than
60 years old and seeing improvement
in facial and dental repositioning. Skeletal repositioning does not mean skeletal
changes, it means a skeletal repositioning of the mandible in relation with the
maxilla because the mandible and especially the TMJ is a dynamic anatomical
structure. And it is very important that
we can balance that and bring this in a
better position.
It’s amazing the change that we can
do in adult cases. It’s a great alternative
to surgery in adult cases, and it is something that is going to really establish a
new scenario for the Class III patients.
You call your new series of lectures ‘Facially Driven Treatment For Class II and Class
III.’ What are your key facts in this matter
and why should the factors facial, skeletal
and dental not been isolated during the
treatment?
Traditionally in orthodontics, we have
been focusing a high percentage of our
attention on dental interests, looking for
good occlusion of the molars, good occlusion of the canines, if there is a midline
correction, overbite, overjet and sometimes focusing too much on teeth. The
patient is a human being with a face,
with a position of bones, with teeth, and
everything has to be correctly adjusted
and balanced.
So the patient has to have a nice face,
a nice facial proportion and relation. We
never should forget that behind the face
there is a human being who wants to be
successful in life, that wants to have natural social relations and wants to have
the chance to establish relationships and
fall in love.
We as orthodontists are fully responsible for the face of the patient, and this
is very important to highlight.
Carrière system is about this and, together with Henry Schein Orthodontics
worldwide, we are trying to spread this
message. We, the orthodontists, are able
to manage the soft tissues of the profile
of the patient in a very good way. How
we do that? Instead of fulfilling with
synthetic material as a cosmetic surgeon
does, we use bone and teeth and bring
the soft tissues in a better and natural
position. We are able to balance the relation between the mandible and the
maxilla. We are balancing the face of the

Figs. 8a, 8b:
Initial profile
shot (a) and
front shot (b)
of patient
with mixed
dentition.

Figs. 9a-9c: Initial intraoral shot with
integrated Class III Motion appliance.

Fig. 9a

Fig. 9b

Fig. 10a

Fig. 9c

Fig. 10b

Figs. 10a, 10b:
Profile shot
before (a)
and after 10
months of
treatment
with Class III
Motion
appliance.

Fig. 11a

Fig. 11b
Figs. 11a, 11b:
Profile shot
before (a)
and after (b)
10 months of
treatment
with Class III
Motion
appliance.

patient and behind that we are balancing
the life of the patient. We’re giving selfconfidence and returning happiness to
them.
On the opposite, we can totally ruin the
life of the patient. How? By extracting
teeth that were not necessary to extract.
I am totally convinced that today we
cannot look only at orthodontics. No
more, never again, can we see it as just a
set of teeth.
The patient is a human being with a
face, with fears, with dreams, with projects, and we have to honor that.
With the Carrière system, with the
Motion appliance, with the Carrière SLX
bracket, with the wire sequence, with the
respect for the tissues, for the physiology
of the orthodontic movement, for the
face of the patient, we try to bring benefit
to our patients. Many profiles have been

affected in the past, so our objective is to
create tools to be added to the orthodontic armamentarium that help us in this
direction.
To understand you correctly, the orthodontist should put much more emphasize
on the patient’s facial harmony. Why?
Orthodontics is facial. Orthodontics is
face. The orthodontist is responsible for
the face of the patient. In my understanding of orthodontics, the orthodontist has
to be an expert on repositioning teeth in
the correct position, repositioning bones
in the correct position and balancing profiles. He is responsible for harmonization
of soft tissues and, if necessary, is also an
expert who can sculpt the lips with dermal fillers, because nobody understands
better than an orthodontist the anatomy
and proportionality of a lip. (Orthodon-

tists) should also have expertise on the
use of Botox for excessive gingival exposition on patients with gummy smiles.
So we are responsible for the face and
not only that. I think we also have to
educate people that if they want to have
a beautiful face, instead of going to the
cosmetic surgeon, they should start by
going to an orthodontist.
The orthodontist will be able to give a
nice face, a natural and elegant outcome,
and if this is not enough change, then as
a second option, go to the cosmetic surgeon. But the first choice should be the
orthodontist.
If society understands the importance
of orthodontics on the face, a big percentage of new patients will fall into orthodontics. We have to start upgrading
our speciality. Orthodontics is all about
esthetics, art and science.

[8] =>

industry

Ortho Tribune U.S. Edition | PCSO PREVIEW 2015

Paquette joins Henry Schein Orthodontics
By Henry Schein Orthodontics Staff

enry Schein Orthodontics® (HSO) is
pleased to announce
that Dr. Dave Paquette
has joined its company as lead clinical
advisor. Paquette will be working with
the HSO’s research and development
teams and leading the HSO clinical advisory boards in evaluating new products
and procedures that advance the state of
orthodontic treatment.
Paquette said he selected HSO as a
working partner because of the high priority it places on clinician’s feedback and
the organization’s long-standing comAD

mitment to developing innovative solutions that represent significant breakthroughs in patient care.
“The industry has been in need of
more clinical input for some time now,
and I couldn’t be more pleased to join a
forward thinking company like Henry
Schein Orthodontics to help chart the
future course of our profession,” he said.
With a strong lineup of exciting new
products in the late stages of development, HSO is thrilled to have Paquette
join the organization.
According to Ted Dreifuss, vice president of global sales and marketing: “We
are thrilled to have someone of Dave’s
caliber on the HSO team. He possesses an
enormous amount of experience and exceptional clinical skills, as well as vision

and passion
for the profession that
aligns exceptionally
well with
the vision
of
Henry
Schein Orthodontics.”
As
a
practitio Dr. Dave Paquette
ner
and
teacher for more than 35 years, Paquette
brings to HSO a long list of academic and
professional qualifications, a keen interest in product innovations and a passion
for improving patient care.

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

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

Easing
chairside
stress with
Assure Plus
By Reliance Orthodontics Staff

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. One of Reliance Orthodontics’ flagship products — Assure®
— has been the answer for so many difficult bonding situations for the past 15
years, the company asserts.
It is no secret that the foundation of artificial substrate bonding lies in a good mechanical preparation. Traditional methods
included using a rotary instrument such
as a diamond bur, greenstone or disc to
roughen the tooth surface. Although these
methods slightly changed the appearance
of such non-enamel surfaces, the resulting
mechanical retention was very poor. The
SEM pictures (Figs. 1a, 1b) clearly illustrate
the stark differences between utilizing a
rotary instrument and an intraoral microetcher.
Reliance now offers a kit that will produce sufficient strength for chairside
bonding, regardless of the substrate involved. The ASK™ (All Surface Kit) only
includes three components: Assure Plus,
Porcelain Conditioner and an Etchmaster®
microetcher.
The Etchmaster is a small sleek design
that allows easy access to the posterior and
very little cleanup when used with a highspeed evacuation, according to Reliance.
Simply unscrew your handpiece from a
high- or low-speed air line, attach the Etchmaster sandblaster, insert the preloaded
tips (filled with 50 microns) and begin
sandblasting. Clinicians now can eliminate
all other artificial surface primers as well
as numerous different protocols. 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, zirconia, gold, amalgam,
stainless steel, acrylic temporary pontic
teeth — Sandblast, rinse and dry. Apply Assure Plus, dry and light cure.

[9] =>

[10] =>

10

industry

Ortho Tribune U.S. Edition | PCSO PREVIEW 2015

Managing treatment with
the Myobrace Activities app
Enjoyable activities help youth achieve better results
By Myofunctional Research Staff

I

n order to continue thriving in
an increasingly competitive market, modern dental practices can
no longer rely on standard, often
outdated treatment methods and
management.
In addition to finding new niches in
the health market to occupy, 21st-century
practitioners must ensure their clinics
are managed to be as efficient as possible.
One of these niches, currently undergoing rapid expansion, can be found in pediatric dentistry and includes preventive
myofunctional pre-orthodontics, as well
as treatment for sleep disorder breathing.
While in the past this area of the
profession has been difficult for doctors and demanding for staff, The Myobrace System™ packages pediatric preorthodontic care into one integrated
treatment system that enables doctors to
increase patient flow and improve practice efficiency, according to the company.
The Myobrace System achieves impressive results, as well as lifelong health
benefits, by assisting the patient in abolishing poor myofunctional habits and
training them to rest the tongue in the
correct position, breathe through the
nose normally and swallow correctly.
Because the Myobrace System is focused on correcting the causes of crooked
teeth as well as the symptoms, patient
education and compliance also has an
essential role to play in treatment, and
regularly completing certain tongue,
mouth and breathing activities is vital.
These Myobrace Activities™ perform an
integral role in the treatment system by
stretching, strengthening and retraining the tongue, lip and cheek muscles,
as well as improving the way the patient
breathes.
In order to present these activities in
the most user-friendly way and appeal
to today’s tech-savvy youth, they have
been developed into an advanced digital
educational and instructional digital app.
The use of animated audio-visual aids decreases the role trained auxiliaries must
play, while presenting consistent educational information to the young patients,
at their level.
While compliance has been a downside
to pediatric treatment in the past, the app
allows for the system to be presented in
a child-friendly environment away from
treatment areas, which saves staff time
and maximizes the uptake of the information. This ensures the patient and parents are easily able to understand their
treatment goals and how they can then
play the required role in achieving positive treatment outcomes.
The fun, simple app, which is compati-

The Myobrace Activities app is a great way to help children learn lifelong health habits. Photos/Provided by Myofunctional Research

ble with most devices and empowers children to play a highly active role in their
own treatment, focuses on presenting
Myobrace Activities as well as nutritional
information in the most appealing way
possible.
By offering a sequence of videos that
demonstrate each of the activities, then
quizzing patients on how and why they
should correctly complete the activity,
the app encourages compliance and helps
to make sure patients receive the maximum possible benefit from their Myobrace Activities program.
The app is designed from the ground

up to engage and motivate the patient as
well as provide an interactive educational
tool, complete with individual goals and
incentives.
However, while the Myobrace Activities
app is a powerful tool for fostering compliance, the patient must still be prepared
to put in the effort and remain active in
his or her treatment.
The bad habits that inhibit a child’s
natural development do not develop
overnight, so correcting them takes persistence. Therefore, in order to receive the
maximum benefit from their treatment,
a child should complete the activities two

times a day for a minimum of two minutes and combine this with wearing his or
her Myobrace®.
Using the Myobrace Activities app,
which can be installed on multiple devices in the practice, engages growing
patients and can provide them with the
means to alter their own incorrect habits, as well as unlock their natural genetic
potential for healthy growth. This can
achieve astounding results as well as increase patient flow, improve treatment
and improve practice efficiency, according to the company. To find out more, visit
myoresearch.com.

[11] =>

[12] =>

Ormco

) [page_count] => 12 [pdf_ping_data] => Array ( [page_count] => 12 [format] => PDF [width] => 765 [height] => 1080 [colorspace] => COLORSPACE_UNDEFINED ) [linked_companies] => Array ( [ids] => Array ( ) ) [cover_url] => [cover_three] =>

[cover] => Ortho Tribune U.S. No. 3, 2015

[toc] => Array ( [0] => Array ( [title] => ‘Rejuventation & Innovation’ [page] => 01 ) [1] => Array ( [title] => Carrière explains facially driven treatment for Class II and Class III [page] => 04 ) [2] => Array ( [title] => Paquette joins Henry Schein Orthodontics [page] => 08 ) [3] => Array ( [title] => Managing treatment with the Myobrace Activities app [page] => 10 ) ) [toc_html] =>

Table of contents

[toc_titles] =>

[cached] => true )