Capital prepares for 8th International Orthodontic Congress / Interview: “The Olympics of orthodontics” / Short-term gains…long-term problems? / Orthodontic contract transfer: An ongoing point of discussion / Treatment coordinator: The bridge to case acceptance / “An elegant and efficient approach” / Ortho Products
Capital prepares for 8th International Orthodontic Congress
01 - 01 viewInterview: “The Olympics of orthodontics”
02 - 04 viewShort-term gains…long-term problems?
06 - 07 viewOrthodontic contract transfer: An ongoing point of discussion
08 - 08 viewTreatment coordinator: The bridge to case acceptance
09 - 09 view“An elegant and efficient approach”
10 - 12 viewOrtho Products
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DTUK0415_25_OT01_Title 18.09.15 12:17 Seite 1
ORTHO TRIBUNE
The World’s Orthodontic Newspaper · United Kingdom Edition
www.dental-tribune.co.uk
Published in London
Vol. 1, No. 1
IOC 2015
OPINION
TRENDS & APPLICATIONS
Dental Tribune recently visited
chairman Dr Jonathan Sandler,
Chesterfield, to talk about the
London event and what it will
bring to orthodontics in the UK.
” Page 2
Dental Tribune contributor Aws
Alani, Kings College Hospital,
about the emergence of shortterm orthodontics and its future
implications in general practice.
” Page 6
Consultant Lina Craven explains
why the introduction of a treatment
coordinator can change the entire
approach to new patient care, as
well as increase profitability.
” Page 9
th
th
By DTI
LONDON, UK: The International
Orthodontic Congress (IOC) is held
once every five years and offers
up to 10,000 orthodontists and
allied professionals a unique platform to meet, network and exchange
knowledge and ideas with their colleagues and peers from across the
globe. The World Federation of Orthodontists (WFO) and the British
Orthodontic Society, the two largest
dental specialist groups in the UK
with over 1,800 members collectively, will be hosting the eighth edition of the congress in London, from
27 to 30 September.
The organiser expect to attract
more than 7,000 people. About
4,000 participants have already
signed up for the event. It will be officially opened on 27 September at the
ExCeL London Exhibition and Congress Centre in the heart of London’s
Royal Docks, with easy access to
central London. The venue is part of
a 100 acre site which includes three
on-site aboveground rail stations
and easy access to the underground
network and London City Airport.
In order to cater for both orthodontists and other dental health
professionals, such as dental technicians, hygienists, dental attendants
and office staff, the WFO will be
offering two scientific programmes
that will run in parallel. In addition to these programmes, a World
Village Day will take place, which
will comprise of seven parallel, fullday programmes. To date, 19 distinguished speakers have already
confirmed their participation.
The congress lectures and presentations will be held in English,
however, simultaneous translation
will be provided for some sessions.
Alongside the scientific programme, attendees will have the
opportunity to learn more about
new products and technological
developments at the adjoining
exhibition that will run for the
duration of the congress.
In addition, during the course of
the congress, several social events
are planned for the evenings, including an international reception
at the famous Madame Tussauds
wax museum and a gala dinner
at the Old Billingsgate, an extra-
ordinary and unique venue that is
situated in a prime position on the
River Thames which was once the
world’s largest fish market. Tickets
for these events can be purchased
upon registration.
According to the WFO, one of
the reasons the congress is taking
place in London is because of the
city’s heritage and its attractions
on offer. As a city of history and
culture, delegates will have nu-
merous opportunities to enjoy
many of the sights, including castles and palaces; historical buildings and monuments; theatres
and opera houses and other wellknown places that were described
by famous authors, such as William
Shakespeare and Charles Dickens.
Online registration for the event is
open until 17 September online but
delegates can also register on-site at
the registration desk on 27 September.
Study finds clear aligners
are more beneficial than braces
By DTI
MAINZ, Germany: In recent years,
clear aligners have become a
favourable treatment alternative
in orthodontics to fixed orthodontic appliances (FOA). However,
there are few studies about the effects of aligner treatment on oral
hygiene and gingival condition.
A team of German researchers has
now compared the oral health
status, oral hygiene and treatment
satisfaction of patients treated
with FOA and the Invisalign aligner
system. They found that Invisalign
patients have better periodontal
health and greater satisfaction
during orthodontic treatment.
To date, the majority of patients,
particularly during childhood and
adolescence, are treated with FOA.
However, these appliances tend to
complicate oral hygiene and thus
interfere with patients’ periodontal health. Moreover, treatment
with FOA is not very popular in
adult orthodontics for aesthetic
reasons. Therefore, other orthodontic techniques have been developed to improve aesthetics and
simplify oral hygiene procedures.
An alternative to FOA is clear aligners, which are discreet and have
the advantage of being removable
during oral hygiene and eating or
drinking. The use of clear aligners
has increased greatly in the last
decade, one prominent example
being Invisalign, produced by Align
Technology since 1999. However,
only a limited number of studies
have compared the effects of Invisalign and FOA on oral hygiene,
the researchers from the Johannes
Gutenberg University of Mainz
pointed out.
Their study included 100 patients who underwent orthodontic treatment, divided equally between FOA and Invisalign, for more
than six months. The researchers
performed clinical examinations
before and after treatment to
evaluate the patients’ periodontal
condition and any changes. Furthermore, a detailed questionnaire assessed the patients’ personal oral hygiene and dietary
habits, as well as satisfaction with
the treatment. All of the patients
received the same oral hygiene
instructions before and during
orthodontic treatment. This included the use of toothbrush, dental floss and interdental brushes
three times daily.
The data analysis showed no
differences between the two
groups regarding periodontal
health and oral hygiene prior to the
orthodontic treatment. However,
the researchers observed notable
changes in periodontal condition
in both groups during orthodontic
treatment. They found that gingival health was significantly better
in patients treated with Invisalign,
and the amount of dental plaque
was also less but not significantly different compared with FOA
patients.
cent of the FOA patients. Other
negative effects that also were significantly higher in FOA patients
included gingival irritation (FOA:
56 per cent; Invisalign: 14 per
cent), being kept from laughing
for aesthetic reasons (FOA: 26 per
cent; Invisalign: 6 per cent), having to change eating habits
during orthodontic treatment
(FOA: 70 per cent; Invisalign: 50 per
cent), and having to brush one’s
teeth for longer and more often
(FOA: 84 per cent; Invisalign: 52 per
cent).
The questionnaire results showed
greater satisfaction in patients
treated with Invisalign. Only 6 per
cent of the Invisalign patients reported impairment of their general well-being during orthodontic
treatment, compared with 36 per
The researchers concluded
that orthodontic treatment with
Invisalign has significantly lower
negative impacts on a patient’s
condition than treatment with
FOA, both with regard to gingival
health and overall well-being.
London © FranSea
Capital prepares for
8 International Orthodontic Congress
[2] =>
DTUK0415_26_28_OT02_04_Sandler 23.03.16 17:37 Seite 1
ORTHO NEWS
02
Ortho Tribune United Kingdom Edition | 1/2015
“The Olympics of orthodontics”
An interview with International Orthodontic Congress chairman Dr Jonathan Sandler, Chesterfield
appropriate and in such a case,
I would be the first one to prescribe that treatment. However,
I have to say that about 95 per cent
of the orthodontics I perform
takes up to two years, because that
is the usual duration of a proper
course of orthodontics.
There is certainly a great deal
of concern about the plethora of
short-term orthodontics courses
that are being offered. There
may be cases that are appropriate
for a simpler line of treatment
or a short-course fixed appliance
treatment; however, it requires
specialist knowledge to be able
to assess the cases in which it
would be in the patient’s best interest.
Dr Jonathan Sandler
Almost a decade in preparation, the
International Orthodontic Congress
(IOC) is set to return to the UK on
27 September. Dental Tribune recently visited IOC chairman and
President of the British Orthodontic
Society (BOS) Dr Jonathan Sandler at
Chesterfield Royal Hospital to talk
about the London event and what it
will bring to orthodontics in the UK.
about 8,000 delegates, so I hope
we can get close to 10,000. As far
as I understand, eight weeks before
the conference in Paris, only 800
people had registered, so what we
hope is that in the next few weeks
delegates will keep flooding in.
We are in very good shape at the
moment. The edition in Sydney
Definitely, everybody wants to
go into the specialty. Until recently, for every orthodontic post
in the UK there were ten applicants, so it is incredibly popular.
It is also a wonderful lifestyle.
Patients visiting an orthodontist
as opposed to a general dentist
are actually relieved or pleased
if the orthodontist says he or
“This will certainly be one of the finest
orthodontic conferences that
the UK and Europe have ever seen.”
Dental Tribune: The IOC is held every
five years only. What are the advantages compared with annual events
like the BOS’s own conference?
Dr Jonathan Sandler: I think having it every five years is good to
build up the excitement and anticipation for the conference. We were
awarded the contract back in 2006,
so for me it has been a nine-year
project really. I have assembled an
amazing team of individuals, people I have run the British Orthodontic Conference with for many years,
and I am very grateful to the whole
team. It is like the Olympics of orthodontics.
The latest figures indicate that over
5,000 participants have already registered for the IOC. Does this number
hold up to your expectations?
The bar for us has always been the
2005 IOC in Paris. That congress had
had about 4,000 delegates, so we
have already beaten the last IOC in
2010. Thus, we are quite confident
that we can significantly increase
our numbers.
How many participants do you expect to come from the UK?
There about 1,800 orthodontists
in the country at the moment and
I am certain the vast majority of
them have signed up for the conference or will do so soon. While
Europe remains our largest market,
the Far East and Australasia also
have a good share.
Orthodontics used to be centred primarily in North America and Europe.
Considering the huge interest from
dental professionals outside of Europe, do you see the specialty having
gained importance in the rest of the
world?
she can do something for them,
whereas everyone going to the
general dentist hopes that nothing needs to be done at all. We are
changing people’s lives on a daily
basis, which is fantastically rewarding.
New short-term techniques have
opened up the field for general dentists. What is your opinion on these
developments?
I think one of the major concerns to all traditional orthodontists is the threat posed by shortterm orthodontics. A lot of it is
being done by people who perhaps
do not understand the significance of the treatment they are
prescribing or do not necessarily
have an Option B that might be
more comprehensive. Of course,
there are situations in which a
short six-month course may be
Do you consider this a negative
development then?
Overall, I would consider this a
negative development. There are
a number of benefits from shortterm orthodontics, but I am not
sure that they are always moving
in the direction of the patient.
Commercial interests seem to affect the treatment plan increasingly and this is often to the detriment of the high-quality patient
care that would otherwise have
been prescribed.
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Prof. Dr I. Krejci, Conservative Dentistry, Switzerland
Dr Edward Lynch, Restorative, Ireland
Short-term orthodontics will definitely spark debate in London.What
other topics will be discussed at the
event?
The main congress will be held
over three days. We will have 48
of probably the best orthodontic
speakers in the world. In addition, short presentations will run
alongside the keynote speeches.
All in all, there will be up to
100 speakers at the conference,
which will cover all the contemporary techniques, as well as some
current research in orthodontics,
so it is going to be an exciting
programme.
One of the subjects that many
will definitely find of interest is
temporary anchorage devices,
which will be covered in great detail. We have three of the world’s
leading speakers on that subject,
all of whom are from Germany
or have German roots. Aligner
therapy is also very current and
increasing in popularity, particularly the Invisalign technique.
Dr Timothy Wheeler from the University of Florida is a world expert,
and he will give us a very frank and
comprehensive interpretation of
how he feels it fits into modern
orthodontic practice.
Will the congress also look at the
acceleration of tooth movement?
There will be scientific material
presented about the AcceleDent
technique that will allow attendees to draw their own conclusions. It is certainly an area in
Dr Ziv Mazor, Implantology, Israel
Prof. Dr Georg Meyer, Restorative, Germany
Prof. Dr Rudolph Slavicek, Function, Austria
Dr Marius Steigmann, Implantology, Germany
Published by DTI.
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[3] =>
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IPR042 - FPES Press Advert 280x400 - EN.indd 1
18/09/2015 12:24
[4] =>
DTUK0415_26_28_OT02_04_Sandler 18.09.15 12:29 Seite 2
ORTHO NEWS
Ortho Tribune United Kingdom Edition | 1/2015
which people have great interest.
There have been some worthwhile
studies carried out and this up-todate research will be presented.
As far as I understand Prof. Martyn
Cobourne from King’s College
London will be speaking about this
very subject, as will one of our
arch-sceptics in orthodontics,
Prof. Kevin O’Brien from Manchester. He is going to present his
views on AcceleDent when he
discusses uncertainty in orthodontics.
AD
:::48,&.&(3+&20@
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Digitisation has found its way into almost every dental specialty.
Will the congress consider what its
impact will be on the field in the
future?
Intra-oral scanners are going to
become increasingly popular in
the next decade and clinicians are
just starting to use them for collecting records for their patients.
I am very keen to get intra-oral
scanners here in the department
over the next few months, so that
I can start studying the Invisalign
technique in more detail.
In my opinion, the use of these
technologies is going to be one
of the major changes in our field.
A number of orthodontic laboratories are getting model scanners
now, so that they can empty their
model box room and store everything digitally. This technology
offers a number of exciting possibilities.
Do you think it will have an impact
on treatment processes too?
I am not yet convinced that
digitisation per se is going to make
significant inroads into improving the quality of treatment overall. This remains to be seen. There
are a number of techniques now
that are suggesting that one can
set up one’s cases digitally, setting the bracket position or doing
the finishing of the cases on
computer and then have robots
bend the archwires to produce
the changes one would like to produce clinically. At the moment the
jury is out, they sound wonderful
...but do they actually deliver the
goods. Clinically, it is still open to
debate.
Quick Ceph® blends functionality, beauty and ease of use. The intuitive layout of the software facilitates
quick learning and makes the software a joy in day-to-day practice.
QUICK CEPH® OFFICE
QUICK CEPH® STUDIO
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Quick Ceph® is a registered trademark of Quick Ceph Systems, Inc. 14677 Via Bettona, Suite 110-333 San Diego, CA 92127
Will there be any other special
sessions in addition to the main
programme?
On Tuesday, we have World Village
Day and we give the opportunity
for orthodontic societies outside
Europe to contribute to the programme with either a full-day
programme, something the BOS
is doing, or a half-day programme.
We have the European Orthodontic Society, two Italian groups and
our Chinese colleagues contributing, for example. All in all, we have
18 different groups contributing
to World Village Day, so we really
have the opportunity to hear from
orthodontists from all over the
world.
What will the conference bring to
orthodontics in the UK?
This will certainly be one of the
finest orthodontic conferences
that the UK and Europe have ever
seen. Specialists here will have
the opportunity to hear 30 of the
greatest orthodontic speakers, clinicians and researchers. It will give
attendees massive exposure to
world expertise and bring them
up to speed. Participants can tick
almost all of their continuing professional development boxes and
will not need to go to another
meeting for the next three or four
years.
Thank you very much for the interview.
[5] =>
LONDON’S TOP 10
ATTRACTIONS
1. BRITISH
MUSEUM
The world-famous British
Museum exhibits the works
of man from prehistoric to
modern times, from around
the world. Highlights include
the Rosetta Stone, the
Parthenon sculptures and
the mummies in the Ancient
Egypt collection. Entry is
free but special exhibitions
require tickets.
6. SCIENCE
MUSEUM
From the future of space
travel to asking that difficult
question: “who am I?”, the
Science Museum makes
your brain perform Olympicstandard mental gymnastics.
See, touch and experience
the major scientific advances
of the last 300 years; and
don’t forget the awesome
Imax cinema. Entry is free
but some exhibitions require
tickets.
2. NATIONAL 3. NATURAL
HISTORY
GALLERY
The crowning glory of
MUSEUM
Trafalgar Square, London’s
4.TATE
MODERN
Sitting grandly on the
banks of the Thames is Tate
Modern, Britain’s national
museum of modern and
contemporary art. Its unique
shape is due to it previously
being a power station. The
gallery’s restaurants offer
fabulous views across the
city. Entry is free but special
exhibitions require tickets.
5.THE
LONDON
EYE
National Gallery is a vast
space filled with Western
European paintings from the
13th to the 19th centuries.
In this iconic art gallery you
can find works by masters
such as Van Gogh, da Vinci,
Botticelli, Constable, Renoir,
Titian and Stubbs. Entry is
free but special exhibitions
require tickets
As well as the permanent
(and permanently
fascinating!) dinosaur
exhibition, the Natural History
Museum boasts a collection
of the biggest, tallest and
rarest animals in the world.
See a life-sized blue whale,
a 40-million-year-old spider,
and the beautiful Central
Hall. Entry is free but special
exhibitions require tickets.
7. VICTORIA
& ALBERT
MUSEUM
8. TOWER OF 9. ROYAL
10. MADAME
LONDON
MUSEUMS
TUSSAUDS
Take a tour with one of the
Madame Tussauds, you’ll
GREENWICH Atcome
Yeoman Warders around
face-to-face with some
The V&A celebrates art and
design with 3,000 years’
worth of amazing artefacts
from around the world. A real
treasure trove of goodies,
you never know what you’ll
discover next: furniture,
paintings, sculpture, metal
work and textiles; the list
goes on and on… Entry is
free but special exhibitions
require you to purchase
tickets.
the Tower of London, one
of the world’s most famous
buildings. Discover its
900-year history as a royal
palace, prison and place
of execution, arsenal, jewel
house and zoo! Gaze up
at the White Tower, tiptoe
through a medieval king’s
bedchamber and marvel at
the Crown Jewels.
Visit the National Maritime
Museum - the world’s
largest maritime museum,
see the historic Queen’s
House, stand astride the
Prime Meridian at Royal
Observatory Greenwich
and explore the famous
Cutty Sark: all part of the
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Some are free to enter; some
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The London Eye is a major
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It boasts some of London’s
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capsules, each weighing 10
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of the world’s most famous
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influential figures from
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[6] =>
DTUK0415_30-31_OT06-07_Alani 18.09.15 13:39 Seite 1
OPINION
06
Ortho Tribune United Kingdom Edition | 1/2015
Short-term gains…long-term problems?
The emergence of STO and its future implications in general practice
By Aws Alani, UK
The provision of orthodontics can be
a life-changing experience for young
patients whose “crooked” teeth can
affect their confidence and self-esteem. Indeed, where mature patients
present with a history of malalignment, equally beneficial and fulfilling
results can be achieved. In government-funded systems, patients with
congenital abnormalities receive
treatment that is essential to their
ongoing oral health. Restorative den-
tists work closely with orthodontists,
who can appreciate how small details
can aid in achieving positive restorative outcomes.
As a young dentist, I corrected
a tooth in crossbite with a simple
T-spring appliance. It was enjoyable
and brought a different type of delayed gradual satisfaction to the more
cerebral but tenuous molar endodontics or the more artistic and instant
composite build-up. I was not a specialist, but I managed to do some or-
AD
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C.E. Magazines
The specialist training pathway for
orthodontics involves a competitiveentry three-year full-time course
linked with the achievement of a master’s level qualification that many may
feel daunted by. Indeed, navigating
the pathway from start to finish can be
difficult academically and financially
when factoring in fees and loss of earnings during training. Once qualified,
the majority of these specialists reside, like the majority of all specialists,
in the south-east of England. With
this skewed distribution of specialists
and assumed need for access, it might
seem prudent for general dental practitioners to contribute to meeting the
need for orthodontics.
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thodontics. In contrast to my experience, general dental practitioners are
now more routinely providing tooth
movement with the emergence of
short-term orthodontics (STO). This
has resulted in some conjecture as to
the methods of achieving “straighter”
teeth. Indeed, some may consider
STO as an emerging entity competing with specialist orthodontics, but
should it be?
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Indeed, the long-cited managed
clinical networks have yet to be fully
realised, although all planning and
documentation related to managed
clinical networks identify general
dental practitioners as integral to the
function of the network. The number
of orthodontic therapists has gradually increased over the last ten years
or so since inception of the first
courses in Wales and Leeds. Therapists are allegedly more cost-effective to train and employ in a large
orthodontic practice; however, unlike their hygiene or therapy colleagues, they cannot practise without a specialist’s treatment plan and
supervision.
Patients who qualify for orthodontic treatment under the UK government-funded system need to be assessed according to the index of orthodontic treatment need. There will
be an obvious shortfall of adults or
adolescent patients with minor malocclusions who do not meet the criteria who would like their teeth
straightened. This cohort may have to
seek treatment privately from orthodontic specialists or general dental
practitioners. As such, these minor or
straightforward cases may be managed in a number of different settings
utilising various techniques with the
advent of STO. This may have resulted
in some territorial paranoia between
the two camps of traditional orthodontics versus STO systems. Conversely, it may be that differing scientific, technical and ethical ethos on
managing the same problem is the
source of the debate.
Quick and easy?
Commercialisation has modified
the provision of orthodontics in the
UK. Indeed, there are now orthodontic
brands with courses attached and a
[7] =>
DTUK0415_30-31_OT06-07_Alani 18.09.15 13:39 Seite 2
OPINION
Ortho Tribune United Kingdom Edition | 1/2015
07
faculty of individuals who promote
their particular product. Companies
tend to boast that their product is the
best with limited complications and
treatment being low risk, predictable
and easy. Somewhat surprisingly,
courses are being run on how to convert patients into orthodontic clients.
There are books describing strategies
on promoting and increasing revenue. They outline detailed strategies
on attracting more patients than
one’s local competitor—or is that colleague? Sounds more like capitalism
than commercialism to many interested observers.
The rapid development of STO has
not escaped the venture (or some
may say vulture) capitalists. In the
same vein as DIY whitening and sports
guards, one can now have one’s teeth
straightened via online companies
using products delivered by Her
Majesty’s Royal Mail and so cut out
the middleman (i.e. the dentist). To
my knowledge, STO has yet to make
it on to the price list of Samantha’s,
a beauty salon in Peckham.
What may cause fear and worry is
that the provision of tooth movement
set against a backdrop of a focus on
increasing revenue and patient conversion may detract from the real reasons we are providing the treatment.
The risk and benefit of treatment
must remain balanced or be rebalanced in favour of the patient.
The best things in life are rarely
quick, easy and without reflection.
While learning or training, one gains
stature from one’s mistakes and
learns by way of osmosis from those
of individuals one hopes to emulate.
Becoming an expert in many a field
requires time, effort and experience.
Orthodontics is a complicated discipline that is difficult to deliver optimally and efficiently. Treatment planning should be performed in person
not only to appreciate the challenges
the patient presents with but also to
develop a lasting patient rapport.
Equally important, patients need to be
diligent during treatment and forever
more for purposes of retention. Is it
possible that a one- or two-day course
with a treatment plan lasting half
a year or less can provide equally optimal results to a specialist orthodontist utilising traditional means?
In any case, placing a time limit on
any treatment could be considered
contentious. Patients ask me all the
time‘How long is this treatment going
to take Doc?’ I always reply ‘Ill tell you
when its finished’. As such I am rarely
wrong.
Advertising cosmetic
treatments the fair
dinkum way
The Australian health ministry
recently examined the provision of
cosmetic procedures and in particular the modes of promoting the treatments. The working group found
that advertising and promotion
more often than not focused on the
benefits to the consumer, downplaying or not always mentioning risks.
The group went on to identify advertising practices that were not driven
by medical need and where there was
significant opportunity for financial
gain by those promoting these. They
identified the need to regulate promotion and advertising ethically
with factual, easily understood information from a source that is
independent of practitioners and
promoters. This is unfortunately not
always readily available. In some
Australian jurisdictions, there are
specific guidelines that need to be adhered to for promotion of cosmetic
treatments and they specifically
cover before and after treatment adverts, which we know in the UK is a
popular practice among the cosmetically driven. This is commonly one
ideal, perfect case showcased on the
front end of the practice website with
no mention of any problems, either
acute or chronic. Another aspect of
the report detailed prohibition of
time-limited offers or inducing potential customers through free consultations for the purposes of treatment uptake. The latter is something
that has seen STO promoted by way
of voucher deals on the Internet or
via smartphone applications. Others
may consider such a practice as loss
leading; one could ask who is losing
and who is gaining and at what price?
One important aspect of the report
identified the wider social impact of
cosmetic procedures in that people
may become increasingly dissatisfied
with themselves and their appearance, culminating in deeper concerns
for the person and reducing scope for
individuality. Many dentists throughout the country may have a slipped
contact here, a rotation there or a
space distal to a canine who are unlikely to be waiting in earnest for the
next voucher deal alert on their
iPhones. Inducing misgivings or raising concerns about the patient’s tooth
position where the teeth are otherwise healthy and the patient presents
with no concerns could be considered
unethical and worryingly dishonourable.
Relapse of confidence
In a recent publication from an indemnity provider, orthodontics was
identified as an emerging area for
claims against their clients. This is
likely to be the tip of the iceberg, whose
size will probably continually grow as
more and more orthodontics is provided and the repercussions of which
may only become apparent gradually
in the future.
In the now highly litigious arena of
UK dentistry, the failure of orthodontic treatment against the backdrop
of Montgomery v. Lanarkshire Health
Boardis likely to result in increased litigation. The movement of teeth into
what the patient and the dentist feel is
the correct position may be possible
in the short term, but in the long term
complications may arise owing to a
variety of soft- and hard-tissue factors
that cannot accommodate this new
and supposedly “right” position. Indeed, orthodontics requires the appreciation of detail where symmetry
and alignment are “king”, but longterm stability is the likely “empress”.
Relapse of position is a common complaint and where patients have paid
handsomely for a result they may
have been happy with at the time of
the cheque clearing, over time tiny
tooth shuffles can result in disproportionate and vehement dissatisfaction.
Where teeth are moved indiscriminately, recession in the labial segment
is a complication difficult to explain
and remedy in the high lip line of
a conscientious and ambitious corporate female patient. Indeed, more
haste, less speed may result in a case
being etched longer in the memory
of the patient and the clinician for
the wrong reasons.
Clear steps to
business building
A cornerstone of a successful business is the repeat customer who values the dentist and his or her service
and returns with no qualms or misgivings about what the dentist feels
should be provided. A successful business relies on patients returning in
the long term owing to their positive
experiences. Focusing on short-term
gains without due consideration of
quality or reliability of the treatment
provided has potential repercussions
for patients, the business of dentistry
and perception of the profession.
Aws Alani is a
Consultant in Restorative Dentistry at Kings College Hospital in
London, UK, and
a lead clinician for
the management
of congenital abnormalities. He
can be contacted at awsalani@hotmail.com.
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[8] =>
DTUK0415_32_OT08_Maskery 18.09.15 12:34 Seite 1
TRENDS & APPLICATIONS
08
Ortho Tribune United Kingdom Edition | 1/2015
Orthodontic contract
transfer: An ongoing
point of discussion
By Amanda Maskery, UK
AD
The issue of orthodontic contracts is
a topical one at present, with much
discussion around the uncertainty
regarding partially completed treatment and the sale of a practice. The
issue of incomplete treatment arises
not just with General Dental Service
(GDS) contract sales, but also with
Personal Dental Service (PDS) orthodontic contracts.
PRINT
L
DIGITA N
O
I
T
A
C
U
ED
EVENTS
The difficulty in transferring
contracts between buyer and seller,
and the issues around dealing with
payment are well documented. It is
proving to be an ongoing point of
discussion, both with my clients, as
well as among my fellow members
of the Association of Specialist Providers to Dentists and the National
Association of Specialist Dental Accountants and Lawyers.
In GDS work, partially completed
treatment is paid for pro rata, but
in PDS orthodontic work, it is paid
to start but not to finish it, raising
potential problems around clawback. When a contract is terminated owing to a sale, the entire
caseload is passed to the buyer and
next provider, who then picks up
the ongoing matter and its associated income. From the seller’s point
of view, there is no longer any obligation to finish the cases, so no
matter the patients’ stage of treatment (somewhere between appliance fit and debond) all of the cases
are transferred and the seller walks
away.
For the buyer, he or she needs to
take into consideration the caseload he or she will take on as a result
of the purchase, while bearing in
mind that no units of orthodontic
activity can be claimed for finishing the cases. Undoubtedly, this can
prove a problematic issue, but is
a case in point of why it is essential
for both a buyer and a seller to instruct a specialist adviser to act on
his or her behalf.
By structuring payment clearly
and laying out the terms very clearly
in the sale agreement, hopefully the
situation will be agreeable to both
sides of the sale or purchase.
The DTI publishing group is composed of the world’s leading
dental trade publishers that reach more than 650,000 dentists
in more than 90 countries.
Amanda Maskery
is one of the UK’s
leading den tal
lawyers. She is
Chair of the Association of Specialist Providers to
Dentists (ASPD) in
the UK and a Partner at Sintons law
firm in Newcastle. She can be contacted at
amanda.maskery@sintons.co.uk.
[9] =>
DTUK0415_33_OT09_Craven 18.09.15 12:35 Seite 1
Ortho Tribune United Kingdom Edition | 1/2015
TRENDS & APPLICATIONS
09
Treatment coordinator:
The bridge to case acceptance
By Lina Craven, UK
You might think that in financially challenging times the last thing you need is
a new member of staff. For a practice to
thrive and prosper in a difficult financial climate, however, it has to become
more efficient, more competitive and
more profitable. One way to do that is
to introduce a treatment coordinator
(TC) into the team or if you already have
one then to offer appropriate training.
This is a relatively new role to the European market, but in the US, where the
role is a central part of any practice, it
has proven to dramatically add value to
the patient experience, reduce in chair
time and increase case acceptance.
The introduction of a well-trained
TC will change your entire approach
to new patient care, as well as increase
profitability. While many practices
know how to attract patients, their
case acceptance ratio is low. The first
contact, first visit and follow-up are
the most important elements of the
new patient process, yet they frequently represent a wasted opportunity because of a lack of skill, focus,
time or all three.
In my experience, a major downfall of practices is the unwillingness of
practitioners to delegate the new patient process to staff, or what we call
the TC role. This is often due to a wide
range of factors, including the practitioner’s perception that the patient
wants communication on his or her
treatment to come from the practitioner, the perception that patients
pay to see the practitioner, a lack of
trust to empower staff or time to train
staff, and the financial implications
of introducing the new role.
Relinquishing new patient management to well-trained staff is not
a team member who fulfils the characteristics of a TC and he or she wants the
challenge, then the answer is yes. Keep
in mind that you may well need to fill
that person’s current position.
Some practices streamline job descriptions allowing them to create the
new role without having to hire another staff member. Whether it is a fulltime role or not depends upon various
factors, including the size of the practice; the number of practitioners,
chairs and patients; and the profit aspirations. Many practices implement
the role and monitor its progress and
impact. This often helps the team to accept the change and gives the practitioner the opportunity to assess any
training needs of the TC and to access
how remuneration will be affected.
The role of your TC should fit in with
your practice’s culture and aspirations
for patient care. However you choose to
implement the role, the only guarantee is that you will benefit enormously.
Augmenting your team with a welltrained TC can reap tremendous rewards
for you, the team and your patients.
A TC’s tailored and personal approach
to care, follow-up and communication
with patients fosters trust and increases
patient satisfaction and retention.
strating their true value to prospective patients, frees up the practitioner’s time, increases case acceptance ratios and, resultantly, increases
practice profits.
Consider the time spent by the
practitioner with the new patient and
calculate how much of that time is
non-diagnostic. A TC can often reduce
up to 60 per cent of practitioner–
patient time. Rather than this being
a barrier to patients—which is indeed
what many practitioners perceive to
be the case—in my experience, patients actually feel much more at
ease with the TC and therefore better
informed. Doctor time is not always
doctor time. As a typical example: if an
new patient appointment is 30 minutes, but the clinical part is actually
only 15 minutes, there is potentially
15 minutes still available. Think about
but also to gain a better idea of the
patient’s needs and wants.
All practices should have a patient
journey tracker.
I recommend to all my TCs to be
present at the consultation to listen
and understand clinically what is and
is not possible in order to allow the TC
to determine how he or she will conduct a top-notch case presentation.
Filling the role:
An internal solution?
The TC carries out the case presentation, reiterates the treatment
options available to the patient, discusses these, answers any questions
the patient may have, and clarifies
proposed treatment. He or she also
discusses the informed consent,
shows before and after photographs
of similar cases, and addresses any
barriers or concerns the patient may
have. The TC also explains the financial options and determines the most
suitable payment method for the pa-
There are no hard and fast rules. It depends upon the size and aspirations of
your practice and the qualities of existing members of your team. If you have
Lina Craven is
founder and Director of Dynamic Perceptions,
an orthodontic
m a n a g e m e nt
consultancy and
training firm in
Stone in the UK,
and has many
years of practice-based experience. She
can be contacted at info@linacraven.com
AD
“A good TC will manage all aspects of the
patient journey, from referral to case start...”
www.DTStudyClub.com
Y education everywhere
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Y more than 500 archived courses
a new trend, although its application
has been limited in Europe. However,
patients’ expectations, competition
for private work and the team’s demand for career progression and job
satisfaction are key drivers for introducing the TC role.
The TC concept
A TC is someone in your practice
who, with the right skills and training,
will facilitate the new patient process.
He or she bridges the gap between
the new patient, the practice and the
staff. The TC promotes and sells the
practice and its services by demon-
the impact an additional 15 minutes
for every new patient in the appointment diary could have.
A good TC will manage all aspects
of the patient journey, from referral
to case start, and potentially increase
your case starts. He or she is the first
point of contact. People buy from
people, so the development of a relationship and establishing of rapport
between the TC and the new patient
are crucial to the success of your
conversion from referral to start of
treatment. The TC informally chats to
the new patient prior to consultation.
This helps not only to foster rapport
Y a focused discussion forum
tient’s needs, as well as prepares the
walk-out pack. The value of a walk-out
pack should not be underestimated
and should reflect the values of the
practice, including all information the
patient needs, the finance agreement
or contract, diagnostic report, photographs of the patient (an excellent
marketing tool), informed consent
and anything else the practitioner
feels adds value to the consultation.
Too many new patients are lost
due to lack of follow-up. A good TC
follows up and provides monthly
information on patient conversions
to assist with strategic planning.
Y free membership
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[10] =>
DTUK0415_34_36_OT10_12_Carriere 18.09.15 13:00 Seite 1
TRENDS & APPLICATIONS
10
Ortho Tribune United Kingdom Edition | 1/2015
“An elegant and efficient approach”
An interview with Dr Luis Carrière, Spain, developer of the Carriere Motion Class III Appliance
Ortho Tribune:Dr Carrière, how long has
the Motion appliance for Class III malocclusions been on the market?
We presented the appliance for the
first time at the American Association
of Orthodontists meeting this year.
The approach is not entirely new and
we have been working on it for a couple
of years. The Class II appliance was
invented for Class II cases, but many
participants in several courses I taught
on Class II, especially in Asia, asked
whether it could also be used in Class III
cases. In response to this, we decided to
explore this to see if it was a good option. The results we achieved with the
use of the Carriere Motion Class II Appliance in Class III cases were amazing.
This made us realise that this appliance was really changing the relation
between the mandible and the maxilla, harmonising soft tissue and balancing the patient’s face. We were completely surprised by the fantastic facial
outcomes that we achieved with this
minimal approach. We thus decided to
create a special design according to the
needs of the mandible, the Carriere
Motion Class III Appliance.
Could you please describe in short the
design features of the Carriere Motion
Class III Appliance? Why does it only
have a simple molar bonding pad with
a small step in the arm and why did you
abandon the joint design you have with
the Class II Motion Appliance (rotation
of the molar)?
If we look at the occlusion of the
lower arch in relation to the upper, normally there is an inclination of the posterior segments owing to the fact that
the buccal side of the mandibular molars should fit between the buccal and
the lingual aspects of the maxillary
ones. This means that the design of the
traditional Class II pad ball is too bulky.
Often, it can interfere with the occlusion at the start of bonding, so we decided to create a flat surface on the
posterior segment in order to avoid unnecessary collisions in Class III mandibular positioning with the appliance.
tween the maxillary or the mandibular
incisors in order to easily align the
maxillary teeth or the mandibular anterior teeth without protrusion while
accomplishing what we term a “Super
Class I posterior occlusion”. For me, this
is an elegant and efficient approach
to cases that dramatically reduces the
period for which brackets are worn by
precision. Our engineers did their best
work and we achieved the highest level
of technical bracket outcomes. It is a
real game-changer.
How many cases have been treated
with the appliance so far?
In our office, around 100 cases have
already been treated with the Motion
sion of molars and extrusion of canines is necessary in Class III cases to
change the occlusal plane. This way, we
bring the mandible into a better functional and aesthetic position. The
change between the mandible and the
maxilla that occurs in Class II and III
cases is the main reason that we renamed the appliance from Distalizer
to Motion. Not everything can be attributed only to distalisation.
The Carriere Motion appliance
changes the relation between the
mandible and the maxilla to some extent by altering the posterior occlusal
plane, thereby moving the mandible
and the maxilla into a better functional position while balancing the
face in Class II and III cases.
What we have created is a design
that is very clean and simple with
only those features that are needed.
We have also adapted it to the requirements of Class III malocclusions. While
we used Motion Class II Appliances in
Class III patients initially, we needed
to create something that was really
suited to Class III cases. We achieved
this by flattening the profile, which is
now very slim and straightforward.
It is very important to understand
that in 95% or more of our fixed cases,
we start treatment with the Carriere
Motion appliance, which is not only restricted to Class II or III malocclusions
but also extremely useful for those
cases in which we have minor crowding. We need to open limited space be-
our patients. Reducing the time for
which the patient has to wear brackets
is a very important factor for many
patients nowadays.
Clear systems like Invisalign work
amazingly well for simplifying treatment and dramatically shortening the
aligner period. This way, many complex Class II or III cases can easily be resolved with Invisalign Lite treatment
with less than fourteen aligners. This
also makes treatment cheaper for
patients and boosts the reputation of
clinicians, as they are able to treat
complex cases using very simple procedures.
The combination of the Motion
appliance with our new passive selfligating bracket Carriere SLX and archwire sequence truly makes complex
treatment simpler while creating
a dynamic and efficient scenario in our
treatments. We are very pleased with
the new Carriere SLX. Technically
speaking, it was a challenge, as we
needed to create a masterpiece of
Class III Appliance. It is astonishing to
see the extraordinary change to the
patient’s face every time, changes that
one could imagine have been accomplished surgically, yet were achieved
without a single extraction. I think
the reason for this effect is the balanced combination of distalisation of
the mandibular posterior segments,
change of the posterior occlusal plane,
and anti-clockwise rotation of the
mandible that completely changes the
relation between the mandible and the
maxilla. Distalisation in the mandible
is extremely fast and efficient mainly
because there is an almost empty
channel between the external and internal cortical bone. That is the reason
we need very low force elastics in terms
of traction. We only use 6 oz, ¼ inch, and
we normally never use 8 oz in Class III
cases, which is what we normally use
in Class II cases.
Looking at the occlusal plane, in
Class III cases, we intrude the mandibular molars with the Motion appliance
and extrude the canines. This intru-
In retrognathic Class II patients, we
combine maxillary distalisation, controlled maxillary molar distal rotation,
and uprighting with mandibular repositioning for a better functional relation, giving stability to the case while
balancing the position of the temporomandibular joint (TMJ) anatomical
structures and harmonising the softtissue facial aesthetics. In Class III patients, we promote posterior mandible
repositioning, changing the posterior
occlusal plane, combined with distalisation of the posterior segments from
the canine to the molars. This approach is often combined with a certain 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 patient’s face.
Have there also been cases in which
the Class III malocclusion could not be
corrected? Have you observed any TMJ
problems during Class III treatment?
We are normally confronted with
two types of Class III patients, dental
and skeletal Class III patients. The Motion Class III Appliance is a treatment
“While we used Motion Class II Appliances in
Class III patients initially, we needed to create
something that was really suited to Class III cases.”
[11] =>
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The Carriere Motion Class III Appliance provides
a new, remarkably easy-to-use and patient-friendly
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minutes, and is as easily tolerated as elastics
alone! Imagine an appliance that gives you and
your Class III patients an option without surgery,
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and unsightly extra-oral devices. If you’ve ever
struggled while tackling Class III cases, take a look
at the all-new Motion Class III Appliance today!
Learn more about the Motion Class III Appliance during the WFO.
Come visit us at Booth 531 or go to HenryScheinOrtho.com.
© 2015 Ortho Organizers, Inc. All rights reserved. PN M858 09/15 U.S. Patent 7,985,070 B2
[12] =>
DTUK0415_34_36_OT10_12_Carriere 18.09.15 13:42 Seite 2
TRENDS & APPLICATIONS
12
© Henry Schein Orthodontics
option for both. Skeletal discrepancies
are normally treated with a combination of surgery and orthodontics.
Many patients reject the option of
maxillofacial surgery for many reasons however and remain as they are.
With this new approach, we can provide a minimally invasive treatment
alternative to change their decision
and provide them with a substantial
facial change that still maintains their
facial features. We do not change the
patient’s face completely, but we move
the features into a more aesthetically
pleasing position. We seek to achieve
facial harmony, bringing self-confi-
dence to the patient through compensated occlusion, facial improvement
and spiritual equilibrium.
No TMJ problems have been found
at this point and not a single patient
has had any problem or symptomatology in the TMJ with this approach.
In many cases, Class III cases show an
additional functional shift of the
mandible. While balancing the occlusion, we balance the TMJ anatomical
structural and functional relations.
This achieves harmony in the area.
Are there any studies that have shown
the proportion of the mesialisation ef-
fect in the upper jaw and of the distalisation effect in the lower jaw in the total
correction of Class III cases?
Wearing time of elastics with the
Motion appliance is 24 hours normally, except for eating. Fresh elastics
are re-
This is a relatively new
approach. We have conducted
no studies at this point, but in
relation to the effect of the Carriere
Motion Class II Appliance, together
with Prof. James McNamara from University of Michigan and Prof. Lorenzo
Franchi from University of Florence,
we are studying our records in order
to determine answers to this. They are
tracing our cases to establish what is
going on. Results are expected very
soon.
quired after each meal. In Class III
cases, there is a channel between the
external and internal cortical bone in
the sagittal direction, from mesial to
distal. There is no resistance, so substantial force is not required. Instead,
we only use 6 oz elastics.
We have observed clinically good
and stable occlusions over many
years. For example, you can see in my
lectures several cases that have been
out of retention for more than ten
years and are completely stable. What
we need is an explanation for the
experts.
What force elastics do you recommend
for children and adults, and what is the
recommended wearing time?
AD
Call for Abstracts - Now Open!
Abstracts may be submitted via internet using
online submission module – www.wioc2015.com
Abstracts should be prepared in English.
Maximum 2 oral presentations and max. 2 poster
presentations by the same presenting author will
be accepted for presentation at the Conference
Accepted abstracts will be published on the
conference website
For all enquiries regarding abstracts:
please contact wioc2015@mci-group.com
Important Dates www.wioc2015.com
Conference Dates: 10 - 13 November 2015
Abstract Submission Deadline: 1 September 2015
30 September 2015
Organized by:
Ortho Tribune United Kingdom Edition | 1/2015
Official Designation Partner
Conference Secretariat: MCI Middle East Tel: +971 4 311 6300, Fax: +971 4 311 6301, Email: wioc2015@mci-group.com
In mixed dentition cases, such as
those of 7-year-olds in which we place
a Motion Class III Appliance from
the mandibular first molar to the
mandibular canine, we slightly minimise the force. For 4 oz, ¼ inch will suffice. We can increase this to up to 6 oz,
¼ inch, if required. With this technology, significant changes to the patient’s
face are achieved, resulting in a beautiful balance. This occurs in Class II and III
patients with mixed dentition. You
may ask why that is. The answer is that
we change the posterior occlusal plane
and stimulate the orthopaedic effect
in a new functional relation. I think
this is key.
What degree of dental Class III malocclusion can be corrected with the appliance in children?
We can completely transform the
scenario by controlling the posterior
occlusal planes and changing the relation between the mandible and the
maxilla. There are things that we cannot change in our patients, such as the
genetic capacity of the patient to grow.
What we can do from our side is everything to direct the growth, to modify
the position of the structures and to
bring structures into another position
in order to try to modify the direction
and to change the scenario completely
in a way that we really ought to.
To what degree can a dental Class III
malocclusion in adults be corrected
with the appliance?
We can completely change full-step
Class III cases in adult patients. We treat
patients of all ages with this system,
from teenagers to 60-year-olds. Skeletal
repositioning does not mean skeletal
changes but a skeletal repositioning of
the mandible in relation to the maxilla,
as the mandible, specifically the TMJ,
is a dynamic anatomical structure. It is
very important that we balance that
and bring it into a better position. The
changes we can achieve in adult cases
are amazing. It is a great alternative to
surgery in adult cases and something
that is going to establish a new treatment option for Class III patients.
You call your new series of lectures
“facially driven treatment for Class II
and III”. What are your key facts in this
matter, and why should the facial, skeletal and dental factors not be isolated
during treatment?
In orthodontics, we focus on good
occlusion of the molars and the canines, looking out for midline correction, overbite, overjet and whether
there are too many teeth. The patient’s
face, teeth and bone position have to be
correctly adjusted and balanced. The
patient has to be left with an attractive
face, as well as facial proportions and
relations. We should never forget that
behind the face there is a human being
who wants to be successful in life, form
natural social relationships and have
the opportunity to establish a relationship with the person he or she has
fallen in love with. We as orthodontists
are fully responsible for the patient’s
face
and this is very
important to consider.
The Carriere system is all about
this and together with Henry Schein
Orthodontics worldwide we are trying
to spread this message. We, the orthodontists, are able to manage the patient’s soft-tissue profile in a positive
way. How do we do that? Instead of using
synthetic material like an aesthetic surgeon, we concentrate on bone and teeth
andbringthesofttissueintoabetterand
more natural position. We are also able
to balance the relation between the
mandible and the maxilla. By balancing
the patient’s face, we are also balancing
his or her life, bringing him or her selfconfidence and restoring happiness.
However, we could also totally ruin
the patient’s life by extracting teeth
unnecessarily. I am convinced that
nowadays we cannot consider orthodontics only as treatment of the teeth.
Our patients are human beings and we
have to give recognition to that.
With the Carriere system, the
Motion appliance, the Carriere SLX
bracket, the wire sequence, respect for
the tissue and the physiology of the
orthodontic movement, and considering the patient’s face, we aim to benefit
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.
So you are saying that the orthodontist
should place much more emphasis on
harmony of the patient’s face.
The orthodontist is responsible for
the patient’s face. In my understanding
of the specialty, he or she has to be an
expert on moving teeth into the correct
position, as well as on balancing profiles. He or she is responsible for the
harmonisation of the soft tissue and, if
necessary, for sculpting the lips with dermal fillers. Nobody understands better
than an orthodontist the anatomy and
proportionality of the lips. Orthodontists also have to be experts on the use
of Botox for excessive gingival display
in those patients with a particularly
gummy smile, blocking the levator labii
superioris alaeque nasimuscle to retain
the correct arch for a beautiful smile.
However, we are not only responsible
for the face. I think we also have to train
societyonthecorrectwaytogainabeautiful facial appearance. Instead of seeking treatment from an aesthetic surgeon, they would do better to visit an orthodontist. He or she will be able to give
them a natural and elegant aesthetic
outcome, including an attractive facial
profile. If they are not satisfied, they can
always visit an aesthetic surgeon later.
If society comprehends the importance
of orthodontics for the face, far more
patients will opt for orthodontic treatment. That is why we have to start upgrading our specialty. Orthodontics is
all about aesthetics, art and science.
Thank you very much for the interview.
[13] =>
[14] =>
[15] =>
DTUK0415_39_OT15_PR 18.09.15 14:32 Seite 1
Ortho Tribune United Kingdom Edition | 1/2015
ORTHO PRODUCTS
15
InvisalignG6 brings
innovation to IOC London
The makers of Invisalign clear aligners Align Technology has long been
committed to investing in research
and development, resulting in significant product innovation. In six
years, its system has progressed
from achieving simple tooth movements to treating more complex
malocclusion cases. These innova-
tions are engineered to help Invisalign providers treat with greater
confidence and achieve more predictable outcomes.
According to Invisalign, clear
aligners continue to push the
boundaries of what is possible by
delivering better clinical outcomes
New InvisalignG6 features
and experiences for both customers and their patients. In 2015,
the evolution continues with
InvisalignG6 which combines the
first premolar extraction solution
with the launch of ClinCheck Pro
with 3D Controls. InvisalignG6 first
premolar extraction solution was
engineered to improve treatment
outcomes for patients with severe
crowding or bi-maxillary protrusion, the company said. Innovative
new technology maintains vertical
control and root parallelism for improved predictability in first premolar extraction treatments with
maximum anchorage. Opening up
new possibilities for Invisalign customers and their patients.
precise control over the final tooth
position, adjustments are made
directly on the 3-D model, with the
effects visualised on the whole
dentition in real time.
More information about the
InvisalignG6 is available at booth
330 during ICO London or online
at www.invisalign.co.uk/g6.
From the beginning, ClinCheck
software have been playing an integral role in Invisalign treatment,
enabling providers to digitally determine the treatment plan for
each patient. The new ClinCheck
Pro with 3D Controls represents a
significant advancement in digital
dentistry. Designed to offer more
RMO Europe presents
DynaFlex—
state-of-the-art TruForm for superior
ortho products customisation
DynaFlex is a US-based worldwide
leader in orthodontic product manufacturing and sales. We manufacture a full line of orthodontic
products including brackets, bands,
wires, elastomerics, and auxiliary
items.
lished in two leading orthodontic
journals.
DynaFlex is your total solution
for high quality precision brackets.
The Atlas Mini Bracket is a 17–4
Stainless Steel Bracket with an
80-gauge mesh pad. The strength
and durability of the Atlas
Bracket is unprecedented
and is the reason it is a
worldwide leader.
The ClearViz+ Mini
is our Mono-Crystalline aesthetic
bracket with incredible patient comfort
and superior bond
strength. Both of our
brackets are made
with the quality and features of brackets costing
twice as much.
Our patented CS-2000 Class II
and III Corrector is a DynaFlex exclusive and is a leading seller
throughout the world. We have sold
the CS-2000 for more than eight
years and have well over 200,000
treated cases as well as articles pub-
DynaFlex is actively seeking
distributors worldwide for our
CS-2000 Corrector and bracket systems as well as our entire product
line.
More information is available at
booth 243 during ICO London or
online at www.dynaflex.com.
Rocky Mountain Orthodontics (RMO)
is a global company dedicated to the
development of products, systems
and services for improving orthodontic health.
Among the products featured
at the 2015 EOS congress will
be new Multi line products,
constant-force springs for temporary anchorage devices, constant-force elastomeric ligatures,
our famous Morita Energy chain
and the brand new TruForm
model material for indirect
bonding.
The TruForm model material is
the ideal alternative solution to
gypsum, offering fast preparation
and set, accurate patient arch
forms, and convenient chairside
efficiency.
Benefits include
• 3- to 5-minute drying time—
same-visit applications
• Quick chairside preparation—
immediate use
• Easy to mix and dispense
• Reduced waste
• No mess or mixing bowl required
• No model trimming required
• Smoother surface finish and
consistency, and reduced bubbles and porosity
• Less prone to breakage, chips and
damage
• Reusable—no need to recreate
model for repeated use.
Please come
and visit us during the show.
More information is available at
booth 533 during ICO London or
online at www.rmoeurope.com.
[16] =>
- Booth #243
DynaFlex® is a USA based worldwide leader in orthodontic product manufacturing
and sales. We manufacture a full line of orthodontic products including brackets,
bands, wires, elastomerics, auxiliary items and much more.
CS-2OOO
Class II & III Corrector
®
Easy To Place
Increased Performance
Our patented CS-2000® Class II and III Corrector is a DynaFlex® exclusive
and is a leading seller throughout the world. We have sold the CS-2000® for
more than eight years and have well over 200,000 treated cases as well as
articles published in two leading orthodontic journals.
Up to 5mm of Correction
Little To No Maintenance
350 Grams of Low
Continuous Force
018 & .022 Pivot Size
*patented
DynaFlex® is actively seeking International Dealers
For more information, visit BOOTH #243
or email Lori Munoz, Director of International Sales at lorim@dynaflex.com
Superior strength and durability, 17-4 stainless
steel, 80 gauge foil mesh pad, low profile design,
generous tie wing space, ultra smooth slot
Featuring Booth Specials
MIM construction, one-piece design,
optimum control, enhanced occlusion
stability, precise angulation
Monocrystalline sapphire, crystal clear,
excellent bond strength, stain resistant
Auxiliary
Bands & Tubes
Bonding Supplies
Brackets
CS-2000®
Cheek Retractors
Elastomerics
Impression Supplies
Instruments
Interproximal Stripping
Laboratory Supplies
Mirrors/Photography
Organizers
Retainer Cases
Wires
Wax
Monocrystalline sapphire, 30% smaller,
superior sliding mechanics, smooth, comfortable
Krystal™
Lori
Munoz
Paul
Humphrey
Darren
Buddemeyer
Director of
International Sales
Vice President
of Sales & Product
Development
CEO
True ceramic bracket, 99.9% alumina oxide, low
profile, mechanical lock base, ultra smooth slot
Ultra-Fit™ Bands
& Stability™ Buccal Tubes
phone: 314-426-4020 | online: www.dynaflex.com
082015 © 2015 DynaFlex® , St. Louis, MO 63074.
All rights reserved. It is a violation of copyright law to reproduce all or part of this material,
including photography, without the permission of DynaFlex®.
CS-2000® patent pending. Spring Patent 6719557
)
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[page] => 01
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Table of contents
-
Capital prepares for 8th International Orthodontic Congress
01 - 01
view
-
Interview: “The Olympics of orthodontics”
02 - 04
view
-
Short-term gains…long-term problems?
06 - 07
view
-
Orthodontic contract transfer: An ongoing point of discussion
08 - 08
view
-
Treatment coordinator: The bridge to case acceptance
09 - 09
view
-
“An elegant and efficient approach”
10 - 12
view
-
Ortho Products
15 - 15
view
[toc_titles] => Capital prepares for 8th International Orthodontic Congress
/ Interview: “The Olympics of orthodontics”
/ Short-term gains…long-term problems?
/ Orthodontic contract transfer: An ongoing point of discussion
/ Treatment coordinator: The bridge to case acceptance
/ “An elegant and efficient approach”
/ Ortho Products
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