today daily AAO Los Angeles May 05, 2019
Come check it out / Orthodontist-patient relationships and treatment satisfaction / Scenes from Saturday / Exhibitors
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[title] => Come check it out
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[title] => Orthodontist-patient relationships and treatment satisfaction
[description] => Orthodontist-patient relationships and treatment satisfaction
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[title] => Scenes from Saturday
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[title] => Exhibitors
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[1] =>
AO
!
DA
ILY
AT
TH
EA
ORTHO TRIBUNE
The World’s Orthodontic Newspaper · U.S. Edition
SUNDAY, MAY 5, 2019 — Vol. 10, No. 2
www.dental-tribune.com
SCENES FROM THE AAO
THE ORTHO-PEDO SOLUTION
MADE WITH YOU IN MIND
See yourself with
braces, check out some
speakers and hear all
about new products.
Want to work closely
with your pediatric
patients’ dentists? This
software can help you.
Why the right camera
can help increase patient
acceptance when it comes
to clear aligner treatment.
” pages 4 & 6
” page 10
” page 14
Come
check
it out
By Sierra Rendon, Ortho Tribune
Managing Editor
T
here is no doubt the American
Association of Orthodontists
Annual Session is a premier location for orthodontists to learn
new skills and for orthodontic companies to introduce new products, and 2019
is no exception!
Here in Los Angeles this week, many
orthodontic companies have taken the
opportunity to launch new products,
showcase innovative technology and offer thought leaders a chance to explain
what products they use and why.
No trip to the AAO is ever complete without a stop by the tops Software booth, No. 1637! Grab some cotton candy, some sassy pins and find
out why tops Software is the superhero behind so many practices. Photo/Provided by tops Software
” See CHECK, page 3
Orthodontist-patient relationships and treatment satisfaction
Part two of two
By Angelica Chaghouri,
Herman Ostrow School of Dentistry,
University of Southern California
Methodology
Given the social/psychological nature
of this research question, a qualitative
methodology was chosen because it is
best suited to explore dynamic human
behaviors rather than a quantitative
method (Seidman, 2006). This research
study pursued an empirical phenomenological methodology because it “ … involves a return to experience in order to
obtain comprehensive descriptions that
provide the basis for a reflective structural analysis that portrays the essence of
the experience.” (Moustakas, 1994, p. 13)
The variables associated with understanding patient-doctor relationships
were not easily quantifiable and required
Coming up
To read the whole article, including part one, go online to www.dental-tribune.com.
understanding a patient’s experiences
with his/her orthodontists because feelings are not discrete, numeric or constant; they evolve over the course of a relationship and may manifest differently
at various times. The best way to understand patients’ experience was to allow
them to express themselves through a
survey as the instrument of choice.
Three different populations were surveyed. The first two participant groups
were randomly selected from two orthodontic clinics and the third population
was a self-selected peer group. Surveys
were printed and distributed in March
2018 and collected in October 2018. The
two clinics included a private practice in
Irvine, Calif., (Group 1-A) and the Herman
” See SATISFACTION, page 8
[2] =>
[3] =>
FROM PAGE ONE
Ortho Tribune U.S. Edition | May 5, 2019
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
Maria Kaiser m.kaiser@dental-tribune.com
PRODUCT/ACCOUNT MANAGER
Jordan McCumbee
j.mccumbee@dental-tribune.com
CLIENT RELATIONS COORDINATOR
Leerol Colquhoun
l.colquhoun@dental-tribune.com
Published by Tribune America
© 2019 Tribune America, LLC
All rights reserved.
3
“ CHECK, Page 1
Here is a sampling of new products and
technology you can learn about while
here at the AAO:
• Ormco unleashes innovative product lineup: In addition to previewing its
Spark Clear Aligner System, a new entry
to the clear aligner category, Ormco is
featuring its most innovative product
lineup in years, introducing SmartArch,
an archwire designed to enable clinicians
to move into a finishing wire after just
two wires; Symetri Clear, an advanced
esthetic ceramic bracket designed for
refined strength, patient comfort and
easy debonding without fracturing; and
Damon Q2, a leading passive self-ligating
(PSL) bracket, with 2x rotation control for
optimal precision, predictability and efficiency.
With nearly 60 years of research and
product innovation and more than 1,000
patents, Ormco has helped doctors with
more than 20 million cases in more than
130 countries. To learn more about any of
these products or technology, visit Ormco at booth No. 1101.
• A toothbrush that flosses? Waterpik (booth No. 2447) is launching the
“world’s first flossing toothbrush,” the
Sonic-Fusion. This new product is clinically proven to be twice as effective as
traditional brushing and flossing, ac-
Dr. Regina Blevins speaks on ‘Invisalign First Clear Aligners: Designed With Little Smiles in
Mind’ at the Align booth, No. 2001. Photo/Provided by Align Technology
cording to the company. Stop by and ask
about the special show price.
• Continuing care that starts in your
chair. New Crest Gum & Sensitivity kills
plaque bacteria and occludes tubules
where 80 percent of sensitivity starts:
the gumline. This product is proven, according to the company, to start working
immediately to relieve sensitivity. For
more information, visit Crest + OralB at
booth No. 911.
• Not too young for Invisalign:
Launched within the past year, Invisalign First clear aligners are specifically
designed for growing patients requiring
early interceptive treatment. Additional
new features include improved retention
on short clinical crowns and improved
and expanded eruption compensation
features, making it possible to treat patients in early to late mixed dentition. To
learn more, visit booth No. 2001.
AD
[4] =>
4
SCR APBOOK
Ortho Tribune U.S. Edition | May 5, 2019
Scenes from Saturday
Stop by the Platypus booth, No. 839, for deals on a variety of
orthodontic products.
Be sure to spend time at the Planmeca booth (No. 1547), like these
attendees, to get a glimpse of the company’s full line of 2-D and 3-D
imaging and scanning products.
Head over to the Dolphin booth
(Nos. 1025/1125) and try out the software
where you can see what you’ll look like with
braces or with perfect teeth post-treatment!
Bonnie Cady and Scott Hudson of Reliance
Orthodontics can offer ‘Assure PLUS’ at
booth No. 1239 among other items!
Visit Allure at booth No. 525 for top-quality brackets and pliers at affordable prices.
Attendees
keep things
busy at
the G&H
booth,
No. 2213.
Visit the team of the Myofunctional Research
booth (No. 811) to learn about appliances to
correct malocclusion.
Norma Luna of Shofu Dental (booth
No. 2811) helps attendees make sure they go
home with the products they need.
All photos
courtesy of
the companies
depicted.
[5] =>
[6] =>
6
SCR APBOOK
Ortho Tribune U.S. Edition | May 5, 2019
Patrick Toal, territory manager for PROPEL
Orthodontics, introduces attendees to the
company’s devices at booth No. 2601.
Joe Belbie of Healthy Start (booth No. 1819)
talks to attendees about an appliance used
to treat sleep-related breathing disorder
symptoms.
AAO attendees get
ready to enter the
Los Angeles Convention
Center Saturday
morning.
Above, Dr. John
Graham speaks
on ‘SLX 3D:
Self-Ligation
Perfected’ at the
Henry Schein
Orthodontics booth,
No. 1925. The booth
has speakers
between 11 a.m. and
2 p.m. each day.
You can’t miss the stunning entrance to the
ClearCorrect booth, No. 1825. Be sure to head
inside for a special presentation.
At right,
GC Orthodontics
America officials
take time out for a
photo op with
attendees Saturday
morning at booth
No. 2247.
Rick Matty, VP and GM of Digital Solutions for Ormco (booth
No. 1101), offers attendees a preview of Spark, its new clear aligner
system.
Dentsply Sirona Orthodontics (booth No. 1301), including GAC and
Raintree Essix, keeps things running smoothly with digital treatment
planning.
Brian Ganey at Carbon (booth No. 2063)
talks to attendees about the company’s
ground-breaking printers.
[7] =>
[8] =>
RESEARCH
8
Ortho Tribune U.S. Edition | May 5, 2019
“ SATISFACTION, Page 1
Ostrow School of Dentistry at USC Advanced Orthodontic Clinic (Group 1-B).
The final group was chosen from current Herman Ostrow School of Dentistry
students (Group 2-A) who had completed
orthodontic treatment in the past.
In soliciting participants for the study,
the attending orthodontist and this researcher attained permission from patients before administering the survey.
Study participants from the two clinics
(i.e., Group 1-A and Group 1-B) received
the survey from their orthodontists and
were asked to return the completed survey to the front desk staff.
Because survey participants from
Group 2-A were current Herman Ostrow
School of Dentistry students, they were
asked to complete the survey directly by
this researcher.
The survey was administered to 27
adults, 19 females and eight males. Requirements for participant selection
were individuals who (a) completed full
treatment fixed maxillary and mandibular orthodontic brackets for at least 12
months, (b) were older than age 18 and
(c) resided in the greater Los Angeles
area.
The survey instrument was designed
with questions identifying age, gender
and race in the first section. It was important to include and emphasize age
and gender because dentofacial appearance has a negative correlation with
age (i.e., as an individual ages, dental
appearance satisfaction decreases); this
correlation was especially true among
women (Al-Omiri & Abu Alhaija, 2006).
According to Al-Omiri and Abu Alhaija,
personal identifiers were important because gender identity and age affect initial perceptions of appearance.
In the second section of the survey, a
list of 14 questions was asked and measured on a Likert scale (i.e., 1 to 5) (Likert,
1932). The Likert scale was used because
it is a common form of measurement
for an individual’s attitudes on a given
topic. Participants were asked to rank
how much they agreed with a question
or how satisfied they were with a scenario on a scale of 1 to 5 — one represented
very dissatisfied or very disagreeable
response and five represented very satisfied or very agreeable. The data were
collected, recorded and analyzed in an
Excel spreadsheet in October 2018. The
survey data results are available in Figure 1.
Survey instructions
The following instructions were presented at the top of the survey.
Please complete the two sections below.
The first section is strictly biographical.
The second section asks you to reflect
on your orthodontic treatment. Please
respond to all 14 questions to the best of
your ability. All of the questions in this
section are based on a 1 through 5 (e.g.,
1=Very Dissatisfied to 5=Very Satisfied).
Please note that your responses will remain anonymous and none of this infor-
Figure 1
mation will be shared beyond the scope
of this research.
Survey questions
• How satisfied are you with the result
of your orthodontic treatment?
• Were your initial expectations for
your smile met by the orthodontic treatment you received?
• How satisfied were you with your
personal relationship with your orthodontist?
• How big of a role did your personal
relationship with your orthodontist play
in meeting those expectations?
• How much did your orthodontist
make you feel like you were his/her priority?
• How important of a role did the orthodontist’s technical attributes play in
meeting the expectations of your treatment?
• Did you feel like your orthodontist
spent enough time with you during each
visit over the course of your treatment?
• How involved did you feel throughout the process of your orthodontic
treatment?
• How comfortable were you in expressing your concerns to your orthodontist during treatment?
• Was your orthodontist interested in
listening to you?
• How satisfied were you with the overall result of your teeth after completing
your orthodontic treatment?
• Are you satisfied with the esthetics
and function of your teeth?
• Are you satisfied with the esthetics of
your teeth?
• How would you rate your overall experience with your orthodontist?
Data collection and limitations
There were two noticeable challenges
during the data-collection phase. First,
the patients who satisfied the participant criteria was limited. Also, patients
returned to their orthodontists’ offices
after completing treatment infrequently, slowing down data collection. In addition, patients who had braces in the past
may not remember the nature of the relationship with their orthodontist. This
was especially true for current Herman
Ostrow School of Dentistry students
— many of whom had full appliance
therapy more than 10 years prior to this
research study.
Asking orthodontists to allocate extra time to recruit survey participants
was an additional burden on patients.
This may have affected survey results
from both the private practice and USC’s
Advanced Orthodontics Clinic. This researcher was not present in the private
practice nor in the USC clinic when the
surveys were distributed. If the surveys
were distributed by someone unassociated with their treatment, participants
may have felt less pressure to input favorable responses and might have been
more critical about their relationship
with the orthodontist.
About the author
Organization
The survey questionnaire offered respondents the opportunity to rate questions on a 1 through 5 scale. In the data
analysis phase, responses were grouped
into three categories — satisfied (4 and
5); neutral (3); and dissatisfied (1 and 2) to
order, analyze and interpret data from
the 27 respondents.
Data analysis
Participant responses were generally
consistent for most questions. When
participants were asked how satisfied
they were with treatment, all responded
that they were satisfied (4 and 5). Most
participants responded that they were
“very satisfied” (5). All of the participants
were satisfied (4 and 5) with the “overall
experience” with their orthodontist.
Twenty-five of 27 respondents said they
were also satisfied (4 and 5) with the personal relationship with their orthodontist (see Figure 1).
Survey results suggested patients who
were satisfied with their orthodontic
treatment also had positive relationships with the orthodontist, suggesting
that some relationship exists between
patient-orthodontist relationships and
patient satisfaction. Responses to questions eight and nine suggested respondents were comfortable talking with
their orthodontist about their treatment
and expressing concerns.
The most variable response was how
big a role a patient’s personal relationship with the orthodontist played in
meeting expectations for their smile.
Participants as a whole were unsure
about how much any personal relationship with the orthodontist may have impacted their treatment.
Variability of this response did not imply that patients who were satisfied with
their orthodontic treatment also had
positive relationships with the orthodontist. Patient expectations about his/
her smile throughout treatment seemed
Angelica Chaghouri is a Santa Monica native who
graduated from the University of California, Los Angeles in 2014 with a bachelor of science in psychobiology. She is a third-year dental student at the Herman Ostrow School of Dentistry of USC and expects
to graduate in 2020. After graduation, Chaghouri
hopes to continue her education in an orthodontic
residency program and purse her dream of becoming an orthodontist. She enjoys playing beach volleyball, cooking and spending quality time with
friends and family. She can be contacted at
achaghou@usc.edu.
to evolve over time, so the effect of the
doctor-patient relationship on meeting
expectations or falling short suggested
little about the quality of that relationship.
There was also variability to question
7: “Did you feel like your orthodontist
spent enough time with you during each
visit over the course of your treatment?”
Data suggested the amount of time a doctor spends with his/her patient may vary
and spending more time with a patient
may not mean the patient will have a better (or worse) doctor-patient relationship.
The data also suggested the quality of the
interactions may be more important.
Conclusion
This research sought to explore a pathway for improving patients’ orthodontic outcomes. The literature pointed out
that quality of care was an important factor in achieving high-quality outcomes.
One facet of addressing “quality of care”
was patient-doctor relationships, and
” See SATISFACTION, page 10
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EXHIBITORS
10
Ortho Tribune U.S. Edition | May 5, 2019
Dolphin: A single software
system for the ortho-pedo practice
Here in Los Angeles
By Dewitt Blankenship,
Manager of Dolphin Management,
Mobile and Web Software Products
For information on Dolphin’s full product line, stop
by the booth, No. 1025, or visit www.dolphinpedo.
com.
Since introducing our specialty —
pedo software module within Dolphin
Management three years ago, Dolphin
has been adding pediatric features and
tools to appropriate areas throughout
the rest of our product line, including
45 (and growing) pediatric-specific movies in Aquarium, our patient-education
software.
The result is a comprehensive system
that allows orthodontists and pediatric
dentists to work in concert and with a
single patient database.
Newly designed enhancements include tools for viewing and analyzing
radiographs, plus dedicated features for
financials, scheduling, charting, treatment planning and insurance. All new
features work great in an orthodontic,
pediatric or multi-specialty pediatricorthodontic practice.
when making appointments.
• The charge abbreviations tied to the
appointment will display on scheduled
appointments.
Dental treatment planning features
• Create dental treatment plans.
• Ability to print dental treatment
plans.
• Submit pre-determination claims
from the treatment planning screen.
• Schedule appointments from treatment planning screen.
Dental tooth chart features
• Chart existing dental conditions.
• Chart dental procedures performed
per visit.
• Chart proposed procedures from dental treatment planning.
• Dental tooth chart field, to chart dental conditions, per visit.
Dolphin Management specialty —
pedo
• The first fully-fledged pedo/ortho,
single-point practice management solution.
• Manage scheduling and patient treatment for pedo and ortho in one place.
• Distinct ledgers and billing for pedo
and ortho.
• Effectively track and market to your
patients for pedo and ortho treatment.
Dolphin Imaging features
The pedo software module within Dolphin Management. Photo/Provided by Dolphin
• Insurance coverage books.
• Insurance fee schedules.
• Insurance benefit applied/remaining
tracking.
• Ability to handle insurances that coordinate benefits.
• Employer plan changes to support
dental.
• Policy benefit summary to support
dental.
• Patient dental location/provider
tracking.
• Revamped post charge screen, which
allows user to choose billing and treating dentist/location at time of posting
charge and offers the ability to see insurance worksheet to determine breakdown of money.
• Ability to create charges from codes
“ SATISFACTION, Page 8
References
Financial features
1.
this study examined whether such relationships impacted patient satisfaction.
Through a qualitative research methodology, implementing the use of surveys, data were gathered on patientdoctor relationships among three
sample populations. The conclusions
drawn from the data suggested patientorthodontist relationships do matter for
patient satisfaction and orthodontists
who pay attention to the relationship
with each patient can often achieve a
higher quality of care.
2.
3.
4.
Al-Omiri, M.K. & Abu Alhaija, E.S. (2006).
“Factors affecting patient satisfaction after orthodontic treatment,” Angle Orthodontist, 76(3) 422-431.
Anwar, N., (2016). “Patient perspectives:
enhance your practice with compassionate care,” Ortho Tribune, The World’s Orthodontic Newspaper U.S. Edition, 7(2) 12-14.
Bos, A., Hoogstraten J., & Prahl-Andersen,
B. (2003). “Expectations of treatment and
satisfaction with dentofacial appearance
in orthodontic patients,” American Journal
of Orthodontics and Dentofacial Orthopedics, 75(4) 526-531.
Bos, A., Hoogstraten J., & Prahl-Andersen,
setup screen for easier setup.
• Systems to handle when insurances
will pay for charges that are limited by
a period.
• Ability to assign a discount type and
discount percentage by billing party.
This can also be adjusted as needed at
time of posting.
• Magnify and spotlight toolbar tools.
• Pediatric/dental FMX layouts.
Aquarium features
• Pediatric library category containing
45 pedo-specific animated patient education movies.
• New content added every two months.
• Assign pediatric dentist to appointments.
• Assign charges to appointment types
These products are joined by a full
suite of complementary software and
services for pedo-ortho practices that includes mobile and cloud options.
Finally, there’s a software system that
allows you to grow your pedo/ortho practice.
B. (2005). “Patient compliance: a determinate of patient satisfaction,” American
Journal of Orthodontics and Dentofacial
Orthopedics, 123(2) 127-132.
Epstein R.M., Lesser C.S., & Levinson, W.
(2010). “Developing physician communication skills for patient-centered care,”
Health Affairs, 29(7) 1310-18.
Likert, R. (1932). “A technique for the measurement of attitudes,” Archives of Psychology, 22(140) 5-55.
Moustakas, C. (1994). Phenomenological
research methods. Thousand Oaks, CA:
Sage.
Nanda, R.S. & Kierl, M.J. (1992). “Prediction
of cooperation in orthodontic treatment,”
American Journal of Orthodontic and Dentofacial Orthopedics, 102(1) 15-21.
Pacheco-Pereira, C., Pereira, J.R., Dick, B.D.,
Perez, A., & Mir, C.F. (2015). “Factors associated with patient and parent satisfaction
after orthodontic treatment: A systematic
review.” American Journal of Orthodontics
and Dentofacial Orthopedics, 148(4) 652–
659.
Sinha, P.K., Nanda R.S., & McNeil D.W.
(1996). “Perceived orthodontist behaviors
that
predict
patient
satisfaction,
orthodontist-patient relationship, and patient adherence in orthodontic treatment.”
American Journal of Orthodontics and
Dentofacial Orthopedics, 110(4) 370-377.
Scheduling features
5.
6.
7.
8.
10.
11.
[11] =>
[12] =>
EXHIBITORS
12
Ortho Tribune U.S. Edition | May 5, 2019
Look beyond malocclusion
to evaluate child’s airway
Here in Los Angeles
Article courtesy of Dr. Earl O.
Bergersen, DDS, MSD, and
Leslie B. Stevens
To learn more about the HealthyStart System, visit
the HealthyStart booth No. 1819, go online to www.
thehealthystart.com, email info@thehealthystart.
com or call (844) KID-HEALTHY.
Orthodontics is no longer just about
teeth but is about the overall health of
our patients. There are many patients
out there who are struggling to breathe
and sleep. The role of the orthodontist is
expanding to not only look at a patient’s
malocclusion, but rather looking at the
whole child and his or her overall health.
Orthodontists should be screening for
sleep, evaluating airways and identifying improper growth and development
of the oral cavity. Understanding how
to eliminate improper habits and instill
proper habits can assist in long-term
benefits.
It is imperative to understand sleep
disordered breathing (SDB), its outward
symptoms, the underlying root causes
and the tools available to evaluate and,
most importantly, treat. These underlying root causes include narrow arches or
constriction of the maxilla, vaulted palate, tongue posture, improper swallow,
mouth breathing, poor jaw relations,
and the underdeveloped mandible and/
or maxilla, which all can contribute to
an unhealthy airway.
Incorporating the evaluation of the
outward symptoms of SDB begins with
the HealthyStart sleep questionnaire,
which identifies 27 outward symptoms
of SDB, that a parent fills out, indicating
the degree of severity. It is important
for parents to spend the time to fill out
the form and, if necessary, take time to
evaluate their child’s sleep habits by videotaping them sleeping or just spending
30 minutes sitting in the bedroom to listen to their child breathe.
Mouth breathing is the most serious of
the habits and represents approximately
46.7 percent in a study of 501 children.
Frequently, a parent will not recognize
nighttime mouth breathing in their
child. Snoring is an easier symptom to
identify, but not all mouth breathers
will snore. Snoring should be more accurately described as heavy breathing
or breathing that can be heard. Research
shows that if a child mouth breathes,
seven other outward symptoms will also
be seen.
Children with habitual snoring in primary school show prevalence and association with sleep-related disorders and
poor school performance. Additional
research shows that snoring is associated with behavioral issues and is sta-
Photo/Provided by Ortho-Tain
tistically significant for hyperactive behavior, concentration deficits, daytime
tiredness, falling asleep while watching
television and falling asleep in school.
Tooth grinding also shows a significant
and independent association with poor
school performance.
Other evaluation tools available include a cephalometric radiograph and/
or a CBCT scan. These records provide
additional information on airway size
and volume. Drawbacks to the cephalometric and the CBCT scans are that the
view of the airway is only observable in
the upright position and not being able
to provide imaging of the airway in a reclined position during sleep.
Statistics have shown that 21 percent
of the population will show a compromised airway in this vertical position,
with 79 percent showing a normal airway. This can lead one to believe that
these patients experiencing breathing
and airway issues during sleep could be
a result of habitual issues present during
sleep, such as mouth breathing and nasal airway problems.
Sleep testing is also available for patients. There are home sleep tests, clinical
sleep tests and CPC monitoring. It is important to understand the benefits and
drawbacks of each of these tests and who
will prescribe, read and determine treatment options. This is an area in which a
collaborative effort can occur with a sleep
physician and the orthodontist.
Additional collaboration occurring
between the medical professional, sleep
physician, ENT, pediatrician, neurologist, nutritionist, psychiatrist and the
orthodontist is critical when evaluating
the entire child. Each of these medical
professionals offers the ability to address and evaluate the various factors
that contribute to sleep and breathing
issues.
A severe breathing issue with a patient, with tonsils almost or touching
each other, should be referred to the
ENT. If a parent indicates on the sleep
questionnaire that a stoppage of breathing occurs during sleep or interrupted
snoring, this should indicate that a referral to a sleep MD is necessary. Keeping a
patient’s pediatrician involved in the
treatment is extremely important and
builds a referral basis.
It is apparent the orthodontic profession is changing and broadening its
scope of evaluation and treatment. Research shows that nine out of 10 children
exhibit one or more outward symptoms
of SDB. The growing epidemic of sleep issues appear to go largely undiagnosed,
misdiagnosed or frequently treated with
medication.
By creating open airway orthodontics,
an orthodontist is able to identify airway issues and address improper growth
and development as well as orthodontic
conditions that are associated with sleep
difficulties. Maloccluded teeth can often
indicate a narrow palate. Overjet can indicate a deficiency in growth in both the
upper and lower jaw. A maxillary posterior crossbite can indicate a sleep issue and
deficiency in growth of the nasal cavity
and can indicate a compromised upper
(nasopharynx) airway.
The HealthyStart® treatment is able
to address these underlying root causes
that can contribute to sleep and breathing issues. The conditions addressed
with the HealthyStart’s treatment protocol expands the upper arch, corrects
any overjet, any overbite, crossbite,
open-bite, gummy smile and the Class
II and III condition. It can also address
the habitual issues, including mouth
breathing, teeth grinding, thumb or finger sucking, tongue thrust and improper
resting tongue position, open-bite and an
improper swallow.
The HealthyStart appliance is designed
with active myofunctional therapy built
into every appliance, providing repetitive correction of proper swallow, proper
tongue placement, nasal breathing and
expansion of the arches.
A child swallows one time a minute
during sleep, and, therefore, by wearing
the HealthyStart Habit Corrector while
the child sleeps, the myofunctional
therapy will be repeated more than 500
times per night.
The HealthyStart treatment is noninvasive and non-pharmaceutical, and
oral appliances are worn primarily passively at night for the younger patients
and two hours per day for the older patient to guide and promote the growth
and development as well as address the
habits and the orthodontic conditions
that are present requiring correction.
A HealthyStart patient
Education for the orthodontist is imperative. Classes are being offered. HealthyStart provides an online digital class that
delivers a six-video education series, six
live study group sessions as well as implementation, all of which is done simultaneously while treating two patients.
Now’s the time to look beyond the teeth
to identify the health issues that impact
your patients and provide them with a
comprehensive treatment that provides
a healthier lifetime of beautiful smiles.
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EXHIBITORS
14
Ortho Tribune U.S. Edition | May 5, 2019
Increase production, reduce expenses
and improve the patient experience
By Shofu Dental Staff
Here in Los Angeles
To learn more about the EyeSpecial C-III camera,
Beautifil II and Beautifl Flow Plus and the Attach-
Dentists who strive to increase the effectiveness of clear aligner therapies in
their practice seek products that can engage their team members and improve
the experience of a patient. Digital photography plays a key role in documenting treatments. With the right camera,
team members can help increase the patient’s understanding of the clear aligner treatment for easy case acceptance.
The EyeSpecial C-III camera from Shofu
enables staff to take images for case documentation, diagnosis and treatment
planning, and patient communication
and education. This digital dental camera has eight pre-programmed shooting
modes that clinicians and their team
members can use to complete their
photo series with ease and consistency,
according to the company.
For every step of orthodontic photography, the EyeSpecial C-III will automatically set the appropriate f-stop, aperture
and focal length to deliver consistent
ideal photographs, leaving the camera’s operator to simply select a suitable
mode. Incorporating intuitive functions
tailored specifically for dentistry, the
EyeSpecial C-III is designed to handle all
clinical applications regardless of who is
taking the photos.
Combining the photos with a draw/
edit function, which allows for making
notes directly on images, is a unique
ment Removal for Clear Aligners, stop by the Shofu
booth, No. 2811.
attribute for effective treatment evaluation or a discussion about the progress
or challenges associated with the modality. Engineered to provide functionality,
the ultralight (weighing ca. 1lb) EyeSpecial C-III complies with infection control protocols. The camera’s body is water-, chemical- and scratch-resistant, and
it can be disinfected with a sterilizing
wipe, reducing the possibility of crosscontamination.
In clear aligner therapy, proper tooth
positioning and the desired tooth movement require composite resin attachments (buttons) in a combination with
the aligners. For optimal results for the
creation of composite attachments, select Shofu’s bioactive Giomer composite,
Beautifil II (packable) or Beautifil Flow
Plus (X) F00 (zero flow, flowable), which
demonstrates excellent physical properties and esthetics, according to the
company, and has the clinical benefits
to sustainably release and recharge fluoride, neutralize acids and inhibit plaque
build-up.
Both Beautifil II and Beautifl Flow Plus
(X) F00 have a full shade range allowing
for invisible buttons during treatment.
Prior to the placement of the composite,
The EyeSpecial
C-III camera.
Photo/Provided by
Shofu Dental
the tooth surface will need to be prepared for the application of the adhesive
system. BeautiBond is recommended for
enamel bonding and Ceraresin Bond for
porcelain, zirconia or gold restorations.
Both can be easily removed at the end of
a modality using appropriate finishing
and polishing tools.
Designed to aid the safe removal of
orthodontic attachments created with
direct composites, the Kit Attachment
Removal for Clear Aligners from Shofu
will help clinicians and their team members detach the composite buttons and
restore the tooth to a highly esthetic
look, without marring the surface, according to the company.
The removal technique associated
with Shofu’s kit supports minimally invasive dentistry. In a quick and simple
procedure, according to the company,
the bulk of a composite can be removed
with either a Super-Snap black disk or a
Robot Carbide Finisher bur. The remaining prominence of an attachment can
be reduced with either OneGloss PS or a
Super-Snap violet disk. With a SuperSnap X-Treme green and red disks, the
tooth surface can be efficiently prepared
for the final polishing conducted with a
DirectDia Polishing Paste and a SuperSnap SuperBuff disk.
Finishing and polishing after the attachment removal are vital to the clinical success of a clear aligner therapy.
However, selecting the proper system
can be challenging and, perhaps, overwhelming. According to the company,
the Attachment Removal Kit for Clear
Aligners delivers proven instruments
and protocols to help team members
safely remove orthodontic attachments
and restore teeth to a highly esthetic look
in an efficient and predictable manner.
Change your workflow with digital technology
By Mark S. Sanchez, DDS, founder, CEO
and chief developer at tops Software
Here in Los Angeles
To learn more about topsOrtho and how it might
be able to help your practice, stop by the booth,
Digital technology has rapidly
changed the orthodontic profession. Innovation is leading the way. Today, many
practices are discovering the benefits of
digital workflow.
• Flexibility. All orthodontists have
specific needs within their practice. Inhouse labs can choose to make their own
3-D models and aligners or can work
with a vendor to fabricate them.
• Reliability is another benefit. Digital
files don’t get lost in shipping. They’re
instantly reproducible and can be easily
and safely accessed by everyone on your
team.
• Digital workflow can also reduce
start-to-finish times in your processes.
With good organization and workflow,
lated to create the tooth positions as
they will be after treatment.
No. 1637.
3-D printing
lab cases can be produced faster inhouse. That’s a benefit the patients really
love — less time waiting to get their appliances.
To get started, let’s begin with a working definition of digital workflow. This
is the means by which hardware and
software create models of the hard and
soft tissues of the mouth and face. It’s
electronic documentation of the current
state of the patient’s mouth. At most
practices, a patient’s record includes
photos of the face and teeth, intraoral
scans, a cephalometric analysis and a
3-D CBCT scan.
The digital models are then manipu-
This is the Apple iPod of orthodontic
technology — we didn’t know how much
we’d like it until we had it.
Initial costs for setting up a 3-D
printer can seem daunting, but time
savings and the money it generates
for your bottom line makes it worth it.
Whether you send a case out or have
it made in a lab in your office, the lab
techs will take the digital files from the
treatment-planning software and import them into the printer software.
Once printing is done, the lab tech
cuts away excess aligner material and
smooths the edges. A full set of staged
treatment aligners can be produced at
once to save both time and money. Auxiliary appliances will require other steps.
In case you’re considering getting a 3-D
printer, keep these things in mind. First,
dependent upon how much printing you
plan to do, consider hiring a new staff
member who can become totally devoted to it.
You’ll need space for a lab. Storage
shouldn’t be as big a problem as it is for
stone models. It’s great to have digital
files that are immediately available instead of digging through paperwork,
X-rays and model boxes trying to find a
case for review. For 3-D printing, you’ll
need: an intraoral scanner, camera, 3-D
printer, thermoformer and 3-D imaging
software.
Today, we’re experiencing faster and
better results and witnessing financial
gain as a result of digital workflow. 3-D
printing done in-house is faster, gives
you more control and raises your bottom
line.
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