Orthodontic practice US 11-12.2013 Vol4 No6 Tạp chí Chỉnh hình răng miệng tháng 11-tháng 12/2013
Trang 1PAYING SUBSCRIBERS EARN 24
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Trang 2Twins Digital Auxiliaries Practice Development Education
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Trang 3November/December 2013 - Volume 4 Number 6
William (Bill) Harrell, Jr, DMD
John L Hayes, DMD, MBA
Paul Humber, BDS, LDS RCS, DipMCS
Laurence Jerrold, DDS, JD, ABO
Chung H Kau, BDS, MScD, MBA, PhD, MOrth, FDS, FFD,
Shalin R Shah, DMD (Abstract Editor)
Lou Shuman, DMD, CAGS
Larry W White, DDS, MSD, FACD
CE QUALITY ASSURANCE ADVISORY BOARD
Dr Alexandra Day BDS, VT
Julian English BA (Hons), editorial director FMC
Dr Paul Langmaid CBE, BDS, ex chief dental officer to the Government
for Wales
Dr Ellis Paul BDS, LDS, FFGDP (UK), FICD, editor-in-chief Private
Dentistry
Dr Chris Potts BDS, DGDP (UK), business advisor and ex-head of
Boots Dental, BUPA Dentalcover, Virgin
Dr Harry Shiers BDS, MSc (implant surgery), MGDS, MFDS, Harley St
referral implant surgeon
PUBLISHER | Lisa Moler
Email: lmoler@medmarkaz.com Tel: (480) 403-1505
MANAGING EDITOR | Mali Schantz-Feld
Email: mali@medmarkaz.com Tel: (727) 515-5118
ASSISTANT EDITOR | Kay Harwell Fernández
Email: kay@medmarkaz.com Tel: (386) 212-0413
EDITORIAL ASSISTANT | Mandi Gross
Email: mandi@medmarkaz.com Tel: (727) 393-3394
DIRECTOR OF SALES | Michelle Manning
Email: michelle@medmarkaz.com Tel: (480) 621-8955
NATIONAL SALES/MARKETING MANAGER
Drew Thornley
Email: drew@medmarkaz.com Tel: (619) 459-9595
PRODUCTION MANAGER/CLIENT RELATIONS
Adrienne Good
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PRODUCTION ASST./SUBSCRIPTION COORD
© FMC 2013 All rights reserved FMC
is part of the specialist publishing group Springer Science+Business Media The publisher’s written consent must be obtained before any part
of this publication may be reproduced in any form whatsoever, including
photocopies and information retrieval systems While every care has been
taken in the preparation of this magazine, the publisher cannot be held
responsible for the accuracy of the information printed herein, or in any
consequence arising from it The views expressed herein are those of the
author(s) and not necessarily the opinion of either Orthodontic Practice US or
the publisher.
This is the “punchline” to an old joke where a wife catches her husband in the middle of
an encounter with another woman While our experience may tell us otherwise, we are asked to believe things in orthodontics that just may not ring true Whether it is the use of
a cephalometric analysis that is based on one case and not only is in the literature but has become the “normal” for many other analyses, or a pronouncement of a new technique
with magical brackets and wires, we must at long last — think!
We cannot agree on where “centric relation” is; or if it is important; or if the mandible can be advanced without doing damage; or if articulators are useful; or whether or not self-ligating brackets are better than traditional; or if they are, whether they should be
“passive,” “active,” or interactive.” Many orthodontists have become experts at the mechanical part of tooth movement But even in this area, we do not agree! Light forces, small light wires, heavy stainless steel wires? University studies have shown that lower incisors will move no matter what is done Extraction or non-extraction, upright teeth stay within certain limits; lower incisors must be at specific angles — we decide whether to increase canine width or not Yet even though these studies show that nothing works, we are given guidelines to follow
What does all of this rambling mean? There are 28 reasons for relapse Do not violate these areas, and relapse will be very unusual We must pay attention to the role of muscles in orthodontic tooth movement What happens when muscles are not relaxed? What is the physiologic meaning for using stainless steel wires, titanium wires, filling the slot, or not? Does a light-force, small-diameter titanium wire move teeth any faster than
a medium-force, large-diameter round wire? No! If we use a pre-adjusted appliance, why
do we continue to make wire adjustments and/or change bracket positions?
There are dozens of questions that should be asked, and if you do ask them, there are answers
Our specialty must, in my opinion, pay attention to anatomy, periodontal physiology, and neuromuscular physiology By this I do not mean placing patients on a machine to find out about muscles I do mean we need to be experts in knowing how muscles and periodontal fibers are affected by what we do to move teeth and jaws
It is critically important to understand what is happening physiologically during and after
tooth movement
At this time in orthodontics, I believe some common philosophies of treatment are
incredibly theoretical and wrong! We need to ask lots of questions!
Dr Ron Roncone, DDS, MSRoncone Orthodontics, Vista, California
Are you going to believe me or your own eyes?
Trang 4Orthodontic concepts
BioDigital Orthodontics:
Management of Class 1 non– extraction patient “Standard– Track”© – 9-month protocol: part 6
Dr Rohit C.L Sachdeva, and Drs Takao Kubota and Kazuo Hayashi, discuss a treatment for Class I non- extraction patients 16
Special section
Pride Institute “Best of Class” special award tribute 28
Dr Jack Fisher: Changing smiles, changing lives
This orthodontist employs both art and science to create great smiles.
This company delivers complete dental solutions based on integrated high-tech
device and software options.
ON THE COVER
Cover photo courtesy of OraMetrix, Inc Article begins on page 16
With a focus on developing, manufacturing, and marketing innovative
technologies, this firm helps clinicians enhance dental care and orthodontic
treatment.
Trang 5Everywhere your practice needs to be
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© Carestream Health, Inc 2013 OrthoTrac is a trademark of Carestream Health iPad is a trademark of Apple, Inc., registered in the US and other countries 9973 OR AD 1113
Trang 6Continuing
education
The biology of orthodontic tooth
movement part 1: Biology of
Bone 101
Dr Michael S Stosich outlines the
basic premises and biology of bone
related to orthodontics 38
A golden opportunity for dentists:
dental sleep medicine: Part 2
Dr Harold F Menchel offers a
wake-up call to clinicians to explore an
evolving niche in dentistry 42
Orthodontic insights
More than one way — an issue
related to invisible aligners
Drs Donald J Rinchuse, Ethan
Drake, Janet Robison, and Dara L
Rinchuse offer insights on the various
forms of tooth movement 46
Technology
VELscope® 50
Practice management
Growing the money tree
William H Black, Jr discusses the financial advantages of having a good plan in place 52
Hard-piped filtered water system
vs self-contained bottled water system
John Bednar helps avert problems coming down the pipe 61
Product profile
Dental technology gets a new look with Henry Schein’s augmented reality app . 54
Book review
Biomechanics in Orthodontics, 4th Edition
Drs Giorgio Fiorelli and Birte Melsen 60
Practice development
Four social media channels that drive new patient acquisition and retention
Diana P Friedman offers advice on cultivating a dynamic web presence 62
Industry news 64
Materials &
equipment 64
Trang 7Practice Growth That Will Have You Grinning Ear to Ear!
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Trang 8What can you tell us about your
background?
I grew up in Mayfield, a very small town in
western Kentucky After my undergraduate
studies, I attended the University of
Louisville School of Dentistry and then went
on to residency at the Medical College
of Georgia where I received a certificate
in orthodontics Upon completion of my
formal education, I returned home to begin
a practice limited to orthodontics Realizing
very quickly that the small community could
not support a full-time specialist, I acquired
a private pilot’s license and started another
practice in a larger community where I
could practice 2 days a week with an oral
surgeon Owning my own plane allowed
me to raise a family in my hometown
while also allowing me to expand my
professional career and see more complex
cases It also gave me the opportunity to
treat many surgical cases together with
the oral surgeon I was able to scrub in on
many cases, which I greatly enjoyed After
our two boys graduated from high school,
we were able to liquidate the practices
and relocate to Memphis, Tennessee I
took a position with a corporate dental
group to treat their orthodontic patients
This experience turned out to be beneficial
because I began to realize that corporate
dentistry did not fit my personality or
meet the standard of care I wanted to
provide my patients So, at the age of 58,
I started over again In 2006, I was able to
develop a temporary skeletal anchorage
system (TSAD) This has afforded me the
opportunity to be involved with several
residency programs For the past 7 years,
I have conducted a cadaver course for the
insertion and use of TSADs The company
conducting this course is Elite Ortho I
am also currently practicing orthodontics
in Cordova, Tennessee, 14 days per
month, and I am a faculty member at three
residency programs After 30-plus years in
this great profession, I still enjoy going into
the office every day, and I truly consider it
a blessing to be able to teach and to help
people smile
Why did you decide to focus on orthodontics?
My motto is, “Change a smile; change
a life.” I enjoy orthodontics because it employs both art and science to create a great smile I really feel that about 80% of what I do as an orthodontist is art To be able to help patients achieve great smiles by altering their facial features, in conjunction with improving their oral form and function,
is one of the most rewarding fields in healthcare The demographics of most orthodontic practices are predominately teenagers This age group is still early in its development, and most young people are very impressionable We are privileged to
be able to develop a relationship and spend time with them on a regular basis during the course of treatment After the braces come off, which is a very exciting day in our office, we are then able to continue this relationship during the retention phase of treatment This affords the orthodontist
a distinct opportunity to be a positive influence for a significant amount of time in young people’s lives
How long have you been practicing, and what systems do you use?
I have been practicing orthodontics for 30 years I use a pre-adjusted fixed orthodontic appliance on more than 95%
of my patients Most of all our patients are treated with segmental mechanics initially and then are finished with continuous arch wires Approximately 25% of our patients receive some type of a skeletal anchorage device I do utilize DICOM imaging on approximately 80% of the cases
What training have you undertaken?
I attended the University of Louisville School
of Dentistry where I received a DMD I furthered my education at the Medical College of Georgia where I received a certificate in orthodontics
Who has inspired you?
I was inspired by a high school guidance counselor who asked me what I wanted
to become I responded by telling her that
I wanted to become a dentist When she laughed at me and told me that in her professional opinion, I would not be able to become a doctor, it drove and inspired me
to prove her wrong Her attitude toward my abilities, or lack thereof, has been a driving force for me for many years I was also blessed to have parents that made sure
I was surrounded by successful people during my formative years
What is the most satisfying aspect
of your practice?
I enjoy the ability to help young people with their self-confidence by improving their smiles
Professionally, what are you most proud of?
Being invited to teach residents and other orthodontists techniques that they had not been directly exposed to previously
What do you think is unique about your practice?
We have a therapeutic dog in our office that makes our patients and team members
Dr Jack Fisher
Changing smiles, changing lives
Trang 9PRACTICE PROFILE
feel comfortable with their treatment and
our working atmosphere
What has been your biggest
challenge?
Meeting my own expectations
What would you have become if
you had not become a dentist?
A machinist, or perhaps a mechanical
engineer, or a commercial airline pilot
What is the future of orthodontics
and dentistry?
The future of the specialty of orthodontics
is a big concern of mine The fact that
residents are finishing their residency with
such a large amount of debt is a challenge
Can we really advise them to buy a million
dollar practice with so much debt? Should
we advise them to start a practice? This
advice is difficult in most cases because
of the market saturation It leaves three
options for the graduate: 1) to associate
with an existing practice, 2) to take a job
in the corporate dental atmosphere, or 3)
to become employed by a pediatric dental
group The second option opens the
door for a long discussion, depending on
someone’s opinion of the business model
for delivering dental services to the public
The more the corporate side of dentistry
grows, the more it will keep the specialty
side of dentistry in-house The more these
patients stay inside the corporate market,
the fewer patients there will be for the
private practice model to treat, whether it
is for the private general practices or the
private specialty practices
The market will become more limited
for all private practices Though there are
fewer seats in first class, they are rarely
empty It does seem that there will always
be a market for the high-end private
practices, just a smaller version, which
makes it difficult for these practices to thrive
The dental industry has been a relatively low-risk venture with good profit margins
The corporate world now knows this and can also hire the new graduates who are desperate to pay off debt Also, pediatric specialists have a ready-made orthodontic practice and are often eager to hire recent graduates as well It seems that because orthodontic practices are able to be owned and operated in most states without the owner being an orthodontist (i.e., corporate dentistry, general practitioners, pediatric dentists, and so on), that we are beginning
to see the erosion of the first, and in my opinion, the greatest specialty in dentistry
Another challenge facing the orthodontic specialty is the traditional education model for residency programs
The traditional learning experience has usually consisted of a department chair and one or two full-time faculty members
Of these faculty members, one usually focuses on research and the other serves
as a clinical director The program then has orthodontists from the surrounding community who donate 1 or 2 days of their time per month to treat cases with the residents This model has served the residency programs very well for many years However, with the technological advances in recent years, the learning curve for many practitioners is difficult to maintain
Two examples include 3D-imaging technology and treatment modalities using skeletal anchorage devices Many practitioners are either unable or unwilling
to keep pace with their changing specialty
This is alarming to many residents who are paying hundreds of thousands of dollars for their education and find out, after the fact, that they weren’t fully equipped Also, the use of aligners by general practitioners is growing rapidly, and this further eats away
at the nature of the specialty
When we consider the shift to corporate dentistry, the debt load of newly graduated residents, the steep learning curve of the diagnostic tools and recent treatment modalities, the orthodontic specialty seems to be “dumbing down.” It seems this trend is in large part because residency programs are unable to keep
up with the advances in the field Many programs have also become seen as “cash cows” for financially strapped universities, and as a result, the gap between the standard of care delivered by clinicians who did not attend a residency and those who attended a 2- to 3-year program seems to be narrowing I realize these comments could be offensive to some, and
I do apologize if they are ill received It is my opinion that we who choose to volunteer in residency programs have a responsibility to the future of the specialty, the residents we are teaching, and most of all, the patients
we are treating to stay abreast of emerging diagnostic tools and treatment modalities Otherwise, what will separate a recent graduate from an accredited orthodontic program and a GP who has taken a few weekend courses?
What are your top tips for taining a successful practice?
main-Focus on the details The practice will not run itself, so the owner must focus on the business details, or there will be no business to focus on There isn’t any one marketing strategy; it’s all the little things together that add up to something great You have to do a lot of little things well
Neglect the personal relationships, and the practice will go away Building relationships is the key to any success, whether in business or in life
Trang 10What advice would you give to
budding orthodontists?
Colleges, dental schools, and residency
programs do not teach or emphasize, to
any degree, the value in understanding
personality types and understanding how
to build solid relationships (at least I am not
aware of any that do) Whether it is with a
spouse, a child, a team member, a patient,
or a referral source, to be successful in
this era, it is vital to understand these
principles Any graduate from a CODA-
approved program knows how to help
patients improve their smiles
It is the rare graduate that understands
the value or has been taught how to build
relationships My advice is to seek out a
mentor who is trustworthy and possesses
these skills Then, learn and apply the
wisdom offered by the mentor
Lastly, budding orthodontists need
to understand that just because they
graduated at the top of their class and
attended a residency program, they are
not entitled to anything They still have
to earn what they seek Many budding
orthodontists seem to have an entitlement
attitude concerning what they want out
of life, just because of their academic
achievements If they take a job position,
they need to understand and accept that
the position will pay only what the job is
worth, not what they are worth The market for the service they provide dictates to a large degree their earning potential In their defense, I will say that I believe it is wrong for either a corporate office or private practice doctor to hire recent graduates and not pay them a significant percentage
of what they earn for the practice In this sense, I feel perhaps medicine has been a little more humanistic than we have been
in dentistry The recent graduates are not expendable and should be treated the way you would have wanted to be treated, if you were in their shoes graduating with such a significant debt load Ten to 15 years ago, recent graduates could expect to start a de novo practice and to do well, or to find a senior doctor who valued their education and was looking for a partner or associate
Now, graduating residents are forced to work in a piecemeal fashion — a day per week here and a couple of days there — just to survive and to pay off student debt
We as a society of orthodontists must begin to address these issues in the very near future for the well-being and survival
of our great profession
What are your hobbies, and what
do you do in your spare time?
Teaching and flying OP
Top Favorites
In my opinion, I am a fairly boring person who is rarely wrong and never in doubt I say this in jest, of course, but for those who
do have an understanding of personality types, I have just revealed mine I’m a true choleric or what’s known as a type D personality Here is my list of top favorite things personally and in practice
• My relationship with God ranks first
• Family I love investing time and money
in family
• My friends The relationships we develop with other orthodontists and peers have become invaluable I love just hanging out with these friends, solving and debating the challenges life brings our way I also love hanging around young adults in their 20s and 30s
• The use of DICOM imaging We purchased a Midi Cone Beam, manufactured by Planmeca®, over a year ago, and I would feel handicapped without the use of DICOM imaging
• Skeletal anchorage The anchorage system we use is the Securus system
It is a system I developed in 2005, but
I presently do not have any financial interest in either of these products
• The most valuable asset in our practice
is our team We spend 8 hours per day together You have to have people around you whom you enjoy and work well with They all have strengths and weaknesses, as do I, and I cannot imagine working without them
• The greatest asset that I have been blessed with is Debbie, my wife of 37 years She is my best friend, and she continues to make me complete
Trang 1113-DRTE-035, Retainer Brite Ad FA HR.pdf 1 10/15/13 2:20 PM
Trang 12Company history
Planmeca is the world’s largest privately
held dental imaging company and one of
the industry’s leading manufacturers of
panoramic and cephalometric X-rays Over
the past four decades, it has expanded its
sales network in more than 100 countries
worldwide Planmeca’s imaging units
offer superior image quality, reduced
radiation during routine procedures, easy
upgradeability, and advanced, user-friendly
imaging software Planmeca has been a
leader in digital imaging and advanced
computer-integrated dental care concepts
for years and remains in the forefront of
technology as the field of dentistry evolves
Since the company’s establishment,
Planmeca’s developers have worked
closely with dentists and leading universities
to anticipate future trends, using the data
to design an advanced line of high-tech
products From the introduction of the
first microprocessor-controlled chair, to
the development of the ProMax™ line of
imaging units with SCARA (Selectively
Compliant Articulated Robotic Arm)
technology, Planmeca has always led the
way with new technology The company’s
goal is to supply dental professionals with
the highest quality dental equipment that
is uniquely designed for today’s modern,
technologically advanced practice
Patented SCARA technology
What truly sets Planmeca apart from the
competition is the company’s patented,
exclusive SCARA technology This robotic
arm, which comes standard on all ProMax
units, enables free geometry based on
image formation and can produce any
movement pattern required The precise,
free-flowing arm movements allow for
a wide variety of imaging programs not
possible with any other X-ray unit on the
market; this allows the dental professional
to take images based on diagnostic needs,
not machine limitations
Anatomically accurate extraoral
bitewing program
Planmeca’s ProMax S3, 3D, and 3D
Mid imaging units offer an exclusive
extraoral bitewing program, possible
only with SCARA technology This
innovative program consistently opens
interproximal contacts, eliminates patient
positioning errors, and is more diagnostic than other intraoral modalities ProMax extraoral bitewings are ideal for a number
of patients, from the elderly and those requiring periodontal work to those with claustrophobia, sensitive gag reflexes, or those in pain All of this comes in a true bitewing program that enhances clinical efficiency and takes less time and effort than a conventional intraoral bitewing
Upgradeable innovation
One of Planmeca’s greatest contributions
to dental imaging is its innovative, upgradeable product platform — all based
on exclusive, patented SCARA technology
Since it’s software-driven, SCARA technology enables limitless possibilities
to upgrade existing equipment, allowing the new dentist on a smaller budget to grow while making only appropriate and necessary equipment investments For example, Planmeca products can be upgraded from a 2D panoramic X-ray to a combination of pan/ceph capabilities, which can be further upgraded to accommodate 3D imaging needs Whether it is the transformation of a film to a 3D unit, or the addition of a cephalometric arm, Planmeca offers solutions for every upgrade need
This single piece of technology makes the ProMax the most versatile all-in-one X-ray unit available on the market
Reduced radiation for safer procedures
All Planmeca products are designed around the ALARA radiation principle (As Low As Reasonably Achievable) Through specially designed programs, such as horizontal and vertical segmenting, autofocus, and pediatric pans, dental professionals are able to provide their patients with excellent care without compromising their safety
Horizontal and vertical segmenting options limit the exposure to diagnostic areas of interest By selecting these options, patient dosage can be reduced by
up to 93%, which is highly advantageous when follow-up images are needed
Autofocus automatically positions the focal layer using a low-dose scout image
of the patient’s central incisors, and uses landmarks within the patient’s anatomy
to calculate placement The result is a fast, diagnostic pan every time, which
drastically reduces retakes caused by false positioning
Pediatric programs further lower the dose by automatically selecting the narrow focal layer of young patients, adjusting the collimator, and reducing the area of exposure from the top and the sides This reduces the dosage area while still providing full diagnostic information
Digital Perfection™: the new standard
Building on the well-established all-in-one idea of integration, Planmeca introduced the Digital Perfection concept in 2011 Seamless integration of dental equipment and software creates efficient diagnostic tools, optimized workflow, and advanced infection control methods that result in a treatment environment where all equipment shares an open interface
The company works worldwide with all aspects of the dental industry, including dental schools, dentists, and dental team members, as well as dealers, and uses the latest technologies to create the best products for dental offices and patients alike As a forerunner in digital imaging technology, Planmeca delivers complete dental solutions based on integrated high-tech device and software options with exquisite design
For more information, visit www.planmecausa.com
This information was provided by Planmeca.
Planmeca ® : innovative, upgradeable imaging technology
“The company’s goal is to supply dental professionals with the highest quality dental equipment that is uniquely designed for today’s modern, technologically advanced practice.”
OP
Trang 14“How long will I have to wear braces?”
and “When do I get my braces off?” are
inevitably two of the most frequently asked
questions during orthodontic treatment
consultation and actual treatment Patients
seek orthodontic treatment for a number
of reasons, often so that they may be able
to smile confidently at a special life event,
such as a graduation or a wedding, while
searching for new employment or working
toward a career promotion Today,
advancements in technology allow patients
to achieve a beautiful smile in far less time
than ever before
AcceleDent®, a new device from OrthoAccel Technologies, Inc., offers
a noninvasive, innovative solution that allows orthodontists and their patients to dramatically accelerate treatment Available
by prescription only, AcceleDent is a FDA-cleared, Class II medical device that exclusively uses SoftPulse Technology® to accelerate tooth movement up to 50% with just 20 minutes of daily use This portable, lightweight, and hands-free device delivers gentle vibrations, or micropulses, to safely accelerate tooth movement as guided by orthodontists
AcceleDent is offered worldwide
by leading orthodontists who view accelerated treatment as a win-win situation for themselves, their patients, and their practices With AcceleDent, patients may spend less time in braces, allowing orthodontists to potentially increase their practice efficiency Orthodontists and their staff often hear comments and feedback from their patients, including “I cut my treatment time in half!” “I can hardly believe it!” and “AcceleDent is my best friend on adjustment day.”
OrthoAccel® Technologies, Inc., developed AcceleDent® Aura, the first FDA-cleared clinical approach to safely accelerate orthodontic tooth movement by applying gentle SoftPulse
Technology® as a complement to existing orthodontic treatment
Trang 15CORPORATE PROFILE
“In addition to moving teeth at a faster rate than expected, my AcceleDent patients report minimal sensitivity after each adjustment compared to other patients.” – Dr Straty Righellis
AcceleDent’s history
Research has demonstrated that pulsating
forces increase the rate of bone remodeling
compared to static forces AcceleDent
uses the application of pulsating forces
to enhance orthodontics and moves
teeth faster through accelerated bone
remodeling Rather than using only
constant pressure, the device applies very
light vibrations to the dentition
AcceleDent is a removable device
and is comprised of an activator and
mouthpiece The activator and connected
mouthpiece are used by patients to provide
a gentle vibration to the teeth – the activator
vibrates at a 25 grams force level and 30
Hz frequency for 20 minutes The vibration
is transmitted from the activator through
the mouthpiece to patients’ teeth as they
lightly bite down on the mouthpiece
This science has been applied in other
parts of the body to increase the rate of
fracture healing and bone density in long
bones The science has been validated in
animals, and multiple U.S clinical studies
have demonstrated that AcceleDent can
safely move teeth up to 50% faster
AcceleDent has been on the market
in Europe and Australia since 2009 After
receiving FDA clearance as a Class II
medi-cal device, AcceleDent was launched in the
U.S in 2012 and in Canada in early 2013
In just over 1-1/2 years, AcceleDent is
already available in over 1,000 orthodontic
practice locations across the U.S and
Canada In September 2013, the product’s
technology was issued a patent by the U.S
Department of Commerce’s United States
Patent and Trademark Office, reinforcing
OrthoAccel’s position as the industry’s
leading supplier of an FDA-cleared device
that accelerates orthodontic treatment
Fast Safe Gentle.
AcceleDent’s vibration is a reasonable
and safe approach for accelerating
tooth movement In fact, the 25 grams
of force applied to teeth with SoftPulse
Technology is at least 200 times less
than during ordinary chewing (5000 g) In
addition to safely moving teeth at a rapid
speed, AcceleDent’s gentle pulsing may
help relieve the sensitivity and discomfort
often associated with wearing braces
Orthodontists and patients repeatedly
report that daily use of AcceleDent greatly
reduces the discomfort associated with
orthodontic treatment Patients have also
reported that their 20-minute AcceleDent
routine helps relieve pain caused by
bracket adjustment and tightening on the day of their orthodontic appointments
Clinical results
OrthoAccel® Technologies, Inc has received positive feedback from leading orthodontists and consumers who tout AcceleDent for accelerating orthodontic treatment while gently enhancing movements directed by orthodontics
With AcceleDent, orthodontic treatment has been shortened significantly in some cases Frederick Churbuck, the first U.S
patient to complete orthodontic treatment using AcceleDent, was originally predicted
to undergo treatment for 18 months
However, by using AcceleDent, Mr
Churbuck was elated to complete his case
in just 9 months “My teeth are beautiful, and it only took 9 months,” said Churbuck after completing treatment “It feels too good to be true I am in a place so far beyond thrilled and am now an evangelist
for AcceleDent because of my results.”
Shortly after the U.S product launch, OrthoAccel Technologies, Inc formed a Key Opinion Leadership (KOL) group comprised of a diverse group of world-class clinicians Members present
to their colleagues the scientific and clinical evidence behind AcceleDent’s groundbreaking technology, in addition
to their own personal experiences, which include patient case studies that clinically substantiate AcceleDent’s acceleration of orthodontic treatment
“It’s important that we share the results
of our case studies with our peers as it demonstrates that AcceleDent is a quality medical device that lives up to its claims,” said Dr Robert Miller, who is a member of the KOL group and is also a worldwide, board-certified orthodontic lecturer as well
as past president of the Virginia Association
of Orthodontists “Our evidence-based results are especially important since AcceleDent Aura’s SoftPulse Technology can help teeth move up to 50% faster
Trang 16AcceleDent is a leading medical device
that enhances and accelerates orthodontic
movements.”
Miller recently presented a case study
for a female patient who was in treatment
to correct a Class II open bite and was
projected to wear braces for 24 to 30
months By using AcceleDent daily as
prescribed, she completed treatment in
10 months and did not have to undergo
surgery or extractions
Dr Straty Righellis, Diplomate of
the American Board of Orthodontics,
prescribed AcceleDent to a
49-year-old female patient who then completed
treatment 6 months early Dr Righellis’
patient was projected to wear braces
for 18 months to eliminate spacing and
to correct a functional crossbite, but
completed treatment in just 12 months by
using AcceleDent as prescribed
“I am recommending AcceleDent
because I have seen in my patients that
teeth move at a faster rate than I would
normally expect,” said Dr Righellis, who
practices in Oakland, California “In addition
to moving teeth at a faster rate than
expected, my AcceleDent patients report
minimal sensitivity after each adjustment
compared to other patients.”
AcceleDent® Aura aligns with
industry trends
The orthodontic industry is in a growth
phase driven by adults who are seeking
orthodontic treatment either for the first
time or to complement treatment received
in adolescence According to the American
Association of Orthodontics, the number
of adult patients has increased 23% in the
past 20 years, with adults now comprising
more than one in five orthodontic patients
These numbers are likely to continue rising
as health and esthetic consciousness is
at the forefront, and continues trending
upward
Input from leading orthodontists and
patients led to introduction of OrthoAccel
Technologies’ newest device, AcceleDent
Aura Launched in May 2013, AcceleDent
Aura houses a convenient USB port and
includes an extension cable and power
adapter The USB port allows easy device
charging and also offers orthodontists
access to FastTrac, a patient usage
Orthodontists and patients repeatedly report that daily use of AcceleDent greatly reduces the discomfort associated with orthodontic treatment.
AcceleDent Aura’s small, lightweight activator generates gentle micropulses and includes a USB interface which can be plugged directly into a computer to view usage history via the FastTrac Report The mouthpiece, chosen specifically for each patient by an orthodontist, provides a comfortable fit and snaps easily on and off the activator for transport and cleaning
Trang 17CORPORATE PROFILE
report that allows doctors to monitor their
patients’ daily use to more accurately
manage treatment AcceleDent Aura’s
sleek design is lightweight, accessible, and
compact, making it simple for patients to
use virtually anytime, anywhere
Parents of teens are pleased with
AcceleDent Aura as it helps to alleviate
concerns of prolonged wearing of braces
and to help reduce pain and discomfort
Faster treatment is also the preferred
choice for many students who may be
self-conscious about their appearance
in braces, or when participating in
extracurricular activities, such as athletics,
sports, cheerleading, acting, modeling, and playing a musical instrument
Jennifer Wammack of Houston, Texas, is the mother of 13-year-old aspiring actress, Hailey, who started using AcceleDent with her braces in January
2013 and is on track to have them removed in December 2013 “AcceleDent was a no-brainer choice for us I remember wearing braces from middle school all the way through my senior year of high school, and I do not want Hailey or any of my children to have to endure that discomfort
or any chance of teasing from classmates
We’re happy with the results so far, and I’m
OP
already committed to making sure my other three children also use AcceleDent when it’s time for their orthodontic treatment,” said Ms Wammack
Commitment to enhance orthodontic treatment
Mike Lowe, CEO of OrthoAccel Technologies, Inc., reports the company remains committed to supporting clinical trials that drive innovations for enhancing dental care and orthodontic treatment An Investigator Initiated Research Program was recently launched by OrthoAccel Technologies to support independent research projects The program awards unrestricted grants to orthodontists, clinical researchers, and basic scientists who are interested in studying AcceleDent’s efficacy
in an academic or practice-based setting
“We’re proud that AcceleDent has been rapidly adopted by key influencers and mainstream orthodontic practices
To build upon that success, our Investigator Initiated Research Program will unveil additional product development opportunities for OrthoAccel Technologies
as we strive to advance the area of accelerated orthodontics,” said Lowe
For more information or to schedule
an in-office presentation, please call 866-4919 or visit acceledent.com
1-866-About OrthoAccel Technologies, Inc
AcceleDent was developed by OrthoAccel Technologies, Inc., Houston, Texas, a privately held company that focuses on developing, manufacturing, and marketing innovative technologies to enhance dental care and orthodontic treatment The first AcceleDent was launched in 2009 and has been recommended and prescribed
to thousands of patients by orthodontists around the world More information may be found at acceledent.com and
acceledent.co.uk, or requested viainfo@orthoaccel.com
This information was provided by OrthoAccel Technologies, Inc.
“We’re proud that AcceleDent has been rapidly
adopted by key influencers and mainstream orthodontic
practices.” – Mike Lowe, OrthoAccel Technologies CEO
Michael K Lowe, CEO, OrthoAccel Technologies, Inc
Trang 18BioDigital Orthodontics is driven by a
culture of high performance organizing.1-4
In a previous article,5 the ability to complete
care of Class I patients requiring
non-extraction treatment in 6 months or less
was discussed This is only possible if
the practice is geared towards providing
proactive and highly reliable care and if the
patient, doctor, and care team are aligned
in terms of the treatment objectives
The clinical pathway guideline for this
Fast-Track approach to care was also
discussed In certain clinical situations, it
may be difficult to implement a Fast-Track
approach, especially when the practice is
new or not ready to change its culture to
that of a high performance organization
The purpose of this article is to describe
an alternative clinical pathway guideline
enabled by SureSmile technology that
aids the clinician in providing timely care
for Class I patients without losing quality
of outcome This protocol is termed the
Standard-Track© 9-month protocol
BioDigital Orthodontics:
Management of Class 1 non–extraction patient
Dr Rohit C.L Sachdeva, and Drs Takao Kubota and Kazuo Hayashi, discuss a treatment for
Class I non-extraction patients
Table 1: Clinical Pathway Guidelines developed by Sachdeva for “Standard-Track” care Protocol B for both users of 018” and 022” brackets systems
Rohit C.L Sachdeva, BDS, M Dent Sc, is the
cofounder and Chief Clinical Officer at OraMetrix,
Inc He received his dental degree from the
University of Nairobi, Kenya in 1978 He earned his
Certificate in Orthodontics and Masters in Dental
Science at the University of Connecticut in 1983 Dr Sachdeva
is a Diplomate of the American Board of Orthodontics and is
an active member of the American Association of Orthodontics
He is a clinical professor at the University of Connecticut and
Temple University and the Hokkaido Health Sciences Center,
Japan In the past he held faculty positions at the University
of Connecticut, Manitoba, and the Baylor College of Dentistry,
Texas A&M Dr Sachdeva has over 80 patents, is the recipient of
the Japanese Society for Promotion of Science Award, and has
over 160 papers and abstracts to his credit
Takao Kubota, DDS, PhD, is in private practice in Yours
Orthodontic Clinic in Yame City, Fukuoka, Japan, and is also
associate professor, Department of Orthodontics, at Kanagawa
Dental College, Yokosuka, Japan.
Kazuo Hayashi, DDS, PhD, is associate professor, Division of
Orthodontics and Dentofacial Orthopedics, Department of Oral
Growth and Development, at the School of Dentistry, Health
Sciences University of Hokkaido, Japan.
Visit Dr Sachdeva’s blog on http://drsachdeva-conference.
blogspot.com All doctors are invited to join the “Improving
Orthodontic Care” discussion blog Please contact
improveortho@gmail.com for access information.
Class I Non-Extraction “Standard-Track” © Protocol B CPG,
9-Month Treatment (Sachdeva)
APPT I(Week 0)
• Insert initial archwire
- 016” preformed SE NiTi Af 35ºC or 017” x 025” SE NiTi Af 35ºC if minimal crowding or torque control and deep bite correction needed
- Place auxiliary appliances, eg., tipback springs, ART springs, etc
APPT 2(Week 12)
• Place auxiliary devices such as quad helix if needed
• Remove posterior molar turbo
• Perform IPR prn
• Therapeutic scan (OraScan/CBCT)
• Replace molar turbos
APPT 3(Week 20)SureSmile Therapeutic Phase
• Review progress against Virtual Diagnostic Simulation (VDS)
• Perform selective IPR prn
• Check turbo for height/balance
• Insert SureSmile Precision Archwire (SSPA) (full expression)
- Note: For 018” / 022” bracket, 017” x 025” SE NiTi Af 35ºC is used Also, 019” x 025” SE NiTi Af 35ºC may be used with the 022” bracket
• Check archwire placement against bracket archwire image
APPT 4(Week 28)
• Review progress against Virtual Therapeutic Simulation (VTS)
• Make adjustments if necessary
APPT 5(Week 32)
• Review progress against VTS
• Make adjustments if necessary
APPT 6(Week 36)
• Debond
• Take final records for outcome evaluation
Trang 19ORTHODONTIC CONCEPTS
Patient III “Standard-Track” Protocol B (9 months)
Figure 1: Patient III A “Standard-Track” presents with a Class I occlusion with moderate upper crowding and lower arch crowding with a crossbite tendency in the upper first molar and
bicuspid area A non-extraction approach to treatment was chosen B Initial cephalometric and panorex radiographs
Figure 2: Patient III Virtual Diagnostic Model (VDM) derived by scanning plaster model of patient using the OraScanner®
and is used for designing the initial treatment plan with Virtual Diagnostic Simulation (VDS)
Figure 3: Patient III A Simulation of correction of functional shift Teeth in blue
demonstrate post simulation of functional shift Note a transverse shift was
simulated B VDS superimposed on VDM Note slight expansion planned in the
maxillary first bicuspid and cuspid area C Virtual Diagnostic simulation (VDS)
D Planned recontouring of the mammelons on the upper incisors
Trang 20Figure 4: Patient III Maxillary quad-helix appliance inserted 4 weeks from the time initial
records were taken Figure 5: Patient III Eight weeks post start of treatment Upper 5-5 arch bonded with .018” bracket system Upper 016” CuNiTi Af 35°C engaged Upper right first bicuspid not
engaged to minimize reactive intrusive displacement of the tooth Bracket on upper left second bicuspid debonded during archwire engagement
Figure 6: Patient III Twelve weeks post start of treatment Lower 5-5 arch bonded with
.018” bracket system Lower 6’s, banded Lower 016” CuNiTi Af 35°C engaged Figure 7: Patient III Sixteen weeks post start Upper arch fully engaged (Note upper right first bicuspid engaged)
Figure 8: Patient III Twenty weeks post start Upper and lower 6-6 alignment being achieved Upper right buccal segment shows some intrusion despite the use of vertical check elastics
Figure 9: Patient III A Twenty-four weeks post start Upper and lower 6-6 alignment substantially achieved Upper right buccal segment open bite substantially closed with the use of vertical elastics Quad helix removed in upper arch Upper and lower second molars bonded Therapeutic scan taken at this appointment with the OraScanner B Mid-treatment cephalometric and panorex radiograph
Trang 22Figure 10: Patient III Virtual Therapeutic Model (VTM)
Figure 11: Patient III The VTM of the upper jaw shows the cant in the anterior occlusal plane as a result of the intrusive reactive force felt in the right buccal segment as the upper right second premolar was extruded
Figure 12: Patient III SureSmile Virtual Prescription form completed with the Treatment
Objectives These are defined by “MACROS.” For this patient the following objectives were
selected Treat to the upper midline, lower archform, Class I occlusion, the upper and lower
first premolars as reference teeth, upper functional occlusal plane, correct cant of the upper
anterior occlusal plane
Figure 13: Patient III Virtual Therapeutic Simulation (VTS)
Figure 14: Patient III SureSmile Precision Archwire (SSPA) Design evaluated against the Virtual Therapeutic Model (VTM)
Figure 15: Patient III SureSmile Precision Archwire (SSPA) upper and lower archwires
SE 0.17” x 0.25“ CuNiTi inserted 28 weeks from start of treatment and 4 weeks
post-therapeutic scan
Figure 16: Patient III Progress 32 weeks from start of treatment and 8 weeks therapeutic scan Note: Up and down Class II elastics continued
Trang 23post-Figure 17: Patient III A “Standard –Track” Debonded 9
months from start of treatment B Final cephalometric and
panorex X-rays C Virtual Final Models (VFM)
Patient IV “Standard-Track” Protocol B (9 months)
Figure 18: Patient IV A “Standard-Track” presents with a Class I occlusion with minor upper and lower arch crowding with the upper midline shifted to the right of the lower midline A extraction approach to treatment was chosen B Initial cephalometric and panorex radiographs
non-Figure 19: Patient IV Virtual Diagnostic Model (VDM) derived by scanning plaster model of patient using the OraScanner and is used for designing the initial treatment plan with simulations
Trang 24Figure 20: Patient IV A Virtual Diagnostic Simulation (VDS) non-extraction, B VDS superimposed on VDM
Figure 21: Patient IV A Twenty-four weeks post start of treatment Upper and lower 018” bracket system was used Only archwire used to this point for the upper and lower arch was 016” CuNiTi Af 35°C From the start of treatment the patient was seen every month The therapeutic scan was taken at this visit with the OraScanner B Mid-treatment panorex radiograph
Figure 22: Patient IV Virtual Therapeutic Model (VTM)
Figure 23: Patient IV SureSmile Virtual Prescription form completed with the Treatment Objectives These are defined by “MACROS.” For this patient the following objectives were selected Treat to the upper midline, lower archform, Class I occlusion, the upper and lower first premolars as reference teeth, upper functional occlusal plane It was recognized that the patient would be treated with minimal overbite since she refused to have any IPR in order to retract the lower incisors to establish a better overjet-overbite relationship
Trang 26Figure 24: Patient IV Virtual Therapeutic Simulation (VTS)
Figure 25: Patient IV SureSmile Precision Archwire (SSPA) Design evaluated against the Virtual Therapeutic Model (VTM)
Figure 26: Patient IV Eight weeks post SSPA insertion and 32 weeks from the start of treatment The upper and lower SSPA used were
SE 0.17” x 0.25” CuNiTi
Trang 27You could Find the waY on Your own
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Trang 28Figure 27: Patient IV A “Standard –Track.” Debonded 9
months from start B Final cephalometric and panorex
radiographs C Virtual Final Models (VFM)
Conclusions
Both the “Fast-Track” protocol (discussed
previously)1 and the “Standard-Track”
protocol discussed currently using
SureSmile offer substantial efficiencies
in treating patients without any loss of
quality.6-10 It should be noted that the
SureSmile Therapeutic Phase for both
protocols are similar
However, the “Fast-Track” protocol
OP
RefeRences
1 Sachdeva R BioDigital orthodontics-5 Management
of Class 1 non–extraction patient with “Fast–Track”©–
6-month protocol Orthodontic Practice US 2013;5.
2 Sachdeva R BioDigital orthodontics: Designing
customized therapeutics and managing patient
treatment with SureSmile technology: part 2
Orthodontic Practice US 2013;4(2):18-26.
3 Sachdeva R BioDigital orthodontics: Diagnopeutics
with SureSmile technology: part 3 Orthodontic Practice
US 2013;4(3):22-30.
4 Sachdeva R BioDigital orthodontics: Outcome
evaluation with SureSmile technology: part 4
Orthodontic Practice US 2013;4(5).
5 Sachdeva R BioDigital orthodontics: Planning
care with SureSmile Technology: part 1 Orthodontic
Practice US 2013;4(1):18-23.
6 Alford TJ, Roberts WE, Hartsfield Jr JK, Eckert GJ, Snyder RJ Clinical outcomes for patients finished with the SureSmile™ method compared with conventional
fixed orthodontic therapy The Angle Orthodontist
2011;81(3):383-88.
7 Saxe AK, Louie LJ, Mah J Efficiency and
effectiveness of SureSmile World J Orthod
2010;11(1):16.
8 Sachdeva R, Aranha S, Egan ME, Gross
HT, Sachdeva NS, Currier GF, et al Treatment
time: SureSmile vs conventional Orthodontics
2012;13(1):72.
9 Groth C Compare the quality of occlusal finish between SureSmile and conventional Thesis at University of Michigan; 2012.
10 Rangwala T Treatment outcome assessment of SureSmile compared to conventional orthodontic treatment using the American Board of Orthodontics grading system Thesis at Albert Einstein College of Medicine, Department of Dentistry-Orthodontics Bronx, New York; 2012.
developed by Sachdeva is distinctly faster than the “Standard-Track” protocol
Patient and practice characteristics play
a significant role in determining the path chosen by the doctor
Future articles will systematically discuss the management of the additional spectrum of patients treated in the orthodontic practice
Acknowledgments
It is with the deepest sense of gratitude that the authors thank Dr Sharan Aranha for her unconditional and enthusiastic support in the preparation of this manuscript Without her efforts, it would be impossible to write and prepare this paper in a timely fashion
Trang 29New to Digital? It’s not new to us.
Great Lakes has the complete solution for your practice.
Choosing the right digital solution doesn’t have to be complicated
Great Lakes will get you up and running with an intraoral scanner, 3D
printer, or desktop scanner that’s right for your orthodontic practice.
We’ve done the homework for you.
We know digital For years, Great Lakes has been immersed in digital technology–
from appliance fabrication to offering digital lab services We are confident we’ve
selected the best digital solutions for our customers
One source for everything
Great Lakes is the only distributor to offer a full-line 3D solution for orthodontic
practices and labs We represent products from industry leaders including the 3Shape
TRIOS® Intraoral Scanner with Ortho Analyzer™ software and the Objet30 OrthoDesk
printer from Stratasys We also carry the 3Shape R700™ and Maestro desktop scanners
With you every step
From the decision process through installation, Great Lakes will partner with you to
ensure a successful experience
Experience digital for yourself
Go to www.digitalortholive.com to see when a hands-on seminar will be in your area.
Contact our digital experts today!
Call 1.800.828.7626 Email info@greatlakesortho.com
3Shape TRIOS ®
Intraoral Scanner with Ortho Analyzer ™ software
Stratasys Objet30 OrthoDesk 3D Printer
Maestro 3D Desktop Scanning System
Trang 30and Pride Institute
Trang 31These products and services have undergone scrutiny by Pride Institute’s knowledgeable panel of judges who invested a year of their time and effort to explore the attributes that made them stand out from the competition.
From fledgling products to those that have already achieved name recognition, the winners represent an amazing array of categories from clinical to business applications Since panelists who receive compensation from dental companies are prevented from voting in that company’s category, the result is an unbiased look at the products and their practical applications
to dentistry, providing the dental professional with a product perspective untainted by manufacturer intervention
Pride Institute’s ”Best of Class” Technology awards debuted in 2009, and through print and digital media coverage have grown to impact approximately 150,000 dentists At the ”Tech Expo”
at the American Dental Association’s Annual Awards Session, held October 31 – November 3 in New Orleans, attendees will be able to interact face-to-face with the companies and participate
in technology-centered education provided by members of the panel and esteemed consultants
of Pride Institute.
The Pride ”Best of Class” Awards were created and are organized by Dr Lou Shuman, President
of Pride Institute, who works tirelessly to maintain the rigorous standards of the selection process and its communication process through all its multimedia partners The panel’s unrelenting pursuit to select technologies that provide continuous improvement for the dental community has resulted in a huge following, which continues to grow each year, culminating
in the ADA Pride Tech Expo at the ADA Annual Session Attendees have the opportunity to experience all the winners in one location for a hands-on experience, as well as are provided CERP presentations by all the expert panel members themselves
This year’s winners are:
3Shape TRIOS®
ActionRun® Clinical Reactivation®
Align Technology SmartTrack™
DEXIS® Imaging Suite and DEXIS go®
Doxa Ceramir® Crown and BridgeGendex GXDP-700™ SRT™ TechnologyGlidewell Laboratories BruxZir® ShadedInteractive Diagnostic Imaging Tru-Align®
Henry Schein Dental Viive™
i-CAT® FLX Cone Beam 3D
Isolite Systems Isodry®
Kerr SonicFill™
Lexicomp® Online™ for Dentistry featuring: VisualDX® OralLiptak Dental DDS Rescue™
Orascoptic XV1SciCan STATIM G4Sesame Communications Sesame 24-7Ultradent VALO®
LED Dental VELscope® Vx
Enjoy this tribute to some very special products and services We at MedMark hope that the insights you gain from reading these pages and the benefits that you reap from implementing the products will raise your practices to new levels of clinical excellence and business success.
Thank you, and again, congratulations to the ”Best of Class” Technology Award winners for 2013!
Best regards, Lisa Moler Publisher MedMark, llc
Trang 32The excitement and enthusiasm surrounding Pride Institute’s
2013 ”Best of Class” Technology Awards continue to invigorate the winning companies long after they are announced This initiative culminates in the honorees’ participation in the ”Tech Expo” at the American Dental Association’s Annual Session — where attendees have a chance to interact and gain insight into the dynamic and technology-centric products and services that are impacting the contemporary dental practice
The ”Best of Class” Awards have attained a reputation of the highest integrity due to its rigorous and unbiased selection process and its distinguished panel of technology experts The panel searches for companies that show initiative, and commit time, resources, and expertise in developing new technologies or improving existing ones
Their characteristics differentiate them in a compelling way, thus creating significant value for the clinician
I am very proud of the integrity of our unbiased and not-for-profit process The thoughtful and many times heated debate, which is the hallmark of the panel’s decision-making process, takes place with absolute honesty and openness Panel members must divulge all paid relationships with manufacturers, and as a result, are not allowed to vote in that specific category Also, we are not tied down to have to choose a winner for every technology category in dentistry If there is no clear differentiator in a category, there is no winner
The mission is to provide the dental community the benefit of having the opportunity to discover what our dental technology experts would choose to have in their own practices As you read about these companies, know that they can provide a significant benefit in achieving the ultimate goal of the ”Best of Class” award process — selecting the technologies that allow us to provide the best possible care to our patients
Sincerely,
Dr Lou Shuman President of Pride Institute
Lou Shuman, DMD, CAGS
President of Pride Institute, Best of Class founder
Vice-Chair of Preclinical Education, Research and Technology, University of
Pacific School of Dentistry
Larry Emmott, DDS
Writer, speaker, and Technology Editor for dentalcompare.com
Titus Schleyer, DMD, PhD
Associate Professor and Director, Center for Dental Informatics at the
University of Pittsburgh, School of Dental Medicine
THE DISTINGUISHED PANEL
Trang 33DEXIS® IMAGING SUITE AND DEXIS GO®
DEXIS® Imaging Suite is the latest software program
in a long, dynamic history of bringing the best possible
imaging solutions to general dentists and specialists
alike This innovative program has been rewritten on
a next-generation code platform combining the image
management capabilities of the award-winning DEXIS® 9
with a solid base for growth and exciting tools and applications
One such application is the new companion iPad app, DEXIS go® that provides a sleek, engaging new way for dental professionals to communicate with patients using an iPad® It is designed
to provide a great visual patient experience around image
presentation in support of clinical findings and treatment
recommendations Like DEXIS Imaging Suite, DEXIS go
functions as an imaging hub, displaying all radiographic
and photographic images within a patient’s record DEXIS
users will find a comfortable familiarity with its simplicity
and quad environment now infused with a modern
iPad-style flair and elegance.
BRUXZIR® SHADED RESTORATIONS BruxZir® Shaded restorations are made of monolithic zirconia with no porcelain overlay Exhibiting class- leading durability with up to 1465 MPa of flexural strength and high fracture toughness, they can be used in almost any clinical situation, but are ideal for demanding situations like bruxers, implant restorations, and areas with limited occlusal space Because BruxZir zirconia is a monolithic material, it can be milled to a feather edge, for
a more natural and hygienic emergence profile BruxZir
Shaded restorations display translucency and color similar to natural dentition, making them a more esthetic alternative
to PFMs with metal occlusals/linguals or full-cast gold restorations The BruxZir Shaded formulation offers complete color penetration all the way through the restorations, ensuring greater shade consistency and preventing any shade change after occlusal adjustment For the second consecutive year, The Pride Institute recognizes BruxZir restorations as ”Best of Class.”
BruxZir Shaded restorations are available nationwide at
an Authorized™ BruxZir Laboratory near you
For more information:
www.bruxzir.com
i-CAT® FLX COMPLETE 3D TREATMENT SOLUTION
i-CAT® FLX is the complete 3D Treatment Solution It optimizes clinical control over scan size, resolution, modality, and dose to help deliver optimum patient care, assist clinicians to quickly diagnose complex problems with less radiation, and aid in developing treatment plans more easily and accurately Features include QuickScan+ for a full-dentition 3D scan at a lower dose than a 2D panoramic*; Visual iQuity™ technology for i-CAT’s clearest images*; SmartScan STUDIO’s touchscreen for easy selection of the appropriate scan size and resolution for each patient’s need; Tx STUDIO™ planning software with integrated tools for implant, surgical, and orthodontic applications; and i-PAN 2D panoramics
*Data on file
ISODRY® DENTAL ISOLATION SYSTEM
The Isodry® dental isolation system is a proven,
easy-to-use alternative to traditional forms of dental isolation,
such as the rubber dam or manual suction and retraction
The system aids in dental procedures by improving
patient management and
giving dental professionals
unprecedented control
of the oral environment:
keeping the patient’s mouth
open, improving visibility,
controlling suction and oral
humidity, and minimizing
sources of contamination
The key to Isodry’s
effectiveness are the Isolite
Mouthpieces that work with
the system Morphologically
correct Isolite Mouthpieces
are available in five sizes and
are designed to fit patients from pediatric to large adult
The wide range of mouthpieces means that it is now
much easier to have effective isolation for every patient
of every size Isolite Mouthpieces also provide an
added measure of safety during the dental procedure
— protecting the patient from foreign body aspiration
and shielding the tongue and cheek from injury by the
handpiece or other dental instruments
For more information:
www.isolitesystems.com
Trang 34multiwavelength light-emitting diode (LED) and optimally
collimated beam capable of polymerizing any dental
material, including porcelain and underlying resins The
ergonomic design of VALO’s wand-style body and large
footprint of the curing head provides unprecedented
access to the oral cavity where other curing lights simply
cannot reach
Precision milled from a solid bar of high-grade, aircraft aluminum, VALO’s unique unibody construction ensures unsurpassed durability The award-winning line of VALO curing lights now includes the original VALO, VALO Cordless, VALO Ortho, and VALO Ortho Cordless
Each one offers a unique combination of features that
allows dental professionals to consistently deliver the
right power in the right place
For more information:
www.ultradent.com Call 1-800-552-5512
VELSCOPE® VX SYSTEM
Distributed by DenMat, Velscope® Vx is the industry’s
leading adjunctive screening device used to discover
oral mucosal abnormalities When used in combination with standard examination procedures, Velscope
Vx facilitates the early discovery and visualization of abnormal tissue, including oral cancer A Velscope
Vx examination is easy, painless to the patient, takes just one or two minutes to administer, and does not require additional rinses or stains
The portable Velscope Vx handpiece emits a safe blue light, which excites fluorophores from the surface tissue
to the membrane where premalignant changes typically begin The Velscope’s proprietary filter makes fluorescence visualization possible by blocking reflected blue light, and by enhancing the contrast between normal and abnormal tissue The
Velscope Vx system includes the handpiece, a charging
station, and sanitary covers for the handpiece and lens
A digital camera accessory is also available to capture
images of abnormal tissue.
SESAME 24-7 CLOUD-BASED ONLINE PATIENT ENGAGEMENT MANAGEMENT SYSTEM Sesame 24-7 is a cloud-based online patient engagement management system that helps dental and orthodontic practices accelerate new patient acquisition, build patient loyalty, and transform the patient experience Sesame 24-7 is an end-to-end system, which provides state-of- the-art web design that optimizes viewing across any device, Search Engine Optimization (SEO), social network management, online sweepstakes and contests, and Search Engine Marketing (SEM) services It also includes Dental Sesame, a robust patient engagement portal that helps practices maintain a loyal patient community that shows up for appointments, pays their bills on time, and refers friends to the practice Sesame 24-7 delivers everything a dental practice needs to leverage the Internet to expand growth and profitability.
GENDEX GXDP-700™ SRT™ TECHNOLOGY
SRT image optimization technology delivers 3D scans with higher clarity and detail around scatter-generating material By using SRT Technology, clinicians are able to reduce artifacts caused by metal
or radiopaque objects such as restorations, endodontic filling materials, and implant posts
When a scan is prescribed near a known area of scatter generating material, the user only needs to select the SRT button from the GXDP-700 touchscreen interface
to utilize this new optimization technology From endodontic to restorative and the post-surgical assessment of implant sites, SRT offers a significant improvement to image quality.
Gendex’s design philosophy focuses on delivering winning innovations with clinicians and patients in mind, and the addition of the SRT to the GXDP-700 platform aligns with that goal The company’s strong history in continuing innovation, along with a deep dedication
award-to deliver products that exceed the needs of dental professionals, have earned Gendex recognition as a global leader
For more information:
www.gendex.com