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ortho - the international C.E. magazine of orthodontics

I 11ortho 1_2014 study_ bracket efficiency I _Many unsubstantiated claims have been made concerning self-ligating bracket systems as to their efficiency in moving teeth, the time savings that can berealizedbyusingtheseappliancesandthe“magic” that is somehow stored up in these brackets to more effectively align teeth. This study was done in an effort to draw some scientifically based conclusions to more accurately differentiate between what is “hype” and what is actually true regarding the purported increased ef- ficiency and time savings of one such self-ligating bracket system: In-Ovation R, manufactured by GAC International. The study was performed to determine if cases treated with In-Ovation R brackets were actually treated faster, with fewer and shorter appointments withlessclinicalchairtimeneededtocompletetreat- ment, and if they truly increase practice efficiency and profitability compared to similar cases treated with traditional edgewise brackets. _Are there other scientific studies available? Recently, there has been a cry from the scientific community regarding evidence-based studies that will differentiate between opinion and fact.1–4 It is important for our profession, if we are to remain rooted in scientific principles, to honestly research, study and report on the claims made by our fellow professionalsandtheorthodonticsupplycompanies. At the present time, there actually have been a surprising number of scientific studies performed that have reported the increased efficiency of self- ligating brackets.5–13 Most of these reports, however, have studied other bracket systems, such as Damon and Speed. Todate,noscientificstudyhasbeenappliedexclu- sivelytotheIn-OvationRbracketsystemtomeasure the treatment and chair-time savings resulting from using this appliance. That is the reason for this research study. _How was this study performed? Treatedorthodonticcaseswererandomlyselected from the practice of Dr. Jerry Clark, a board-certified orthodontist. No attempt was made, in this study, to quantify the quality of the final treatment results. It wasassumedthatClarkutilizedallhistechnicalskills and abilities to achieve the best treatment results possible for each individual patient. One hundred fourteen cases treated with In-Ovation R were studied and compared to 241 Increasing practice efficiency, profitability using In-Ovation R self-ligating brackets A white paper report Authors_Jerry R. Clark, DDS, MS, and Jack Gebbie, BS

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