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16 I I study_ bracket efficiency However, this is just an average. If your practice profit per hour is less than $350 per hour, then your savings will be somewhat less. But if your practice profit is more than $350 per hour, then your profit will increase even more. _So what’s the bottom line? Granted, a competent and conscientious ortho- dontist can most likely obtain excellent treatment results regardless of the type of appliances he or she chooses to utilize. I am often questioned by my colleagues, “Why should I change? Why should I pay more for In-Ovation R brackets when I am already achieving excellent results with my present bracket system?” Thecriticalandmoreimportantquestionis,“What is best for our patients?” Ifweasorthodontistsarecommittedtoproviding the very finest treatment for our patients, I person- ally feel it is important we look at the findings of this study and draw the obvious conclusions concerning the treatment of our patients. If we want to provide the very finest orthodontic care, in the most cost-effective manner with the least amount of discomfort to our patients, with the fewest number of visits required, and provide shorter appointment times while completing treat- ment as quickly as possible, I feel it now requires us to avail ourselves of the advanced technology of self-ligation. Anything less would not be providing the finest available treatment for our patients._ Editor’snote:Dr.JerryClarkandJackGebbiewould like to sincerely thank Debbie Terrell, Kyle Bechtel and Dr. John Oubre for their efforts and invaluable assistance in accumulating data for this study. The completestudyisavailableuponrequestbycontact- ingDENTSPLYGAC. _References 1. Turpin DL. Evidence based orthodontics. Am J Orthod Dentofacial Orthop. 2000 Dec; 118(6):591. 2. Huang GJ. Making the case for evidednce-based orthodontics. Am J Orthod Dentofacial Orthop. 2004 Apr;125(4):405–06. 3. TurpinDL.Changingtimeschallengemembers…thenand now.AmJOrthodDentofacialOrtho.2004Jul;126(1):1–2. 4. Turpin DL. Putting the evidence first. Am J Orthod Dentofacial Orthop. 2005 Oct;128(4): 415. 5. Harradine NWT. Self-ligating brackets and treatment efficiency. Clin Orthod Res 2001; 4: 220–227. 6. Eberting JJ, Straja SR, Tuncay OC. Treatment time, outcome and patient satisfaction comparisons of Damon and conventional brackets. Clin Orthod Res 2001; 4: 228–234. 7. ShivapujaPK,BergerJ.Acomparativestudyofconventional ligation and self-ligation bracket systems. Am J Orthod Dentofac Orthop 1994; 106: 472–480. 8. Thomas S; Sherruff M; Birnie D. “A Comparative In Vitro Study of the Frictional Characteristics of Two Types of Self- LigatingBracketsandTwoTypesofPre-AdjustedEdgewise Brackets Tied with Elastomeric Ligatures.” Eur. J. Orthod. 283–291; June 1998. 9. Pizzoni L; Ravnholt G; Melsen B. “Frictional Forces Related to Self-Ligating Brackets.” Eur. J. Orthod. 283–291; June 1998. 10. Henao SP, Kusy RP. “Evaluation of the frictional resistance of conventional and self-ligating bracket designs using standardized archwires and dental typodonts.” Angle Orthod. 2004 Apr; 74(2):202–211. 11. DamonDH.“Therationale,evolutionandclinicalapplication of the self-ligating bracket.” Clin Ortho Res. 1998 Aug;1(1);52–61. 12. Parkin N. “Clinical pearl: clinical tips with System-R”. J Orthod. 2005 Dec;32(4):244–246. 13. HarradineNW.“Self-ligatingbrackets:wherearewenow?” J Orthod.2003 Sep;30(3)262–273. 14. Andrews LA. “The six keys to normal occlusion.) Am. J. Ortho.1972 Sept. 62(3):296–309. ortho1_2014 Jerry R. Clark, DDS, MS, is a board-certified orthodontist who maintains a full-time prac- tice in Greensboro, N.C. He received his BS and DDS from the University of North Carolina and hisMSinorthodonticsfromSt.LouisUniversity. He is also chairman of the board of Bentson Clark,acompanythatspecializesinthesaleand transition of orthodontic practices. Jack Gebbie is president of Datatex Inc. and hashandledresearchprojectsforbothnational andregionalcompaniesformorethan11years with particular experience and expertise in the fields of health care and financial services. He is a graduate of Wake Forest University and is a memberofCASRO(CouncilofAmericanSurvey Research Organizations) and conforms to the researchintegrityandstandardsestablishedby this national organization. _about the authors ortho