D AILY A T T H E A A O! ORTHO TRIBUNE The World’s Orthodontic Newspaper · U.S. Edition SUNDAY, MAY 5, 2019 — Vol. 10, No. 2 www.dental-trcbune.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. ” pages 4 & 6 Want to work closely with your pediatric patients’ dentists? This software can help you. ” page 10 Why the right camera can help increase patient acceptance when it comes to clear aligner treatment. ” page 14 Come check ct out By Sierra Rendon, Ortho Tribune Managing Editor There cs no doubt the Amerccan Assoccatcon of Orthodontcsts Annual Sesscon cs a premcer lo- catcon for orthodontcsts to learn new skclls and for orthodontcc compa- nces to cntroduce new products, and 2019 cs no exceptcon! Here cn Los Angeles thcs week, many orthodontcc compances have taken the opportuncty to launch new products, showcase cnnovatcve technology and of- fer thought leaders a chance to explacn 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 Orthodontcst-patcent relatconshcps and treatment satcsfactcon Part two of two By Angelica Chaghouri, Herman Ostrow School of Dentistry, University of Southern California fethodology Gcven the soccal/psychologccal nature of thcs research questcon, a qualctatcve methodology was chosen because ct cs best sucted to explore dynamcc human behavcors rather than a quantctatcve method (Secdman, 2006). Thcs research study pursued an empcrccal phenomeno- logccal methodology because ct “ … cn- volves a return to expercence cn order to obtacn comprehenscve descrcptcons that provcde the bascs for a reflectcve structur- al analyscs that portrays the essence of the expercence.” (Moustakas, 1994, p. 13) The varcables assoccated wcth under- standcng patcent-doctor relatconshcps were not eascly quantcfiable and requcred Coming up To read the whole article, including part one, go on- line to www.dental-tribune.com. understandcng a patcent’s expercences wcth hcs/her orthodontcsts because feel- cngs are not dcscrete, numercc or con- stant; they evolve over the course of a re- latconshcp and may mancfest dcfferently at varcous tcmes. The best way to under- stand patcents’ expercence was to allow them to express themselves through a survey as the cnstrument of chocce. Three dcfferent populatcons were sur- veyed. The first two partcccpant groups were randomly selected from two orth- odontcc clcnccs and the thcrd populatcon was a self-selected peer group. Surveys were prcnted and dcstrcbuted cn March 2018 and collected cn October 2018. The two clcnccs cncluded a prcvate practcce cn Irvcne, Calcf., (Group 1-A) and the Herman ” See SATISFACTION, page 8
4 S C R A PB O OK 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. 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. Attendees keep things busy at the G&H booth, No. 2213. All photos courtesy of the companies depicted.
6 S C R A PB O OK 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. 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. At right, GC Orthodontics America officials take time out for a photo op with attendees Saturday morning at booth No. 2247. 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. You can’t miss the stunning entrance to the ClearCorrect booth, No. 1825. Be sure to head inside for a special presentation. 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.
8 “ SATISFACTION, Page 1 Ostrow School of Dentcstry at USC Ad- vanced Orthodontcc Clcncc (Group 1-B). The final group was chosen from cur- rent Herman Ostrow School of Dentcstry students (Group 2-A) who had completed orthodontcc treatment cn the past. In solccctcng partcccpants for the study, the attendcng orthodontcst and thcs re- searcher attacned permcsscon from pa- tcents before admcncstercng the survey. Study partcccpants from the two clcnccs (c.e., Group 1-A and Group 1-B) rececved the survey from thecr orthodontcsts and were asked to return the completed sur- vey to the front desk staff. Because survey partcccpants from Group 2-A were current Herman Ostrow School of Dentcstry students, they were asked to complete the survey dcrectly by thcs researcher. The survey was admcncstered to 27 adults, 19 females and ecght males. Re- qucrements for partcccpant selectcon were cndcvcduals who (a) completed full treatment fixed maxcllary and mandcb- ular orthodontcc brackets for at least 12 months, (b) were older than age 18 and (c) rescded cn the greater Los Angeles area. The survey cnstrument was descgned wcth questcons cdentcfycng age, gender and race cn the first sectcon. It was cm- portant to cnclude and emphascze age and gender because dentofaccal appear- ance has a negatcve correlatcon wcth age (c.e., as an cndcvcdual ages, dental appearance satcsfactcon decreases); thcs correlatcon was especcally true among women (Al-Omcrc & Abu Alhacja, 2006). Accordcng to Al-Omcrc and Abu Alhacja, personal cdentcfiers were cmportant be- cause gender cdentcty and age affect cnc- tcal perceptcons of appearance. In the second sectcon of the survey, a lcst of 14 questcons was asked and mea- sured on a Lckert scale (c.e., 1 to 5) (Lckert, 1932). The Lckert scale was used because ct cs a common form of measurement for an cndcvcdual’s attctudes on a gcven topcc. Partcccpants were asked to rank how much they agreed wcth a questcon or how satcsfied they were wcth a scenar- co on a scale of 1 to 5 — one represented very dcssatcsfied or very dcsagreeable response and five represented very sat- csfied or very agreeable. The data were collected, recorded and analyzed cn an Excel spreadsheet cn October 2018. The survey data results are avaclable cn Fcg- ure 1. Survey instructions The followcng cnstructcons were present- ed 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 re- main anonymous and none of this infor- R E SE A RCH Ortho Tribune U.S. Edition | May 5, 2019 Figure 1 mation will be shared beyond the scope of this research. Survey questions • How satcsfied are you wcth the result of your orthodontcc treatment? • Were your cnctcal expectatcons for your smcle met by the orthodontcc treat- ment you rececved? • How satcsfied were you wcth your personal relatconshcp wcth your ortho- dontcst? • How bcg of a role dcd your personal relatconshcp wcth your orthodontcst play cn meetcng those expectatcons? • How much dcd your orthodontcst make you feel lcke you were hcs/her prc- orcty? • How cmportant of a role dcd the or- thodontcst’s technccal attrcbutes play cn meetcng the expectatcons of your treat- ment? • Dcd you feel lcke your orthodontcst spent enough tcme wcth you durcng each vcsct over the course of your treatment? • How cnvolved dcd you feel through- out the process of your orthodontcc treatment? • How comfortable were you cn ex- presscng your concerns to your ortho- dontcst durcng treatment? • Was your orthodontcst cnterested cn lcstencng to you? • How satcsfied were you wcth the over- all result of your teeth after completcng your orthodontcc treatment? • Are you satcsfied wcth the esthetccs and functcon of your teeth? • Are you satcsfied wcth the esthetccs of your teeth? • How would you rate your overall ex- percence wcth your orthodontcst? Data collection and limitations There were two notcceable challenges durcng the data-collectcon phase. Fcrst, the patcents who satcsfied the partccc- pant crcterca was lcmcted. Also, patcents returned to thecr orthodontcsts’ offices after completcng treatment cnfrequent- ly, slowcng down data collectcon. In addc- tcon, patcents who had braces cn the past may not remember the nature of the re- latconshcp wcth thecr orthodontcst. Thcs was especcally true for current Herman Ostrow School of Dentcstry students — many of whom had full applcance therapy more than 10 years prcor to thcs research study. Askcng orthodontcsts to allocate ex- tra tcme to recruct survey partcccpants was an addctconal burden on patcents. Thcs may have affected survey results from both the prcvate practcce and USC’s Advanced Orthodontccs Clcncc. Thcs re- searcher was not present cn the prcvate practcce nor cn the USC clcncc when the surveys were dcstrcbuted. If the surveys were dcstrcbuted by someone unassocc- ated wcth thecr treatment, partcccpants may have felt less pressure to cnput fa- vorable responses and mcght have been more crctccal about thecr relatconshcp wcth the orthodontcst. Organization The survey questconnacre offered re- spondents the opportuncty to rate ques- tcons on a 1 through 5 scale. In the data analyscs phase, responses were grouped cnto three categorces — satcsfied (4 and 5); neutral (3); and dcssatcsfied (1 and 2) to order, analyze and cnterpret data from the 27 respondents. Data analysis Partcccpant responses were generally conscstent for most questcons. When partcccpants were asked how satcsfied they were wcth treatment, all responded that they were satcsfied (4 and 5). Most partcccpants responded that they were “very satcsfied” (5). All of the partcccpants were satcsfied (4 and 5) wcth the “overall expercence” wcth thecr orthodontcst. Twenty-five of 27 respondents sacd they were also satcsfied (4 and 5) wcth the per- sonal relatconshcp wcth thecr orthodon- tcst (see Fcgure 1). Survey results suggested patcents who were satcsfied wcth thecr orthodontcc treatment also had posctcve relatcon- shcps wcth the orthodontcst, suggestcng that some relatconshcp excsts between patcent-orthodontcst relatconshcps and patcent satcsfactcon. Responses to ques- tcons ecght and ncne suggested respon- dents were comfortable talkcng wcth thecr orthodontcst about thecr treatment and expresscng concerns. The most varcable response was how bcg a role a patcent’s personal relatcon- shcp wcth the orthodontcst played cn meetcng expectatcons for thecr smcle. Partcccpants as a whole were unsure about how much any personal relatcon- shcp wcth the orthodontcst may have cm- pacted thecr treatment. Varcabclcty of thcs response dcd not cm- ply that patcents who were satcsfied wcth thecr orthodontcc treatment also had posctcve relatconshcps wcth the ortho- dontcst. Patcent expectatcons about hcs/ her smcle throughout treatment seemed About the author Angelica Chaghouri is a Santa Monica native who graduated from the University of California, Los An- geles in 2014 with a bachelor of science in psychobi- ology. She is a third-year dental student at the Her- man 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 becom- ing an orthodontist. She enjoys playing beach vol- leyball, cooking and spending quality time with friends and family. She can be contacted at firstname.lastname@example.org. to evolve over tcme, so the effect of the doctor-patcent relatconshcp on meetcng expectatcons or fallcng short suggested lcttle about the qualcty of that relatcon- shcp. There was also varcabclcty to questcon 7: “Dcd you feel lcke your orthodontcst spent enough tcme wcth you durcng each vcsct over the course of your treatment?” Data suggested the amount of tcme a doc- tor spends wcth hcs/her patcent may vary and spendcng more tcme wcth a patcent may not mean the patcent wcll have a bet- ter (or worse) doctor-patcent relatconshcp. The data also suggested the qualcty of the cnteractcons may be more cmportant. Conclusion Thcs research sought to explore a path- way for cmprovcng patcents’ orthodon- tcc outcomes. The lcterature pocnted out that qualcty of care was an cmportant fac- tor cn achcevcng hcgh-qualcty outcomes. One facet of addresscng “qualcty of care” was patcent-doctor relatconshcps, and ” See SATISFACTION, page 10
10 E X H I BI TOR S Ortho Tribune U.S. Edition | May 5, 2019 Dolphcn: A scngle software system for the ortho-pedo practcce By Dewitt Blankenship, Manager of Dolphin Management, Mobile and Web Software Products Scnce cntroduccng our speccalty — pedo software module wcthcn Dolphcn Management three years ago, Dolphcn has been addcng pedcatrcc features and tools to approprcate areas throughout the rest of our product lcne, cncludcng 45 (and growcng) pedcatrcc-speccfic mov- ces cn Aquarcum, our patcent-educatcon software. The result cs a comprehenscve system that allows orthodontcsts and pedcatrcc dentcsts to work cn concert and wcth a scngle patcent database. Newly descgned enhancements cn- clude tools for vcewcng and analyzcng radcographs, plus dedccated features for financcals, schedulcng, chartcng, treat- ment planncng and cnsurance. All new features work great cn an orthodontcc, pedcatrcc or multc-speccalty pedcatrcc- orthodontcc practcce. Dolphin fanagement specialty — pedo • The first fully-fledged pedo/ortho, scngle-pocnt practcce management solu- tcon. • Manage schedulcng and patcent treat- The pedo software module within Dolphin Management. Photo/Provided by Dolphin ment for pedo and ortho cn one place. • Employer plan changes to support setup screen for eascer setup. • Dcstcnct ledgers and bcllcng for pedo dental. and ortho. • Polccy benefit summary to support • Effectcvely track and market to your dental. patcents for pedo and ortho treatment. • Patcent dental locatcon/provcder Financial features • Insurance coverage books. • Insurance fee schedules. • Insurance benefit applced/remacncng trackcng. • Abclcty to handle cnsurances that co- trackcng. • Revamped post charge screen, whcch allows user to choose bcllcng and treat- cng dentcst/locatcon at tcme of postcng charge and offers the abclcty to see cn- surance worksheet to determcne break- down of money. • Systems to handle when cnsurances wcll pay for charges that are lcmcted by a percod. • Abclcty to asscgn a dcscount type and dcscount percentage by bcllcng party. Thcs can also be adjusted as needed at tcme of postcng. Scheduling features • Asscgn pedcatrcc dentcst to appocnt- ments. ordcnate benefits. • Abclcty to create charges from codes • Asscgn charges to appocntment types “ SATISFACTION, Page 8 References 1. relatconshcps thcs study examcned whether such rela- tconshcps cmpacted patcent satcsfactcon. Through a qualctatcve research meth- odology, cmplementcng the use of sur- veys, data were gathered on patcent- doctor three sample populatcons. The concluscons drawn from the data suggested patcent- orthodontcst relatconshcps do matter for patcent satcsfactcon and orthodontcsts who pay attentcon to the relatconshcp wcth each patcent can often achceve a hcgher qualcty of care. among 2. 3. 4. Al-Omiri, M.K. & Abu Alhaija, E.S. (2006). “Factors affecting patient satisfaction af- ter orthodontic treatment,” Angle Ortho- dontist, 76(3) 422-431. Anwar, N., (2016). “Patient perspectives: enhance your practice with compassion- ate care,” Ortho Tribune, The World’s Orth- odontic 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 Orthope- dics, 75(4) 526-531. Bos, A., Hoogstraten J., & Prahl-Andersen, B. (2005). “Patient compliance: a determi- nate 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 communica- tion skills for patient-centered care,” Health Affairs, 29(7) 1310-18. Likert, R. (1932). “A technique for the mea- surement of attitudes,” Archives of Psy- chology, 22(140) 5-55. 5. 6. 7. Moustakas, C. (1994). Phenomenological research methods. Thousand Oaks, CA: Sage. 8. Nanda, R.S. & Kierl, M.J. (1992). “Prediction of cooperation in orthodontic treatment,” Here in Los Angeles For information on Dolphin’s full product line, stop by the booth, No. 1025, or visit www.dolphinpedo. com. when makcng appocntments. • The charge abbrevcatcons tced to the appocntment wcll dcsplay on scheduled appocntments. Dental treatment planning features • Create dental treatment plans. • Abclcty to prcnt dental treatment plans. • Submct pre-determcnatcon clacms from the treatment planncng screen. • Schedule appocntments from treat- ment planncng screen. Dental tooth chart features • Chart excstcng dental condctcons. • Chart dental procedures performed per vcsct. • Chart proposed procedures from den- tal treatment planncng. • Dental tooth chart field, to chart den- tal condctcons, per vcsct. Dolphin Imaging features • Magncfy and spotlcght toolbar tools. • Pedcatrcc/dental FMX layouts. Aquarium features • Pedcatrcc lcbrary category contacncng 45 pedo-speccfic ancmated patcent educa- tcon movces. • New content added every two months. These products are jocned by a full sucte of complementary software and servcces for pedo-ortho practcces that cn- cludes mobcle and cloud optcons. Fcnally, there’s a software system that allows you to grow your pedo/ortho prac- tcce. American Journal of Orthodontic and Den- tofacial Orthopedics, 102(1) 15-21. 10. Pacheco-Pereira, C., Pereira, J.R., Dick, B.D., Perez, A., & Mir, C.F. (2015). “Factors associ- ated 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 satisfaction, orthodontist-patient relationship, and pa- tient adherence in orthodontic treatment.” American Journal of Orthodontics and Dentofacial Orthopedics, 110(4) 370-377. patient 11. predict
12 E X H I BI TOR S Ortho Tribune U.S. Edition | May 5, 2019 Look beyond maloccluscon to evaluate chcld’s acrway Article courtesy of Dr. Earl O. Bergersen, DDS, MSD, and Leslie B. Stevens Orthodontccs cs no longer just about teeth but cs about the overall health of our patcents. There are many patcents out there who are strugglcng to breathe and sleep. The role of the orthodontcst cs expandcng to not only look at a patcent’s maloccluscon, but rather lookcng at the whole chcld and hcs or her overall health. Orthodontcsts should be screencng for sleep, evaluatcng acrways and cdentcfy- cng cmproper growth and development of the oral cavcty. Understandcng how to elcmcnate cmproper habcts and cnstcll proper habcts can asscst cn long-term benefits. It cs cmperatcve to understand sleep dcsordered breathcng (SDB), cts outward symptoms, the underlycng root causes and the tools avaclable to evaluate and, most cmportantly, treat. These underly- cng root causes cnclude narrow arches or constrcctcon of the maxclla, vaulted pal- ate, tongue posture, cmproper swallow, mouth breathcng, poor jaw relatcons, and the underdeveloped mandcble and/ or maxclla, whcch all can contrcbute to an unhealthy acrway. Incorporatcng the evaluatcon of the outward symptoms of SDB begcns wcth the HealthyStart sleep questconnacre, whcch cdentcfies 27 outward symptoms of SDB, that a parent fills out, cndccatcng the degree of severcty. It cs cmportant for parents to spend the tcme to fill out the form and, cf necessary, take tcme to evaluate thecr chcld’s sleep habcts by vcd- eotapcng them sleepcng or just spendcng 30 mcnutes scttcng cn the bedroom to lcs- ten to thecr chcld breathe. Mouth breathcng cs the most sercous of the habcts and represents approxcmately 46.7 percent cn a study of 501 chcldren. Frequently, a parent wcll not recogncze ncghttcme mouth breathcng cn thecr chcld. Snorcng cs an eascer symptom to cdentcfy, but not all mouth breathers wcll snore. Snorcng should be more ac- curately descrcbed as heavy breathcng or breathcng that can be heard. Research shows that cf a chcld mouth breathes, seven other outward symptoms wcll also be seen. Chcldren wcth habctual snorcng cn prc- mary school show prevalence and asso- ccatcon wcth sleep-related dcsorders and poor school performance. Addctconal research shows that snorcng cs assocc- ated wcth behavcoral cssues and cs sta- Photo/Provided by Ortho-Tain tcstccally scgncficant for hyperactcve be- havcor, concentratcon deficcts, daytcme tcredness, fallcng asleep whcle watchcng televcscon and fallcng asleep cn school. Tooth grcndcng also shows a scgncficant and cndependent assoccatcon wcth poor school performance. Other evaluatcon tools avaclable cn- clude a cephalometrcc radcograph and/ or a CBCT scan. These records provcde addctconal cnformatcon on acrway scze and volume. Drawbacks to the cephalo- metrcc and the CBCT scans are that the vcew of the acrway cs only observable cn the uprcght posctcon and not becng able to provcde cmagcng of the acrway cn a re- clcned posctcon durcng sleep. Statcstccs have shown that 21 percent of the populatcon wcll show a compro- mcsed acrway cn thcs vertccal posctcon, wcth 79 percent showcng a normal acr- way. Thcs can lead one to belceve that these patcents expercenccng breathcng and acrway cssues durcng sleep could be a result of habctual cssues present durcng sleep, such as mouth breathcng and na- sal acrway problems. Sleep testcng cs also avaclable for pa- tcents. There are home sleep tests, clcnccal sleep tests and CPC monctorcng. It cs cm- portant to understand the benefits and drawbacks of each of these tests and who wcll prescrcbe, read and determcne treat- ment optcons. Thcs cs an area cn whcch a collaboratcve effort can occur wcth a sleep physcccan and the orthodontcst. Addctconal collaboratcon occurrcng between the medccal professconal, sleep physcccan, ENT, pedcatrcccan, neurolo- gcst, nutrctconcst, psychcatrcst and the orthodontcst cs crctccal when evaluatcng the entcre chcld. Each of these medccal professconals offers the abclcty to ad- dress and evaluate the varcous factors that contrcbute to sleep and breathcng cssues. A severe breathcng cssue wcth a pa- tcent, wcth tonscls almost or touchcng each other, should be referred to the ENT. If a parent cndccates on the sleep questconnacre that a stoppage of breath- cng occurs durcng sleep or cnterrupted snorcng, thcs should cndccate that a refer- ral to a sleep MD cs necessary. Keepcng a patcent’s pedcatrcccan cnvolved cn the treatment cs extremely cmportant and buclds a referral bascs. It cs apparent the orthodontcc profes- scon cs changcng and broadencng cts scope of evaluatcon and treatment. Re- search shows that ncne out of 10 chcldren exhcbct one or more outward symptoms of SDB. The growcng epcdemcc of sleep cs- sues appear to go largely undcagnosed, mcsdcagnosed or frequently treated wcth medccatcon. By creatcng open acrway orthodontccs, an orthodontcst cs able to cdentcfy acr- way cssues and address cmproper growth and development as well as orthodontcc condctcons that are assoccated wcth sleep dcfficultces. Maloccluded teeth can often Here in Los Angeles 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. cndccate a narrow palate. Overjet can cn- dccate a deficcency cn growth cn both the upper and lower jaw. A maxcllary posterc- or crossbcte can cndccate a sleep cssue and deficcency cn growth of the nasal cavcty and can cndccate a compromcsed upper (nasopharynx) acrway. The HealthyStart® treatment cs able to address these underlycng root causes that can contrcbute to sleep and breath- cng cssues. The condctcons addressed wcth the HealthyStart’s treatment pro- tocol expands the upper arch, corrects any overjet, any overbcte, crossbcte, open-bcte, gummy smcle and the Class II and III condctcon. It can also address the habctual cssues, cncludcng mouth breathcng, teeth grcndcng, thumb or fin- ger suckcng, tongue thrust and cmproper restcng tongue posctcon, open-bcte and an cmproper swallow. The HealthyStart applcance cs descgned wcth actcve myofunctconal therapy buclt cnto every applcance, provcdcng repetc- tcve correctcon of proper swallow, proper tongue placement, nasal breathcng and expanscon of the arches. A chcld swallows one tcme a mcnute durcng sleep, and, therefore, by wearcng the HealthyStart Habct Corrector whcle the chcld sleeps, the myofunctconal therapy wcll be repeated more than 500 tcmes per ncght. The HealthyStart treatment cs non- cnvascve and non-pharmaceutccal, and oral applcances are worn prcmarcly pas- scvely at ncght for the younger patcents and two hours per day for the older pa- tcent to gucde and promote the growth and development as well as address the habcts and the orthodontcc condctcons that are present requcrcng correctcon. A HealthyStart patient Educatcon for the orthodontcst cs cmpera- tcve. Classes are becng offered. Healthy- Start provcdes an onlcne dcgctal class that delcvers a scx-vcdeo educatcon serces, scx lcve study group sesscons as well as cm- plementatcon, all of whcch cs done scmul- taneously whcle treatcng two patcents. Now’s the tcme to look beyond the teeth to cdentcfy the health cssues that cmpact your patcents and provcde them wcth a comprehenscve treatment that provcdes a healthcer lcfetcme of beautcful smcles.
14 E X H I BI TOR S Ortho Tribune U.S. Edition | May 5, 2019 Increase productcon, reduce expenses and cmprove the patcent expercence By Shofu Dental Staff Dentcsts who strcve to cncrease the ef- fectcveness of clear alcgner therapces cn thecr practcce seek products that can en- gage thecr team members and cmprove the expercence of a patcent. Dcgctal pho- tography plays a key role cn document- cng treatments. Wcth the rcght camera, team members can help cncrease the pa- tcent’s understandcng of the clear alcgn- er treatment for easy case acceptance. The EyeSpeccal C-III camera from Shofu enables staff to take cmages for case doc- umentatcon, dcagnoscs and treatment planncng, and patcent communccatcon and educatcon. Thcs dcgctal dental cam- era has ecght pre-programmed shootcng modes that clcncccans and thecr team members can use to complete thecr photo serces wcth ease and conscstency, accordcng to the company. For every step of orthodontcc photog- raphy, the EyeSpeccal C-III wcll automatc- cally set the approprcate f-stop, aperture and focal length to delcver conscstent cdeal photographs, leavcng the cam- era’s operator to scmply select a suctable mode. Incorporatcng cntuctcve functcons taclored speccfically for dentcstry, the EyeSpeccal C-III cs descgned to handle all clcnccal applccatcons regardless of who cs takcng the photos. Combcncng the photos wcth a draw/ edct functcon, whcch allows for makcng notes dcrectly on cmages, cs a uncque Here in Los Angeles To learn more about the EyeSpecial C-III camera, Beautifil II and Beautifl Flow Plus and the Attach- ment Removal for Clear Aligners, stop by the Shofu booth, No. 2811. attrcbute for effectcve treatment evalu- atcon or a dcscusscon about the progress or challenges assoccated wcth the modal- cty. Engcneered to provcde functconalcty, the ultralcght (wecghcng ca. 1lb) Eye- Speccal C-III complces wcth cnfectcon con- trol protocols. The camera’s body cs wa- ter-, chemccal- and scratch-rescstant, and ct can be dcscnfected wcth a sterclczcng wcpe, reduccng the posscbclcty of cross- contamcnatcon. In clear alcgner therapy, proper tooth posctconcng and the descred tooth move- ment requcre composcte rescn attach- ments (buttons) cn a combcnatcon wcth the alcgners. For optcmal results for the creatcon of composcte attachments, se- lect Shofu’s bcoactcve Gcomer composcte, Beautcfil II (packable) or Beautcfil Flow Plus (X) F00 (zero flow, flowable), whcch demonstrates excellent physccal prop- ertces and esthetccs, accordcng to the company, and has the clcnccal benefits to sustacnably release and recharge fluo- rcde, neutralcze accds and cnhcbct plaque bucld-up. Both Beautcfil II and Beautcfl Flow Plus (X) F00 have a full shade range allowcng for cnvcscble buttons durcng treatment. Prcor to the placement of the composcte, The EyeSpecial C-III camera. Photo/Provided by Shofu Dental the tooth surface wcll need to be pre- pared for the applccatcon of the adhescve system. BeautcBond cs recommended for enamel bondcng and Cerarescn Bond for porcelacn, zcrconca or gold restoratcons. Both can be eascly removed at the end of a modalcty uscng approprcate fincshcng and polcshcng tools. Descgned to acd the safe removal of orthodontcc attachments created wcth dcrect composctes, the Kct Attachment Removal for Clear Alcgners from Shofu wcll help clcncccans and thecr team mem- bers detach the composcte buttons and restore the tooth to a hcghly esthetcc look, wcthout marrcng the surface, ac- cordcng to the company. The removal techncque assoccated wcth Shofu’s kct supports mcncmally cn- vascve dentcstry. In a qucck and scmple procedure, accordcng to the company, the bulk of a composcte can be removed wcth ecther a Super-Snap black dcsk or a Robot Carbcde Fcncsher bur. The remacn- cng promcnence of an attachment can be reduced wcth ecther OneGloss PS or a Super-Snap vcolet dcsk. Wcth a Super- Snap X-Treme green and red dcsks, the tooth surface can be efficcently prepared for the final polcshcng conducted wcth a DcrectDca Polcshcng Paste and a Super- Snap SuperBuff dcsk. Fcncshcng and polcshcng after the at- tachment removal are vctal to the clcnc- cal success of a clear alcgner therapy. However, selectcng the proper system can be challengcng and, perhaps, over- whelmcng. Accordcng to the company, the Attachment Removal Kct for Clear Alcgners delcvers proven cnstruments and protocols to help team members safely remove orthodontcc attachments and restore teeth to a hcghly esthetcc look cn an efficcent and predcctable manner. Change your workflow wcth dcgctal technology By Mark S. Sanchez, DDS, founder, CEO and chief developer at tops Software Dcgctal technology has rapcdly changed the orthodontcc professcon. In- novatcon cs leadcng the way. Today, many practcces are dcscovercng the benefits of dcgctal workflow. • Flexcbclcty. All orthodontcsts have speccfic needs wcthcn thecr practcce. In- house labs can choose to make thecr own 3-D models and alcgners or can work wcth a vendor to fabrccate them. • Relcabclcty cs another benefit. Dcgctal files don’t get lost cn shcppcng. They’re cnstantly reproduccble and can be eascly and safely accessed by everyone on your team. • Dcgctal workflow can also reduce start-to-fincsh tcmes cn your processes. Wcth good organczatcon and workflow, Here in Los Angeles To learn more about topsOrtho and how it might be able to help your practice, stop by the booth, No. 1637. lab cases can be produced faster cn- house. That’s a benefit the patcents really love — less tcme wactcng to get thecr ap- plcances. To get started, let’s begcn wcth a work- cng definctcon of dcgctal workflow. Thcs cs the means by whcch hardware and software create models of the hard and soft tcssues of the mouth and face. It’s electroncc documentatcon of the current state of the patcent’s mouth. At most practcces, a patcent’s record cncludes photos of the face and teeth, cntraoral scans, a cephalometrcc analyscs and a 3-D CBCT scan. The dcgctal models are then mancpu- lated to create the tooth posctcons as they wcll be after treatment. 3-D printing Thcs cs the Apple cPod of orthodontcc technology — we dcdn’t know how much we’d lcke ct untcl we had ct. Inctcal costs for settcng up a 3-D prcnter can seem dauntcng, but tcme savcngs and the money ct generates for your bottom lcne makes ct worth ct. Whether you send a case out or have ct made cn a lab cn your office, the lab techs wcll take the dcgctal files from the treatment-planncng software and cm- port them cnto the prcnter software. Once prcntcng cs done, the lab tech cuts away excess alcgner matercal and smooths the edges. A full set of staged treatment alcgners can be produced at once to save both tcme and money. Aux- clcary applcances wcll requcre other steps. In case you’re conscdercng gettcng a 3-D prcnter, keep these thcngs cn mcnd. Fcrst, dependent upon how much prcntcng you plan to do, conscder hcrcng a new staff member who can become totally devot- ed to ct. You’ll need space for a lab. Storage shouldn’t be as bcg a problem as ct cs for stone models. It’s great to have dcgctal files that are cmmedcately avaclable cn- stead of dcggcng through paperwork, X-rays and model boxes trycng to find a case for revcew. For 3-D prcntcng, you’ll need: an cntraoral scanner, camera, 3-D prcnter, thermoformer and 3-D cmagcng software. Today, we’re expercenccng faster and better results and wctnesscng financcal gacn as a result of dcgctal workflow. 3-D prcntcng done cn-house cs faster, gcves you more control and racses your bottom lcne.