Orthotown June 2019 - 35

a periodontist both in Tucson and Scottsdale
whose biggest referral recently sold his practice
to a young practitioner. This new doctor does
everything, essentially drying up a good
portion of the periodontist's practice. All of
us need to find a particular niche to fill and
address it with external marketing as well
as patient retention and internal marketing.
Staff is so important to this. For the better
part of the past five years, I was building a
cohesive team. Finally, I have a staff that
works together and understands the vision.

Do you plan on maintaining your
practice in Scottsdale in addition
to working out of the Peoria practice?
I'm actually going to sell it to orthodontists whose growth strategy involves
multiple individual-office arrangements.
My new growth strategy, meanwhile,
is based on dropping an orthodontic
practice into an existing practice capable
of referring. Both business models should
do well moving into the future.

What's an average day like at your
practice? Walk us through it.
I arrive early and do the computer-related treatment, such as review X-rays and
clear aligner treatment plans. I'm very
fortunate that I have a team who believes
arriving "on time" is being late. We have
a morning huddle where we review the
new patients, debandings and deliveries.
Cases that involve income or production
are called in advance, in addition to using
the automated messaging system that's
integrated into our Edge software. We
review pertinent marketing activities for
the upcoming week and month and make
sure that they're staffed properly and that
the social media for them is up to date.
We have a four-column schedule at this
time: one column for new patients, one for
long bondings, one for shorter appointments
and one for short visits such as spacers,
checking expanders and the like. Most of
our appointment or clinic time is during
the afternoon; the morning is reserved for
the staff to do their tasks.

I usually work on patients four to five
hours per day. New patients are scheduled for
45-60 minutes; we take records, introduce
ourselves to the family and explain where
we are coming from. We discuss "face-first
orthodontics," focused on eliminating
habits, encouraging forward facial growth
and creating an attractive, functional smile.

Appliances
* Clarity
* Pitts 21

What would you say is the
cornerstone of your practice?

Bonding agent
* Reliance
* TransbondĀ 

We are utilizing the CBCT or i-Cat as
much as we can and as we learn. Our Phase
I treatments are being preplanned digitally,
which makes a great marketing tool. As I
mentioned earlier, both Robert and I are
quite involved in habit correction and facial
muscle balance, so we perform a fair amount
of lingual frenectomies. We remove primary
teeth when the tooth-eruption pattern is
way off symmetry; in other words, we don't
necessarily remove teeth for treatment, but
when a tooth or two is ectopic or slow to
exfoliate, we can have this handled swiftly
and in the same office or even the same day.

What are some of your favorite
technological advances in
orthodontics? What do you like using?

OTHER
PRODUCTS

Brackets and wires
* Broad Arch
* Pitts 21
Cement
* Rely-a-Bond
Class II appliances
* Forsus
* Carriere
* DMAX
Class III appliances
* Carriere
Practice management
* Edge
Technology
* Anatomage Invivo
* iTero scanner

orthotown.com \\ JUNE 2019

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Orthotown June 2019

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