Orthotown October 2020 - 28
Fig. 1
Fig. 2
Innovation leads to efficiencies
I have tracked efficiency in our practice
for more than 20 years. Efficiency can be
tracked and looked at in many ways, but
at the bottom line I want to deliver the
best treatment result possible in the fewest
number of appointments and least amount
of time in treatment-both in terms of
months and in minutes in the office. Over
the past few years, we've been able to get
our average number of appointments for
treatment down to just under 14. (My goal is
12.) I thought my efficiency was doing very
well, but during and after our shutdown, I
realized we still had much room to improve.
Fewer wire changes and longer appointment intervals help us free up time and either
grow our practice or work less. I want both
28
of those! (OK, maybe I am greedy.) In our
practice, we studied what self-ligating braces
did in terms of number of appointments,
time in treatment and appointment intervals.
I never published the results of our internal
studies, but we found all improved. I know
many orthodontists who have achieved
all of these with conventional brackets as
well, but in my hands, in my office, with
my patients, I was just better at all of these
with self-ligating brackets.
We use the Damon Q2 bracket (Fig. 1)
from Ormco in our office. We find that the
rigid door allows our wires to work longer
and more efficiently with great rotational
control because we don't see the "slipping"
of wires out of slots. Again, all I can report
is our experience. Due to this, when we
Fig. 3
were shut down for six weeks, I knew our
patients would keep tracking along very
nicely; I wasn't worried about detrimental
effects of wires not being monitored.
With self-ligation, I use wires with much
lower force levels than what I used with
conventional brackets. Using light forces, I
felt some of the worries other orthodontists
expressed in the online forums I read were
not going to be an issue with my patients.
Upon returning to practice, my lack of
concern was validated. I saw no detrimental
effects. In fact, the progress of the patients
was beyond what I was expecting. For the
most part, we basically lost no time as our
patients' treatments kept progressing.
Another technology that helped me have
fewer wire changes and longer appointment
OCTOBER 2020 // orthotown.com
OT1020_Ormco_Industry-Insights_MM.indd 28
9/23/20 11:12 AM
http://www.orthotown.com
Orthotown October 2020
Table of Contents for the Digital Edition of Orthotown October 2020
Orthotown October 2020 - Cover1
Orthotown October 2020 - Cover2
Orthotown October 2020 - 1
Orthotown October 2020 - 2
Orthotown October 2020 - 3
Orthotown October 2020 - 4
Orthotown October 2020 - 5
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