Orthotown April 2021 - 35

E A R N E D P L AC E M E N T

Fig. 1: Carriere Motion 3D appliances

" MTO goes beyond remote monitoring, " explains board member Dr. Luis
Carrière. " Achieving decreased treatment
times and effecting fewer and shorter appointments are essential to MTO-goals
we in the profession have long been
working toward. Now we can combine
sophisticated digital technology, including teledentistry, with advanced appliances in an end-to-end treatment system
to foster simple, quick and consistent
treatment protocols and extended time
between in-person treatment appointments. "
Henry Schein Orthodontics (HSO)
designed and launched its Minimum
Touch Orthodontics initiative for integrating third-party digital tools with its innovative product offerings. These products
lend themselves to minimum touch and
remote monitoring to help create healthy
environments and improve finishes.

The cornerstones of MTO

Sagittal First and Carriere Motion 3D
(Fig. 1) appliances are key to MTO and
set everything up for it. " In our practices,
Motion 3D is applicable for upwards of

80% of patients, " Carrière points out. " It's
a simple, straightforward approach to
A/P correction [Class II and Class III] and
a boon to same-day starts. "
For most patients in Motion 3D, the
first three to six months of treatment require only simple elastic wear and occlusal checks easily handled via teledentistry, with in-office visits being required
only once or twice during that time. Unlike active appliances, Motion 3D cannot
overcorrect.
Grin offers an effective and affordable remote monitoring solution for
Motion 3D. Patients retract teeth with
Grin Scope for smartphone self-scans
and videos that capture the intraoral
area from multiple angles. Clinicians assess the case and make observations
through the company's online portal, as
if the patient were in the practice chair.
Doctors and staff are still in touch with
the patient, reinforcing the important role
of doctors in patient treatment.
Paquette explains his same-day
starts: " We do a dental scan and CBCT,
then for most, bond the Motion 3D Appliance, a 10- to 20-minute procedure. We

usually make the opposite arch retainer
immediately with our 3D printer; otherwise, we leave it for patients to pick up
at a station set up outside the front door
for elastics resupplies. There's a mailbox
for leaving sealed retainers and other
such appliances so patients don't have
to come inside. These are all things we
devised for the pandemic that we'll keep
in place going forward. "
With Motion 3D, there are no emergency appointments, unlike with a
Herbst appliance where a debond is a
must-see visit. If Motion 3D debonds, the
patient simply removes it. " We just tell
patients to stop wearing their elastics,
then schedule for rebond, which is a
10-minute appointment-not a 40-minute
Herbst rebond, " Paquette explains.
Herbst treatment is approximately 12
months; Motion 3D, four to six months,
cutting the time in half. Paquette continues, " Since with Motion 3D patients wear
an aligner in the opposite arch, they
know whether they can tolerate the device, which helps them decide between
aligners and fixed appliances to finish
treatment. "
With Class I achieved, Motion 3D is
followed by either HSO's clear aligner,
Reveal Plus; the clear aligner of your
choice; or the Carriere SLX 3D selfligating appliance system (Fig. 2). In
Fig. 2: Carriere SLX 3D brackets

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Orthotown April 2021

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