Tạp chí chỉnh nha OPUS tháng 01 02 2014 vol 5 no 1
For more information see page 3 A Force to Be Reckoned With PAYING SUBSCRIBERS EARN 24 CONTINUING EDUCATION CREDITS PER YEAR! clinical articles • management advice • practice proles • technology reviews January/February 2014 – Vol 5 No 1 PROMOTING EXCELLENCE IN ORTHODONTICS Life happens Justin Harding Efficiency by design Dr. Mark McDonough Practice profile Dr. Jerry R. Clark Book review The Master’s Guide to Interproximal Reduction (IPR) Dr. Randol Womack New study may change the face of orthodontics Dr. Juan-Carlos Quintero Corporate profile suresmile/OraMetrix © 2014 Ormco Corporation See it live or to hear from Dr. Alpan visit: iChooseLythos.com I choose the Lythos TM Digital Impression System because of the state of the art technology that it brings to my offi ce. It lets my patients and referring dentists know how interested I am in technology and in the accuracy of that technology. I think that it’s defi nitely cutting edge and the wave of the future. “ “ Dr. David Alpan, DDS, MDS Beverly Hills, CA Ormco-OrthoPrac-Lythos-Jan2014.indd 1 1/6/14 2:56 PM January/February 2014 - Volume 5 Number 1 EDITORIAL ADVISORS Lisa Alvetro, DDS, MSD Daniel Bills, DMD, MS Robert E. Binder, DMD S. Jay Bowman, DMD, MSD Stanley Braun, DDS, MME, FACD Gary P. Brigham, DDS, MSD George J. Cisneros, DMD, MMSc Jason B. Cope, DDS, PhD Neil Counihan, BDS, CERT Orth Eric R. Gheewalla, DMD, BS Dan Grauer, DDS, Morth, MS Mark G. Hans, DDS, MSD William (Bill) Harrell, Jr, DMD John L. Hayes, DMD, MBA Paul Humber, BDS, LDS RCS, DipMCS Laurence Jerrold, DDS, JD, ABO Chung H. Kau, BDS, MScD, MBA, PhD, MOrth, FDS, FFD, FAMS Marc S. Lemchen, DDS Edward Y. Lin, DDS, MS Thomas J. Marcel, DDS Andrew McCance, BDS, PhD, MSc, FDSRCPS, MOrth RCS, DOrth RCS Mark W. McDonough, DMD Randall C. Moles, DDS, MS Elliott M. Moskowitz, DDS, MSd, CDE Atif Qureshi, BDS Rohit C.L. Sachdeva, BDS, M.dentSc Gerald S. Samson, DDS Margherita Santoro, DDS Shalin R. Shah, DMD (Abstract Editor) Lou Shuman, DMD, CAGS Scott A. Soderquist, DDS, MS Robert L. Vanarsdall, Jr, DDS John Voudouris (Hon) DDS, DOrth, MScD Neil M. Warshawsky, DDS, MS, PC John White, DDS, MSD Larry W. White, DDS, MSD, FACD CE QUALITY ASSURANCE ADVISORY BOARD Dr. Alexandra Day BDS, VT Julian English BA (Hons), editorial director FMC Dr. Paul Langmaid CBE, BDS, ex chief dental officer to the Government for Wales Dr. Ellis Paul BDS, LDS, FFGDP (UK), FICD, editor-in-chief Private Dentistry Dr. Chris Potts BDS, DGDP (UK), business advisor and ex-head of Boots Dental, BUPA Dentalcover, Virgin Dr. Harry Shiers BDS, MSc (implant surgery), MGDS, MFDS, Harley St referral implant surgeon PUBLISHER | Lisa Moler Email: lmoler@medmarkaz.com Tel: (480) 403-1505 MANAGING EDITOR | Mali Schantz-Feld Email: mali@medmarkaz.com Tel: (727) 515-5118 ASSISTANT EDITOR | Elizabeth Romanek Email: betty@medmarkaz.com Tel: (727) 560-0255 EDITORIAL ASSISTANT | Mandi Gross Email: mandi@medmarkaz.com Tel: (727) 393-3394 DIRECTOR OF SALES | Michelle Manning Email: michelle@medmarkaz.com Tel: (480) 621-8955 NATIONAL SALES/MARKETING MANAGER Drew Thornley Email: drew@medmarkaz.com Tel: (619) 459-9595 PRODUCTION MANAGER/CLIENT RELATIONS Adrienne Good Email: agood@medmarkaz.com Tel: (623) 340-4373 PRODUCTION ASST./SUBSCRIPTION COORD. Jacqueline Baker Email: jbaker@medmarkaz.com Tel: (480) 621-8955 MedMark, LLC 15720 N. Greenway-Hayden Loop #9 Scottsdale, AZ 85260 Tel: (480) 621-8955 Fax: (480) 629-4002 Toll-free: (866) 579-9496 Web: www.orthopracticeus.com SUBSCRIPTION RATES 1 year (6 issues) $99 3 years (18 issues) $239 © FMC 2014. All rights reserved. FMC is part of the specialist publishing group Springer Science+Business Media. The publisher’s written consent must be obtained before any part of this publication may be reproduced in any form whatsoever, including photocopies and information retrieval systems. While every care has been taken in the preparation of this magazine, the publisher cannot be held responsible for the accuracy of the information printed herein, or in any consequence arising from it. The views expressed herein are those of the author(s) and not necessarily the opinion of either Orthodontic Practice US or the publisher. As I have transitioned my life to dental education, I have observed that my students (graduate and undergraduate) want simple solutions to diagnosis and treatment as graduates starting private practice. They are looking for a “cookbook” approach. As you read through this journal in 2014, as well as others, I will give you the same message as I give my students. Avoid the cookbook concept. Use critical thinking every day in your practice, adapt to change, and understand that the way you practice today will not be the way you practice in the future. So, as you evaluate the articles not only in this journal, but also in others, the following New Year’s resolutions might apply to you. • Allpatientsarenotthesame.Don’ttreatthemasthoughtheyare.Forexample,children should be treated differently than adults orthodontically. As Dr. Vince Kokich, who was a transcendent orthodontic and dental educator (and who is sorely missed), said, “Orthodontic treatment in children should be ideal … in adults realistic.” He meant simply that in children having no history, all considerations should be addressed, but in adults with a longer dental history, don’t fix what isn’t broken by forcing “ideal” treatment on them. All patients are individual and special. Don’t pigeonhole them. • Don’tforgetthatyouareadentistrst.AsDr.Kokichalsosaid,“Mytreatment(adult orthodontics) has been influenced greatly by my association with restorative dentistry and periodontics.” Don’t assume that referring general dentists have performed a complete examination. Do your own. Also, form an interdisciplinary team in your community that will provide the synergy and increased scope of treatment that will not only expand your practice horizons but also be beneficial to your patients. • Don’tbetherstonyourblocktoadoptnewtechnologyinyourpractice,butcertainlydon’t be the last! In my 35 years of practice, I have filled my “dental museum” with technology costing thousands of dollars, now collecting dust. Be critical; is the technology evidence- based? Will the technology improve your diagnosis or treatment outcomes? Will the expense add to your bottom line? Will the technology help promote your practice? Most importantly, does it have a track record? On the other hand, patients expect their doctors to be up-to- date. For example, make sure your imaging is current (to address radiation concerns). Utilize new anchorage techniques and approaches that can decrease treatment time safely. • Constantlyeducateyourself.Dr.WilliamOsler,atrailblazerinmedicaleducationandauthor of the renowned textbook, The Principles and Practice of Medicine, once said, “The greater the ignorance, the greater the dogmatism.” Learn to question and be critical of all information presented no matter what the source. You will be surprised at how this also helps you better educate your patients and increases treatment acceptance. As an educational exercise, I purposely give my graduate students articles that completely contradict each other so that they can discern what is scientifically valid. • Youdon’thavetodoeverything!Butdowhatyoulike,anddoitwell.Today’seconomyand patient expectations often push practitioners into doing treatment they are uncomfortable with. For example, I teach diagnosis and management of temporomandibular disorder (TMD) and orofacial pain to my students, but I emphasize that many orthodontists prefer not to deal with these patients. Some orthodontists love treating just children and have successful practices without getting overly involved with adult orthodontics. In other words, be yourself; but at the same time, if you aren’t getting the results you want, further education is the key to improvement. However, don’t ignore new trends and procedures that can be easily and productively introduced into your practice. For instance, it is my opinion that every orthodontist should include making sleep appliances for their patients (as long as risks and benefits are explained). In conclusion, as you browse journals, be critical, especially of dentists and manufacturers that offer cookbook, quick-fix, “turnkey” systems. Make sure that the journal is peer reviewed (as the clinical and CE articles in this one are). Make sure that any new changes in your practice have withstood the test of time. But just as importantly, be willing to change and adapt, evaluate the individual needs of your patients, and finally — enjoy your practice! My best wishes to all for success and a happy new year! Dr. Harold Menchel Harold Menchel, DMD, is a dentist in Coral Springs, Florida, who limits his practice to TMD, orofacial pain, and sleep-disordered breathing. Dr. Menchel teaches undergraduate and graduate education in TMD and orofacial pain at Nova Southeastern School of Dental Medicine in Fort Lauderdale, Florida. He is the director of orofacial pain at Larkin Community Hospital, one of Florida’s 12 statutory teaching hospitals, in Miami and lectures both nationally and internationally. He is a fellow of the American Academy of Orofacial Pain, a Diplomate of the American Board of Orofacial Pain, and a member of the American Academy of Dental Sleep Medicine. New Year’s resolution: throw away the cookbook! 1 Orthodontic practice Volume 5 Number 1 INTRODUCTION TABLE OF CONTENTS 2 Orthodontic practice Volume 5 Number 1 Orthodontic concepts BioDigital Orthodontics: Management of space closure in Class I extraction patients with SureSmile: part 7 Dr. Rohit C.L. Sachdeva, and Drs. Takao Kubota and Kazuo Hayashi discuss management of space closure in patients requiring extraction therapy 14 Research A survey of orthodontic practitioners regarding the routine use of lateral cephalometric radiographs in orthodontic treatment Drs. Matthew McCabe and Donald J. Rinchuse uncover the latest trend in the use of lateral cepahlometric radiographs 24 Practice profile 6 Dr. Jerry R. Clark: Reflections on faith, hope, and orthodontics Inspired by faith, Dr. Clark strives to work hard, provide the finest care for his patients, and have some fun along the way. Corporate profile 10 OraMetrix Now cloud-based, new suresmile 7.0 eliminates the need for in-office servers while providing orthodontists powerful and coordinated tools for diagnosis, treatment planning, archwire design and reduced treatment times. ON THE COVER Cover photo courtesy of Dr. Juan-Carlos Quintero. Article begins on page 41. www.UOBG.org www.UOBG.org www.UOBG.org www.UOBG.org 800.645.5530 800.645.5530 www.UOBG.org www.UOBG.org In addition to member-only discounts, a complimentary CE course and access to the UOBG Preferred Partner Program, you can earn UCash to redeem for FREE products and practice building opportunities. Join over 3,000 orthodontists and start saving on the products you already use by becoming a UOBG member today! A Force to be Reckoned With With an ever-expanding base of member benets, the UOBG is constantly evolving to keep you in-the-know and on-the-go! UOBG member benets now include access to: Flexible pricing options that enable you to personalize your membership with a plan that makes the most sense for you. HR for Health’s web-based human resource software Online and print forum, The Progressive Orthodontist, that teaches the business of orthodontics The Practice Management Solutions of the Pride Institute The Online Expertise of Sesame Communications Money-Saving Benets of GACPowered Practice Marketing Best of all, membership in the UOBG remains FREE! Come and see what you’ve been missing. 13-DGAC-140, UOBG Magnet Ad Ortho Practice FA.pdf 1 12/23/13 11:15 AM 4 Orthodontic practice Volume 5 Number 1 Industry news 30 Continuing education Efficiency by design Dr. Mark McDonough discusses increasing efficiency through proper treatment decisions 32 The biology of orthodontic tooth movement part 2: modulating tooth movement via nitric oxide and prostaglandin production Dr. Michael S. Stosich reviews the markers of bone cell activity that are intrinsic to the complex process of bone modeling and remodeling 38 Book review The Master’s Guide to Interproximal Reduction (IPR) by Dr. Randol Womack 40 Efficiency by design 32 TABLE OF CONTENTS Technology New study may change the face of orthodontics Dr. Juan-Carlos Quintero discusses how 3D imaging is evolving with more applications and lower radiation 41 Stability, longevity, and predictability in your practice management technology Drs. Shalin R. Shah and Ryan K. Tamburrino discuss the benefits of a high-quality practice management system 44 Product profile Great Lakes offers a complete 3D orthodontic solution for orthodontists and their labs 50 Practice development Automated patient appointment reminders — the data is in Diana P. Friedman shows the significant impact on no-shows, practice efficiency, and production 52 Practice management Life happens, and big screen TVs go on sale: a look at solution- based selling Justin Harding reminds practitioners to address patients’ wants and needs 54 Diary 56 Self-Ligating Bracket ASSISTANT APPROVED OUTSTANDING RESULTS COMPETITIVELY PRICED Provides reliable and predictable “finishing” results Easy opening and closing mechanics Excellent quality at affordable prices Find us on www.orthoclassic.com USA BUILD THE Call Today 866.752.0065 What can you tell us about your background? I grew up in Philadelphia, Pennsylvania, and after high school attended the University of North Carolina for 8 years, completing my undergraduate work and receiving a BS degree and then obtaining my DDS from the UNC School of Dentistry. After dental school, I entered the U.S. Navy as a dentist and served a 2-year tour of duty at Naval Air Station (NAS) Oceana in Virginia Beach, Virginia. After that, I became an associate in a dental practice in Greensboro, North Carolina, for 2 years practicing general dentistry. In 1973, I entered orthodontic school at St. Louis University, and in 1975, received my Masters in Orthodontics. In 1975, I returned to Greensboro and opened my own private orthodontic practice, and since then I have been actively practicing orthodontics in Greensboro. Why did you decide to focus on orthodontics? While growing up, I was fortunate enough to have my orthodontic treatment performed by Dr. Paul Reid, former chairman of the Department of Orthodontics at the University of Pennsylvania. Dr. Reid also served a term as president of the American Association of Orthodontists (AAO). Dr. Reid really enjoyed orthodontics, and it showed. I had never seen anyone enjoy his or her profession more than Dr. Reid. While undergoing treatment, we discussed orthodontics as a career, and he strongly encouraged me to consider being an orthodontist. How long have you been prac- ticing, and what systems do you use? I began my orthodontic practice in 1975. Over the years, it has been our privilege to create thousands of beautiful smiles. With new techniques and technology, it is always a challenge to keep up and ensure that we are providing the very finest care for all of our patients. Today our practice utilizes virtually all the technical advances at our disposal. We use 3D imaging, aligners, TADs, the fantastic and easy- to-use Picasso ™ Lite soft tissue laser (AMD Lasers), Dentsply GAC’s Sentalloy ® and BioForce ® heat-activated archwires, and most importantly, we use Dentsply GAC’s In-Ovation ® (Dentsply GAC) self- ligating brackets and the Complete Clinical Orthodontics (CCO) system of treatment. Over the past few years I have been actively involved with Dr. Antonino Secchi and a group of leading orthodontists from all over the world in developing and promoting the Complete Clinical Orthodontics treatment system. CCO is the intelligent integration of the best concepts provided to us by our predecessors: Tweed, Andrews, Roth, and Damon, to name a few, combined with the most efficient and effective technologies available today. This group is open to every orthodontist interested in improving his or her clinical skills, and we invite all orthodontists to join us at any of our future CCO meetings. These advances have allowed us to reduce patient discomfort, decrease treatment time, decrease chair time, and decrease the number of patient visits necessary to complete treatment while at the same time improving the consistency and quality of our treatment results. What training have you undertak- en? Every year, I attend the AAO meeting which affords me the opportunity to continually monitor what is new in our profession. I also usually attend at least four or five courses that will allow me to obtain a more in-depth knowledge of topics of interest to me and my patients. I regularly attend state, local, and alumni meetings, and have attended the meetings of the Damon Forum, the Gorman Institute, and took the Post-Graduate Week Residency Program at the University of Washington. For over 20 years, I have subscribed to the great series, Practical Reviews in Orthodontics, which monthly gives me a critical review of the literature and the important topics involving the orthodontic practitioner. Who inspired you? My faith inspires me. I have a profound belief that we have been placed here to help others and leave this place better for those who come after us. Our practice is committed to providing the very finest care for each and every patient we have the privilege to treat. My family inspires me also to be the best that I can be at everything I do. My parents insisted that I get the best education possible. When I was a teen, my orthodontic treatment was performed by Dr. Paul Reid, former chairman of the Department of Orthodontics at the University of Pennsylvania and former Dr. Jerry R. Clark 6 Orthodontic practice Volume 5 Number 1 PRACTICE PROFILE Reflections on faith, hope, and orthodontics CCO group PRACTICE PROFILE Volume 5 Number 1 Orthodontic practice 7 president of the AAO. His love for orthodontics was contagious, and I thought as a teen that orthodontics would be a great profession. In orthodontic school at St. Louis University, Dr. Leo Mastorakos inspired me to carefully examine every detail in my approach to treatment and to accept nothing but the finest treatment results. What is the most satisfying aspect of your practice? What a privilege it is to daily work with our patients to provide them with beautiful smiles and a dental occlusion that will last them a lifetime. Every day, patients are excited about getting their braces on, and other patients are excited about getting their braces off. During their treatment, we have the opportunity to change our patients’ lives, not only with the way their teeth and smiles look, but also to be involved in their lives hopefully always in a positive fashion. Our patients become our friends. Professionally, what are you the most proud of? The close relationship our staff has with each other and all of our patients. We strive to make every patient encounter a positive one. We have developed a huge family of patients and friends who truly make every day fun and exciting. I am proud to be board certified and to have the ability to provide outstanding orthodontic care for every patient who enters our practice. I am also very proud of the company I started over 20 years ago to provide practice valuation and transition services to the orthodontic profession. Today, Bentson Clark & Copple is regarded as the premier orthodontic practice transition company exclusively serving the orthodontic profession. What do you think is unique about your practice? We love providing Ritz Carlton-type service for each and every individual who enters our practice. We do everything we can to make every patient comfortable and feel well cared for in our office. We are not only providing orthodontic care; we are provid- ing care for the entire individual. We try to not just be the patient’s orthodontist; we want to create a comfortable atmosphere of fun and excitement centered on the pa- tient’s treatment. What has been your biggest challenge? Time management has probably been my biggest challenge. Having four children and a wonderful wife, I find it is sometimes very difficult balancing family time along with the demands of managing and running a busy orthodontic practice, in addition to being actively involved in the community and with my church. What would you have become if you had not become a dentist? A major league baseball player, but I couldn’t hit the curve ball. Or a professional golfer, but I couldn’t break par. Initially, I Dr. Clark’s team Bentson Clark and Copple Principals Hope Academy 8 Orthodontic practice Volume 5 Number 1 PRACTICE PROFILE wanted to be an architect; I really enjoyed mechanical drawing and design work. When I entered college, I enrolled as a business major and thought about working in the public relations part of the business world. However, after three semesters in the business school, I decided that dentistry was the career that I wanted to pursue. What is the future of orthodontics and dentistry? I see a bright future for our profession. The orthodontic supply companies continuously come out with newer and better technology and appliances to make the treatment of our patients quicker, easier, and more comfortable for them. I feel privileged to be a Key Opinion Leader for Dentsply GAC and having the opportunity to work closely with their Research and Development team in developing the next generation of products to improve the quality of orthodontic care for our patients. I see significant changes in bracket design, treatment techniques, archwires, and aligners; and most of all, I believe the new digital technology along with 3D imaging will help to revolutionize the way we provide orthodontic care. However, the key to great orthodontic care will continue to be the proper diagnosis and treatment planning of cases. What are your top tips for main- taining a successful practice? Continuous continuing education is necessary, not only in the technical field of orthodontics, but also with the practice management side of the practice. “Raving Fans” customer service (from the book of the same name by Ken Blanchard and Sheldon Bowles) is essential to maintaining a successful practice. Keeping up with referral patterns is critical, and today the proper use of “social media” is essential in maintaining an active practice. A strong marketing program within the practice is important to maintaining contact with referring doctors and our patients. It is very important to be involved in civic activities in order to give back to the community. Twenty-eight years ago I founded the Make- A-Wish Foundation of North Carolina, and to date the organization has granted over 5,000 wishes to children under the age of 18 suffering from life-threatening illnesses. What advice would you give to budding orthodontists? Be a constant student and keep up with all the changes that are occurring in our profession. Work hard, and provide the finest care for your patients — but most of all, have fun. Orthodontics is a wonderful profession that is highly gratifying and fulfilling. Enjoy your patients and staff, and take pride in the quality of care you provide. What are your hobbies, and what do you do in your spare time? I really enjoy reading and learning. My favorite hobby is golf, which allows me to spend hours outside and enjoy nature. My wife, Regina, and I love to travel and experience the wonderful adventures that travel provides. I am also a big sports fan and enjoy almost every sport both as a fan in the stands and as a spectator watching on television. Make-A-Wish wizard Dr. Clark and wife, Regina, at Pebble Beach UNC football with family Top Ten Favorites 1. Reading — every kind of reading — scientific, mystery, suspense, historical, and most of all, my Bible. 2. Golf — this is my relaxation. I have had the privilege of playing some of the world’s finest courses. 3. Travel — my wife, Regina, and I love to travel and experience new adventures. We have visited most of the U.S. national parks and traveled all over the world — our bucket list now includes a trip to New Zealand. Anyone from New Zealand reading this, we would love to come visit you. 4. University of North Carolina athletics — our family has season tickets for the North Carolina football and basketball teams, and we also go to some of the other UNC sporting events. 5. My practice — after all these years, it is still a wonderful privilege to go to the office every day and have the opportunity to create beautiful smiles and impact the lives of our patients in a positive fashion. 6. New technology — it is so much fun to learn about and utilize most of the new technology that continues to allow us to provide better and better care for our patients: TADs, the laser, 3D imaging, new brackets and archwires, and so on. 7. Volunteering for the Make-A-Wish ® Central and Western North Carolina — I have been involved with Make-A-Wish Foundation since I helped found the organization over 28 years ago. It is a constant source of inspiration and strength to me to be able to work with the children and families who are going through such difficult times. 8. Involvement with my church — for over 15 years, I have been volunteering every Wednesday night at our church to help feed and work with the homeless people of the Greensboro community. I volunteer every Monday and Tuesday during the school year to tutor children in our church’s after-school tutoring program. I also drive the church van to take the children home after tutoring. I also have a handicapped friend whom I mentor and take to church on Sundays. 9. Nat Greene Kiwanis Club — I have been a member of this civic organization for over 30 years and have made many close and lasting friendships as we help to better serve and care for the children of our community. 10. Hope Academy — a faith-based, private school for inter-city middle school children of Greensboro. My wife, Regina, started this school in 2012 to help provide a first-class education to children living in the inter-city who had few education options. I have had the privilege of watching, and helping in some small ways, as this school has grown from a dream to a reality. OP [...]... under which conditions It has also Volume 5 Number 1 RESEARCH Table 1: Respondents’ demographics Demographic Response Gender 79. 65 % - male 20. 35 % - female Age 14.66 % - 34 years or less 24 .57 % - 35- 44 years 25. 86 % - 45- 54 years 32.33 % - 55 -64 years 2 .59 % - 65 years or more Years in practice 15. 58 % - 4 years or less 14.29 % - 5- 9 years 22.08 % - 10-19 years 48. 05 % - 20 years or more ABO certified... The evolution of orthodontics to a data-based specialty Am J Orthod Dentofacial Orthop 2000;117 :54 5 -54 7 20 Wenzel A, Gotfredsen E Digital radiography for the orthodontist Am J Orthod Dentofacial Orthop 2002;121:231-2 35 21 Santoro M, Jarjoura K, Cangialosi TJ Accuracy of digital and analogue cephalometric measurements assessed with the sandwich technique Am J Orthod Dentofacial Orthop 2006;129:3 45- 351 ... 38 .53 % reported always Volume 5 Number 1 performing a cephalometric “analysis” on pretreatment cephalograms • 30.30% reported always taking “posttreatment” lateral cephalometric radiographs, and 6.49% reported always performing a cephalometric “analysis” on post-treatment cephalograms • 75. 11% reported using centric occlusion (maximum intercuspation), 18.34% reported using centric relation, and 6 .55 %... radiograph 71 .55 % – in 0% of patients 22.84% – in 1%-32% of patients 0.86% – in 33%- 65% of patients 2.16% – in 66%-99% of patients 2 .59 % – in 100% of patients Reasons for taking lateral cephalometric radiograph (multiple answers allowed) 90.09% - for better diagnostics 81.90% - to monitor growth 75. 86% - for legal reasons 11.21% - other Patient positioning for lateral cephalometric radiograph 75. 11% - centric... lateral cephalometric radiograph 52 .16% - yes 47.84% - no Agree or disagree that cephalometric tracing is important in making treatment decisions Volume 5 Number 1 9.96% - strongly disagree 9.09% - somewhat disagree 12.12% - neutral 36.80% - somewhat agree 32.03% - strongly agree and 75. 86% selected for legal reasons (multiple answers were allowed here) The majority ( 75. 11%) of practitioners reported... selected to monitor growth, Volume 5 Number 1 Topic Results % of patients in which a pretreatment lateral cephalometric radiograph is taken 0.86% – in 0% of patients 3.02% – in 1%-32% of patients 1.72% – in 33%- 65% of patients 34. 05% – in 66%-99% of patients 60.34% – in 100% of patients % of patients in which a pretreatment cephalometric analysis is performed 7.79% – in 0% of patients 25. 97% – in 1%-32% of... are seen between the archwire bends and the brackets 16 Orthodontic practice Volume 5 Number 1 ORTHODONTIC CONCEPTS Table 3: Clinical Pathway Guideline for managing space closure in patient presenting with minimal crowding Table 4: Clinical Pathway Guideline for managing patients with moderate crowding Volume 5 Number 1 Table 5: Clinical Pathway Guideline for patients requiring maximum anchorage Note:... is performed 7.79% – in 0% of patients 25. 97% – in 1%-32% of patients 8.66% – in 33%- 65% of patients 19. 05% – in 66%-99% of patients 38 .53 % – in 100% of patients % of patients in which a post-treatment lateral cephalometric radiograph is taken 14.29% – in 0% of patients 23.38% – in 1%-32% of patients 7.36% – in 33%- 65% of patients 24.68% – in 66%-99% of patients 30.30% – in 100% of patients % of patients... promote better patient relationships Visit www.carestreamdental.com or call 800.944.63 65 © Carestream Health, Inc 2013 OrthoTrac is a trademark of Carestream Health 10243 OR DI AD 0114 Share our passion for Share our passion for your practice online your practice online Orthodontic practice 23 Volume 5 Number 1 87 65_ Bundle ad-Ortho-3.8x10.7_02.indd 1 1/2/14 3:27 PM RESEARCH A survey of orthodontic practitioners... intercuspation) 18.34% - centric relation 6 .55 % - other If a disparity exists which record do you go with 81.94% - clinical findings 18.06% - lateral cephalometric analysis How do you trace 68.47% - use a digital-tracing software program 31 .53 % - hand trace Who completes the tracing 76.13% - the orthodontist 23.87% - the staff Reason for using an analysis (multiple answers allowed) 54 .87% - use analyses that work . David Alpan, DDS, MDS Beverly Hills, CA Ormco-OrthoPrac-Lythos-Jan 2 014 .indd 1 1/6 /14 2 :56 PM January/February 2 014 - Volume 5 Number 1 EDITORIAL ADVISORS Lisa Alvetro, DDS, MSD Daniel Bills, DMD,. (480) 403- 15 0 5 MANAGING EDITOR | Mali Schantz-Feld Email: mali@medmarkaz.com Tel: (727) 51 5 - 51 18 ASSISTANT EDITOR | Elizabeth Romanek Email: betty@medmarkaz.com Tel: (727) 56 0 -0 25 5 EDITORIAL. missing. 13 -DGAC -14 0, UOBG Magnet Ad Ortho Practice FA.pdf 1 12/23 /13 11 : 15 AM 4 Orthodontic practice Volume 5 Number 1 Industry news 30 Continuing education Efficiency by design Dr. Mark McDonough