Straight Smile Solutions

IDB for ME!

Need a fixed orthodontic solution? Over the years, I’ve coached hundreds of General Dentists on various aligner systems. All too often, finishing cases is a significant barrier to overcome and trying to educate General Dentists who have no knowledge of basic straight-wire biomechanics is a challenge.

IDB Solutions, like Six Month Smiles®, are excellent supplement for any General Dentist who offers Invisalign®, Clear Correct®, or any other alternative aligner product. The ability to confidently use straight-wire sectional mechanics to correct a stubborn canine rotation, premolar cross-bite, or tipped molar during finishing of aligner treatment would improve outcomes and standards of care.

Refinements, revisions, and additional aligners with various attachments are always an option, but for patients who are notoriously impatient, having these tools and tricks up your sleeve will improve your confidence, speed, and outcomes, and ultimately patient’s satisfaction and your subsequent referrals and bottom line.

There are a variety of IDB solutions on the market, so pick the one with the right support, features and price point for you and your team. If you have questions, feel free to give me a buzz.

StraightSmile Solutions is the future of orthodontic coaching. We are the first online portal to provide a doctor-to-doctor consulting service that will allow GPs and their teams to access the knowledge and expertise of an industry expert, in order to enhance information sharing and efficiency in problem solving. Visit StraightSmile Solutions to schedule today.

Dental Monitoring® (DM) to Maximize Ortho Profit

 

Orthodontics can be an extremely profitable addition to any General Dental practice, but in order to maximize your profit, it’s important to manage your chair time efficiently.

With the advent of new and more efficient plastics and metals, and the incorporation of Accelerated Orthodontics (AO) auxiliary systems like Propel®, Ortho Pulse® and AcceleDent®, the utilization of Indirect Bonding Systems (IDB) like 6MS® and eXceed®, chair time overhead can often be significantly reduced by managing your patients remotely and eliminating unnecessary office visits.

The patient’s smart phone is transformed to a remote monitoring and scanning device for just $10-$15 a month.

The following are key patient benefits of Dental Monitoring®:

1. Safety:
Patients are monitored at the frequency the doctor prescribes, often 5 to 10 times more than a regular office visit. Movement is tracked and quantified and reports are generated to the provider’s dashboard.

2. Comfort:
You can enjoy virtual office appointments that only take a few minutes from the comfort of your home and as a result the frequency of office appointments is decreased.

3. Compliance:
The doctor can send encouragement to the patient regarding aligner or elastic wear, emergencies, or treatment progress and hygiene.

4. Overhead Reduction
Unnecessary office visits are eliminated by the utilization of tele-dentistry for the majority of the treatment. The patient is scheduled for office visits only when prescribed by the doctor.

5. Increased Patient Satisfaction
Patients are overwhelmingly satisfied by the reduced office visits and increased communication with the doctor and team, this leads to new patient referrals.
StraightSmile Solutions® is the comprehensive choice for dentists seeking an orthodontic coaching solution. Visit www.straightsmilesolutions.com and click on the services page to subscribe at https://www.straightsmilesolutions.com/services/. StraightSmile Solutions® is the future of orthodontic coaching, offering the first online portal to provide a doctor-to-doctor consulting service that will allow GPs and their teams to access the knowledge and expertise of an industry expert.

How to Ensure Orthodontic Positive Outcomes

Here’s the latest stats, last I heard, on the future of orthodontics in the US:

52% of all orthodontic cases are being completed by GP’s.

82% of GP’s and Pediatric Dentists are offering orthodontic solutions.

Access to care is here, and patients are thrilled to have more convenient, local orthodontic options.

2017 brings upon the expiration of some of Align®’s patents, so now there are literally dozens of aligner, IDB (Indirect Bonding) and Pediatric Phase I Functional Appliance Solutions available in the US alone.

Lab fees are dropping and technology is becoming more simple and affordable. Every General Dentist should be offering BOTH an aligner and an IDB solution in their office.

Why both?

Patient preference- Options are a great practice-builder.
Patient compliance- Not all patients will be compliant with a removable appliance.
Better outcomes- Not all bio-mechanical movements are optimized with one solution alone.
What about kids? Does your Phase I Orthodontic solutions address habits? How do you, address habits in kids? Positive reinforcement? Negative reinforcement? Wait until the 6’s come in and make an appliance?

There are a myriad of different habits that can disrupt the outcome of a seemingly simple orthodontic case: digit-sucking, thumb-sucking, lip-sucking, mouth-breathing, abnormal-tongue resting position, tongue-thrust, reverse tongue-thrust and backwards-swallow, just to name a few.

It’s important to incorporate a habit solution into all your orthodontic cases to ensure optimal outcomes.
StraightSmile Solutions® is the comprehensive choice for dentists seeking an orthodontic coaching solution. Visit www.straightsmilesolutions.com and click on the services page to subscribe at https://www.straightsmilesolutions.com/services/. StraightSmile Solutions® is the future of orthodontic coaching, offering the first online portal to provide a doctor-to-doctor consulting service that will allow GPs and their teams to access the knowledge and expertise of an industry expert. We pride ourselves on lightning-fast service and responsiveness. We are filling the gap in the market for quality and insightful coaching by providing valuable solutions for doctors and their teams, and subsequent positive outcomes in the quality of patient care.

No Buts about Phase 1 and Habits!

Does your Phase I Orthodontic solutions address habits? How do you, address habits in kids? Positive reinforcement? Negative reinforcement? Wait until the 6’s come in and make an appliance?

There are a myriad of different habits that can disrupt the outcome of a seemingly simple orthodontic case: digit-sucking, thumb-sucking, lip-sucking, mouth-breathing, abnormal-tongue resting position, tongue-thrust, reverse tongue-thrust and backwards-swallow, just to name a few.

It’s important to incorporate a habit solution into all your orthodontic cases to ensure optimal outcomes.

StraightSmile Solutions® is the comprehensive choice for dentists seeking an orthodontic coaching solution. Visit www.straightsmilesolutions.com and click on the services page or schedule a complimentary coaching session. StraightSmile Solutions® is the future of orthodontic coaching, offering the first online portal to provide a doctor-to-doctor consulting service that will allow GPs and their teams to access the knowledge and expertise of an industry expert. We pride ourselves on lightning-fast service and responsiveness. We are filling the gap in the market for quality and insightful coaching by providing valuable solutions for doctors and their teams, and subsequent positive outcomes in the quality of patient care.

The Next Revolution in Orthodontics

Two decades ago, Align Technology® launched an innovative, new concept in the Orthodontic Industry that has revolutionized teeth-straightening around the world. Meanwhile, quietly in the background, Dr. Earl Bergersen and OrthoTain®/Healthy Start®, were launching their own orthodontic innovation. To date, over 3 million cases have been completed!
The Healthy Start® Early Orthodontic System, uses Eruptive-Guidance technology, to gently direct teeth as they erupt, as opposed to applying a heavy force once the teeth are in occlusion. These guidance-based mechanics eliminate risks of unhealthy side effects, such as root-resorption and discomfort, and in most cases retention is unnecessary past age 12! The appliance system is only worn at night and occasionally 2 hours during the day during screen and homework time, making compliance easy! In addition, with low lab fees (around 40% of comparative orthodontic systems), your ROI can make this system a successful addition to your practice.
If you have questions about becoming a Healthy Start® provider, feel free to contact me or attend one of my Orthodontic Study Clubs around the US.
StraightSmile Solutions® is the comprehensive choice for dentists seeking an orthodontic coaching solution. Visit www.straightsmilesolutions.com and click on the services page or schedule a complimentary coaching session. StraightSmile Solutions® is the future of orthodontic coaching, offering the first online portal to provide a doctor-to-doctor consulting service that will allow GPs and their teams to access the knowledge and expertise of an industry expert. We pride ourselves on lightning-fast service and responsiveness. We are filling the gap in the market for quality and insightful coaching by providing valuable solutions for doctors and their teams, and subsequent positive outcomes in the quality of patient care.

What is Six Month Smiles Confidex®?

Many General Dentists are using Invisalign® and the like the ease of use, but they struggle to obtain ideal outcomes. Orthodontists, like myself, know that not all adults are compliant and that not all patients are ideal candidates for removable appliance systems.

If you are looking for an esthetic, fixed appliance system with invisible wires and brackets, I recommend Six Month Smiles® to my StraightSmile Solutions® clients. If you aren’t familiar with the CONFIDEX® system, that was released Q3, 2016, you should take a closer look at the benefits.

Six Month Smiles CONFIDEX® Benefits

• Digital Space Analysis
• Angle Classification Analysis
• Case complexity Analysis
• Estimated Treatment Time Analysis
• Tooth Size and Bolton Discrepancy Analysis
• Wire Sequencing Recommendations
• IPR quantification, Staging and Sequencing Recommendations, If Indicated
• Bite Guard Placement and Localization Recommendations, If Indicated
• Power Chain Staging and Placement Recommendations, If indicated
• Esthetic and Gingival Re-contouring Staging and Placement Recommendations, If Indicated
• Button Placement Recommendations, If Indicated
• Extraction Recommendations, If Indicated
• Elastic Size, Staging and Localization Recommendation, If Indicated
• A Customized Monthly, Step-by-step Guide to Treatment
• Retention Recommendations
• Six Month Smiles Online Forum Support
• Digitally-Directed, Custom, Precision-Placed Indirect Bonding Trays
• Standard Patient Kit (PTK) with Wires and Ties.
• 3D Simulation
• Arch Wires
• Adhesive
• Patient Relief Wax
• Quick Ties (Single Ligature Ties)
• OptraGate® Retractor

If you are looking to become a Six Month Smiles provider, you can visit www.6monthsmiles.com or message me with questions. There are courses all over the world. Check out my past blogs on my website for more information about the certification courses!

StraightSmile Solutions® is the comprehensive choice for dentists seeking an orthodontic coaching solution. Visit www.straightsmilesolutions.com and click on the services page or schedule a complimentary coaching session. StraightSmile Solutions® is the future of orthodontic coaching, offering the first online portal to provide a doctor-to-doctor consulting service that will allow GPs and their teams to access the knowledge and expertise of an industry expert. We pride ourselves on lightning-fast service and responsiveness. We are filling the gap in the market for quality and insightful coaching by providing valuable solutions for doctors and their teams, and subsequent positive outcomes in the quality of patient care.

Obtaining the Ultimate R.O.I. for Orthodontic Systems

There are numerous of orthodontic solutions in the market, from aligners to indirect bonding to Phase I Functional Appliances. Most are geared now towards GPs. These are the factors you should focus while selecting best R.O.I.?

ACTION CENTER
According to recommendation doctors might analyze the following requirements while selecting an orthodontic system with greater R.O.I.

➢ Calculate the Total Lab Fee (TLF)
Dig-in and ask questions. What will be your worst-case scenario TOTAL lab fee from soup to nuts, from scan/impression and diagnostics, all the way until retention? Are there any hidden fees for refinements or mid-course corrections or for lost aligners/broken brackets or appliances?
Total Lab Fee Per Case: ________

➢ Calculate Chair Time Overhead(CTO)
How trained is your staff to assist with these procedures?
Does your dental practice act in your state even allow your staff to provide services?
How frequently do you anticipate seeing these patients?
What percentage is doctor time vs. staff time?
Calculate the total number of hours for both.
What is your ideal billable hour rate? What is your staff’s total billable hour rate?
Now calculate your total chair time overhead for this system, per case.
Total Per Case Chair Time Overhead:________

➢ Calculate the market standards (CF)
What are other doctors charging for this system in YOUR community? Do some secret-shopping!
Case Fee: ___________

➢ Add TLF and CTO and subtract from CF. Is your outcome in the red or black, and by how much?
This is your Tangible ROI: _____________

➢ What is the Intangible ROI?
Check the internet and online portals like RealSelf.com to check the feedback for your vendor, you can even consider the results from social media.
Are patients raving fans of the outcome?
Will positive outcomes drive more indirect referrals automatically? There are many solutions out there that have amazing ROI through social media that’s solely driven by patients and social media.
How excited is your staff to implement this system?
How many other providers are in your area?
Estimate the Intangible ROI. ____________

➢ Add TROI and ITROI, and you have your desired ROI.

MAKE YOUR CHOICE!

StraightSmile Solutions® is the comprehensive choice for dentists seeking an orthodontic coaching solution. Visit www.straightsmilesolutions.com and click on the services page or schedule a complimentary coaching session. StraightSmile Solutions® is the future of orthodontic coaching, offering the first online portal to provide a doctor-to-doctor consulting service that will allow GPs and their teams to access the knowledge and expertise of an industry expert. We pride ourselves on lightning-fast service and responsiveness. We are filling the gap in the market for quality and insightful coaching by providing valuable solutions for doctors and their teams, and subsequent positive outcomes in the quality of patient care.

Is the New Align Technology Invisalign Teen® Auxiliary Dangerous?

(photo courtesy of Align Technology®)

As an Orthodontist, I like to stay current on the most recent product advancements. I was very excited when I first heard about the Align Technology Precision Wings Launch. This new Invisalign® auxiliary, is already being offered in many countries around the world, but has not yet been released in the US. Subsequently, I started receiving concerned feedback from many Pediatricians, Pediatric Dentists and parents alike that this seemingly harmless addition to the Invisalign Teen® product, may have undesirable consequences on the oral-pharyngeal airway.

It’s true that studies show that advancing the mandible, does open the airway, however, opening the vertical dimension has the opposite effect, it closes-up the airway. Keeping a patent airway during sleep is critical to proper O2 saturation. Without Ideal O2 Levels, many systemic changes occur. If you aren’t familiar with the symptoms and signs of sleep-disordered breathing in kids, please message me.

I encourage Align Technology®, to release any research supporting that Precision Wings® is safe for developing airways before further launching this auxiliary product around the world. Ideally, I’d like to see independent, longitudinal studies completed by pediatric sleep-disordered breathing experts.

Here are two articles of supportive research that I recommend but I have many more just message me and I’ll send them to you, if needed:

Ehab Dayyat, MD, Leila Kheirandish-Gozal, MD, and David Gozal, MD Childhood Obstructive Sleep Apnea: One or Two Distinct Disease Entities? Division of Pediatric Sleep MedicineDepartment of Pediatrics, University of Louisville, Louisville, KY 40202 Sleep Med Clin. 2007 September ; 2(3): 433–444.

Dan Bruce, DDS. Unraveling Pediatric Airway Disorders. Dental Economics. December 2014, 14-18.

StraightSmile Solutions® is the comprehensive choice for dentists seeking an orthodontic coaching solution. Visit www.straightsmilesolutions.com and click on the services page or schedule a complimentary coaching session. StraightSmile Solutions® is the future of orthodontic coaching, offering the first online portal to provide a doctor-to-doctor consulting service that will allow GPs and their teams to access the knowledge and expertise of an industry expert. We pride ourselves on lightning-fast service and responsiveness. We are filling the gap in the market for quality and insightful coaching by providing valuable solutions for doctors and their teams, and subsequent positive outcomes in the quality of patient care.

Invisalign Precision Wings®

Are the new Align Technology® Precision Wings® truly innovative or just an opportunity to capitalize on a centuries’ worth of others’ research supporting growth modification in children?
While I applaud Align® in their efforts to bring growth modification to mainstream America, this technology and methodology is truly nothing original and is currently being used by many doctors around the world at a much lower price point.

I also, think it will be interesting to see how the Align® team addresses the growth curve and timing issue for this new system. While this may come natural to Orthodontists, General Dentists are woefully uneducated in Growth and Development. These Precision Wings® will work, but not in all teens and tweens. I doubt there will be an expert team to help support the General Dentists to assess the skeletal growth and to support the treatment plans.

What about cephs? I suspect Align® will not require the doctors to submit cephs since that’s not SOP, but they should. It’s important to make sure that the growth is proceeding in the right direction: downward and forward to ensure a healthy, esthetic result and not affect the airway.

How will doctors be advised when to discontinue these Precision Wings®? We’ve all had patients who simply disappear with their aligners only to return years later. What if patients wear these for too long? We’ll have a bunch of Class III surgical patients who outgrew their treatment. Who is responsible for these patients? What is Align’s® responsibility here, if any? Are the General Dentists prepared for the permanent, poor outcomes that will likely develop in non-compliant patients? Who will pay for their surgeries?

If you have class 2 patients and are looking for a reliable, accountable and safer growth modification system on the market, Healthy Start supports doctors around the world in treating Class 2 patients, and has been doing so for decades. Visit www.thehealthystart.com to learn more and become a provider.

StraightSmile Solutions® is the comprehensive choice for dentists seeking an orthodontic coaching solution. Visit www.straightsmilesolutions.com and click on the services page or schedule a complimentary coaching session. StraightSmile Solutions® is the future of orthodontic coaching, offering the first online portal to provide a doctor-to-doctor consulting service that will allow GPs and their teams to access the knowledge and expertise of an industry expert. We pride ourselves on lightning-fast service and responsiveness. We are filling the gap in the market for quality and insightful coaching by providing valuable solutions for doctors and their teams, and subsequent positive outcomes in the quality of patient care.

How you Join a Healthy Start® Study Club

The dental community is buzzing about Healthy Start® Study Clubs, that are popping-up all over the US. It’s an opportunity for dentists and MD’s to network and collaborate and regarding sleep-disordered breathing in children.
If you’ve been in the dental community for some time, you’ve probably heard of Healthy Start®, the hybrid sleep-orthodontic system. The history of the evolution of Healthy Start® is as interesting as the founder, Dr. Earl Bergersen. It rebranded from Orthotain® to Healthy Start® in the 1970’s. Dr. Bergersen tells a compelling story about how he started noticing a fascinating correlation amongst young patients who wore his Orthotain® dental positioner: an improvement in sleep-disordered breathing symptoms (a.k.a. kids sleep apnea), bed-wetting, overall academic performance and focus.
Obviously, tonsils, adenoids, nasal obstruction and orthodontic habits like mouth breathing and thumb sucking can all contribute to sleep-disordered breathing so a plastic mouthpiece isn’t a cure-all for every child. However research and testimonies support that for many kids and families, it really is a life-changing orthodontic appliance.
To find a study-club near you, visit: https://www.thehealthystart.com/full-calendar-new. To become certified as a Healthy Start® provider and become listed on the Doctor Locator here: https://www.thehealthystart.com/find-a-doctor, you can find a course near you or take the online course by emailing [email protected]