Demineralized white spot lesions occur frequently after orthodontic treatment. Some teeth are more prone to demineralization (typically the maxillary lateral incisors and the mandibular canine teeth). The disto-gingival area of the labial enamel surface is the area most commonly affected (Figure 1). In the First few weeks after removal of the fixed appliances, there is a reduction in white spot lesion size and appearance, possibly due to the action of saliva (Figure 2).
This is the first in a series of articles outlining how to successfully implement orthodontics within your general dentistry practice. I am not a consultant but a "wet-fingered" dentist like the rest of you. About ten years ago, I made the decision to convert my general practice into an orthodontic-focused practice, and I stopped doing general dentistry. I had four partners and two associates in a fee-for-service office, and I thought the conversion would be simple due to a built-in referral base. I was totally wrong in that assumption and within six months of the conversion, my gross production dropped by 50%. I was on a downward spiral. New orthodontic patients were not scheduling, especially since I didn't have my own hygiene pool from which to get new patients.
Having an attitude of gratitude towards all interactions with people in your practice has great benefits. You will improve patient loyalty and, as a provider of services, feel good about your service and profession.
Gratitude is one of the foundational relationship strategies that I teach to a dental team, and for many reasons. Here is one: in a study conducted in the United States on law suites against doctors, statistics revealed that patients with a strong sense of relationship with their doctor were less likely to file legal action, even following tragic mistakes and misdiagnoses. The common view of those who did file law suites was that they had no sense of connection to their doctors. This demonstrates the power of building connections with your patients.
Keeping Wires in Self-Litigating Brackets By: Dr. Thomas Hughes
Today more and more practitioners are using true self-ligating brackets (brackets that have doors that don't put any pressure on the arch wires) and now need to find a way to keep the wires they use from sliding out of the brackets and pocking their patients.
I'll show you two ways to solve this problem and hopefully make using these brackets more comfortable for your patients.
By: Dr. Pierre Pellan
Has it ever happened to you…a patient is scheduled to get her or his braces off, occupying a good 2 hours of chair time? Then, while you were just about to start a new consultation, your auxiliary is gently waving her hand to you through the door window and wants to talk to you: this patient noticed that the two front teeth slightly moved out of alignment in the past few days, and is wondering if it might correct itself after braces will be off…of course, that is not going to happen...
By: Dr. Jay Gerber
If you have used or are considering using passive self-ligating brackets, please read the following for some great tips. Here at the Center for Occlusal Studies we have used six or more types of SLBs. Currently the bracket of choice is the Nustar Passive Self Ligating bracket from OrthoArch. The recommended Rx is the MBT which exhibits excellent anterior torqueing and possess superior up-righting capability for the lower posteriors.