Documente Academic
Documente Profesional
Documente Cultură
John Graham
John Graham
TITLE/SUBJECT
VectorTAS*
VectorTAS*
CONTACT
Jacqueline Doon
Jacqueline Doon
PHONE
+612.8875.8100
+612.8875.8100
ONLINE REGISTRATION**/
E-MAIL ADDRESS
ormco.australia@sybrondental.com
ormco.australia@sybrondental.com
ci clinical impressions®
Singapore, Indonesia 4/15 John Graham VectorTAS* Christine Tan +656.732.0533 ossortho@singnet.com.sq
Sydney, Australia 4/23 John Graham VectorTAS* Jacqueline Doon +612.8875.8100 ormco.australia@sybrondental.com
Buenos Aires, Argentina 4/24-26 Bill Thomas Damon & Variable Torques Amalia Rey +54.11.4829.00313 amaliarey@orthodontika.com
Charlotte, NC 5/2 John Graham VectorTAS* Mindy Marland 800.854.1741/Ext. 7435 www.ormco.com
Dallas, TX 5/2 Pitts & Dischinger Adv. System Mechanics Lauren Bui 800.854.1741/Ext. 7593 www.ormco.com
La Paz, Bolivia 4/15-16 Medellin & Molina Damon & Variable Torques, Int./Adv. Armando Araoz +59.1717.48.590 odontser@supernet.com.bo
Lima, Peru 4/10-12 Medellin & Molina Damon & Variable Torques, Int./Adv. Dra. Tina Linares +511.983.504.465 tinalinares@yahoo.es
Montreal, Canada 4/4 John Graham VectorTAS* Mindy Marland 800.854.1741/Ext. 7435 www.ormco.com
Nashville, TN 4/18-19 Alan Bagden Fundamentals of Passive SL Lauren Bui 800.854.1741/Ext. 7593 www.ormco.com
Poway, CA 4/18-19 Bill & Scarlett Thomas Damon – In-Office Scarlett Thomas 858.748.6200 scarlett@powaybraces.com
Mexico City, Mexico 4/18-19 Carlos Solorio Damon Basic Francisco Bucio 800.021.0406 francisco.bucio@sybrondental.com
Monterrey, Mexico 4/25-26 Carlos Solorio Damon Basic Francisco Bucio 800.021.0406 francisco.bucio@sybrondental.com
Mexico City, Mexico 5/14-15 Ricardo Medellin Damon Basic Francisco Bucio 800.021.0406 francisco.bucio@sybrondental.com
Springfield, VA 5/22-23 Alan Bagden Understanding Damon, Adv. Kathy Bagden 703.893.0792 kbagden@yahoo.com
Washington, DC 4/4 Steve Tracey VectorTAS* Mindy Marland 800.854.1741/Ext. 7435 www.ormco.com
Arnhem, The Netherlands 4/18-19 Nico Merkens Damon Full Impl. Class Dr. Merkens +31.26.3813111 www.orthomerkens.nl
Barcelona, Spain 4/4-5 Giuseppe Scuzzo STb Catelijne de Gooijer +31.33.4536.171 www.ormcoeurope.com
Dubrovnik, Croatia 3/31-4/1 Alan Bagden Damon Slavica Alpeza +385.91.461.3484 www.alpex-doo.com
Herne, Germany 4/26 Markus Heise Damon Dr. Heise +49.2323.9468300
Kiruna, Sweden 4/3-5 David Birnie Damon Sweorto +46.40.661.01.40 mail@sweorto.se
Köln, Germany 4/11-12 Knut Thedens Damon Dr. Thedens +49.421.34.65.56 www.ormcoeurope.com
London, UK 4/4-5 Alan Bagden Damon Catelijne de Gooijer +31.33.4536.171 www.ormcoeurope.com
London, UK 4/19-20 Birnie & Harradine Damon EinO www.excellenceinorthodontics.com
Moscow, Russia 5/11-12 Scuzzo & Takemoto STb Raissa Voronin +7.812.324 74 14 dental@dentalcomplex.com
Paris, France 4/6-7 Ephraim Medina Damon, Basic Selena Darevic +331.49.88.60.55 selena.darevic@ormodent.com
Asia, Australia and New Zealand North and South America Europe and Russia
For additional information on courses listed above, use the contact information shown. For a complete list of courses, visit your region’s Web site: www.ormco.com (N. America, Australia, New Zealand),
www.ormodent.com (Europe), www.ormcoeurope.com (Europe), www.ormco-japan.com (Asia), www.ormco.com.mx (S. America).
The New Gold Standard
for Temporary Anchorage:
VectorTAS
Drs. John Graham, Jim Hilgers,
Nicole Scheffler and Steve Tracey
Aligner Alternative 29
for 3-D Control Clinical Impressions is Back
DR. GIUSEPPE SCUZZO
So many clinicians have told us they have missed the useful, often leading-edge
clinical information they gleaned from Clinical Impressions when we were publish-
The Importance of Office 32 ing it quarterly that we are now committed to publishing two editions annually.
Staff in Marketing Watch your mailbox for it early in the year and in the fall.
JEFF BEHAN, VISION TRUST
2
Larry W. White, DMD, MSD
Editor, Clinical Impressions
Dallas, Texas
EDITOR’S COLUMN
3
James Hilgers, DDS, MS John Graham, DDS, MD Nicole Scheffler, DDS, MS Stephen Tracey, DDS, MS
Mission Viejo, CA Litchfield Park, AZ Boone, NC Upland, CA
An internationally recognized Dr. Graham is one of only a few Dr. Scheffler brings considerable Dr. Tracey is widely recognized as
lecturer, teacher, author and men- orthodontists in the U.S. who is experience in research and clinical a pioneer in the design and use
tor, Dr. Hilgers brings 35 years of also a licensed physician. He has use of temporary skeletal anchor- of emerging orthodontic technolo-
varied clinical experience, includ- extensive experience with tempo- age to the team. She became gies, including contributions to
ing that with temporary skeletal rary skeletal anchorage and its skilled in skeletal anchorage under Ormco’s Insignia™ and the
anchorage, to the VectorTAS team. many orthodontic applications. the guidance of Dr. Hugo De Clerck redesign of Inspire ICE™. He was
He has published over 100 articles Dr. Graham has authored multiple in Brussels, Belgium, and the first orthodontist to receive
in scientific and clinical journals, journal articles and book chapters Dr. Camilla Tulloch in Chapel Hill, certification from the Academy of
given seminars throughout the on the subject and lectures exten- North Carolina. She regularly Laser Dentistry for the use of soft-
Americas, Europe and Asia, been sively around the world. With lectures throughout the U.S. on tissue lasers and holds one U.S.
a major essayist at 12 national training in oral and maxillofacial the subject and has researched patent. He and Dr. Hilgers were
meetings of the AAO and holds surgery, and his understanding of patient and orthodontist/surgeon early proponents of miniscrew
numerous U.S. patents for ortho- craniofacial growth, anatomy and implementation perceptions for temporary orthodontic anchorage
dontic appliances. aesthetics, John offers a unique many types of TADs, which have and were the first clinicians to
perspective to the VectorTAS team. been published in the AJO-DO. volunteer their time and talents to
the development of VectorTAS.
Many indications exist to establish temporary skeletal anchorage screws in complex orthodontic cases, their greatest strength lies
as the new gold standard for orthodontic mechanics. Edentulous in the treatment of everyday malocclusions. Think about it.
space closure, segmental intrusion/extrusion, correction of There is virtually no Class II case or maximum anchorage extrac-
occlusal cants, molar uprighting and many other tooth move- tion case for that matter that can’t be simplified by the use of a
ments tax conventional orthodontic mechanics to its limits. With miniscrew and a well-conceived system of applied mechanics. In
the advent of temporary anchorage devices, the simple placement short, temporary skeletal anchorage will give us greater control of
of one or more miniscrews provides the orthodontist a fixed, our outcomes than we’ve ever had before. In the not-too-distant
immovable anchor against which a myriad of movements may be future, orthodontic residents will wonder how orthodontists ever
performed while leaving adjacent dentition unaffected. Although practiced without temporary skeletal anchorage.
we understand the propensity for considering the use of mini-
4
Until recently, most mini- address two of these features: color coding that
Why Orthodontists Should Place screws used in orthodontics guides placement and painless anesthesia.
Temporary Anchorage Devices have been just that – minia-
ture screws borrowed from Atlas Guides Miniscrew Placement
The most important factor affecting miniscrew
maxillomandibular fixation One of the key differentiators of VectorTAS is the
treatment success is the precision of minicrew
or dental implant systems guidance it provides clinicians in choosing the cor-
placement. Only the orthodontist has the train-
not designed specifically for rect miniscrew for each particular anchorage need
ing and experience in biomechanics necessary
temporary skeletal ortho- and determining its ideal position in the oral cavity.
to determine how even a millimeter of place-
dontic anchorage. In addi- This approach minimizes the chance of miniscrew
ment difference can change a case outcome.
tion, orthodontists have failure. For ease in matching a miniscrew with its
The need for immediate attachment and the
largely been left to their ideal implant site, the color of each corresponds
issue of replacement if a miniscrew fails
own devices and, in many with its recommended placement area designated
points to the orthodontist as the specialist best
cases, have suffered from on the proprietary VectorTAS Atlas1 (Figure 1),
suited to place the device. This is not to say
inefficient treatment which takes into consideration bone type and
that other dental specialists cannot place
mechanics and improper density and interradicular and tissue depth.
miniscrews, but if they do, the orthodontist
force levels. The lack of a
must be prepared to endure the additional
systemized approach to the
time to schedule the referral, justify the addi-
placement and utilization Figure 1. The proprietary VectorTAS Atlas eliminates
tional cost (which can often be considerable),
of miniscrews has led to placement guesswork by matching the color of each
and manage the consequences of miniscrew VectorTAS miniscrew with its ideal anatomical and
frustration for those ortho- biomechanical implant site.
misplacement and failure. How will you
dontists attempting to use
handle misplacement? How long will the oral
them and, quite often, less-
surgeon or periodontist be responsible for
than-optimal results.
replacing a screw if it fails? These situations
happen to everyone on occasion. When
Recognizing these short-
addressed wholly in the orthodontic office, the
comings, Ormco took
patient ultimately benefits. With tools that take
the tack that what the
the ambiguity out of positioning, placing and 4 4
profession was craving was
activating orthodontic miniscrews, all ortho-
2 2
a comprehensive approach 1
dontists will be able to develop the confidence
– a complete miniscrew
and competence to take advantage of this
system not only of superior 3 3
remarkable methodology. 2 2
design and strength but 1
6
hoop stress. The screws with the thread-cutting There are two basic designs – single-delta and
configuration (10 and 12 mm lengths) are ideal double-delta – in a variety of lengths and force
for areas of thick, dense bone that requires cutting levels (Figure 6). As mentioned earlier, the mating
because of decreased stress adaptation. Dual- geometries between the delta-shaped miniscrew
cutting threads remove bone debris to aid in head and attachment eyelets eases loading and
advancing the screw into the bone, which decreases unloading and also helps avoid rotational moments
bone stress for increased success. on the screw. There is no need to ligate. The unique
swivel mechanism of the springs eliminates
TAD-Specific Auxiliaries undesirable torsion forces associated with loading
Coil Spring Attachments. The Ni-Ti® coil-spring and unloading. The swivels also allow the spring
attachments of the VectorTAS system are designed freedom of rotation to the desired force vector.
specifically for the vectors and forces required of
temporary anchorage in orthodontic cases. Crimpable Post. Essential to attaching the
Figure 7.
miniscrew directly is a crimpable post that The robust
crimpable post
clinically adapts for multiple force vectors. has numerous
Figure 4. The unique
mating geometry
The VectorTAS post is robust enough to with- design features
that adapt to
between miniscrew stand clinical forces, and its crimping option various attach-
head and attachment ment setups
eyelet offers simple and comb design offer considerable flexibility and force
seating and removal.
A slight turn locks the
(Figure 7). The anti-tip mechanism minimizes vectors.
attachment into place. wire friction and labial-lingual adjustment
The mechanism offers
midtreatment mini- allows the post to be bent away from the gin-
screw adjustments
without removing
giva, which minimizes tissue impingement. Its
the attachments. flat profile further ensures patient comfort.
Figure 8. The
VectorTAS drivers
make for easy
retrieval and
secure transfer
and placement.
Single-Delta Ni-Ti
• Unique swivel mechanisms
Coil Spring
• Come in a variety of lengths
and force levels
7
anchorage into their practices, including: movements – while reducing compliance – with
miniscrews, we have the opportunity to overcome
• Evidence-based advantages for proper and
perhaps the greatest challenge to the treatment
rational use of temporary skeletal anchorage
success of adolescent cases. Imagine practice life
devices in orthodontics.
with less need for elastics or headgear. Imagine
• How to use miniscrews to achieve a wide
treatment results that complete bone anchorage
range of orthodontic movements.
provides. While adult patients are usually more
• How to place and remove miniscrews and
compliant with their elastics use, their cases, too,
attachments in your practice easily and
would benefit immensely from such stable anchor-
painlessly.
age. And imagine also the opportunity to present
• How VectorTAS can increase your efficiency
nonsurgical treatment alternatives to adults for
by shortening treatment times and make a
applicable open bites and occlusal plane cants,
positive difference in your practice.
achieving treatment results that are simply not
• How to optimize temporary anchorage with
possible without these devices.
passive self-ligating mechanics.
• How to increase your conversion rate by
Incorporating any new protocol takes a willingness
communicating the benefits of temporary
to change, to learn and to persevere. It also takes
skeletal anchorage without putting off
being disposed to employing the new technique
prospective patients.
often enough to gain the competence and skill to
make it a relied-upon system considered routine.
Conclusion
Ormco is assisting with this effort by offering
With VectorTAS, the potential for temporary skele-
courses throughout the world that we team mem-
tal anchorage to forever alter our clinical practice
bers are conducting. These courses aid attendees in
is now within our grasp. If we relegate this remark-
becoming familiar with the clinical applications
able technology to only the more complex cases, we
of VectorTAS and to understand how to use the
will be missing important opportunities to simplify
tools Ormco provides for painless placement and
our practice life and offer appealing nonsurgical
ease of use. As we in the profession continue to
adult treatment alternatives. To capitalize on the
learn how to make the best use of these devices for
full value of skeletal anchorage, we ought to con-
various types of orthodontic issues, we will, as we
sider its use any time we need anchorage control
have always done, share this knowledge to advance
and, by most estimations, that is much of the time.
their successful application. Our hope is that in just
a few years, orthodontic residents will wonder how
Adolescent patients continue to comprise a major-
we ever practiced without temporary skeletal
ity of many practices, and many of those cases have
anchorage.
anchorage demands. Since miniscrews can virtually
ensure tooth movement follows the direction we
dictate with no unwanted reciprocal counter
Pretreatment/Treatment Plan
Adult female patient (referred by her general dentist
for smile-line alignment and leveling prior to replacing
crowns on centrals and lateral incisors) presented with
obvious hyperextrusion of right upper posteriors, exces-
sive gingival display and smile-arc-to-lip disharmony.
Employed full appliance Rx (.018 Ti Orthos™) but with
27º torque buccal tube on the upper right 2nd molar for
control during its intrusion to help prevent the lingual
Pretreatment Posttreatment
cusp from hanging as buccal cusps lifted.
Posttreatment
Debonded brackets and removed miniscrews after two
additional adjustment visits (6.5 months of miniscrew
treatment). Patient is scheduled to have crowns replaced.
Posttreatment
9
Case 2 – Anterior Retraction
Pretreatment/Treatment Plan
Adult female patient transferred into the practice after 15
months of treatment, which included extraction of upper
1st bicuspids and lower right 1st bicuspid to correct a
Class II, division 2 malocclusion, deep bite and incisor
protrusion. She presented with a bimaxillary dental pro-
trusion and spaces distal to the upper laterals because
the upper canines had been individually retracted with
a transpalatal bite plate for anchorage. We removed all
maxillary appliances and placed Damon® 3 on the
Pretreatment
upper arch.
10
11
Case 3 – Anterior Open Bite
Pretreatment/Treatment Plan
A 17-year-old male patient presented with an anterior open
bite, a steep mandibular plane and his mandible rotated
down and back.
Pretreatment
12
Case 4 – Anterior Open Bite
Pretreatment/Treatment Plan
A 15-year-old male patient with severe skeletal open bite pre-
sented with congenitally missing lower central incisors and lower
right 1st bicuspid, bilateral upper pegged lateral incisors, an
impacted upper left canine with molars in Class III due to mesial
drift. Family refused orthognathic surgery and dental implants.
Ceph Comparison
I remember vividly the first time I saw Dwight Upon returning from Dwight’s seminar, I called my
Damon present his cases. He was moving teeth and Ormco sales rep and ordered 50 cases of Damon®
alveolar bone in ways that I never thought possible brackets and Copper Ni-Ti® wires. I had originally
with fixed mechanics and completing complex intended to complete my own clinical trial on 50
cases, many in only seven or eight appointments, consecutive patients before initiating wider imple-
with amazing efficiency. As I sat there studying his mentation of the system in my practice. It took
serial photographs, meticulously measured study only a few wire sequences on these patients, how-
models and CT scans and furiously taking notes on ever, before I began observing remarkable dento-
Dr. Tom Barron received his his treatment protocols, it hit me like a bolt of alveolar responses (Figure 1). My patients were
D.M.D. from Tufts University lightning. This man has empirically developed an reporting minimal discomfort and were extremely
School of Dental Medicine
and his postdoctoral certifi- entirely new therapeutic regimen, one predicated pleased with the significant and rapid improve-
cate in orthodontics and on light force that is less traumatic and works with ments to their dentitions. They began enthusiasti-
M.S. in oral biology from the
University of Maryland,
the hard and soft tissues to elicit a response hereto- cally referring friends and family to me for consul-
Baltimore College of Dental fore not observed with conventional high-friction/ tations. I decided not to wait for the completion of
Surgery. He is current presi- high-force mechanics. I was convinced that his my clinical trial and made this technique available
dent of the Damon Study
Club of North Virginia, DC, treatment philosophy would change the standard to all of my patients from that point on.
and Maryland and lectures of care for our profession.
nationally on the Damon
System.
This was a paradigm shift
in orthodontic treatment
that I wanted for my
patients. Furthermore, I
knew that the dentists in
my community would
want this for their patients
and that the public would
want this as well – I barely
slept a wink that night. Pretreatment
Figure 1. Correction of
anterior and posterior
crossbites in three
appointments without
palatal expander or
interarch elastics.
14
Educating Myself and My Staff Figure 2.
Presentation Guide
I owed it to my patients and staff to learn as much and CE Presentation
on CD-ROM.
as possible about the new protocols and mechanics
that we were implementing. I read and reread the
Damon Workbook, trying to discover all the treat-
ment nuances of each documented clinical case.
I studied Ormco’s Clinical Impressions Learning
Libraries on Copper Ni-Ti and the Damon System
and joined a regional Damon study club to share
and learn with colleagues who were also using the
technique. I attended Alan Bagden’s seminar on the
Damon System twice and subsequently attended
two more of Dwight’s.
15
For the attendees’ conven- times, which induces an adaptive response of the
ience, I began offering bony dental arches that is healthier, faster and
different presentation occurs with much less pressure and pain. Patients,
formats: young and old, get it immediately.
• Lunch & Learn seminars
at their office or mine In my new-patient presentation folder, I include
with a catered deli lunch a copy of my special-edition newsletter – the
• An evening seminar with technical version of how it all works (Figure 3) – as
a buffet dinner and well as Ormco’s Damon System patient brochure –
refreshments in my the layman’s version.
Figure 3. Special-edition office
practice newsletter. The Results
As the months passed, the presentations became Patients not only desire superior results, but they
increasingly popular and created a robust base of also want to obtain them in a quick, comfortable,
referring practitioners for Damon to my practice. and less-invasive manner. Their dentists demand
Many offices that had never sent us referrals began proper occlusion and esthetics and want to be confi-
sending new patients. In addition, I presented the dent that the orthodontist they recommend will
lecture to local dental associations and study clubs. deliver these results consistently. With the Damon
Over a 12-month period, nearly the entire dental System I am able to meet these demands by employ-
association in my metro area learned about the ing uncomplicated treatment protocols that are far
Damon treatment philosophy of low-friction, more efficient and profitable than the traditional
low-force orthodontic treatment and they are now high-friction, high-force treatment modalities I used
enthusiastic advocates of this for their patients. previously.
16
INSIGNIA
CUSTOM-DESIGNED ORTHODONTICS
™
Enhanced Insignia Approver ™ Software and web interface allow you to:
• Upload patient images at the click of a button with Dolphin® or Kodak® systems*.
• Intrude lower anteriors while extruding uppers with a simple “check box.”
• See the contact on all teeth adjacent to those you are editing on the lower arch.
* Dolphin® is a federally registered trademark of Dolphin Imaging Systems LLC. Kodak® is a federally registered trademark of Eastman Kodak Company.
Case-specific brackets for Precision jigs for accurate Custom wires for fewer
maximum clinical efficiency bracket placement finishing appointments
“Theresults
Damon System helps me create amazing
like Jennifer’s on a consistent basis.
- Dr. Timothy McReath, Baraboo, WI
”
Beautiful Damon finish by
Dr. Timothy McReath
Register today
for a Damon System Seminar!
Fundamentals Advanced
of Passive Self-Ligation System Mechanics
• Benefits of passive self-ligation versus active self-ligation • Class II cases in Class I time
• Face-driven treatment planning • Extraordinary finishing
• Transverse arch development • Retention protocols
Apr 18 - Apr 19 Nashville, TN Aug 22 - Aug 23 San Francisco, CA Mar 14 Toronto, Canada
Jun 6 - Jun 7 Vancouver, Canada Sep 26 - Sep 27 Boston, MA May 2 Dallas, TX
Jun 6 - Jun 7 New York, NY Oct 17 - Oct 18 Las Vegas, NV Sep 5 Charlotte, NC
Jun 13 - Jun 14 Miami, FL* Oct 24 - Oct 25 Denver, CO Oct 31 Baltimore, MD
Jun 13 - Jun 14 Chicago, IL Nov 7 - Nov 8 Minneapolis, MN
Jun 27 - Jun 28 Newport Beach, CA Nov 14 - Nov 15 Montreal, Canada
* Presented in Spanish
SIMPLE SYSTEM
The all-new VectorTAS is a coordinated system that
combines user-friendly products, packaging and
mechanics to simplify your clinical experience and
improve patient care. In addition to a complete
starter kit for one-stop shopping, VectorTAS includes
a proprietary color-coded atlas to guide proper
miniscrew selection and needle-free anesthesia for
greater patient comfort. VectorTAS makes it easier
than ever to place and utilize temporary anchor-
age for excellent control and efficiency.
INTELLIGENT DESIGN
Created by a team of orthodontists with the idea that
all miniscrew systems are not created equal, VectorTAS
offers a full array of orthodontic-specific miniscrews
plus an assortment of TAD-specific attachments and
auxiliary appliances to provide more controlled move-
ment and better force management. Now with the
new VectorTAS, anything else is just a screw…
HANDS-ON EDUCATION
With VectorTAS courses and support materials, you will quickly gain the confidence to place and remove
VectorTAS miniscrews and attachments. You will also learn how to achieve a wide range of orthodontic
movements with simple mechanics, shorten treatment times and optimize temporary anchorage.
Register today for a hands-on VectorTAS course with instructors Dr. John Graham
or Dr. Stephen Tracey and learn how to move your cases in the right direction.
Fri, Feb. 29, 2008 – Minneapolis, MN Fri, Aug. 15, 2008 – Denver, CO
Fri, Apr. 4, 2008 – Washington, DC Fri, Sep. 26, 2008 – Vancouver, Canada
Fri, Apr. 4, 2008 – Montreal, Canada Fri, Oct. 3, 2008 – Chicago, IL
Fri, May 2, 2008 – Charlotte, NC Fri, Oct. 17, 2008 – Tampa, FL
Fri, Jun. 13, 2008 – Seattle, WA Fri, Nov. 14, 2008 – Boston, MA
Fri, Aug. 1, 2008 – Columbus, OH Fri, Nov. 21, 2008 – Anaheim, CA
Easy to debond
Extremely comfortable
Maximum tie-wing strength
Fast and accurate placement
Superior sliding mechanics – without a metal slot
“I use Inspire ICE because my patients love the clear look and because I love the performance.
Nothing looks better, nothing works better.”
– Dr. Steve Tracey
Make the only clear choice for you and your practice.
Contact your Ormco representative or call 800.854.1741.
* Tracey, S: The Platinum Rule, Clinical Impressions, Vol. 14, No. 1, pp. 31-32, 2005. View this article on www.ormco.com.
A OA Corner Simpli5:
• Turns impressions or models into aligners in
just 3 to 4 weeks.
A simple
• Is available in single- and dual-arch cases.
• Requires no special certification or time-
consuming verification.
• Offers fast, no-hassle ordering.
aligner
• Costs 20% less than competitive systems.
Anterior
for a starter kit that contains all the material you will
need to prepare your cases. It includes case selection
examples, prepaid mail packaging (which takes
approximately two to three days for us to receive) and
correction
a prescription form. You can send stone or plaster
models or PVS impressions. Be sure to note the
patient’s chief concern on the prescription form.
21
OA Corner
A
three weeks. Patients can often determine on their own when they are ready to progress to the next
aligner because the current one fits easily. We suggest that you recall the patient after the first six to eight
weeks of treatment to ensure that the proper wear routine is being followed.
Conclusion
The market for adult treatment of minor to moderate anterior crowding or spacing continues to grow
and there is a rich source of such patients immediately within your grasp – the parents of each child in
your practice. The Simpli5 system of aligners is designed to avail you of a simple, affordable means of
treating such patients that can actually solidify their loyalty to your practice.
22
Honing Damon System
Mechanics for the Ultimate
in Efficiency
and Excellence
Jeff Kozlowski, DDS
East Lyme, CT
Dr. Kozlowski received his Recently a number of us experienced in Damon System offers a number of torques for upper and lower
DDS degree and certifi-
cate in orthodontics from
Damon® System mechanics gathered to anterior teeth (Figure 1). Matching ideal torque values to your
the State University of share our current protocols and discuss setup – while taking treatment mechanics such as Class II elastics
New York at Buffalo in
how we can enhance treatment to provide into account – allows the roots to begin to upright as bracket
1998. Since graduation,
he has been a managing greater efficiency and higher quality results torque expresses during the light rectangular wire leveling phase.
partner of a four-doctor, for our patients. The consensus of the Differential torque can shorten treatment time and, I feel,
four-office practice until
last year. He is currently in
group was that Damon practitioners can enhances stability by allowing the crowns to spend as much time
the process of opening a make many decisions in treatment plan- as possible uprighted over their roots before the teeth are
new practice and during
ning and the early stages of treatment that debonded. In this manner, we will spend less time in the finish-
this time is active in the
clinical application of will simplify the finishing stage and greatly ing stage of treatment placing selective torque into finishing
newly developing ortho- improve the quality of our case results. wires. For example, clinicians can select high-torque maxillary
dontic products while
getting more than usual
This article summarizes those discussions anterior brackets for Class II, division 2 cases or in Class II,
family time and continu- and includes what I believe are three essen- division 1 cases, high-torque maxillary anterior brackets and
ing his endurance athletic
tial practices to achieving the ultimate in low-torque mandibular incisor brackets to counteract the forces
training. Among other
competitions, he has efficiency and excellence with Damon of Class II elastics (to be addressed a little later in the article).
finished the Ironman System mechanics: using variable torque, To reiterate, applying variable torque fosters earlier initiation
Triathlon five times
and the half-Ironman
disarticulating the occlusion with bite
Triathlon 12 times. turbos and beginning light elastics early Figure 1. Damon Variable Torque Options
Torque Selection to Case Goals Low +7º +5º +3º +9º N/A
using variable torques is one of the most High N/A +7º +5º N/A
Standard -1º +2º 0º +5º -12º +2º
expedient means of achieving the desired
Low -6º +2º N/A N/A
final positions of teeth and roots. The
23
of torque in the rectangular leveling phase and takes only two edges of a rectangular archwire engag-
maximal expression of palatal root torque prior ing the opposing walls of a lumen for the torque pre-
to the completion of treatment. scription of a bracket – including a passive Damon
self-ligating bracket – to express itself (Figure 2).
Getting Torque in a Passive Self-Ligating
Appliance. To get a better appreciation for the Research that Pandis, et. al., conducted demon- +/- 10.5°
advantages of employing the variable torque strates that Damon passive self-ligating brackets
options available in the Damon System, it is impor- are equally effective in delivering torque to maxil-
tant to review how bracket torque functions. As we lary incisor teeth relative to conventionally ligated
all know, when we engage a rectangular wire of brackets.1 In fact, in the virtually friction-free
Figure 2. The torque prescription
sufficient size into the lumen of a bracket, the environment of the Damon System, torquing of a Damon bracket will express
itself when only two edges of a
torque prescription of that bracket will begin to movement from the angular rotation of a rectan- rectangular archwire engage
express itself. There has long been a misconception gular wire engaging opposing walls of the lumen opposing walls of the lumen.
that an archwire must press firmly against the base on two points creates the desired torque without
of a bracket for it to express the desired bracket the friction from elastomeric ties or the flat sec-
torque; however, discounting the wire-to-lumen tions of the wire being pressed firmly against the
play operating in any bracket system and any base of the slot as in conventionally ligated appli-
offsetting mechanics, such as Class II elastics, it ances. Active self-ligating brackets have similar
24
frictional drawbacks of conventionally ligated brackets. Ni-Ti wire after the panorex/repositioning appointment
Overcoming this friction requires high-force mechanics, if the repositioned brackets are level enough. In such
which Damon System protocols are designed to avoid. instances, the additional palatal root torque will develop
while the final leveling occurs prior to placing the
Prevent Torque Loss from Wire-to-Lumen Play .019 x .025 stainless steel working wire.
and Major Mechanics: Add Wire Torque. There
are two primary means of torque loss: wire-to-lumen
play and major mechanics. Because the cross-section of a
stainless steel working wire can never reach the same size
as the lumen into which it is being engaged, a portion of
the torque that is designed into the bracket will not be
expressed. This loss of torque is often referred to as wire-
to-lumen play2 and can have deleterious effects on the
expressed torque, the axial inclination of teeth and
ultimately the ability of the clinician to effectively finish Pretreatment
treatment. For example, there is approximately +/-10.5º
of play between a .019 x .025 stainless steel wire and a
.022 slot (Figure 2). We all have to take wire-to-lumen
play into consideration when planning torque values for
ideal tooth and root positions.
20-Week Progress
Use Pre-Torqued Wires to Assist Torque
Expression. Proper selection of variable torque bracket Figure 3. Anterior bite turbos unlock the malocclusion and allow anterior alignment
and arch development. Note: Given the lingual position of the upper lateral incisors,
options will allow the rectangular leveling wires to pro- it may have been wise for me to employ reverse torque by inverting the brackets.
vide torque delivery early in treatment. There are times,
however, when the .018 x .025 Copper Ni-Ti archwire
will not provide sufficient palatal root torque to the
maxillary anterior teeth even with the ideal bracket Essential #2 – Unlock the
torque. In these instances, it is often advisable to use a Malocclusion: Disarticulate the Arches
.019 x .025 pre-torqued Ni-Ti® (20º of torque) wire to
with Bite Turbos
assist in developing the ideal maxillary anterior palatal
root torque. The pre-torqued wire can be used in place Clinicians who use bite turbos normally place them on
of a .018 x .025 Copper Ni-Ti archwire if the arch is the lingual surfaces of upper anterior teeth in deep-bite
sufficiently level, or it can be used as an additional level- cases to bond both arches at once (Figure 3). As we’re all
ing wire to ensure proper palatal root torque before aware, bite turbos benefit treatment in numerous ways:
progressing to the .019 x .025 stainless steel wire. In cases 1. Protect the enamel from bracket wear / debonding.
that require additional palatal root torque for the maxil- 2. Improve the effect of light wires on arch
lary incisors, I often place a .019 x .025 pre-torqued development.
25
3. Improve the effect of early light elastics for A/P, light posterior vertical elastics will extrude poste-
vertical and transverse corrections. See rior teeth and correct a low-angle deep bite by
Essential #3. posterior eruption.
4. May have an impact on correction of excessively
low or high mandibular plane angles (brachy- Dr. Stuart Frost shared his idea of using flowable
facial or dolichofacial patients). resin to correct posterior crossbites when placing
bite turbos in the anteriors is difficult (Figure 4).
In my practice, a bite turbo has come to mean any He flows a transparent pink resin (Triad® Gel
resin bump that unlocks the malocclusion for Flowable, Dentsply, York, PA) into the occlusal
greater freedom of movement. Using bite turbos grooves of lower first molars to make a flat plane,
more creatively, however, can have far-reaching which fosters crossbite correction in conjunction
treatment implications. with early light crossbite elastics by allowing free-
dom of interarch movement. The pink color of the
Bite turbos can also assist directionally in Class III resin makes the bite turbo easy to see during place-
cases. For such cases, I often form bite turbos ment and removal and its transparency shows the
(Mini-Mold starter kit, Ortho Arch, Schaumberg, occlusal surface through the turbo. Note: It may be
IL) on the lingual surfaces of the lower incisors in necessary to air cool the Triad Gel because it warms
such a way that they have an incline designed to up during the curing process.
allow the upper incisors to slide down it toward a
Class I position. For all anterior bite turbos, I use Essential #3 – Be Creative:
Blugloo™ two-way color change adhesive, which
Use Early Light Elastics for Early
turns from clear to blue during bonding and
Interarch Correction
debonding, making it easy to see during placement
and removal. If the turbo debonds during treat- In combination with bite turbos, using light elastics
ment, the adhesive will turn blue, easing the where applicable (Figure 5) early in treatment to
patient’s mind that it is not a tooth fragment. begin correcting A/P, vertical and transverse issues
is yet another important tool that improves the
I try to select bite turbo locations to enhance the quality and enhances the efficiency of Damon
direction of the treatment goals. While this is an
admittedly simplistic approach, I generally choose
Figure 5. Light Elastics for Early Dental Base
posterior bite turbos for high-angle cases and ante- Movement
rior bite turbos for low-angle cases. For example, in
Elastic Type Size Weight
high-angle cases, using bite turbos in the posterior
Quail 3/16" 2 oz
can cause intrusion of the posterior teeth that helps
close down the high-angle. In low-angle cases, Parrot 5/16" 2 oz
26
System treatment (Figures 6-8). Thanks to Dr. Tom Pitts treatment goals. If Class II correction is the primary con-
(Reno, NV), who has been instrumental in devising this cern, “shorty” Class II elastics will assist in early dental base
protocol, clinicians no longer have to wait for completion movement. (See a discussion of “shorty” Class II elastics
of the leveling stage before initiating bite correction. To later.) If, in a low-angle case, an anterior deep bite is of
determine the direction of early light elastics once the greatest concern, posterior vertical elastics will help extrude
occlusion is unlocked with bite turbos, consider the ultimate the posterior teeth, thereby reestablishing the posterior
Pretreatment
Figure 8. This Class III case demon-
strates remarkable progress achieved
with the use of bite turbos placed
lingually on the lower central
incisors – which unlocked the
occlusion and allowed the lower
incisors to slide toward a Class I
occlusion – in conjunction with early
crossbite elastics. Case courtesy of
Dr. Stuart Frost.
Initial Bonding
7-Month Progress
27
occlusion more expediently. If The term “shorty” Class II elastics is used to differ-
there is a combination of con- entiate their attachment from traditional Class II
cerns about the malocclusion, elastics because they have a reduced horizontal pull.
consider combining the horizon- Figure 10 depicts the configurations of “shorty”
tal and vertical vectors, for Class II elastics that clinicians have reported
example, by running posterior success in employing.
triangle elastics with a Class II
Posterior Vertical Box
vector. In summary, you can Conclusion
attach elastics in virtually any There are many decisions the Damon System
position that enhances the practitioner can make in the treatment planning
required correction. Figure 9 and early stages of treatment that will simplify the
demonstrates three basic config- finishing stage of treatment and greatly improve
urations. Types of elastics you the quality of case results. For the clinician looking
should consider are posterior to take their Damon System treatment to the next
vertical box elastics, posterior level, consider employing variable torque options,
triangle elastics, posterior check disarticulate the occlusion with bite turbos at the
Posterior Triangle with Class II vector elastics, pos- initial bonding and start light elastics for direc-
terior crossbite elastics, shorty tional bite correction during the leveling phase of
Class II or Class III elastics, and treatment. Using these three tools together will
other anterior and posterior enhance the efficiency of Damon System treatment
vertical elastics configurations with a focus on clinical excellence.
or any combination of these.
28
Aligner Alternative
for Control 3-D
Giuseppe Scuzzo, MD, DDS
Rome, Italy
Adult patients look to orthodontic treatment to which makes it simple for clini-
improve their looks, confidence and self-esteem. cians to introduce into their daily
To the patient, the psychological benefits from clinical routine. If patients do not
treatment often surpass improvements in function have occlusion problems in the
and dental health. We orthodontists know from our molar area, do not have dysfunc-
clinical experiences, with various studies validating tional problems, and do not wear
these perceptions, that most patients place primary fixed/removable prosthetics in the
importance on the appearance of their anterior posterior area, they are ideal can-
teeth as the key measure of satisfactory dental didates for anterior treatment
appearance. While orthodontists would consider with the STb Social 6.
facial balance, function, dental health and overall Dr. Scuzzo has been actively involved in further-
smile esthetics in any treatment plan as well as As its name implies, the STb Light ing advances in lingual orthodontic treatment for
nearly 25 years. He and Dr. Kyoto Takemoto, of
in the evaluation of treatment outcomes, patients Lingual system is based on a new
Tokyo, Japan, developed the STb Light Lingual
are often concerned only with having straight treatment philosophy of simplified appliance system and give courses in lingual
anterior teeth. procedures, light forces and low- orthodontics throughout the world. Dr. Scuzzo
completed his medical degree in 1983 and his
friction mechanics and a much dental degree in 1988 from Rome University,
The popularity of removable aligners to achieve thinner, smaller and rounder Rome, Italy, earning a postgraduate degree in
lingual orthodontics from Cagliari University
improved dental appearance is evidence of this bracket than those of all previous
in 1993. A member of the Italian and American
phenomenon. It also attests to the fact that adult lingual appliance systems. The STb Associations of Orthodontists and the American
patients prefer not to defer looking attractive until appliance has removed the key Lingual Orthodontic Association, Dr. Scuzzo is
also a past president of the Italian Lingual
the end of treatment. Patients want quick, comfort- obstacles that have restricted the Orthodontic Association and European Society
able treatment and the most discreet smile transfor- use and popularity of conventional of Lingual Orthodontics. He has been in private
practice limited to orthodontics and lingual
mation possible. While aligners may be an appro- lingual systems, eliminating the
orthodontics in Rome since 1983.
priate treatment for patients who require mild to tongue discomfort, mastication
moderate correction of the anterior teeth, they problems, pronunciation difficulty
don’t provide the 3-D control of fixed appliances. and gingival inflammation that have plagued
There is now a simple and easy aligner alternative – lingual treatment over the past 20 years. These
STb™ Social 6 Light Lingual system. The STb advances foster the role of lingual treatment as an
Social 6 system leverages the breakthroughs we esthetic alternative and make it easy for practition-
made in full lingual treatment technology to ers to recommend STb Social 6 to patients who
abbreviated treatment. The STb Social 6 system may have a strong predisposition for removable
is easy to learn with in-office or indirect setups, aligners but would benefit from 3-D control.
29
At 1.5 mm, the STb bracket’s low profile allows the wire to run close
to the tooth surface. Its narrow widths increase interbracket distance
50% more than the earlier Kurz 7th-generation lingual bracket
(Figure 1). This means that the elasticity of the archwire can be fully
utilized to provide rotational control. Light continuous forces move
teeth efficiently with minimum discomfort and less possibility of root
resorption. The STb Social 6 Light Lingual appliance system repre-
sents a better, quicker, easier way to treat simple malocclusions such
as relapsed cases, minor tooth movement, rotations, gaps or crowding
of the anterior teeth. There are five specific reasons why the STb
Social 6 can fit easily into your practice treatment options: quality,
speed, comfort, clinical ease of use and value.
Figure 1. The STb bracket (left) is less than two-thirds the size of the
Kurz lower anterior bracket (right).
PHASE 1 PHASE 2
Light Round Wire Finishing Wire,
If Required
30
QUALITY. Treat any case of minor to moderate anterior bracket bases adhere well to tooth surfaces and reduce the chance
crowding or spacing with maximum control and without of occlusal interferences. The low bracket profile permits bond-
worrying about misplaced aligners or lapses in wearing time. ing even in severely crowded dentitions.
The system’s light forces reduce the negative effects on perio-
dontal tissues and makes biologically compatible tooth VALUE. STb Social 6 is an effective practice builder because
movement possible. the patient will benefit from high-quality results in cases that
require more complex treatment than aligners can resolve and
SPEED. STb Social 6 utilizes a passive ligation design and with true invisibility. Clinicians can create the setups in-office
light, high-tech wires to dramatically reduce friction and with a simple hot-glue technique. No T.A.R.G. or C.L.A.S.S.
accelerate treatment. It uses light continuous forces (25 to 30 g), setups are required. They may also send their impressions to a
fostering biologically compatible tooth movement. Cases can qualified lab such as AOA and receive their transfer trays.
be completed in as little as six weeks and rarely go beyond
four months. CONCLUSION
Lingual orthodontics has moved into a new era with the STb
COMFORT. Low-profile 1.5 mm brackets with rounded Light Lingual system and the STb Social 6 appliance for mild to
contours are clinically proven to reduce lingual interference with moderate anterior correction. This totally invisible technique can
the tongue, which minimizes speech difficulties. Patients regain easily become part of the orthodontist’s daily practice thanks to
proper pronunciation within a few days. the simplification of clinical and laboratory procedures, which
satisfies both patients’ and doctors’ expectations.
CLINICAL EASE OF USE. The STb Social 6
system is easy to learn and use. A simple two-wire sequence
quickly unravels and aligns teeth, and, in most cases, only one
wire is required. There is no custom wire shaping and no need
for composite buttons. Ligation is with conventional ties with no
need for double overties, which shortens chairtime. The small
31
Setting the Stage for Success:
The Importance of
Office Staff in Marketing
Jeff Behan, Principal, Vision Trust
Colorado Springs, CO
Shakespeare said, “All the world’s a stage, and all the men and women
merely players….” Whether or not you like his message, I think you’d have
to agree that it’s a pretty reasonable perspective for a playwright. Likewise,
Jeff Behan is currently
I’m a marketing and branding specialist who has spent the better part of the
in his 25th year as a
marketing communications
last decade focused on the orthodontic profession. I don’t like to think that all
specialist. His creative work
includes marketing strategy,
of life is a stage, but I do believe that every place your practice interfaces with
television, radio and Internet
production, sales training and
the public is a stage and every member of your team an important player.
branding. Over his career, he
has played an integral role in
Ironically, it’s often the most overlooked player who can have the most
the development of strategy
and implementation of
profound impact on the success and growth of your practice. I refer,
marketing campaigns for a
diverse array of clients,
of course, to the receptionist and front office personnel.
including Intel Corporation;
Tele Communications, Inc.;
Delta Airlines and major
public utility companies
Former Patient Model vs New
as well as numerous If you’ve been in practice for a while, you’ve pro- effectiveness of every medium that preceded it. It
orthodontic and dental
manufacturing companies. bably already begun to notice an important trend brings the allure of print, audio and video together
He is the principal in the profession. It’s the trend toward people in a single source. More importantly, it puts the
member of VisionTrust
Communications, which
seeking consultations without the benefit of a consumer in control in a way that was never poss-
provides customized ads and professional or patient referral. The growth of con- ible before. Today, consumers go to the Web as a
communication tools sumer brands such as Invisalign® and the Damon® first order of business whenever they’re interested
to a wide array of clients
throughout the United States. System, along with the proliferation of Internet in a product or service. Your presence on the Web
Their major emphasis is search engine usage, has increased the orthodontic is fast becoming the first act in a stage play entitled
on orthodontic practices,
including many of the top
IQ of the general public. This couldn’t be happen- “Pick me! Pick me!”
providers in the country. ing at a better time. For the first time since the
post-war baby boom, birth rates are on the decline, The first real people who prospective patients
making adult treatment a critical path to growth (prospects) see on the stage of your practice are
for most orthodontic practices for the foreseeable your receptionist and front office staff members.
future. The Internet has combined the power and Think about it. People don’t always see you when
32
they interact with your practice, but they always see and/or speak Most of you are intuitive enough to hire front
with your receptionist. These people, perhaps more than any office staff who are friendly and people-
others, need to represent you well. If your front desk staff cannot oriented. Being warm and welcoming
represent the mission of your organization in personality and in comes naturally to them and, after a
action, your practice will never convey that mission to the out- little time getting used to the “busy-
side world. ness” of the front desk, they’re usually
well able to handle the basic require-
When 80% of your patients come from referrals, prospects will ments of their jobs.
tolerate a first call experience that is less than optimal because
a trusted individual told them that you are the person to see. The increasingly competitive environ-
In fact, under the referral model, receptionists were good to go ment of the orthodontic profession,
if they were friendly and could answer basic questions about however, mandates that front office
scheduling, pricing and insurance. As stated earlier, the tide has personnel need more than a smile that
turned and, most likely, the majority of your prospects are already can be seen through the phone and the
finding you without the benefit of referral. This phenomenon ability to handle scheduling and transfer-
dictates we recognize a new model for dealing with nonreferred ring calls. They are a critical part of the
prospects: the self-motivated consumer model. marketing process and, as such, need to
be able to:
Referred
Patient Model
VS Self-Motivated
Consumer Model
• Quickly qualify whether prospects
have been referred or are initiating
contact on their own and be
able to track this information.
• Make callers feel as if they’re
A trusted source has Prospects have found
presold prospects you on their own &
the most important part
for you researched treatment of the receptionist’s
options, your Web site
day while making
& competitors’
people standing at
Prospects will tolerate a Prospects have high the counter feel
less-than-optimal 1st call expectations for the
experience 1st call
the same way.
• Uncover the
Prospects will almost Prospects use the
basic motivation
always schedule a 1st call to determine that prompted
consult, regardless of the whether to schedule
the prospect
1st call experience a consult
to call.
Front desk staff feel they Front desk staff consider
need only to answer themselves a critical part
• Find out if the prospect
questions, be friendly and of marketing & 1st call a has researched treatment
schedule consults on key marketing opportunity
1st calls options.
Prospects are willing Prospects want to • Field basic questions about what
to give information get information makes you, your treatment approach
and your practice special.
• Clearly communicate the value of the
By the time self-motivated consumers make that first call to your consultation.
office, they’ve already researched treatment options and visited • Address any concerns the prospect may
your Web site and those of other practices in your area. Their first have.
call to your office is an important qualifier in their decision to see
• Capture information in a way that is
you so your front office staff needs to be ready to make the right
valuable to you and the treatment
impression every time.
coordinator.
33
In the referral model, the primary function of the receptionist is Let’s take a look at how an understanding of the four phases
to schedule consultations. Accordingly, many of the receptionists of learning can help you help your front office staff members
Conscious Incompetence
To move to conscious incompetence, the learner must first
Conscious Conscious become aware of the reason to develop new skills (e.g., the need
Incompetence – Competence – to change operating models) as well as the nature of the skills
We are aware of what We know what needs
needs to be done but don’t to be done and, with themselves (e.g., a new style of information gathering that
yet have the skills to be conscious effort, are able
successful to do a good job
doesn’t feel intrusive to the nonreferred caller). The receptionist
has to realize from some outside source that the new skills are an
important part of the job. Informed doctors, outside consultants,
even coworkers can help bring this important perspective into
focus; however, behavior change is difficult for all of us and it
Unconscious Unconscious often proves the most difficult for tenured employees. When they
Incompetence – Competence – try on new behaviors, they quickly realize that they aren’t com-
We don’t know what we We are able to do the right
Conscious Competence
Once learners have had repeated opportunities to practice their
new skills, complete with encouragement and feedback from
four
their supervisors, they’re able to consistently perform the job
well, but not without actively thinking about it. In the case of
The Phases of Learning
front office staff, that would mean they have to consciously think
To assist in helping your front office staff transition from the
about their behavior every time they interact with a patient in
referred patient model to the self-motivated consumer model,
the practice or pick up the phone. Through conscious effort,
it’s worthwhile to understand the principal of the four phases of
referring to ready resources (e.g., FAQs) and seeking feedback for
learning. Many of you are, perhaps, familiar with the principle
improvement, they will become consciously competent. When
that works on the assumption that in any new endeavor people
they reach the level of conscious competence there is reason to
start out less than competent and grow in competence over time
celebrate because truly great players will continue to take their
with the proper training. The four phases are:
35
LOCATION
ORMCO AROUND THE WORLD • COURSE SCHEDULE AT A GLANCE
Auckland, New Zealand
Melbourne, Australia
DATE(S)
2008
4/18
4/21
SPEAKER(S)
John Graham
John Graham
TITLE/SUBJECT
VectorTAS*
VectorTAS*
CONTACT
Jacqueline Doon
Jacqueline Doon
PHONE
+612.8875.8100
+612.8875.8100
ONLINE REGISTRATION**/
E-MAIL ADDRESS
ormco.australia@sybrondental.com
ormco.australia@sybrondental.com
ci clinical impressions®
Singapore, Indonesia 4/15 John Graham VectorTAS* Christine Tan +656.732.0533 ossortho@singnet.com.sq
Sydney, Australia 4/23 John Graham VectorTAS* Jacqueline Doon +612.8875.8100 ormco.australia@sybrondental.com
Buenos Aires, Argentina 4/24-26 Bill Thomas Damon & Variable Torques Amalia Rey +54.11.4829.00313 amaliarey@orthodontika.com
Charlotte, NC 5/2 John Graham VectorTAS* Mindy Marland 800.854.1741/Ext. 7435 www.ormco.com
Dallas, TX 5/2 Pitts & Dischinger Adv. System Mechanics Lauren Bui 800.854.1741/Ext. 7593 www.ormco.com
La Paz, Bolivia 4/15-16 Medellin & Molina Damon & Variable Torques, Int./Adv. Armando Araoz +59.1717.48.590 odontser@supernet.com.bo
Lima, Peru 4/10-12 Medellin & Molina Damon & Variable Torques, Int./Adv. Dra. Tina Linares +511.983.504.465 tinalinares@yahoo.es
Montreal, Canada 4/4 John Graham VectorTAS* Mindy Marland 800.854.1741/Ext. 7435 www.ormco.com
Nashville, TN 4/18-19 Alan Bagden Fundamentals of Passive SL Lauren Bui 800.854.1741/Ext. 7593 www.ormco.com
Poway, CA 4/18-19 Bill & Scarlett Thomas Damon – In-Office Scarlett Thomas 858.748.6200 scarlett@powaybraces.com
Mexico City, Mexico 4/18-19 Carlos Solorio Damon Basic Francisco Bucio 800.021.0406 francisco.bucio@sybrondental.com
Monterrey, Mexico 4/25-26 Carlos Solorio Damon Basic Francisco Bucio 800.021.0406 francisco.bucio@sybrondental.com
Mexico City, Mexico 5/14-15 Ricardo Medellin Damon Basic Francisco Bucio 800.021.0406 francisco.bucio@sybrondental.com
Springfield, VA 5/22-23 Alan Bagden Understanding Damon, Adv. Kathy Bagden 703.893.0792 kbagden@yahoo.com
Washington, DC 4/4 Steve Tracey VectorTAS* Mindy Marland 800.854.1741/Ext. 7435 www.ormco.com
Arnhem, The Netherlands 4/18-19 Nico Merkens Damon Full Impl. Class Dr. Merkens +31.26.3813111 www.orthomerkens.nl
Barcelona, Spain 4/4-5 Giuseppe Scuzzo STb Catelijne de Gooijer +31.33.4536.171 www.ormcoeurope.com
Dubrovnik, Croatia 3/31-4/1 Alan Bagden Damon Slavica Alpeza +385.91.461.3484 www.alpex-doo.com
Herne, Germany 4/26 Markus Heise Damon Dr. Heise +49.2323.9468300
Kiruna, Sweden 4/3-5 David Birnie Damon Sweorto +46.40.661.01.40 mail@sweorto.se
Köln, Germany 4/11-12 Knut Thedens Damon Dr. Thedens +49.421.34.65.56 www.ormcoeurope.com
London, UK 4/4-5 Alan Bagden Damon Catelijne de Gooijer +31.33.4536.171 www.ormcoeurope.com
London, UK 4/19-20 Birnie & Harradine Damon EinO www.excellenceinorthodontics.com
Moscow, Russia 5/11-12 Scuzzo & Takemoto STb Raissa Voronin +7.812.324 74 14 dental@dentalcomplex.com
Paris, France 4/6-7 Ephraim Medina Damon, Basic Selena Darevic +331.49.88.60.55 selena.darevic@ormodent.com
Asia, Australia and New Zealand North and South America Europe and Russia
For additional information on courses listed above, use the contact information shown. For a complete list of courses, visit your region’s Web site: www.ormco.com (N. America, Australia, New Zealand),
www.ormodent.com (Europe), www.ormcoeurope.com (Europe), www.ormco-japan.com (Asia), www.ormco.com.mx (S. America).
The New Gold Standard
for Temporary Anchorage:
VectorTAS
Drs. John Graham, Jim Hilgers,
Nicole Scheffler and Steve Tracey