Orthotown April 2015 - (Page 18)

clinical orthodontics // feature Is Indirect Bonding RIGHT For Your Practice? by Andrea L. Cook I ndirect bonding is an advanced method of bracket placement used in accordance with straight wire orthodontic systems. The basic process includes taking an accurate PVS impression or scan, brackets placed on the model (plaster or printed), indirect bonding trays formed, and the indirect bonding trays placed intra-orally. Choosing the correct indirect bonding process is an individual decision based on several concerns. Turnaround time, cost, staffing, as well as other concerns will help determine which option is best for you and your practice. Indirect bonding can greatly increase the accuracy of bracket placement. The benefit of accurately placing brackets 7-7 will decrease treatment time by having fewer bracket repo- 18 APRIL 2015 // orthotown.com sitions. This process also allows for the alignment of the second molars from the beginning of treatment. While the process does increase lab expenses for the fabrication of the trays, this cost is typically offset by the reduction of clinical chair time, number of appointments necessary to complete treatment as well as total treatment time. Patient comfort can also increase with this process. Chair time and the time the patient is in the retraction system is reduced as well. Typically, a full upper and lower indirect-bonding case can be completed in one 60-90 minute appointment. The time the patient is in the retraction system is kept to a minimum by the clinician placing the trays and completing the light-cure process. How do you know if indirect bonding is right for your office? Here are some questions that may aid your decision: 1. Is your percentage of patients over estimated completion date too high? 2. Is your number of bracket repositions too high? 3. Is your number of appointments during treatment too high? 4. Do you need to reduce doctor time in your schedule? Continued on p. 20 http://www.orthotown.com

Table of Contents for the Digital Edition of Orthotown April 2015

Orthotown.com Highlights
Embrace Progress: From Clinical Skills to Marketing, Orthodontists Need a Wide Skill Base
Severely Short Roots
Open-Bite Corrections with TADs
Is Indirect Bonding Right for Your Practice?
Anterior Open-Bite Treatment with Clear Aligners
American Association of Orthodontics
Native Intelligence: Management Software without the Catch
Corporate Profile: The Direct Mail Pros of OrthodonticMarketing.net
Braces v. Aligners
A Great Big Reason to Smile in Arizona
Practice Management
Bonding to Ceramic Crowns

Orthotown April 2015

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