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Updated 1/18/2011

Updated 1/18/2011

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Angle2011 Presentation Transcript

  • 1. 80 th Annual Midwest Angle Component Meeting Orlando, Florida “SureSmile – An Eight Year Clinical Perspective” Ron Snyder, D.D.S. Apple Valley, Minnesota
  • 2.
    • “ SureSmile enables the orthodontist to provide personalized and targeted therapeutics using robotically fabricated prescription archwires.”
      • Rohit’s approach is a response to the limitations of full arch orthodontics which is inherently limited by the underlining skeletal disproportions
    AJODO August 2010
  • 3. “ Early in my career, I knew that I needed a marketing strategy, a practice brand.”
  • 4. History with SureSmile
    • Beta Tester 2003 – 7 th Provider Nationally
    • SureSmile Clinical Advisory Board 2004-2008
    • Moyers presenter 2005
    • AAO presenter 2005, 2011
    • 625 Finishes
    • 2 published articles on my finishing and 3 rd in the works at the University of Michigan
  • 5.  
  • 6.  
  • 7.  
  • 8. SureSmile Finishes ’04-’10
    • ’ 04 – 13
    • ’ 05 – 50
    • ’ 06 – 129
    • ’ 07 – 144
    • ’ 08 – 124
    • ’ 09 - 92
    • ’ 10 - 73
  • 9. Equipment rental or purchase Case Fee
  • 10. Termination – they can threaten to pull the plug if you don’t want to re-sign to their terms every three years Contract re-negotiations could become unreasonable if you’ve branded yourself as a “SureSmile” practice
  • 11. Promises
    • Improved Diagnostics
    • More Efficient Force Systems
      • Capacity – see more patients
      • Cash Flow
    • Faster Treatment
      • Capacity
    • Better Finishes
    • 100% Practice Conversion
    • Distinguish your practice from the rest of you “backward,” “inefficient,” “slow,” “lower quality” orthodontists
  • 12. Promise #1
    • Improved Diagnostics
  • 13. Promise #2
    • More Efficient Force Systems
      • Capacity – see more patients
      • Cash Flow
  • 14. Promise #3
    • Faster Treatment
  • 15. Months in Braces with SureSmile
    • ’ 04 – 12.73 (n=13)
    • ’ 05 – 16.87 (n=50)
    • ’ 06 – 15.55 (n=129)
    • ’ 07 – 15.06 (n=144)
    • ’ 08 – 13.69 (n=124)
    • ’ 09 – 13.59 (n=92)
    • ’ 10 – 13.22 (n=73)
  • 16.  
  • 17.  
  • 18.  
  • 19. 2010 Finish Statistics SureSmile Conventional
    • Finishes – 161
    • Mean treatment time in braces – 20 months
    • Mean number of office visits – 17.5
    • (22 months – the national average per Charlene White)
    • Finishes – 73
    • Mean time before SureSmile wires – 4 months
    • Mean number of SureSmile scans – 1.03
    • Mean total treatment time in braces – 13.2 months
    • Mean number of office visits – 13
      • All SureSmile visits are without manual wire bending
  • 20. Let’s run the numbers
    • $5500.00 - Case fee
    • $300.00 - Fixed costs (bands/brackets/lingual arches/light wires
    • $900.00 SureSmile cost
    • $5500 - 1200 = $4100
    • $4100/13 visits = $315/visit
    • $5100.00 Case fee
    • $300.00 Fixed costs
    • $5100 - 300 = $4800
    • $4800/22 visits = $218/visit
    • ($4800/17 = $282)
    SureSmile Conventional
  • 21. Promise #4
    • Better Finishes
  • 22.  
  • 23.  
  • 24.  
  • 25.  
  • 26. Promises #6
    • Distinguish your practice from the rest of you “backward,” “inefficient,” “slow,” “lower quality” orthodontists
  • 27. Heavily Marketed as “Faster and Better”
  • 28.  
  • 29. Promise #5
    • 100% Practice Conversion
  • 30. Case Selection – Cases that I’m thinking SureSmile
    • Non-extraction
    • Class I
      • crowding
      • constricted
      • open bites under vertical control
    • Class II/III – mild with compliance
    • Deep bite – mild with bite opening mechanics
    • Adults
    • Surgical
  • 31. Age 16 Asymmetric Class II Constricted Mild Crowding
  • 32. 3 months light aligning wires Scanning date
  • 33. 7 months in SureSmile wires 11 months in total braces time 10 “routine” visits
  • 34. Tim Alford’s Scores 16 D.I. 22 C.R.E.
  • 35. Age 13 Mild Class II Generalized spacing Mild deep bite
  • 36. 14 months headgear and space closure Scanning date
  • 37. 4 months in SureSmile wires 18 months in total braces time 15 “routine” visits
  • 38. Tim Alford’s Scores 24 D.I. 15 C.R.E.
  • 39. Age 14 Mild Class II Had earlier expansion Mild deep bite
  • 40. 3.5 months aligning wires and Headgear Scanning date
  • 41. 9 months in SureSmile wires and Headgear 12.5 months in total braces time 10 “routine” visits
  • 42. Tim Alford’s Scores 12 D.I. 16 C.R.E.
  • 43.  
  • 44. 4 months Haas 6 months Schwartz
  • 45. 4 months light wires Scanning date
  • 46. 4 months light wires 6 months SureSmile 10 months braces 9 “routine” visits
  • 47.  
  • 48.  
  • 49. Where SureSmile offers a distinctive advantage
    • Surgical Patients
      • Virtual planning of the surgical move and the final archwires
      • Capitalize on the mechanical properties of CuNiTi during “Rapid Acceleratory Phenomenon” immediately post surgery
  • 50. SureSmile Surgical patients 2010
    • 15 patients treated with SureSmile wires
      • 6 two jaws, 5 maxilla’s only, 4 mandibular advancements
    • Mean time in light leveling/aligning wires – 6 months
    • Mean time in SureSmile wires – 6 months
    • Mean time in braces post surgery – 5 months
    • Mean time in treatment 17 months
  • 51. Age 15-2 Previously 14 months of upper arch treatment for high cuspids
  • 52.  
  • 53. 7 months aligning wires Scanning date
  • 54.  
  • 55.  
  • 56.  
  • 57.  
  • 58. 2 months with SureSmile wires in place Pre-surgery
  • 59. 5 months in SureSmile wires 13 months in total braces time 12 “routine” visits
  • 60.  
  • 61.  
  • 62.  
  • 63.  
  • 64. Cases where I avoid SureSmile
  • 65. Age 47 Pre-orthodontic periodontal tissue grafting Upper 4s and lower incisor extracted
  • 66. 4 months light wire alignment
  • 67. 9 months preparing for space closure Scanning date
  • 68. 12 months in SureSmile wires - 21 months total braces time 24 “routine” visits Final pictures to be taken and placed here on 1/19/11
  • 69. 01/07/2010