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Angle2011
 

Angle2011

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Updated 1/18/2011

Updated 1/18/2011

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    Angle2011 Angle2011 Presentation Transcript

    • 80 th Annual Midwest Angle Component Meeting Orlando, Florida “SureSmile – An Eight Year Clinical Perspective” Ron Snyder, D.D.S. Apple Valley, Minnesota
      • “ 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
    • “ Early in my career, I knew that I needed a marketing strategy, a practice brand.”
    • 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
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    • SureSmile Finishes ’04-’10
      • ’ 04 – 13
      • ’ 05 – 50
      • ’ 06 – 129
      • ’ 07 – 144
      • ’ 08 – 124
      • ’ 09 - 92
      • ’ 10 - 73
    • Equipment rental or purchase Case Fee
    • 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
    • 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
    • Promise #1
      • Improved Diagnostics
    • Promise #2
      • More Efficient Force Systems
        • Capacity – see more patients
        • Cash Flow
    • Promise #3
      • Faster Treatment
    • 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)
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    • 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
    • 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
    • Promise #4
      • Better Finishes
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    • Promises #6
      • Distinguish your practice from the rest of you “backward,” “inefficient,” “slow,” “lower quality” orthodontists
    • Heavily Marketed as “Faster and Better”
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    • Promise #5
      • 100% Practice Conversion
    • 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
    • Age 16 Asymmetric Class II Constricted Mild Crowding
    • 3 months light aligning wires Scanning date
    • 7 months in SureSmile wires 11 months in total braces time 10 “routine” visits
    • Tim Alford’s Scores 16 D.I. 22 C.R.E.
    • Age 13 Mild Class II Generalized spacing Mild deep bite
    • 14 months headgear and space closure Scanning date
    • 4 months in SureSmile wires 18 months in total braces time 15 “routine” visits
    • Tim Alford’s Scores 24 D.I. 15 C.R.E.
    • Age 14 Mild Class II Had earlier expansion Mild deep bite
    • 3.5 months aligning wires and Headgear Scanning date
    • 9 months in SureSmile wires and Headgear 12.5 months in total braces time 10 “routine” visits
    • Tim Alford’s Scores 12 D.I. 16 C.R.E.
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    • 4 months Haas 6 months Schwartz
    • 4 months light wires Scanning date
    • 4 months light wires 6 months SureSmile 10 months braces 9 “routine” visits
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    • 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
    • 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
    • Age 15-2 Previously 14 months of upper arch treatment for high cuspids
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    • 7 months aligning wires Scanning date
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    • 2 months with SureSmile wires in place Pre-surgery
    • 5 months in SureSmile wires 13 months in total braces time 12 “routine” visits
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    • Cases where I avoid SureSmile
    • Age 47 Pre-orthodontic periodontal tissue grafting Upper 4s and lower incisor extracted
    • 4 months light wire alignment
    • 9 months preparing for space closure Scanning date
    • 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
    • 01/07/2010