80 th  Annual Midwest Angle Component Meeting  Orlando, Florida  “SureSmile – An Eight Year Clinical Perspective” Ron Snyd...
<ul><li>“ SureSmile enables the orthodontist to provide personalized and targeted therapeutics using robotically fabricate...
“ Early in my career, I knew that I needed a marketing strategy, a practice brand.”
History with SureSmile <ul><li>Beta Tester 2003 – 7 th  Provider Nationally </li></ul><ul><li>SureSmile Clinical Advisory ...
 
 
 
SureSmile Finishes ’04-’10 <ul><li>’ 04 – 13 </li></ul><ul><li>’ 05 – 50 </li></ul><ul><li>’ 06 – 129 </li></ul><ul><li>’ ...
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...
Promises <ul><li>Improved Diagnostics  </li></ul><ul><li>More Efficient Force Systems  </li></ul><ul><ul><li>Capacity – se...
Promise #1 <ul><li>Improved Diagnostics  </li></ul>
Promise #2 <ul><li>More Efficient Force Systems  </li></ul><ul><ul><li>Capacity – see more patients </li></ul></ul><ul><ul...
Promise #3 <ul><li>Faster Treatment </li></ul>
Months in Braces with SureSmile <ul><li>’ 04 – 12.73  (n=13) </li></ul><ul><li>’ 05 – 16.87  (n=50) </li></ul><ul><li>’ 06...
 
 
 
2010 Finish Statistics SureSmile Conventional  <ul><li>Finishes – 161 </li></ul><ul><li>Mean treatment time in braces – 20...
Let’s run the numbers <ul><li>$5500.00 - Case fee </li></ul><ul><li>$300.00 - Fixed costs (bands/brackets/lingual arches/l...
Promise #4 <ul><li>Better Finishes </li></ul>
 
 
 
 
Promises #6 <ul><li>Distinguish your practice from the rest of you “backward,” “inefficient,” “slow,” “lower quality” orth...
Heavily Marketed as “Faster and Better”
 
Promise #5 <ul><li>100% Practice Conversion </li></ul>
Case Selection – Cases that I’m thinking SureSmile <ul><li>Non-extraction </li></ul><ul><li>Class I  </li></ul><ul><ul><li...
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.
 
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
 
 
Where SureSmile offers a distinctive advantage <ul><li>Surgical Patients </li></ul><ul><ul><li>Virtual planning of the sur...
SureSmile Surgical patients 2010 <ul><li>15 patients treated with SureSmile wires </li></ul><ul><ul><li>6 two jaws, 5 maxi...
Age 15-2 Previously 14 months of upper arch treatment for high cuspids
 
7 months aligning wires Scanning date
 
 
 
 
2 months with SureSmile wires in place  Pre-surgery
5 months in SureSmile wires  13 months in total braces time 12 “routine” visits
 
 
 
 
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 ...
01/07/2010
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Angle2011

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Angle2011

  1. 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. 2. <ul><li>“ SureSmile enables the orthodontist to provide personalized and targeted therapeutics using robotically fabricated prescription archwires.” </li></ul><ul><ul><li>Rohit’s approach is a response to the limitations of full arch orthodontics which is inherently limited by the underlining skeletal disproportions </li></ul></ul>AJODO August 2010
  3. 3. “ Early in my career, I knew that I needed a marketing strategy, a practice brand.”
  4. 4. History with SureSmile <ul><li>Beta Tester 2003 – 7 th Provider Nationally </li></ul><ul><li>SureSmile Clinical Advisory Board 2004-2008 </li></ul><ul><li>Moyers presenter 2005 </li></ul><ul><li>AAO presenter 2005, 2011 </li></ul><ul><li>625 Finishes </li></ul><ul><li>2 published articles on my finishing and 3 rd in the works at the University of Michigan </li></ul>
  5. 8. SureSmile Finishes ’04-’10 <ul><li>’ 04 – 13 </li></ul><ul><li>’ 05 – 50 </li></ul><ul><li>’ 06 – 129 </li></ul><ul><li>’ 07 – 144 </li></ul><ul><li>’ 08 – 124 </li></ul><ul><li>’ 09 - 92 </li></ul><ul><li>’ 10 - 73 </li></ul>
  6. 9. Equipment rental or purchase Case Fee
  7. 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
  8. 11. Promises <ul><li>Improved Diagnostics </li></ul><ul><li>More Efficient Force Systems </li></ul><ul><ul><li>Capacity – see more patients </li></ul></ul><ul><ul><li>Cash Flow </li></ul></ul><ul><li>Faster Treatment </li></ul><ul><ul><li>Capacity </li></ul></ul><ul><li>Better Finishes </li></ul><ul><li>100% Practice Conversion </li></ul><ul><li>Distinguish your practice from the rest of you “backward,” “inefficient,” “slow,” “lower quality” orthodontists </li></ul>
  9. 12. Promise #1 <ul><li>Improved Diagnostics </li></ul>
  10. 13. Promise #2 <ul><li>More Efficient Force Systems </li></ul><ul><ul><li>Capacity – see more patients </li></ul></ul><ul><ul><li>Cash Flow </li></ul></ul>
  11. 14. Promise #3 <ul><li>Faster Treatment </li></ul>
  12. 15. Months in Braces with SureSmile <ul><li>’ 04 – 12.73 (n=13) </li></ul><ul><li>’ 05 – 16.87 (n=50) </li></ul><ul><li>’ 06 – 15.55 (n=129) </li></ul><ul><li>’ 07 – 15.06 (n=144) </li></ul><ul><li>’ 08 – 13.69 (n=124) </li></ul><ul><li>’ 09 – 13.59 (n=92) </li></ul><ul><li>’ 10 – 13.22 (n=73) </li></ul>
  13. 19. 2010 Finish Statistics SureSmile Conventional <ul><li>Finishes – 161 </li></ul><ul><li>Mean treatment time in braces – 20 months </li></ul><ul><li>Mean number of office visits – 17.5 </li></ul><ul><li>(22 months – the national average per Charlene White) </li></ul><ul><li>Finishes – 73 </li></ul><ul><li>Mean time before SureSmile wires – 4 months </li></ul><ul><li>Mean number of SureSmile scans – 1.03 </li></ul><ul><li>Mean total treatment time in braces – 13.2 months </li></ul><ul><li>Mean number of office visits – 13 </li></ul><ul><ul><li>All SureSmile visits are without manual wire bending </li></ul></ul>
  14. 20. Let’s run the numbers <ul><li>$5500.00 - Case fee </li></ul><ul><li>$300.00 - Fixed costs (bands/brackets/lingual arches/light wires </li></ul><ul><li>$900.00 SureSmile cost </li></ul><ul><li>$5500 - 1200 = $4100 </li></ul><ul><li>$4100/13 visits = $315/visit </li></ul><ul><li>$5100.00 Case fee </li></ul><ul><li>$300.00 Fixed costs </li></ul><ul><li>$5100 - 300 = $4800 </li></ul><ul><li>$4800/22 visits = $218/visit </li></ul><ul><li>($4800/17 = $282) </li></ul>SureSmile Conventional
  15. 21. Promise #4 <ul><li>Better Finishes </li></ul>
  16. 26. Promises #6 <ul><li>Distinguish your practice from the rest of you “backward,” “inefficient,” “slow,” “lower quality” orthodontists </li></ul>
  17. 27. Heavily Marketed as “Faster and Better”
  18. 29. Promise #5 <ul><li>100% Practice Conversion </li></ul>
  19. 30. Case Selection – Cases that I’m thinking SureSmile <ul><li>Non-extraction </li></ul><ul><li>Class I </li></ul><ul><ul><li>crowding </li></ul></ul><ul><ul><li>constricted </li></ul></ul><ul><ul><li>open bites under vertical control </li></ul></ul><ul><li>Class II/III – mild with compliance </li></ul><ul><li>Deep bite – mild with bite opening mechanics </li></ul><ul><li>Adults </li></ul><ul><li>Surgical </li></ul>
  20. 31. Age 16 Asymmetric Class II Constricted Mild Crowding
  21. 32. 3 months light aligning wires Scanning date
  22. 33. 7 months in SureSmile wires 11 months in total braces time 10 “routine” visits
  23. 34. Tim Alford’s Scores 16 D.I. 22 C.R.E.
  24. 35. Age 13 Mild Class II Generalized spacing Mild deep bite
  25. 36. 14 months headgear and space closure Scanning date
  26. 37. 4 months in SureSmile wires 18 months in total braces time 15 “routine” visits
  27. 38. Tim Alford’s Scores 24 D.I. 15 C.R.E.
  28. 39. Age 14 Mild Class II Had earlier expansion Mild deep bite
  29. 40. 3.5 months aligning wires and Headgear Scanning date
  30. 41. 9 months in SureSmile wires and Headgear 12.5 months in total braces time 10 “routine” visits
  31. 42. Tim Alford’s Scores 12 D.I. 16 C.R.E.
  32. 44. 4 months Haas 6 months Schwartz
  33. 45. 4 months light wires Scanning date
  34. 46. 4 months light wires 6 months SureSmile 10 months braces 9 “routine” visits
  35. 49. Where SureSmile offers a distinctive advantage <ul><li>Surgical Patients </li></ul><ul><ul><li>Virtual planning of the surgical move and the final archwires </li></ul></ul><ul><ul><li>Capitalize on the mechanical properties of CuNiTi during “Rapid Acceleratory Phenomenon” immediately post surgery </li></ul></ul>
  36. 50. SureSmile Surgical patients 2010 <ul><li>15 patients treated with SureSmile wires </li></ul><ul><ul><li>6 two jaws, 5 maxilla’s only, 4 mandibular advancements </li></ul></ul><ul><li>Mean time in light leveling/aligning wires – 6 months </li></ul><ul><li>Mean time in SureSmile wires – 6 months </li></ul><ul><li>Mean time in braces post surgery – 5 months </li></ul><ul><li>Mean time in treatment 17 months </li></ul>
  37. 51. Age 15-2 Previously 14 months of upper arch treatment for high cuspids
  38. 53. 7 months aligning wires Scanning date
  39. 58. 2 months with SureSmile wires in place Pre-surgery
  40. 59. 5 months in SureSmile wires 13 months in total braces time 12 “routine” visits
  41. 64. Cases where I avoid SureSmile
  42. 65. Age 47 Pre-orthodontic periodontal tissue grafting Upper 4s and lower incisor extracted
  43. 66. 4 months light wire alignment
  44. 67. 9 months preparing for space closure Scanning date
  45. 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
  46. 69. 01/07/2010

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