the orthodontic “hare & tortoise” story · the orthodontic “hare & tortoise” story...

THE ORTHODONTIC “HARE & TORTOISE” STORY !

A Reality Check on “ACCELERATED

ORTHODONTICS”

Nikhilesh R Vaid Professor

YMT Dental College & Hospital Navi Mumbai,INDIA

President : ASIAN PACIFIC ORTHODONTIC SOCIETY President : INDIAN ORTHODONTIC SOCIETY

Editor in Chief : APOS TRENDS IN ORTHODONTICS

“I WANT STRAIGHT TEETH QUICK”

THE DOT-COM PATIENT

“I WANT STRAIGHT TEETH QUICK”

Q U I C K

nanswered questions ?

nnovative Strategies & Solutions

linical Trials for the future

ISS : The HARE & TORTOISE Story

uantifying the Acceleration Terrain

Q uantifying the Acceleration Terrain QUICK

•The need ? •The methods ! •Connecting the two :)

Q uantifying the Acceleration TerrainQUICK

If you agree to spend X number of dollars for a “Product” or a “Procedure”,your treatment time will reduce from 5 to 2 months !

www.apospublications.com

ARE WE THERE YET ?

Unanswered questions ? QUICK

•Level of Information •Bottom lines •The missing links !

QUICK

ACCELERATION : The BOTTOM LINES ?

So whats your marathon timing ?

I’ve never run a “Full Marathon”

*PART OF TREATMENT * TECHNIQUE SPECIFICITY * SPLIT MOUTH * ADVERSE EFFECTS ?

“Overall reporting is Suboptimal making Data Extraction Procedures Problematic”

Gkantidis et al 2014

Unanswered questions ?

QUICK

ACCELERATION : The BOTTOM LINES ?

WHAT DETERMINES SPEED ?

WHAT ARE THE DIFFERENT BIOLOGICAL RESPONSES TO FORCE ?

DO WE HAVE DATA ON NORMAL TREATMENT TIMES ?

Growth Status , Appliance Efficacy ?

You’re Joking Right ?

Pharmacological Biological-Bioelectrical Physical Intervention

Unanswered questions ?

Innovative Strategies & Solutions QUICK

•Our Trysts :) •Mechanics Checklist ! •Breaking News !

QUICK

ACCELERATION : Our Trysts :)

• A Vibration Device :YMT Vib • MOP V/S Corticotomy • MOP Variants • RCT s in Progress : Propel ,Vibrations,LLT

Innovative Strategies & Solutions

Clinical Trials for the future QUICK

•Current Trials on Acceleration ?

•The 6 pointers for the future !

QUICK

The 6 point something !

Vaid NR.Products ,Procedures or a Pipe Dream ? APOS Trends in Orthod 2015;5:53-5

• Uniform Designs,evaluating entire treatment • Multi centric Evaluation of the Designs • Patient Experience Scores for Holistic assessment • Personalised Acceleration Modality (Early) • Qualitative Data non negotiable (PAR & ABO) • Stability of treated results

Clinical Trials for the future

KEEP IT

SIMPLE STUPID

SIMPLE & STUPID

SWEET & SIMPLE

SHORT & SIMPLE

SIMPLE & SMART

SPECKLESS & SANS

SUPER SIMPLEKEEP IT

SIMPLE STUPID

SIMPLE & STUPID

SWEET & SIMPLE

SHORT & SIMPLE

SIMPLE & SMART

SPECKLESS & SANS

SUPER SIMPLE KEEP IT

SIMPLE STUPID

SIMPLE & STUPID

SWEET & SIMPLE

SHORT & SIMPLE

SIMPLE & SMART

SPECKLESS & SANS

SUPER SIMPLE

KEEP IT

SIMPLE STUPID

SIMPLE & STUPID

SWEET & SIMPLE

SHORT & SIMPLE

SIMPLE & SMART

SPECKLESS & SANS

SUPER SIMPLE

KEEP IT

SIMPLE STUPID

SIMPLE & STUPID

SWEET & SIMPLE

SHORT & SIMPLE

SIMPLE & SMART

SPECKLESS & SANS

SUPER SIMPLE

KEEP IT

SIMPLE STUPID

SIMPLE & STUPID

SWEET & SIMPLE

SHORT & SIMPLE

SIMPLE & SMART

SPECKLESS & SANS

SUPER SIMPLE

SWEET & SIMPLE

SHORT & SIMPLE

SIMPLE & SMART

SPECKLESS & SANS

SUPER SIMPLE

KEEP IT

SIMPLE STUPID

SIMPLE & STUPID

SWEET & SIMPLE

SHORT & SIMPLE

KISS : The HARE & TORTOISE Story QUICK

• KEEP IT SUPER SIMPLE !

“I WANT STRAIGHT TEETH

Patients want it, Orthodontists too ! Aggressive Protocols not Preffered

Evidence still moderate to low ! Mechanism of Action : Different view points

Smart Mechanics don’t have a substitute ! MOPs,Lasers,YMT Vib,Secretomes & SoBo : Promise

linical Trials for the future

Q U I C K

nanswered questions ?

nnovative Strategies & Solutions

ISS : The HARE & TORTOISE Story

uantifying the Acceleration Terrain

The right markers ! The 6 point something :)

“ WE’RE GETTING THERE BUT NOT YET ”

THE ACCELERATION TERRAIN