Topics of the day:

1. Re: Where Can I find this measuring gauge
2. Re: Retainers after Phase I treatment
3. Re: Retainers after Phase I treatment
4. Re: Staff Salaries
5. Re: Staff Salaries
6. Re: Staff Salaries
7. Computerized Inventory
8. ESCO - The Electronic Study Club for Orthodontics


Date: Thursday, January 20, 2005 2:29 PM
Subject: Re: Where Can I find this measuring gauge
From: "Kenyu Takamoto " <>

To Dr. John McDonald:

I've one, it says "ZURCHER MODELL DENTAURUM 042-751". I think you can try the "Dentaurum company".

Good luck.

Kenyu Takamoto
Bellevue, WA


Date: Thu, 20 Jan 2005 17:12:39 +0100
Subject: Re: Retainers after Phase I treatment
From: "Dr. Henning Madsen" <>

Dear colleagues,

Retention between phase I and phase one phase II is a problem that in most cases cannot be resolved efficiently - and this is one of the many reasons to avoid II-phase treatment. Others are prolongued total treatment time and higher cost in relation to standard I-phase treatment, while better results cannot be expected.

The very few exceptions to these rules today are the same as they were defined 50-60 years ago: class III, cross bites, extreme overjets with air-cooled incisors and some other rare diagnoses. It is very rewarding to read the old articles by Nance and Strang on this issue. Although they were not based on extensive research, but rather on clinical experience and intuition, most of what they wrote on treatment timing stood the test of time and was confirmed by research in recent years.

Thus, the rising popularity of II-phase treatment in our days cannot be justified by scientific data. On the contrary, it seems to be based mostly on practice management decisions, because young patients can be branded early and kept in the offices for a longer time. Good for us, but bad for them.

It is not my intention to attack anyone asking a question on II-phase treatment, but I think if treatment efficiency is a matter of concern, such problems will rarely occur in daily practice.

Dr. Henning Madsen
Orthodontist Ludwigstr.
36 67059 Ludwigshafen
Tel 0049+621+59 16 80
Fax 0049+621+59 16 820


Date: Fri, 21 Jan 2005 01:59:07 EST
Subject: Re: ESCO Digest - 12 Jan 2005 to 19 Jan 2005 (#2005-4)

Re:  Phase 1 retention


What is it that you are trying to hold?

My feeling is that if a first phase of treatment is necessary (I find only about 20% in my practice, not counting serial extraction/lower lingual arch)  then it is the orthodontists responsibility to insure that the correction is held until phase II.  In my practice that means soldered TPA's after expansion, upper lingual arches with spurs distal to the laterals and in some cases, a bonded lingual 1 to 1 to hold a diastima closed if that is what I corrected.

I often wonder if people really think that the average 9 year old can keep track of a retainer for 2  1/2 years waiting for teeth to erupt.  I mean, most adults loose their car keys at least once a month.   Permanent retention is the only responsible solution, or ask yourself, why you are doing the treatment.  Is it really something that cannot be achieved in a final, definitive phase of treatment?  If not, fix it and hold it without any patient cooperation.  Parents are happier and your life is easier.

John McDonald
Salem, OR


Date: Thu, 20 Jan 2005 07:51:23 EST
Subject: Re: Staff Salaries

Dear Todd Walkow,

Total staff compensation including salaries and benefits ordinarily should be from 20% to 25% of your gross practice receipts.  Any less than then 20% and you are most likely underpaying staff.  Any more than 25% and you are probably overpaying.  If you live in the northeast the high range can go to 27% due to some state laws.

Jerry Clark, DDS, MS
Chairman of the Board, BentsonClark (formerly Orthodontic Management Group)


From: "Ron Parsons" <>
Subject: Response to "Staff Salaries"
Date: Thu, 20 Jan 2005 03:47:00 -0500

My comments are in response to the question raised by Dr. Walkow's regarding whether staff salaries should be in the 21-24% range.

It was implied that staff (“team”) growth is predicated on maintaining a certain percentage of income to the staff.  Why effectively give the staff a fixed percentage of the practice's income.  The staff certainly does not receive a portion of its liabilities?  The comments also suggested that staff is motivated by income.  Parents don't make a decision to begin treatment principally on the fee, so why think that staff does a good job based on salary, regardless of what they say.  I submit that we doctors too often use our analytical bias to solve this “touchy feely” problem of how to keep staff motivated.  Who knows, it may be that when staff is paid too much, they become lethargic.   

Also, to strive to be in the “range” of staffs salaries found in other practices is to be like other practices, which is “average” by definition.  Lastly, as one's practice grows, there is an economy of scale, i. e. the percentage that is for salaries should lower. 

The amount of money that “should” go to staff is the amount necessary, along with other perks, to get the job done in the manner desired.    

Ron Parsons


From: "charlie ruff"
Date: Thursday, January 20, 2005 10:35 AM
Subject: Re: Staff Salaries

I feel bad that your time at Harvard didn't more completely overlap my time.  You would have been so much better prepared :-)

You are exactly right on what you are doing, the only suggestion I might make is to separate raises from reviews.  It tends to muddy a lot of issues.  Due to reviews one week and then give raises by letter or text a week or two later.

Salary overhead is what matter and 19 to 21% works unless you do a lot of lab work in house and then you might raises the percentages about 2 or 3 %

charlie ruff


Date: Thu, 20 Jan 2005 07:45:54 EST
Subject: Computerized Inventory

We have been using the "tag" system for our inventory of our orthodontic supplies.  It gets pretty laborious but has worked for many years.  I would like to know if anyone is utilizing a computerized inventory system.  Are there any companies that provide a software program to get us started?

Rob Bard
Gurnee, IL



Dear Colleague:

The Electronic Study Club for Orthodontics (ESCO) is a free forum for exchange of information and opinions among orthodontists, and for distribution of professional information, sponsored by the Department of Orthodontics, University of Illinois at Chicago .  Information distributed on this list-server is NOT edited or refereed, and it represents only the opinions of the writers of the individual messages. Such writers bear the sole responsibility for the content of messages they author.  Authors are required to verify information regarding other parties included in their messages.  

* What information can you get on ESCO?

* How to subscribe to ESCO?

* How to change your address?

* How to post messages on ESCO?

* How to get copies of old digests of ESCO?

For answers to these questions and more, please check our web site:

To view and search old digests, please view our web site:

Enjoy your reading!