Date: Wed, 6 Dec 2006 00:16:40 -0600
From: "ESCO automatic digest system" <LISTSERV@LISTSERV.UIC.EDU>
Subject: ESCO Digest - 29 Nov 2006 to 5 Dec 2006 (#2006-46)

There are 3 messages totalling 380 lines in this issue.

Topics of the day:
1. The Orthoclear advantage
2. Radiation Therapy


Date: Wed, 29 Nov 2006 22:47:58 -0500
From: "Barry Raphael" <drbarry@ALIGNMINE.COM>
Subject: The Orthoclear advantage

Elliot, Now we're on the same page.


Roy, and all,

About not having a staging editor…You know how it takes a long time in orthodontic to figure out if you really like something.  You can't know how an appliance finishes for 18 or 24 months.  So for me to talk about how much I like OrthoClear's system means little because none of my 25 cases were more than 9 months old.   But I want to say this:

1) They didn't have a staging editor because Zia had his hands tied behind his back.

2) In lieu of staging, the system allowed modification during treatment.

3) Suddenly, the pre-planning want not quite as crucial, much like with fixed appliances.  Feedback and adjustment rules the day.

4) I have to say, I never really got to test the modification system because the cases were just going along fine.

5) What I suppose is that this on the fly modification would work well as long as the teeth were tracking properly.  Then ordering additional movement (at no additional cost or bureacracy) would be a great advantage.

6) Also, If the teeth just started to lag, you could reverse course on just that one tooth and get it back on course.  With Align, if you step back an aligner, you step back all the teeth

7) But if lag was too significant to judge precisely in the modification, then, just as with Align, you're forced to reimpress or just ride it out.  With OC, it was, again, without charge or bureacracy.

8) In other words, the OC system is more like traditional orthodontic thinking. It was just simpler all around.

Barry Raphael

Clifton, NJ


Date: Wed, 29 Nov 2006 21:11:44 -0800
From: "Alexander Waldman" <alexwaldman@SBCGLOBAL.NET>
Subject: Radiation Therapy

Topic: Radiation Dear ESCO, I was recently referred a 69 year old patient who was treated 6 months ago with radiation therapy for skin cancer in the right temple area. He is currently planned to undergo a full mouth reconstruction, and his prosthodontist referred him to me for simple space management of the mandibular anterior teeth, but was unsure whether this would be safe considering the recent medical history. Does anyone have any information with regard to the safety of moving teeth in this situation? I would greatly appreciate your feedback.

Alexander Waldman DMD