Date: Wed, 3 Jan 2007 12:08:01 -0600
From: "ESCO automatic digest system" <LISTSERV@LISTSERV.UIC.EDU>
Subject: ESCO Digest - 2 Jan 2007 to 3 Jan 2007 - Special issue (#2007-2)

There are 4 messages totalling 12215 lines in this issue.

Topics in this special issue:
1. Re: OC & Invisalign
2. Re: OC & Invisalign
3. Gary Carter and TADs
4. Dr. Miles' Topical Solution, electrosurg


Date: Wed, 3 Jan 2007 12:08:04 +0300
From: "Dr.Kharsa" <dr.orth@GMAIL.COM>
Subject: Re: OC&Invisalign

I'm afraid that if things carry on like this, orthodontists worldwidely will become oneday completely dependant on modern technologies and "ready-made then delivery" techniques; to an extent that our carrer may become just "taking impressions" and "wait for the mercy of the companies". For the God's sake lets find something to discuss about another than OC,Invisalign or Aligner. . .
Thank you.


Date: Wed, 3 Jan 2007 01:07:36 -0600
From: "SCOTT SMORON" <scottsmoron@COMCAST.NET>
Subject: Re: OC & Invisalign

I have been seeing my OC cases start to move through. Thank you very much to Align!! The Dark Period ends! Here's probably my final comment on this whole deal. Align really missed out on an opportunity here. If they had only said, "We will accept cases Nov 1 until Dec 15, then assess what we have and process them ASAP. You will likely be able to start getting the plastic back in January on some cases," I would have waited until November to take impressions. Not September and October...from what they told us, we believed that first in would be first out. Anyone who does indirect bonding can attest to how many minor things can happen in two months. Also, I would not have had to complain...essentially, we all complained about not knowing what is going on. In addition, although Align offered to treat OC patients for free, I would have gladly paid some fee to get some cases moving sooner (extraction cases). Align could have offered free treatment as they did AND offered a discount on prioritizing some cases. They're going to produce the aligners either way. They could have gotten $1000s from me to start these back in October and save some embarassment. Align is out there listening. I know this from previous replies years ago. And I am sure they have been seething at the comments in this forum. Can I pose a general question to Align and ask, "How did you come up with this approach? Did you sit down with a focus group? Talk to leading OC providers? Talk to your own leading providers?" I really am curious because Align missed out on revenue and relationship building...with doctors and with patients. My patients have not been thrilled with me, but they feel corporate america got them again. Do they understand that all my aligner patients are unlikely to refer other patients because of this experience?


ps again, very glad to get the plastic shipping again!!


Date: Wed, 3 Jan 2007 00:55:07 -0600
From: "SCOTT SMORON" <scottsmoron@COMCAST.NET>
Subject: Gary Carter and TADs


I take your comment about TADs to mean that a millimeter or two of change is not worth the risks of TADs. Or am I wrong? I would argue that for some patients it is worth it. Other patients just need to wear their elastics! So I would agree that the support to help correct a Class II an extra millimeter or two is not that exciting. However, being able to fully intrude all the anterior teeth on someone with 100% overbite is exciting. He only has premolars for occlusion, is Class II, has 100% deep bite and now wants to have molar implants and fix it all (non-orthognathic surgical route only). So with only upper braces and implants I am bring the anteriors back up. It is having a huge impact on his smile. I also have someone who went through 8 years of ortho. 2 with a GP, 2 with another GP, 2 with an ortho, 2 with another ortho who then had her do double jaw surgery. She had replaced into some crowding, an open bite (2-3 mm) and Class II (again, 2-3 mm) with occlusion only on molars. With only two upper implants mesial to the first molars, I have been able to intrude the 2nd molars, which closed her bite dramatically to even. We then switched it up and stared retracting with them. You have no idea how exciting it can be to a patient when they start to touch their 2nd premolars...then their first premolars. Still a work in progress. BIG CONCERN...what is the relapse when I am done? How do I fight it? Will the open bite come back? Won't know for another year or two.

Scott Smoron


Date: Wed, 3 Jan 2007 00:36:15 -0600
From: "SCOTT SMORON" <scottsmoron@COMCAST.NET>
Subject: Dr. Miles' Topical Solution, electrosurg

The topical is not commerically available. It is mixed by a pharmacist, old-fashioned like. Professional Art Pharmacy, 888-237-4737 in the US, makes it. It is 20% lidocaine, 4% tetracaine and 2% phenylephrine in a gel. I think if you can find someone who still compounds, they can do it for you. It's a prescription like any other. However, I have several Indian colleagues telling me about Nummit Spray...15% lidocaine in a even better! Not carried here in the states so I am trying to find a pharmacist that can mix something up. I don't know what the solvent is but I am sure someone will figure it out. By the way, love the electrosurg photos. I included a few laser shots here. They show a canine in the mandible done with topical. This was deep down, I don't know if the photos do it justice...if you see the occlusal view and then look at the buccal you'll notice the attachment is not even visible from the buccal. Couldn't believe I got the bond to hold. It is amazing how the tissue rebounds. In the end, I think electrosurg and laser are pretty much identical. I hope the residents out there are getting a chance with this stuff. Reps, get out there. For a $1000, if you expose half a dozen teeth and bill minimally for it you are ahead! For some reason, though, I just can't buy an electrosurg. It's not logic, just this gut thing. Thanks again for the photos Dr. Miles!

Scott Smoron