Date: Sat, 18 Aug 2007 00:14:52 -0500
From: "ESCO automatic digest system" <LISTSERV@LISTSERV.UIC.EDU>
Subject: ESCO Digest - 14 Aug 2007 to 17 Aug 2007 (#2007-63)

There are 9 messages totalling 611 lines in this issue.

Topics of the day:
1. What is the right thing to say?
2. Re: Arch wire removal
3. Re: Archwire removal for cleanings
4. Re: Archwire removal for cleaning
5. Re: Archwire removal
7. Re: archwire removal for cleanings


Date: Thu, 16 Aug 2007 21:32:29 -0400
From: "Roy King" <rkking@BELLSOUTH.NET>
Subject: What is the right thing to say?


Recently I had a orthodontic colleague call me for advice. The orthodontist says that another orthodontist who is ABO certified told the orthodontist's patient that they should not go to the orthodontist because the orthodontist is not ABO certified. The patient then has spread the word to the demise of the orthodontist. You can see the start of a turf war which will benefit no one. Does one turn the orther cheek or fight back? The orthodontist is a student of orthodontics and loves orthodontic. This is a good orthodontist so what advice to I give the orthodontist?

Roy King


Date: Thu, 16 Aug 2007 21:05:08 -0400
From: "Roy King" <rkking@BELLSOUTH.NET>
Subject: Arch wire removal

ESCO If you want to find out is it worth it, poll your top 5 offices hygienists. Then ask yourself if you want to make them happy or do you want to be right.

Roy King


Date: Thu, 16 Aug 2007 15:16:01 +0530
From: "Dr. M.Jayaram" <jmailankody@GMAIL.COM>
Subject: Re: archwire removal for cleanings

Dear Group,                    

Dr. Matt Molitor has raised a innocuous looking critical issue. My observation is that in a some patients, the archwire gets 'bonded' to the brackets by a crust of calculus like substance. This is more so with rectangular, nearly full size wires on edgewise brackets. This will not only add to the friction, but practically make tooth movement impossible.Common sites are lower incisors. Maybe the 'biofilm' of saliva gets calcified and 'cements' the wire in the slot, just like 'splinting' provided by calculus on the lingual of lower anteriors in heavy calculus formers. Such patients complain of loosening of teeth after scaling! The patient variables like salivary pH, dietary components and systemic individual factors may also play a role.                    

In such patients, it is advisable to take out the archwire periodically, at least once in three months. Some mouth washes, and periodontal consultations may be other options.

Jayaram Mailankody.

P.S: These are my personal observations(Anecdotal) and not "scientific, evidence based conclusions". Others can differ.


Date: Wed, 15 Aug 2007 12:41:21 -0700
Subject: archwire removal for cleanings

Dear Matt,
When we were smaller, we did it almost every time. Now, we make it an option for the parents but not a requirement. "Your dentist may appreciate this but due to how busy your schedule may be it is not a requirement that you do this. If you are going to, why don't you schedule it while you are still in our office, that will make scheduling coordinated appointments easier for you". Dentists with Prophy Jets tell me that it doesn't matter to them if the wires are out. However, not everyone in our area has one of these.
Rob Kazmierski
Moorestown, NJ
(No financial connection to the mentioned product. Aren't they still supposed to list that when they have one?)

Date: Wed, 15 Aug 2007 14:55:29 -0400
From: utley3@AOL.COM
Subject: archwire removal for cleaning

Wondering how others handle the "archwire removal for cleaning" issue. 

We do it on request, but do not advise that it is necessary for cleaning the teeth.

Kevin Utley

Date: Wed, 15 Aug 2007 04:58:20 -0400
From: "David E. Paquette" <dave@PAQUETTEORTHO.COM>
Subject: Re: aw removal


We do it quite often.  We try to have them schedule it around our visits and if not it really isn't a big deal with the D3MX brackets, we simply open the gates on the anteriors and it takes seconds.



Date: Wed, 15 Aug 2007 01:14:50 -0500
From: "SCOTT SMORON" <scottsmoron@COMCAST.NET>

There are 3 e-mails I sent during this period that did not appear...should I send them again or are they coming in another e-mail. I really wanted to get some feedback on a few things.

Scott Smoron


Date: Tue, 14 Aug 2007 14:18:26 -0400
From: "Lively Orthodontics, P.A." <mdlively@BELLSOUTH.NET>
Subject: Re: archwire removal for cleanings

Hi Matt:

It has become the exception to the rule in our office.  We were removing wires for all of our patients for years, with the benefit of knowing who was going and who was not going to see their dentist for regular cleanings.  This became somewhat overwhelming in our office so we then decided to call all of our dentists to find out what they wanted.  We were surprised at how many of the hygienists did not request this service.  It was recommended if bitewings were to be taken at that visit for a clear view of the interproximal contact.  We just remove the wires one morning and replace them later that day or the next day.  We try to coordinate it with an appointment that wires would be changed so the wires removed can be discarded.

With warmest personal regards,


Date: Wed, 15 Aug 2007 20:16:31 -0400
From: "Kevin Jarrell" <kjarrell@SPRYNET.COM>
Subject: Re: archwire removal for cleanings

I agree that most of the time the hygienists can work around the appliances, and they do most of the time. But if an office requests that the wires be removed I'm happy to do it. I let the GP offices know that we're glad to do it for them, but it only comes up once a month or even longer so I don't see it as a disruptive issue. It's really more of a goodwill gesture that you're willing to accomodate their needs. My town is not that large so it's not really an inconvenience for the patient to have to make stops at different offices. They understand the reasoning behind it. I've had GP offices remove the wires themselves, which I don't like at all because of the possibility of getting it back in incorrectly (single tooth torque bends, etc.) but fortunately with the advent of self-ligation most people have no idea how to get the darn things open.

Kevin Jarrell
Kokomo, IN