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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