SureSmile Articles

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Orthodontic Practice 2013;4(3):22-30.

BioDigital Orthodontics: Diagnopeutics with SureSmile technology (Part 3).

Sachdeva R

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Orthodontic Practice 2013;4(2):18-26.

BioDigital Orthodontics: Designing customized therapeutics and managing patient treatment with SureSmile technology (Part 2).

Sachdeva R

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Orthodontic Practice 2013;4(1):18-23

BioDigital orthodontics: Planning care with SureSmile Technology (Part 1).

Sachdeva R

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Orthodontic practice 2012;3(3).

Improved patient care, quality, and practice efficiencies using SureSmile technology. Dr. Steven Moravec tells how this technology changed the orthodontic experience for him, his staff, and his patients.

Moravec S

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Orthodontic practice 2012;3(3):6-9.

Transforming orthodontics-Part 3 of a conversation with Dr. Rohit Sachdeva, Co-founder and Chief Clinical Officer of OraMetrix

White L, Sachdeva R

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Orthodontic practice 2012;3(2):6-10.

Transforming orthodontics-Part 2 of a conversation with Dr. Rohit Sachdeva, Co-founder and Chief Clinical Officer of OraMetrix

White L, Sachdeva R

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Orthodontic practice 2012:10-14.

Transforming orthodontics-Part 1 of a conversation with Dr. Rohit Sachdeva, Co-founder and Chief Clinical Officer of OraMetrix

White L, Sachdeva R

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Angle Orthod. Nov 2012

Effectiveness of computer-assisted orthodontic treatment technology to achieve predicted outcomes.

Larson BE, Vaubel CJ, Grünheid T

Abstract
Objective: To evaluate the effectiveness of computer-assisted orthodontic treatment technology to produce the tooth position prescribed by the virtual treatment plan. Materials and Methods: Posttreatment models of 23 patients treated with SureSmile were digitally superimposed on their corresponding virtual treatment plan models utilizing best-fit surface-based registration. Individual tooth-position discrepancies between virtual treatment plan and actual outcome were computed. Discrepancies less than 0.5 mm in mesial-distal, facial-lingual, and vertical dimensions, and less than 2° for crown torque, tip, and rotation were considered clinically ideal. One-sided test of equivalence was performed on each discrepancy measurement, with P < .05 considered statistically significant. Results: Mesial-distal tooth position was clinically ideal for all teeth with the exception of maxillary lateral incisors and second molars. Facial-lingual tooth position was clinically ideal for all teeth except maxillary central incisors, premolars, and molars, and mandibular incisors and second molars. Vertical tooth position was clinically ideal for all teeth except mandibular second molars. For crown torque, tip, and rotation, discrepancy exceeded the limits considered clinically ideal for all teeth except for crown torque on mandibular second premolars and crown tip on mandibular second premolars and first molars. Conclusions: The effectiveness of computer-assisted orthodontic treatment technology to achieve predicted tooth position varies with tooth type and dimension of movement.

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The art and practice of dentofacial enhancement (Formerly WJO) 2012;13(1):72.

Treatment time: SureSmile vs Conventional.

Sachdeva R, Aranha S, Egan ME, Gross HT, Sachdeva NS, Currier GF, Kadioglu, O.

Abstract
Aim: To understand the efficiency of SureSmile treatment vs conventional treatment. Methods: First, 12,335 completed patient histories representing different treatment philosophies and geographically diverse practices were collected. Included were 9,390 SureSmile patients and 2,945 conventional patients. Variables in these patient records included: (1) treatment time, months from bonding to debonding; (2) malocclusion class, Angle Class I, II, or III; (3) patient age, adolescents (< 18 years) or adults (≥ 18 years); and (4) patient visits, total number of treatment visits. Nonparametric regression tests were used to analyze the data. Results: The median treatment time for the SureSmile patient pool (15 months) was 8 months shorter than that of the conventional patient pool (23 months). The median care cycle length of Class II SureSmile patients (13 months) was 2 months shorter than that of Class I SureSmile patients (15 months) and 3 months shorter than that of Class III SureSmile patients (16 months). SureSmile patients (14 visits) had four fewer median treatment visits than conventional patients (18 visits). All results were significant at P = .001. No significant differences were noted between the median care cycle lengths of adolescents and adults. Conclusion: This study found that SureSmile treatment facilitates more timely care than conventional treatment. Further prospective studies are required to elucidate the effectiveness of SureSmile treatment.

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The art and practice of dentofacial enhancement 2012;13(1):100.

A CBCT comparison of anterior root resorption in SureSmile and conventional edgewise treatments.

Patel N, Currier GF, Kadioglu O, Kierl JP, Skaggs VJ.

Abstract
Aim:To utilize cone beam computed tomography (CBCT) to analyze the amount of linear root resorption that occurs in maxillary and mandibular permanent incisors during orthodontic treatment when comparing the SureSmile technique with conventional edgewise treatment. In addition, patient and treatment factors that may be correlated with root resorption were studied. Methods: The records of 28 patients (14 SureSmile and 14 edgewise) treated in an orthodontic office were used for this study. CBCTs were taken of all patients prior to (T1) and after completion of orthodontic treatment (T2). Total tooth length of the permanent incisors were measured on the CBCTs at T1 and T2. Root resorption was calculated for each tooth by subtracting T1 from T2. Results: No statistically significant differences in mean root resorption (MRR) were found for the permanent incisors when comparing SureSmile patients with conventional edgewise patients. The MRR for each tooth was found to be less than 1 mm when using either treatment modality. Subjects with increased resorption included Class II malocclusion, severe overjet, and treatment time greater than or equal to 25 months. Sex and the use of Class II elastics showed no significant differences in mean root resorption. Conclusion: No differences were found in root resorption of the permanent incisors when comparing SureSmile and edgewise treatments.

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Angle Orthodontist 2011;81(3):383-88.

Clinical outcomes for patients finished with the SureSmile™ method compared with conventional fixed orthodontic therapy.

Alford TJ, Roberts WE, Hartsfield Jr JK, Eckert GJ, Snyder RJ.

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Published in Orthodontics Current Principles and techniques. Editors Graber, M. L., Vanarsdall, R.L., Vig, K.W.L. 5 ed: Elsevier; 2011.

Chapter 20: Integrating Digital and Robot Technologies: Diagnosis, Treatment Planning, and Therapeutics.

Sachdeva R

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World journal of orthodontics 2010;11(1):16

Efficiency and effectiveness of SureSmile

Saxe AK, Louie LJ, Mah J.

Abstract
Aim: To examine the efficiency and effectiveness of the SureSmile process using the standards of the American Board of Orthodontists Objective Grading System (ABO OGS). Methods: Three diplomates of the American Board of Orthodontics provided study casts of 62 patients whose orthodontic treatment was consecutively completed. Patients treated using the SureSmile process and a conventional approach were anonymized and randomized prior to independent scoring by two ABO OGS–calibrated examiners. Results: Intra- and interexaminer reliability was consistent in all components with no differences between examiners (r = 0.96, P < .001).
The ABO OGS score for the SureSmile patients (mean 26.3) was 4.4 points lower (P < .001) than for those treated conventionally (mean 30.7). Furthermore,
treatment with the SureSmile process was shorter (14.7 months vs 20.0 months). Conclusion: The SureSmile process results in a lower mean ABO OGS score and a reduced treatment time than conventional approaches. The approach has great potential to both decrease treatment time and improve quality. World J Orthod 2010;11:16–22.

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Am J Orthod Dentofacial Orthop 2010;138(2):231.

Interview with an innovator: SureSmile Chief Clinical Officer Rohit CL Sachdeva.

Scholz RP

Access: Closed order print Am J Orthod Dentofacial Orthop 2009;135(4):S140-S43.

Interview with a SureSmile doctor: Nicole M. Jane

Scholz RP
 
Abstract
SureSmile (OraMetrix, Richardson, Tex) uses advanced technologies, including digital models, virtual simulations, and robotic wire bending to help clinicians provide customized, efficient treatment. Nicole M. Jane has been a solo orthodontic practitioner in South Lake Tahoe, California, since 2004. She has been using SureSmile technology in her practice since December 2005 and is an advisor for SureSmile in her capacity as a practicing orthodontist. Before becoming an orthodontist, Dr Jane was a general dentist in the US Navy, 1998–2001.

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Pacific Coast Society of Orthodontists 2009;2(1):1-24.

Reframing Clinical Patient Management with SureSmile Technology.

Sachdeva RCL, Feinberg MP

Abstract
In an age of digital orthodontics, a clinician needs to have skills to manage a patient both at the chairside and in the virtual environment— The“OrthoPit”. It is the blending of this expertise that enables an orthodontist to provide proactive clinical care to a patient in a reliable and timely manner without putting the patient at risk. This article describes the use of both ‘hard’ and ‘soft’ tools in managing the orthodontic care of a patient with SureSmile technology.

Access: Open click here Praxis (WWW.PRAXISORTHO.COM) 2009;II(2).

Orthodontic Marketing Research

Hickory W.

Abstract
New technology requires re-evaluation of how orthodontics fees are determined. It has been common practice to base the fee for orthodontic treatment on the number of months of estimated treatment time. In fact, an extra charge for extended treatment is a very defensible policy. The research presented in this article illustrates what we might suspect: when it comes to treatment time, patients would pay more for less. This study further defines how much more patients are willing to pay for how much less treatment time.

Access: Closed order print J Clin Orthod 2009;XLIII(3):161-74.

The SureSmile System in Orthodontic Practice

Redmond R, Moles R.

Abstract
This month’s Cutting Edge column by Dr. Randy Moles tells the story of converging technologies that have spawned a major breakthrough in orthodontics. These technologies all have a common ancestry in the digital age. SureSmile* incorporates intraoral scanning, cone-beam computed tomography, special-alloy archwires, and precision robotic wire bending, coupling these new technologies with the orthodontist’s traditional, highly developed skill sets: diagnosis and treatment planning. It has always been the clinician’s dream to produce the desired orthodontic results in the shortest possible time, and SureSmile is dedicated to that goal. I believe you will find Dr. Moles’s article educational, thought-provoking, and even inspirational. Please pay attention, however, when he says that there is a definite learning curve involved. Of course, a learning curve is inherent in practically any orthodontic discipline that is worth the effort; I believe that to be the case with SureSmile.
W. RONALD REDMOND, DDS, MS
http://www.jco-online.com/archive/article-view.aspx?year=2009&month=3&articlenum=161

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Shared learnings from High Performance Practices(Peer2Peer) 2007;1(3).

SureSmile in a technology-driven Practice.

Whitlock B.

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J Clin Orthod. 2005 May;39(5):297-314

SureSmile: a report of clinical findings.

Sachdeva R, Frugé JF, Frugé AM, Ingraham R, Petty WD, Bielik KL, Chadha J, Nguyen P, Hutta JL, White L.

Abstract
SureSmile is a comprehensive, all-digital orthodontic care solution that uses three-dimensional diagnostics and customized fixed appliances to deliver efficient, consistent, high-quality treatment outcomes. With support services including training, marketing, management, and customer care, SureSmile relies on three key technological components: The , a unique, reference-free imaging system that uses structured white light (not ...

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J Clin Orthod 2001;35(4):245-53.

SureSmile Technology in a Patient-Centered Orthodontic Practice

Sachdeva R.

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Am J Orthod Dentofacial Orthop 2001;120(1):85-7

Computer-assisted orthodontic treatment: the SureSmile process

Mah J, Sachdeva R.

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The Orthodontic CYBERJournal 2001

SureSmile’s Promise: Digital Care Solutions for the Orthodontic Industry.

White L, Sachdeva R.
http://orthocj.com/2001/06/digital-care-solutions-for-the-orthodontic-industry/

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J Clin Orthod 2001;35(4):245-53

SureSmile Technology in a Patient-Centered Orthodontic Practice.

White L, Sachdeva R.
http://www.jco-online.com/archive/article-view.aspx?year=2000&month=04&articlenum=223

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Clinical Impressions 2001;10(4):10-13.

Titanium Technology: Redefining Bracket Engineering with Titanium DNA.

White L, Sachdeva R.

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