Practice News
January 2012 • Number 2
PARENT IN FORMATIO N SHEET fied glass ionomer or composite A multi-cen for orthod tre, random ontic bondin ised, single g? blinded clin ical trial.
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Project Lea ders: Dr P.E.Benson ing Centre: , Prof D Mill Academic ett Unit of Ora l Health & Developmen Phone: 011 t, School 4 271 788 of Clinical 5 Dentistry Fax: 0114 271 7843 When your child cam Co-ordinat
e to the clin help with our ic wanting research. treatment we asked for your permis sion for him At that tim /her to e we explain ed that there We do not are two mai know if one n types of mat of these mat look at the erials used erials is “be se two mat to tter” than attach bra erials. the other. ces to tee The aim of What is the th. this resear purpose of ch is to the new stu This resear dy? ch will help us to find out which type Why has you of materia r child bee l is “best” n chosen? for future patients. Your child is going to have the typ e of brace Does your whi ch is child have fixed to the to take par teeth (‘train t? track brace’) No, he/she . does not hav e to take par there will t if you do be no differe not want him nce in any /her to. If care or tre What will your child atment he/ happen to does not tak she receive your child e part s. if he/she Your child takes part? will be ran domly allocat teeth – neit ed to have her you, you one of the r child or you two materia be done by r orthodont ls to attach the study ist cen the can tre choose whi brace to the . We will the things such ch materia ir as; how long n follow the l will be use it takes to treatment end of tre d; this will attach the from start atment; whe brace on at to finish by ther there the other; the start and looking at are more bre and we will take the bra akages of also look at ce off at the there are the bra pho ce tog any differe with one mat raphs of the nces. We also erial compar teeth before start and end ed with want to find and after of treatment out what you treatment . to see if r child thin ks of their teeth at the
Research at Stevenage Orthodontics
Stevenage Orthodontics is delighted to have recently received ethical approval from NHS Hertfordshire to participate in a multi-centre, randomised clinical trial co-ordinated by Novemb er 2011 the Academic Unit of Oral Health & Development, School of Dentistry, University of Sheffield. The study is entitled: “Resin-modified glass ionomer or composite for orthodontic bonding?”. Patient recruitment to the trial at Stevenage Orthodontics has begun and a number of patients have already agreed to participate. We will keep you updated on our progress in future newsletters.
Herbst Appliances for Patients who “Forget” to Wear Their Twin Blocks One of the biggest problems with removable functional appliances like Twin Blocks, is that patients may “forget” to wear them and make no progress at all. To get around this problem, we now offer patients the option of a fixed Herbst appliance instead (pictured). Twin Blocks and Herbst appliances are equally effective but for “forgetful” patients, the fixed Herbst appliance cannot be removed and so these patients consequently make excellent progress.
Razzle’s “Top Tip” About Retainers er f retain beware o
Razzle, our practice principal’s four-year-old female boxer dog, was enlisted to help alert patients to the fact that dogs seem to love retainers! According to a paper in the British Orthodontic Society Clinical Effectiveness Bulletin*, one of the top reasons for patients having to pay for a replacement retainer is that the dog ate it! Razzle’s “top tip” is posted prominently in our practice and on our website.
thieves!
ng r replaci ason* fo A top re ‘My dog ate it!’ s: retainer ment Replace cost £60! s retainer ’s a very Now that dog treat! ve expensi d of damage specialist An audit busy A (2009) iners in a ety *Shrimpton um formed reta ntic Soci vacu sh Orthodo and lost tice. Briti 9. ntic prac etin 23:1 orthodo ness Bull ctive Clinical Effe
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*(Shrimpton A. An audit of damaged and lost vacuum formed retainers in a busy specialist orthodontic practice. 2009; 23:19.)
A Picture is Worth a Thousand Words We aim to make all of our patients happy with their treatment result and their experience at our practice. Patients and parents have graciously given us permission to feature their testimonials in our practice and on our website at www.stevenageorthodontics.com
Orthodontic Mini-Screws Orthodontic mini-screws are proving to be a more predictable and patient-friendly alternative to headgear and really come into their own in complex malocclusions, like the open-bite case illustrated, which would normally require orthognathic maxillary surgery. This fourteen year old female patient, being treated on the NHS by Stevenage Orthodontics, could only occlude on her molars. We placed orthodontic mini-screws between the roots of the upper canines and pre-molars and used nitinol wires to intrude the upper molars into the maxilla. The intrusion effect is appreciated by noticing the
obvious reduction in the distance between the brackets and the mini-screws. In this case, the patient’s anterior open bite closed in less than five months!
Fourteen year old female NHS patient at Stevenage Orthodontics with an anterior open bite due to her only being able to occlude on her molars.
The same patient five months later. The intrusion effect can be best appreciated by noticing the obvious reduction in the distance between the brackets and the mini-screws, thereby obviating the need for orthognathic maxillary surgery.
Patients who have these mini-screws placed routinely tell us how much easier it is than they had initially thought it would be. Stevenage Orthodontics participates in the British Orthodontic Society National Audit of Mini-Screws and we log every mini-screw that we place and remove on its national database.
NHS Patient Satisfaction Data We have been publishing our vital signs patient satisfaction data on our website www.stevenageorthodontics.com. To date, an average of 98.1% of our patients surveyed by the NHS were satisfied with the treatment they received at Stevenage Orthodontics compared to a national average of 94.5% - with a 100% result achieved twice in a row!
NHS VSigns: ital Signs: Patient Pa/ent Sa/sfac/on Data Data NHS Vital Satisfaction 100% 98% 96% 94% 92% 90% 88%
Jun-‐09
Sep-‐09
Dec-‐09
Mar-‐10
Jun-‐10
Sep-‐10
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4 Weeks From Referral To First Appointment We are now seeing patients within four weeks of referral. Our customized referral pads continue to be welcomed by referring practitioners and patients alike. These include carbonized duplicate referral forms so that a copy of the referral can be retained for each patient’s records and a Patient Information Leaflet which can be handed to the patient at the time of the referral.
We are piloting a one-hour, lunch-time verifiable CPD course for your team which will cover NHS eligibility for treatment based on the patients’ Index of Treatment Need (IOTN) score followed by a general question and answer session about orthodontics. The course will be lead by one of our DCPs who has the Certificate in Orthodontic Nursing and who will arrange to come on-site to your practice. Please email us at office@stevenageorthodontics.com if you would like us to arrange a complimentary session.
Mr J Alexander-Abt, BDS(Lond) FDS RCS(Eng) Registered Specialist in Orthodontics Stevenage Orthodontics 17 Park Place Stevenage Herts SG1 1DU Tel: 01438 765 390 Fax: 01438 765 395 Website: www.stevenageorthodontics.com Email: office@stevenageorthodontics.com