Three questions before I go home…

From: Tim Dumore [mailto:Tim@DRDUMORE.COM]
Sent: Thursday, October 01, 2009 6:00 PM
Subject: Three questions before I go home…

Hello,

I have three questions- been meaning to post them for a while but never seem get around to it!

  1. For the past ~year, I have been using OrthoCAD, and now find that I have perhaps a thousand model boxes that I no longer need.  They have dividers that allow you to fit four mounted casts, but you can get dividers that allow you fit six standard casts…all are a very attractive beige color…  ?anyone need some boxes??
  2. My bracket of choice is Inovation R…like it a lot.   For first molars, I typically bond, but find enough situations where I place bands.  The challenge is that assistants can sometimes have a hard time placing an excellent steel tie, and I find myself wishing that GAC had a band with a self-ligating attachment.  ?Am I the only person that has ever wished for a band with a self-ligating attachment?
  3. I am contemplating a bonus system for my team, but recently brought on an associate who is working one day per week, generally seeing his own patients, receiving a percentage of collections.  His staff are paid by me and work for both of us.  That said, how do you create a bonus system that fairly compensates the staff, while taking into account the productivity and compensation paid to an associate?  I’m not sure my question is as clear as it might be, but time’s up- dinner time!

Thanks for your time and consideration…

Tim Dumore
Winnipeg

3 responses to “Three questions before I go home…

  1. why do you need to steel tie? are you routinely converting molar tubes into brackets?

    charlie ruff

    2. My bracket of choice is Inovation R…like it a lot. For first molars, I typically bond, but find enough situations where I place bands. The challenge is that assistants can sometimes have a hard time placing an excellent steel tie, and I find myself wishing that GAC had a band with a self-ligating attachment. ?Am I the only person that has ever wished for a band with a self-ligating attachment?

    • Charlie posted a response to the original posters question, asking if he is routinely converting molar tubes. I wanted to note that I use self-ligating braces on the molars to assist with my distalizing mechanics. I can open the door, place a coil spring between the U6-7 and close the door. Once the molar is distalized I can open the door, make my offset stop mesial to the 7, and move the coil to the U5-6 slot. I rarely use bands, other than for soldered appliances, so I stopped pushing both Ormco and GAC to place SL attachments on bands.

      For impacted canines, I will use double tubes on the maxillary molars. For impacted mandibular 2nd molars, delayed erupting 2nd molars or difficult bite opening mechanics requiring a utility arch, I use double tubes on the mandibular molars. I keep and arsenal of molar bracket designs to be used as needed, otherwise I use a single slot, closed tube design on the molars.

      With warmest personal regards,
      Mark
      Mark David Lively, D.M.D.
      Lively Orthodontics, P.A.
      Phone: 772-287-3999
      http://www.livelyorthodontics.com

  2. Charlie,

    Ormco has a very nice self ligation first molar tube.

    Dave Paquette

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