Innovations in technology are disrupting the orthodontic profession. These changes affect both orthodontic care delivery and the economics of care delivery – the orthodontic marketplace. “Disruptive Innovation in healthcare involves technologies, products, or services that are cheaper, simpler, and more convenient, making it possible for less-expensive professionals to provide advanced services in affordable settings, or even for patients to care for themselves.”1,2. This is not the first time that the orthodontic profession has experiences disruptive innovation. Consider the advent of the direct bonded appliance or the straight wire appliance in the 1970’s. Orthodontists at the time where concerned that these changes in technology would result in an increase in the number of general dentists and pediatric dentist doing orthodontics. In reality, these advances in technology provided benefits to patients and the orthodontic profession as a whole. Consider the advent of Invisalign in 1999; orthodontists at the time were again concerned that general dentist would now treat more orthodontic patients. It is true that dentist have treated more orthodontic patients since the introduction of Invisalign, but so have orthodontist!. In fact the “orthodontic Pie” has increased in size and both general dentists and orthodontist are providing more orthodontics treatment. In fact, Invisalign through their enormous advertising budget is probably responsible for the aesthetic adult orthodontic market that all of us enjoy today. Digital technology is making custom orthodontic appliances like Clear aligners possible. Today we are experiencing disruption of the orthodontic marketplace through the “direct to patient care” model through corporations such as Smile Direct Club, Candid Co, Byte, etc. due to the advent of custom orthodontic appliances. The same digital technology that makes this corporate direct to patient care model possible offer us as orthodontists real opportunities to improve the care we offer our patients. There are primary advantages that digital technology offers orthodontist to improve the care they offer their patients. 1) Proactive Treatment Planning, 2) the use of custom orthodontic appliances coordinated on a unified digital platform and 3) using 3D printing to take control of our workflow to provide our patients true customization at a minimum cost. We will be expanded on each of these three points in subsequent blog posts.
We were all attending AAO meeting 2019 this past weekend in Los Angeles Convention Center. AAO meeting is the Annual Session of American Association of Orthodontists. Dr. Michael Riolo (Dr. Chris Riolo’s father) received the Albert H. Ketcham Memorial Award. This award was created by The American Board of Orthodontics in 1936 to commemorate the achievements of Dr. Albert H. Ketcham, one of the pioneers in the specialty of orthodontics who had dedicated himself to the improvement of orthodontics. His commitment to the orthodontic specialty and research was exemplary. Dr. Ketcham was the first president of the American Board of Orthodontics and remained a member of the board until he passed away. The award was meant to inspire advancement of orthodontics. It is awarded to an individual who has made an outstanding contribution to the science and art of orthodontics. The first recipient was Dr. John V. Mershon in 1937. Traditionally, ” The remarks in accepting the Award were very brief but of great significance.” as mentioned in an article published in the American Journal of Orthodontics (1957) . Congratulations to Dr. Michael Riolo on being the recipient of 2019 Albert H. Ketcham Memorial Award! Dr. Mike was a former ABO president and member of the American Board of Directors. He has made numerous contributions to the orthodontic specialty, education, and research. We are very proud of him!
Past recipients of Ketcham Award are:
2018 – Birte Melsen 2017 – Sheldon Peck 2016 – W. Eugene Roberts 2015 – David L. Turpin
2014 – John S. Casko 2013 – Thomas J. Cangialosi 2012 – Lee W. Graber 2011 – Vincent G. Kokich 2010 – James L. Vaden 2009 – Katherine W. Vig 2008 – James A. McNamara, Jr. 2007 – Bjorn U. Zachrisson 2006 – Herbert A. Klontz 2005 – William R. Proffit 2004 – Anthony A. Gianelly 2003 – Donald R. Joondeph 2002 – O.B. Vaughan 2002 – Robert J. Isaacson 2001 – Paul Louis Tessier 2001 – Lysle E. Johnston 2000 – Jack G. Dale 1999 – Charles J. Burstone 1999 – Dale B. Wade 1998 – Fujio Miura 1998 – Lennart A.T. Weislander 1997 – Lloyd E. Pearson 1996 – Samuel Pruzansky 1996 – J. Daniel Subtelny 1995 – Rolf Frankel 1994 – Arthur A. Dugoni 1994 – Harry L. Dougherty 1993 – Sten Linder-Aronson 1992 – Wilbur J. Prezzano 1991 – Robert E. Gaylord 1990 – Donald G. Woodside 1989 – L. Levern Merrifield 1988 – Robert E. Moyers 1987 – Brainerd F. Swain 1986 – James E. Brophy 1986 – Paul D. Lewis 1985 – John R. Thompson 1984 – Raymond C. Thurow 1983 – Richard A. Riedel 1983 – Joseph R. Jarabak 1982 – Frederick T. West 1982 – Fred F. Schudy 1981 – Reed A. Holdaway 1980 – Eugene E. West 1980 – Faustin N. Weber 1979 – Earl E. Shepard 1978 – Arthur B. Lewis 1977 – P. Raymond Begg 1977 – Conraad F. A. Moorrees 1976 – Kaare Reitan 1975 – T. M. Graber 1975 – Robert M. Ricketts 1974 – Herbert I. Margolis 1973 – Alton W. Moore 1973 – Arne Bjork 1972 – B. F. Dewel 1971 – Frank P. Bowyer 1970 – Herbert K. Cooper 1970 – Silas J. Kloehn 1969 – Wilton Marion Krogman 1969 – Lowrie J. Porter 1968 – George W. Hahn 1968 – Cecil C. Steiner 1967 – Harry Sicher 1966 – William R. Humphrey 1966 – Jacob A. Salzmann 1965 – Wendell L. Wylie 1965 – George M. Anderson 1964 – Philip E. Adams 1964 – Andrew F. Jackson 1963 – Hays N. Nance 1962 – C. Edward Martinek 1962 – Charles B. Bolton 1961 – William B. Downs 1960 – Charles H. Tweed 1960 – Sheldon Friel 1959 – Robert H. W. Strang 1959 – Allan G. Brodie 1958 – H. D. Pollock Sr. 1958 – Joseph D. Eby 1957 – Oren A. Oliver 1956 – Leuman M. Waugh 1955 – Joseph E. Johnson 1954 – Charles R. Baker 1953 – Spencer R. Atkinson 1952 – James D. McCoy 1951 – Benno E. Lischer 1949 – William King Gregory 1948 – Clinton C. Howard 1946 – Raymond C. Willett 1944 – B. Holly Broadbent 1942 – Harry E. Kelsey 1941 – Frederick By Noyes 1940 – George Wellington Grieve 1939 – Milo Hellman 1938 – Alfred Paul Rogers 1937 – John Valentine Mershon
At Riolo Orthodontics we employ a number of different 3D printers using different printing technologies
We use our 3D printers to create retainers, aligners to move teeth without metal braces on the front of the teeth as well as many other orthodontic appliances. Combined with the 3D digital scanner we can create models of your teeth that are much more accurate than traditional impressions. As a result this method of capturing your tooth anatomy will create a more accurate retainers compared to the traditional method of taking a mold of your mouth. At the time you get your retainer you will also receive the 3D printed model of your teeth. This model can be brought in to make a new retainer if you lose your retainer or your dog happens to chew it. We also keep a digital copy of your teeth that can be reprinted if you happen to lose both your retainer and 3D printed model.
How the 3D printer works
First, we acquire a scan with our intra-oral digital scanner. Next the file is edited to have a base added and holes in the surface mesh are repaired. After the file has been edited it is uploaded to the 3D printer. Our Printer employs either SLA (Stereolithography) or DLP (Digital Light Projection) printing technology which hardens resin with a ultraviolet laser in very small layers building upon each other. After the print the build supports of the model are removed. The model is then cleaned using isopropanol. This 3D printing technology is used in the production many orthodontic appliances including Invisalign.
The benefits of the 3D printer for patients
The intra-oral scanner is less invasive and more accurate than the traditional impressions. Since the these digital models are printed in house we can turn these models around the same day! We now have the ability to produce retainers the same day as the braces are removed. This means there is no chance the teeth will move before you get your retainers. The 3D scan and 3D printing is also more accurate than impressions so the retainer will fit your teeth perfectly. We use this technology to produce Movement Aligners, Clear Aligners specifically design for each of our patients to align their teeth as quickly and efficiently as possible.
We teach this technology to dentiat and orthodontists. If you are interested in learning more you can contact us at TheToothMovement.
We are continuously working to improve the quality and convenience at Riolo Orthodontics. You can contact us at SeattleOrthodontist.com to make an appointment or just ask us a question.