—By Drs. Eugene Roberts, Jeffrey Roberts, Stephen Tracey, David Sarver, Journal of Digital Orthodontics November 2019
Based on recent clinical studies by Dr. W. Roberts et al, SmartArch is significantly more efficient than conventional CuNiTi archwires. With precise bracket positioning, SmartArch’s 2-step sequence enables the simultaneous 3D alignment of BOTH arches, helping to:
“SmartArch allows us to use a wire that places optimal forces on the molars and the incisors at the same time. This allows for earlier posterior broadening and leveling than we are used to seeing in these early archwire stages.”
“This not only creates more efficiency for my practice, but also less discomfort for my patient because the force values are ideal for each tooth. Think about that: less discomfort with faster movement.”
“When you start adding up these perks over hundreds of patients, the benefits for the office as a whole are exponential. To me, one of the most exciting aspects of SmartArch is the realization that there is nothing additive to treatment that we need to build in—it’s all in the wire, and we’ve been using wires since day one.”
*Chris Cosse, DDS, "No Tooth Left Behind," orthodonticproductsonline.com, June 6, 2019.
The conventional wire progression—stepping through multiple rounds of progressively greater size and force—results in forces that overpower some teeth and underpower others. The value of this new wire technology lies in its capacity to apply physiologically appropriate forces to each individual tooth, thereby minimizing the formation of avascular necrotic tissue and shortening the lag phase. In each case shown here, SmartArch treatment appeared to minimize the lag phase, making coordinated tooth movement more efficient and leading to an estimated 50% savings in leveling and alignment time.
The significant observation in her case is how efficiently the bite was opened in 90 days with one continuous archwire. Smart-Arch delivered gentle and continuous forces that were preferred for optimal tooth movement and patient comfort.
Significant changes had occurred 180 days after initial archwire placement and two archwires (Figures 11 and 12).
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* Disclaimer: The opinions expressed are those of Drs. Eugene Roberts et al, Dr. Jeffrey Roberts, Dr. Stephen Tracey, Dr. Chris Cosse, Dr. David Sarver, Dr. Sonia Palleck and Dr. Marc Olsen. Ormco is a medical device manufacturer and does not dispense medical advice. Clinicians should use their own professional judgement in treating their patients. Patient results may vary. Dr. Marc Olsen and Dr. Sonia Palleck are paid consultants for Ormco.