Complex treatment planning: a collaborative approach to predictability

Complex treatment planning: a collaborative approach to predictability

Oliver Smart shares the details of a complex orthodontic case which illustrates the benefits of collaboration with MiSmile Treatment Planning Services.

With more and more adult patients looking to have their teeth straightened, often challenging cases attend the routine general dental practitioner’s surgery requiring treatment. While dentists are often well equipped with the skills and knowledge to treat these cases, they may present logistical difficulties to the surgery in terms of lengthy planning ensuring a smooth and effective treatment.

Oliver Smart, MiSmile Treatment Planning Services (MiSmile TPS) clinical director, shares the following case received by the orthodontists for MiSmile Treatment Planning, and the thought processes behind the planning.

A patient with bilateral cross bites and generalised non carious tooth surface loss (NCTSL) attended the clinic of a client of a user of MiSmile Treatment Planning Services requesting assistance with planning of the case.

Background and preparation

The patient had previously had no orthodontics. Due to the nature of the impact of her NCTSL, she requested that as well as orthodontics, she had some post-orthodontic restorative work completed, putting back what was lost. The treating dentist Dr Mumta Jilka requested MiSmile Treatment Planning Services help to plan the case.

Records and photos were collected and submitted on the Invisalign Doctor Site (IDS) in the usual way, setting the case up as a Smile Architect plan. Within IDS, MiSmile TPS cases can be seamlessly shared at the time of submission (or later if required) meaning valuable surgery time isn’t lost with multiple log-ins for various platforms.

Treatment planning

MiSmile TPS operates using individual clinician preferences regarding attachment placement, IPR staging and various other dentist factors such as the individual dentists’ approach to elastics usage. This ensure every plan set-up by the MiSmile TPS orthodontists is bespoke for dentist and patient.

Alongside her own clinical prefererances, Dr Mumta was very specific about how she wanted to achieve the final orthodontic result prior to the placement of post-operative restorations. To achieve this, not only is an individual prescription for the case submitted, but within IDS a chat function between treating dentist and planning orthodontist is utilised to ensure a smooth and efficient planning service. 

In other cases, MiSmile TPS can even set-up different types of plans where different treatment approaches may be required – such as a non-extraction or extraction based approached be required to unravel significant crowding.  This is of huge benefit for the consent process, which gets ever tighter in today’s environment.

Following online dialogue and the prescription, the final plan was delivered to the treating dentist and in turn, the patient.

Alongside the plan – a detailed description of why certain movements were planned as well as at-a-glance measurements of things such as overjet and overbite is sent to the treating dentist which can simply be copied and pasted into patient’s records.

The benefits of MiSmile Treatment Planning Services

Planning of the case in this way gives a huge number of benefits to both clinician and patient.

Firstly, a large amount of surgery time can freed-up allowing the clinician and team to devote their time to other actions – such as seeing new patients and increasing revenue to not spending valuable evening times on clinchecks and instead spending time with their families!

Another huge benefit is that of predictability. All MiSmile TPS orthodontists are not only specialist orthodontists, but are also trained to Align’s most recent protocols ensuring the most efficient treatment progress. This in turn reduces the burden on additional aligner orders or mid-course corrections. Both of these add surgery time to cases and decrease patient morale. Reducing these is a must for todays busy Invisalign clinic.

Needless to say, the patient was thrilled at the prompt planning and detailed attention to detail shown by their treating dentist, Dr Mumta.

Dr Mumta said: ‘I plan all of my cases with MiSmile TPS’s assistance. Their quick turnaround, detailed knowledge of how to set up cases efficiently and on going communications with me about my cases is a must for me. Its been an absolute game-changer and I wouldn’t be without it!’

Dr Oliver Smart explains further. ‘The competition for Invisalign in todays dental market is huge. Being able to call upon specialist orthodontists to quickly and efficiently plan cases that will progress smoothly and reduce additional aligner orders means MiSmile TPS users can get ahead in the market, increasing profitability and decreasing stress. It’s a no-brainer.’

To find out more about MiSmile TPS contact cat@mismile.co.uk or oliver@mismile.co.uk.

This article is sponsored by MiSmile.

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