tag:blogger.com,1999:blog-932108020701644437.post9204932043982774048..comments2024-02-16T05:25:04.414-05:00Comments on Your Markham Orthodontist, Toronto Invisalign, and Richmond Hill Braces at Work and at Play: We Don't use Damon Braces at Markham Centre Orthodontics... Here's Some New Evidence Why...MCO Orthodonticshttp://www.blogger.com/profile/13183992227463134190noreply@blogger.comBlogger5125tag:blogger.com,1999:blog-932108020701644437.post-86111782149738220312015-11-16T20:47:26.487-05:002015-11-16T20:47:26.487-05:00There's nothing really wrong about Damon brace...There's nothing really wrong about Damon braces if the doctor knows how to use them. However, there is still not any significant data to show there is a true benefit to their use. At the end of the day, the brace is just a tool to make teeth straight. The skill of the doctor is going to determine the benefits of your results. Imagine Serena Williams playing tennis with my racket and me playing with hers. I'm pretty sure the racket would not be the reason she beats me. Treat orthodontics using any type of technique as just that, a technique, rather than a commodity.MCO Orthodonticshttps://www.blogger.com/profile/13183992227463134190noreply@blogger.comtag:blogger.com,1999:blog-932108020701644437.post-16051448509940811412015-11-16T18:16:53.565-05:002015-11-16T18:16:53.565-05:00Hi there, I have been doing LOTS of research on Da...Hi there, I have been doing LOTS of research on Damon braces and am trying to decide which direction to go with my own ortho treatment. I came across this blog and wanted to know if you have changed your mind at all about Damon and self-ligating brackets since you posted this blog in 2009.<br />Anonymoushttps://www.blogger.com/profile/07340337869730767402noreply@blogger.comtag:blogger.com,1999:blog-932108020701644437.post-29670975761076666952009-06-12T20:52:01.716-04:002009-06-12T20:52:01.716-04:00This comment has been removed by the author.n/ahttps://www.blogger.com/profile/02204106290962607293noreply@blogger.comtag:blogger.com,1999:blog-932108020701644437.post-32452804452548143572009-06-10T19:23:08.966-04:002009-06-10T19:23:08.966-04:00Great Post Dr. Tam!Great Post Dr. Tam!Barnetthttps://www.blogger.com/profile/15490184694425442200noreply@blogger.comtag:blogger.com,1999:blog-932108020701644437.post-84517178250357232009-06-09T11:18:40.179-04:002009-06-09T11:18:40.179-04:00Interesting debate going on here and what we see a...Interesting debate going on here and what we see are the naysayers jumping on any bit of “anti-Damon” information. If one realizes the limitations of CBCT for the type of studies we want to see here, i.e., assessing thin alveolar bone, and if you talk to oral and maxillofacial radiologists, like my friend David Hatcher and James Mah, they will re-affirm the limitations of CBCT. The emotionality of the “anti-Damonites” is rising in crescendo now with these few limited looks. If one is truly going to practice evidence based orthodontics, why not apply the same studies, Oklahoma and Melsen’s, to Invisalign, SureSmile, Conventional fixed appliances, etc. and look at what is going on there. <br /><br />People need to sit down and think critically about what they are reading and look for example at the time points when images were taken, types of software used to analyze, monitors, voxel size, etc., etc, <br />Really now, does not one think that whatever they are doing with aligners, passive or active clip ligation, conventional ties, etc. really is going to be that different. There will be alveolar bone changes at T2 if the time point is just at the completion of treatment. Is not the purpose of retention to let bone “complete” its remodeling and mineralization during the 3-6 months following treatment. <br /><br />What one needs to do is a complete RCT is measure all the above groups at T1, T2 and 2 or more years follow-up with similar protocols. Once you analyzed all groups would you then get a real idea of what is happening. <br /><br />A word to the SureSmile group, your technique will be undergoing the same “emotional and physiologic” debates soon, so get your cases ready to be analyzed by some enterprising graduate student.<br /><br />I have only been doing the Damon PSL technique since 2000. It has continued to evolve with new wires and new brackets and anecdotally does seem to work. The critical thing with Damon or anything is that you have to work hard at excellence. Excellence begins with diagnosis, with bonding positions, etc. etc.<br /><br />I started my graduate training in 1975 when the Andrews Straight Wire Appliance was just introduced. Good grief, you should have heard the emotional dissection of that technique that was going to destroy orthodontics because we would not have to bend wire. I have two graduate students looking at our conventional appliance and PSL appliance cases and guess what we can’t really measure bone levels with our conventional films, and even thought I had the Galileos CBCT (very small voxel size) and now ICAT, still can’t get adequate enough assessment of bone levels. Damon used Helical CTs on his patients and some were imaged up to 2 years or so out of treatment. NO COMPARISON WITH CT’s AND CBCT, plain and simple.<br /><br />In the early 80’s did we as a profession, do the same studies on the introduction of elastomerics to see the positive and negative impacts on tooth movement. We did not have CBCT just conventional radiographs and what have we seen, look at the JADA article last year that politely slams orthodontics for causing bone loss from their literature reviews. <br />Lets get honest and lets get serious here. We have new technology that will enlighten us in the next few years, we have the ongoing controversies about this and that, but suffice it say, there are so many variables that it behooves, you the clinician, to look thoroughly at how these studies have been conducted, how the treatment mechanics were carried out, etc.<br /><br />Enjoy these ortho studies, debate, argue, but BE CRITICAL AND THINK. Just don’t take the conclusion at face value. <br /><br /><br /><br />Terry CarlyleTerry Carlylehttps://www.blogger.com/profile/12107627492613185149noreply@blogger.com