These innovations of the department are also published in leading orthodontic journals.

For any business, time and money are inextricably linked as the most important resources. It is important for practice owners, as well as salaried dentists, to determine exactly how much each hour worked is generating for their bottom line.

One of the main issues which the dentists want to overcome is the chairside time which influences their OPD and also total number of patients flow.

Orthodontics being one of most affected branch which needs inventions to reduce the chairside time of the patient. There had been various clinical innovations in the past decade.

M BLOCK

The anterior crossbite is sometimes difficult to correct.

Originally, acrylic bite blocks on the occlusal surface of the teeth are used to raise the bite for their correction.

Most of the time, the patient reports before the prescribed appointment with loose bite blocks and debonded brackets, thus delaying the treatment time. This technique involves fabrication of an acrylic bite block with the involvement of stainless steel wire for stability and correct placement of the block over the teeth.

Make an impression of the maxillary arch and prepare the working cast with the selection of the bands.

Take a round stainless steel wire (21 gauge) and form a triangle with its edges toward the cusp tip. Make a 90° horizontal bend and involve a helix of 3 mm in diameter for the ease to hold the block for insertion in the tube. Insert the wire in the auxiliary slot of the bands. Cut the excess wire than required.

R Retainer Clip for Lingual Bonded Retainers

The new “R retainer clip” is very simple to fabricate and stabilizes retainer wire without interfering in its proper adaptation to the lingual surface of the tooth to be bonded.

FABRICATION OF THE CLIP

A 0.017×0.025 inch straight rectangular stainless steel wire is taken.

A pair of double-helical rectangular box frames is fabricated

Advantages of the Clip are as follows-

Simple to fabricate
R clip can be shifted easily on any desired tooth during bonding to stabilize the wire properly.
Allows precise placement and stabilization of the retainer wire.
After appropriate sterilization same R clip can be reused.
Saves considerable time, since R clip can be prepared beforehand and usually takes few minutes for preparation.
R clip can be used on any tooth irrespective of tooth shape and size as it is flexible enough to adapt at any tooth shape.

SIMPLIFIED METHOD FOR FABRICATION OF “UNIVERSAL ECONOMIC CRIMPABLE SHIMS” (UECS)

Fixed functional appliances address class II skeletal problems through enhancing mandibular growth and causing dentoalveolar changes as well. Sometimes all available shims (provided with appliance) are used or some shims are lost but still, activation is required.

Fabricated UECS surpasses these difficulties and can be used for further activation of these fixed functional appliances.

In conclusion, the Greek philosopher Plato said “Necessity is the mother of invention”, one should always think of innovations which save their chair side time. Ensuring that primary and secondary practitioners are allotted the resources they need to be successful will create a better workflow and greater harmony within the office.

It is essential that all members of the dental team assist the dentists in increasing treatment quantity without compromising quality. If the practice is not profitable, there is significant ‘down time’, or the schedule is not running smoothly, a revaluation of quality chairside time will help bolster a routine in a rut.