Dr. Herbert I. Margolis Lectureship: Decision-Making in Orthodontics

With the advent of newer and more sophisticated technologies, orthodontists are facing significant challenges. When coupled with heightened patient expectations, the orthodontic decision-making process, which requires careful diagnosis and treatment planning, has becoming incredibly complex. Join Dr. Musich for this year's Dr. Herbert I. Margolis Lecture and discover how three difficult situations faced by orthodontists can be made less intimidating with the use of well-designed checklists! 

I. Multiphase Treatment of the Growing Class III Patient
Non-surgical limits and effective clinical management 

In the first part of the day, Dr. Musich will show how checklists can be used to help identify which Class III patients (having undergone Phase I treatment already) can be successfully managed non-surgically in Phase II, which patients will require jaw surgery after growth is complete, and which cases can be further improved without the expectation of an optimal outcome. 

II. Congenitally Absent Maxillary Lateral Incisors (C.A.M.L.I.)
A checklist for treatment planning 

Implant technology has greatly improved the outcomes for patients with missing teeth. However, a growing orthodontic patient with missing maxillary lateral incisors presents orthodontists with many important and challenging variables that can impact the outcome of their treatment, such as growth, esthetics, bone dimensions, and cost. While “canine conversion” is an option that eliminates the need for implants, it necessitates objective decision-making on the part of the orthodontist. Dr. Musich will show how a customized checklist can be used to help assess the variables and objectively determine the best treatment option for these cases, which will then prepare the orthodontist to make the case for either implants or canine conversion. 

III. Risk Management and the Adult Orthodontic Patient
Merge risk reduction and marketing through strategic planning 

The majority of lawsuits against orthodontists come from adult patients who are disappointed with the results of their treatment. One way orthodontists can reduce this risk is to create a system within their practice to effectively manage expectations through subtle, predictable marketing and deliberate communication strategies between patients and referring doctors. Using his own “8 Step” system as an example, Dr. Musich will show participants how this can be done!

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