- The document summarizes an orthodontist's 8-year experience using the SureSmile system for customized archwires. - SureSmile cases saw treatment times of 13-17 months on average over the 8 years, significantly faster than the national average of 22 months for conventional treatment. - SureSmile provided improved diagnostics, more efficient force delivery, increased practice capacity and cash flow, and resulted in better finished outcomes according to the orthodontist. - However, the orthodontist notes some limitations with SureSmile including loss of control if the practice becomes overly reliant on the system and longer treatment times for more complex cases.

1. 80 th Annual Midwest Angle Component Meeting Orlando, Florida “SureSmile – An Eight Year Clinical Perspective” Ron Snyder, D.D.S. Apple Valley, Minnesota

3. “ Early in my career, I knew that I needed a marketing strategy, a practice brand.”

9. Equipment rental or purchase Case Fee

10. Termination – they can threaten to pull the plug if you don’t want to re-sign to their terms every three years Contract re-negotiations could become unreasonable if you’ve branded yourself as a “SureSmile” practice

27. Heavily Marketed as “Faster and Better”

31. Age 16 Asymmetric Class II Constricted Mild Crowding

32. 3 months light aligning wires Scanning date

33. 7 months in SureSmile wires 11 months in total braces time 10 “routine” visits

34. Tim Alford’s Scores 16 D.I. 22 C.R.E.

35. Age 13 Mild Class II Generalized spacing Mild deep bite

36. 14 months headgear and space closure Scanning date

37. 4 months in SureSmile wires 18 months in total braces time 15 “routine” visits

38. Tim Alford’s Scores 24 D.I. 15 C.R.E.

39. Age 14 Mild Class II Had earlier expansion Mild deep bite

40. 3.5 months aligning wires and Headgear Scanning date

41. 9 months in SureSmile wires and Headgear 12.5 months in total braces time 10 “routine” visits

42. Tim Alford’s Scores 12 D.I. 16 C.R.E.

44. 4 months Haas 6 months Schwartz

45. 4 months light wires Scanning date

46. 4 months light wires 6 months SureSmile 10 months braces 9 “routine” visits

51. Age 15-2 Previously 14 months of upper arch treatment for high cuspids

53. 7 months aligning wires Scanning date

58. 2 months with SureSmile wires in place Pre-surgery

59. 5 months in SureSmile wires 13 months in total braces time 12 “routine” visits

64. Cases where I avoid SureSmile

65. Age 47 Pre-orthodontic periodontal tissue grafting Upper 4s and lower incisor extracted

66. 4 months light wire alignment

67. 9 months preparing for space closure Scanning date

68. 12 months in SureSmile wires - 21 months total braces time 24 “routine” visits Final pictures to be taken and placed here on 1/19/11

69. 01/07/2010