APPLIANCE DESIGN SERVICE

The Appliance Design Service is designed for doctors who would like assistance integrating Appliance Therapy into their practice. Whether you need step-by-step help with a simple minor tooth movement procedure or simply need some direction in designing an interim partial for a periodontally compromised patient, this service will provide you with all of the information you will need to be successful.

Using this service is simple. Send us the basic information about your patient along with a summary of what you want to accomplish and we will return a detailed treatment plan of how to reach your objectives using simple removable or fixed appliances. In addition, we will include illustrated appliance designs, patient wearing instructions, and appliance adjustment sequencing. All of this vital information is then returned to your office as a Printed or Digital report ready for your patient/parent consultation.

If the necessary treatment appears to be beyond the scope of your experience level, we’ll tell you that too. Our goal is to help you be successful and we will only recommend treatment plans that have proven to be effective.

FEE: $99.50 (from) - Fee is determined on case-by-case basis

WHAT WE NEED:

• Doctor’s Profile form – one time information sheet about your level of experience
• Patient Profile form – information we need to fulfill the desired treatment objectives
• Patient Records (minimum requirements)
  • Upper and Lower Models
  • Additional Records – refer to the Patient Profile form

NOTE: Click on Getting Started and Online Services for further information.
 

WHAT YOU RECEIVE:

1. Records and Treatment Objectives
   Written summary of treatment objectives and model analysis.
2. Suggested Treatment
   Proposed appliance design(s) for Phase 1 therapy.
   
3. Appliance Design and List of Components
   Illustrated appliance design(s) and description of components.
   
4. Adjustments and Sequencing
   Appliance adjustment techniques and sequencing procedures.
   
5. Appliance Fees
   Appliance cost(s) with treatment time calculations.
   
6. Basic Supply List
   Supplies required to successfully treat your patient.
   
7. Informed Consent Document
   Informed consent for Phase 1 treatment.
   
8. Patient Instructions
   Appliance care, advise and tips for comfort.
   
9. Completed Prescription Form
   Completed Rx ready for appliance fabrication by Space Maintainers Laboratory.
   
10. Study Models
    Optional - A set of Consultation Models or Board Quality Models (fees apply).

SPECIAL NOTE:

This treatment planning service is to assist you with single-phase treatment only. If additional records are being sent for evaluation (i.e. cephalometric film) or if a case needs multiple phases requiring orthodontic and/or orthopedic therapies, refer to the Orthodontic Diagnostic Service.

CRITERIA:

• Minor Tooth Movement Procedures for Adults
  • Individual Tooth Movement
  • Anterior Crowding – Maxillary and Mandibular
  • Molar Uprighting
  • Forced Eruption
  • Creating Space (e.g. for a bridge or implant)
  • Finishing and Maintaining Post Orthodontic Cases
• Simple / Early Interceptive Orthodontic Procedures for Children
  
  • Space Maintenance
  • Early Correction of Crossbites
    Habits
  • Simple Minor Tooth Guidance
• Appliance Therapy Procedures
  • Surgical Implant Stents
  • Interim Partials and Bridges
  • Periodontal Splinting Techniques
  • Bruxism Splints
  • Sleep Apnea Appliances