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How long will this take? 3 Are you interested in FAST TRACKING orthodontic treatment? ExcellerationTM with Propel • Propel Excellerates braces and aligner treatments • Treatment can be completed in half the time • Can be used at the start of orthodontic treatment or added after treatment has begun Propel Aligner Cases To switch aligners weekly Propel Braces Cases To finish treatment twice as fast 7 What is Propel? • Decades of research refined into a simple and easy in-office procedure with the Excelleration Series drivers • Moving teeth faster is now as easier than ever and is clinically proven safe1 • The Excelleration drivers are used to stimulate a natural cellular response harnessing a patient’s own biology to accelerate tooth movement • Dense bone will be temporarily “softened” internally. This will be undetectable to the patient, but allow these movements to occur faster & easier. 1 Alikhani M, Raptis M, Zoldan B, Sangsuwon C, Lee YB, Alyami B, Corpodian C, Barrera LM, Alansari S, Khoo E, Teixeira C. Effect of micro-osteoperforations on the rate of tooth movement. Am J Orthod Dentofacial Orthop. 2013;144(5):639-648. 8 What is everyone smiling about? Clinical Trial Patient Testimonials Is the science proven? Propel was developed in a UNIVERSITY RESEARCH ENVIRONMENT and Clinically Proven2 SAFE EFFECTIVE COMFORTABLE 2Alikhani M, Raptis M, Zoldan B, Sangsuwon C, Lee YB, Alyami B, Corpodian C, Barrera LM, Alansari S, Khoo E, Teixeira C. Effect of micro-osteoperforations on the rate of tooth movement. Am J Orthod Dentofacial Orthop. 2013;144(5):639-648. Clinical Examples Braces or Aligners Propel Aligner Treatment Proactive: Wedding-ready smile Diagnosis: Class I skeletal and dental relationship Moderate upper & lower arch crowding Moderate overbite (50 %) Treatment Plan: 1/22/13 Placed attachments. Delivered aligner #1, 2, 3, and 4 14 day Aligner changes Patient reports significant discomfort (crowding) 3/19/13 Propel upper/lower 3-3 segments. Delivered aligner #5, 6, 7, 8, 9, 10 6 day Aligner changes 4/30/13 Propel upper/lower 3-3. Delivered aligner # 11, 12, 13, 14, 15 4 day Aligner changes IPR to eliminate black triangles . 5/23/13 Tracking perfectly Delivered aligner # 16, 17, 18, 19, 20, 21, 22, 23 6/20/13 Tracking Perfectly Delivered aligner # 24, 25, and 26. 3 day Aligner changes 7/9/13 Final check - Patient/doctor pleased with treatment results. No need for refinement. Case courtesy of Dr. Jean McGill Propel Aligner Treatment: Savings Summary 26 Aligner case Expected treatment time without Propel: 15 months 12 months initial set of aligners + 2-3 months refinement Actual treatment time with Propel: 6 months with no refinement needed Results Estimated time saved 9 months Estimated chair appointments saved 5 Initial January 2013 Final July 2013 Propel Braces Treatment Proactive Use Diagnosis: Crowding Treatment Plan: 3/13/13 Initiated treatment with bonded fixed appliances. Propel applied 5/3/13 Propel applied a second time 7/12/13 Completed treatment, appliances removed upper and lower fixed retainers delivered. Expected treatment time without Propel: 9 months Actual treatment time with Propel: 4 months Results Estimated time saved 5 months Estimated chair appointments saved 4 Case courtesy of Dr. Cristina Teixeira Initial March 2013 Final July 2013 Propel Excelleration Treatment Guide 17 Step One: Evaluate the treatment area Step Two: Anti-bacterial Rinse Rinse twice for 1 minute each time Step Three: Anesthetize Use either a topical or local infiltrative Step Four: Excellerate Propel with Braces Propel with Aligners Post-Excelleration 23 Maximizing Patient Comfort •Most patients report they don’t feel any discomfort during and within 24 hours of receiving Propel •If patients do experience any discomfort from either aligner or wire adjustments, Tylenol is recommended and any Non-steroidal AntiInflammatories (Advil, Aleve) should be avoided. NSAIDS have been shown to inhibit orthodontic movements. •Next week will you be thinking: “I wish I would have” or “I’m glad I did!” 24 As you can see Propel™ is proven SAFE EFFECTIVE COMFORTABLE We can Excellerate today or schedule it for your next visit. Additional Clinical Cases with Propel Propel Aligner Treatment Diagnosis: Class I crowding Anterior crossbite and narrow arches Treatment Plan: Invisalign and Propel Expected treatment time without Propel: 24 months with refinement and extractions Actual treatment time: 10.5 months with 33 aligners, 3 Propel applications and no refinement Results Estimated time saved 5 months Estimated chair appointments saved 4 Case courtesy of Dr. Ben Miraglia Initial Final Aligner Case: Class III Diagnosis: Class III right lower midline to the left Edge to edge in the anterior Treatment Plan: Aligners + Propel Actual treatment time: 5 months 20 Aligners, 2 Propel applications and no refinement needed Case courtesy of Dr. Payam Ataii Aligner Case: Crowding & Rotation Diagnosis: Crowding & Rotation Treatment Plan: Aligners + Propel Expected Treatment Time without Propel: 16 months Aligners for 65 weeks + refinement Actual treatment time: 6 months 30 aligners and 2 Propel applications with no refinement needed Case courtesy of Dr. Payam Ataii Braces Case: Crowding Diagnosis: Crowding Treatment Plan: Braces + Propel Expected treatment time with Propel: 9 months 12 months + 2-3 months refinement Actual treatment time: 4 months with 2 Propel applications Case courtesy of Dr. Cristina Teixeira Braces Case: Open Bite & Pre-Restorative Diagnosis: Open Bite Closure + Pre-Restorative Treatment Plan: Braces + Propel Expected treatment time without Propel: 20 months Actual treatment time: 9 months with 3 Propel applications Case courtesy of Dr. Cathy George Aligner Case: Class I Diagnosis: Class I skeletal and dental relationship Moderate upper & lower arch crowding Moderate overbite (50 %) Treatment Plan: Aligners + Propel Expected treatment time without Propel: 15 months 12 months initial set of aligners + 2-3 months refinement Actual treatment time with Propel: 6 months using 26 Aligners with no refinement needed Case courtesy of Dr. Jean McGill Aligner Case: Class II Diagnosis: Mild Class II, Div. II Mild upper and lower crowding with a 60% deep bite and negatively inclined upper incisors Rotation of UL lateral incisor Treatment Plan: Aligners + Propel Expected Treatment Time without Propel: 24 months Actual treatment time: 6 months 3 day change intervals with no refinement needed Case courtesy of Dr. Thomas Shipley Aligner Case: Open Bite Diagnosis: 4 mm Anterior Open Bite Treatment Plan: Aligners + Propel Expected Treatment Time without Propel: 24 months Actual treatment time: 16 months Using 2 Propel applications Case courtesy of Dr. Jonathan Nicozisis Aligner Case: Narrow Arches Diagnosis: Narrow maxillary arch Distal root tipped centrals Treatment Plan: Aligners + Propel Expected Treatment Time without Propel: 15 months Actual treatment time: 7 months Using 3 Propel applications Case courtesy of Dr. Jonathan Nicozisis Aligner Case: Class II Diagnosis: Class II Subdivision right with a reverse smile and uneven gingival display Treatment Plan: Aligners + Propel Expected Treatment Time without Propel: 14 months Actual treatment time: 5 months Using 2 Propel applications Case courtesy of Dr. Jonathan Nicozisis Braces Case Treatment Plan: Braces + Propel Expected Treatment Time without Propel: 10-12 weeks Actual treatment time: 1 month progress Using 1 Propel application Braces Case Treatment Plan: Braces + Propel Expected Treatment Time without Propel: 12 weeks Actual treatment time: 1 month progress Using 1 Propel application Braces Case Treatment Plan: Braces + Propel 6 month progress using 1 Propel application Braces Case Diagnosis: Molar protraction Treatment Plan: Braces + Propel Expected Treatment Time without Propel: 8-9 months Actual treatment time: 4 months Using 2 Propel applications Braces Case Diagnosis: Molar uprighting Treatment Plan: Braces + Propel Expected Treatment Time without Propel: 6 months Actual treatment time: 3 months Using 1 Propel application Braces Case Diagnosis: Moderate Crowding Treatment Plan: Braces + Propel Expected Treatment Time without Propel: 14 months with possible extraction Actual treatment time: 7 months Using 2 Propel applications and no extraction Braces Case Diagnosis: Deep bite and lingually displaced premolars Treatment Plan: Braces + Propel Expected Treatment Time without Propel: 18 months Actual treatment time: 9 months Using 2 Propel applications Braces Case Diagnosis: Space Closure Treatment Plan: Braces + Propel Expected Treatment Time without Propel: 3 months Actual treatment time: 2 months Using 1 Propel application Braces Case Diagnosis: Molar Protraction Treatment Plan: Braces + Propel Expected Treatment Time without Propel: 20 months Actual treatment time: 11 months Using 3 Propel applications Braces Case Diagnosis: Canine Extrusion Treatment Plan: Braces + Propel Expected Treatment Time without Propel: 10 months Actual treatment time with Propel: 5 months Braces Case Diagnosis: Impacted Palatal Canines Treatment Plan: Braces + Propel Expected Treatment Time without Propel: 12 months Actual treatment time with Propel: 6 months Braces Case Diagnosis: Gummy smile Treatment Plan: Braces + Propel Expected Treatment Time without Propel: 12 months 1 month progress with Propel Reduction in vertical maxillary excess change and patient’s gummy smile is almost gone. Case courtesy of Dr. Karen Guinn Braces Case Diagnosis: Stubborn Rotation Treatment Plan: Braces + Propel Instead of bending the wire or rebonding the bracket, 1 Propel quickly facilitated an ideal on-axis rotation with no resorption Actual treatment time: 2 months with 1 Propel application, which allowed moving directly to the next stage at the next visit. Typically this may have take the patient 2-4 additional visits to address this stubborn rotation without Propel. Case courtesy of Dr. Cathy George Initial 3-11 2 Months with out Propel 2 Months with Propel 49 As you can see Propel™ is proven SAFE EFFECTIVE COMFORTABLE We can Excellerate today or schedule it for your next visit.