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  ** Orthodontic Jaw Wiring  for Weight Loss

Table of Contents for Orthodontists 

December 20, 2007   The equipment and supplies required to implement Orthodontic Jaw Wiring and where to obtain them and the cost. [Click Here]

October 29, 2007    I submitted this article to the American Journal of Orthodontics and Dentofacial Orthopedics on October 28, 2007: Orthodontic Jaw Wiring (OJW): The Dental Professional’s Role in Weight Control for Compulsive Overeating Leading to Obesity

September 22, 2007     I used the SmartClip demonstration model to show how OJW can be used with Self-ligating brackets (wire: RMO deadsoft .014") See patent figures.

September 22, 2007  Orthodontic Jaw Wiring  (OJW) :The Protocol for Providing OJW to Your Patients: A New Service in Dentistry The OJW AGD Seminar Handout

July 21, 2007     You will need to communicate with your colleagues, your referring dentists and your patients.  Sometimes an en mass   emailing is the best way to go. See how I solve the e problem in my office.

June 15, 2007     Photo-documentation of the first clinical trial combining simultaneously  Orthodontic  treatment with OJW from the every start.

May 21, 2006  Microimplants in Orthodontics  It will not be long before the use of the microimplant (miniscrew, TAD) is being taught and used in every post graduate orthodontic school in the country here and abroad. [Learn more about microimplants].and See how a microimplant is placed: Tomas page 1 and Tomas Page 2

 June 3, 2005     Hear Ballad of  Dr. Ted  : My son Jon is a song writer and singer as well*. When he graduated  from Middlebury College in 1993 I asked him to write a song about getting braces. He wrote the "Ballad of Dr. Ted,"  for which I paid him $100.  I've  played it many times in the office for patients  who come in for consultation. It tells the classic and joyous story of a young boy who learns that he needs to  have braces. Of course he does the classic thing, he asks the advice of his friends... who wouldn't?  He ends up following the advice of his best friend "Jason" who changes his life
forever by advising him to go to Dr. Ted because "Nobody does it better."  * My favorite song of his is called The Only Thingwhich he wrote and dedicated to Amy,  the girl he married on October 26, 2003.   It tells of the pain that comes with loving one another. The other day I submitted  the Ballad of Dr. Ted to the American Association of Orthodontists as my nomination for a song which represents our prestigious organization...an anthem if you will.
Hear Ballad of  Dr. Ted :-)

May 27, 2005   Ongoing developments in OJW:  November 29, 2004   at the  Greater New Dental Meeting: Presented a table  clinic: "The Dental Profession's Role in the Control of Compulsive Overeating: OJW (Orthodontic Jaw Wiring for Weight Control)"
 
May 22,  2005   at the 105th  International meeting of  the American Association of Orthodontists in San Francisco:  Presented a table clinic: "The Dental Profession's Role in the Control of Compulsive Overeating: OJW  Transitioning Your  Overweight Orthodontic Patient from Active Treatment to Retention using OJW"  [See abstract and information]                                               
September 10,  2005  at the 6th International Congress of Orthodontists: Presented a table clinic:  Presented a table clinic: "The Dental Profession's Role in the Control of Compulsive Overeating: OJW  Transitioning Your  Overweight Orthodontic Patient from Active Treatment to Retention using OJW"                       Founder of  the Dentist Providers of Orthodontic Jaw Wiring for Compulsive Overeating  (DPOJW) , 2004. 

January 9, 2005 See article to be submitted for publication in the NYS Dental Journal, 2005 in which Dr. Rothstein responds to the present editor of the journal, Dr. Elliot Moskowitz, whose article entitled The Limits of Dentistry sets forth the author's reasons for not providing services to the morbidly obese. [Link]

December 3, 2004   recently presented a "Table Clinic" that included a PowerPoint Presentation on the   subject of "Orthodontic Jaw Wiring"  to my dental colleagues at The Greater NY Dental Meeting  and my orthodontic colleagues as well. You can it see it at: [Click Here].

October 30, 2004    I have the honor to announce that I am presenting a "table clinic" at the Greater NY Dental Meeting  on November 29, 2004 titled "The Dental Profession's Role in the Control of Compulsive Overeating: Orthodontic Jaw Wiring... A kinder gentler way  (OJW)"  On that occasion I will demonstrate the principles/rationale of how the OJW service is provided and present a power point presentation. Moreover, I take pleasure in noting that my OJW table clinic was selected for presentation at  the International Meeting of the American Association of Orthodontists  (May 21-24, 2005), in San Francisco. There I  will demonstrate how an orthodontist can transition an overweight patient who has just completed the active phase of  braces into the passive phase of treatment ("retention") using OJW. See the Power Point Presentation   (4Mb)  and see  [See abstract of presentation and information] 

September 22, 2004   Every thing a a dental professional needs to know to provide Orthodontic Jaw Wiring.

September 14, 2004   Orthodontists refer many patients to oral surgeons for the "removal"  (I say "amputation") of wisdom teeth. Consequently, it behooves them to be knowledgeable about Etiology, Prevention and Management of Post Extraction Complications The article was written by Dr. Michael Florman, who was certified in 2004 as a specialist in orthodontics (NYU Post Graduate orthodontic department). Best wishes to Michael you are an asset to our profession. While you are there take the test. This article is a continuing education course that appeared as an insert in Dental Economics, August 2004.

September 11, 2004    This entry commemorates the third anniversary of the  World Trade Center disaster on 9/11 three years ago. I offer
a prayer in memory of the those who died and to those sadly bereaved of their loved ones ;-(   See Memorial:

 The DDS System is much in the limelight these days:  If you want to find a provider in the NYC area just (Click here). You will also see the INFORMED CONSENT that providers have their patients sign.

 

September 2, 2004     Dr. Rothstein take pleasure in announcing the formation of the DPOJW*, an organization of dentists who are committed to providing orthodontic jaw wiring to those who are overweight or obese and who meet the criteria for being accepted as a patient for this type of control of compulsive overeating. An online course will is being offered free to the first 25 dentists who provide their name, address, telephone and email address.
*Dentist Providers of Orthodontic Jaw Wiring

The reasons why a DDS or  DMD  should or should not consider being a member of the DPOJW [See the reasons].

September 1, 2004   Learn About the DDS System for Weight Loss : This device is custom made by certified dentists     who begin by making a mold of your upper teeth and palate. The dental lab fabricates the device which reminds one a lot of the retainer that many orthodontists give you at the end of treatment to hold your teeth in place. It costs $350-$500. It modifies your eating habits by causing you to eat slower so you feel full sooner, consequently you eat less. Move over OJW (Orthodontic Jaw Wiring) you have company.

August 28, 2004       I was asked by the editor of Orthodontic Product Magazine, Christopher Piehler, to be part of a                      "virtual round table discussion," the results of which, will appear in toto in the publication by December 2004.  Below I  present my final thoughts on the usefulness, delivery of patient care service, and my hopes for OJW as a potentially useful tool that some overweight patients might find appropriate/suitable for their problem.  OJW round table

February 29, 2004      See the poster Dr. Ted created to inform his patients of a new choice IN ADDITION TO INVISALIGN, LINGUAL and CLEAR braces: Here is the big question... Would a would-be adult patient be willing  to pay about $200 more for DAMON (metal showing braces) if they could have their teeth straightened in 25-30 % faster time?? WITH 25%-30% FEWER VISITS?:  See a close up of the DAMON BRACKET

February 29, 2004      Having listened to many lectures and attended many conferences on providing the Invisalign service to our patients, I decided to let the folks in my town (Brooklyn, NY ...population 2,465,326...) that the Invisalign service was firmly rooted in Dr. Ted's practice. The office manager, created this new ad which appeared in the Brooklyn Yellow pages for the first time February 26, 2004.  See the new Yellow pages ad.

January 22, 2004      On January 22, Dr. Ted submitted a proposal to the committee that selects essayists to present papers at the GNYDM (Greater New York Dental Meeting). This meeting convenes December 28-January 2.  READ THE PROPOSAL.

December 13, 2003     
                       
Orthodontic Jaw Wiring is a service I provide.  Providers of the OJW service are rare,    be they orthodontists, dentists or oral surgeons. Never before now has anyone established/created  a protocol for providing this service. Naturally, would-be providers are concerned with legal and liability issues. See The Informed Consent for OJW and the FAQ's. Moreover, some studies would be useful such as the long term effects of limiting the motion of the jaw joints (the "TMJ"). I have had a few OJW patients say that they were first wired by an oral surgeon because of trauma and it was then that they realized the potential of this method to control their weight. The responses I have received from grateful patients reinforces for me that, overall, OJW is a beneficial service although its detractors are rife. Recently, I encouraged a dentist in Colorado to provide the service to his patient, Jay Freeman, instead of having him come to New York and having me do it. The patient wrote the following: (See The Second Forum on the Pros and Cons of OJW: responses to the letter of 9/22/03). The chart entry for a recent patient of my own, AF illustrates the OJW approach. The accompanying photo  documentation illustrates succinctly how OJW is done. The exact sequence of wiring is shown at OJW jaw wiring sequence.

November 2, 2003   Dr. Ted takes pleasure in announcing the introduction to his orthodontic practice of the                       fourth generation of modern treatment orthodontic appliances. It is called the "Damon System". This system makes use of "super-elastic" archwires and self-ligating brackets [See the bracket and how the wire is attached] which can capture the
archwire without any external attachment devices such as "ligature wires" or "elastics" which create massive friction (400-600 times more friction), consequently slowing down enormously the movement of the teeth. The combination of the the super-elastic wires and the "self-ligating" bracket are so effective that they allow the patient to be seen every 8-10 weeks instead of every 4-5 weeks with great accuracy and control of the movement of the teeth. In effect, by making use of such wires and the Damon self-ligating bracket the teeth move more continuously with less discomfort because the forces on them are more gentle.

October 19, 2003  Dr. Seung Ki Min, NYU  Cont. Ed. orthodontic program, 2002,  presented a paper at The 5th Asian-Pacific Cleft Lip and Palate Conference September 29-October 1, 2003,on the Dental and Skeletal Characteristics and Growth in Class III Malocclusion Between Skeletal Ages of 10 an 14. Here is the abstract of that paper:

September 22, 2003 About two year ago I wrote: Letter to Educators, Researchers and Orthodontists recommending establishment of a forum where knowledge regarding OJW for weight loss can be shared. That letter generated:   A Forum for OJW for Weight Loss for those who would like to share their ideas on the pros and cons of OJW for weight loss. On September 22nd, 2003 I published: Orthodontic Jaw wiring for weight loss (OJW): A primer and protocol for orthodontists UPDATED.  Click here to read it.

September 7, 2003 My son Jon is a song writer and singer as well. When he graduated from Middlebury College  in 1993 I asked him to write a song about getting braces. He wrote the "Ballad of Dr. Ted," for which I paid him $100.  I've played it many times in the office for patients who come in for consultation. It tells the classic and joyous story of a young boy who learns that he needs to  have braces. Of course he does the classic thing, he asks the advice of his friends...  who wouldn't?  He ends up following the advice of his best friend "Jason" who changes his life forever by advising him to go to "Dr. Ted...because "Nobody does it better." The Ballad of Dr. Ted.   Although I suppose I am biased :-) I believe this song should be nominated for  The best theme song of the American Association of Orthodontists.

August 30, 2003 Patient's Financial Memo form and Notice of Informed Consent--The two most important forms in our office. 
 
Every healthcare provider must utilize both these documents. These
forms are essential elements of a vital professional practice. We decided to meld them into a two-sided document for efficiency. This Fin-Mem/Inf-Con memo is reviewed and updated annually for accuracy, content and specific office needs. Along with the Summary of Consultation-Examination these three  documents provide the information that empowers your patients to help finish the treatment that they have contracted for as well as to help  form a mutually cooperative and happy patient-doctor relationship.  I just finished updating these forms: See   SumCon 2006-2007 and  FinMemSumCon2003

August 30, 2003
Wouldn't it be be nice if all the would-be patients that came to my office for a consultation-examination chose me to provide their treatment? When they do not I am always curious to know the reason(s) why in the hope that I can improve the service I provide. As a result I created the following questionnaire:
 http://ww.drted.com/Pending patient questionnaire

February 23, 2003
 Sometimes patients present bite problems that are correctable only by a combination of braces
 and jaw (''orthognathic"/"maxillofacial") surgery. Henry Hatfield required such surgery. In all my
 readings and experience I have read in such detail the total experience of a patient who needed
 to undergo such surgery.  Henry has written his story in "excruciating" detail. His narrative should
 be must-read by every orthodontist whether (s)he is a student in orthodontics or a seasoned
 orthodontist. His story is mandatory as well for those patients who are considering jaw surgery.
 Read Henry's description of his experiences.

I provide my patients with a "Summary of the Consultation" at the conclusion of the 30 minute appointment.
 that I provide. It is a very complete, informative and impressive document. Even the  paper upon which
 it is printed is meant to give a lasting impression about the workmanship done at my office. You must
 never forget above all that at each step of the way your prospective patient should perceive that your
 work/office ranks above all the rest. The fees are presented at the time of the consultation. My fees are shown on the informed consent.  See SumCon 2004-2005

January 6, 2003
The INFORMED CONSENT FOR ORTHODONTIC TREATMENT 

November 4, 2002
Dr. Ted (c'est moi) is happy to announce the start of a new orthodontic information page devoted to
teaching the NYU Post Graduate Orthodontic Students, past and present, some of the clinical (diagnosis
and treatment planning) and practice management knowledge that I have learned in the course of practicing
orthodontics for 30 years. Both the office manager and I will issue practical and useful information which we feel would be of use to help an orthodontist run his/her practice. Come see 
Over The Wires:A POTPOURRI OF ORTHODONTIC REFLECTIONS, PERSPECTIVES, POINTERS AND OPINIONS
 

October 10, 2002
  It has now been reported to me that at least one patient may have experienced an allergic reaction to the material that the "aligners" are made of (read her letter). (Patients are sometimes allergic to the Nickel in stainless steel braces.) 

March 5, 2002
                   
Dr. Ted offers a special service to carefully selected patients who are good candidates and that is
Jaw Wiring for Weight Loss
. You can see the Directory for that service by clicking [HERE] . You can now also see the letter
I sent to educators researchers, orthodontists, the previous jaw wired patients, friends and family ask them to give
their opinion regarding the efficacy and the providing of this service by orthodontists...you would be very surprised
what they had to say. [I want to see the letter] and want to see the responses so far. Would you like to hear how
one patient sounded when she had her jaw wiring done on Feb1, 2002?. The treatment chart of Valerie Freeland (look at the last line).

January 19, 2002
                        The INFORMED CONSENT for Jaw Wiring for Weight Loss 

April 28, 2001
                        Letter from Dr. David Turpin, Editor and Chief of the American Journal of Orthodontics and DentoFacial Orthopedics, indicating the manuscript for Part II (Anterior-Posterior and Vertical Growth) was accepted for publication  in the November 2001 issue of the AJODO.

 Facial Morphology and Growth From 10-14 Years of Age in Children Presenting Class II, Division 1 Malocclusion: A Comparative Roentgenographic Cephalometric Study   (Parts I and II)
Part I: Characteristics of size, form and position
See also: www.mosby.com/ajodo:  March 2000, Vol. 117, No. 3,  Pp. 320-332 (User: dr. ted rothstein: password: drted35)
Part I:  Error Correction
http://www.harcourthealth.com/scripts/om.dll/serve?article=jod0112005cr

Part II: Vertical and Anteroposterior  growth  between the ages of 10 and 14  
See also: www.mosby.com/ajodo:   AJO-DO   November 2001, Vol. 120, No. 5, Pp. 542-555
(User: dr. ted rothstein: password: drted35)

Introduction

Abstract of Dr. Rothstein’s Doctoral Dissertation that appeared in AMERICAN JOURNAL OF ORTHODONTICS, (December 1971)

Abstract of dissertation that was published as a 15 page article in the AMERICAN JOURNAL OF ORTHODONTICS and DENTOFACIAL ORTHOPEDICS, (March 2000)

What the abstract says in simple words:

Actually the founding father of orthodontics (Edward Angle, Ca. 1904) strongly believed that when you had a buck-teeth like condition the problem was caused by the lower jaw being small (undergrown) or retruded (shifted backward in position). He thought the upper back teeth never shifted into a forward position. The data in my study (1971, first computerized study with LARGE SAMPLES, GROUPED BY AGE AND SEX) indicated his belief was wrong, and on average the lower jaw of the children with buck-teeth is most often identical in size and position to those children who do not have buck-teeth. In fact, it is the upper jaw and teeth that are forward in position.
 

Facial Morphology and Growth From 10-14 Years of Age in Children Presenting Class II, Division 1 Malocclusion: A Comparative Roentgenographic Cephalometric Study
Part one of a two part original article published in the AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS March 2000, Vol. 117, No.3 pp. 320-332
.

Part two of a two part original article published in the AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS November 2001, Vol. 120, No.5 pp. ?-?

The Visual-Dx Composite Cephalometric Standards

  1. The Standard for Females 10 years old ± 6 mos.
  2. The Standard for Females 12 years old ± 6 mos.- FREE
  3. The Standard for Females 14 years old ± 6 mos.
  4. The Standard for Males 10 years old ± 6 mos.
  5. The Standard for Males 12 years old ± 6 mos.
  6. The Standard for Males 14 years old ± 6 mos.

STOP: The "Standard-Tracing Observer Position"

  1. Skeletal Profile Analysis: (A-P position of end points NAS, A, POG or B)
  2. Total Ant. Face Ht.: (Nas-Me)
  3. Dentition-Max.
  4. Dentition-Man.
  5. Mandible
  6. Usefulness of the SD (standard deviation) crosses on each Normal standard
  7. Features of the standards
  8. Preparation of Standard

An Example of an analysis of Anterior Facial Height

How to obtain the FREE standard (Female SA12), ceph analysis sheet, instructions and landmarks

 

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