Prot OL: Sneak Peak

Issue 5 THE SECRETS OF A HIGH PERFORMANCE TEAM
Aug. 2016
THE MAGAZINE
PROT OL
w w w. o c - o r t h o d on tic s. com
PI EA
SN
O AC EA
N K
C LE K
N P
A “NEW” ARCH FORM & ARCH WIRE
PROGRESSION SEQUENCE
Drs. Tom Pitts & Duncan Brown
PRACTICE SPOTLIGHT
Dr. Michael McLaughlin
MEET THE OC INTERNATIONAL SALES TEAM

CONTRIBUTORS
Thomas Pitts D.D.S., M.S.D.

Ortho Country Orthodontics
Dr. Pitts is a world renowned lecturer and clinician. He is highly recognized for his continued
teaching of orthodontic finishing and clinical excellence. Dr. Pitts is an associate clinical professor at
the University of the Pacific and founder of the well-respected Pitts Progressive Study Club.
Dr. Pitts has been published in multiple journals and clinical publications. He has been actively teaching
the orthodontic community in a variety of settings both nationally and internationally since 1986.
Duncan Brown B.Sc., D.D.S., D. Ortho

Smile Zone Orthodontics
Dr. Duncan Brown is a highly regarded international speaker and educator in passive ligation bracket
systems. Dr. Brown teaches regularly at the University of Alberta and University of Manitoba and is
also a Kodak/Carestream Dental speaker and consultant.
Dr. Brown has made large contributions to the orthodontic community including creating effective
hygiene programs for patients and much more!
Michael McLaughlin D.D.S.

McLaughlin Orthodontics
Dr. Michael McLaughlin is a Southern California boy. He completed his undergraduate education
at UCLA. Dr. McLaughlin graduated from the dental and orthodontic programs at USC. He is board
certified and was a member of the first Pitts’ Masters Program. Dr. McLaughlin has lectured to
audiences on such varied subjects as herbst therapy, impacted canine treatment and indirect bracket
bonding.
David Herman D.D.S., M.S., M.P.H.

Four Corners Orthodontics
Dr. David Herman is credited with having one of the largest single office practices in the United
States. He is known for being years ahead of the curve—foreseeing industry changes and adapting
with success. Dr. Herman was one of the pioneers in implementing same-day starts, passive self-li-
gation, staff-driven management and adding dental and hygiene departments to an orthodontic
practice. Professionals from all over the United States come to observe Dr. Herman’s staff-driven
management concept and see the success of his marketing campaign that brings in patients from
more than two hours away.
2 2016 Issue 5 // www.oc-orthodontics.com

THE
PROT OL
TABLE OF CONTENTS
6 Practice Spotlight
Dr. Michael McLaughlin - Awaken Your Inner Child
10 OC PINNACLE SNEAK PEAK

A Quick Preview of the Upcoming OC Pinnacle Meeting
13 Arch Form Evolution

The Esthetic Possibilities of the Pitts Broad Arch Form & Progressive Archwire Sequence
22 Developing a High Performance Team

Teams Succeed based on the Strength of their Leadership
28 Meet the OC International Sales Team

Introduction to the OC Orthodontics International Sales Team
© 2016 OC Orthodontics. All rights reserved.

No portion can be reproduced without the expressed
written consent of OC Orthodontics
www.oc-orthodontics.com // 2016 Issue 5 3

NEVER MISS
AN ISSUE!
Read Online with your computer, www.orthoclassic.com/the-protocol Or, if you would prefer a physical
laptop, tablet, or phone! copy sign up online to have each
issue mailed directly to you.
Read Online with your computer,

laptop, tablet, or phone!
THE Issue 3
OL PROT Issue
1 OL
PROT
PITTS’
OL
PROT
PITTS’
OL
Issue
2
OL ucing
Introd Pitts
Dr. To
m
SAP ™
™
Brack
et Pla
SAPet Placement
cemen
™
H4 GO ™ t
Brack
Self-L Aesthetic
ig
g Brack ating
™ elf-L
igatin et Sys
H4 S System
tem
c k e t
Bra Dr. Dav
se Build id Herman
Dr. Paitts Caent in
Susta g Blocks fo
’s
gem inable r
Man Market
ing Meet
’s
rnstein Dr. To
Dr. Be itch m Pitts
Big Sw
Soft Tissue Diagnosis and

Active Early Concepts Consumer
e d 2.0
t i o n “SAP” Bracket Positioning u c a
o r a t i o n
l a b
| c o l | c o m
i t y m u n
m u n i t y
| c o m |
i o n c o l
c a t l a b
e d u e d u c a t i o n | c o m m u n i t y | c o l l a b o r a t i o n o r a
t i o n
REQUEST BACK ISSUES - 866.752.0065

Help support orthodontic education
and research through the
AAO Foundation by promoting
tax deductible donations
Download
a web banner
and link it
directly to the AAOF
donation page.
Click on the link in the lower left
hand corner of the AAOF website,
www.aaofoundation.net, and follow
the prompts.
AAOF_donation_promo_ad_protocol-15.indd 1 7/1/15 12:42 PM

PRACTICE SPOTLIGHT
Michael
Awaken Your Inner Child McLaughlin D.D.S.
I
magine for a moment you are OR In 2000, my 15th year as an orthodon-
twelve years old again; it is the first tist, my practice was declining. I did not
day of summer break and you feel “I truly enjoy going to work. I love my like going to work and I did not like or
the joy and excitement of the day staff and we have fun helping patients enjoy my staff. Quite frankly, I was “sick
before you. Now fast forward your achieve beautiful smiles. My new pa- and tired of being sick and tired.”
life with this same feeling 20, 30, tient exams are increasing and I started This was the point-in-time that I
40 or even 50 years in the future. more cases last year than ever before!” “awakened my inner child”; I am
serious. The realization came in the
Ask yourself this question—which of I truly hope every orthodontist reading
the following statements describe best this article chose the second state-
your current orthodontic practice? ment, loves going to work, has a prac-
tice that is booming and has clinical
“My practice is struggling to get new results that are outstanding; however,
patients. The GP’s in my town are not I suspect due to the past and present
only doing Invisalign but “6 month economic environment many of you
smiles” as well. Orthodontic com- chose the first statement. Regardless
petition is stiff and my best referrer which statement best fits your cur-
just hired an orthodontist to work in rent situation if you are interested in
his busy pedo office. This is not the improving your orthodontic business,
orthodontic business I had hoped to read on because I think I can help.
achieve!”

form of a question—“Why did work says, “I love my job. Why would I ever
have to be so stressful when compared quit?”
to time spent with family and friends?”
My fascination for life and a yearning My first step was realizing I needed
for knowledge became my passion--I help. Every orthodontist reading this
knew I had to find answers to my busi- article has been extremely successful;
ness problems. Life should be FUN! I your accomplishment in directly be-
was raised near the beach in Southern coming an orthodontist is commend-
California and life growing up was FUN, able. Thus how did making money and
so how did I get myself into this mess? enjoying the chosen profession of an
Lessons are learned in many ways and orthodontist become so difficult? which I was raised and educated. Be-
one of my greatest lessons occurred lieve it or not doctors were not allowed
through a brilliant orthodontic assis- Let us accept the premise that as an to advertise in the Yellow Pages when
tant, Michelle. Michelle probably knew orthodontist you have accumulated I became an orthodontist in 1985. Ad-
more about orthodontics than I did; vast amounts of knowledge in a nar- vertising dentists and physicians were
she expressed to me during one of my row field; therefore, you have earned considered sub-par clinicians. This may
stressful days, “Dr. M, I know your heart the title of “Dental Specialist”. For many be hard to believe but true. Not only
is in the right place but you are too dis- of us our business education has been did the majority of orthodontists NOT
organized. You don’t have systems in limited to the “school of hard knocks!” receive proper business training but
place to allow your staff to help you.” There are people and companies who were told education in business was
She was right! Subsequently, like a cu- can help you learn and implement the unnecessary to become successful. Fif-
rious child, I set out to find “the truth” “SYSTEMS” needed to be successful teen years after graduation, in the year
about the business systems needed to as an orthodontist. I use and love the 2000, my business was failing. It then
help me be profitable, reduce stress in expression, “When the student is ready became obvious to me experience
my office and enjoy my days at work. the teacher will appear.” alone did not provide an adequate
business education.
With the hope that I may influence For fifteen years, I ran my orthodontic
positive change in others, I want to practice without any business systems. Once I realized I needed help the
share with you how I went from an Michelle helped me recognize I did “teachers arrived” and they were
orthodontist who used to say, “I hate not have an understanding of business; EVERYWHERE! I chose Silken Man-
going to work” to an orthodontist who this stemmed from an environment in agement but business consultants like
This was the point-in-time that I “awakened my inner

child”; I am serious. The realization came in the form of
a question—“Why did work have to be so stressful when
compared to time spent with family and friends?”

Dustin Burleson (OrthoMBA), Charlene Before the internet, before Invisalign, tems coupled with exceptional clinical
White, Roger Levin, Orthosynetics, and before direct marketing to the efficiencies, I am confident you will sig-
and many more are great resources public, orthodontists primarily focused nificantly lower the stress in your life.
to help you succeed. Take this first on correcting malocclusions and
step and you will be glad you did! Do building relationships with the general Dr. Justin Burleson is a remarkable or-
these consultants charge money for dental community. While our ability thodontist who has built an impressive
teaching you how to be successful? to straighten teeth remains a vital part multi-office orthodontic business. He
Of course they do! So remember, “If of our customer service, awareness helps orthodontists achieve success and
you think education is expensive, try through business consultation and he often hears orthodontists lament, “If
ignorance!” business systems will show you that I only had more new patients.” In reality
correcting malocclusions is only one more new patients is not the answer to
Silken management separated my aspect of a successful orthodontic the struggling orthodontist’s dilemma.
business into divisions. Each division business. Every orthodontist should Dr. Burleson can provide you with an
has a supervisor (selected from office continue to elevate his or her clinical effective marketing plan which will drive
staff) and each supervisor tracks vast standards; this is my passion and why I patients to your door. But he cautions,
amounts of data. Thus in simple terms now use and strongly recommend the “Do not start a marketing plan until you
if you want to be successful at the OC Orthodontics H4 System with Pitts have evaluated your internal systems
business of Orthodontics, you are Protocols. I began using Passive Self-Li- and are providing superior customer
going to have to monitor and graph gation braces because it gave me the service.” Therefore, without superior
data—lots of data. You need not worry ability to create beautiful smiles with- customer service these coveted new
as this work is all delegated to excep- out the reliance on costly, uncomfort- patients will become disillusioned and
tional staff, and your management able, laboratory appliances and dental go to your competition!
team will give you better tools to find, extractions. The H4 brackets coupled
hire and train staff. Your actions as an with Pitts protocols make my Passive It is critical to focus on two important
orthodontist and business owner are Self-Ligation system more EFFICIENT, areas, 1) developing your internal busi-
predicated on these graphs. and I attain clinical excellence in less ness systems and 2) providing excellent
customer service. Do your best to look
at these areas objectively; ask for help
from business consultants and patients
alike.
“People rarely succeed unless

they have fun in what they are
doing.” — Dale Carnegie
In my office, we survey EVERY PA-

TIENT AT EVERY APPOINTMENT! It is
important to “get humble” and ask for
constructive criticism. If you improve in
these two areas, I promise you will at-
tain a more enjoyable and less stressful
work environment.
With this in mind, let me tell you more

Once you have created strong inter- time with fewer wire adjustments. It is about customer service. I have spoken
nal business systems you will have very simple--better results in less time. to a number of extremely successful
time to focus on providing superior orthodontists and these individuals have
customer service to patients. You may My desire is to have the most efficient built practices with huge numbers of
wonder “Why is customer service so brace system, which consistently pro- starts far larger than anything I have
important? I thought as orthodontists motes clinical excellence and is easily ever imagined. One very important trait
we were trained to correct malocclu- communicated and delegated to staff. they all share is one I will call “Access to
sions?” If you have solid internal business sys- Care.”

Be observant and look at your busi- My office is a fun and enjoyable place create a magical experience for your
ness from your patient’s perspective. for our patients and staff. I strive to patients and watch your practice grow.
Ask yourself, how difficult is it for your provide exceptional customer service You just may be saying what I say
patients to hand you thousands of and my staff endorses our “exceptional today, “I am like a kid in a candy store. I
dollars for orthodontic treatment; do customer service” culture. To quote a am having way too much fun to quit.”
they connect with competent staff successful orthodontic friend, “I go to
when calling your office to schedule work at 8:00 am and I finish when the
an exam; do they wait for days for an last patient is willing to pay me $5,000.”
exam due to your schedule; are they In summary, for a successful and
forced to return to your office for stress-free orthodontic practice con-
records appointments and future start sider using strong internal systems
appointments due to scheduling limita- supervised by excellent staff with
tions and office inefficiencies? While exceptional clinical results using the
I may be at risk of being the bearer of H4 system coupled with Pitt’s proto-
bad news, I am willing to say these cols. Add in superior customer service
areas in most orthodontic offices are in an enjoyable environment and you
far below acceptable levels of custom- will possess your ticket to success. Get
er service. in the game! Acknowledge you can
Meet Our Orthodontist
T
he past 30 years has seen relationships with patients and their I balance work, family and personal
tremendous change and families by age one. This fact alone obligations extremely well and am
advancement in orthodontic will make it very difficult in the future enjoying this stage of my life more than
therapy. From headgear and for patients to travel to a separate any other.
four-bi extractions to passive self- orthodontic office.
ligation and non-extraction therapy, I realize I can probably “coast to the
the future changes in orthodontics will I also see airway management, sleep finish line”, but I truly enjoy my work
prove to be as dramatic. After discussing medicine and TMJ diagnosis and and look forward to helping young
this topic with the most brilliant minds therapy all becoming a much larger orthodontists attain the clinical and
in the orthodontic field, I am convinced part of the orthodontic practice. business successes that make our
that “stand-alone” orthodontic offices profession so great. Please contact
will soon become a relic of the past. My recipe for success includes physical me with any questions or concerns. I
Orthodontists will have to partner with education as well as mental education. truly wish you the best, Sincerely, Mike
pedodontists in order to see patients At 60 years of age I still hit the gym with McLaughlin
at appropriate ages. The pedodontists’ a vengeance and will not let my 16-
have the advantage of creating strong year old son beat me in tennis. I believe
Born in Torrance, California

Dr. Michael McLaughlin Undergraduate degree from UCLA
Dental and Orthodontic School; USC 1983, 1985
Greatest Honor: As an orthodontist being told by Dr. Tom Pitts that my

Herbst cases are some of the finest Herbst results he has ever seen and that
I truly understand the treatment concepts of using the Herbst correctly.
facebook.com/MichaelMcLaughlinOrthodontics
instagram.com/mclaughlinorthodontics
doctorm.com | 928.779.4568

OC PINNACLE
SNEAK PEAK
In each issue leading up to the Pinnacle we
will give you a taste of the amazing seminars!
SEPTEMBER 23-24,2016
PORTLAND, OREGON
THE EVENT
OC Orthodontics Pinnacle event event aims to be an arena for exciting a sound understanding of the
is heading to Portland, Oregon. and creative thinking amongst peers. technology they apply on a daily
Building on the amazing success of basis. The OC Pinnacle is an occasion
the previous Las Vegas event, the OC Today’s orthodontist practices at the to rediscover your passion and an
Pinnacle is back with an even bigger intersection of art and technology. opportunity to listen and interact
line-up of progressive and captivating The challenge of applying appropriate with some of the most progressive
speakers and seminars. Led by the levels of technology to an artistic end educators in the industry furthering
master of ceremonies and keynote result is the art of case management, your knowledge of both the art and
speaker, Dr. Tom Pitts, this two day and the best case managers have technology of orthodontics.
THE SPEAKERS
Dr. Tomas Castellanos Dr. Duncan Brown Dr. Nimet Guiga Dr. David Herman Dr. Michael McLaughlin
Dr. Tom Pitts

Keynote Speaker & Master of
Ceremonies
Dr. Rael Bernstein LeeAnn Peniche Dr. Dwight Frey Dr. Matthew Bruner Dr. Jim Morrish

THE SEMINARS Here are just 3 of the 11 amazing seminars planned for the
Pinnacle. Watch for more sneak peaks in future issues!
Extraordinary Results with Advanced Mechanics SPEAKER: DR. TOMAS CASTELLANOS

that Alter the Occlusal Plane
Worldwide, patients are becoming more demanding in terms of aesthetics. With contemporary techniques, including
simultaneous mechanics, passive self-ligating brackets, SAP bracket placement and TADs, surgery first (non-surgical strategies)
we can change the occlusal plane and achieve excellent finishes. Join Dr. Tomas Castellanos as he teaches how to take full
advantage of all of these elements to the benefit of your patients’ aesthetic and functional results.
Mission Possible - Early 3D Control SPEAKER: DR. DUNCAN BROWN
Today’s orthodontists want to gain 3D control of anterior axial inclination and posterior arch width as early in treatment as
possible. What other appliance systems only promise, the H4 appliance, Pitts’ Broad arch forms, in combination with Pitts “Active
Early” treatment protocols delivers. This session with introduce techniques that are efficient, effective, simple, and produce
wonderful results for your patients.
Get that WOW Into Your Smiles - Pitts’ SPEAKER: DR. NIMET GUIGA
Protocols & Microesthetic Detailing
Contemporary orthodontics demands efficiency in treatment time, simple case management protocols, and fabulous results.
With PITTS PROTOCOLS I can now achieve the “WOW” esthetic and functional results I was looking for! I will show you how
I changed the way I practice, towards achieving these goals for my patients, by using PITTS PROTOCOLS and the H4 bracket
system. Don’t forget: Life begins at the end of your comfort zone!
REGISTER TODAY! w w w . o c p i n n a c l e . c o m
THE LOCATION
This downtown boutique-style hotel is located
in historic downtown Portland and places
you in the heart of the city, next to shops,
restaurants, entertainment and more.
Housed in historic surroundings, the Embassy

Suites Portland - Downtown hotel is the ideal
base for exploring all that Portland has to offer.
You’ll enjoy easy access to the city’s tax-free Embassy Suites Portland - Downtown
stores, famous microbrew beer pubs, popular Portland, Oregon
restaurants and major corporations. This
boutique-style hotel is conveniently located
adjacent to public transportation, including the Take a trip of discovery when you visit the Oregon Museum of Science & Industry and try out the
Max Light Rail System with direct connections hands-on exhibits designed for all ages. Get close to nature at the Oregon Zoo, home to primates
to the Oregon Convention Center, Portland and other exotic animals. Escape the bustle of the city when you stroll through the tranquil
International Airport, Oregon Zoo and other landscaped setting of the Chinese Gardens or the many special events hosted at Tom McCall
popular attractions. Waterfront Park.

12 2016 Issue 5 // www.orthoclassic.com
Arch Form Evolution
The Esthetic Possibilities of the Pitts Broad Arch Form
& Progressive Archwire Sequence
Tom Pitts D.D.S., M.S.D.

with Duncan Brown B.Sc., D.D.S., D. Ortho
www.orthoclassic.com // 2016 Issue 5 13

“Logic will get you from A to B, imagination
will take you everywhere!” – Einstein
T
he most frequent questions Because of these findings, my own clinical
that we get asked from or- experience and that of the thousands of
thodontists around the world orthodontists I’ve coached and spoken with
are related to arch form, and over the course of my career, I believe in
archwire progression. This ar- lifetime nighttime retention of orthodontic
ticle will explain why we be- finishes.
lieve the Pitts Broad Arch Form - a relatively
new arch form - produces the most esthetic Shortly after graduation in 1970 I enrolled in
orthodontics on the market today, and why the first FACE continuum, studying with Dr.
the Pitts Progressive Archwire Sequence is Ron Roth. Dr. Roth had adopted an arch form
efficient, effective, and simple. that was horseshoe-shaped and very wide in
the anterior. After using this arch form for
I have been evolving an arch form and some time, it became clear to me that cases
approach to archwire progression since my treated with arch forms too broad and flat in
residency. This journey has provided a num- the anterior and too narrow in the molars do
ber of insights. When I was studying at the not create esthetically appealing finishes.
University of Washington from 1968 to 1970
under Drs. Richard Riedel and Alton Moore, Later, a group of innovative orthodontists
I was taught that - in an attempt to enhance with which I was affiliated (the A Company
stability - arch form and arch width should Innovation Group), developed an arch form
reflect the original malocclusion prior to sometimes called the “Universal” or “Damon”
treatment. Over 35 years of data collection arch form. This arch form was subsequently
from the faculty at the Department of Or- adopted by many orthodontists around the
thodontics at the University of Washington world and seemed at first to be able to achieve
has clearly demonstrated that long term sta- results more esthetic than previous arch forms.
bility is highly unpredictable. “Orthodontic After using the Universal and Damon arch
treatment is inherently unstable and without form for many years, however, I found the
retention relapse is inevitable.” shape lacking.
70 mm 5 mm
13 cm
Broad vs Universal 1 cm
12
UPPER/LOWER 2
11 3
H4™ Pitts Broad 10 20

BB
10
A
A A
A
10
10
BB
20 4
30 30
H4™ Pitts Standard

30 CC 30
CC
9 5
40
40 40
40
8 6
H4™ Universal
50 50
40 mm
50 50
7 60 60 7
60 60
40 mm
6 70 70 8
70 70
80 80
5 9
4 20º 10
10º
3 11
10º
2 12
20º
1 cm 13 cm
5 mm 70 mm
Figure 1: Evolution of esthetic arch forms: “Pitts Broad” arch forms are preferred - courtesy Tom Pitts 2013 Figure 2: Comparison of Pitts Broad and Universal Arch
form developed by Tom Pitts - courtesy Tom Pitts 2013
© ORT H OEVOLVE 2016

Cases were not broad enough posteriorly Arch Form and Today’s Esthetic
for great esthetics and required further arch
shaping in adjustable wires. Using wires with
and Functional Expectations:
this arch form in conjunction with tradition-
Today, as I interview and show photographs
al archwire progressions through the nickel
of excellent smile esthetics to potential
titanium archwire stage, it would take eight
patients, they readily appreciate the esthetic
months to a year to progress to an adjustable
value of fuller lips, broader smiles, great
archwire (TMA or Stainless Steel) where fur-
smile arcs, full upper teeth display upon
ther posterior arch development would need
smiling and optimal inclination of incisor
to be initiated through wire shaping. This was
Figure 3: Esthetic changes associated with change in teeth for esthetic presentation. Inevitably
effective but not efficient.
arch form created through arch shaping in adjustable they will all say “I want that”. For their smile
archwires - courtesy Tom Pitts 2013
to “age well”, anticipation of facial aging
changes must be incorporated into treat-
ment designs as a primary focus rather than
an afterthought,1 (Figure 4 - 9)
Throughout the world, there is an increase

in preference for non-extraction mechan-
ics2 to fill esthetic needs. Unfortunately
for many, non-extraction biomechanics is
frequently accompanied by the challenge
of controlling upper anterior proclination
associated with the relief of crowding. As we
addressed in a previous version of the Proto-
col, control of axial inclination is achievable
through the use of Active Early protocols
with flipping the H4 brackets 180º3. For
more information about the Active Early
Figure 4: Esthetically derived arch forms created through wire bending were the basis of Pitts Broad Arch Form (no
molar distalization) - courtesy Tom Pitts 2013 protocols, see an overview of it later in this
article and also in issue 2 of The Protocol.
Macro-Esthetic Finish Evaluation 20 Months | 11 Appmts When I attended Dr. Robert Rickett’s con-
tinuum in 1975, I began to appreciate the I have flipped upper anterior brackets for
treatment outcomes obtainable from a more many years along with widening the buccal
esthetic arch shape that offered less expansion segments to control anterior axial inclina-
in the canine region and greater broadening tion in non-extraction cases that had the
at the molars. This arch form resulted in very potential to procline. Another challenge of
esthetic smiles with less negative space in the broadening bicuspids and molars with fixed
buccal corridors. I began to mimic this shape appliances is that axial inclination of the
when using adjustable wires and to gradually buccal segments must be controlled. Even
develop width in the molar region to maximize though we use -27 degree torque brackets
tooth display in the buccal segments (Figures on upper molars and -22 on lower molars,
Figure 5: Esthetic gain of a broader smile, not too wide in
the canines, great smile arc, full enamel display on smiling,
1-3). The result mirrors current concepts of we sometimes spin a little lingual crown
and optimal incisor inclination - courtesy Duncan Brown dentistry where 12-tooth smiles are considered torsion in the wires as we develop posterior
2016
the most esthetic. arch width.
Macro-Esthetic Finish Evaluation 20 Months | 11 Appmts Obviously, some “out of the box” thinking is Research has confirmed that final arch
INITIAL FINAL
required to develop a system (bracket geom- width is a function of archwire form, not
etries, arch form, and archwire progression) of the bracket4 used during treatment. In
that is efficient, effective, simple to use (and to response to the need for an improved arch
train), that allows the orthodontist to consis- form, broad in the molars (filling out buccal
tently produce exceptional esthetic results. corridors), tapered in the anteriors (im-
Fortunately, OC Orthodontics has a corpo- proving incisor flow and presentation), and
Figure 6: Arch Width and Arch Form changes associated
rate culture that is committed to meaningful slightly narrower than conventional arch
with esthetic gain - courtesy Duncan Brown 2016 innovation. forms in the cuspids and first bicuspids (en-
abling 12-tooth smiles during animation), I
© O RT H O E VO LVE 201 6
developed the Pitts Broad arch form. In most sively), Pitts Standard (which we use rarely)
patients, this arch shape fosters the 12-tooth and Universal (for patients with limited
smile. I have worked with the engineers at biological availability or for wide lower arches
OC to develop all the wires I use - both the and low torque).
Pitts Broad and Universal arch forms. Begin-
ning treatment with the Pitts Broad Thermal Subtle adjustments in final archwire shape
Activated Nickel-Titanium (TA NiTi) arch- in response to esthetic needs or biological
wires gives the arches a chance to widen very limitations and minor torque corrections
early - part of the Active Early protocols. are possible in Beta Titanium and Stain-
less Steel archwires. When using an Active
Esthetic concepts of “Golden Proportion”2 Early approach - where torsional control and Figure 7: Esthetic changes associated with change in
arch form created through arch shaping in adjustable
have largely been eclipsed by the concept of transverse arch development is achieved early archwires - courtesy Tom Pitts 2013
“Crown Virtual Widths”5 in dental esthetic
circles as a means of describing the visual
“flow” desired in esthetically aligned teeth,
and we subscribe to this concept. We view
transverse development of esthetic arch
forms as being independent of tooth size or
extraction preference so that a single arch
form, adjusted to meet esthetic need and
compensated for biological availability is
preferred. We reject the concept that patients
with reduced tooth mass (either through
extractions or smaller mesial distal widths
of anterior teeth) should be treated with
narrower arch forms6. To me, the arch shape
is more important to smile esthetics than the
proportions of the anterior teeth sizes to each
other. (Figure 10 - 15)
Figure 8: Esthetically derived arch forms created through wire bending were the basis of Pitts Broad arch form
- courtesy Tom Pitts 2013
Caution should be exercised in widening
bicuspids and molars in patients with a
thin periodontal biotype. We ascribe to the in treatment - use of stainless steel archwires
concept suggested by Dr. Michael Major is seldom required, but these archwires are
(Edmonton, Alberta) of continuous assess- available for user who like them.
ment of the patient’s biological availability to
desired tooth movements as being especially Management of Arch Form and Dr. Nimet Guiga
valuable. In patients with thin biotypes,
patients with thin labial and lingual thickness Archwire Progressions:
of labial/buccal/lingual bone plates at the
level of root apex, or patients with pre-ex- In Active Early protocols,9 the appliance is
isting bony fenestrations7, I modify the arch activated as early as possible using the Smile
form to do very little widening, and assess Arc Protection (SAP)10 Bracket Positioning
progress through palpating of the labial and to adjust vertical position of the incisors, in-
lingual plates at each appointment. This is a verting groups of brackets when appropriate Figure 9: Esthetics delivered by Pitts Broad arch form
to activate torsion in the appliance, selecting create “WOW” smiles - courtesy Nimet Guiga 2016 12
direct compromise where imposed biological
limitations “trumps” esthetic desires. arch wire progressions that control axial
inclination early in treatment, arch forms that Macro-Esthetic Finish Evaluation 20 Months | 13 Appmts
It has been reported that achieving transverse develop the posterior segments of the arches
arch development in the cuspids, bicuspids, sooner, Early Light Short Elastics (ELSE) to
and molars is highly effective with round control forces and moments, and appropriate
thermally activated wires8. OC provides a disarticulation to encourage early “wanted”
full suite of archwire sizes and profiles so that tooth movements as well as extrusion or in-
arch form can be developed from the onset, trusion. In contrast to conventional “straight
producing arch forms that mimic esthetic wire thinking” where forces for torsional
arch shapes formerly created by wire bending. correction or transverse arch development are
OC provides the following arch forms (Figure applied in short duration later in treatment
1): Pitts Broad (which we use almost exclu- and at higher force levels, the Active Early
Figure 10: A broad smile, great smile arc, and full enamel
display is critical in patients with smaller teeth - courtesy
© ORT H OEVOLVE 2016 Duncan Brown 2016

Macro-Esthetic Finish Evaluation 20 Months | 13 Appmts approach applies lighter forces, earlier in form development. Square wires are great
treatment, and for longer durations. for torquing in lieu of rectangular wires. The
.018” x .018” UltraSoft NiTi is a new archwire
The Pitts Archwire progresssion leverages the we developed at OC.
tighter tolerances and reduced buccal-lingual
slot dimensions of the OC H4 appliance and In patients where difficulty in resolving
this sequence is specifically designed for use rotations occurs, we suggest progressing into
with the esthetically optimized Pitts Broad .018” x .025” TA NiTi after the .020” x .020”
arch form and the Pitts Active Early protocols TA NiTi. With the .025 dimension in the H4
Figure 11: Esthetic gain of optimal incisor inclination
-courtesy Duncan Brown 2016 of case management. .026” depth slot, rotational correction should
be easily acquired if the brackets are correctly
Macro-Esthetic Finish Evaluation 20 Months | 13 Appmts
Stage 1 - Arch Development and positioned.
INITIAL FINAL Torsion in Non-Adjustable Wires
Stage 2 - Torsion and Arch Shap-
In the past, wire progressions recommended ing in Adjustable Wires
for PSL brackets were intended for the use of
light forces over long appointment intervals In the adjustable wire phase of treatment
with the goal of initiating transverse arch there are several alternatives:
development, controlling axial inclination
Figure 12: Arch Width and Arch Form changes associat-
ed with esthetics gain - courtesy Duncan Brown 2016
using non-adjustable wires in the early stages Without Rotations: In cases with few or
of treatment. While this approach is still minimal rotations, it is usually possible to
applicable for very crowded cases, the H4 move to completion in .020” x .020” Beta Ti-
appliance - with its shortened slot depth and tanium archwires. This wire is easy to adjust
more accurate slot tolerances - provides more for individualized esthetic arch form and
treatment opportunities. single-tooth adjustments of axial inclination.
Clinicians should expect 2nd order adjust-
Macro-Esthetic Finish Evaluation 3 Months | 2 Appmts The goal of the Active Early protocols ments, but axial inclination should be close.
using the Pitts Archwire progressions is to (Figure 16 to 19)
move into .020” x .020” thermally activated
archwires as early as possible to enable both With Rotations: In cases where further
transverse development (with Pitts Broad rotational control is desired, progression into
arch form) and anterior axial inclination con- the .025” wire is desirable. As torsion has been
trol (through torsion developed in the slot). occurring within the slot for some time, axial
Dr. Ricketts held that a square wire is gentle inclination should be well controlled at this
and as effective in achieving torsion as using a point:
rectangular wire and the science supports this
claim11. Control of arch development and an- ■■ We suggest transition from .020” x .020”
Figure 13 terior axial inclination is maintained during TA NiTi to .018” x .025” TA NiTi in these
the early stages of treatment by using light, patients. In adjustable archwires, .017” x
short elastics (ELSE) from the first appoint- .025” Beta Titanium or .019” x .025” Beta
ment, bite turbos, and other Active Early Titanium represents familiar finishing
approaches. We suggest seeing patients every wires for most experienced PSL user.
6 weeks for the first 3 appointments by which
time .020” x .020” thermally active archwires • With flipped upper anterior brackets
are usually in place. (either lateral-to-lateral or ca-
nine-to-canine), .017” x .025” Beta
Figure 14
Most cases are started with .014” TA NiTi Titanium hits the “sweet spot” or op-
or .018” x .018” TA UltraSoft NiTi (in cases timal torsional and rotational forces.
without significant crowding or rotations). We have not found wire dimensions
Both of these archwires come in the Pitts larger than this to be necessary.
Broad arch form. For cases started in .014” TA
NiTi archwires, patients are seen 6 weeks after • In cases where greater torsional
bonding, then transitioned to .018” x .018” correction is desired, .021” x .025” TA
TA UltraSoft NiTi for 6 weeks. The goal is to NiTi is a good alternative, progressing
get to .020” x .020” TA NiTi in 6 to 12 weeks, to .019” x .025” or .017” x.025” Beta
Figure 15: Esthetic gain using Pitts’ “Active Early” in con- which initiates torsion developed within
trol of axial inclination early in treatment in a compliant Titanium for finishing.
patient- courtesy Duncan Brown 2014 the slot via archwires while continuing arch

Macro-Esthetic Progress Evaluation 9 Months | 4 Appmts
PITTS BROAD ARCHWIRE PROGRESSION

Start with .014 Thermal Activated Nickel Titanium (TA NiTi) or
.018 x .018 Ultra Soft Thermal Activated Nickel Titanium
.020 x .020 Beta-Titanium (BT)

.020 x .020 TA NiTi
Figure 16 .018 x .025 TA NiTi
.021 x .025 TA NiTi .019 x .025 BT
.017 x .025 BT
Figure 20: Simplified arch wire progression strategy using 022x026 H4 appliance — courtesy Tom Pitts 2016
The .018” x .018” Ultra-Soft Thermal Activated NiTi wire is breakthrough technology. We start many
Figure 17 cases with this wire, including the second molars in the strap up on the first appointment. Progres-
sion to .020” x .020” TA NiTi in 6 weeks is very common. In cases where more rotational control is
required, progression to .018” x .025” TA NiTi prior to .017” x .025” Beta Titanium is usually possible.
Because of the tighter tolerances of H4, many clinicians using it have been able to save several
months of finishing time than with previous PSL brackets using the wire progression strategies just
discussed.(Figure 20). We use Thermal Activated NiTi not Super-elastic NiTi - for all these wire
progressions.
Don’t clinicians want more effective, efficient and simpler treatment mechanics?
Working with OC, we will be continuing to introduce innovations to positively impact orthodontics,
particularly from an efficiency standpoint. Look for these innovations to be forthcoming!
Figure 18: In Stage 2 the clinician should expect some 2nd
order corrections will be required in the .020” x .020” archwire Cases and Stainless Steel Archwires:
progression - courtesy Duncan Brown 2016 We have found that stainless steel archwires are rarely needed in non-extraction cases, but are avail-
able for those who prefer them. I use them for extra widening when needed and for extraction cases
where we typically use .016” x .025” stainless steel archwires for final space closure.
To Summarize:
Our goals in orthodontics are driven by “wow” esthetics and designed to compensate for - or
counteract - the effects of aging. For many orthodontists, such goals constitute a new context for
their treatment planning and clinical protocols. The scope of treatment is continually expanding. To
remain competitive in an esthetically driven professional environment is a challenge. The Pitts Broad
arch form - in combination with the H4 bracket and the associated Active Early protocols - offer new
tools that are designed to simplify your lives while improving patient results.
We welcome you to join us for the Pitts Global Masters Continuum starting March 23, 2017.
Figure 19: Good torsional control is present with flipped This is a four session comprehensive continuum over a two year period. For more information
upper anteriors and canines with .020 x .020 Beta Titanium
archwire — courtesy Duncan Brown 2016 visit www.orthoevolve.com or contact Joni Abel at 775.720.7222 or email [email protected].
We are planning more innovations so stay tuned! Great to have you along!
Until next time...
© ORT H OEVOLVE 2016 Drs. Tom Pitts and Duncan Brown

Author’s Comments
Dr. Tom Pitts Dr. Duncan Brown

“Most orthodontists think achieving the esthetic results they want comes down to the bracket they use. The truth is
that the wire used is just as important as the bracket when attaining efficient and superior results. Working with OC
Orthodontics, we have developed a bracket and wire combination that is effective, efficient, and simple. Outstanding
and predictable results, with a reduction in inventory, are now obtainable when using the Pitts Broad Arch Form in
combination with the H4 bracket and Active Early Protocols. Try it, you’ll love it!” - Dr. Tom Pitts
REFERENCES
01. Sarver, D. - Growth Maturation and Aging: How the Dental Team Enhances Facial and Dental Esthetics for a Lifetime: Compendium May 2010; Vol 31 No 4,
274-283
02. Janson, G. - Frequency evaluation of different extraction protocols during 35v years: Progress in Orthodontics 2014; 15:51
03. Pitts, T. and Brown, D. - Flipping and Flocking. The Protocol V3 2015: 6 - 18
04. Flemming, P - Comparison of maxillary arch dimensional changes with passive, active, and conventional brackets in the permanent dentition: A multi-center,
randomized clinical trail: Am J Orthod dentofacial Orthop 2013; 144; 185 - 193
05. Brandao, R. - Finishing procedures in Orthodontics and proportions (micro-esthetic). Dental Press J Orthod. 2013 Sept-Oct; 18(5);147-174
06. Waugh, R. - A Specialty Reunited - Finding Common Clinical Ground in Arch Development - OrthoTown April 2010 39-43
07. Garib, D. Alveolar bone morphology under the perspective of computed tomography: defining the biological limits of tooth movement: Dental Press J Orthod
2010 Sept-Oct;15(5): 192-205
08. Flemming, P. - The timing of significant arch dimensional changes with fixed orthodontic appliances: Data from a multi-center randomized control trail. J Dent
2014 Jan; 42(1): 1-6
09. Pitts, T. Brown,D. “Active Early” Principles: Pitts Protocols 2015 (2); 8 - 15
10. Pitts, T. Begin with the end in mind and finish with beauty: SIDO Published online: 29/05/2014, 39-46
11. Archambault, A. The effect of wire alley on torque expression in metallic self lighting orthodontic brackets. Thesis submitted to Faculty or Graduate Studies
and Research, Edmonton, Alberta, 2009
12. “WOW” Smiles created by Dr. Nimet Guiga http://guigaorthodontics.com
www.orthoclassic.com // 2016 Issue 5 19

Pitts’ Global Masters Series
Mini residency on mastering the art & efficiency of “wow’ esthetic orthodontics
space is limited, Sign up now!
the one course everyone should attend

Dr. Pitts' Global Masters Series is a 4-module course focusing on treatment efficiency
and advanced finishing techniques. These sessions provide the most recent,
up-to-date knowledge and skills to enhance your esthetic and occlusal results. You
will learn advanced treatment planning principles for all phases of treatment. This
program is the key to mastering both non-extraction and extraction treatment
mechanics and finishing with efficiency.
A 2 year comprehensive
continuum in the fine art of
advanced orthodontics.
Cut treatment time with great “WOW” results and

become part of a great lifetime learning network!
www.orthoe volve .c o m
Dr. Tom Pitts
Dr. Pitts is a world renowned lecturer

and clinician. He is highly recognized for
Very his continued teaching of orthodontic
Perfect Blend finishing and clinical excellence. Dr. Pitts
of Art and Comprehensive is an active associate clinical professor at
Game the University of the Pacific and founder
Technology… of the well-respected Pitts Progressive
Changer.... Study Club.
Inspiring... Dynamic Efficiency
Dr. Duncan Brown

Dr. Pitts is assisted by these special guest instructors.
Dr. Duncan Brown is a highly
regarded international speaker and
educator in passive ligation bracket
systems. Dr. Brown teaches
regularly at the University of Alberta
and University of Manitoba and is
Dr. Jim Morrish Dr. Mike McLaughlin Dr. Sabrina Huang Dr. Nimet Guiga Dr. Tomas Castellanos Dr. Peter Csiki also a Kodak/Carestream Dental
speaker and consultant.

C o n t a c t J o n i B e e d l e A b e l To d a y : 7 5 5 - 7 2 0 - 7 2 2 2 o r V i s i t U s O n l i n e : w w w . o r t h o e v o l v e . c o m
ortho :)
essentials
A comprehensive program that helps grow

your practice and empower your patients
Supports Practice Building
Improves Oral Hygiene
Drives Patient Compliance with
EMBRACE IT!
Enroll in OrthoEssentials today—because

the best word of mouth for your practice
comes from healthy, beautiful smiles.
Contact your Crest + Oral-B

Representative, call 1-800-543-2577, or
visit dentalcare.com/ortho for details.
© 2016 P&G ORAL-18556

Developing a High Performance Team
Teams Succeed based on the Strength of their Leadership. PART 1 OF 2
By David Herman D.D.S., M.S., M.P.H.
“Clients do not come first. Employees come first. If you treat employees
right they will take care of your clients.” - Richard Branson
Change the above statement to, discuss concepts compiled from a to stimulate thought and inter office
“Patients do not come first, my staff multitude of sources that work well discussions about some of the
comes first, and together we take with an orthodontic team. These concepts I used and continue to use
care of the patients” and you will concepts are currently working for me to develop my high performance team.
have the basis of the practice model I and can also work for you. I did not write this article to imply
developed in 2001 called a “staff driven that there is a right or wrong way to
office.” At the time, I was running a In September 2015, Dr. Tom Pitts develop staff.
quality oriented practice that had an visited my practice to see how and
increasing number of case starts. I why my team performed at such a Inside-Out versus Outside-In
had reached a point where I realized high level. Tom wanted to see if a high Team Development
that I needed a paradigm shift from volume practice using well trained The expectations and demands that
a traditional doctor driven practice support staff could achieve great I place on my team and assistant
to an untested staff driven model if I outcomes. At dinner that evening, coaches (assistant leaders) is
was going to keep up quality. I knew Tom informed me that his question significantly above the norm. I have one
my ability to lead was going to be the had been answered and asked me 6500 square foot office, with 25 chairs,
most crucial component in reaching to write some articles about practice which includes a dental and dental
success with this new model. Most of management and staff development. hygiene department. I currently have 36
us are trained to be dentists and then Those of you who have heard me staff members, two of which are dental
orthodontists. Very few of us received speak or have been to my office hygienists. I am the sole orthodontist
any formal education or training on know that I use a sports model to and there is one dentist in my practice. I
leadership. We gain leadership skills manage my team. I will use sports developed my team using an inside-out
through trial and error or hiring outside terms in some of my discussions approach. While many offices use an
consultants. In this 2 part article, I will about leadership. I wrote this article outside-in approach, few use the inside-

out approach for staff development. I they thought they were. Lastly, I knew responsibility for any failures. To some,
want to discuss why I chose the inside- that to influence and inspire staff to this responsibility for all failures may
out approach. move in a planned direction to achieve sound unfair. But it isn’t because this
Inside-out team development started agreed upon goals, I would need to also means that I maintain control
with my own beliefs and values, and develop an environment where people over fixing failures. There is no outside
asking myself, “Why would someone felt motivated and respected. person or thing to blame or to hold
want to work with me?” I answered Because the inside-out approach responsible for fixing the problem. This
that question with three does not mean that I
reasons why and three fix all problems, just the
reasons why not. The loss of control. For me,
why answers were: high having control over my
likability, trustworthiness own destiny is one of the
and very good coaching main reasons I use the
skills. Coaching skills inside-out approach.
being able to: organize,
teach, inspire and Outside-in staff
influence. On the why development start with
not side were: I was an orthodontist’s beliefs
driven, thus prone to and values, but has a
make people’s feelings a significant amount of
secondary concern, I had incorporation of other
fair listening skills, and people’s beliefs and
my “Is that all there is?” values. Outside-in asks
mentality can be at times the questions, “What are
a challenge to accept. others doing?”, “How are
they doing it?” and “Will
Besides being aware of it fit with my practice?”
my major strengths and Outside-in is more
weaknesses, I also knew dependent on convincing
the inside-out and manipulating your
development process team to buy into what
needed a strong foundation of trust is true to who I was, I found that it others are doing and how they are
as its backbone. Trust in yourself, and required less energy to maintain than doing it. This approach is used by
equally important, how much you are an outside-in approach. With this orthodontists who want a practice
willing to trust the people on your approach the locus of control was with that is less dependent on his or her
team. Being true to who I was, me as the orthodontist and the leader. leadership skills. Corporate models and
translated to being authentic. Using this approach required members use of outside practice management
Authenticity of who I was transferred of my team to gain credit for all of consultants are used in this staff
to the team as authenticity on who the successes and I assumed the development approach. Outside-in
Great Leaders don’t create followers

they create more leaders
staff development is not nearly as Practice Culture: Core Values
genuine or authentic as inside-out, and An example of one of our core Core values were made famous by
staff sense that feeling. Because it is values is: Tony Hsieh, CEO of Zappos, and his
not as genuine of a feeling to the staff book, “Delivering Happiness: A Path to
as inside-out, it requires a lot of energy We achieve what others say is Profits, Passion and Purpose.” The goal
to maintain and keep consistent. With impossible by thinking outside of having core values is to have them
this approach many successes are still the box. reflect who you are as a team. The
credited to the team, however, failures goal is not to have them as a wish list
tend to be blamed on someone or • Many of our best ideas and about who you want to be. When you
something other than the orthodontist. decisions come from the are beginning to develop your team, it
With this approach the orthodontist staff in our clinic or our staff is temporarily OK to have core values
tends to deny responsibility for failures behind the desks. be “who you want to be statements,”
and hence, the loss of control is but as your team matures, core values
outside of his or her influence. One’s • All team members should need to reflect reality. Ten core values
destiny is placed in the hands of others take the initiative to execute with three supporting statements
or outside variables. a plan of action when is usually sufficient. While I have an
presented with opportunities office manual, it is tucked up on a shelf
One other major difference between to implement solutions. and used only to reference a detail
inside-out versus outside-in is the pertaining to a core value. If you think
opportunity to be first. With the inside- • We attempt to allow staff to of core values as the U.S. Constitution
out mind set, my practice sets its own control his/her own destiny and a policy manual as reference
game plan and is frequently first on by providing opportunities for material supporting the amendments
new initiatives. Some of the game growth. you will be on the right track.
changing initiatives that were a decade
or so ahead of other practices in the Core values evolve as staff is added,
U.S. were, a high-budget, brand-driven and your values and beliefs are
marketing plan (1998), same day starts incorporated into a team’s beliefs and
you will be more imitation rather
(1998), sub $200 start fee (1998), staff values. Core values are dynamic and
than original. This means that being
driven office (2001), independence not set in stone. My staff reviews our
second is the best you can ever expect
from being a referral based practice core values every year, and all new
to achieve. For me, my team being
(2002), first to use passive self-ligation staff members receive core value
second or worse is not where I choose
system of braces within a radius of training approximately eight weeks
to have my practice placed by peers or
200 miles (2002), an in practice dental into employment. Training is based on
the public.
hygiene department (2008) and in the using everyday examples of what we
last two years, an in practice dental do, and matching those examples to
department. If you use an outside-in core values. At the training session, we
approach to manage your practice assess if the core values are still valid.
If the team reaches a consensus that
there is discrepancy between who we
are and who we say we are then either
the core values need to be changed or
we need to commit to doing better on
walking the walk. In the last five years
we have not changed any of the ten
core values but every year we have
modified several of the core value’s
supporting statements.
Surround Yourself with

Positive People:
The Emotional Bank Account
“To use a sports metaphor, the goal in football is to A positive attitude is influential and
score more than your opponent. The objectives are to a negative attitude is infectious. My
move the ball down the field via runs or passes while not staff hears something along those
committing penalties. When it is third and two on your lines almost every work week. I hold
27, it is best to focus on achieving the next objective, myself, and my staff holds me, to those
gaining two yards, and not on the goal of scoring. “ words as well. Understanding the

influence of positive attitudes made it Breaking the plan into objectives allows as a “teachable moment.” Teachable
easy for me to commit to surrounding me to communicate in clear, simplified moments are discussions about how
myself and my team with only positive terms what needs to be accomplished. problems occurred or how things
people. My staff and I are aware that Accomplishing clearly defined did not go as planned. Teachable
negative people want an audience objectives result in the team staying moments should be exploratory in
and their negativity is highly infectious. positive and gaining confidence while nature, and assessing blame should
Negativity sticks out like a sore thumb improving performance. Poor leaders not be part of the process. For me,
in my office. People with a negative miss this point and choose goals appropriate exploratory questions
predisposition are a poor choice of rather than objectives for their team should be as direct as possible. This
coworkers and we have zero tolerance to achieve. They are frustrated when means naming names rather than
for such staff. he or she discovers the goal is poorly using vague terms such as “few” or
understood by the team members thus “some” during exploratory questioning.
causing unsatisfactory results. To use The solutions to performance issues
a sports metaphor, the goal in football usually fall in to three areas; need
EMOTIONAL is to score more than your opponent. training, need a better system or poor
The objectives are to move the ball fit of a player for the task. Rarely in my
down the field via runs or passes while practice is a performance issue about a
not committing penalties. When it is person’s behavior or attitude.
third and two on your 27, it is best to
focus on achieving the next objective, Being positive is also important
gaining two yards, and not on the goal because everyone has an emotional
of scoring. bank account with people who have
significance in one’s life. If a person
At times, I am critical of my team or makes us feel good, builds up our
an individual’s performance. It is the self-confidence or makes us feel
Staying positive when performance ratio of positive comments to critical more relevant, then that person is
of my team is less than expected comments that matter. For my mature making a deposit into our emotional
requires me to stay focused on a performing team, positive comments bank account. If a person is doing the
corrective plan of action and not outweigh negative comments about opposite, then they are withdrawing
dwell on the failures of the past. When six to one. Teams that are immature from our emotional bank account. We
implementing a plan of corrective in development need a ratio of tend to seek out those who deposit
action, I break the plan down into around twelve to one. I will discuss into our sense of well-being and shy
objectives rather than a goal. I have the team maturation process in a away from those who withdraw from
found it is easier for my team to focus following section. When making that sense.
on the next objective rather than a critical comments, I attempt to keep
goal made up of numerous objectives. them positive by structuring them
A positive attitude is influential and

a negative attitude is infectious.

One of my main jobs as the team
leader is to make deposits into my
staff’s emotional bank account. I
spend a great deal of time every
day engaging staff in discussions
and listening to his or her efforts to
contribute to the team. I take a lot of
time during the day to teach. I seek out
things that a staff member did right or
exceptional and create a story around
that at the morning huddle. These
activities are not limited to me. My
assistant coaches and my senior staff
consistently exhibit similar behavior.
Take all of these forms of emotional
deposits and multiply that by 36 staff
members making similar deposits,
and you have an environment where
people feel energized, an environment
where people feel motivated and the
result is remarkable.
Part 2 of this article will be available in issue 6 of The Protocol.

Next issue: What you see, is what you coached: Training,
maturation, problem solving, conflict resolution
Author’s Comments
Dr. David Herman

It is my hope that this article will stimulate discussions on effective practice promotion. As a health-
care provider, I believe that maintaining the public’s trust in my practice is my top priority. In order to
do this, I must consistently deliver on the promises I make to the public, invest in the further devel-
opment of my staff’s skills, and always keep my staff’s wellbeing in mind when making decisions.

Join us at OC Pinnacle and learn
from the best in the industry.
SEPTEMBER 23 - 24, 2016 | PORTLAND, OR
REGISTER ONLINE TODAY: www.ocpinnacle.com
12 CE
CREDITS
OC Pinnacle offers a unique educational opportunity for orthodontists, their staff, and residents.
• Earn up to 12 Continuing • See the latest in • Learn from the best

Education Credits esthetic orthodontics educators in the industry
• Exchange Great Ideas • Network with your peers • Have a great time!
OC PINNACLE SPEAKERS
LEC TURE TOPICS
WILL INCLUDE: Dr. Duncan Brown Dr. Tomas Castellanos Dr. David Herman Dr. Jim Morrish LeeAnn Peniche
Amazing Clinicals Dr. Tom Pitts

Marketing Techniques
Practice Management
Dr. Rael Bernstein Dr. Nimet Guiga

Micro-Esthetic Detailing Dr. Michael McLaughlin Dr. Dwight Frey Dr. Matthew Bruner
Passive Self-Ligating
Active Early Principles
Register By August 31st H4 STARTER KIT
& Receive a H4 Starter $999.00

Kit FREE!* VALUE!
www.ocpinnacle.com *Limit One Per Paid Doctor TREATS 5 PATIENTS!
R E G I S T E R T O D AY For Questions Please Contact

Jessica Caldwell
Registration for Doctors: $1200
Phone: (503) 857
www.oc-orthodontics.com - 5989Issue 5 27
// 2016
Registration for Staff: $250 Email: [email protected]
Meet the OC
International Sales Team
Lance Lipscomb
International Director of Sales
Lance Lipscomb is the International Director of Sales for OC Orthodontics heading up a dynamic
international sales effort. Lance began his career in orthodontics in 1992 as a sales territory
manager with “A”-company Orthodontics in the Pacific Northwest. Lance developed and managed
a million dollar account base from 1993-1998 and was the Orametrix representative of the year in
2007. Over his twenty plus years dental career, Lance has had the opportunity to work with many
of the industry leaders including Ormco and Align Technology, representing many of the dental
specialties areas including companies like SybronEndo, Invisalign, and Suresmile. Mr. Lipscomb,
left Orthodontics in 2009 to join a start up in Audiology called, InSound medical; returning to
orthodontics in 2010 as the OrthoVend System manager, followed by being named the National
Sales Manager in 2011, and finally being named International Director of Sales in 2015.
Blanca Zavala - International Sales Coordinator 503.474.5720 | [email protected]
Blanca joined OC Orthodontics in 2006 and throughout her 10 years of working with OC Orthodontics, has
held several different positions in the company. She found her passion for helping others when she joined the
Customer Service Department in 2009. As of 2011, Blanca took on the role of the International Sales Coordina-
tor in which she continues to work closely with international customers and the international team. Traveling
to orthodontic trade shows over the years; has been an enjoyable experience for Blanca as this has helped her
build strong, solid relationships with customers around the world. Being raised in Oregon, Blanca enjoys the
outdoors. One of her favorite outdoor activities is hiking the Oregon waterfalls. Her biggest joy is spending time
with her two children. She also enjoys dining out and exploring new foods with friends and family.
Francisco Bucio - Latin America Manager (52) 5543579346 | [email protected]
Francisco has been with the OC Orthodontics family since 2009, the last 3 years as the Latin-America manager.
Overall, he has worked the last 20 years in the orthodontic industry, focusing on Mexico and Latin-America.
Francisco studied Business Administration at the Autonomous Metropolitan University and received his Master’s
degree in International Business at La Salle University in Mexico City. Outside of orthodontics, his passion is with
his family; Ximena, Bruno, Diego and his wife Silvia.
Guido Zucco - European Sales Manager 39.346.36. 72 665 | [email protected]
Guido comes to OC Orthodontics after spending 29 years in the Orthodontic industry. He has dedicated his
time and efforts to the doctors of Italy, as well as, developed distributors in the Middle East, Africa and the Far
East. Guido lives in the Rivarolo Canavese Province of Turin, northwest of Italy. Guido graduated while studying
Electronic Devices and also attended professional sales seminars at the International Learning Institute of Milan.
Outside of work Guido attends a once a week class on coaching, enjoys fitness walking, Pilates, and reading
books.

Left to Right: Raju George, Lance Lipscomb, Blanca Zavala, Guido Zucco, Yudy, Francisco Bucio
Raju George - Middle East & Africa Sales Manager +91 - 8301852483 | [email protected]
Raju began his career working with the export division of Industrial Chemical fields in India from 1985 to 1996 in
the marketing line. He then moved to Saudi Arabia and started working in the General Dentistry field, specifically
with Ortho Organizers in 1999. Raju had amazing sales years in 2007 and 2008 with Ortho Organizers doing
business over $500,000 in each. Raju is a graduate of Kerala University with a degree in Economics. Raju loves
spending time with his family; his wife Mercy and two children, son Ashish and daughter Jelitta.
Yudyanto - Asia Pacific Sales Manager (62) 878.88996191 | [email protected]
Yudy, officially joined OC Orthodontics in 2012 after graduating from the Faculty of Dentistry, University of
Trisakti. With a dental background and being active in organizing orthodontics activities during college Yudy
has a better understanding of orthodontic philosophies and product knowledge. Based in Jakarta, Indonesia,
he serves the Asia Pacific Rim countries. Solid OC Orthodontics teamwork along with supportive dealers has
helped Yudy develop and guide his sales & marketing efforts.

Join the Orthodontic Cosmetic Revolution
Im prove d Effi ci e n c y Us i n g H 4 ™ Te c h n o l o g y
2016 Schedule
DATE EVENT SPEAKER(S) LOCATION CONTACT
Scott O’Neil
Join the Orthodontic
02/26/16 Dr. Tom Pitts Las Vegas, NV 480-455-2801
Cosmetic Revolution [email protected]
Mike Hendricks
03/25/16 Join the Orthodontic Dr. Tom Pitts Manhattan, NY 917-340-1651
Dr. Tom Pitts Kamal Ali

04/08/16 San Diego Study Club San Diego, CA 949-612-5537
Dr. Duncan Brown
[email protected]
Dr. Tom Pitts Lance Lipscomb

04/15/16 - Join the Orthodontic
Dr. Nimet Guiga Dusseldorf, Germany 503-901-7434
04/16/16 Cosmetic Revolution
Dr. Peter Csiki [email protected]
Join the Orthodontic Dr. Tom Pitts Lance Lipscomb

07/22/16 -
Australia 503-901-7434
07/23/16 Cosmetic Revolution Dr. Duncan Brown
[email protected]
Scott O’Neil
Join the Orthodontic Dr. Tom Pitts Denver, CO
08/19/16 480-455-2801
Cosmetic Revolution
[email protected]
Dr. Tom Pitts, Dr. Tomas Castellanos, Jessica Caldwell
09/23/16 - Dr. Duncan Brown, Dr. David Herman, Dr.
2nd Annual Pinnacle Rael Bernstein, Dr. Jim Morrish, Dr. Michael
Portland, OR 503-857-5989
09/24/16 [email protected]
McLaughlin, LeeAnn Peniche, & More!
Matt Mitchell
Join the Orthodontic Dr. Tom Pitts Chicago, IL
09/30/16 312-804-1437
Cosmetic Revolution
[email protected]
Brent Coles
Join the Orthodontic
10/07/16 Dr. Tom Pitts Salt Lake City, UT 801-628-8232
Cosmetic Revolution
[email protected]
Join the Orthodontic Dr. Tom Pitts Jessica Caldwell

10/14/16 Montreal, Canada 503-857-5989
Cosmetic Revolution Dr. Duncan Brown
[email protected]
Marty Graham
Join the Orthodontic Dr. Tom Pitts Fort Lauderdale, FL
10/28/16 205-410-6867
Joey Breeland
12/09/16 Join the Orthodontic Dr. Tom Pitts Dallas, TX 971-237-3341
Cosmetic Revolution joey.b @oc-orthodontics.com
REGISTER TODAY
www.oc-orthodontics.com/courses/ocseminars
Rev. J *Dates, Locations, and Speakers are subject to change.
30 2016
C oIssue
n t a c5
t //
U swww.oc-orthodontics.com
To d a y : 8 6 6 - 7 5 2 - 0 0 6 5 o r V i s i t U s O n l i n e : w w w . o r t h o c l a s s i c . c o m
FUN
FACTOR
More and more people are realizing FUN is the most
important WHY in life. Forest embraces fun. Whether
it’s bright yellow and grey upholstery or choosing the
colors of your favorite superhero, all you have to do is
set your imagination free.
3900 Forest Grey Chair, Narrow Back Plush Upholstery with Slings, Duo Color Charcoal and Sassy Upholstery, 4485 Pivot Standard Ic Delivery System with Arctic Silver Powder Coat Paint
and Lemans Carbon Fiber, 1095 Assistants Instrumentation with Arctic Silver Powder Coat and Lemans Carbon Fiber, 9072 Led Pivot Patient Light with Arctic Silver
THE
PROT OL
P/N: 000.0058
w w w . o c - o r t h o d o n t i c s . c o m Rev. E - 08/01/16

Prot OL: Sneak Peak

Uploaded by

Copyright:

Available Formats

Prot OL: Sneak Peak

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Prot OL: Sneak Peak

Uploaded by

Copyright:

Available Formats

Issue 5 THE SECRETS OF A HIGH PERFORMANCE TEAM

MEET THE OC INTERNATIONAL SALES TEAM

Thomas Pitts D.D.S., M.S.D.

Duncan Brown B.Sc., D.D.S., D. Ortho

Michael McLaughlin D.D.S.

David Herman D.D.S., M.S., M.P.H.

2 2016 Issue 5 // www.oc-orthodontics.com

10 OC PINNACLE SNEAK PEAK

13 Arch Form Evolution

22 Developing a High Performance Team

28 Meet the OC International Sales Team

© 2016 OC Orthodontics. All rights reserved.

www.oc-orthodontics.com // 2016 Issue 5 3

Read Online with your computer,

Soft Tissue Diagnosis and

REQUEST BACK ISSUES - 866.752.0065

4 2016 Issue 5 // www.oc-orthodontics.com

AAOF_donation_promo_ad_protocol-15.indd 1 7/1/15 12:42 PM

6 2016 Issue 5 // www.oc-orthodontics.com

This was the point-in-time that I “awakened my inner

www.oc-orthodontics.com // 2016 Issue 5 7

“People rarely succeed unless

In my office, we survey EVERY PA-

With this in mind, let me tell you more

8 2016 Issue 5 // www.oc-orthodontics.com

Meet Our Orthodontist

Born in Torrance, California

Dental and Orthodontic School; USC 1983, 1985

Greatest Honor: As an orthodontist being told by Dr. Tom Pitts that my

www.oc-orthodontics.com // 2016 Issue 5 9

Dr. Tom Pitts

10 2016 Issue 5 // www.oc-orthodontics.com

Extraordinary Results with Advanced Mechanics SPEAKER: DR. TOMAS CASTELLANOS

Mission Possible - Early 3D Control SPEAKER: DR. DUNCAN BROWN

Housed in historic surroundings, the Embassy

www.oc-orthodontics.com // 2016 Issue 5 11

Tom Pitts D.D.S., M.S.D.

www.orthoclassic.com // 2016 Issue 5 13

H4™ Pitts Broad 10 20

H4™ Pitts Standard

© ORT H OEVOLVE 2016

Throughout the world, there is an increase

16 2016 Issue 5 // www.oc-orthodontics.com

www.oc-orthodontics.com // 2016 Issue 5 17

PITTS BROAD ARCHWIRE PROGRESSION

.020 x .020 Beta-Titanium (BT)

.021 x .025 TA NiTi .019 x .025 BT

Until next time...

© ORT H OEVOLVE 2016 Drs. Tom Pitts and Duncan Brown

18 2016 Issue 5 // www.oc-orthodontics.com

Dr. Tom Pitts Dr. Duncan Brown

www.orthoclassic.com // 2016 Issue 5 19

space is limited, Sign up now!

the one course everyone should attend

Cut treatment time with great “WOW” results and

Dr. Pitts is a world renowned lecturer

Dr. Duncan Brown

20 2016 Issue 5 // www.oc-orthodontics.com

A comprehensive program that helps grow