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Final Records

They are important, however, few orthodontists take them.


Champions do not sweep mistakes under the rug. They review why, when, how, and what’s next. Cam Newton is great because he reviews video/tape after tape of his previous performances, learning how he can make the next throw a predictable completion. 


Medicine is no different. I am fortunate that beginnings and endings in orthodontics are concrete. They are absolute. A patient’s perfect finish is clearly identifiable. Wouldn’t it be great if everyone had a predictable and likely outcome given all variables were always equal?


Sixteen years of finishes, all with final records, have given me an immense library of why, when, how, and what’s next.  Reviewing these has given me the confidence to ensure my treatment plan for a patient is best for the patient. 


Textbooks would say the presented smile would be impossible to correct without jaw surgery. Also, other local orthodontists said this case was impossible to correct without surgery. 


I told the patient it was 100% predictable with no surgery with 100% confidence as long as I had her 100% compliance. Doubt was present with her dentist, within herself, and within her family throughout treatment. However, given the known compromises she was exposed to and known shortcomings in the existing dentition, she finished 100%.   

I used to be amazed. Now I am confident.

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