Pacific Coast Society of Orthodontists Bulletin Summer 2020 - 71

Staff Report

▫▫ Is the entire office team effectively educating

and encouraging patients to comply with
home care instructions? From the new patient
exam to the last appointment in treatment,
there is an opportunity to create continuity
and trust between the practice members and
patients/parents to foster compliance. Blending compassion, excellent verbal skills, and
effective use of technology can go a long way
to create a successful result.

Discussion & Prevention Action Plan: _ __________
___________________________________________
___________________________________________
___________________________________________

Figure 1

Poking Archwires
▫▫ Are the ends of the archwires always double-checked before the patient leaves? This may
seem like a silly question; however, a final
patient check for anything that could be uncomfortable is important to prevent the patient
from returning before the next scheduled appointment. Perform a gloved finger check rather
than solely relying on the patient to say that
everything feels fine. Sometimes it takes a day
or two for a wire to begin irritating (Figure 1).
▫▫ Has the archwire skewed around to one side?
If so, was there a crimpable stop placed when
the archwire was inserted? Can the ends be
cinched, or can training on crimpable hooks
help to prevent the problem (Figure 2)?
▫▫ Is the poke due to spaces closing? If so, can the
wire be bent distal to the terminal tooth to
prevent further problems? Should appointments be more frequent for patients during
space closure?
Discussion & Prevention Action Plan:____________
___________________________________________
___________________________________________
___________________________________________

Figure 2

Summer 2020    PCSO Bulletin	

Archwire out of Slot
▫▫ Is the wire out due to space opening? Wires can
sometimes be left long and cinched to prevent
the archwire from coming out of the slot.

71



Pacific Coast Society of Orthodontists Bulletin Summer 2020

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