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Profile: rboyd@pacific.edu
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Joined: Thursday, April 20, 2006
Last Visit: Friday, June 6, 2008 9:21:38 PM
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Topic: Who places miniscrews?
Posted: Friday, June 6, 2008 9:21:09 PM
We have taught microimplant placement as a basic clinical skill for our residents in our ortho program for about 4 years, but my impression is that less than 10% of private practice docs actually do it. Everybody agrees that it is critically useful in many cases to use them. But on a day-to-day basis this may still be a bit of an academic area because in private practice a lot of docs just do not want to place them and then there is a cost issue when referring them out, as some oral surgeons and periodontists charge what seems like a lot to place them (around $400 to 600 per microimplant). If they are presented as an add-on to treatment, patients may well decline. We believe it is better to just tell patients who we think need them that they are a part of the treatment and not an option (thus contained in the initial cost when placed by the orthodontist).

--Robert Boyd, DDS, MEd

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