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Marc B Ackerman

Publications and source records attributed to Marc B Ackerman.

13 recordsLinked to original sources
PubMed2006

ABO certification in the age of evidence and enhancement.

The American Board of Orthodontics (ABO) phase III certification examination was originally constructed and recently modified to "help the Board determine the candidate's knowledge of clinical orthodontics and provide a basis to assess the quality of the candidate's clinical treatment results." For the most part, the ABO phase III examination measures the orthodontic treatment-induced changes in occlusion in a limited and biased patient sample. The process and outcome measures used in the current model-the discrepancy index and the objective grading system-are so narrowly focused that an orthodontist might lack up-to-date clinical knowledge, psychomotor and critical thinking skills, diagnostic acumen, patient management ability, and patient-centered ethics, and still pass the examination largely because of mechanically morphing the patient's teeth into the board's construct of ideal occlusion. The goal of this article is to provide provocative insight into the core concepts that drive the ABO phase III certification process and to recommend an alternative paradigm predicated on a patient-centered, evidence-based clinical practice model.

Certification↗
PubMed2004

An evaluation of dynamic lip-tooth characteristics during speech and smile in adolescents.

This retrospective study was conducted to measure lip-tooth characteristics of adolescents. Pretreatment video clips of 1242 consecutive patients were screened for Class-I skeletal and dental patterns. After all inclusion criteria were applied, the final sample consisted of 50 patients (27 boys, 23 girls) with a mean age of 12.5 years. The raw digital video stream of each patient was edited to select a single image frame representing the patient saying the syllable "chee" and a second single image representing the patient's posed social smile and saved as part of a 12-frame image sequence. Each animation image was analyzed using a SmileMesh computer application to measure the smile index (the ratio of the intercommissure width divided by the interlabial gap), intercommissure width (mm), interlabial gap (mm), percent incisor below the intercommissure line, and maximum incisor exposure (mm). The data were analyzed using SAS (version 8.1). All recorded differences in linear measures had to be > or = 2 mm. The results suggest that anterior tooth display at speech and smile should be recorded independently but evaluated as part of a dynamic range. Asking patients to say "cheese" and then smile is no longer a valid method to elicit the parameters of anterior tooth display. When planning the vertical positions of incisors during orthodontic treatment, the orthodontist should view the dynamics of anterior tooth display as a continuum delineated by the time points of rest, speech, posed social smile, and a Duchenne smile.

Adolescent↗
PubMed2003

Dynamic smile visualization and quantification: part 1. Evolution of the concept and dynamic records for smile capture.

The "art of the smile" lies in the clinician's ability to recognize the positive elements of beauty in each patient and to create a strategy to enhance the attributes that fall outside the parameters of the prevailing esthetic concept. New technologies have enhanced our ability to see our patients more dynamically and facilitated the quantification and communication of newer concepts of function and appearance. In a 2-part article, we present a comprehensive methodology for recording, assessing, and planning treatment of the smile in 4 dimensions. In part 1, we discuss the evolution of smile analysis and review the dynamic records needed. In part 2, we will review smile analysis and treatment strategies and present a brief case report.

Cephalometry↗
PubMed2003

Dynamic smile visualization and quantification: Part 2. Smile analysis and treatment strategies.

The "art of the smile" lies in the clinician's ability to recognize the positive elements of beauty in each patient and then create a strategy to enhance the attributes that fall outside the parameters of the prevailing esthetic concept. New technologies have enhanced our ability to see our patients more dynamically and facilitated the quantification and communication of newer concepts of function and appearance. In a 2-part article, we present a comprehensive methodology for recording, assessing, and planning treatment of the smile in 4 dimensions. In part 1, we discussed the evolution of smile analysis and reviewed the dynamic records needed. In part 2, we review smile analysis and treatment strategies and present a brief case report.

Aging↗