KOL Claim of the month: Carriere Motion in a post Covid19 World?
As we move through the terrible COVID 19 crisis, I have seen some discussion on the way that orthodontics may have to change in a post-COVID world. These discussions have involved the use of PPE, changes in cross infection control and greater protection against transmission in our practices. I did not think that anyone would suggest that orthodontic treatment would change. But then I came across this webinar by Dr Luis Carriere and Henry Schein Orthodontics. They suggest that one solution to orthodontic treatment in the future is increasing the efficiency of treatment by using the Carriere Motion appliance! This is, therefore, the KOL claim of the month for April.
These claims appeared in this video. Here is the link.
I am not going to be critical of Luis Carriere or Henry Schein. I am only going to quote from the video.
The presentation was called “Minimum touch orthodontics in time of pandemics”.
Here are the relevant quotes from his presentation.
“We need to work on how we are going to work during and after the C19 scenario”.
“In this period of C19, we have patients with continuous active appliances”.
“To be able to contain this pandemic, it is important to try to have appliances that really give us the possibility of the patient being the one that handles the action of the appliance”.
“Orthodontics will be completely different after this pandemic. Orthodontists will value techniques that are simple, minimal and highly efficient”.
“We will try to space the appointments as much as we can, and we will try to do the treatments as short as we can”.
“The key is to simplify the complexities of treatment”.
Guess what appliance we can use to do this? It is the Carriere Motion!
“We should diminish the number of appointments. To accomplish this, we need to work with technology to make treatments easier. The Motion appliance is an option that will help us amazingly convert complexities into simple things”.
“But then we need to have braces that are efficient. The Carriere SLX appliance with new wire sequences is a sequence that is minimal in number of appointments”.
“We do not need to see patients for activation because the system had fluid and easy-flow because of the low friction and the simple protocol”.
He illustrates the use of the Motion and the SLX appliance with a series of case reports.
The end of the webinar was an HSO video showing pictures of our now familiar KOLs looking lovingly at the HSO products. The video was framed with the slogan “Stay home”.
It is up to you to decide whether using the COVID 19 pandemic to promote the Carriere Motion appliance is acceptable. I was uncomfortable with the webinar. But am I being too sensitive?
Fact check of the KOL claims
I would also like to fact check the claims made in the video.
Currently, there is no good evidence that the Carriere Motion appliance reduces orthodontic treatment time. Neither does it produce anything other than dento-alveolar effects, which we would expect with Class II elastics. Elastics are also under the control of the patient and can be monitored remotely.
Emeritus Professor of Orthodontics, University of Manchester, UK.