KOL claim of the month!
I have decided to write a new monthly series of posts called the “KOL of the month”. I will look at some recent claims made by a KOL, and contrast these with scientific evidence. Our first KOL claim of the month is by Dr Bill Dischinger.
Dr Dischinger got his specialist training at Tufts in Boston in 1999. I want to discuss his recent article in a magazine called Orthotown.
Orthotown November 2019.
Orthotown is a magazine that includes articles on practice management and case reports. As a result, it is not a scientific journal. However, we still need to look critically at the claims made in these magazines as they are intended to inform clinical practice.
This article is a clinical case report about the treatment of one patient treatment using Damon brackets. As part of the therapy, Dr Dischinger also used PropelV Pro High-frequency device.
What are the claims?
In the article, he outlined a simple non-extraction treatment of a mild malocclusion in an adult. This treatment took 37 weeks. He made several statements about Propel and Damon brackets.
“I often recommend this device (Propel) for an improved orthodontic experience, whether bracket or aligner therapy, because high-frequency vibration (HFV) breaks down the bone during treatment, builds bone in retention, can get a retainer vibrated back into place (retention guarantee), and it works very well in increasing predictability and aiding discomfort, particularly in adults”.
“Because I had confidence that the patient’s movements would express quickly and predictably, I decided to shorten his appointment intervals from my normal eight weeks down to six weeks, and eventually five weeks”.
“Increased competition and pressure from corporate orthodontics to control our fees force orthodontists to be as efficient as possible. By incorporating high-frequency vibration and passive self-ligation in my braces cases, I can be far more efficient, and patients are very grateful to have a quality, orthodontist-delivered finish in a shorter period of time with reduced discomfort, as well as a bit of an insurance policy for retention”.
His final summary comments were:
“I believe with advancements such as passive self-ligation and high-frequency vibration, the future of orthodontics is bright for both patients and orthodontists”.
What does scientific research tell us?
Dr Dischinger does not mention this research in the article.
He did not declare a conflict of interest in the Orthotown article.
Finally, I would like to emphasise that there is nothing wrong with being a Key Opinion Leader for a company, as long as a potential conflict is declared.