# A Novel Appointment Protocol to Accelerate Orthodontic Treatment: A Case Report

## TL;DR

A new orthodontic protocol using frequent appointments and specific bracket-wire techniques helps speed up treatment for adult patients.

## Contribution

A novel appointment protocol combining 10-day visits with metal passive self-ligating brackets and rapid archwire sequencing is introduced.

## Key findings

- Scheduling orthodontic appointments every 10 days accelerates treatment progress.
- Using metal passive self-ligating brackets with rapid archwire sequencing improves efficiency.
- The protocol is tailored to individual patient needs and contextual factors.

## Abstract

The need for orthodontic treatment among adult patients has been steadily increasing. A considerable number of these patients request to expedite their treatment owing to personal circumstances, including travel, relocation to another country, university enrollments, and preparations for weddings or other celebrations. To achieve expedited outcomes, various techniques have been devised over the years to expedite tooth movement during orthodontic treatment, encompassing pharmacological, surgical, and physical methods. Efficient scheduling is acknowledged as a crucial factor in the timely completion of orthodontic treatment. A uniform approach is not appropriate for scheduling orthodontic appointments. The optimal time frame varies depending on the specific contextual factors.

We have implemented a novel orthodontic appointment protocol that entails scheduling orthodontic adjustment appointments every 10 days and employing metal passive self-ligating brackets combined with rapid archwire sequencing from lightest archwires to thick archwires in a gradual approach starting with lighter archwires, which efficiently facilitated expedited treatment.