Orthodontic practices are therefore SMEs whose activity takes place in the healthcare field, a tightly regulated area. The orthodontist,
as a business owner, provides the “production” alone: treating patients. In many activities, the business owner is essentially dedicated to
management, whether technical or commercial, with production ensured by employees or workers; and if he assumes it himself in certain
craft activities, he can still get help, delegate all or part of his production function.
This is not the case for the orthodontist, who can certainly have help, but who in no way can delegate his function. The orthodontist must therefore
The orthodontic practice must therefore care for its patients and manage its business. It must
put in place a rigorous organization if it wants to optimize working time. It spends 90% of its time or more in the chair; it must therefore delegate administrative management to a secretary or an assistant. Delegating does not mean becoming disinterested: it must always “keep an eye” on this management
and ensure compliance with regulations. Managing well consists in optimally combining the factors of production (human, technical): 300 well-managed patients will generate a margin higher than that of 500 poorly managed patients. The orthodontist should get help from other specialists: chartered accountant, lawyer, IT specialist, etc.
To each their profession. Like any business, an orthodontic practice
is subject to numerous administrative, accounting, and tax constraints. Only those specific to the activity will be discussed here.

The Harvold triangle and its contribution to the development of orthodontic diagnosis (Part 1) by J-L. OUHIOUN
The principle of the bioprogressive concept as described by Dr. Carl Gugino is based on a systematization of orthodontic case management from which it becomes
possible to individualize. It rests on a strong underlying logic intended for the development
of specific baseline lines at each stage of diagnosis and treatment.

Le DAM c’est simple, commun, fréquent…mais pas grave ! par L. JESURAN, M. ANDRE
Dysfunction of the masticatory apparatus (DAM) corresponds to a myoarthropathy
of the masticatory apparatus. This mandibular dysfunction is most
often painful.
The orthodontist is often a witness to DAM symptom patterns, which can
occur before, during, or after treatment. It must therefore be able to ensure
a precise and reproducible diagnostic approach in order to implement adapted care.

The elastofinition by E. LEJOYEUX
The objective of the pre-information incorporated into the proposals for bioprogressive straight archwires* is ambitious:

to more easily meet the conditions of an “ideal orthodontic occlusion”;
to individualize aesthetic results;
and to strengthen the stability of the results by anticipating long-term changes.
How to ensure traceability with colors? Traceability of the bracket by F. Pourrat
Implementing appropriate traceability of materials and medical devices
in an orthodontic practice is not an easy task. Applying this process—here, by way of example, the traceability of the bracket—will allow
some of us to extend it to all of our few 800 existing references in our practice.

Medical psychology: Pain: algia or suffering? by M.G. CHOUKROUN
The author proposes to call “algia” the physical approaches to pain “algotherapy,” its treatment. He presents the so-called subjective human aspect of pain—i.e., “suffering”—and its management according to the most current aspects of psychological theory. He provides clinical examples to illustrate this approach.