
Welcome to the newest installment of Office Visit, where we visit a practicing orthodontist's office and profile his or her equipment,
design or unique practice philosophy. If you would like to participate or nominate a colleague, please e-mail ben@farranmedia.com.
This month we paid a visit to Dr. Adam Schulhof and his practice in Oradell, New Jersey. Dr. Schulhof, the developer and sole
provider of the "Incognito Lite" system, is a strong proponent of individualized treatment, pushing past his own "orthodontic biases"
and ensuring the end result for each patient is tailor made for their needs. We discussed his reasons for entering orthodontics,
his practice philosophy and what the orthodontics profession means to him.
by Benjamin Lund, Editor, Orthotown Magazine
Photography by Michael Benabib
Dr. Schulhof, to begin, why did you choose orthodontics as your career path?
Schulhof: I sought a profession that helped people feel better about themselves. I majored
in psychology and had first-hand experience with how a person's appearance can affect self esteem.
I also wanted to work with my hands and always be challenged. Orthodontics seemed
like a perfect fit.
What is your practice philosophy?
Schulhof: Individualization. Each person is unique and we customize treatment for each
individual. It's important to look at the whole package, not just the malocclusion. We need
to take into account everything about this individual, from motivation and chief complaint
to lifestyle.
How do you cultivate this philosophy in your practice?
Schulhof: By spending the time at each consult to really listen to each patient. As orthodontists
we tend to push our "orthodontic biases" onto our patients, it's extremely helpful for
some of us to stop and listen to what this patient truly wants. It helps to understand a patient's
lifestyle and to then tailor a treatment plan toward his or her unique needs.
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What is the orthodontic competition like
in your area?
Schulhof: It is extremely crowded, as is usual for a
metropolitan area.
How have you weathered the current
economic storm? Have you made any
adjustments to your business or your
clinical practice?
Schulhof: We have been fortunate in that our business
and practice model was always one of differentiation.
When a patient experiences our office they can't
possibly continue "shopping" as they can't compare it to
anything else around us.
What sets KinderSmiles apart from the
other orthodontic practices in your area?
Schulhof: There's really so much. The newest 1,200 square
feet that we've added was designed to instantly calm and soothe
the patient. It combines cutting-edge design with the best of
new technology.
Clinically, our niche is "customized orthodontics" with a
concentration on aesthetic appliances. Every treatment plan is
accomplished with either Clarity SL or Incognito Lingual
braces. Incognito is 100 percent customized. If the patient opts
for Clarity SL we customize using Variable Prescription and
three different arch forms tailored to each patient.
Office Highlights |
Bonding Agents
3M Unitek SEP(self-etching primer)
Reliance Assure
Brackets/Wires
Incognito
Unitek Clarity SL
Patient Financing
ChaseHealthAdvance
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Cements
3M Unitek IDB
3M Unitek Transbond
Class II Correction Appliances
Forsus
Class III Correction Appliances
Tandem traction appliance
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Hygiene
WaterPik as patient gift with each bonding
Technology
Macs
TOPS
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Click here to view Dr. Schulhof's Top 3 Products |

What piece of technology has the biggest
"wow" factor for your patients?
Schulhof: The biggest wow factor is Incognito. Patients are
always wowed by the customization and about being able to
treat any malocclusion truly invisibly. We constantly hear during
our consultation, "You can do that?"
How do you market your practice to new patients?
Schulhof: Internal marketing, Internet, social media and
local high-end magazines. With a product like Incognito there's
a clear differentiating factor, so it's easy to market.
You are the developer and only provider of
what you call "Incognito Lite" braces treatment – can you tell our readers more?
Schulhof: Allow me to clarify… We developed the term
"Incognito Lite" to use amongst ourselves in the office to
describe a new treatment type using Incognito, and pretty
quickly – much to our surprise – we had patients walking
through the doors asking for Incognito Lite!
After using Incognito to treat many patients, we were
so thrilled with the results and noticed that Incognito has
wonderful torque control as well as extremely rapid leveling
and aligning of crowded teeth. Many of the adults
walking through our doors needed a more limited treatment
to relieve moderate crowding or spacing in the anterior
but had a relatively good occlusion. I had used many
clear aligners and "social 6" type treatments but was very
disappointed with the lack of control and the results.
With aligners we found ourselves constantly "rebooting" the
case to achieve our treatment goals. This all resulted in frustration
and took up a lot of additional chairtime, which is expensive
to the practice.
Together with a wonderful team at 3M Unitek we quickly
set up protocols to use Incognito only on the anterior 3-3 or 4-4 allowing for beautiful results. With this product we have wonderful
three-dimensional control of the teeth. Most cases are finished
to perfection in four to six months!
Patients love it as it completely addresses their concerns and
does so aesthetically, comfortably and in a timely manner. I like
to call it "Limited Treatment" without the limitations.

KinderSmiles staff from left: Michele Arencibia, RDA, head dental assistant; Angelica
Cruz, DA, dental assistant; Joyce Giron-Papa, treatment coordinator; Dr. Schulhof;
Nicole Simpson, orofacial myologist; Buseon Kim, RDH, hygienist & dental assistant
and Anafaye Vandenberg, RDA, dental assistant.
In your practice, what is a typical day's schedule?
Schulhof: We see anywhere from 75-90 patients.
What is the most unique treatment plan you've
put together?
Schulhof: As a lingual practice grows, it is only natural that
the percentage of adult patients grows. Adult treatment is very
fulfilling as well as extremely challenging. Many adults present
with worn teeth and prosthetics and so many treatment plans
are interdisciplinary. It is not unusual to lead a team of general
dentists, periodontists and oral surgeons all working together to
achieve a great result for a patient. With this in mind, almost
every adult treatment plan seems unique.
What is the most rewarding experience you've
had as an orthodontist?
Schulhof: When treating adolescents, a majority of them are
in the chair because mom or dad dragged them there. With adult
treatment, patients have made the time to come seek our help,
putting aside their fears and concerns, so obviously their smile – or lack thereof – is really affecting them. On a weekly basis we see
tears of joy and appreciation from patients. Successful doctors,
lawyers, actors and powerful businessmen are reduced to tears
telling us that we can't imagine what a change their new smile has
brought about in their lives. To experience this is really powerful.
In our office we are fortunate that we experience it so frequently.
In your opinion, what is the biggest problem
orthodontics faces today and what do you think
should be done about it?
Schulhof: The public is still not educated to the fact that
orthodontics is a lot more involved than slipping an aligner into
a patient's mouth. There are some general dentists who are good
orthodontic clinicians, however there are many more that truly
do not understand the intricacies of a proper orthodontic treatment
plan. It seems that as the years go on I am seeing more and
more "please fix this patient for me" cases from GPs.
How has Orthotown benefited you and the way
you practice?
Schulhof: It is extremely helpful in keeping me abreast of
what's new in the field and in seeing how others deal with some
of the obstacles I run across daily.
What advice would you give someone who is
thinking about entering orthodontics?
Schulhof: It's hard work but extremely rewarding. Spend a
nice amount of time in an orthodontic office to really get a taste
of the day to day. If it's to your liking work, work, work until
you realize your dream. |