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Updated: Jun 15, 2026

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
Efficiency and effectiveness of SureSmile
Alana K Saxe1, Lenore J Louie, James Mah
1School of Dentistry, University of Nevada, Las Vegas, Nevada 89106, USA. james.mah@sdm.unlv.edu
Aim:
To examine the efficiency and effectiveness of the SureSmile process using the standards of the American Board of Orthodontists Objective Grading System (ABO OGS).
Methods:
Three diplomates of the American Board of Orthodontics provided study casts of 62 patients whose orthodontic treatment was consecutively completed. Patients treated using the SureSmile process and a conventional approach were anonymized and randomized prior to independent scoring by two ABO OGS-calibrated examiners.
Results:
Intra- and interexaminer reliability was consistent in all components with no differences between examiners (r=0.96, P<.001). The ABO OGS score for the SureSmile patients (mean 26.3) was 4.4 points lower (P<.001) than for those treated conventionally (mean 30.7). Furthermore, treatment with the SureSmile process was shorter (14.7 months vs 20.0 months).
Conclusion:
The SureSmile process results in a lower mean ABO OGS score and a reduced treatment time than conventional approaches. The approach has great potential to both decrease treatment time and improve quality.
