Spring 2008
Association canadienne des orthodontistes
In this issue
Winnipeg, Manitoba Site of the 2008 CAO Scientific Session
Message from the President Committee Reports CAO Award of Merit CFAO Graduate Student Posterboards - Part 2 of 2 Component Society Reports From the Editor Upcoming Orthodontic Meetings Diversions & Distractions
[Photo Credit: “Winnipeg Night Skyline� - Destination Winnipeg / Ken Miner Photography]
CAO Mission Statement The Canadian Association of Orthodontists is the national organization and official voice for registered orthodontic specialists and is dedicated to the promotion of the highest standards of excellence in orthodontic education and quality orthodontic care.
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CAO Bulletin • Spring 2008
Message from the President Canadian Association of Orthodontists Association canadienne des orthodontistes 2175 Sheppard Avenue East, Suite 310 Toronto, Ontario M2J 1W8 Telephone (416) 491-3186 / 1-877-CAO-8800 Fax (416) 491-1670 E-mail cao@taylorenterprises.com Website www.cao-aco.org
2007/2008 Board of Directors
Dr. Gordie Organ [Email: gmo@drgordieorgan.com]
Time really flies - unless you are waiting for the end of a seemingly endless, exceptionally snowy winter here in Toronto. In the blink of an eye, my term as your “Fearless Leader” is almost half over; but being the eternal optimist that I am, I still have a half of a year yet to go. A great deal of work can still be accomplished. The weekend of February 23/08 saw the entire CAO Board convene in Toronto for our annual Ad-Interim meeting. Although individual reports will provide in-depth details in the following pages of this Bulletin, I would like to present an overview of those issues which were discussed, debated and ultimately acted upon.
OFFICERS President President Elect Past President 1st Vice President 2nd Vice President Secretary/Treasurer
Dr. Gordon Organ Dr. Robert Cram Dr. Bob Hatheway Dr. Gerry Zeit Dr. Howard Steiman Dr. Garry A. Solomon
REGIONAL DIRECTORS British Columbia Alberta Saskatchewan Manitoba Ontario Quebec Atlantic
Dr. Ritchie Mah Dr. Paul Major Dr. Ross Remmer Dr. Tim Dumore Dr. Helen Grubisa Dr. Sonya Lacoursière Dr. Stephen Roth
The Board unanimously decided to revise our tired and somewhat awkward website, in an effort to create a user friendly, visually appealing and intuitive site for the benefit of CAO members as well as the public. Dan Pollit, our Communications Chair, in conjunction with LS Graphics, will be working hard over the next several months making the necessary changes. A new unique and memorable domain name will be registered for the benefit of the public, facilitating visits to the CAO website by our present and future patients. Thank you to all who took the time to reply to the two electronic surveys over the past few months. The response rate was terrific and the Board received invaluable information to be used in the direction of future plans. Two more surveys are being formulated; one focusing on our Scientific Session and the other investigating the role of Volunteerism. Please continue your support of this endeavour by answering the very short surveys as you receive them. Your Board is depending on you!
COMMITTEES Communications Nominations President CFAO CAO/AAO Liaison Insurance Planning & Priorities
Membership Policy & Procedures World Federation of Orthodontics National Scientific Meeting Coordinator CAO/CDA Liaison New & Younger Members Representative CAO Web Master Assistant Web Master Bulletin Editor Directory Editor Historian/Archivist CCOE 2008 Scientific Meeting Chair GST Advisor
Dr. Dan Pollit Dr. Bob Hatheway Dr. Douglas Beaton Dr. Howard Steiman Dr. Robert H. Cram Dr. Gordon Organ Dr. Robert Cram Dr. Gerry Zeit Dr. Howard Steiman Dr. Gerry Zeit Dr. Amanda Maplethorp Dr. Gordon Organ Dr. Amanda Maplethorp Dr. Richard Marcus Dr. Robert Cram Dr. Helen Grubisa Dr. Daniel Pollit Dr. Jules Lemay III Dr. James Posluns Dr. Farah Mawani Dr. Garry A. Solomon Dr. Don Robertson Dr. Tim Dumore Dr. Garry A. Solomon
Under the Chairmanship of Gerry Solomon, the Media Task Force has been authorized to enlist the Schupp Company (the same company the AAO used for their successful media campaign) to help the CAO develop a national marketing campaign. The campaign’s message is to promote the value of specialty orthodontic services. In addition to the Schupp campaign, other media and marketing programs are being investigated, all with the same message in mind. Our student members are without doubt the future of our association and increasing their awareness of the value of becoming CAO active members is considered a priority. This year, Helen Grubisa, the New and Younger Member Chair, will initiate a Student Outreach Program. The residents of all five Canadian graduate orthodontic programs will be visited Continued… Consider supporting the advertisers and service providers referred to in this Newsletter, recognizing that they have been supporters of the CAO. Advertisements are paid advertising and do not imply endorsement of or any liability whatsoever on the part of the CAO with respect to any product, service or statement. The author, the Canadian Association of Orthodontists, and its representatives will not be held liable in any respect whatsoever for any statement or advice contained herein. Authors’ views expressed in any article are not necessarily those of the Canadian Association of Orthodontists.
Spring 2008 • CAO Bulletin
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by various members of the NYM committee and be treated to an informal “Lunch/Dinner and Learn” event. These sessions serve to reinforce the importance the CAO places on the residents’ present and future membership participation. I can’t express how excited I am for the upcoming 60th Anniversary Scientific Session in Winnipeg. Richard Marcus, Diane Gaunt and the local organizing committee chaired by Tim Dumore have planned a spectacular meeting. The social and scientific events promise to become the standard to which all future meetings will be compared! Don’t even think twice about whether or not to attend. Winnipeg will be affordable, enjoyable, educational and above all incomparable. You can’t afford not to attend (…with your staff of course; there is a superb Auxiliary program planned as well!) the CAO Diamond Jubilee meeting. I personally guarantee you won’t regret it. Respectfully submitted Gordie Organ
Rapport du président Comme le temps file – à moins que vous attendiez la fin d’un hiver apparemment interminable et exceptionnellement enneigé, ici, à Toronto. Il a suffi d’un clin d’œil pour que mon mandat à titre de « leader sans peur et sans reproche » arrive presque à la moitié de son terme; cela dit, en éternel optimiste que je suis, je constate qu’il me reste encore de plus de six mois, soit suffisamment de temps pour abattre une grande quantité de travail. Au cours du week-end du 23 février 2008, le Conseil d’administration de l’ACO au grand complet s’est réuni à Toronto à l’occasion de notre Assemblée scientifique intermédiaire annuelle. Malgré que les rapports individuels des pages suivantes soient fort détaillés, je tiens à brosser un tableau d’ensemble des enjeux qui ont fait l’objet d’entretiens, de débats et, en définitive, d’interventions. Le Conseil a décidé à l’unanimité de mettre à jour notre site Web, qui est, avouons-le, quelque peu vieillot et pas très commode, de sorte à créer un site convivial, plaisant à l’œil et intuitif pour le plus grand bénéfice des membres de l’ACO et du grand public. De concert avec LS Graphics, Dan Pollit, président de notre Comité des communications, ne ménagera aucun effort au cours des prochains mois pour apporter les changements nécessaires. Un nouveau nom de domaine, unique et facile à retenir, sera inscrit à l’intention du public, de sorte à simplifier les visites au site Web de l’ACO pour nos patients actuels et futurs.
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CAO Bulletin • Spring 2008
Nous remercions tous ceux qui ont répondu aux deux sondages électroniques au cours des derniers mois. Le taux de réponse a été formidable, et le Conseil a obtenu de l’information inestimable qui sera mise à profit dans l’orientation de nos projets futurs. En outre, deux sondages supplémentaires sont en cours d’élaboration : le premier porte sur notre Assemblée scientifique, et, le second, constitue une enquête sur le rôle du bénévolat. Nous vous prions de continuer d’appuyer cette entreprise en répondant aux sondages très courts au fur et à mesure que vous les recevrez. Votre Conseil compte sur vous! Le Groupe de travail sur les médias, que préside Gerry Solomon, a été autorisé à retenir les services de la Schupp Company (la même entreprise qui a produit une campagne médiatique couronnée de succès pour le compte de l’AAO) en vue d’aider l’ACO à élaborer une campagne de marketing d’envergure nationale. Cette initiative fera la promotion de la valeur des services orthodontiques spécialisés. Outre la campagne de Schupp, des programmes de communication et de marketing, tous consacrés au même thème, sont à l’étude. Nos membres-étudiants représentent sans l’ombre d’un doute l’avenir de notre association. C’est pourquoi nous nous attachons en priorité à les sensibiliser davantage à la valeur d’une participation active à l’ACO. Cette année, Helen Grubisa, présidente du Comité des membres nouveaux et plus jeunes (CMNPJ), lancera un programme de relations externes avec les étudiants. Ainsi, les résidents des cinq programmes canadiens d’études supérieures en orthodontie recevront la visite de divers membres du CMNPJ et seront conviés à un dîner-souper-causerie sans formalité. Ces rencontres servent à renforcer l’importance que l’ACO accorde à l’adhésion actuelle et future des résidents. J’ai peine à exprimer à quel point la perspective de la 60e Assemblée scientifique annuelle, qui aura lieu à Winnipeg, soulève mon enthousiasme. Richard Marcus, Diane Gaunt et le comité organisateur local, que préside Tim Dumore, ont prévu une réunion extraordinaire. Les rencontres à caractère social et scientifique promettent de devenir le point de comparaison des futures Assemblées! Aucune hésitation possible : vous devez assister à cette rencontre. Winnipeg est une destination bon marché, agréable, riche en enseignements et, surtout, unique. Vous vous mordriez les pouces de ne pas vous présenter à l’Assemblée de diamant de l’ACO (en compagnie de votre personnel, bien sûr, car un programme fantastique est prévu à l’intention des assistant(es))! Je vous assure personnellement que vous serez comblés. Votre humble serviteur, Gordie Organ
Committee Reports Insurance Report Treasurer’s & Sponsorship Report Dr. Garry Solomon Treasurer
the fact that the venue was smaller and the sponsors fewer in number, the CAO received $ 39,700 in sponsorship. Without our sponsors the scientific session would run at a 23% loss necessitating a significant increase in transfer fees. None of this financial success would have been possible without the knowledge, skill and dedication of Taylor Enterprises staff members.
[Email: hellener@lks.net]
Treasurer’s Report The general operations of the CAO for 2007 created net revenues of $63,466.03. This revenue was significantly higher than the original budget projection; a result of significantly higher income and lower expenses. The Scientific Session created net revenues of $32,229.86. When combined with the general operations net revenue, the total net revenue for the CAO in 2007 yielded $95,695.89. The CFAO created 2007 net revenues of $14,324.93, an 0.8% increase over the previous year. Sponsorship support arising from the 2007 Scientific Session was $39,700. Sponsorship was surprisingly high despite a smaller venue and fewer sponsors. The latest sponsorship figures compare favorably with $32,000 in 2005 (Quebec City) and $15,890 in 2004 (Whistler). Administration staff (i.e. Taylor Enterprises) utilization has continued to decrease in comparison to previous years. The CAO used only 96.5% of the 2007 contract hours and 50% of these hours were used for accounting, board matters, membership and operation management, representing a 13% decrease in comparison to 2006. Similarly, 2007 CFAO utilization of the administrative staff services represented a 20% decrease in comparison to 2006. The CAO and CFAO are both very solid financially and continue to operate with more efficiency every year.
Sponsorship Report Once again, the CAO’s time honored sponsors have enthusiastically supported our scientific session in St. John’s Newfoundland. Despite
As the CAO directory and website continue to evolve into a digital format, so too will the sponsorship opportunities change. The CAO website has the potential to generate increased sponsorship interest and support in comparison to the directory as a result of increased exposure to CAO members as well as the general public. I have recommended that the CAO offer sponsors consistent visible advertising in the margins of each page of the future digital CAO Directory in an effort to maintain the significant sponsorship contributions previously earmarked for the directory. Hopefully, this new medium may entice more corporate non-dental sponsorship interest in the future.
CFAO Report Dr. W. Douglas Beaton CFAO President [Email: douglasbeaton@rogers.com] “To encourage and assist scientific clinical research in educational institutions” The CFAO had 2007 net revenues of $14,325 down slightly from the previous fiscal year. CFAO administrative hours have decreased by 20% in comparison to the previous year. The Dean of McGill Dentistry suggested that the CFAO remove the condition ‘should the research make a profit’ from its research guidelines, noting that this stipulation could affect the Foundation’s charitable status. In response to this request, Dr. Beaton, along with input from Dr. Retrouvey, has revised the research mission statement for the project to be “Virtual Patient Database: An Orthodontic Diagnosis” as per the Foundation’s request. The CFAO Board agreed to proceed with the initial installment of $10,000 to support Dr. Retrouvey’s research at McGill University. The office will diarize the subsequent installments of $10,000 at June 1/08 and December 1/08, pending receipt of a research update from Dr. Retrouvey. Spring 2008 • CAO Bulletin
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Committee Reports I Prior to the CFAO bylaws being revised in 2006, anyone who donated 500 dollars or more to the CFAO was made a McIntyre Fellow, including members of the general public who donated to the CFAO in lieu of service by a CAO member. This practice of naming all donors as McIntyre Fellows was stopped two years prior, in order to remain in compliance with CRA regulations. Further revisions now permit all donors who donate 500 dollars or more to the McIntyre Fund, to be listed as donors. CAO members will have an asterisk designating their membership status with the CAO. Dr. Beaton, following many years of service, has elected to step down as CFAO President. We are actively searching for a suitable (and willing) replacement, and during this transition, Dr. Beaton has agreed to stay involved.
Insurance Report Dr. Robert H. Cram Chair, Insurance Committee [Email: drbob@reddeerortho.com] Private Dental Benefits (aka “Insurance”) The “final” version of the “new” CAO Standard Information Form has received favourable feedback from CLHIA (Canadian Life & Health Insurance Association). Further discussions with CLHIA’s Executive Director will be directed at our mutual concern that the use of the Standard Information Form be restricted to only registered/certified Orthodontists in Canada. The CAO Board has directed the Insurance Committee to pursue “ownership” of the Standard Information Form. Legal advice has been obtained and the process is underway, with a conclusion anticipated within the next few months.
CFAO Donations (Since October 2007)
Again, we have been pleasantly “unbusy” with regards to problems with private orthodontic benefits and/or carriers. Our US orthodontic colleagues are speechless when they find out how good we’ve got it. It didn’t happen by accident! We need to thank Richard Pass for establishing a good working relationship with CLHIA many years ago, and to Richard Marcus for continuing to strengthen it. It is a relationship that pays dividends to our profession, and to our patients every day.
McIntyre Fellows Dr. Carlos Flores-Mir Donors Dr. Arlene Dagys In celebration of the marriage of Drs. Janice McMinn and Donald Stubbs Dr. Douglas Beaton In Memorium of Mrs. Leona Baigent Saskatchewan Association of Orthodontists In honour of Dr. Edward Gherasim Ontario Association of Orthodontists In honour or Dr. Gordie Organ, CAO President, guest speaker at recent general meeting
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CAO Bulletin • Spring 2008
Membership Report Dr. Gerry Zeit, CAO Membership Chair [Email: gzeit@sympatico.ca] The CAO is pleased to welcome the following new members who have joined the CAO since the last membership report: Student Members: Dr. Mariela Anderson Dr. Andy Ho Dr. Manisha Jindal Dr. Bennet Lee Dr. Eileen Lo Dr. Sean Marcy Dr. Catherine McLeod Dr. Dorrin Nilforoushan Dr. Kyle Stevens
Committee Reports Active Members: Dr. Gregory Barnett, Alberta Dr. Sandra Cassolato, Ontario Dr. Gabrielle Chan, British Columbia Dr. Austin Chen, Ontario Dr. Dana Hawley, Nova Scotia Dr. Milos Lekic, Manitoba Dr. Michel Martin, New Brunswick Dr. Jordan Millar, British Columbia Dr. Richard Standerwick, British Columbia Dr. Jennifer Tan, Ontario Dr. Luc Veilleux, Quebec Dr. Michael Wagner, Alberta Congratulations to all new members and welcome to the Canadian Association of Orthodontists/Association Canadienne des Orthodontists.
Website Report Dr. Daniel Pollit, CAO Web Master [Email: dpollit@sympatico.ca]
The current website of the Canadian Association of Orthodontists was developed 10 years ago; a long time when considering how rapidly technology has evolved since then. So far the site has served the members of the CAO and the general public well. The site is currently receiving an average of 5,500 unique visitors per month, who visit the site on average over 10000 times per month, and view a combined total of 35,000 pages per month. The majority of the visitors come from the general public. The most visited section of the site is the “Find an Orthodontist” section. Since 1998, additions and modifications were made to both the content and to the technical and interactive elements of the site. These additions have increased the volume of information and the available features, but have also resulted in a decrease in user friendliness. From a structural point of view, the many modifications and additions have led to a disjointed architecture, as ‘band-aid’ solutions were continuously applied to an underlying structure heading towards obsolescence. Site maintenance becomes a challenge, making it virtually impossible to add new features. The design and layout of the site, which was originally done to adhere to a 15 inch monitor, low resolution and dial up modem speeds, is dated and in urgent need of a facelift.
The CAO website has currently three distinct audiences: • General Public • Non-Member Orthodontists and Dentists • CAO Members The first goal of the re-development process has to be a website that caters to each of three distinct target groups. For each of these groups, the website should perform specific functions, achieved through a restructure of the site content. General Public • Provide information to those considering orthodontic treatment, including assistance in locating an orthodontist • Provide information to those already receiving orthodontic treatment Non-Member Orthodontists and Dentists • Entice Non-Member Orthodontists and Students to become Members • Assist General Dentists in making referrals • Entice Non-Member Orthodontists and other Dental Specialists to attend CAO Conferences CAO Members • Act as a communications tool (news, updates, etc.) • Provide resource information (legal, insurance, techniques, tools, materials, etc.) • Provide value added member services (newsletters, searchable directories, presentation archives, etc.) • Assist the Administration of the Association (membership updates, renewals registration etc.) The website revamp is currently underway, overseen by LS Graphics of Oshawa, Ontario. Please feel free to contact me with any suggestions or comments regarding this project.
ORTHODONTIC PRACTICE FOR SALE RURAL CALGARY AREA Solo practice located in a desirable and rapidly growing community 30 minutes from Calgary. Excellent growth potential. Four treatment chairs plus separate exam/consult/private treatment room. Pan and Ceph. Well equipped ortho lab. Owner is relocating but will assist with transition. Close to all the Rocky Mountains have to offer. For more information on this opportunity, please contact the CAO office and refer to File #08-0418.
Spring 2008 • CAO Bulletin
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Committee Reports Canadian Orthodontic Educators Report Dr. Donald Robertson Chair, Conference of Canadian Orthodontic Educators [Email: mouthtraps@shaw.ca]
The CCOE was originally convened to address the issue of recruitment and retention of Graduate Orthodontic Educators. The Canadian Council of Graduate Orthodontic Program Directors (CCGOPD) was subsequently formed to deal with academic issues other than recruitment and retention. The issue of accreditation of foreign-trained orthodontic specialists, as mandated by the Federal Government has most recently occupied a position of urgency with respect to the affairs of the Educators Group. The initiatives put forward by the CCGOPD have successfully provided for the inclusion of the Educators Group in the process of accreditation of foreign-trained orthodontic specialists. Further progress regarding the recruitment and retention of orthodontic educators is expected at the up-coming meeting at Whistler, BC in April 2008. Although all Graduate orthodontic programs are currently fully staffed many issues remain unresolved.
New and Younger Members Dr. Helen Grubisa, New and Younger Members Representative [Email: drgrubisa@sympatico.ca]
NYM Annual Luncheon It is difficult to have a speaker or a topic that is of appeal to both the orthodontic residents and to the younger orthodontists encompassed in the NYM group. The orthodontist of less than 8 years post-graduation has not been well represented at recent annual luncheons. It has been proposed that subsequent speakers focus his or her presentation at one of the 2 groups, and alternate between the “in school” and “in practice” groups. The speaker for the September NYM luncheon will be Dr. Anthony Mair. His presentation is entitled “ Things I wish I knew at the beginning; a mid-career retrospective”.
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CAO Bulletin • Spring 2008
At the 2009 Scientific Session, we are considering having a lawyer speak to various issues in employment law. He would be speaking on the rules of employment law, severance and other areas the orthodontist must be aware of when hiring staff or when purchasing an orthodontic practice. The Orthodontic Residents Dr. Organ has proposed that a student outreach program be developed which would have members of the New & Younger Members Committee meet with the residents of each of the five Canadian Graduate Orthodontic Programs on behalf of the CAO. Dr. Ritchie Mah has agreed to meet with the residents of the University of Alberta, Dr. Tim Dumore with the University of Manitoba, and tentatively the new Quebec representative, Dr. Jean-Marc Retrouvey, with the Université de Montréal as soon as he joins the Board. I will be the representative at The University of Western Ontario and the University of Toronto.
COSA Report Dr. Robert H. Cram President Elect and CAO/CDA Liaison [Email: drbob@reddeerortho.com]
COSA - Committee on Specialists Affairs, a committee of the Canadian Dental Association NDSO - National Dental Specialty Organizations It has become increasingly apparent that the COSA committee within the CDA organization is not serving the best interests of the specialties. Immediately prior to convening the COSA meeting on October 26th, our COSA chairman scheduled an “exploratory” meeting of the COSA specialty reps to breach the subject of the formation of an autonomous umbrella organization of the dental specialties. The Dental Specialists Federation, could potentially represent the independent voice of dental specialists of Canada. Further discussions were held amongst the COSA reps at the CDA meeting in November, and it was decided to canvas the specialty presidents. Dr. Burry, Chairman of COSA has contacted the presidents to establish a date for this first conference call. The CDA is undergoing a major restructuring effort, while simultaneously searching for a replacement of its CEO. These events have presented an excellent opportunity for specialists to participate and
Committee Reports contribute in a positive way, to the development of the “new CDA”. The CDA is responding to pressure from its corporate members, and is trying to broaden its scope of appeal and participation. A working group of CDA and ODA representatives seem to have struck a deal, however it remains to be seen if the Quebec provincial body can be brought back into the fold. The Annual meeting of the CDA General Assembly is scheduled for April 18th & 19th, and I would recommend that the CAO support the attendance of our next COSA representative to that meeting, as it will likely be my last meeting. It is an exciting time to be a member of a Dental Specialty organization, and the Canadian Dental Association.
CAO/AAO Report Dr. Howard Steiman CAO/AAO Liaison [Email: straightsmile@sympatico.ca]
The AAO will hold its annual scientific meeting in May 16-20, 2008. Carla Qualls from the AAO office will be forwarding dates and times in which to hold our annual joint leaders meeting. Two issues are on the agenda for discussion: 1.
Initiatives from the AAO Consumer Awareness Campaign and its effects in the Canadian market.
2.
Recruitment and Retention of Orthodontic Educators, including the Full-Time Faculty Teaching Fellowship Program (FFT), the Academy of Academic Leadership Sponsorship Program (AAL) and the “White” paper on Alumni Development.
GST Report Dr. Garry Solomon, GST Advisor [Email: hellener@lks.net]
In my GST report of September 2007, I reported that I contacted the CRA because of the ineptitude of some of their auditors. After some internal investigations, I was assured that the CRA would honour the renegotiated Hicks agreement and the 35% initial fee claim for the ITC’s would still be valid. I am very pleased to report that the CRA has honoured its commitment to the CAO. Our membership has not informed me of any new GST problems. In fact, the CRA has backed down from the two cases which had caused the original problems. In these cases, the CRA wanted to “zero-rate” the actual bands and brackets but make the rest of the orthodontic treatment components “tax free”. This would mean that only the GST for the actual appliance could be reclaimed and nothing else. All seems to be quiet on the CAO-CRA front…..at least for now.
ATTENTION MEMBERS! FNIHB UPDATE The CAO has dedicated significant resources to developing an accommodation with the federal government in regards to their FNIHB programme. Our discussions mostly revolved around the questions of case selection and the attempt to develop meaningful adjudication criteria for use by the Orthodontic Screening Centre. Of late, the CAO inquired as to the feasibility of revising our Standard Information Form in order to accommodate the requirements of the government programme. We regret to report (again) that common ground has been impossible to find, and therefore the CAO Board has decided that there is no reason to continue investing Association resources (time, money, personnel) on this matter. The CAO remains available and interested in further negotiations with FNIHB, but only if there is a possibility of significant change in the positions previously taken by FNIHB. Given the above history, the CAO Board has directed that our members deal with the FNIHB programme and our First Nations patients, in the same fashion as they deal with all other patients. That is to say: All patients are treated with respect and to the same high standard of care, without regard to ethnic background, religion, sex, age, or source of funding. While acknowledging the unique circumstances of our First Nations communities, we will likewise honour them by not discriminating against them and/or providing treatment for them in any fashion, which differs, from all other patients.
Spring 2008 • CAO Bulletin
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CAO Bulletin • Spring 2008
CAO Award of Merit
Presented to recognize an individual for special contributions and devoted service over a number of years to the members and/or Board of Directors of the Canadian Association of Orthodontists. The CAO would like to congratulate Dr. Arlene Dagys as the 2007 recipient of the Award of Merit. She received her award in person at the 2007 Scientific Session in St. John’s. Dr. Dagys received her D.D.S., with honours, in 1974 and Dip.Orth. in 1977; both from the University of Toronto. While an undergraduate dental student, she received several scholastic awards.
Governors’ Awards from the Ontario Dental Association in 1989 and again in 1991. She has been actively involved with the American Cleft Palate Association, chairing many committees and serving on Council. She is presently a Deputy Regent for the International College of Dentists.
Since graduation, Arlene has maintained a private orthodontic practice in Toronto. She has served on the staff of the Orthodontic Department at the Dental Faculty (currently as an Assistant Professor) and the Craniofacial Centre of the Hospital for Sick Children since 1997. During this period, Dr. Dagys has been an instructor in the Uof T graduate and undergraduate orthodontic programmes in the Surgical-Orthodontic course, the Edgewise Technique Course and in the Cleft Lip and Palate/Craniofacial Anomalies Course. At the Hospital for Sick Children, she teaches clinical practice and research to dental residents in Paediatric Dentistry, graduate students in Orthodontics, clinical research fellows in Orthodontics, surgical residents and craniofacial surgical fellows in Plastic and Reconstructive Surgery. She was the Acting Head of the Division of Orthodontics at the Hospital for Sick Children from 1981 to 1982. She has also been a lecturer for the Graduate Department of Speech-Language Pathology in the Structurally Related Disorders Course at the Faculty of Medicine at the University of Toronto from 1982 to 1999.
Dr. Dagys has contributed book chapters for six professional published works that reflect her interest in the clinical and research aspects of cleft lip and palate and craniofacial anomalies. She has presented papers on this topic at more than 17 meetings of national and international professional organizations and has been involved in over 75 invited presentations nationally and internationally on cleft lip and palate and craniofacial anomalies and surgical-orthodontic treatment.
Extramurally, she has served as a consultant in Surgical-Orthodontics at Humana Hospital in Dallas, Texas, an instructor for the orthodontic course at the George Brown College of Applied Arts and Technology in Toronto and given a 5-day course at the University of Riga in Latvia in the management of patients with cleft lip and palate and other craniofacial anomalies. Arlene has been active in many dental organizations. She is a Past President of the Association of Women Dentists of Ontario, the Toronto East Dental Society, the Omicron Kappa Upsilon Honour Dental Society, the Ontario Association of Orthodontists, the Canadian Association of Orthodontists, the Ontario Association of Dental Specialists, of which she was also Founding Member and she is a Past Vice President of the Canadian Craniofacial Society. She is a Fellow of the Royal College of Dentists of Canada, the International College of Dentists, the Academy of Dentistry International and the Pierre Fauchard Academy and has received the Board of
Arlene with her mother at the 2007 CAO Scientific Session
Arlene has served in many committees and offices of the Canadian Association of Orthodontists, first becoming the CAO Secretary Treasurer 1992-1995, then the CAO representative to the Canadian Dental Association from 1995-98, President from 1998-99, Operations Liaison (now renamed the National Scientific Session Coordinator) from September 2000 to the present which involves overseeing the liaison between the Scientific Session Chairs, the CAO Board and the CAO staff. What makes this contribution to the CAO particularly impressive is that in 1995 Arlene had a child - David, — but this did not slow her down — she has brought David to almost all the CAO meetings since his birth. This truly represents a great commitment to our organization. Spring 2008 • CAO Bulletin
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CFAO Graduate Student
Posterboards Abstracts from the 2007 CAO Annual Scientific Session – Part 2 of 2 part series
University of Western Ontario MALOCCLUSION CHARACTERISTICS IN CANADIAN SCHOOL CHILDREN OF EAST AFRICAN, SOUTH ASIAN AND MIDDLE EASTERN DESCENT Authors: A. Tassi, A. Mammandras, N.Nizam*, University of Western Ontario, Division of Graduate Orthodontics
The aim of this investigation was to assess the prevalence of malocclusion and other occlusal features in an ethnically diverse population of elementary schoolchildren (aged 7 to 14 years) attending private Muslim elementary schools in the province of Ontario, Canada. The sample consisted of 509 students (318 females and 191 males) who were divided into three major ethnic subgroups (Middle Eastern, South Asian, East African) and one mixed ethnic subgroup. Malocclusion, dental arch relationship, overjet, overbite/openbite, crossbite, crowding or spacing of dental arches and the presence of a maxillary midline diastema were assessed. Ideal or near ideal occlusion occurred in 31.6% of the total sample (8.8% and 22.8% respectively). Prevalence of malocclusion in descending order of frequency was: Class I malocclusion (38.3%), Class II malocclusion (24.4%) and Class III malocclusion (5.7%). Children of Middle Eastern descent had the highest prevalence of ideal or near ideal occlusion (41.8%). Class I malocclusion was most common among East African children (55.1%), Class II malocclusion among South Asian children (32.3%) and Class III malocclusion among the ethnically mixed children (18.8%). Ideal overjet and overbite were most prevalent in the Middle Eastern subgroup. Both severe (11.7%) and reverse (5.2%) overjet were detected most in the East African children. Deepbite was most prevalent among South Asians (48.9%) while East Africans displayed the highest frequency of openbite (22.1%). Crowding was most common in South Asian children in both maxillary (40%) and mandibular (64.6%) arches.
(*Presenter)
University of Manitoba MOTIVATIONS AND FUTURE TRENDS OF CANADIAN ORTHODONTIC RESIDENTS Authors: James Noble BSc, DDS* Nicholas Karaiskos, BSc, DDS William A. Wiltshire BChD(HONS), MDent, MChD, DSc, FRCD(C)
Purpose: To investigate the factors influencing career choice and to identify the future plans of Canadian Orthodontic residents. Methods: All orthodontic residents in the five Canadian residency training programs were invited to complete an anonymous on-line survey in November 2006. Data was categorized by demographic variables and basic statistics including chi-square comparative analyses were performed. Results: Of 54 residents surveyed, 44 (81.48%) completed the survey. “Intellectual stimulation/challenge” emerged as the most important factor (40%) influencing the decision to pursue a specialty training program in orthodontics, followed by “a passion for orthodontics” (29%). The decision to become an orthodontist was made by 42% of respondents while they were in dental school, while 24% had already decided prior to starting their dental school studies. The majority of residents (82%) plan on practicing in a private practice environment. Only two residents (4.5%) indicated they will most likely practice primarily in an academic setting. Eighty percent said they will use self-ligating brackets in private practice and almost 80% said they will use Invisalign®. A total of 55% indicated that orthodontic residents should be mandated to undertake research leading to a Masters of Science degree as part of their orthodontic program. A total of 77% felt that a 24-30 month program was too short to adequately prepare orthodontic residents for private practice. Conclusions: Intellectual stimulation is the major attraction of most applicants to orthodontic programs and the decision to become an orthodontist is made during dental school or even earlier. Most residents intend to enter an urban/suburban private practice setting upon graduation with few considering academic career choices
Spring 2008 • CAO Bulletin
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CFAO Graduate Student Posterboards despite respondents favoring research based training credentials and an extended program duration larger than 30 months. Modern techniques such as self-ligating brackets and Invisalign® will be used extensively by future orthodontists. Rural orthodontic practice settings as well as academia are expected to face exacerbating manpower shortages in Canada and may have a profoundly negative impact on the training of orthodontists in the future.
University of Manitoba FORCE DISSIPATION IN THE CRANIOFACIAL COMPLEX USING COMMON ORTHODONTIC APPLIANCES
Authors: William A. Wiltshire BChD(HONS), MDent, MChD, DSc, FRCD(C) Nicholas Karaiskos*, BSc, DMD James Noble BSc, DDS
Aim: To investigate and quantify the dissipation of forces in the craniofacial complex using a variety of orthopaedic appliances. Materials And Methods: Stress-strain gauges (Intertechnology, Don Mills, Ontario, Canada) were attached with MBond adhesive (Intertechnology) to an intact human adult cadaver skull adjacent to the following suture sites: palatal, intermaxillary, zygomaticomaxillary and zygomaticotemporal. The gauges were attached to a P3 strain measuring device (Intertechnology) and forces exerted on the craniofacial complex sites were measured in units of µstrain when subject to orthopaedic forces using rapid palatal expansion (RPE), high-pull headgear (HPHG), cervical headgear (CHG), and chin cup (CC) appliances.
Results: For RPE, both the palatal (560 µstrain) and intermaxillary (827 µstrain) sensors recorded the highest µstrain value (P < 0.05). Although much lower in magnitude (P > 0.05), the palatal sensor also registered µstrain values for HPHG (120 µstrain), CHG (70 µstrain) and CC (150 µstrain). Values at the intermaxillary suture were even lower (P < 0.05) for the HPHG (40 µstrain) and CC (39 µstrain), but similar to the palatal sensor values for the CHG (80 µstrain) (P > 0.05). At the zygomaticomaxillary suture even lower values, in the range of 0 to 20 µstrain, were generated (P < 0.05). The sensor registering the least amount of activity was located at the base of the temporomandibular joint, where values were deemed to be negligible, except when using the CC, when the values registered 120 µstrain. The further away the sensor was to the point of force 16
CAO Bulletin • Spring 2008
generation, the lower the recorded µstrain value. This could be due to the absorption of forces by the hard and soft tissues in the craniofacial complex during the force dissipation process. Conclusion: Although large force levels were registered for RPE at certain anatomical sites, all the other orthopaedic appliances showed much smaller force values. This may further support the theory that either piezoelectricity mediates orthodontically induced alveolar remodeling by orthopaedic orthodontic appliances in the craniofacial complex, or mediation may be at the cellular level via signal transduction even at minimal force dissipation magnitudes at distant sites.
University of Toronto EFFECT OF ALVEOLAR BONE-GRAFTING ON NASAL MORPHOLOGY, SYMMETRY AND NOSTRIL SHAPE IN UNILATERAL CLEFT LIP AND PALATE PATIENTS Authors: Sander M*, Daskalogiannakis J, Tompson B, Forrest C Discipline of Orthodontics, Faculty of Dentistry, University of Toronto
Background: Individuals with unilateral cleft lip and palate (UCLP) often present with significant distortion of their nasal structures. Mixed-dentition alveolar bone-grafting (ABG) is purported to improve nasal symmetry and morphology. However, this claimed advantage of the procedure has not been adequately investigated in the literature. Objectives: To determine if ABG affects nasal morphology, symmetry and nostril shape in patients with UCLP. Methods: Facial models of 39 patients with UCLP were acquired before and after ABG. Image acquisition and analysis was completed utilizing three-dimensional stereophotogrammetry. Registrations and linear measurements were performed to assess nasal morphology and nostril shape. A modified Procrustes technique was used to determine the change in nasal symmetry. A two-tailed, paired t-test and an analysis of covariance were used to assess statistical significance. Results: No significant changes were observed between pre- and post-ABG images based on linear measurements, asymmetry scores and registrations. Gender and surgeon were not significant factors. A longer observation period would potentially reduce the effect of residual postoperative swelling that may appear as an improvement in nasal symmetry. However, the effect of ongoing nasal growth
CFAO Graduate Student Posterboards would be superimposed, potentially making true differences difficult to discern. Conclusion: Under the conditions of this study, mixed-dentition ABG was found to have a minimal effect on nasal morphology, symmetry and nostril shape in patients with UCLP.
significance of neutrophil tissue recruitment kinetics with neutrophil functionality and in vivo bacterial killing after BMT. Using the animal model, we have demonstrated that protection against bacterial infection is conferred at the time of neutrophil tissue delivery, which always occurs before neutrophils are detected in the blood. We therefore conclude that neutrophil tissue recovery is an early measure of the restoration of cellular innate immune function after BMT. This model will help us better understand the factors regulating neutrophil recruitment to the tissues.
TIMING OF NEUTROPHIL TISSUE REPOPULATION PREDICTS RESTORATION OF INNATE IMMUNE PROTECTION IN A MURINE BONE MARROW TRANSPLANTATION MODEL. Author:
Cheretakis C*, Leung R, Sun CX, Dror Y, Glogauer M. Canadian Institutes of Health Research Group in Matrix Dynamics, University of Toronto
It has been suggested that neutrophil tissue repopulation following bone marrow transplantation (BMT) serves as an earlier and more relevant marker of susceptibility to infection than circulating neutrophil counts. In a previous study using an oral rinse protocol, we found that oral neutrophil recovery always preceded blood neutrophil engraftment and that the day of oral neutrophil detection served as a predictor of patient susceptibility to infection after BMT. Consequently, we have developed and validated a mouse BMT model which uses bone marrow transplants containing enhanced green fluorescent protein-expressing neutrophils to follow neutrophil tissue repopulation after BMT. Using this in vivo cell migration model, we assessed the
Graduate Students recognized for their Poster Board efforts.
Thanks to GAC for their support of the CFAO Posterboards
Spring 2008 â&#x20AC;˘ CAO Bulletin
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Component Society Reports
British Columbia
Alberta
Dr. Ritchie Mah
Dr. Paul Major
[Email: ritchiemah@yahoo.ca]
[Email: major@ualberta.ca]
Change in Examination Format at RCDC: Dr. David Kennedy updated the members on the ongoing changes in format of the RCDC licensing examination. There has been some discussion regarding the removal of the case presentation component of the examination. This action would likely not be supported by the BCSO. Advertising Concerns of BCSO members a. General Dentists – promoting themselves as “specialists” in Invisalign. b. Web-site advertising by BCSO member – concern that there is use of questionable technique to increase “hits” through on-line search engines. c. Several BCSO members in one municipality will be utilizing the AAO Public Awareness material to place an ad in the local newspaper describing what an orthodontist is. BCSO is considering some public awareness campaign at the Provincial level. Dr. Robin Jackson, Chair of the AAO Communications Committee, suggested the BCSO utilize some of the material that has been developed by the AAO. Other: 1. BC dentists are still awaiting the impending implementation of the Health Professions Act by the Provincial Government, which will replace the existing Dentists Act. The new Act will encompass all health professions in BC, removing much of the autonomy and self-regulation that Dentistry currently enjoys. It remains to be seen how these new rules and regulations, along with the influence of other health professions, will affect the regulatory, disciplinary, and licensure aspects of Dentistry. 2. Recent BCSO meeting – February 18, 2008 – guest speaker Dr. James Mah – from USC/UNLV - CBCT Imaging and Orthodontics. 3. Tentative Date for AGM – May 9, 2008 – UBC Golf Club – Full day including CE component and Golf Tournament.
The ASO held its AGM and annual scientific session on March 7-8, 2008 at the Rimrock Hotel in Banff. The speaker was Dr. Dwight Damon. Additional information can be found at www.asolink.com under “List of Events”. CAO Guidelines for Dispute Resolution The CAO Guidelines for Dispute Resolution have been adopted by the ASO on an annual basis for the past three years. The intent of these Guidelines is to prevent matters from escalating to the level of the DRA where unnecessary. To date, only two disputes have arisen from the CAO office over the three years with the President of the ASO serving as the mediator. The ASO has formed an ad hoc committee to look at the present dispute resolution protocol and its structure and will report its recommendations at the March ’08 AGM. Media Campaign The ASO will be undertaking a province-wide media campaign in the Spring of this year in order to increase the public’s awareness of the Specialty of Orthodontics within Alberta. The intent of this campaign is to educate the public as to the additional educational requirements and training possessed by orthodontic specialists so that the public might be better informed in making decisions related to choosing a qualified provider of orthodontic services. The media plan has been developed by Schupp Company and the actual ad material will be similar to that developed for the AAO “More than a Smile” campaign. Foreign Trained Dental Specialists Beginning in January 2007 the Alberta Dental Association and College (ADA&C) has granted “specialty” licensure to two Orthodontists who do not have NDEB but have completed the RCDC examination. A national program has been developed by the Canadian Dental Regulatory Authorities Federation to register dental specialists who have graduated from international dental specialty programs without necessarily having completed qualifications for general dentistry practice (eg. successful completion of the NDEB examination) in Canada. The Alberta Society of Orthodontists responded to several Spring 2008 • CAO Bulletin
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Component Society Reports of the drafts of the program stating its opposition to the proposal. Smiles Change Lives Program The ASO is looking at the possibility of setting up a ‘Smiles Change Lives’ Program in Alberta, targeting the Edmonton and Calgary areas. Smiles Change Lives (SCL) attempt to engage orthodontists in providing orthodontic care to low-income children and adolescents, improving the quality of their lives and enriching the lives of everyone involved. At the 2007 AGM the ASO pledged $10,000.00 for this endeavor. University of Alberta News The Orthodontic Graduate Program underwent accreditation review and was granted full accreditation without reporting requirements for 7 years. Dr. Paul Major started a 12 month sabbatical study leave on September 1, 2007. Dr. Carlos Flores-Mir has been appointed “Acting Director of the Orthodontic Graduate Program”.
Saskatchewan Dr. Ross Remmer [Email: dr.remmer@sasktel.net]
Health Canada in Regina is looking favourably at our request that the fee structure for patients covered under NIHB reflect the length and difficulty of the treatment plan. Presently there is no difference between strictly orthodontic cases and cases involving orthognathic surgery. We expect an announcement soon on the new schedule. From the time at which a patient is ready orthodontically, the length of the waiting list for orthognathic surgery in the province is approaching 24 months. The long waiting list stems form insufficient operating time to handle the demand, too few surgeons willing to provide the service, and provincial fees that are inadequate for the time and the inherent responsibility. The SAO has taken an initiative with the Oral and Maxillofacial Surgeons and the College of Dental Surgeons to work towards a solution. An informal meeting is planned with the Registrar of the College of Dental Surgeons to discuss these aforementioned issues The Saskatchewan Annual General Meeting has been set for October 3, 2008 combined with a presentation by Robert Miller courtesy of 3M Unitek. We extend an invitation to all CAO members, including our President.
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CAO Bulletin • Spring 2008
Manitoba Dr. Tim Dumore [Email: drtimbo@drdumore.com]
For the remainder of 2008, the orthodontic world in Manitoba will revolve around the upcoming CAO Annual Meeting, where you will all be able to “Eat, Meet, and Be Prairie”. Preparations are well underway and we promise to offer an event that will leave you extremely glad you came. Highlights include: • An excellent social program including a Casino Cruise on the Red River, where everyone wins! • CFAO Golf Tournament at Glendale Golf & Country Club, long recognized as one of Manitoba’s premier championship golf facilities. • The 60th Anniversary Gala at the historic Fort Garry Hotel. Every sixty years or so, you need to look back and celebrate a good thing, and this is our chance. Come see how the Danny Kramer band gets Winnipeggers hoppin’. Docs and Auxiliaries welcome. • Have you heard of the “Hermetic Code”? Google that to tweak your interest in our very own Winnipeg DaVinci Code. Now, imagine the story told to you by the author along with a personalized tour of our intriguing Legislative building! • A Voyageur tour of the Red River where you visit historic sites including Fort Gibraltar, St. Boniface Cathedral, and the grave of Louis Riel. • A slate of scientific speakers that will help bring you into the 21st century. Whether you are considering making the switch from papyrus, or the CEO of Intel has you on speed dial, Drs. Redmond, Mah, and Carlson are going to show you how technology is changing the way we do orthodontics. • To add some balance, Angus Trumble, author of the book A Brief History of the Smile will offer the art historians perspective. He knows nothing of Class II correctors, TAD’s, or self ligation, but we think that is a good thing. • A great program for the non-orthodontists has been developed, that will make it worth the trip. • For many folks, the round table breakfast sessions are a highlight, and this year, there will be a dedicated morning for the auxiliaries. Thanks to Carol Legassick for this excellent idea.
Component Society Reports Other highlights Granted, we don’t call it Winterpeg without reason, but really, what city in Canada is tropical in January? Come mid-September, you can expect 20°C, sunshine, and no mosquitoes! Very nice. Winnipeggers are CHEAP and so keep in mind when coming to this meeting they’re practically giving away rooms and you can get a direct flight from just about anywhere in the country. Bring your staff, your kids and your mother-in-law too! The alumni functions are always a draw for everyone, and this year the U of M Alumni function is going to get a dose of steroids. Our hope is to see Dr. Bob Baker be honored at the meeting, and we would love to see every one of the over one hundred orthodontists that he helped train at the U of M come back for this special occasion.
The RCDSO has requested that the OAO send a position letter to the Ministry of Health supporting the lifting of the moratorium on Cone Beam CT units (cbCT) in Ontario. The Executive had various opinions on this request and collectively decided that no letter would be sent as of yet. An oral and maxillofacial radiologist will be asked to speak at the next Executive meeting to provide more insight. Advertising Any advertisement by a GP deemed to be misleading and to be below the standard of the RCDSO regulations has been followed up by the OAO through letters to the RCDSO. This process is not the same as a formal complaint and there is no response received from the RCDSO regarding the file. A proposal was made to contact the RCDSO and suggest changes in the Regulations regarding a general dentist’s use of the word ‘specialist’ or ‘specializes in’. Continued…
On top of all this, there are a million other things to do in Winnipeg. Check out www.destinationwinnipeg.ca to get yourself primed. We’re still looking at doing some TV advertising to piggy back on the AAO’s efforts, and dental assistants in Manitoba now are required to obtain CE, but what you really want to know is that the CAO meeting is in Winnipeg, and that you want to come.
Ontario Dr. Helen Grubisa [Email: drgrubisa@sympatico.ca]
OAO Business The minutes of the OAO General Meetings will be sent electronically to all members with an email address on file. Those without email addresses can still request copies of the minutes by regular mail. Many members of the OAO received a letter and or fax sent by an insurance company (Levine) promoting an insurance product, which implied endorsement by the OAO. The OAO sent a letter to the insurance company owner, as well as to the Financial Services Commission of Ontario and the Insurance Bureau of Canada who are currently investigating the complaint. Media training shared by the CAO and OAO is planned for November 15/16 2008,. The representatives from the OAO will be Drs. Sheila Smith, Jim Posluns, and Michael Sherman. Spring 2008 • CAO Bulletin
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Component Society Reports OAO Mediations The OAO has facilitated two mediations via the website. Only one of the two mediations has been resolved to mutual satisfaction. University Report Dr. A. Mamandras, chairman of the University of Western Ontario, was unable to attend the latest OAO meeting. As such, there is no information to report from UWO. University of Toronto There are currently 3 students enrolled in the combined Ortho/PhD program. Two of these students intend to stay at U of T upon completion to become full time academics. Each year, there will be a year-long position reserved for the assessment of one foreign-trained orthodontists. There will be an application process for this position, and applicants will not have to complete the traditional NDEB, but rather a new NDEB examination designed for foreign-trained specialists in all disciplines. The decision of who to accept at into the foreign-trained assessment position will remain that of Dr. Bryan Thompson, Chair of the Discipline of Orthodontics The AAOF is donating funds ($100,000) to promote standard digitization of the Burlington Growth Study, along with the other 10 growth study databases in North . America. Each study group has agreed to standardize 10 cases with respect to DPI, file type (TIFF) and image type.
Quebec Dr. Sonya Lacoursière [Email: lacedge@videotron.ca]
The Quebec Association of Orthodontists (QAO) met on October 12, 2007. Dr. Dona Lynn Panucci was the keynote speaker and presented a talk entitled “Pursuing the balanced pendulum”. On November 23, 2007, Dr. Hee-Moon Kyung, from Korea, spoke on Temporary anchor devices (TADs). During “la Journée Paul-Geoffrion” on March 28th 2008, Drs. Larry and Will Andrews were our speakers. Our next AGM will be held during “Les Journées dentaires internationales du Québec” on May 26, 2008. Dr. Marcel Korn will be our guest speaker on “Early Treatments” at le Palais des Congrès. The QAO’s new executive board members for 2008-2009 will be elected
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CAO Bulletin • Spring 2008
the same day. We are hopeful that the President of the CAO, Dr. Gordie Organ, will honor us with his presence during our annual meeting. It was reported that certain orthodontists are contemplating the possibility of hiring general dentists to work in their office during their absence or during specific periods in their clinic. The QAO is fundamentally opposed to this practice since we’ve been fighting for many years for the recognition of our specialty status. I would like to remind our CAO colleagues that if they are interested in attending one of the QAO meetings, they can contact the QAO’s secretary at (450) 441-0852.
Rapport de la province de Québec Depuis mon dernier rapport, l’Association des orthodontistes du Québec (AOQ) s’est réunie le 12 octobre dernier pour entendre la Dre Dona Lynn Panucci. Cette conférence, très intéressante, était intitulée “Pursuing the balanced pendulum”. Le 23 novembre, l’AOQ accueillait le Dr Hee-Moon Kyung de la Corée. Sa conférence sur les implants d’ancrage temporaire, un sujet d’actualité, fut très appréciée des participants. Dans le cadre de la Journée Paul-Geoffrion, le 28 mars dernier, les Drs Larry et Will Andrews furent nos conférenciers invités. La prochaine assemblée générale de l’AOQ aura lieu pendant les « Journées dentaires internationales du Québec » soit, le 26 mai prochain. Le Dr Marcel Korn nous entretiendra sur « Early treatments » au Palais des Congrès. Le nouveau conseil d’administration 20082009 de l’AOQ sera élu lors cette journée. Nous espérons que le président de l’ACO, le Dr Gordie Organ, nous fera l’honneur de sa présence lors de notre assemblée annuelle. Certains orthodontistes contemplent l’idée d’engager des dentistes généralistes pour travailler dans leur bureau en leur absence ou, couvrir certaines périodes dans leur clinique. L’AOQ s’oppose fondamentalement à cette pratique ayant lutté pendant plusieurs années à la reconnaissance de notre statut de spécialiste. En terminant, je voudrais rappeler à tous nos confrères/consoeurs de l’ACO que si vous êtes intéressés à vous joindre à nous pour une des conférences de l’AOQ, vous n’avez qu’à communiquer avec le siège social de l’AOQ au (450) 441-0852.
Component Society Reports Atlantic Report Dr. Stephen F. Roth [Email: stephenroth@bigfoot.com]
The Spring meeting of the Atlantic Orthodontists Association will be held at the Crowne Plaza Moncton from May 2-4, 2008. Our keynote speaker on Friday will be Dr Nicole Scheffler from the University of North Carolina who will be discussing orthodontic temporary anchorage devices. Her lecture is kindly sponsored by Ormco. Our Saturday morning speaker will be Dr. Terry Sellke, generously supported by 3M Unitek. Saturday afternoon we will grab a big pot of coffee and get down to work with our business meeting. Sunday morning we will finally take some time to unwind and enjoy the spring weather in Moncton. Everyone is invited to play…or attempt to play…a little golf before we all head back home. The AOA would like to extend a warm invitation to all members of the CAO to come join us and experience a little East Coast hospitality. Passing along some news from south of the border, the Northeastern Society of Orthodontists have moved all administrative support out of the region to St. Louis. This will allow NESO members to have even more access to the extensive services provided by the AAO. Unfortunately, NESO’s annual meeting is scheduled for September 11th-14th, the same weekend as our CAO meeting in Winnipeg.
Our Surveys are a Success! The CAO Board is thrilled with the response to the first two email surveys we have sent out to our membership. We thank you for telling us what you value most about the CAO and about what changes are needed. The first survey received 214 responses, which represents 39% of our members who received the survey. The second survey response rate was almost identical and gives us a high degree of confidence in the information you are providing. According to the surveys, the membership considers the CAO Directory the most important source of membership information. The communications committee was excited by this news as plans are in the works to improve many aspects of the Directory. Investigations are underway as to the feasibility of placing the CAO Membership Directory onto the website, allowing for instant updates in an effort to supply the membership with the most current of information. The Committee also learned that members were satisfied with the level of information received from the CAO. The Bulletin and the Presidential News Fax/Email are highly valued as sources of information. The Committee was surprised to learn that the CAO Website classified section was not accessed by many of the members. Our website redesign, currently underway, will address this deficiency. (Ebay look out!) The Communications Committee looks forward to hearing from you, the membership, in upcoming surveys covering hot topics such as the Scientific Session and Opportunities to Volunteer. See you in Winnipeg! Daniel Pollit Communication Committee Chair
Dr. Bob Hatheway with AAO President, Ray George at a New England Patriots playoff game. Spring 2008 • CAO Bulletin
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IN MEMORIAM
Dr. Michael John Cripton Dr. Michael John Cripton was born in Montreal, the son of John and Veronika (Tkachuk) Cripton. His father died suddenly when Michael was only nine years old and Michael was placed into the Weresdale boy’s home. From a young age, he demonstrated strong leadership characteristics. Michael became a central figure within the institution throughout his years of professional training. Following his graduation from the McGill University Faculty of Dentistry in 1957, Michael practiced general dentistry in Fredericton, New Brunswick. There he met and married Nancy (Green), and together they returned to Montreal, where Michael completed his training in orthodontics. In 1961, he settled in Moncton, becoming the second orthodontist in the province of New Brunswick. Michael served as President of the Canadian and New Brunswick Dental Associations, President of the Canadian Association of Orthodontists and President of the Royal College of Dentistry of Canada. He was also active in international dental organizations including terms as President of the Pierre Fauchard Academy, Delegate to Federation Dental International meetings and Chairman of the Atlantic section of the American Academy of Dentists. In addition to his dedication to professional service, Michael served as President of the Moncton Boys Club, Chairman of the National Council of Boys and Girls Clubs of Canada, President and District Governor of the Moncton Rotary Club, and Provincial President of the McGill University Alumni Association. He was the bilingual Councillor-atLarge of the Moncton City Council from 1970 to 1974, served as Chair of the Moncton Coliseum Commission and co-founded the C103 FM radio station. A multiple award winner, Michael was awarded the top Pierre Fauchard Academy award, Distinguished Service Awards from the Canadian Dental and Orthodontic Associations, the Queen's Silver Jubilee Medal and the Builder of Youth award from the Moncton Boys and Girls Club. Michael is survived by Nancy, his wife of 49 years, his four children, Michael, Mary, Peter and David and his seven grandchildren.
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CAO Bulletin • Spring 2008
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From the Editor
Dr. James L. Posluns, Bulletin Editor [Email: james.posluns@utoronto.ca]
Well, it’s the month of March. It’s a busy time of year. Braces on, braces off. The school year starts revving up for final exams and the stress levels are so intense they’re palpable. Although the ground is covered with snow and the temperature mimics recent activity on the Toronto Stock Exchange, outdoors, one can feel the imminent arrival of spring. The clocks are set ahead an hour. You can hear the birdies chirping away as you slowly return to life after an all-too-short night’s sleep. It’s time to stop thinking about the slopes and to start thinking about painting the bottom, waxing the topsides, and for you golfers out there, working on that ever elusive perfect swing. March also means the arrival of spring break; the ritualistic migration of cold Canadians to places of warmth, that typically being Florida. But Florida is so ‘WalMart’. Have imagination, will travel. My practice is small. How small you ask. Patients call the office and need only to give their first name. When a patient fails to show, I have the day off. It’s so quiet I share space with the city morgue. Okay, I’m kidding but you get the picture. The office is located in a pretty fancy part of town. Even the dogs
wear minks and drive late-model German cars. But I’m keeping my feet firmly on the ground. I shovel my own snow. I take out my own trash. I pour up my own models and I proudly park my rusty winter bicycle right outside the front window. So when I’m chairside with one of Toronto’s many products of privilege, one of my favourite topics of conversation is the holidays. You know the routine. “So (enter Hunter, Conner, Kelsey or whatever name here) what are you doing for spring break”? Every year, I’m blown further away by the answer. When I was a kid, spring break meant a week of uninterrupted Atari and/or Intellivision topped off with a
steady diet of Pizza Pizza, Dr. Pepper and ice cream. Man, we were living. Fall into bed after midnight and wake up at the crack of noon and do it all over again. Not so much these days. Kids in my practice get to live it large. My braces have been to more places during spring break than I’ll ever go. I’m inclined to hold a contest for the most exotic, most exciting place to visit during the dreary month of March. The winner for 2008; a safari in Africa. Not African Lion Safari, the pride of Cambridge where you get the privilege of
shelling out forty bucks a head to watch a monkey do his business on the hood of your car, but the real McCoy. Kruger National Park, where men are men and the beasts run free. Wow. My braces get to see all that. Must be nice to be a bracket. But my kids are cool. “Where are you going Dr. P?” they inquire as I struggle to remove a pesky length of archwire with latest in distal-end-bracketremoving technology. “Umm, nowhere” I tearfully reply, looking away, purposely avoiding their looks of genuine concern, “I like to stay put during the holidays”. Yeah, right. The things I tell myself to make myself feel better. One more thing about spring break. When did it become two weeks long? When I was a kid, it was a week long hiatus from the boredom of the school room. Maybe if you were lucky, your folks would sneak you out of school the Friday before to get a jump on the traffic. Public schools still only have one week. But remember, I’m in a swanky part of town. Public schools: Fuhgettaboutit! Private is the only way to go. When I was 12, only the ‘special’ kids went to private school. Now you’re special if your kid doesn’t go. Private schools rule the ‘hood’! Two weeks for spring break minimum. I’ve even heard of one where its three weeks. The ultimate spring break vacation: Take your braces skiing for the first week followed by a week on the beach for the second. Ahh, to be young again… So, as spring break draws to a close, there is so much to look forward to. Before long, the kids will be shipping off to camp and the boat will be in the water. But prior to us all shutting down for the season, take a few short minutes to peruse through The Bulletin. The ever popular puzzle is back! I’m happy to report that the CAO keeps humming along. Electronic surveys are flying back and forth, procontinued… Spring 2008 • CAO Bulletin
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viding the Board with valuable information about where and how we should concentrate their collective efforts. There’s talk of a forthcoming digital directory as well as a nation-wide public relations campaign. Good things are in the works. Be sure and ask Gordie about these initiatives when he comes to visit you in your neck of the woods. So, as spring arrives and gives way to summer, enjoy your pastimes to their fullest. Relax. Your braces are having a great time. So should you. At least until they all get back! Jim
We’d like to hear from You! Send in your pictures from your local meetings and events. Show us what you’ve got! If something of interest happens in your area, let us know. We are interested and are confident others will be as well.
Canadian Association of Orthodontists UPCOMING ORTHODONTIC MEETINGS 2008 March 28-30 . . . . 6th Asian Pacific Orthodontic Conference Apr. 3 . . . . . . . . . . Ontario Association of Orthodontists General Body Meeting Apr. 10-12 . . . . . . CDA Annual Session, Toronto with the ODA May 2-4 . . . . . . . . Atlantic Association AGM, Moncton, NB May 16-20 . . . . . . AAO Annual Session, Denver, CO May 26 . . . . . . . . . Quebec Association AGM June 10-14 . . . . . European Orthodontic Society Annual Session, Lisbon Portugal Sept. 10-14 . . . . . NESO Annual Session, Providence Rhode Island Sept. 11-13 . . . . . CAO Annual Session, Winnipeg, Manitoba Sept. 25-28 . . . . . SWSO Annual Session, Ft. Worth, Texas Oct. 10-13 . . . . . . Joint GLAO/MASO Annual Session, Puerto Rico Oct. 24-25 . . . . . . MSO Annual Session, Sheraton Iowa City Hotel, Iowa City, Iowa Oct. 29-Nov. 2 . . RMSO Annual Session, Las Vegas, NV Nov. 5-9 . . . . . . . . SAO Annual Session, Gaylord Palms Resort, Orlando, FL 2009 May 1-5 . . . . . . . . AAO Annual Session, Boston, Massachusetts June 10-14 . . . . . European Orthodontic Society Annual Session, Helsinki, Finland Sept. 10-12 . . . . . CAO Annual Session, Kelowna, B.C. Sept. 23-27 . . . . . SAO Annual Session, The Homestead, Hot Springs, VA Oct. 8-11 . . . . . . . RMSO Annual Session, Santa Fe, NM Oct. 13-18 . . . . . . PCSO Annual Session, Phoenix Arizona (tentative) Oct. 21-25 . . . . . . MSO Annual Session, Minneapolic, MN (tentative) Oct. 28-Nov. 1 . . GLAO Annual Session, Toronto, ON Nov. 3-8 . . . . . . . . SWSO Annual Session, Cancun Mexico (tentative) Nov. 3-8 . . . . . . . . MSSO Annual Session, Atlantic City, NJ (tentative) Nov. 12-16 . . . . . . NESO Annual Session (tentative) 2010 Feb. 6-9 . . . . . . . . 7th International Orthodontic Congress (WFO), Sydney Australia Apr 30-May 4 . . . AAO Annual Session, Washington, DC Sept. 23-25 . . . . . Joint CAO-CAOMS Scientific Session, Whistler, BC 2011 May 13-17 . . . . . . AAO Annual Session, Chicago, Illinois
Send to: James Posluns, Bulletin Editor Email: james.posluns@utoronto.ca
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CAO Bulletin • Spring 2008
2012 May 1-4 . . . . . . . . AAO Annual Session, Hawaii
Diversions and Distractions Two Course Meals A new restaurant opened in town last month and five friends ate there on the 27th, each choosing a different first and second course. Discover what everyone ate by studying the clues below. 1. Fergus is the man who ate both chicken pie and strawberry pavlova. 2. Rosie is the sister of the person who chose a juicy venison steak followed by lemon cheesecake. 3. The person who tucked into tiramisu didn’t chose lasagna as a first course. 4. Sarah ate a mild beef curry, but not tiramisu. 5. David chose the apple pie.
Tiramisu
Pavlova
Ice cream
Cheese cake
Apple Pie
Second Course Venison
Lasagna
Lamb’s Liver
Chicken Pie
Beef Curry
First Course
David Fergus Rosie Sarah Timothy Apple Pie Cheesecake Ice Cream Pavlova Tiramisu First
Second Taken from Logic. Puzzles 1.
Diner
Please send your answer to our editor Dr. James Posluns at james.posluns@utoronto.ca. Answers will be published in Fall issue of The Bulletin, along with a list of those who sent correct answers. Spring 2008 • CAO Bulletin
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