CAO BULLETIN - Fall 2010 by LS Graphics

Fall 2010

Bulletin

CANADIAN ASSOCIATION OF ORTHODONTISTS / ASSOCIATION CANADIENNE DE ORTHODONTISTES

Message from the President Message from the Outgoing President Hi-lights of the 2010 CAO Scientific Session Committee Reports CFAO Graduate Student Posterboards - Part 1 of 2 Component Society Reports From the Editor

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 AND www.canadabraces.ca

2010/2011 Board of Directors OFFICERS President President Elect Past President 1st Vice President 2nd Vice President Secretary/Treasurer

Dr. Howard Steiman Dr. Ritchie Mah Dr. Gerry Zeit Dr. Paul Major Dr. Garry A. Solomon Dr. Michael W. Patrician

REGIONAL DIRECTORS British Columbia Alberta Saskatchewan Manitoba Ontario Quebec Atlantic

Dr. Rick Odegaard Dr. Phil Williamson Dr. Mike Ziglo Dr. Susan Tsang Dr. Helene Grubisa Dr. Jean-Marc Retrouvey Dr. Dan A. Stuart

COMMITTEES Communications Nominations President CFAO CAO/AAO Liaison Insurance Planning & Priorities

Dr. Dan Pollit Dr. Gerry Zeit Dr. Gordon Organ Dr. Garry Solomon Dr. Robert Cram Dr. Howard Steiman

Membership

Dr. Paul Major

Policy & Procedures

Dr. Amanda Maplethorp

Sponsorship

Dr. Michael W. Patrician

World Federation of Orthodontics

Dr. Howard Steiman Dr. Ritchie Mah

National Scientific Meeting Coordinator

Dr. Richard Marcus

NDSO Liaison CCOE COSA Liaison New & Younger Members Rep

Dr. Ritchie Mah Dr. Don Robertson Dr. Bob Cram Dr. Susan Tsang

CAO Web Master Assistant Web Master Bulletin Editor Database/Directory Consultant Historian/Archivist CAO Helpline Task Force GST Advisor

Dr. Daniel Pollit Dr. Jules Lemay III Dr. James Posluns Dr. Stephen Roth Dr. Garry A. Solomon TBA Dr. Michael W. Patrician

Dr. Howard Steiman [Email: straightsmile@sympatico.ca]

In my past positions as the Ontario Director and the CAO-AAO liaison, I routinely spiced up my reports using humorous themes, categories and insightful commentary. As the new incoming president, my style is consistent: I have based the following on famous personally influential quotes. My father will be pleased; he has provided the majority of the quotes. 1) “Time Flies so Fast”. When I first joined the CAO line six years ago, I was amazed at the depth of the operation and all that it was able to accomplish. While in the early days of my presidential year, I know it’s the grey hairs and wrinkles that make us all wish that time would slow, but for this year only, here’s hoping that time flies by and that life remains relatively status quo. 2) I was the target of bullies as a child and would come home from school upset from yet another beating. My father signed me up for judo lessons so I would be able to protect myself, but he always told me that I should “beat them in the classroom, not in the school yard” (OMG! Our president is the Karate Kid!). The CAO has earned tremendous respect from national specialty organizations, in the absence of being bullied. The brilliant, dedicated people of the Board give so much of their time and energy to the CAO year in and year out. I am honoured to have been mentored by amazing individuals like Gerry Zeit, Bob Cram, Gordie Organ, Gerry Solomon and many others. I look forward to carrying on the tradition for Ritchie Mah and Paul Major who follow me on the line. 3) Did you know that “The Key to Life is a Happy Colon”? Upon reflection, it’s true, especially as one ages. Anyone who has been involved in politics at any level knows that there is so much ‘crap’ that must be dealt with on a daily basis. Diane Gaunt and Alison Nash of Taylor Enterprises are two of the most wonderfully dedicated, hard working people with which one can work. Without Diane and Alison our organization would not function. I thank them for all the work done in the past and in advance for all the work that’s in store this upcoming year. 4) “Rich or poor, it’s good to have money”. Garry Solomon has done a tremendous job managing our treasury over the last five years and leaves the CAO in excellent standing. Congratulations to Garry on his election to the line and welcome to Mike Patrician as Treasurer. Having worked with Mike within the guise of the Ontario Association of Orthodontists, I am confident that he will do an excellent job following in Garry’s footsteps. 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 authors, 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.

Fall 2010 • CAO Bulletin

There are a limited number of non-line officer positions available. The need for volunteerism in the CAO has reached a critical level. Board intelligence suggests that LeBron James, Dwayne Wade and Chris Bosh have coerced three of our hardest working Board members to leave the CAO and focus their energies on the Florida Association of Orthodontists! If practice is a bit slow and you have some extra time on your hands, feel free to contact me anytime. These positions are filled on a first-come first-served basis, so hurry up and grab one before they’re gone! 5) As a resident I attended the spring Ontario Association general body meeting and listened in on a conversation involving some OAO Executives and Ex-Officio officers. Dr. Moe Cooper, one of these officers, turned to me and authored the most influential professional quote in my life. “Orthodontics is the most privileged specialty in dentistry!” Our predecessors worked hard to pave the way for all to enjoy the specialty and to practice within the framework of freedom. Orthodontists are the envy of all other specialists. My mandate for this year is simple: To get through the Year! Oops. No. My mandate is to ensure that this legacy is passed down to our younger colleagues. (And to get through the year!) Thank you to the Board and to our members for the trust and confidence you have placed in me in order to achieve this goal.

Rapport du président Lorsque j’ai occupé mes anciens postes à titre de directeur pour l’Ontario et responsable des liaisons de l’ACO et de l’AAO, j’ai pris l’habitude d’assaisonner mes rapports de thèmes et de catégories humoristiques, de même que de commentaires avisés. À titre de nouveau président, je demeure fidèle à mon style : mon message se fonde sur des citations bien connues qui m’ont influencé. C’est mon père qui va être content, puisqu’il est l’auteur de la majorité de ces citations. 1) Comme le temps file. Lorsque je me suis rallié à l’ACO, il y a six ans, l’ampleur de ses activités et tout ce que l’Association pouvait accomplir m’ont étonné. Au cours des premiers jours de ma présidence, j’ai appris que les cheveux gris et les rides nous amènent tous à souhaiter que le temps ralentisse sa marche, mais, pour cette année seulement, me voilà à espérer que le temps file et que la vie demeure relativement statique. 2) Enfant, j’étais la cible de brutes et je revenais de l’école encore tout chaviré des raclées qui s’enchaînaient. Mon père m’a inscrit à des cours de judo pour que je sois en mesure

CAO Bulletin • Fall 2010

de me défendre, mais il m’a toujours dit : « Ne les plante pas dans la cour d’école, mais pendant les cours. » (Ciel! Notre président dans le rôle du Karate Kid!). En l’absence de toute intimidation, l’ACO a acquis un respect énorme de la part des regroupements de spécialistes canadiens. Brillants et dévoués, les membres du conseil consacrent tellement de leur temps et de leur énergie à l’ACO année après année. J’ai eu l’honneur d’avoir pour mentors des personnes extraordinaires telles que Gerry Zeit, Bob Cram, Gordie Organ, Gerry Solomon et nombre d’autres. J’ai bien hâte de perpétuer la tradition avec Ritchie Mah et Paul Major qui m’accompagnent. 3) Saviez-vous que « Tout dans la vie tourne autour du bonheur du côlon? » À la réflexion, c’est vrai, surtout lorsqu’on vieillit. Quiconque ayant fait de la politique à un niveau ou à un autre sait à quel point il faut chaque jour composer avec une quantité folle de « matières désagréables ». Diane Gaunt et Alison Nash, de Taylor Enterprises, figurent parmi les personnes les plus admirablement dévouées et les plus dures à la tâche avec lesquelles on puisse travailler. Sans Diane ni Alison, notre association serait au point mort. Je les remercie du travail qu’elles ont abattu dans le passé et, à l’avance, de celui que la prochaine année leur réserve. 4) « Qu’on soit seigneur ou paysan, l’argent est toujours plaisant. » Garry Solomon, qui a fait un travail formidable à la gestion de notre trésorerie au cours des cinq dernières années, laisse l’ACO en excellente position. Félicitations à Garry de son élection à une poste de direction et nous souhaitons la bienvenue à Mike Patrician en qualité de trésorier. À la lumière de ma collaboration avec Mike au sein de l’Ontario Association of Orthodontists, je suis persuadé qu’il abattra un excellent travail dans le sentier qu’a tracé Garry. Il y a un petit nombre de postes hors des cadres de l’exploitation, dont la présidence prestigieuse du conseil de la Fédération canadienne pour l’avancement de l’orthodontie. Le besoin de bénévoles de l’ACO a atteint un seuil critique. Selon les renseignements qu’a obtenus le conseil, il semble que Lebron James, Dwayne Wade et Chris Bosh ont exercé des pressions telles que ces derniers ont délaissé le conseil l’ACO pour concentrer leur énergie sur l’Association des orthodontistes de la Floride! Si jamais l’achalandage de votre cabinet fléchit le moindrement et que vous vous tournez un peu les pouces, n’hésitez pas à communiquer avec moi n’importe quand. Comme les postes vacants seront comblés selon le principe du premier arrivé, premier servi, agissez tout de suite et prenez une place avant qu’il ne soit trop tard! 5) À titre de résident, j’ai assisté à l’assemblée générale de l’Association de l’Ontario et j’y ai entendu une conversation entre des dirigeants de l’OAO et un ex-membre. Le Dr Moe Cooper, un de ces dirigeants, s’est tourné vers moi pour me dire la citation qui a eu la plus grande portée

professionnelle de ma vie. « L’orthodontie est la spécialité la plus privilégiée qui soit en dentisterie! » Nos prédécesseurs ont travaillé ferme pour que nous puissions tous apprécier notre spécialité et l’exercer dans un cadre empreint de liberté. Les orthodontistes font l’envie de tous les autres spécialistes. Mon mandat pour cette année est fort simple : laisser passer l’année! Euh! Non. Mon mandat consiste à assurer que cet héritage soit transmis à nos collègues plus jeunes. (Et à laisser passer l’année!) Je remercie le conseil et nos membres de la confiance que vous m’avez manifestée en vue d’atteindre ce but.

Message from the Outgoing President

GORP meeting to reach Canadians enrolled in American programs. There is a New and Younger Members lunch at each CAO Annual Session and an e-mail discussion forum has been developed to facilitate the sharing of knowledge. Improved communications with other national dental specialist associations is now a reality. In 2010 the national specialty presidents shared ideas on a number of issues. A combined meeting with our oral surgery colleagues has already taken place and each of the nine established dental specialties have taken the first steps towards a more formalized co-operative structure to be known as the NDSO. The AAO and the CAO Executives met at the AAO Annual Session in Washington and the CAO welcomed the AAO President and Liaison to the CAO scientific session in Whistler. Together, a new understanding of our mutual relationship has been created and together those involved with the organizations can move forward with a greater confidence in the synergies, the common goals and the strong bond of friendship.

Time Flies.

The World Federation of Orthodontists continues to grow internationally and is poised to play a greater role in our specialty in the decades to come. The CAO maintains its own representatives to the WFO Board and a Canadian orthodontist is a member of the WFO Executive. As CAO President, I, along with representatives of more than 55 different countries from around the world, attended a WFO breakfast meeting.

Doug Larson, the marginally famous (in an Andy Warhol sort of way) American columnist said: “For disappearing acts, it’s hard to beat what happens to the eight hours supposedly left after eight of sleep and eight of work. “ As President, it has been a busy but a wonderful year.

The Canadian Dental Association is in the process of completing its restructuring. CAO Board members work both as dentists within the organization and as dental specialists in cooperation with the CDA for the betterment of both our profession and our patients.

If I had to characterize the last twelve months in a single word, it would be relationships. The CAO Board has worked hard to maintain and strengthen the relationships already in place and to develop new ones wherever possible.

The ‘Thank Yous’ are unending. To the Webmaster, Dan Pollitt, the Bulletin Editor, Jim Posluns, the Scientific Session Chair Richard Marcus, the New and Younger Members Committee Chair, Susan Tsang, the Directory Representative, Stephen Roth, the Insurance Representative, personal mentor and Past-President, (Western) Bob Cram, the Policy and Procedures Chair, Amanda Maplethorp, the Treasurer and now Second Vice President, Garry Solomon, the CDA Representative, Ritchie Mah, the Membership Chair, Paul Major, the provincial representatives and line officers and the many, many others who I can’t name but who contribute so much to the CAO a very big thank you. Extra-special thanks must go out to the CAO staff, Diane Gaunt, Alison Nash, Beth, Maria, Jackie and everyone else, without whose hard work and commitment, the CAO could not function.

Dr. Gerry Zeit, [Email: gzeit@sympatico.ca]

Together with the membership, the website has been enhanced, a discussion forum established, an on-line directory developed, another successful scientific session completed and a first-ever CAO webinar produced. While all this was taking place, both Howard and I enjoyed attending the meetings of the various provincial orthodontic associations. A new committee has been established whose goal it will be to enhance and to improve the scientific content of our annual session and other future educational endeavours. The CAO looks forward to reaping the benefits of this exciting initiative. The Canadian orthodontic residents and new orthodontists continue to receive support through the New and Younger Members Committee. Representatives of the CAO hold pizza lunches at the various universities and attend the annual

Those of you who attended our 2010 Annual General Meeting were subject to a short video presentation from the real heroes of the past year that almost brought me to tears. To my wife Debbie and my two daughters, Nicole and Stephanie – thank you so much for your encouragement, your support and Fall 2010 • CAO Bulletin

your understanding throughout my years on the CAO Board. I could not have done any of this without you. You are everything to me.

de réaliser d’autres projets futurs en matière de formation. L’AOC a bien hâte de récolter les fruits de cette initiative enlevante.

My friend, colleague, and incoming CAO President, Dr. Howard Steiman is both talented and passionate. The brilliant physicist, Niels Bohr, once quipped: “Prediction is very difficult, especially about the future.” I do not know what the future will bring, but whatever it is, I can promise each and every CAO member that our association is in good hands under Howard’s guidance. Good luck Howard. Have a great year.

Les résidents canadiens en orthodontie, de même que les nouveaux orthodontistes, continuent de recevoir l’appui du Comité des nouveaux membres et des plus jeunes. Des représentants de l’AOC organisent des dîners-pizzas dans les différentes universités et se rendent à la réunion annuelle du GORP pour rencontrer les Canadiens inscrits aux programmes américains. Un dîner à l’intention des nouveaux membres et des plus jeunes est inscrit au programme de chaque Séance annuelle de l’AOC, et un forum par courriel a été organisé pour favoriser la communication des connaissances.

I started this narrative with “Time Flies” but deliberately, did not complete the well known phrase, “Time flies when you are having fun.” It has been a wonderful year. I have met many people, made many friends and perhaps accomplished something along the way. But most of all, I had a lot of fun. Best wishes to all.

Rapport du le président sortant Comme le temps file… Doug Larson, chroniqueur américain plus ou moins célèbre (du moins, comme le qualifierait Andy Warhol) a déjà dit que : « En matière de disparition, il est difficile de faire mieux que ce qui arrive aux huit heures dont on est censé disposer au terme de nos huit heures de sommeil et de nos huit heures de travail. ». À titre d’ex-président, je qualifie l’année qui vient de s’écouler d’affairée, mais de merveilleuse. Si je devais décrire en un seul mot les 12 derniers mois, je choisirais « relations ». Le conseil de l’AOC a travaillé ferme pour maintenir et renforcer les relations déjà établies et, dans la mesure du possible, pour en nouer de nouvelles. Avec la collaboration des membres, notre site Web a été amélioré, un forum de discussion mis sur pied, et un répertoire en ligne, créé, une autre séance scientifique a été couronnée de succès et le premier webinaire de l’AOC a été produit. Pendant que tout ceci se déroulait, Howard et moi avons été heureux d’assister aux réunions des diverses associations orthodontiques provinciales. Un nouveau comité a été mis sur pied dont le but consiste à améliorer le contenu scientifique de notre séance annuelle et

CAO Bulletin • Fall 2010

L’amélioration des communications avec les autres associations de médecine dentaire au pays est devenue réalité. En 2010, les présidents nationaux des spécialités ont échangé des idées sur une foule de sujets. Une réunion mixte avec nos collègues spécialisés en chirurgie buccale a déjà eu lieu et des représentants de chacune des neuf spécialités en médecine dentaire ont fait les premiers pas menant à l’établissement d’une structure de collaboration plus officielle qui sera baptisée Organisation nationale des spécialités dentaires (ONSD). Les dirigeants de l’AAO et de l’AOC se sont rencontrés à l’occasion de la Séance annuelle de l’AAO qui a eu lieu à Washington, et l’AOC a accueilli le président et le responsable des liaisons de l’AAO à la séance scientifique qui a eu lieu à Whistler. Une nouvelle entente portant sur notre relation a été créée et, ensemble, les intervenants des organisations peuvent progresser, forts d’une confiance accrue à l’endroit des synergies, des objectifs communs et du solide lien d’amitié tissé entre nous. La World Federation of Orthodontists continue de croître à l’échelle internationale et elle est destinée à jouer un rôle plus important dans notre spécialité au cours des prochaines décennies. L’AOC maintient la présence de ses propres représentants auprès du conseil de la WFO et un orthodontiste canadien demeure membre de la direction de cette fédération. À titre de président de l’AOC, et en compagnie de représentants de plus de 55 divers pays, j’ai assisté à un déjeuner-causerie de la WFO. L’Association dentaire canadienne (ADC) est en voie de terminer sa restructuration. Les membres du conseil de l’AOC œuvrent tant à titre de dentistes au sein de l’organisation, et de spécialistes en dentisterie en collaboration avec l’ADC, pour le plus grand bien de notre profession et de nos patients. Les remerciements sont innombrables. Ils s’adressent à notre webmestre, Dan Pollitt, au rédacteur du bulletin, Jim Posluns, au président de la Séance scientifique, Richard Marcus, à la présidente du Comité des nouveaux membres et des plus jeunes, Susan Tsang, au responsable du répertoire, Stephen

Roth, au responsable de l’assurance, ex-président et mentor personnel, Bob Cram (de l’Ouest), à la présidente du Comité de la politique et des procédures, Amanda Maplethorp, au trésorier et maintenant deuxième vice-président, Garry Solomon, au représentant de l’ADC, Ritchie Mah, au président du Comité de l’affiliation, Paul Major, aux représentants provinciaux et responsables hiérarchiques, de même qu’aux autres, si nombreux, que je ne peux pas nommer ici, mais qui apportent tant à l’AOC, je vous transmets un énorme merci. J’adresse des remerciements ultra spéciaux au personnel de l’AOC, Diane Gaunt, Alison Nash, Beth, Maria, Jackie et tous les autres, car, sans leur travail acharné et leur engagement les activités de l’AOC seraient compromises. Ceux d’entre vous qui ont assisté à notre Assemblée annuelle 2010 ont vu une courte présentation mettant en vedette les véritables héros de l’an dernier qui a bien failli me tirer quelques larmes. À ma femme, Debbie, et à mes deux filles, Nicole et Stephanie, je vous offre un immense merci pour l’encouragement, le soutien et la compréhension que vous m’avez manifestés tout au cours de l’année que j’ai passée au sein du conseil de l’AOC. Je n’aurais pas pu m’acquitter de mes engagements sans vous. Vous êtes ce qui m’est le plus cher au monde. Mon ami, confrère et prochain président de l’AOC, le Dr Howard Steiman, est tout aussi talentueux que passionné. Niels Bohr, ce brillant physicien, a eu ce mot un jour : « La prévision est très difficile, particulièrement au sujet du futur. » J’ignore ce que le futur nous réserve, mais, peu importe ce qu’il recèle, je peux promettre à chacun des membres de l’AOC

Holiday Greetings!

On behalf of everyone at the CAO office, we wish all of our readers a wonderful Holiday Season and a Healthy and Successful 2011! Kindly note that the CAO offices will be closed from 5:00 pm on December 23rd and will re-open on Monday, January 3rd, 2011 at 9:00 am.

que notre association repose entre de bonnes mains sous la direction d’Howard. Bonne chance, Howard, puisses-tu passer une excellente année! J’ai amorcé mon message sur la phrase « Comme le temps file… » que j’ai délibérément omis de terminer par le classique « en bonne compagnie ». L’année écoulée a été merveilleuse. J’ai rencontré quantité de personnes, je me suis fait de nombreux amis et, peut-être, ai-je accompli quelque chose en cours de route. Mais, surtout, que de plaisir j’ai eu! Je vous offre mes meilleurs vœux à tous.

CAO Database Upgrade During the past year, the CAO has been working hard to upgrade its current database to better meet the needs of our members. It has become clear that our members would like to have access to their own information, be able to renew online, and most of all, have access to the Member Directory in an online, searchable format with up-to-date or “Real Time” information. We are excited to announce that the database is ready and will be launched with this renewal period. This year we are sending you the renewal invoice via both mail and email and you can either renew with the enclosed form as in the past, or go online and see for yourself what this is all about. Everyone will be sent a username and password to access their personal membership record. From there, you can make changes and update regularly. You can also select a password at that time to change it to keep it secure. A new component of this database is the ability to host the Membership Directory in an online format available on the Members Only section. We recognize that your Orthodontic Staff are often the users of this section and the tools therein, and as such, we have created a generic password that will give access to this area, but not your personal Membership Record. This will also be sent via your renewal notice. We hope that you find these upgrades and improvements beneficial. We anticipate a short learning curve, and if you have concerns or questions about the database, please contact the CAO Office at cao@taylorenterprises.com or 416-491-3186/1-877-226-8800.

Fall 2010 • CAO Bulletin

Highlights of the 2010 Scientific Session

There was lots to see at this year’s trade show!

Dr. Gerry Zeit passes the gavel to new President Dr. Howard Steiman.

Auctioning off the curling broom at the Gala.

Dr. Paul Witt and his wife enjoy time some time with Dr. Alexa Herbertson

U of T alums attend their Alumni Reception

Everyone walked the red carpet at this year’s gala.

Dr. Richard Marcus and AAO Representatives Drs. Lee Graber and John Buzzatto at the Gala.

CAO Bulletin • Fall 2010

The gang gears up for ziplining! CAO Past Presidents get together for a breakfast during the Scientific Session.

After some wine and vodka tasting, the tour group hikes to a beautiful waterfall.

The CAO Board hard at work.

Round Tables go high tech with Dr. Lorne Kamelchuk

Everybody on the dance floor at Dustyâ&#x20AC;&#x2122;s.

Dr. Stephen Roth keeps his Round Table engaged. Fall 2010 â&#x20AC;˘ CAO Bulletin

Highlights of the 2010 Scientific Session

Trade Show Raffle Prize Winners Dr. Brent Johnson Kanata, ON Pocket Projector

The new Voting Delegates of the CAO Board of Directors. L-R: Drs. Rick Odegaard, Jean-Marc Retrouvey, Helene Grubisa, Gerry Zeit, Garry Solomon, Howard Steiman, Susan Tsang, Paul Major, Phil Williamson, Dan Stuart, Michael Patrician, Ritchie Mah. Not pictured is Dr. Michael Ziglo.

Dr. Dorothy Sonya-Hoglund Surrey, BC Innukshuk and Gift Certificate

Dr. Julia Kim Vancouver, BC iPad

Dr. Hedd-Wyn Williams Calgary, AB $250 in Silver Coins

Alice Ng (Dr. Bernard Lim Ortho) Richmond, BC $250 in Silver Coins

Rebecca Vodden (Kingsway Oral Surgery) Edmonton, AB Digital Camera

Congratulations to all our winners and a special thank you to those companies that donated prizes!

CAO Bulletin â&#x20AC;˘ Fall 2010

Committee Reports Treasurer’s Report Report Dr. Garry Solomon Treasurer [Email: hellener@lks.net]

In 2009, the general operations of the CAO created net revenues of $47,647.04. The scientific session in Kelowna, BC created net revenues of $26,844.13. The total CAO operations net revenue was $74,491.17 for 2009. The CFAO had a decline in net revenue of $41,727.72 for 2009, including disbursements of $12,000.00 to each of the five Canadian graduate orthodontic programs, $8,000.00 to publish the “History of Orthodontics” book and $18,000.00 to fund the poster board presentations. Both the CAO and CFAO treasuries remain fiscally strong, operating within a sound financial foundation.

GST Report Dr. Garry Solomon GST Advisor [Email: hellener@lks.net] There have been numerous inquiries regarding the GST/HST over the past six months but no new reports of unusual audits. One unresolved audit remains in Western Canada. July 1st, 2010 marked the start of a twelve and thirteen percent Harmonized Sales Tax (HST) in both British Columbia and Ontario respectively. Orthodontists in these provinces who were GST registered are now required to collect the HST on taxable sales and zero-rated sales. Orthodontists who were not registered for GST purposes and who provide only GST exempt services or have taxable revenues from taxable supplies of less than $30,000 per year will not be affected by the

changeover. It remains unclear as to whether or not the thirtyfive percent ITC threshold will remain constant and the potential remains for CRA to unilaterally remove the zero rated exemption. The Canadian Dental Association has begun an initiative with the CRA to clarify various GST/HST issues. The CDA is proposing to review the current GST/HST treatment of dentists' practices, to identify issues where the GST/HST treatment should be clarified, to resolve these issues with the CRA or with the Department of Finance, and to provide dentists with proper guidance in this area. The outcome of the CDA’s initiative will be reported in a future issue of the Bulletin.

Insurance Report Dr. Robert Cram Chair, Insurance Committee [Email: drbob@reddeerortho.com]

There have been no changes in the FNIHB program or any inquiries from the CAO membership since the last report. Personal experience with the program involves submission of the CAO Standard Information Form (not the Dent 29 Form) on behalf of all aboriginal patients for reimbursement. In the majority of cases, initial rejection is followed by acceptance upon resubmission to the supervisor. A CAO member based in Quebec was dealing with a small insurance company that retained a general dentist to adjudicate treatment plans. The company requested additional information beyond what was supplied by the orthodontist in the Standard Information Form. The orthodontist, the insurance company and the adjudicator was assisted by the CAO to make better use of the Standard Information Form to facilitate the process. An Ontario member required assistance in an insurance claim where treatment for TMD was denied because it was provided by an orthodontist instead of a general practitioner. The patient’s contract did not include orthodontic services. Fall 2010 • CAO Bulletin

Committee Reports The adjudicator based his or her decision on the word of the orthodontist and not on the service provided. The CAO provided direction to settle the claim. An outline of the challenges routinely encountered by the Insurance Committee was presented during the CAO webinar on November 17, 2010. The revised CAO Standard Information Form will be posted on the CAO website and will be available to orthodontic software providers before year end.

COSA Report Dr. Ritchie Mah NDSO Liaison

The first official NDSO meeting took place in November, 2010, that being the final opportunity to meet before the new CDA governance model takes effect in April, 2011. The November 2010 meeting is the last meeting were the CDA will fund a representative from each specialty. As of April 2011, specialists will have only one vote on the General Assembly (hence the CDA will fund one specialist to attend the April General Assembly meeting), but will be able to send two selffunded representatives to the Dentistry Leadership Forum that usually takes place one day hence. The latest COSA meeting was held in early October, 2010, while the CDA Interim Meeting was held in early November, 2010.

New and Younger Members

[Email: ritchiemah@yahoo.ca] The CDA General Assembly meeting was held April 22nd to 24th, 2010. No official COSA meeting took place as there was no request by the CDA Board to do so. A productive NDSO meeting materialized during the afternoon of April 22nd, where it was decided in principle to proceed with NDSO formation. Victor Legault, director for paediatric dentistry and representative to the NDSO reported that he has to fully inform his Executive for progress to occur, but doesn't think there will be a problem now that the rationale for an NDSO as it relates to CDA is understood. Lee McFadden was able to address most of the concerns regarding the autonomy and the function of the NDSO as it is proposed, that being that the NDSO is not part of the CDA, and that all recognized specialties have an equal voice. There remain a number of items to discuss, such as the structure of dues, the financial contribution by various specialties and others. Dr. McFadden has pledged to construct a draft of an NDSO MOU over the next couple weeks and forward it to all NDSO representatives of their respective boards. The CAO plans to keep in contact with the other national dental specialties regarding the genesis of the NDSO. There must be consensus before allocating significant resources to this initiative. The CAO may provide possible logistical and financial assistance, but not until the Board is satisfied that the NDSO represents a worthwhile endeavour to the membership.

CAO Bulletin â&#x20AC;˘ Fall 2010

Dr. Susan Tsang New and Younger Members Representative [Email: s_tsang2@hotmail.com] The CAO attended the 22nd annual Graduate Orthodontic Residents Program (GORP) meeting held at the University of Michigan from August 6-8, 2010 to discuss and to encourage membership. The 2011 meeting will be held at the St. Louis University. Many thanks are extended to Mr. Derek Schreurs, a chartered accountant with KPMG, who addressed the New and Younger Members at the 2010 Annual Scientific Session luncheon in Whistler, British Columbia. The new graduates in attendance were treated to a lecture on the topic of wealth and tax planning. Please forward any requests you may have for lecturers and/or topics for future NYM luncheons. All earlier NYM posts from the Yahoo.ca Groups website have been relocated to the new CAO discussion forum. All CAO members are, particularly the new and younger members, are encouraged to log into the CAO website and take advantage of this useful communication tool. Posts on any topics are welcome. As this forum picks up momentum, it has the potential to become the way to exchange information between colleagues. If there is any way in which the CAO or the NYM group can be

Committee Reports of service, please feel free to contact Susan directly at drtsang@winnipegorthogroup.com or via the CAO office.

CAO/AAO Report Dr. Howard Steiman CAO/AAO Liaison [Email: straightsmile@sympatico.ca] Abraham Lincoln’s original draft of the Gettysburg Address read something like this: ‘Four score and seven years ago, our fathers brought forth this continent, a new nation, conceived in liberty and dedicated to the proposition that the CAO and AAO were created equally.’ This clash of the orthodontic titans (sounds like a cool, new PS3 game) occurred on May 2nd, 2010 in Washington D.C. We were to hold our meeting in the White House, but the penalty to cancel the hotel meeting room this late in the game was pretty steep. So, with the sincerest of apologies to First Lady Obama, what follows is a summary of the discussions held between our two well-represented organizations (twelve around the table in total – a new record). Affiliation Agreement A detailed position paper was drafted and presented to the AAO Executive, to outline concerns in the areas of code of ethics, insurance and strategic planning. Each area was thoroughly discussed with input by Jim Bolen, the AAO General Counsel and Chris Vranis the AAO Executive Director. Code of Ethics Any complaint will be addressed by the organization where the complaint was lodged with no transference between the CAO and the AAO. Should both organizations be involved, then the AAO and the CAO will collaborate to resolve the issue. Component societies are not obligated to report to the AAO when dealing with a CAO matter. Insurance Component societies will get their Directors & Officers insurance in the country in which they reside. Canadian component societies will continue to be covered under the CAO umbrella.

Strategic Planning The AAO acknowledges that CAO may differ with respect to strategic planning, however, it is anticipated that there are more similarities than there are differences. The AAO will not force a component society into a program deemed inappropriate. The AAO and the CAO are committed to efficient resolution of potential conflicts. Dr. Gerry Zeit wrote a Memorandum of Understanding summarizing the CAO’s concerns as outlined above and now has the subsequent feedback from the AAO. This MOU has been submitted to the AAO as a record of the mutual understanding with respect to these issues should the issues require revalidation. Consumer Awareness Campaign Ms. Linda Gladden, the AAO Director of Communications and Marketing, gave a short update on the recent national campaign. There have been numerous inquiries from Canadian groups regarding the private use of the ‘Our Expertise Will Make You Smile’ materials. Customizable ‘Puzzle’ or the ‘More Than a Smile Campaign’ formats include in-print and on-line advertisements, radio spots, in-office posters and direct mail materials for use by all members. On April 26, 2010 the AAO received the first set of continuous tracking survey results used to assess baseline measurements. The next set of results should arrive within three months and will follow changes in market share. Web Based Lectures Drs. Bill Proffit and Henry Fields have developed and produced long-distance learning seminars for orthodontic residents in the United States and in Canada. On-line courses have the potential to address the shortage of orthodontic educators in North America. To date, the AAO has committed more than $300,000 in grants for this project. A large scale evaluation is underway to determine the value of long distance learning seminars. More than fifty percent of the US and Canadian residency programs are participating in the evaluation report. ‘How Orthodontics Changed My Life’ Video Scholarship Contest This AAO sponsored program offered two scholarship prizes of $2500.00 each. To be eligible, entrants must be eighteen years of age or younger, must be treated by an AAO member and must be in active retention or dismissed from treatment. Two minutes or less in length, the entrant’s personal orthodontic experience was recorded and sent directly to Ms. Linda Gladden.

Fall 2010 • CAO Bulletin

Committee Reports The no-cost entries were limited to one entry per person. The contest submission deadline was July 15, 2010 with winners announced August 15, 2010. ADA Specialty Logos The American Dental Association recently created logos for use by members of organized specialty groups who are ADA members. Available in black and white or colour, the ADA encourages specialists use as part of routine advertising. Quickies A lengthy conversation was held between Mike Bleau, President of the Alberta Society of Orthodontists and Ron Wolk, CAO Past-President and ASO member, and the rest of the attendees concerning the recent advertising issue involving a member and the Alberta Dental Association and College. To date, the AAO has received no reply to AAO President Dr. Bob Bray’s letter regarding the ADA&C decision to prevent the member from using the CAO logo in his Yellow Page advertisement. Jim Bolen strongly suggested that the ASO prepare for a legal battle with the ADA&C. The AAO and the CAO are prepared to assist financially and Mr. Bolen was willing to find legal counsel in Alberta that would not be conflict of interest with the ADA&C. The CAO updated the AAO on the genesis of the NDSO. In the United States there is an organization known as the Dental Specialists Group (DSG) comprised of representative members from each of the recognized dental specialties. The

In Memoriam

Bert Levin Bert Levin passed away September 26, 2010. Dr. Levin is survived by his wife Claire, his children Shelley Roslyn and Richard, his grandchildren Rachel, Alisha, Aaron and Joshua; and great grandchild Riley. Dr. Levin graduated from the University of Toronto Faculty of Dentistry in 1944, and continued on at the same University for his Orthodontic training, graduating in 1955. We know that Bert will be missed by all his family and friends.

CAO Bulletin • Fall 2010

DSG meets informally once or twice a year, is self-funded and is spearheaded by the AAO. DSG meetings are held within other larger meetings, including the AAO Annual Session, when specialty representatives are coincidentally present. John Buzzatto, the AAO/CAO liaison, attended the CAO Board meeting at the Scientific Session in Whistler, BC. Dr. Lee Graber, the AAO President-Elect, attended the CAO AGM.

CFAO Report Dr. Gordie Organ Acting CFAO President [Email: gmo@drgordieorgan.com] The CFAO is currently in the second of a three-year agreement with the Canada Revenue Agency (CRA) regarding the distribution of retained CFAO funds. In 2009, the CFAO was pleased to forward $12,000.00 to each of the five Canadian graduate orthodontic programs. Additional CFAO funds were distributed to address the publishing expenses of Bus Haryett’s book ‘The History of Orthodontics in Canada’. For 2010, the distribution of funds by the CFAO will support the development of a long- distance webinar learning program by the CAO, the posterboard presentations and the Canadian graduate orthodontic programs including the inaugural program at the University of British Columbia. The exact amount to be distributed to each program has yet to be determined until a final accounting audit has been performed. Annual support of CFAO activities is strong. GAC generously provided the funds to the Canadian orthodontic residents enabling them to present their posterboards at the Annual CAO Scientific Session in Kelowna. Cerum Ortho Organizers once again generously contributed $5,000.00 in support of the Annual CFAO Golf Tournament. 2010 saw the first CFAO Silent Auction, held during the Friday night gala in Whistler, B.C. Items were generously donated by suppliers, corporate sponsors and CAO members, with all proceeds benefitting the CFAO. The total amount raised is as yet undetermined. Please consider including the CFAO amongst your charitable donations this year; the stronger the Foundation, the stronger our profession.

Committee Reports Canadian Orthodontic Educators Report Dr. Donald Robertson Chair, Conference of Canadian Orthodontic Educators [Email: mouthtraps@shaw.ca] The Canadian orthodontic educators met at Niagara-on-the-Lake, Ontario, on April 10, 2010. The meeting, traditionally held in Whistler, B.C was made possible through the continued support of 3M Unitek Canada. Align Technologies has withdrawn its ‘certification’ requirements for Invisalign providers, potentially due in some part by the united stand taken by the Canadian graduate programs. The University of Toronto is the sole program able to accommodate internationally trained students for recertification in Canada. Ten candidates wrote the Dental Specialty Core Knowledge Examination to be considered for application in the last year. Not all candidates were successful and the scores were highly variable, but no challenges remain outstanding. Manitoba remains the only province not supportive of the MOU on the licensing of foreign-trained specialists, however, the MOU remains as the framework to alternate licensure in Canada. As of April 2010, four applications for gap-training had been received, leading to a single acceptance. Three previous internationally trained students, who recertified at U of T, have successfully challenged the RCDC specialty examination. In Toronto, a new dental building has been approved, but a site has yet to be officially determined. Paul Major is now Dean of the School of Dentistry at the University of Alberta. Carlos Flores-Mir has replaced Dr. Major as Director of Graduate Orthodontics. A move to a new building is planned in about two years. The University of Western Ontario has a new Dean and there are plans to increase the number of specialty programs. An oral surgery program is currently in progress, with a program in endodontics to commence shortly. The graduate orthodontic program at the University of Montreal is moving off-campus to a new facility in January 2011. The number of acceptances per year will increase from four to five. The University of British Columbia graduate orthodontic program is currently operational. Dr Ed Yen, Chair of the UBC program attended the September 2010 meeting of the CCOE / CCGOPD. The AAO task force on recruitment and retention has been reactivated to address the number of new programs being

CFAO Donations Dr. Arlene Dagys Donation in celebration of Dr. Austin Chen’s new office in Vaughan Dr. George Karamanokian Donation in honour of Dr. Jessica L. Tan’s orthodontic services. Dr. Earl S. Haltrecht Donation in memory of Dr. Bert Levin CAO/CAOMS In honour of the following speakers who presented at the 2010 Joint Scientific Session Drs. Tim Turvey, William Proffit, William Bell, David Walker, David Precious, Elaine Orpe, Earl Johnson, Angelos Metaxas, Ms. Rita Bauer, Ms. Schmitz, Ms. Welburn, Ms. Ryerse and Mr. Declan Lawlor CAO/CAOMS In honour of the following Round Table presenters at the 2010 Joint Scientific Session Drs. Lorne Kamelchuk, John Kalbfleish, David Psutka, Reg Goodday, Tarek El-Bialy, Hugh Lamont, William Frydman, Daniel Ricard, Kevin McCann, Stephen Roth, Paul Bourque, Archie Morrison, Carlos Flores-Mir and Ms. Sandra Ipsen CAO In honour of Mr. Derek Schruers who presented at the 2010 New & Younger Members Speakers luncheon in Whistler, BC. CAO In Memory of Dr. Roland Albert CAO In Memory of Dr. William Sinclair CAO In Memory of Dr. Bert Levin

Fall 2010 • CAO Bulletin

Committee Reports initiated and the increasing number of residents currently enrolled in existing programs. The AAO Council of Orthodontic Educators introduced a resolution to standardize and improve the clinical requirements required for graduation from North American programs. Since the Canadian standard of a thirty-six month program surpasses the suggested improvements by the AAO, Canadian support of the resolution was moot. In the end, the resolution was not endorsed by the AAO.

RCDC Report Dr. Hugh Lamont Orthodontic Councillor, RCDC/RCDC Liaison A protocol for the electronic discussion of issues is being developed to facilitate discussion outside of regular meetings of the Royal College Executive. An educational component has now been incorporated into the RCDC Convocation Weekend. Future weekends have been rescheduled to the first weekend of October beginning in 2011.

by the written exam in September of 2009. The written session examined forty-one candidates and resulted in one failure. In November, forty candidates sat the oral exam leading to eight failures and a pass rate of eighty percent. In June, thirteen candidates resulted in two failures or a pass rate of eighty five percent. The current members on the RCDC Executive Committee include Richard Emery of Montreal, President, James Leake of Kingston, Past-President, Garnet Packota of Saskatoon, Vice President, Leland McFadden of Winnipeg, Council Representative Patricia Main of Toronto, Registrar, Ernest Lam of Toronto, Secretary-Treasurer, and Paul Jackson of London as Examiner in Chief. Mr. Keith McLean will serve as the RCDC public member of Council while Patricia Main will represent the Royal College at the Commission on Dental Accreditation of Canada (CDAC).

WFO Report Dr. Amanda Maplethorp WFO Committee [Email: a_maple@shaw.ca]

All written examinations will take place in January and all oral examinations will take place in June for all specialties. In an effort to contain costs, a single travel agency now acts on behalf of all Council members and staff, similar to the policy adopted by the CAO Executive several years ago. Orthodontics administered November and June oral examinations for Fellowship in 2009 and 2010 respectively preceded

Congratulationsâ&#x20AC;Ś to these Orthodontists who, during the 2010 membership year, have been members of the CAO for 25 years! We thank you for your support of the CAO and of the orthdontic profession! Dr. Yvon Bergeron Dr. Daman Dev Thanik

CAO Bulletin â&#x20AC;˘ Fall 2010

The WFO was formed at the 4th International Orthodontic Congress (IOC) in San Francisco by 69 affiliated organizations on May 15, 1995. With the addition of the Macedonian Orthodontic Society, the WFO now consists of 109 affiliated organizations. In February 2010, the highly successful 7th IOC meeting was held in Sydney Australia with over 4000 attendees and more than 300 speakers representing 90 WFO affiliated societies and associations. Canada, for the first time, has a representative on the Executive Committee of the WFO, making it that much easier to keep the membership of the CAO up to date on the global issues facing the profession. The WFO web site, www.wfo.org, to be launched within the year, will have a new look, new navigation tools and increased resources for WFO Fellows and affiliate organizations. WFO Fellows receive the WFO Gazette biannually. Other benefits of membership include international orthodontic specialty recognition, reduced attendance fees at orthodontic meetings worldwide and inclusion in the electronic WFO International Orthodontic Directory available on the WFO web site. The 8th IOC will be held September 27th to 30th, 2015 in London, England. Please visit the meeting website at www.wfo2015london.org and plan on visiting London to see the world smile.

Committee Reports I encourage all of you who are not WFO members to join. The dues are nominal. The world is shrinking; the more cooperative orthodontists can be, the stronger the resultant profession.

In Memoriam

William James Sinclair Helpline Report Dr. Howard Steiman CAO/AAO Liaison [Email: straightsmile@sympatico.ca] All was quiet on the Eastern and the Western fronts until summer when two complaints materialized. The first complaint, involving payments and receipts originated in Ontario. The second complaint from Manitoba concerned the fees associated with extended treatment time. In both cases, provincial representatives intervened and initiated early dispute resolution. To date, the Ontario complainant has ceased communication and appears to be handling matters on his or her own, while the Manitoba issue has been resolved definitively. The intake office at the CAO Office has received the routine number of calls since ad-interim meeting in February. The twenty-four calls were generally informative in nature and required no additional intervention. Regionally, Alberta generated five calls, the Atlantic region two, British Columbia five, Manitoba two, Ontario five, Quebec five, and Saskatchewan zero.

Communications Report Dr. Daniel Pollit, CAO Web Master [Email: dpollit@sympatico.ca]

The discussion forum officially known as BraceSpace, courtesy of contest winner Howard Steiman, is home to sixty-six registered members. The number one objective is to increase site utilization, especially by the New and Younger members group, since the transference of their forum from Yahoo Groups and a revamp of the NYM section of the CAO website. Promotion of BraceSpace to the NYM will be overseen by Susan Tsang, while Dan Pollit will do same for the membership-at-large.

Dr. William Sinclair passed away peacefully June 1st, 2010. Dr. Sinclair was a Captain in the Army while studying to be a dentist and an orthodontist, ultimately receiving his Masters degree and PhD in neurophysiology. He maintained a private practice in Scarborough, was a one-time member of the Oral Facial Clinic at the Hospital for Sick Children in Toronto and taught at the Faculty of Dentistry at the University of Toronto. As of late, Bill practiced part-time, enjoying his retirement at the cottage northeast of Toronto. Dr. Sinclair is survived by his wife Rebecca, daughters Holly and Michele and grandchildren Alex, Claire and Rachel. The CAO extends its deepest sympathies to the Sinclair family during this difficult time.

In Memoriam

Roland Albert Dr. Roland Albert passed away suddenly on October 2, 2010. Rolly was born in Kapuskasing Ontario, travelling to Toronto to fulfill his lifelong dream of becoming a dentist and ultimately an orthodontist. He maintained a private practice in Ottawa, enjoying every day of his greater than fifty years in practice and was oft overheard repeating “Don’t worry about me!” his trademark outlook on life. Dr. Albert is survived by his wife Joan, children Elizabeth, Christine, Charlene, Michael and Paul, and numerous grandchildren. The CAO extends its most sincere condolences to the Albert family during their time of loss.

Fall 2010 • CAO Bulletin

CFAO Graduate Student

Posterboards Abstracts from the 2010 CAO Annual Scientific Session – Part 1 of 2 part series University of Alberta THE VALIDITY AND RELIABILITY OF LINEAR MEASUREMENTS USING VIRTUAL STUDY MODELS: A SYSTEMATIC REVIEW

University of Alberta CEPHALOMETRIC COMPARISON BETWEEN PEDIATRIC OSA PATIENTS ON NCPAP THERAPY AND UNTREATED CONTROLS Authors: Korayem M*, Flores-Mir C, Major PW, Witmans M.

Authors: Luu NS*, Nikolcheva LG. INTRODUCTION: Linear measurements on three-dimensional virtual study models, acquired by laser or holographic scanning of models, or CBCT scanning of impressions, can be performed in lieu of conventional plaster models. AIM: To perform a systematic review of the literature to assess validity and reliability of linear measurements using virtual versus plaster study models. METHODS: An electronic search strategy was developed for PubMed, Medline, All EBM Reviews, Web of Science and Lilacs. Two evaluators determined the eligibility of papers by applying specific selection criteria. The data was weighted by sample size and analyzed in terms of the validity and reliability of linear measurements on virtual and plaster models. RESULTS: 277 papers were electronically identified and ultimately distilled to 19 papers. Measurements involving two landmarks on virtual models had weighted mean differences up to 0.2 mm smaller than plaster models, ICC values greater than 0.882 and Pearson’s R values greater than 0.617. Measurements requiring more than two landmarks on virtual models had weighted mean differences of up to 0.6 mm greater than plaster models, ICC values greater than 0.984 and Pearson’s R values greater than 0.963. DISCUSSION: The validity and reliability of linear measures were high using virtual or plaster models, with measures requiring only two landmarks generally better than those requiring more than two landmarks. The same conclusions can be found whether the virtual models were acquired by laser, holographic or CBCT scanning. CONCLUSIONS: Linear measurements from virtual study models can be used clinically.

(*Presenter)

CAO Bulletin • Fall 2010

INTRODUCTION: Investigation is required to discern whether any specific craniofacial differences are attributable to long term CPAP use. AIM: The purpose of this study is to compare craniofacial features between pediatric patients with Obstructive Sleep Apnea (OSA) being treated with nasal Continuous Positive Airway Pressure (nCPAP) and comparable patients not receiving nCPAP. METHODS: A sample of 34 pediatric patients with a polysomnogram-confirmed diagnosis of Obstructive Sleep Apnea (OSA) was identified. The sample was divided into two groups: A nCPAP group consisting of children currently receiving nCPAP therapy (n=20), and a Control group of not yet nCPAP- treated (n=14). CBCT scans were obtained on all study patients and 2-D cephalogram-like images were generated from the 3-D volumes following a standardized method. These images were then traced and a series of cephalometric variables were selected for comparison between the two groups. RESULTS: Both groups showed significantly shorter Anterior Cranial Base length measurements (SN) compared to normative data. Although SNA values were not significantly different between the two groups and compared to normative data; the nCPAP group was significantly different from both the Control group and normative data with regards to ANperp. The Control group ANperp values were not significantly different from normative data. No mandibular dimensions were considered. DISCUSSION: There appears to be some differences, between OSA patients with and without nCPAP treatment. CONCLUSIONS: Pediatric patients with a history of OSA have distinct craniofacial features compared to normative data.

CFAO Graduate Student Posterboards University of Alberta CANADIAN WOMEN IN ORTHODONTICS AND WORK-FAMILY BALANCE: CHALLENGES AND STRATEGIES

University of Manitoba EFFECT OF BLEACHING ON SHEAR BOND STRENGTH OF FLUORIDE- RELEASING SEALANT

Authors: Davidson S*, Flores-Mir C, Amin M, Major PW, Keenan L.

Authors: Xiem Phan, Sercan Akyalcin, Tammy Bonstein, William Wiltshire

INTRODUCTION: Despite the dramatic increase in the number of females entering the orthodontic profession, there is little published literature on female orthodontists and workfamily balance.

OBJECTIVE: The purpose of this study was to evaluate the effect of in-office with at-home touch up bleaching on shear bond strength of a fluoride-releasing sealant.

AIM: Explore work-family balance among Canadian female orthodontists. METHODS: A qualitative study obtained data from semistructured telephone interviews. A purposive sample of thirteen Canadian female orthodontists was chosen based on age, marital status, presence of children, geographic region and practice type. RESULTS: Canadian orthodontists defined balance in terms of having success and satisfaction in both their personal and professional lives, and understanding the requirements of compromising and prioritizing. Adaptations to both the maternal and professional roles are discussed and areas of role conflict are identified. DISCUSSION: The participants discussed the specific challenges of work-family balance in orthodontic practice which included: scheduling issues; dependence on referrals; large amounts of paperwork; and lack of professional support. Six areas of adaptation to the maternal role included: timing of children; maternity leave; breastfeeding; employing a support system; segregation from other mothers; and personal and relationship time. Four areas identified as adaptations to the professional role were: changes to practice structure; modifications to the practice during maternity leaves; cutting back days; and reassurance of referrals. Finally, participants identified four areas where they experienced the most role conflict: timing of children; maternity leaves; breastfeeding; and caring for a sick child. CONCLUSIONS: The issue of work-family balance is of paramount importance to the women interviewed. Challenges are identified and strategies presented.

MATERIALS AND METHODS: Eighty human molars were randomly into bleached and non-bleached groups. The bleached teeth were applied with 45% of Carbamide peroxide gel (Opalescence Quick, Ultradent, Utah) on the first application for half an hour, followed with five applications of 20% Carbamide peroxide gel in 24 hours interval. The teeth were then stored in artificial saliva at 37°C in incubator for two weeks before bonding. The teeth in both groups were either bonded using regular primer and Transbond XT (R) adhesive, or Pro Seal sealant (R) and Transbond XT adhesive, then stored in artificial saliva and subjected to shear-testing 24 hours after using a Zwick Universal Test Machine. RESULTS: In the non-bleached subgroups, the means shear bond strength were 18.00 ± 4.14 MPa and 19.22 ± 3.43 MPa for the regular primer and ProSeal, respectively. Meanwhile, in the bleached subgroups, the means shear bond strength were 21.96 ± 2.87 MPa and 22.61 ± 4.42 MPa for regular primer and ProSeal, respectively. The Kruskal-Wallis test indicated there was a significant difference between the four subgroups (p=0.0011). Further simple t-tests indicated that the differences were significant only between bleached and non-bleached subgroups

Thanks to GAC for their support of the CFAO Posterboards Fall 2010 • CAO Bulletin

CFAO Graduate Student Posterboards CONCLUSION: The 24-hour debonding results indicated that enamel in-office bleaching with at-home touch up two weeks prior to bonding did not reduce the bonding strength of fluoride releasing sealant

University of Manitoba A RETROSPECTIVE CEPHALOMETRIC STUDY FOR THE ASSESSMENT OF RELAPSE IN DEEP BITE PATIENTS Authors: Pollard D*, Akyalcin S, Wiltshire W, Blight N, Rody W.

INTRODUCTION: Deep-bite malocclusion is one of the most challenging problems faced by orthodontists mainly because of the high relapse tendency. Therefore, it is of utmost importance to determine the morphological characteristics of the individual patient in order to minimize such tendency. STUDY PURPOSES: Three groups of Orthodontic patients separated by vertical facial type were analyzed in order to (1) evaluate the amount of deep bite relapse (2) determine the as-

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sociations of various parameters with the relapse of deep-bite malocclusion. METHODS: The sample consisted of the records of 60 orthodontic patients treated at the University of Washington that presented with pre-treatment incisor overbites of 50% or greater. Subjects were categorized into three groups according to their pre-treatment cephalometric values for Y-axis, MPA, and Lower Facial Height (Ricketts), which yielded 28 mesocephalic, 16 dolicocephalic, and 16 brachycephalic subjects. Data was collected by measuring casts and performing cephalometric analysis at three timepoints: T0 (pre-treatment), T1 (post-treatment), and T2 (10 year post-retention). RESULTS: Dolicocephalic subjects showed the least amount of deep-bite relapse (0.13 mm or 5.9%) compared to brachycephalic (1.2 mm or 36%) and mesocephalic (1.4 mm or 53%) subjects. IMPLICATIONS: Orthodontists may want to consider accounting for this added relapse by overcorrection of overbite in patients determined to be at a higher risk.

University of Montreal THE ACCURACY AND RELIABILITY OF PLASTER VS DIGITAL STUDY MODELS: A COMPARISON OF THREE DIFFERENT IMPRESSION MATERIALS Author:

Lands B*

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INTRODUCTION: The purpose of this study was to examine the effects of different impression materials on the accuracy and reliability of digital models.

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CAO Bulletin â&#x20AC;˘ Fall 2010

METHODS: Models from 25 patients selected at random from the files of the Department of Orthodontics at the University of Montreal were used in this study. One alginate (Kromopan 100 alginate, Italy), 1 alginate alternative (Alginot, Kerr Dentistry, Orange, CA), and 1 PVS (Aquasil, Dentsply Caulk, Milford, DE) impression was taken of both arches of each patient and sent to Orthobyte (Othobyte Digital Technology inc., Calgary, AB) for fabrication of a plaster model and scanning for production of a digital model. The Bolton 6 and 12 analyses and their constituent measurements, overbite, overjet, and arch length were used for the comparison. RESULTS: The repeatability of measurements using both the plaster and digital methods was good to excellent, with the plaster measurements tending to be more reliable. There were

CFAO Graduate Student Posterboards statistically significant differences in the Bolton 12 and mandibular arch length and spacing measurements for all impression materials, with the plaster models tending to give a smaller measurement for the Bolton 12 and a higher measurement for the mandibular arch length and spacing. Although statistically significant differences in some measurements were found for the reliability and validity of digital models, none was clinically significant.

also an increase of the oropharyngeal minimal cross-sectional area at 6 months post-expansion. At one year post-SARPE, for these three parameters, a part of the gain was lost but did not return to the initial values. No significant effect on oropharyngeal volume was found. No significant correlation between expansion screw activation and radiological parameters were noted. Intra-class correlation analysis showed excellent intraexaminer reliability.

CONCLUSIONS: The accuracy and reliability of the software for comprehensive cast analysis is clinically acceptable and reproducible when compared with traditional plaster study model analysis.

CONCLUSIONS: SARPE causes significant changes of the nasal cavity and nasopharyngeal volumes. SARPE does not modify the oropharyngeal volume, but induces significant changes of the oropharyngeal minimal cross-sectional area. The observed effects do not have a correlation with the amount of expansion screw activation.

KEY WORDS: Digital models; Impression materials; Orthodontics

KEYWORDS: SARPE, upper airways, cone-beam computed tomography

University of Montreal EFFECTS OF SARPE ON UPPER AIRWAY VOLUME AND SHAPE: A CBCT EVALUATION Author:

Drapeau A*

University of Toronto TIMING OF PEAK MANDIBULAR GROWTH IN DIFFERENT FACIAL GROWTH PATTERNS Authors: Lee B*, Suri S, Tompson B , Stephens D

INTRODUCTION: Surgically assisted rapid palatal expansion (SARPE) is a treatment of choice for patients who have reached skeletal maturity and present a maxillary transverse deficiency. It is often mentioned that SARPE has the benefit to improve respiratory function, however, only a few research projects have investigated the effects of SARPE on the upper airways. The objective of this clinical prospective comparative study was to evaluate the three-dimensional effects of SARPE on the nasal cavity, the nasopharynx and the oropharynx using computed tomography. MATERIALS AND METHODS: The sample consisted of 14 subjects (5 males, 9 females) whose mean age was 23.0 Âą 1.9 years (range: 16 y. 4 mo. to 39 y. 7 mo.). All patients were treated using a bonded Hyrax expander and the mean expansion was 9.82 mm (7.5-12.0 mm). A one-year retention period was undertaken before the beginning of any other orthodontic treatment. A cone-beam computed tomography (CBCT) evaluation was performed at T0 (initial), T1 (6 months post-expansion) and T2 (1 year post-expansion), and then the nasal cavity, nasopharyngeal and oropharyngeal volumes and the oropharyngeal minimal cross-sectional area were measured on the three-dimensional volumes that were obtained. RESULTS: Radiological results have demonstrated a significant increase of the nasal and nasopharyngeal volumes and

BACKGROUND: Objectives: To describe the timing and rate of PMG in orthognathic subjects with different facial growth patterns. METHODS: From a sample of 180 subjects from the BGC with annual lateral cephalograms from age 9 to 18 years, those who received comprehensive orthodontic therapy were excluded. ANB was measured at age 16 years to select orthognathic profiles (ANB 1 to 4.5 deg). Y-axis was measured at 10 and 16 years. Based on the Y-axis change (mean = 1.82 deg), the final sample was grouped into average (-2 to 0 deg; n=18), vertical (> 0 deg; n=14) and horizontal (< -2 deg; n=31) growth patterns. Mandibular growth rates were calculated and PMG was determined from annual mandibular growth graphs. RESULTS: PMG occurred at 13.23 + 1.80 yrs in the vertical facial growth pattern group, 13.61 + 1.11 yrs in the average and 13.68 + 1.27 yrs in the horizontal group. The rates at PMG were 4.6 + 1.4 mm/yr in the vertical, 5.0 + 1.5 mm/yr in the average and 4.8 + 1.8 mm/yr in the horizontal growth pattern groups. No significant differences were found in age or rate at PMG between the facial growth patterns, however an interaction between gender and growth pattern was found. Fall 2010 â&#x20AC;˘ CAO Bulletin

CFAO Graduate Student Posterboards CONCLUSIONS: Individuals with different growth patterns do not significantly differ in the timing or rate of PMG. The interaction between gender and growth pattern due in part to the earlier age of PMG in vertically growing females compared to individuals with average and horizontal growth patterns.

University of Western Ontario A CEPHALOMETRIC COMPARISON OF TREATMENT EFFECTS IN ORTHODONTIC CAMOUFLAGE OF SKELETAL CLASS III CASES Authors: Alison Stefanuto, Antonios Mamandras, Ali Tassi, David Banting, University of Toronto

INTRODUCTION: The purpose of this retrospective cohort study was to determine the dental and soft tissue changes in response to different treatment modalities for orthodontic camouflage of skeletal Class III cases.

The University of Manitoba Posterboard Presenters.

The University of Alberta Poster Presenters receive with CFAO President Dr. Gordie Organ.

CAO Bulletin â&#x20AC;˘ Fall 2010

METHODS: Seventy-three patients with skeletal Class III malocclusion were selected from the University of Western Ontario graduate orthodontic clinic archives as well as three private practice clinics. Twenty-three patients had treatment with extraction of lower second molars, twenty-five had lower premolar extractions and twenty-five had non-extraction compensation of their skeletal malocclusion. All patients were beyond their peak mandibular growth, being at least cervical vertebrae stage 4, 5, or 6. Lateral cephalometric radiographs from pre- and post-treatment were digitized, traced and analyzed for dental, skeletal and soft tissue changes. HYPOTHESIS: The null hypothesis was that there is no difference in final outcome of upper and lower incisor inclincation, overbite, overjet, first molar inclincation, occlusal plane rotation, and lip relation to Sn-Pgâ&#x20AC;&#x2122; line. RESULTS: Data analysis is in progress

U of T students pose with Dr. Angelos Metaxas at their Posterboards.

Component Society Reports

British Columbia

tice development and promotion. A committee to establish a new member mentorship program was struck and reported upon at the BCSO meeting in September.

Dr. Rick Odegaard [Email: dr.odegaard@shawcable.com]

The annual general meeting of the BCSO was held on May 14, 2010. CAO President Gerry Zeit was in attendance and presented a concise and thorough update to the membership. Dr. Zeit’s attendance at the BC meeting was very much appreciated. The BCSO is moving forward with its media awareness campaign, funded through a one- time levy of $700.00 to be paid on a voluntary basis. At the time of the meeting ten more payments were required for the campaign to proceed. Concerns were raised regarding the amount and the type of advertising placed by some of the orthodontists in British Columbia, particularly those setting up new practices. Since the BCSO does not have the mandate to enforce advertising guidelines it was suggested that the BCSO could be more proactive in mentoring new orthodontists with respect to prac-

DID YOU KNOW??? You can list your practice in our classifieds! Whether you are looking to expand and need an associate, or if you are getting ready to sell your practice, the CAO can help! Listings on our Members Only website are free, but for a 50% reduction on the regular ad rates, you can also publish your ad in the CAO Bulletin. Let the CAO help you fill your practice needs! You can remain anonymous and have the CAO office field all file enquiries. Contact the CAO office at cao@taylorenterprises.com for more information.

CAO Bulletin • Fall 2010

The graduate orthodontic program at the University of British Columbia has accepted three residents commencing September of this year. Alexa Herbertson was elected as Secretary-Treasurer of the BCSO joining Ryan Bulat as Vice President and Robert Elliott as President.

Alberta Dr. Phil Williamson [Email: drphil@telusplanet.net] The Alberta Society of Orthodontists (ASO) Annual General Meeting was held March 6th, 2010 at the Rimrock Resort in Banff. President Gerry Zeit updated the group on CAO activities. The 2011 ASO Annual Session will be held on March 4th to 5th, 2011 at the same locale where Dr. John Graham will speak on the subject of temporary anchorage devices. The current executive of the ASO includes Immediate PastPresident Keith King, President Michael Bleau, Vice President Cory Liss and Secretary-Treasurer Warren Cohen. The Executive of the ASO remains interested in utilizing CAO’s resources to host its website. Contact information has been provided to the ASO Executive to pursue this endeavour. The College of Dental Assistants of Alberta (CADA) has recently finalized revisions of its orthodontic module to include the cementation of bands and appliances as well as indirect and direct bonding of non-critical attachments. The Alberta Dental Association and College (ADA&C) have made minor revisions to their Infection Prevention and Control (IPC) Standards document. The standards must be fully implemented by January 1, 2012, one year later than previously indicated. The ADA&C has ruled that referencing membership in the Canadian Association of Orthodontists (CAO) or the American Association of Orthodontists (AAO) in advertising and

Component Society Reports promotional activities is a violation of its Code of Ethics (Articles B4.6 and B4.7) and the Alberta Health Professions Act (Section 102). This strict interpretation of the Act and the Code by the Complaints Director of the ADA&C has been questioned by the ASO. Dr. Gerry Zeit of the CAO and Dr. Robert Bray of the AAO wrote strong letters in support of the ASO position to allow use of these references in member advertising. Despite these efforts, the original interpretation has been upheld by the ADA&C. The ASO Executive is considering polling its membership on whether or not to pursue this matter further. The CAO Board passed a motion at its September meeting providing adjunctive support to the ASO to investigate the legality of the ADA&C ruling.

Saskatchewan Dr. Ross Remmer [Email: dr.remmer@sasktel.net]

The College of Dental Surgeons of Saskatchewan has customarily negotiated a fee schedule with Health Canada under which all licensed practitioners were bound to accept direct reimbursement for approved services provided to First Nations clients at a set fee. When negotiations between the parties broke down earlier this year and a letter of understanding was not approved, orthodontists, for the first time, were able to invoice his or her standard fee to patients with FNIHB coverage. Orthodontists who invoice FINHB patients directly must now notify the College in writing, requesting that these patients submit receipts to Health Canada for repayment. In spite of the logistical difficulty, ESI will continue to directly reimburse orthodontists for patients started prior to the new ruling. To express thanks to the dental community and to raise funds for About Face International, the SSO is again sponsoring a martini bar at the Annual Session of the College of Dental Surgeons of Surgeons in Saskatoon. For a two dollar charge, purchasers can get a sparkling martini poured through an ice sculpture designed with a dental motif. Thanks to all the orthodontic suppliers whose sponsorship make this project a success. It was a pleasure to host President Steiman in Saskatoon to attend the AGM of the Saskatchewan Society of Orthodontists. The SSO made a donation to the CFAO in honour of his visit. Thanks to Mike Ziglo for assuming the dual role of President of the SSO and Member on the CAO Board, and to Kam

Olfert for becoming PCSO representative, taking over from James Stephenson who so capably held this position over the last four years.

Manitoba Dr. Susan Tsang [Email: s_tsang2@hotmail.com]

The spring Manitoba Orthodontic Society (MOS) dinner meeting was held on April 15th, 2010. The CAO Vice-President, Dr. Howard Steinman, was in attendance to provide an update on the activities of the CAO. The fees paid by NIHB for orthodontic treatment provided by orthodontists to eligible patients in Manitoba were a central topic of discussion. Currently, NIHB pays $4,970.00.00, significantly lower than all other provinces that receive in the range from $5,253.00 to $6,444.00. It is not clear to the MOS exactly why there is the discrepancy and exactly what avenue can be pursued to have this gap narrowed. The AAO affiliation agreement continues to be a work in progress. MOS bylaws are currently being compiled by lawyers contracted by the MOS. At the University of Manitoba, three new residents have started in the program; Randeep Chana, Nick Playfair and Inez Guedes. In the upcoming months, the program will welcome guest speakers Drs. Claude Remise and Wick Alexander. In 2011, the graduate orthodontics program will celebrate its 45th anniversary and Dr. Billy Wiltshire’s 15th year as program director. The Faculty has approved a new graduate paediatric dentistry program and start-up funding is currently in progress.

THANK YOU!! The CFAO would like to thank all of those that donated auction items for this year’s inaugural silent and live auction at the Scientific Session in Whistler. We raised almost $6,000 for the CFAO during the conference and you made that possible. We are beginning to seek items for our next auction, which will be held in Halifax, NS, in September 2011. Please contact the CAO office should you wish to participate with an item donation.

Fall 2010 • CAO Bulletin

Component Society Reports Ontario

Quebec

Dr. Helene Grubisa

Dr. Jean-Marc Retrouvey

[Email: drgrubisa@sympatico.ca]

[Email: jmretrouvey@videotron.ca]

The Ontario media campaign, designed to dovetail with the AAO national campaign, has completed its initial run. From mid- April until the end of May the on-line public awareness campaign included blogs, message boards, Twitter and social networks. From the beginning of May until the end of July, there was an on-line display campaign running involving Yahoo, canadianparents.com and Toronto Star sites with the intent to compound the effect for definitive online presence. The AAO on-line ad was used and customized to link to the recently updated OAO website. The magazine ad was customized to include the OAO logo and was run in the May and June editions of Canadian Family magazine. The impact and results of this campaign are forthcoming. A full assessment will be the focus of the upcoming OAO Executive meetings and decisions will be made on how the campaign will proceed into 2011. The OAO incorporation process is underway and parameters are being set for governance in the future. The constitution and bylaws of the association are being revisited and a committee has been examining the details of the ‘new’ constitution. Non-OAO members have been known to use the OAO logo on his/her website, misrepresenting themselves as members when they are not. The OAO protocol is to contact the nonmember, whereby he or she can choose to either become a member or to remove the logo. Google, and/or other engine searches that sponsor links for “orthodontist” + city, often allow general dentists to be listed as the top search results. The OAO is considering a formal complaint to the RCDSO since these paid links may be listed under regulations that address general practitioners advertising as ‘specialists’. The Ontario Dental Association has recently reminded its members that they are not permitted to treat their spouses. The RHPA stipulates that treating of your spouse is grounds for immediate loss of one’s licence for a period of up to five years according to the Leering decision, which states that, without exception, health professionals are not permitted to have intimate relations with his or her patients. (Hold that thought. Please.)

On March 19th, 2010, Antonio Secchi gave a presentation on self-ligating brackets and modern biomechanics. During the Québec General Assembly on May 31st 2010, Gerry Zeit addressed the Quebec Orthodontists to introduce the website, the new on-line directory and the purchase of a Connect license for future web-based conferences and continuing education. Dr. Zeit also spoke about the Canadian Orthodontic Program directors no longer teaching the Invisalign system as part of their respective programs. The interdiction to use the CAO or AAO logos by Alberta orthodontists was also discussed. Dr. Zeit informed the audience that Kelowna was the most successful CAO meeting ever and encouraged attendance at the CAO Annual Scientific Session in Whistler, British Columbia. On October 15th, 2010 Dr. Warshasky and others addressed multidisciplinary treatment during the day, while the second annual gala of the Association des Orthodontistes du Québec took place at the hotel Crown Plaza later that evening. Last year’s event was an amazing party and raised $92,000.00 for the Children’s Hospital of Quebec. The goal for this year is to raise even more money and attract greater media exposure, highlighting the orthodontic society’s commitment to the welfare of the community.

Rapport de la province de Québec Invité par l’association des Orthodontistes du Québec le 19 mars 2010, Dr Antonio Secchi a présenté une conférence au sujet des boîtiers autoligaturants et leur importance dans la biomécanique moderne. Au cours de notre assemblée générale, le Dr. Gerry Zeit, notre président, a présenté le nouveau site Web, le nouvel annuaire électronique et fait l’acquisition d’une license Connect (Adobe, Inc) pour permettre la création et la diffusion de conférences en ligne et la création de modules d’éducation continue. Dz Zeit fit aussi part à l’audience de la décision des directeurs de programmes d’orthodontie pan canadiens de ne plus enseigner la technique Invisalign. Le problème posé par l’interdiction de l’utilisation des logos du CAO et de l’ AAO en Alberta fut aussi discuté. La conférence de Kelowna fut la réunion annuelle de l’ACO

CAO Bulletin • Fall 2010

Component Society Reports ayant remporté le plus de succès et le Dr Zeit a encouragé l’assistance à assister à celle de Whistler, en septembre 2010, qui sera tenue conjointement avec l’association canadienne des chirurgiens maxillo-faciaux. Le 15 octobre 2010, le docteur Warshasky etses collaborateurs nous feront part de leur expertise dans les traitements interdisciplinaires. En soirée, le deuxième gala bénéfice de l’Association des Orthodontistes du Québec aura lieu à l’hôtel Crown Plaza. L’an dernier, ce gala extraordinaire avait permis d’amasser $92000 pour les fondations de l’Hôpital de Montréal pour Enfants, de l’hôpital Sainte-Justine et de l’hôpital pédiatrique de Québec. Cette année, l’AOQ tentera de récolter encore davantage de fonds et d’augmenter la couverture médiatique de l’événement, de façon à informer la population de l’implication. des orthodontistes québécois dans le mieux-être de leur communauté.

Atlantic Report Dr. Stephen F. Roth [Email: stephenfroth@mac.com] The Atlantic Orthodontists Association held its Annual General Meeting in Halifax on May14th, 2010 in Halifax, Nova Scotia. CAO PresidentElect, Dr. Howard Steiman was in attendance. Dr. Steiman did his best to fill the shoes of CAO President, Dr. Gerry Zeit (see photo). By the meetings end, all felt Dr. Steiman did a fine job and that that he is likely prepared to assume the Presidency of the CAO.

The AOA has elected a new slate of officers for the upcoming year. Past-President Brien Stackhouse, President and CAO Representative Dan Stuart, Vice- President and NESO Representative Don Johnston and Secretary-Treasurer Stephen Roth. Stuart Matheson, of Charlottetown, Prince Edward Island, has stepped down from the position of Secretary-Treasurer after holding the position over the past eighteen years. The AOA extends its sincerest thanks to Dr. Matheson for his dedication. Please welcome Dan Stuart as the new AOA representative to the CAO Board. Originally from Yarmouth, Nova Scotia, Dan is a graduate of Dalhousie University and the University of Manitoba. He currently practices in Dartmouth, Nova Scotia. Dan has served as the NESO representative for the AOA for the past three years. The AOA has still not incorporated in preparation for signing the AAO affiliation agreement. The AOA has been advised by legal counsel that the federal government has delayed new regulations for incorporation of non-profit organizations until sometime in 2011. As this is my last AOA Board report, I would like to thank the entire Board for their efforts over the last three years. I appreciate the friendships I have made and I am proud of the work that has been accomplished on behalf of the profession of orthodontics in Canada.

DID YOU KNOW??? The CAO offers free listings on our Members Only website for available locum services! We are happy to list both locations available and doctors willing to serve in this capacity. This service is open to all members, and all you need to do is just send us an email at cao@taylorenterprises.com and we will list it in the Classified Section of the website. Just include your name and contact info where you can be reached…we’ll do the rest!

Fall 2010 • CAO Bulletin

Straight Shooters According to Steiner, if you don’t know SNA and you don’t know SNB, then you know SFA. What’s the connection between orthodontics and cyber-porn? The E-Sex retainer When asked by the local media to comment on the percentage of adult patients within his practice, the wise old orthodontist sat back, thought for a moment and gave his answer... One hundred percent: They come in as kids, but don’t leave until they’re adults!

Canadian Association of Orthodontists UPCOMING ORTHODONTIC MEETINGS 2011 May 13-17 . . . . . . . . . .AAO Annual Session, Chicago, Illinois & MSO Annual Session June 18-23 . . . . . . . . .European Orthodontic Society Annual Session Istanbul, Turkey July 28-31 . . . . . . . . . .GORP, St. Louis, MO Aug. 11-14 . . . . . . . . .RMSO Annual Session, Keystone, CO Sept. 15-18 . . . . . . . . .Joint GLAO/MASO Annual Session, Pittsburgh Sept. 20-25 . . . . . . . . .PCSO Annual Session, Vancouver, BC Sept. 23-25 . . . . . . .CAO Annual Session, Halifax, Nova Scotia Sept. 28- Oct. 2 . . . . .SAO Annual Session, Boca Raton, FL Oct. 10-13 . . . . . . . . .American Dental Association Annual Session, Las Vegas, NV Oct. 13-16 . . . . . . . . .SWSO Annual Session, Houston, TX Oct. 24-28 . . . . . . . . .American Dental Association Annual Session, Las Vegas, NV Nov. 10-13 . . . . . . . . .NESO Annual Session, Boston, MA 2012 May 4-8 . . . . . . . . . . . .AAO Annual Session, Honolulu, Hawaii June 18-23 . . . . . . . . .European Orthodontic Society Annual Session, Santiago de Compostela, Spain Aug. 3-11 . . . . . . . . . .MSO Annual Session, Alaska Cruise Sept. 6-8 . . . . . . . . . .CAO Annual Session, Ottawa, Ontario Sept. 20-23 . . . . . . . . .MASO Annual Session, Baltimore, MD Sept. 27-30 . . . . . . . . .SAO Annual Session, Asheville, NC Oct. 4-7 . . . . . . . . . . . .PCSO Annual Session, Monterey, CA Oct. 11-14 . . . . . . . . .GLAO Annual Session, Indianapolis, IN Oct. 18-23 . . . . . . . . .American Dental Association Annual Session, San Francisco, CA Oct. 25-28 . . . . . . . . .SWSO Annual Session, Oklahoma City, OK Nov. 1-4 . . . . . . . . . . . .RMSO Annual Session, TBA (tentative) Nov. 8-12 . . . . . . . . . . .NESO Annual Session, New York, NY Nov. 23-26 . . . . . . . . .8th Asian Pacific Orthodontic Congress, New Delhi, India 2013 May 3-7 . . . . . . . . . . . .AAO Annual Session, Philadelphia, Pennsylvania June 26-30 . . . . . . . . .European Orthodontic Society Annual Session, Reykjavik, Iceland Sept. TBA . . . . . . . . .CAO Annual Session, TBA Sept. 19-22 . . . . . . . . .MSO Annual Session, Kansas City, MO Sept. 26-29 . . . . . . . . .GLAO Annual Session, TBA Oct. 2-6 . . . . . . . . . . . .SAO Annual Session, Hilton Head Island, SC Oct. 10-13 . . . . . . . . .SWSO Annual Session, Dallas, TX Oct. 16-20 . . . . . . . . .PCSO Annual Session, San Diego, CA Oct. 31- Nov. 5 . . . . . .American Dental Association Annual Session, New Orleans, LA Nov. 14-17 . . . . . . . . .MASO/NESO Joint Annual Session, Puerto Rico (tentative)

CAO Bulletin • Fall 2010

Diversions and Distractions Four families with different numbers of children each boarded a different car for a trip on the local steam railway line operating in the area where they were on vacation. From the clues given below, can you name the family traveling in each of the cars from 1 to 4, say how many children were in each and name their hometown? 1. The Abbot family was fewer in number than the one from Hereford, who were in a coach somewhere behind them. 2. The vacationers from Grimbsy, who did not have an only child, were in an adjacent car to the Mayhews. 3. The people from Poole had more children than the family in car 1. 4. The Deal family was farther away for the locomotive than the one containing three children. 5. The two-child family’s surname is Yates; they chose an even-numbered car to travel in. Surnames: Abbot; Driscoll; Mayhew; Yates Children: 1; 2; 3; 4 Hometowns: Deal; Grimsby; Hereford; Poole

[1]

[2]

[3]

[4]

Surname Children Hometown Please forward your solution to james.posluns@utoronto.ca A prize will be your reward (I promise!)

Last Edition’s Answer A. B. C. D.

Thunderer, Mick Steed, red/green Copenhagen, Tony Nagg, yellow/black White Surrey, Nick Steed, blue/gold Golden Bridle, Sam Dobbin, red/white

Congratulations to Dr. Allan Baker, who forwarded the correct answer in record time. The cheque is in the mail!

Fall 2010 • CAO Bulletin

From the Editor

Dr. James Posluns [Email: james.posluns@utoronto.ca]

‘Cause we all just wanna be big rock stars. And live in hilltop houses, driving fifteen cars. The girls come easy and the drugs come cheap. We’ll all stay skinny ‘cause we just won’t eat. Nickelback (2005)

Hitting the Road for Fun and Proffit

been Bill Proffit: The Farewell Tour. What is it about this man that keeps us coming back year after year? His material is ultra-conservative and there’s probably not an orthodontist in North America who doesn’t thank Contemporary Orthodontics for getting him or her through the Fellowship exam. His delivery is far from flashy. He’s about as deadpan as they come, with a bit of good-ole ‘Southern Hospitality’ thrown in for good measure. Listening to Proffit is like watching a rerun of Seinfeld: You know exactly what’s coming, but seeing the characters on the screen is like visiting old friends. So why travel two thou-

As luck would have it, I was fortunate to hitch a ride from the Vancouver airport to the Whistler meeting in a fancy black Cadillac SUV. It was the nicest car I’ve ever been in. I figured I’d better live it up; the next time I ride in a Cadillac limo, the view won’t be as memorable, if you catch my drift. “Sweet ride” I complimented the driver, who looked to be all of sixteen years old. “Thanks” he replied. “Picking up anyone else in the next few days?” As Bulletin editor, I do doubleduty as a card-carrying member of the paparazzi. “Just some guy coming in from the States on Thursday night, a Dr. Proffit” he chuckled. “Sounds kinda like money. Cool. With a name like that, he’s gotta be a big tipper!” He paused, started the Caddy, switched on the mega-watt surround-sound DVD player and set the GPS northward. I looked out the window into the blackness, and thought about his next fare. With the utmost respect, the tag line for this year’s meeting could have easily

CAO Bulletin • Fall 2010

sand miles when you’ve seen it all before? Because the dude is a rock star. Pure and simple. But like every aging rock star, Dr. Proffit can see the writing on the wall. Ipods, Ipads, file-sharing; who’s going to buy the book when it can be lifted off the net for free? There’s nothing to be made off print anymore. Time to go on tour! There’s a palpable excitement when Billy’s ‘In-the-House’. People hurry down the hallways in which they usually saunter to get a choice seat. No one pays attention during the warm-up act; it’s all about the main event. When the

lights finally go down, from the back row, one can see the glow of cellphones and Blackberrys where once cigarette lighters burned bright to accompany the great man to the podium. He takes the stage. A hush comes over the crowd and the show begins. The audience is mesmerized; it happens again and again, city after city, town after town. When it ends, there’s a cry for encore, but true to form, we’re always left wanting more. Those lucky enough to have a back stage pass affixed to their CAO badge-lanyard thingy flash the security guards and approach for a personal message, a photo or an autograph. Groupies mill about, hoping that maybe, just maybe, one of them will be lucky enough to be summoned for an experience to be shared for years to come. And then, just like that, it’s over. Bill escapes the throng and sneaks back to his suite high up in the hotel. Telephone calls are made. Following a post-production debriefing by the staff, it’s time for some ‘R and R’ followed by an escape down the mountain to an airplane waiting patiently below. Back in the lobby, the T-shirts, books and other assorted paraphernalia go fast. The ticket scalpers are smug, sitting at small tables counting their money and sipping imported beer from dark green bottles. The crowd is in another dimension, cries of ‘best-ever’ heard high above the ebb and flow of love emanating from within. I stand back and take it all in. It’s just shy of 2011. Dr. Proffit isn’t going to be with us forever. Get your tickets while you still can. Jimmy P