Fall 2012
Bulletin
CANADIAN ASSOCIATION OF ORTHODONTISTS / ASSOCIATION CANADIENNE DES ORTHODONTISTES
CAO Takes Flight… Highlights of the 64th Annual Scientific Session • Message from the President • 64th Annual Conference Highlights • Committee Reports • CFAO Graduate Student Posterboards - Part 1 of 2 • Component Society Reports
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
2012/2013 Board of Directors OFFICERS President President Elect Past President 1st Vice President 2nd Vice President Secretary/Treasurer
Dr. Paul Major Dr. Garry A. Solomon Dr. Ritchie Mah Dr. Helene Grubisa Dr. Jean-Marc Retrouvey Dr. Michael Patrician
REGIONAL DIRECTORS British Columbia Alberta Saskatchewan Manitoba Ontario Quebec Atlantic
Dr. Rick Odegaard Dr. Robert D. Kinniburgh Dr. Mike Ziglo Dr. Susan Tsang Dr. Sheila Smith Dr. Sonya Lacoursiere Dr. Dan A. Stuart
COMMITTEES Communications Nominations President CFAO COSA Rep CDSA Rep Insurance Planning & Priorities
Dr. Dan Pollit Dr. Ritchie Mah Dr. Stephen Roth Dr. Jean-Marc Retrouvey Dr. Ritchie Mah Dr. Robert Cram Dr. Paul Major
Membership
Dr. Helene Grubisa
Policy & Procedures
Dr. Amanda Maplethorp
Sponsorship
Dr. Michael W. Patrician
World Federation of Orthodontics Conference Advisory Committee Chair
Dr. Paul Major Dr. Howard Steiman
CAO/CDA Liaison Canadian Orthodontic Educators New & Younger Members Rep RCDC Liaison
Dr. Bob Cram Dr. Gerry Solomon Dr. Susan Tsang Dr. Hugh Lamont
CAO Web Master Bulletin Editor Historian/Archivist CAO Helpline Task Force GST Advisor
Dr. Daniel Pollit Dr. James Posluns Dr. Garry A. Solomon Dr. Howard Steiman Dr. Michael W. Patrician
Message from the President Dr. Paul Major [Email: major@ualberta.ca]
I am pleased to have the opportunity to serve the Canadian orthodontic community as the President of the Canadian Association of Orthodontists. I continue to be impressed by the CAO as an organization. We have a strong culture of collegiality, respect and acceptance of difference. We also demonstrate genuine concern and caring for each other. As the CAO President, I am asked to respond to a variety of challenges. In considering how to best meet these various challenges, I recall the mission statement of the CAO. “The Canadian Association of Orthodontists is the national organization and official voice for registered orthodontic specialists and is dedicated to the promotion of the highest standards of excellence in orthodontic education and quality care”. The phrases that I have bolded serve to guide us. As the “official voice” for orthodontic specialists, we are committed to maintaining and to enhancing our relationships with other professional organizations including the CDA and other governance/regulatory bodies. Under our mandate to promote quality orthodontic care, it our responsibility to inform the public of what constitutes quality care. This responsibility includes assisting the public to understand the educational differences between care givers. There has been significant discussion at the CAO Board regarding the appropriate level of media involvement. Unfortunately, to be effective, media campaigns require a cost-prohibitive sustained presence. At least on the short term, the Board has concluded that we do not have the financial resources for effective media involvement. The CAO will continue to seek opportunities to reinforce the public education messages being promoted by the AAO and other orthodontic organizations. The mandate of promoting “the highest standards of excellence in orthodontic education” is likely our best opportunity to have enhanced impact. The CAO actively seeks opportunities to support the orthodontic graduate programs and the graduate students enrolled within. The introduction of webinars and discussion forums has been very positive. Continuing education through our annual scientific sessions requires a fine balance between emerging technologies and scientifically validated information. The trend is toward focused programs with shorter lecture times. The intention is to provide members with a synopsis of current knowledge, using presentations by active researchers and/or recognized content experts. A Scientific Content Continued…
Fall 2012 • CAO Bulletin
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Committee has been formed to plan several years in advance and an Auxiliary Content Committee has been created with similar staff-centered objectives. Ultimately it is up to the membership to support the CAO as a strong, vibrant organization that remains relevant at present and beyond. Paraphrasing the words of an iconic modern-day leader, the question should not be “what is in it for me” rather, “what can I do to contribute”? The Board needs you to be actively engaged and committed. Take the time to participate in social activities and to get to know new members. Let’s continue the culture of inclusion and of genuine concern for one another. Let’s make it a priority to participate in the various educational offerings. Take time to give the feedback so vital to strengthening the organization as a whole. Be willing to volunteer to serve in a leadership role. Together we are the Canadian Association of Orthodontists!
Rapport du président Je suis heureux d’avoir l’occasion de servir le milieu canadien de l’orthodontie à titre de président de l’Association canadienne des orthodontistes. L’ACO est un organisme qui ne cesse de m’impressionner. Nous entretenons une solide culture axée sur la collégialité, le respect et l’acceptation des différences. En outre, nous nous soucions sincèrement des autres et nous les entourons d’attentions. À titre de président de l’ACO, je dois relever divers défis. Lorsque je réfléchis à la meilleure voie à suivre, je songe à l’énoncé de mission de l’ACO : « L’Association canadienne des orthodontistes est l’organisation nationale et porteparole officiel des spécialistes orthodontistes enregistrés et vise à promouvoir les plus hauts standards d’excellence dans l’éducation orthodontique et les soins de qualité aux patients. » Les passages que j’ai affichés en caractères gras nous indiquent la direction à prendre. En qualité de « porte-parole officiel » des spécialistes orthodontistes, nous avons à cœur de nourrir et d’enrichir nos relations avec les autres regroupements de professionnels, dont l’Association dentaire canadienne et d’autres organismes spécialisés dans la gouvernance et le respect de la réglementation.
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CAO Bulletin • Fall 2012
Conformément à notre mandat de promotion de soins orthodontiques de qualité, nous avons la responsabilité de définir la nature de tels soins au bénéfice de la population. Et cette responsabilité suppose d’aider le public à comprendre les différences entre les professionnels de la santé au chapitre de la formation. Le conseil de l’ACO s’est livré à nombre de discussions au chapitre du recours à bon escient aux médias. Malheureusement, pour qu’elles soient efficaces, les campagnes médiatiques exigent une présence soutenue qui coûte la prunelle des yeux. Le conseil a donc conclu, du moins à court terme, que nos ressources financières nous interdisent tout recours efficace aux médias. L’ACO demeurera à l’affût des occasions de renforcer les messages de sensibilisation du public dont l’AAO et d’autres regroupements d’orthodontistes font la promotion. Le mandat de « promouvoir les plus hauts standards d’excellence dans l’éducation orthodontique » est probablement celui qui nous offre les meilleures chances d’augmenter notre impact. L’ACO recherche activement des moyens d’appuyer les programmes d’études supérieures en orthodontie et leurs étudiants. Le lancement de webinaires et de forums de discussion s’est révélé très positif. La formation continue dans le cadre de nos assemblées scientifiques annuelles exige un équilibre délicat entre les nouvelles technologies et une information validée scientifiquement. La tendance est portée vers des programmes spécialisés aux cours à durée réduite. Ces cours ont pour but d’offrir aux membres un synopsis de connaissances à jour au moyen de présentations de chercheurs actifs et/ou d’experts en contenu réputés. Le Comité du contenu scientifique a été créé; sa planification doit porter sur plusieurs années à l’avance et le Comité auxiliaire du contenu a également été mis sur pied et ses objectifs axées sur le personnel sont analogues. En fin de compte, il revient aux membres d’appuyer l’ACO à titre d’organisme fort et dynamique qui demeure pertinent aujourd’hui et demain. Inspirés de la formule d’un leader moderne adulé, il ne faut pas se demander « ce qu’on peut faire pour moi », mais plutôt « ce que je peux apporter comme contribution ». Le conseil compte sur votre engagement et sur votre dévouement dynamiques. Participez à les activités sociales et faites la connaissance de les nouveaux membres. Continuons de promouvoir la culture de l’inclusion et de l’attention sincère et réciproque. Ayons comme priorité de participer aux diverses initiatives de formation. Prenez le temps de formuler des commentaires si essentiels au renforcement de l’association tout entière. Acceptez de jouer bénévolement un rôle de leadership. Nous formons, tous autant que nous sommes, l’Association canadienne des orthodontistes!
Message from the Outgoing President Dr. Richie Mah [Email: ritchiemah@gmail.com]
It has been a busy schedule since the February Board meeting. In order to address some of the concerns with the Annual Scientific Session organization and content, a new structure has been proposed specifying the roles of each committee and how the progress of each committee is reported back to the line officers and ultimately to the Board. This new structure will also permit the Scientific Session Content Committee to focus on educational content for the next two to three meetings instead of only on the upcoming one. The hope is that the new structure will allow for more forward planning of speakers, content and venues by assigning specific tasks to different committees. The two main areas to which I have been occupied with have been representing the CAO at various meetings as well as responding to several media requests. March, 2012: The Alberta Society of Orthodontists in Banff, Alberta; a two day meeting with a continuing education component as well as an annual general meeting. I gave a brief CAO update to the Alberta members with particular detail on the CAO Board decision surrounding the ASO legal opinion on advertising. Thanks to Dr. Phil Williamson and the ASO Executive for their hospitality.
May, 2012: The World Federation of Orthodontists, Honolulu, Hawaii. The WFO held its annual breakfast meeting as part of the AAO Annual Meeting. I attended on behalf of the CAO and was impressed by the number of countries sending representatives. June, 2012: The British Columbia Society of Orthodontists, Vancouver B.C. The AGM was held at the UBC Golf Club, where I updated the BC members on CAO activities. There was much concern regarding the increasing degree of marketing, both by general dentists providing orthodontic services and by some of the newer BCSO members. Also, the idea of a CAO media campaign was once again raised, as the BCSO has voted to develop a new website with the intention of marketing orthodontists in BC as the beginning of a provincial media campaign. A levy of $350 was assessed to each BCSO member to support this endeavour. Thanks to the BCSO executive and Dr. Rick Odegaard for their hospitality. June, 2012: The Atlantic Orthodontic Association, Moncton, New Brunswick. The AOA meeting was a two day meeting of continuing education in association with an annual general meeting. I addressed the members on behalf of the CAO and gave them an update. An excellent CE program was arranged by Dr. Dan Stuart and I thank him and the AOA Executive for their hospitality. The CAO and the OAO had a joint media training session on April 14 to 15, 2012 hosted by Tripp Frolichstein. Most that attended would agree that this type of training is invaluable for anyone being interviewed or for presentations in general. It is an event that I hope the CAO continues to use for future line officers training.
Continued‌
May, 2012: The American Association of Orthodontists, Honolulu, Hawaii. The AAO/CAO Executive meeting was held with our AAO liaison Dr. Garry Solomon acting as Chair. I attended along with Drs. Solomon and Maplethorp on behalf of the CAO. The meeting included not only the AAO incoming president Dr. Gayle Glenn and our new AAO liaison Dr. Hugh Phillis but also the AAO legal counsel and Mr. George Clark of Athorn Clark, the new marketing firm the AAO has contracted to develop the new consumer awareness program. The discussion was both respectful and productive with the AAO reiterating its commitment to its Canadian members. Dr. Solomon will present the outcome of this meeting in his report. Past Presidents meet at the CAO Scientific Session in Ottawa, ON. Fall 2012 • CAO Bulletin
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There have been several media requests to which I have responded. 1. The Canadian Medical Association. The CMA sends out a family health periodical to medical and to dental offices called Canadian Health. The CMA requested background information regarding orthodontic treatment. I spoke to their reporter Emily Panetta by telephone, providing her with general orthodontic information. 2. I had a telephone interview with Patrick Langston of the Ottawa Citizen. He was writing an article on several aspects of braces, high-speed braces, background on regular braces, adult stats in Canada, and the increase in adults and children getting braces. He said he would like someone credible to quote. There are apparently several general dentists in the Ottawa area promoting high-speed braces, which he investigated for his story. 3. Andrew Jones, director of Public Affairs at the Canadian Dental Association. Requests from the media go to his office at the CDA and Today’s Parent Magazine has asked for a brief response to their Ask an Expert column from one of their writers, Maya Chehade. As it was orthodontic specific, CDA President, Robert Sutherland requested that he contact a response from the CAO. The CDA stated that it believes it is important for the profession to respond to a reputable publication like Today’s Parent. I contacted Maya and did a telephone and an email interview with her regarding early orthodontic visits and early treatment. 4. Dental Chronicles. I was interviewed by Louise Gagnon on behalf of Dental Chronicles, a publication sent to most dentists in Canada regarding the status of current technologies in orthodontics. This was also a telephone interview. The Canadian Dental Specialities Association (CDSA) held a conference call in March, 2012, to which each of the presidents of all national specialities were invited to join. I have highlighted the discussion of that call in my CDSA report. There has also been discussion on the possibility of inviting the CDA president to either address our Board or our Membership and if there would be much benefit to members by doing so. The general consensus is that there would not be a benefit to inviting the CDA president to address the membership as it may compromise the role of CDSA as the official voice of specialists, but that it may be useful to have a CDA presentation to the CAO Board. On a personal note, my wife Lenore and I welcomed our second child, Kensington Marlowe Kaeda Mah to our family on July 31st. Born nine days early at a hefty five 5 pounds, twelve ounces, she has been keeping us busy since! Sleep is a rare commodity in our household at present.
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CAO Bulletin • Fall 2012
Rapport du le président sortant L’agenda a été fort chargé depuis la réunion du conseil de février. Afin de prendre en compte certaines des préoccupations soulevées au sujet de l’organisation et du contenu de l’Assemblée scientifique annuelle, une nouvelle structure a été proposée dans laquelle sont précisés les rôles de chaque comité et les modalités de communication de leurs progrès aux gestionnaires et, en fin de compte, au conseil. De plus, cette nouvelle structure permettra au Comité du contenu scientifique de se concentrer sur le contenu formatif des deux ou trois prochaines rencontres plutôt que seulement sur celui de la prochaine. Nous espérons ainsi que la nouvelle structure permettra une planification plus étendue des conférences, du contenu et des lieux par l’attribution de tâches particulières aux divers comités. Les deux principaux sujets qui m’ont occupé ont été la représentation de l’ACO à diverses réunions de même que la réponse à plusieurs demandes de la part des médias. Mars 2012 : Alberta Society of Orthodontists (ASO), à Banff, en Alberta; réunion d’une durée de deux jours comportant un volet de formation continue, de même qu’une assemblée générale annuelle. J’ai fait brièvement le point aux membres de l’Alberta en portant une attention particulière à la décision du conseil de l’ACO à propos de l’avis juridique de l’ASO en matière de publicité. Je remercie le Dr Phil Williamson et la direction de l’ASO de leur hospitalité. Mai 2012 : American Association of Orthodontists (AAO), à Honolulu, Hawaii. La réunion des administrateurs de l’AAO/ACO qu’a présidée le Dr Garry Solomon, notre agent de liaison avec cette association, a eu lieu dans le cadre de celle de l’AAO. J’ai assisté à cette réunion en compagnie des Drs Solomon et Maplethorp pour le compte de l’ACO. La rencontre a réuni non seulement le nouveau président de l’AAO, le Dr Gayle Glenn, et notre nouvel agent de liaison avec l’AAO, le Dr Hugh Phillis, mais également le conseiller juridique de l’AAO et MM. George Clark de Athorn Clark, de la nouvelle firme de marketing dont l’AAO a retenu les services pour dresser un nouveau plan de sensibilisation des consommateurs. Les entretiens ont été marqués tant par le respect que par la productivité, et l’AAO a renouvelé son engagement à l’endroit de ses membres canadiens. Le Dr Solomon présentera les résultats de cette rencontre dans son rapport. Mai 2012 : World Federation of Orthodontists (WFO), à Honolulu, Hawaii. La WFO a tenu sa réunion annuelle à l’occasion d’un petit-déjeuner dans le cadre de l’assemblée annuelle de l’AAO. J’ai assisté à cette rencontre au nom de
l’ACO où le nombre de pays qui avaient envoyé des délégués m’a impressionné. Juin 2012 : British Columbia Society of Orthodontists (BCSO), à Vancouver, C.-B. La société a tenu son assemblée générale annuelle au UBC Golf Club, où j’ai fait le point avec les membres de la Colombie Britannique sur les activités de l’ACO. L’intensification des activités de marketing a soulevé une préoccupation considérable tant chez les dentistes généralistes qui offrent des services orthodontiques que chez certains des membres de plus fraîche date de la BCSO. De plus, l’idée d’une campagne médiatique de la part de l’ACO a encore été abordée, étant donné que la BCSO a voté en faveur du développement d’un nouveau site Web dans le but de faire la promotion des orthodontistes en ColombieBritannique comme amorce d’une campagne médiatique provinciale. Une cotisation de 350 $ de la part de chaque membre de la BCSO a été fixée à l’appui de cette initiative. Je remercie la direction de la BCSO et le Dr Rick Odegaard de leur hospitalité. Juin 2012 : Atlantic Orthodontic Association (AOA), à Moncton, Nouveau-Brunswick. L’assemblée de l’AOA a aussi fait office de rencontre de formation continue d’une durée de deux jours dans le cadre de l’assemblée générale annuelle. Je me suis adressé aux membres pour le compte de l’ACO en vue de faire le point avec eux. Le Dr Dan Stuart a organisé un excellent programme de formation continue et je le remercie, de même que la direction de l’AOA, de leur hospitalité. Les 14 et 15 avril, l’ACO et l’OAO ont tenu une séance de formation portant sur les médias qu’a animée Tripp Frolichstein. Les participants conviendront, pour la plupart, que les formations de cette nature sont inestimables pour quiconque est interviewé ou à l’appui des présentations en général. J’espère que l’ACO continuera d’offrir cette formation aux prochains gestionnaires. J’ai répondu à plusieurs demandes de la part des médias. 1. Association médicale canadienne (AMC). L’AMC envoie Canadian Health, magazine consacré à la santé familiale, aux cabinets de médecine et de dentisterie. L’AMC a demandé des renseignements contextuels sur les traitements orthodontiques. J’ai fourni au reporter Emily Panetta des renseignements généraux sur l’orthodontie par téléphone. 2. J’ai accordé une entrevue téléphonique à Patrick Langston, du Ottawa Citizen. Il rédigeait un article sur plusieurs volets des appareils d’orthodontie, des dispositifs à traitement accéléré, donnait des renseignements généraux sur les appareils habituels, les statistiques portant sur les adultes au Canada, et l’augmentation du nombre d’adultes et d’enfants qui recourent à ces appareils. Il m’a dit qu’il recherchait une source crédible. Il semble que plusieurs dentistes généralistes de la région d’Ottawa fassent la promotion des appareils à traitement accéléré sur lesquels il enquêtait aux fins de son article.
3. Andrew Jones, directeur des Affaires publiques de l’Association dentaire canadienne. Des demandes de la part de médias aboutissent à son bureau et le magazine Today’s Parent a demandé une réponse courte destinée à leur rubrique Ask an Expert (Demandez à un expert) pour le compte d’une de leurs rédactrices, Maya Chehade. Étant donné qu’il était question d’orthodontie, le président de l’ADC, Robert Sutherland, l’a dirigée vers l’ACO. L’ADC a dit qu’elle considérait comme important pour la profession qu’elle réponde à une publication réputée telle que Today’s Parent. J’ai communiqué avec Maya à laquelle j’ai accordé une entrevue téléphonique et par courriel portant sur les visites et les traitements précoces en orthodontie. 4. Dental Chronicles. J’ai accordé une entrevue à Louise Gagnon pour le compte de Dental Chronicles, publication envoyée à la plupart des dentistes au Canada portant sur les technologies actuelles en orthodontie. Cette entrevue s’est également déroulée au téléphone. La Canadian Dental Specialites Association (CDSA) a tenu une téléconférence en mars 2012 à laquelle chacun des présidents de toutes les spécialités au Canada a été invité. J’ai fait part de la discussion à l’occasion de cet appel dans mon rapport sur la CDSA. Des entretiens ont également eu lieu sur la possibilité d’inviter le président de l’ADC à soit s’adresser à notre conseil, soit à nos membres, et sur les avantages que représenterait cette initiative pour les membres. Selon le consensus dégagé, il y aurait peu d’avantages à inviter le président de l’ADC à prendre la parole devant les membres, étant donné que cela pourrait porter atteinte au rôle de la CSDA de porte-parole officiel des spécialistes, mais il serait utile que l’ADC fasse une présentation au conseil de l’ACO. Sur le plan personnel, ma femme, Lenore, et moi avons accueilli notre deuxième enfant, Kensington Marlowe Kaeda Mah, au sein de notre famille le 31 juillet. Née avec neuf jours d’avance, et forte d’un poids de 5 livres et 12 onces, elle nous a tenus occupés depuis son arrivée! Par les temps qui courent, le sommeil est une denrée rare chez nous.
2012-13 CAO Board of Directors Fall 2012 • CAO Bulletin
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Highlights of the 2012 Scientific Session
Dr. Clark Colville speaks about clear aligners.
Dr. Robert Gerlach speaks at the Auxiliary Program.
New and Younger Members learning about web positioning.
Round Tables are always popular.
Drs. Bob Cram and Richard Marcus deliver important information at the Insurance Luncheon.
Learning about CAO Insurance at the Insurance Luncheon.
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CAO Bulletin • Fall 2012
Board at work.
Lots to learn at this year's Scientific Session!
Dr. Larry Andrews addresses the Doctors Program.
McIntyre Lecturer Dr. David Sarver.
Lots of people and products to see at this year's trade show.
Always new things to see from our exhibitors.
Alberta Poster Presenter
CFAO Awards UWO Posters
Manitoba Poster Presenters
Friends catching up at the CAO
Montreal Poster Presenters
Toronto Poster Presenters
The poster boards are a great place to talk shop!
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Highlights of the 2012 Scientific Session
Dr. Len Chumack and his team
Dr. Major thanking Dr. Mah for his work as President
Long-time friends catch up in Ottawa.
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CAO Bulletin • Fall 2012
Canadian Greetings at the Cottage Party
Dr. Mah welcomes new members to the CAO.
Dr. Mah showing Dr. Gayle Glenn how Canadians have a good time!
Dr. Phil Williamson retiring from the CAO Board.
Dr. Howard Steiman thanked for his service to the CAO.
Highlights of the 2012 Scientific Session
Eating amongst the planes at the Canadian Aviation Museum.
Boarding Pass please?
Ace! Maverick! Fly Boy!
Trade Show Raffle Prize Winners Katy Thériault
Dr. Alexa Herbertson
Clinique D’Orthodontie Roy Rimouski, QC
Blackberry Playbook
Opal Products Package
Donated by
Donated by
CAO
Vancouver, BC
Orthodontic Essentials Dr. Hugh Lamont Dr. Richard Marcus handing out a prize to Dr. Alexa Herbertson.
Nancy Dubé
Victoria, BC
Clinique D’Orthodontie Roy Rimouski, QC
Case of Brackets
Kobo
Donated by
RMO Orthodontics
Donated by
CAO Jackie Hammond Dr. Mark Ziedenberg Toronto, ON
Opal Products Package
Congratulations to all our winners and a special thank you to those companies that donated prizes!
Donated by
Orthodontic Essentials Enjoying the banquet. Fall 2012 • CAO Bulletin
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Highlights of the 2012 Scientific Session
President's table at the Banquet.
Some of the Manitoba contingent at the banquet.
Where to folks?? Over where?
Lining up for take-off! Enjoying some of the vintage airplanes on display.
A OK!
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CAO Bulletin • Fall 2012
Dr. Murray and Marjan Deller with Dr. Gerry Solomon
Highlights of the 2012 Scientific Session
Bringing your team to the CAO Scientific Sessions means great education for everyone!
Winning bid for the cottage week at the CFAO Auction
CFAO Auction - Total Raised $5,030! Item
Donor
Purchaser
Week at Cottage on Lake Joseph ........................... Dr. Michael & Penny Patrician.....................................Dr. Lee Brown Pair of Calgary Flames Tickets ................................... Dr. H. Phil Williamson .........................................................Dr. Robert Kinniburgh Homemade Maple Syrup ................................................. Dr. Tom McIntyre ......................................................................Dr. Robert Kinniburgh Homemade Maple Syrup ................................................. Dr. Tom McIntyre ......................................................................Dr. Robert Kinniburgh 2 Track tape .................................................................................. Dr. Ed Pong ..................................................................................Dr. Steve Cho CD .......................................................................................................... Dr. Ed Pong ..................................................................................Dr. Hugh Lamont CD .......................................................................................................... Dr. Ed Pong ..................................................................................Dr. Amanda Maplethorp CD .......................................................................................................... Dr. Ed Pong ..................................................................................Dr. Gordie Organ CD .......................................................................................................... Dr. Ed Pong ..................................................................................Mrs. Jacqui Witt CD .......................................................................................................... Dr. Ed Pong ..................................................................................Dr. Gayle Glenn Gift Basket ..................................................................................... Dr. Murray Deller ......................................................................Dr. Howard Steiman CAO Dr Registration 2013 ............................................ CAO .....................................................................................................Dr. Murray Deller CAO Aux Registration 2013 ........................................ CAO .....................................................................................................Dr. Murray Deller Travel Voucher ............................................................................ CAO .....................................................................................................Dr. Tim Dumore 1 Bedroom Suite upgrade at 2013 CAO Conference ..................................................... Fairmont Banff Springs ....................................................Dr. Murray Deller Woodworking Piece ............................................................. Dr. Dan Pollit ...............................................................................Dr. Hugh Lamont AAO Dr Registration ............................................................ AAO ....................................................................................................Dr. Amanda Maplethorp Dozen Lobsters ......................................................................... Dr. Stephen Roth ...................................................................Dr. Arlene Dagys Thanks to all those who donated and purchased items!
Fall 2012 • CAO Bulletin
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CAO Bulletin • Fall 2012
Committee Reports Treasurer’s Report Dr. Michael Patrician Treasurer [Email: drpatrician@bellnet.ca]
The general operations of the CAO are in line with projections (June 30, 2012). The total current members’ equity is $908,547.30. Current projections for the Annual Scientific Session and general meeting in Ottawa are positive in anticipation of a successful meeting. There has been an additional expenditure of $14,770.00 for the Canadian Dental Specialty Association (CDSA) for initial seed money and for membership dues. \
CFAO Report Dr. Stephen Roth CFAO President [Email: stephenfroth@mac.com] The Canadian Federation for the Advancement of Orthodontics (CFAO) held a conference call with the Board of Directors on June 6, 2012. The CFAO has offered to provide orthodontic awards to each of the twelve undergraduate programs in Canada. Dalhousie University presented the inaugural award to Dr. Elizabeth MacPherson in June. Some schools were prohibited from participating in the award program because they have minimal financial requirements that exceeded the current level of support. The Board has decided to maintain the current level of funding, but will increase the financial commitment to the awards when funds become available. For the first time in many years, the Board voted to increase the voluntary donation on the 2013 CAO membership renewal from $50 to $75 per annum. The CFAO distribution quotient for 2012 is $10,588. The Board is committed to ensure this requirement is met accordingly.
A working group is investigating the potential of establishing a program to facilitate the delivery of orthodontic services to children of low income families. The group will summarize the details of programs operating in other countries, will survey Canadian orthodontists to gauge the interest in the program and will investigate factors that make the program successful. The group will present recommendations on how the program could run in Canada. Interested individuals should contact Dr. Stephen Roth. The CFAO`s website has been redesigned; check it out at http://www.cao-aco.org/CFAO. The website includes a searchable archive of poster-board abstracts from 2009 to 2011, information regarding the McIntyre Fellowship and instructions on how to make donations to the CFAO. The website currently holds the 8th place on Google. The CFAO continues to increase association awareness and to facilitate donations. A special section has been added to the recent Bulletin that includes information from the graduate orthodontic programs about how CFAO funds were used. The CFAO will continue to have a presence at the New and Younger Members luncheon and at the golf tournament at the CAO Scientific Sessions.
Insurance Report Dr. Robert Cram Chair, Insurance Committee [Email: rjcram@shaw.ca] An official form must now be completed so that patients can be reimbursed by FNIHB. An office receipt is no longer sufficient as proof of payment. The latest newsletter from FNIHB outlines the ongoing process of centralizing predetermination for dentistry, not just for orthodontics, to the FNIHB headquarters in Ottawa. The objective of centralizing the process is to make the process more efficient. A small number of offices across the country had questions concerning the completion and the submission of predetermiFall 2012 • CAO Bulletin
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Committee Reports nation forms and had requests for the procedure codes from providers. The use of procedure codes and the acceptance of assignment of benefits are becoming more common. This trend is especially apparent in specific areas of the country and amongst the newer members of the profession. This divergence in interfacing with third party benefits providers makes it difficult for the insurance committee to act on behalf of those who do not wish to use procedure codes and do not accept assignment A number of large orthodontic software providers have been supplied with the updated CAO Standard Information Form, however until the CAO Board reaffirms their use of the form as the initially conceived contract supply has been put on hold.
CAO/AAO Report
would be a significant response from the CAO and the AAO. The likelihood of such a challenge is deemed to be small. The AAO spent $15,000 to initiate a mobile app service at the AAO Annual Session in Hawaii. 1000 attendees used the service. The Board of Directors rejected the placement of a chip into identification badges to monitor attendance at lectures. The App will not be used for attendance in the future. The AAO tabulates and rates each speaker in a database. The CAO’s request for access to this database is pending. Information is categorized by topic and by ranking. The CAO will be able to choose its speakers without potential repetition from the most recent AAO session. The ADA permits specialists to present a motion to the Board for discussion using an informal and an efficient approach. The CDSA was encouraged to emulate this process. Chris Vranas suggested that the CDSA try and meet during the CDA meetings and to invite the Board to discuss pertinent concerns.
Dr. Garry Solomon CAO/AAO Liaison [Email: hellener@lks.net] The OAO request for funding for cable TV media exposure was denied as the AAO budget was exhausted prior to receipt of the request. The Board of Trustees reported that funds diverted strictly to Ontario would appear unfair to other provinces. The AAO must demonstrate no partisanship or the national Consumer Awareness Program (CAP) program may potentially become fractious. At the same time, cable costs are higher in Canada than in the United States, so the position of the AAO is open to interpretation. George Clark, of Athorn Clark, supported the combination of AAO expenditure plus additional provincial funding to bolster CAP programs in individual provinces. Mr. Clark was willing to contact each provincial president to extrapolate on this concept. The CAP committee has requested funding to track the marketplace using focus groups. The target audience in the United States will be contacted for input. If the Alberta Association of Orthodontists proceeds with legal action for the use of specific logos and requires financial support from the AAO, it will need to file a formal funding request to the Board of Trustees. No funding has been earmarked for this particular purpose. Keith Levin, the AAO Speaker of the House, noted that the AAO logo is a fundamental symbol of the CAP and must be present to be effective. If the challenge to the use of logos arises in other provinces or states, there
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CAO Bulletin • Fall 2012
New and Younger Members Dr. Susan Tsang New and Younger Members Representative [Email: s_tsang2@hotmail.com] The CAO did not attend the 2012 GORP meeting. The AAO membership form now includes a check-box for AAO student members to indicate whether or not they are interested in applying for CAO membership. The check-box has facilitated CAO follow-up contact to interested residents in arranging their application to the CAO. The CAO is continuing to meet with graduate residents from the Canadian graduate orthodontic programs to introduce the students to the function, the purpose and the benefits of CAO membership. A presentation on Google search engine optimization was made at the New and Younger Members luncheon at the CAO Scientific Session in Ottawa. Please feel free to forward requests for future topics for the NYM luncheon at any time. Discussions took, place on the New and Younger Members’ forum, including an interesting clinical case highlighting primary failure of eruption.
Committee Reports Canadian Orthodontic Educators Report Dr. Gerry Solomon Chair, Conference of Canadian Orthodontic Educators [Email: solomonstr8ner@rogers.com] This report highlights the Educators’ Meetings held in Niagara-on-the-Lake on April 14, 2012 and in Ottawa on September 5, 2012. The CCOE/CCGOPD gratefully acknowledges the continuous and generous support of Mr. Silvano Brecevic and 3M Unitek Canada for sponsoring the ad interim meetings over the last decade. The University of Alberta, the University of Manitoba and the University of British Columbia are preparing to accept gap training (Dental Specialist Assessment and Training Program) students. Currently, only the University of Toronto accepts a gap student on an annual basis.
All agendas, minutes, correspondence, etc. of the CCOE/CCGOPD, since inception, have been archived electronically and are being stored by the CAO Staff. To encourage CAO Student Membership, the CAO Office will e-mail student application forms to the Department Chairs on June 1, July 1, August 1 and September 1. For the first time, the meeting of the CCOE/CCGOPD at the CAO Annual Scientific Session was held on Wednesday, in lieu of Thursday, on a one-year trial basis. There was no initiative for an Undergraduate Orthodontic Educators meeting and, at the present time, such a meeting has not been confirmed for Banff. The resident round table presenter at the CAO Scientific Session in Halifax, 2011 was a success. There was no availability of tables to repeat in 2012, but residents are encouraged to participate at the 2013 session on a voluntary basis. The CCOE/CCGOPD met with the representative of the Canadian Dental Accreditation Commission (CDAC) and expressed their position regarding several accreditation issues. They also plan to invite a representative of the Canadian DRA's to address them in Banff regarding ethical issues in marketing and advertising in orthodontics.
Committee Reports Suggestions were made regarding possible changes or alternatives to the current Resident Posterboard program held at the CAO Annual Scientific Session. This matter will be discussed with the CFAO Board, as it is a CFAO program. The CCGOPD discussed the "ethics" curriculum at their respective schools and made suggestions going forward. The program directors agreed to cooperative interview and acceptance dates for the admission cycle this fall. UBC has its accreditation site visit in February, 2013. The UWO orthodontic department is celebrating the 40th anniversary in November, 2012. The University of Toronto has appointed Dr. Dan Haas as the new Dean of Dentistry. Drs. Will and Larry Andrews will be presenting in Toronto on March 22nd and 23rd , 2013. \
CDSA Report Dr. Ritchie Mah CDSA Liaison [Email: ritchiemah@gmail.com] The Canadian Dental Speciality Association held its Annual General Meeting in April, 2012 coincident with that of the Canadian Dental Association. The CDSA Board met with incoming CDA President Dr. Robert Sutherland, Executive Director Claude Paul Boivin and several members of the CDA Board. They participated in the CDA dental leadership and interactive discussion sessions. The CDSA AGM included the addition of a new representative from oral and maxillofacial radiology, who unfortunately did not attend the AGM or the subsequent conference call. The prosthodontists have recently elected a new representative. One problem with the existing CDSA board structure is the lack of a Secretary/Treasurer. New representatives are not prepared to assume this role and those with more experience have recently completed their executive duties leaving a limited number of possible candidates. Current President Dr. Calvin Pike, an endodontist, continues to lobby Board members to assume this position but as of this writing, the position remains vacant. Outgoing CDSA President Aaron Burry has made several inroads with the CDA. Located in Ottawa, Dr. Burry has had the opportunity to meet with the CDA President on several occasions and has initiated some discussion regarding an initiative to host a joint meeting in the future on multidisciplinary treatment. Details will be finalized following a meeting of representatives from the two organizations.
Internally, the CDSA is developing a website and strengthening its fiscal position. An increase in member dues was discussed, with the objective of self-sufficiency. The speed in which self-sufficiency is obtained will depend upon the initiatives over the next few years. At the CDA/CDSA Board meeting, CDA President Surtherland voiced support for the CDSA by reaching out to all specialty members and organizations. He offered to attend any specialty meeting to which the CDA has been invited. Positive feedback was received following his attendance at the latest CAOMFS meeting. Following the April AGM, a CDSA conference call was held in May, 2012 to which all national speciality presidents received an invite. This call is to occur on an annual or a biannual basis to ensure that the CDA remains on track with respect to its goals. There was renewed unanimous support for the CDSA as the national voice of the dental specialties. The CAO remains concerned that it has borne a proportionally large share of the CDSA start-up costs. The smaller specialities were expected to provide adequate manpower in recognition of this imbalance. The Board decided that the CDSA and COSA Continued…
Congratulations!! The CAO would like to extend our congratulations to the University of Western Ontario’s Graduate Orthodontic Program on its 40th Anniversary!! On behalf of the many graduates of the program and all the members of the CAO, we are happy to continue supporting the excellence that the University continues to strive for. We wish you all the best in your anniversary year and the many more to come!
Fall 2012 • CAO Bulletin
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Committee Reports representatives should be the same individual to reduce the manpower required. The consensus is that calls involving speciality presidents will continue as the most effective means of keeping all members of CDSA apprised of current concerns and to allow for immediate input from the members. Some specialties must be afforded the opportunity of board input prior to finalizing specific decisions.
RCDC Report Dr. Hugh Lamont Orthodontic Councillor, RCDC/RCDC Liaison The Executive of the Royal College of Dentists of Canada (RCDC) is comprised of Past-President Dr. Richard Emery (Montreal), President Dr. Garnet Packota (Saskatoon), Vice-President Dr. Leland McFadden (Winnipeg), Examiner-in-Chief Dr. Paul Jackson (London), Registrar Dr. Patricia Main (Toronto), Registrar-Elect Dr. David Precious (Halifax), Council Representative Dr. Hugh Lamont (Victoria), Secretary/Treasurer Dr. Ernest Lam (Toronto) and Executive Director Dr. Peter McCutcheon (Toronto). Revisions to these positions occurred as a result of the Annual General Meeting September 29, 2012. Much of the recent behind-the-scenes activity in the RCDC office has been to update the computer system, to develop a
more user-friendly and efficient online presence and to improve the transmission of information to the candidates. Fact-finding and exam registration should be easier in the near future. The office of Secretary/Treasurer is being divided into two separate offices. Dr. Ernest Lam will continue to hold the office of Treasurer, while Dr. Peter McCutcheon will have the responsibility of Secretary. Dr. Lesley Williams (Vancouver) is the new Chief Examiner in orthodontics. In 2012, she and her team examined 38 candidates in both the written and the oral examination. The pass rates were 86.8 and 89.5 percent respectively. The convocation and graduation ceremony took place September 29th, 2102 at the Vancouver Westin Bayshore Hotel. 34 orthodontic graduates were eligible to receive their fellowships. The results of the examinations are not an indication as to what the ethical standards of the candidates will be. The use of advertising and questionable promotional activities to attract new patients into a practice cannot be predicted based on the results of the licencing exam. Individual specialty groups and dental societies at the local, provincial and federal levels are grappling with what appears to be new and creative ways of interpreting dentistry’s code of ethics.
WFO Report Dr. Amanda Maplethorp WFO Committee [Email: a_maple@shaw.ca] The World Federation of Orthodontists held its annual breakfast meeting for member nations in conjunction with the AAO Annual Session in Hawaii in May, 2012. There were approximately 150 members in attendance, with numerous countries represented by more than one delegate. Canada was represented by CAO President, Dr. Ritchie Mah. Following attendee introduction, WFO President Dr. Roberto Justus provided a brief overview on the status of the WFO and its significant progress in increasing international membership.
Catching up with good friends at the Scientific Session.
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CAO Bulletin • Fall 2012
The WFO is working with a resident at the University of North Carolina on an international survey. Each national representative is to answer questions on the state of the profession within their respective country. Specifically, representatives were
Committee Reports asked if orthodontic specialists are defined in their role in providing overall dental care. The purpose of the study is to establish baseline requirements for international standards in orthodontics. The WFO, and in particular Dr. Amanda Maplethorp, has developed a new website with improved information delivery, improved interactivity and greater ease of site navigation. It is anticipated that dues will now be payable on-line. The next WFO meeting will take place in London, England in 2015. Interested individuals are encouraged to register early in order to take advantage of discounted rates. Information is available on the WFO website.
Helpline Report Dr. Howard Steiman Helpline Liaison [Email: straightsmile@sympatico.ca] The Helpline has been busy over the summer months. There were more calls placed to the CAO office, but all were handled effectively at the office level. The number of calls from Quebec has increased, with 67 percent of calls questioning the delivery of care by general dentists and the cost of orthodontic treatment. Similar trends have emerged out of Ontario and Alberta.
Communications Report Dr. Daniel Pollit CAO Web Master [Email: dpollit@rogers.com] In response to a number of CAO members’ requests, an ambitious project is planned to recreate the presence of the CAO on the internet. Specific concerns that were expressed on the BraceSpace Discussion Forum pointed out that the CAO did not have a focused website targeting the public. Instead, the current site catered to multiple groups and was not effective in delivering the message to potential patients. In response, several meetings were held involving the webmaster, the members who posted on BraceSpace, Dr. Garry Solomon and Alison Nash. It became evident that the CAO could modify the current site or create a new website. It has been proposed that a new website be created just for the public and a second website for orthodontists and for CAO members. To properly design the public section it will be necessary to seek input from a consultant. In addition, to create appropriate content, assistance will be sought from CAO members who are enthusiastic about this project. Two volunteers have already signed up and more are expected to follow suit. A budget of $20,000 has been estimated. The CAO staff will continue to monitor the current website on a regular basis to ensure that the content is kept current. The website will be reviewed quarterly and relevant updates will be made as required.
CFAO Donations CAO In memoriam of Dr. Theodosy Wachna Miriam Peters In honour of Dr. Jessica Tan CAO In honour of Scientific Session Round Table Presenters: Drs. Michel Di Battista, Tarek El-Bialy, Hugh Lamont, Benjamin Pliska, Jim Posluns, Jean-Marc Retrouvey, Tim Dumore, Clark Colville & Ms. Char Eash CAO In honour of Scientific Session Speaker Dr. Robert Gerlach
Fall 2012 • CAO Bulletin
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CFAO Graduate Student
Posterboards Abstracts from the 2012 CAO Annual Scientific Session – Part 1 of 2 part series
University of Alberta RADIOGRAPHIC COMPARISON OF THE EXTENT OF ORTHODONTICALLY INDUCED ROOT RESORPTION IN VITAL AND ROOT-FILLED TEETH: A SYSTEMATIC REVIEW
University of Manitoba EARLY SHEAR-PEEL BOND STRENGTH OF SELF-ADHERING FLOWABLE RESIN TO HUMAN ENAMEL AND RESTORATIVE RESIN
Authors: Stephanie Walker*, Long Tieu, Carlos Flores-Mir
Authors: A. Bernas*, W.A. Wiltshire
OBJECTIVE: To critically analyze the available scientific literature radiographically comparing the prevalence of orthodontically induced external apical root resorption (OIEARR) in human root-filled and vital teeth, to determine if root-filled teeth are more susceptible to OIEARR during orthodontic treatment.
INTRODUCTION: Continually evolving dental adhesives in restorative dentistry may provide a springboard for simplified and improved adhesivity for the attachment of fixed orthodontic appliances to a variety of substrates in clinical orthodontics. Purpose: Determine whether a new restorative self-adhering composite, Vertise-flow [VF] (Kerr), may be suitable for orthodontic use in the bonding of fixed appliances to both human enamel and composite resin restoratives.
METHODS: Several electronic databases (MEDLINE, PubMed, EMBASE, Scopus, Web of Science, CINAHL, the Cochrane Database of Systematic Reviews and Google Scholar) were searched without limits, with the assistance of a senior librarian specialized in Health Sciences database searches. Human, in vivo studies that radiographically compared root resorption following fixed orthodontic treatment in root-filled and vital teeth were selected for full article review. Additionally, the bibliographies of the finally selected articles were hand searched to identify any relevant publications that were not identified by electronic searches. Of these articles, the lowest levels of evidence accepted for inclusion were case controls or cohort studies. Two authors independently reviewed and extracted data from selected studies. RESULTS: A total of 161 original articles were identified from electronic database searches and 2 from hand searches. Once selection criteria were applied only 4 articles met all inclusion criteria and individual analysis of the selected articles was undertaken. CONCLUSIONS: Based on available evidence, there is no reported difference in the amount of external apical root resorption following fixed orthodontic treatment in vital and rootfilled teeth. Suggesting that root-filled teeth are not more susceptible to OIEARR during orthodontic treatment.
(*Presenter)
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CAO Bulletin • Fall 2012
MATERIALS AND METHODS: Sixty flat lingual orthodontic buttons (Ormco) were divided into four groups (n=15) and bonded as follows: Gp.I: VF to pumiced tooth enamel, Gp.II: Transbond XT (3M) to etched tooth enamel (control), Gp. III: VF to pumiced composite resin (Herculite – Kerr), and Gp. IV: VF to pumiced composite resin control sample (Filtek Supreme – 3M). The test samples were mounted in a Bencor Multi T testing castle (Danville Engineering) and tested to failure. The early (<24hrs) shear-peel bond strengths were obtained using a 10kN load cell in a Zwick universal testing machine employing a 0.5mm c.h.s. The results were analysed using unpaired t-tests assuming unequal variances. RESULTS: The bond strengths (MPa) obtained were: Gp I: 8.53±2.76 [Range = 5.03-14.17] ; Gp. II. 10.78±5.13 [Range = 4.65-22.11]; Gp. III. 26.46±7.44 [Range: 13.9139.14]; Gp. IV. 17.55±3.4 [Range = 9.92-24.06] MPa). Statistically significant differences (p<0.05) existed between Gp. I and Gp. III, and Gp. III and IV. The coefficient of variation ranged from 22.8% (Gp. IV)-47.6% (Gp. II). CONCLUSIONS: Vertise-flow provided higher bond strengths to composite resin than human enamel. The bond strength values to enamel fell well within the minimum magnitudes reported by Wiltshire & Noble (2010) as that required
CFAO Graduate Student Posterboards for successful clinical adhesion in orthodontics. Vertise-flow may be clinically indicated for orthodontic bracket bonding to resin restored teeth as well as a product suitable for conventional bracket bonding to enamel in the absence of etching.
Université de Montréal TITRE : ÉTUDE PILOTE DES EFFETS DU TANDEM FORSUS MAXILLARY CORRECTOR
(étau), « throbbing» (élancement) and « annoying » (énervant) were the most frequently used words by the patients to describe their pain.
University of Toronto BURDEN OF CARE ANALYSIS OF INFANT ORTHOPEDICS FOR IMPROVEMENT OF NASOLABIAL AESTHETICS IN COMPLETE UNILATERAL CLEFT LIP AND PALATE
Author & Presenter: David Gold-Gosselin Authors: E Singer*, J Daskalogiannakis, B Tompson & C Forrest Le Tandem Forsus Maxillary Corrector est un appareil myofonctionnel nouvellement utilisé par certains orthodontistes en bureau privé. L’objectif de la présente étude est de mesurer les effets squelettiques et dento-alvéolaires, ainsi que l’influence réelle sur la croissance suite au port du TFMC. 14 patients (âge moyen : 9a8m) présentant une malocclusion de classe III traités à l’aide du TFMC ont été comparés à un groupe contrôle (n=42). Les radiographies céphalométriques ont été analysées à l’aide du logiciel Dolphin Imaging afin de déterminer les effets du traitement. Tous les patients traités sont considérés comme des succès à court terme. Un mouvement antérieur du maxillaire combiné à une composante de camouflage dentaire résulte en la correction de la malocclusion de classe III.
Université de Montréal PERCEPTION OF PAIN DURING ORTHODONTIC TREATMENT WITH SELF-LIGATING BRACKETS Author & Presenter: Sandra Labbé This research is a descriptive clinical study designed to assess pain during orthodontic treatment with self-ligating brackets. This study was comprised of 39 patients (18 m, 21 f), mean age of 14 (range 11 to 19 yo). Two types of self-ligating brackets (SPEED n=20 and Damon n=19) were used. Pain was evaluated with a questionnaire for 4 weeks following the insertion of the first 4 orthodontic wires for each patient. The same questionnaire was used during each phase and included 6 different time-points following the insertion of each wire. The visual analogue scale (VAS) and the short version of Saint-Antoine’s questionnaire were used to evaluate the pain. The perception of pain for patients with Damon brackets was significantly higher than for those with the SPEED brackets at the insertion of the third wire and three days after placement of the third wire. More patients took pain medication with the first wire and the majority of patients did not report a change in their quality of life. « Pulling » (tiraillement), « cramping »
Purpose: 1. To evaluate the burden of care of two pre-surgical infant orthopedic (PSIO) protocols for repair of complete unilateral cleft lip and palate (CUCLP)2. To compare the aesthetic outcomes of a centre that has employed two different types of PSIO as part of their protocol for patients with CUCLP to those of centres not utilizing PSIO. SAMPLES AND METHODS: Four samples were collected: Two from the same centre that underwent either traditional infant orthopedics (TIO) or nasoalveolar molding (NAM), and two from centres not employing PSIO. Burden of care data were compiled for the PSIO groups and frontal and profile photographs at approximately 5 years of age were collected for all groups for ratings of nasolabial aesthetics using a modification of the Asher-McDade method. RESULTS: The burden of care of NAM was found to be significantly greater than TIO for both the number of visits (9.9 vs. 6.6, (p<0.001)); and the number of days wearing the appliance (127 vs. 112, (p<0.05)). Significant differences in nasolabial aesthetic ratings were noted among the three centres, with the centre that utilized some form of PSIO exhibiting improved nasolabial aesthetics across several categories. No Continued…
Taking in a poster presentation.
Fall 2012 • CAO Bulletin
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CFAO Graduate Student Posterboards significant differences were observed in the nasolabial aesthetic outcomes between the NAM and TIO groups.
tion (T2) of therapy or observation. An ANOVA test was used to determine statistical differences between groups (P<0.05).
CONCLUSIONS: Under the conditions of this investigation the following conclusions could be drawn: 1. Significant differences exist in the burden of orthodontic care when it involves NAM as compared to TIO for the treatment of patients with non-syndromic CUCLP, with NAM patients requiring more appointments and a greater number of days wearing the appliance. 2. No significant differences exist in the nasolabial aesthetics of patients who have received NAM as compared to TIO for the initial repair of non-syndromic CUCLP. 3. Significant differences exist in the nasolabial aesthetics between centres that utilize PSIO and those that do not, with centres not employing PSIO demonstrating poorer nasolabial aesthetics across several categories.
Both the FRD and HGE treatment groups exhibited significant reduction in overjet and improvement in molar relationship, with minor differences in the mechanism of action. The FRD group showed a significant mesialization and proclination of mandibular dentition, along with moderate distalization of the maxillary dentition. The HGE group showed a significant restriction in maxillary forward growth and distalization of the maxillary dentition. Both treatment groups exhibited a significant improvement in sagittal skeletal relationships. The FRD groups had a tendency to be vertically neutral while increases in skeletal vertical dimensions were significant in the HE group. Treatment duration for the FRD group was significantly shorter than the HGE group.
University of Western Ontario THE MECHANISM OF CLASS II CORRECTION IN PATIENTS TREATED WITH THE FORUS FATIGUE RESISTANT DEVICE VERSUS HEADGEAR AND INTERMAXILLARY ELASTICS Author:
In conclusion, the FRD protocol was effective in correcting Class II Division 1 malocclusions through dentoalveolar movement while the HGE protocol was effective through a combination of skeletal and dentoalveolar modifications.
Dr. Bhavana Sawhney BSc (Hons), DDS
The objective of this study was to assess and compare the dental and skeletal changes induced by two specific treatment modalities for Class II Division I malocclusions in conjunction with comprehensive fixed appliances. The matched sample consisted of 32 (mean age 12.6 +/- 0.8 years) consecutively treated Forsus fatigue Resistant Device subjects (FRD group), 36 (mean age 12.3+/- 0.7 years) headgear and Class II Elastics subjects (HGE) and 25 (mean age 12.3 +/_ 0.7 years) untreated Class II division 1 subjects (control group). Lateral cephalograms were analyzed at the initiation (T1) and comple-
CFAO Poster Program
Thanks to GAC for their support of the CFAO Posterboards Lots to learn from all of the research.
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CAO Bulletin â&#x20AC;˘ Fall 2012
Component Society Reports
British Columbia
Alberta
Dr. Rick Odegaard
Dr. Phil Williamson
[Email: dr.odegaard@shawcable.com]
[Email: drphil@telusplanet.net]
The BCSO Annual General Meeting was held June 8th, 2012. CAO President Dr. Ritchie Mah was in attendance and reported on recent CAO activities. The BCSO is developing its own website. $500 was set aside to register the BCSO URL, and a $350 member levy was approved to fund further development. The John G. Ryan award was presented to Dr. Amanda Maplethorp in recognition of her past and ongoing commitment to organised orthodontics. Congratulations Dr. Maplethorp. Orthodontic records retention will be potentially reduced to fifteen years in the near future. Until this regulation is official, orthodontists in BC should adhere to the original protocol. BC orthodontists are requested to retain all records for cleft and craniofacial patients and to forward them to Dr. Angie Loo. New orthodontists in BC are encouraged to join the BCSO. To promote membership a letter from the BCSO has been motioned to be included with licensure documentation issued by the college. An information flyer will be distributed to student members at the CAO, AAO and GORP meetings. A formal motion to establish a mentorship program for new orthodontists in BC was recently passed. As part of the program’s development, an online survey on ethical guidelines was distributed to BC orthodontists. 82 percent of respondents felt the BCSO should be involved in setting guidelines. The survey further assessed professional development, mentorship and promotion of the specialty by the BCSO.
The Alberta Society of Orthodontists (ASO) Annual General Meeting was held March 9th and 10th, 2012 at the Rimrock Resort in Banff. The well attended meeting sponsored by 3M Unitek, featured Dr. Lisa Alvetro, who spoke on Class II correction using Forsus springs. President Mah updated the membership on current CAO activities and provided valuable information on several pertinent topics. The current executive of the ASO includes Drs. Cory Liss (Immediate Past-President), Warren Cohen (President), Ivan Hucal (Vice President) and Darren Tkach (Secretary/Treasurer). The Alberta Dental Association and College (ADA+C) is in the process of creating cone beam computed tomography (CBCT) standards. The ASO has formed a committee to review and to comment on the draft documents. There have been two drafts released to date. Members were invited to attend a meeting in June, 2012 by the committee drafting the standards for the ADA+C. The next draft is due to be released in the fall of 2012. The ASO committee will review and comment at that time. The Alberta specialists restriction on publicly advertising memberships in accredited specialty associations such as the Canadian Association of Orthodontists and the American Association of Orthodontists as well as fellowships other than fellowship in the Royal College of Dentists of Canada including the American Board of Orthodontics Diplomate status continues. Following legal consultation, the ASO has opted to work within the current ADA+C framework to achieve a positive outcome. Any further legal considerations have been tabled. The ASO’s website, designed and hosted by the CAO webmaster, is progressing but the site has yet to be completed. The ADA+C IPC standards are now in effect and the ADA+C practice visitation consultants are ensuring compliance. The ASO has not heard of any issues encountered by its members with regard to this process. Fall 2012 • CAO Bulletin
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Component Society Reports The next ASO annual meeting will be held at the Rimrock Resort Hotel in Banff, Alberta on March 15th to 16th, 2013. Dr. David Paquette will present on a diverse range of topics. In addition to a superb meeting at a beautiful hotel, it is an ideal time of year for skiing and other winter activities in the beautiful Rockies. The Alberta Regional Director had the opportunity to host the University of Alberta graduate orthodontic students on behalf of the CAO. The informal evening took place at the U of A Faculty Club, and was well attended by twelve of the orthodontic residents. All appeared to be appreciative of the evening and of the information presented. Dr. Robert (Bob) Kinniburgh has accepted the position of Alberta Regional Director on the CAO Board as of the September CAO Board meeting in Ottawa. Bob will be a great asset to the CAO Board. {Ed. Note: Welcome Bob! you have mighty big shoes to 'Phil'.}
Saskatchewan Dr. Mike Ziglo [Email: mikeziglo@hotmail.com] The annual Saskatchewan Society of Orthodontists meeting took place October 26th in Regina. Dr. Stephen Tracey presented a full-day lecture on the topics of digital 3D imaging, miniscrew mechanics, lasers, and Botox applications for the temporomandibular joint. The next day the SSO attended the Saskatchewan Roughriders football game and partook in the guaranteed victory.
Manitoba Dr. Susan Tsang [Email: s_tsang2@hotmail.com] The fall Manitoba Orthodontic Society (MOS) dinner meeting was held on October 25th, 2012. The MOS by-laws have been completed and the AAO Affiliation Agreement has been signed.
Drs. Witt, El-Bialy and friends at the banquet.
With the most recent release of the AAOâ&#x20AC;&#x2122;s Consumer Awareness Campaign, the MOS has discussed how to best communicate this message to the public. Several members have been tasked with assessing the feasibility of constructing an advertising campaign. Some MOS members have expressed that they support the initiation of a CAO national advertising campaign. The MOS is considering its own consumer website, following the lead of the Midwestern Society of Orthodontists that recently redeveloped its own website through Televox.
Dr. Maxine Herbert and team enjoy the dinner.
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CAO Bulletin â&#x20AC;˘ Fall 2012
The University of Manitoba is proposing to reduce the number faculties through the merger of nursing, medicine, pharmacy and dentistry. The U of M graduate orthodontic program will be accepting a gap training student in 2013 and looks forward to its 50th anniversary in 2016. The department welcomes Drs. Robert Ward (Manitoba), Marc Olivier Aucoin (Quebec) and Laura Duncan (Australia) as the first year residents.
Component Society Reports Ontario
Quebec
Dr. Sheila Smith
Dr. Jean-Marc Retrouvey
[Email: stuart.smith4@sympatico.ca]
[Email: jmretrouvey@videotron.ca]
The new Quality Assurance Program implemented by the Royal College of Dental Surgeons of Ontario has an examination component that covers dental knowledge. The College has decided that both general dentists and specialists must take the same examination. The Public Awareness Campaign (PAC) ran on cable television throughout the province in May and June of 2012 on CITY TV and CTV2. The AAO declined the proposal to form a partnership to aid in the funding of the campaign citing a timing issue. A proposal will be made once more before next year’s funds are earmarked. The campaign utilized the “My Life. My Smile. My Orthodontist” creative. Future discussions are taking place between the PAC committee and Athorn Clark. The Annual General Meeting of the OAO was held April 11th, 2012. The Executive for 2012-2013 is comprised of PastPresident Dr. Julienne Peterson (Belleville), President Dr. Barry White (Guelph), Vice-President Dr. Anthony Mair (Toronto) and Secretary/Treasurer Dr. Drew Smith (London). The RCDSO may mandate in the future that dentists and office staff provide blood-test proof of immunity to hepatitis B. Although the College of Dental Hygienists of Ontario has advised their membership that they are permitted to treat orthodontic patients in the absence of an RCDSO member present in the office, according to the RCDSO, this guideline violates the current standard of practice. A proposal has been put forth to the OAO to develop a course instructing dental hygienists on how to remove resin with a high speed hand piece. The feasibility of such a course is currently being investigated. Unfortunately, use of high speed hand pieces by dental hygienists is another source of disagreement between the two colleges.
Dr. Ramesh Sabhlok of Dubai presented a oneday seminar on orthodontics May 30th, 2012. During the extended lunch hour, the Quebec Association of Orthodontists held its general assembly. The new website, the culmination of many hours of hard work of several volunteers and of Plogg media was officially launched. It is anticipated that this site in conjunction with the official CAO site and other marketing strategies will result in improved public understanding of the difference between dentists and orthodontists. Dr. Barry Dolman, the new director of the Order of Dentists of Quebec graciously addressed the audience and reinforced the importance of the dental specialties. The effort of the CAO in improving its website content was emphasized along with its assistance in the development of the AOQ website. The fourth edition of the annually successful gala was held on September 28th, 2012. Thanks are due to the organising committee for their hard work over the past four years. Drs. Luigi Di Battista, George Papanastasoulis, Catherine Jomphe and Florence Morrison once again produced a great evening in support of a worthwhile cause. Dr. Luigi Di Battista was elected AOQ President. A plaque was presented to Past-President Dr. Fannie Brousseau.
Rapport de la province de Québec Dr Sabhlok de Dubai, nous a présenté une journée de cours sur l’orthodontie le 30 mai 2012. Diverses discussions eurent lieu pendant l’assemblée annuelle de l’association des orthodontistes du Québec. Le nouveau site web, finalement disponible après de nombreuses heures de travail par des volontaires et la compagnie Plogg Media fut officiellement lancé. Les membres du AOQ souhaitent que les sites de l’AOQ, de la CAO associés à d’autres stratégies de marketing résulteront en une meilleure appréciation de la différence entre les dentistes généralistes et les orthodontistes de la part du public Les efforts que fait la CAO quant au développement Continued… Fall 2012 • CAO Bulletin
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Component Society Reports du site internet et la CAO a offert toute son aide pour le développent future du site de l AOQ. Dr Barry Dolman, le nouveau directeur général de l’ordre des dentistes est venu adresser l’audience et a réaffirmé l’importance que l‘Ordre porte aux spécialités dentaires. Il a cependant été très vague quant à la façon dont l’ordre entendait souligner cette importante distinction. La quatrième édition du Gala bénéfice eu lieu le 28 septembre 2012 et s’avéra encore une fois un franc succès. Ce succès est dû en très grande partie à l’implication des docteurs, Catherine Jomphe, Florence Morisson, George Papanastasoulis et Luigi Di Battista. Les bénéfices de cette soirée seront versés à diverses fondations.
Atlantic Report Dr. Dan Stuart [Email: danstuart96@hotmail.com] The Atlantic Orthodontists Association (AOA) held its most recent Annual General Meeting at the Delta Beausejour Hotel in Moncton, New Brunswick, June 22nd to the 24th, 2012. The AOA was honored that CAO president Dr. Ritchie Mah made the long journey from Vancouver to attend the meeting as a guest and to provide a detailed synopsis on the current state of affairs. Dr. Mah was joined by NESO President Dr. John Callahan, who provided an informative briefing focused on the Consumer Awareness Program, including the use of French posters.
Doctors, spouses, staff and company representatives enjoyed and appreciated the golf tournament courtesy of Mike Leger of 3M Unitek held at Fox Creek, Dieppe, NB. An outstanding day of continuing education, supported by 3M Unitek, Invisalign and Ormco was the highlight of the meeting. Dr Adam Schulhof’s lectured on lingual treatment with Incognito. Dr. Sam Daher, the world’s biggest solo provider of Invisalign reviewed some of his cases and shared valuable clinical tips. Dr. Jamie Reynolds showcased the Insignia system with cases that illustrated the significant clinical benefits of this system. Following all that education, the band Bittersweet sponsored by Grant Thorton and BMO Nesbitt Burns, had everyone dancing the night away in classic Maritime tradition. The current slate of officers for the AOA includes Past-President Dr. Stephen Roth who agreed to return as Secretary/ Treasurer upon his official ‘retirement’ from the Executive in 2010. Dr. Don Johnson is the current Vice-President and is also the component representative to NESO. Dr. Brien Stackhouse is an additional member of the Executive committee acting as a recent Past-President. The next annual meeting is tentatively scheduled for May 24th, 2013 at Fox Harb'r Resort and Spa in Wallace Nova Scotia. This administrative meeting will welcome incoming President Don Johnson. It continues to be a pleasure to serve the members of the Atlantic region and to be a part of the CAO Board of Directors.
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 2013! Kindly note that the CAO offices will be closed from 5:00 pm on December 21st and will re-open on January 2nd at 9:00 am.
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WEBINAR UPDATE Dr. Gerry Zeit The Black Triangle and Other Mysteries: Techniques to Enhance Your Orthodontic Outcomes The Black Triangle and Other Mysteries: Techniques to Enhance Your Orthodontic Outcomes webinar was held on Tuesday April 17th at 7:00 PM EST. The presenter was Dr. Elliot Weinstein a Toronto periodontist. Thirty two offices were registered for the webinar and at least twenty seven were actually online at the time of the webinar. It is uncertain exactly how many individuals viewed the presentation. Dr. Weinstein was a knowledgeable and a well-prepared speaker. The presentation was excellent and was received with interest by all participants. Continuing education certificates were distributed to the participants and the presentation is now archived and available for viewing on the CAO website. All participants were invited to complete an online survey (Survey Monkey) after the presentation. All aspects of the webinar including technical, content and the speaker himself were rated either above average or excellent by the majority of respondents. All survey respondents said they would participate in another webinar if offered by the CAO. 85 percent of respondents found the time of presentation to be appropriate with the remainder suggesting a later time of 8:30 to 9:00 pm EST). When asked about future webinars, all respondents expressed interest in clinical orthodontics. Other topics with a high level of interest include practice management and the introduction of new products. Over 90 percent of respondents were interested in being able to download the webinars from the CAO website for future viewing. The vast majority of individuals who viewed the webinar were orthodontists with an even distribution of age, the majority being from Ontario. Reliance on this information should be tempered by the small number of survey respondents.
Orthodontic Practice for Sale Bridgewater, Nova Scotia (1 hour from Halifax)
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We’d like to hear from you! Send in your pictures from your local meetings and events. Show us what you’ve got! If something of interest happens in your area, let us know. We are interested and are confident others will be as well.
Thank you to Dr. Weinstein for his presentation and to Alison Nash and Jackie Wilmore for their administrative assistance in the operation of the Adobe software. A $100 donation to the Heart and Stroke foundation was made in honor of Dr. Weinstein. The November Webinar featured Dr. Jean Marc Retrouvey speaking on sleep apnea. An update will be given in the next issue of the Bulletin. Suggestions for speakers and topics for future webinars are always graciously accepted.
Send to: James Posluns, Bulletin Editor Email: james.posluns@utoronto.ca
Fall 2012 • CAO Bulletin
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From the Editor
Dr. James Posluns [Email: james.posluns@utoronto.ca]
On Christmas, the Grinch and Ethical Dilemmas Christmas is coming, and I’m looking forward to the arrival of the Grinch. I know it sounds crazy, but he and I are kindred spirits of sort. The two of us have big feet, are somewhat grumpy and live in a dodgy part of town with a small animal who respectively love each one of us unconditionally. But unlike me, the Grinch is full of thought-provoking truisms. Far and away, my favorite has got to be "Maybe Christmas doesn't come from a store. Maybe Christmas… perhaps… means a little bit more." The good Doctor (Seuss that is) was downright poetic when he penned these words of wisdom. As I exited the latest meeting of CAO faithful this September past, something made me think of my old pal the Grinch and his epiphany. As I bid adieu to our nation’s capital and boarded my fourth Porter flight in as many days, something made me recall the words of my friend. “Maybe ethics don’t come from a store. Maybe ethics…perhaps ….mean a little bit more." Ahhh. Good ole ethics; the latest buzzword around the tables from within the hallowed halls of the Chateau Laurier. Many a brow furrowed in response as to exactly how to handle this new challenge approaching from afar. What about insurance? No biggie; all good there.
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What about the threat of them fancy foreign trained orthodontists? An idle threat at best; we’re all doing fine. What about advertising? That one will always be work in progress. Nope, now our problem is ethics and we better do something about it. The AAO says so. Now jump to it, before we all go straight down the tubes. Talk about the barn door closing just a wee bit after the horse has left the building. If orthodontics has a problem with ethics, it’s a reflection on all of us and the problem has been brewing for a long
time. For how long, I have no clue, but put two orthodontists in the same part of town and you can be sure one is going to accuse the other of something sneaky to gain the upper hand. It’s no ones’ fault. In the words of the late Michael Jackson it’s human nature. There is a common belief that if an ethical problem exists in orthodontics, it’s a problem of the young. Seriously, what’s with that? Is an inference actually being made that those very young 'uns we reviewed, interviewed and fought over for acceptance into our beloved orthodontic programs have an innate ethical defect we all failed to recognize? If that’s
the case, it’s our problem not theirs. If there is a problem with ethics in orthodontics, then it's incumbent on all of us to once again take Michael’s advice and take a good look at the man (sorry ladies) in the mirror. Ethics are difficult to define and to quantify. How do you ascertain if you are an ethical practitioner? You could take a test. The DRAs love tests. I took one in a shopping mall down south last year. It took all of sixteen minutes and forty nine dollars to satisfy the Great State of California that I was on the up and up. While tests like these are a means to the end, do they really weed out the bad dudes? I don’t recall anyone having to sweat out a supplemental exam in ethics of late, do you? You could sign up for a sleep study. There must be a correlation between how fast one falls asleep and one’s state of ethical bliss, all things being equal. And what about after you fall asleep? Does the gnashing of your teeth keep the kiddies awake? Does your masseter hurt when the sun rises in the east? Do you have regular visits from the demons that roam the streets at night? If you have answered yes to one or more of the above questions, you may have a problem with ethics. Call the number on your screen before it’s too late! I consider myself having a fairly solid grip on the ethical principles of practice. I rely, as I assume many of us do, on the highly scientific theory of gut instinct. When something doesn’t seem right, I get a funny feeling in my tummy that usually steers me in the right direction. No doubt my Momma brought me up right or something like that. But then I’ll read over a scenario probing one’s ethical de-
cision-making ability and it’s like I just landed on the moon. Ethics is tough stuff, so expecting an answer from organized orthodontics may leave one somewhat disappointed; we’re all going to have to roll up our sleeves this time around. Which brings us back to my buddy the Grinch. He definitely failed his ethics exam. But when all the Whos down in Whoville sang that Christmas morning, the Grinch took it upon himself to take action. He didn’t take a course. He didn’t read a directive. He looked within and he fixed the problem. And then his tiny heart grew three times its original size and blew out the cephalostat. Nice. To all a good night! Jimmy P
With three straight lines divide the circle into several regions with equal sums of their numbers. Lines should begin and end on the circle’s periphery. They may cross each other, but not the numbers. No empty regions are allowed.
Straight Shooters True Story: A patient comes into the office for a consult. The orthodontist runs through various treatment options and the patient opts for lingual braces. The orthodontist outlines the pros and the cons of lingual. The patient listens intensely. At the conclusion of the consult, as the patient exits the chair he asks, “Can I get colours?” Did you hear about the molars over in the third quadrant? After 13 years together, they’ve decided to separate. Canine retraction: A dog leash with automatic recoil.
Canadian Association of Orthodontists UPCOMING ORTHODONTIC MEETINGS 2013 May 3-7 . . . . . . . . . .AAO Annual Session, Philadelphia, Pennsylvania June 26-30 . . . . . . .European Orthodontic Society Annual Session, Reykjavik, Iceland Sept. 19-21 . . . . . .CAO Annual Session, Banff, AB Sept. 19-22 . . . . . .MSO Annual Session, Kansas City, MO Sept. 26-29 . . . . . .GLAO Annual Session, Colorado 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) 2014 Sept 4-6 . . . . . . . . .CAO Annual Session Montreal, QC
Congratulations to Dr. Gerry Zeit, the winner of last issue’s puzzle. He’s not just a winner, he’s a Past-President!
2015 Sept 17-19 . . . . . . .CAO Annual Session, Victoria, BC
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