CAO BULLETIN - Spring 2014 by LS Graphics

CANADIAN ASSOCIATION OF ORTHODONTISTS / ASSOCIATION CANADIENNE DES ORTHODONTISTES Your Smile is Our Specialty!

Bulletin Spring 2014

Montreal, QC - Site of the 66th Annual CAO Scientific Session!

In this Issue… ■

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Message from the President Consumer Awareness Update Survey Results Summary CFAO Graduate Student Posterboards Committee Reports Component Society Reports 2014 Membership Milestones In Memoriam

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.yoursmileourspecialty.ca AND www.canadabraces.ca

2013/2014 Board of Directors OFFICERS President President Elect Past President 1st Vice President 2nd Vice President Secretary/Treasurer

Dr. Garry A. Solomon Dr. Helene Grubisa Dr. Paul Major Dr. Jean-Marc Retrouvey Dr. Robert D. Kinniburgh Dr. Michael Patrician

REGIONAL DIRECTORS British Columbia Alberta Saskatchewan Manitoba Ontario Quebec Atlantic

Dr. Rick Odegaard Dr. C. Todd Lee-Knight Dr. Michael Wagner Dr. Susan Tsang Dr. Sheila Smith Dr. Sonya Lacoursiere Dr. Donald E. Johnston

Dr. Garry A. Solomon [Email: hellener@lks.net]

A significant amount of activity has transpired behind the scenes since Banff. Seven conference calls have been scheduled as the CAO develops its future direction. These calls included the insurance task force, the policy and procedures task force, the conference advisory committee, the CFAO and the upcoming webinar on GST/HST. On January 21, 2014, a conference call was arranged with the CAO line officers to provide an update on these events and assist in the preparation of the ad-interim meeting in February, 2014. A Monkey Survey, distributed to the membership to measure expected needs and wishes, resulted in a solid 31 percent response rate. This information was required so that the CAO Board of Directors could progressively guide the organization in the right direction at the Strategic Planning Session in February. Results indicated that the membership considers continued media exposure as a top priority and is willing to pay an additional $350.00 per year for this presence. 75.7 percent of the membership wants the CAO and the provinces to combine funds with the AAO media campaign to maximize the media exposure in Canada. The membership did not want the CAO to provide funding on its own. This very strong mandate gives both the CAO and the provincial associations the necessary direction to proceed on behalf of the membership. I attended the Manitoba Orthodontic Society meeting in Winnipeg on October 24, 2013, and over the next four months I will have attended Alberta’s, Ontario’s and Atlantic Canada’s meetings. Helene Grubisa will have attended the Quebec meeting and Rick Odegaard the BC meeting on my behalf. I chaired the CAO/AAO Liaison meeting in New Orleans April 27, 2014, and will attend the upcoming WFO meeting.

COMMITTEES President CFAO CAO/CDSA Liaison Insurance Task Force

Dr. Stephen Roth Dr. Robert D. Kinniburgh Dr. Robert Cram

Membership/P&P Task Force

Dr. Helene Grubisa

Sponsorship Chair

Dr. Michael W. Patrician

WFO - Country Rep

Dr. Garry A. Solomon

WFO - Member-at-Large Conference Advisory Committee Chair New & Younger Members Rep CAO/AAO Liaison Planning & Priorities By-Laws Task Force Communications Nominations Canadian Orthodontic Educators RCDC Liaison

Dr. Jean-Marc Retrouvey Dr. Howard Steiman Dr. Susan Tsang Dr. Garry A. Solomon Dr. Garry A. Solomon Dr. Amanda Maplethorp Dr. Dan Pollit Dr. Paul Major Dr. Gerry Solomon Dr. Thomas R. McIntyre

CAO Web Master Bulletin Editor Historian/Archivist CAO Helpline Task Force GST/HST Advisor

Dr. Daniel Pollit Dr. James Posluns Dr. Garry A. Solomon Dr. Howard Steiman Dr. Michael W. Patrician

There has been ongoing correspondence with Athorn Clark as the PAC (Political Action Committee) continues to unfold. The educators have requested and will receive the return of their funds ($3000.00) held by the CAO in a segregated account. There have been ongoing discussions with the CAO and the AAO administrators about the CAO/AAO master agreement and the associated affiliation agreement. The provincial representatives have provided information on their respective member assistance programs. These helpline contact numbers will be included in the Bulletin and the members’ section of the CAO website for any member if need of assistance.

Rapport du président Un certain nombre d’activités ont eu lieu dans les coulisses depuis Banff. Alors que l’ACO dessine son orientation future, sept conférences téléphoniques ont été organisées. Au nombre de ces conférences, mentionnons celles du groupe de travail sur la politique et les méthodes, du comité consultatif sur le congrès, de la Fédération canadienne pour l’avancement de l’orthodontie (FCAO) et celui portant Continued…

SPRING 2014 • CAO Bulletin

sur le webinaire imminent sur la TPS/TVH. Le 21 janvier 2014, une autre conférence téléphonique a été organisée avec les cadres hiérarchiques de l’ACO pour faire le point sur ces activités et contribuer à préparer la réunion intérimaire en février 2014. Un sondage MonkeySurvey, distribué aux membres pour mesurer les besoins anticipés et les attentes, a donné lieu à un solide taux de participation de 31 pour cent. Le conseil d’administration de l’ACO avait besoin de ces renseignements pour orienter progressivement l’organisation dans la bonne direction lors de la séance de planification stratégique qui a eu lieu en février dernier. Selon les résultats obtenus, les membres considèrent l’exposition continue dans les médias comme leur priorité, et ils sont disposés dans cette optique à verser un montant supplémentaire de 350 $ par année. Si les frais d’adhésion à l’ACO augmentent à cette fin, il revient alors au futur conseil d’administration d’éliminer cette hausse si jamais la campagne médiatique est interrompue. Les membres, dans une proportion de 75,7 pour cent, veulent que l’ACO et les provinces réunissent des fonds pour les verser à la campagne de l’AAO, de sorte à maximiser la présence dans les médias au Canada. Les membres ne voulaient pas que l’ACO fournisse des fonds seule. Ce mandat très fort accorde tant à l’ACO et aux associations provinciales l’instruction nécessaire d’agir pour le compte des membres. Ajoutons que le sondage a démontré que ces derniers doivent mieux connaître le rôle de la Fondation canadienne pour l’avancement de l’orthodontie (FCAO) avant que des dons soient versés à l’appui de ses projets. J’ai assisté à la réunion de la Manitoba Orthodontic Society, à Winnipeg, le 24 octobre 2013, et, au cours des quatre mois suivants, j’ai également participé aux réunions des organisations en Alberta, en Ontario et du Canada Atlantique. Helene Grubisa assistera à celle qui aura lieu au Québec, et Rick Odegaard me représentera à celle de la British Columbia Society of Orthodontists. J’ai présidé la réunion de liaison ACO/AAO à La Nouvelle-Orléans, le 27 avril 2014, et je me rendrai à la prochaine rencontre de la World Federation of Orthodontists. Une correspondance se poursuit avec Athorn, Clark & Partners au fil du déploiement des activités du PAC (Political Action Committee [Comité d’action politique]). Les formateurs ont demandé que leur soient retournés leurs fonds (3000 $) détenus par l’ACO dans un compte distinct. Des entretiens se sont poursuivis avec les administrateurs de l’ACO et de l’AAO au sujet de l’entente-cadre et de l’accord connexe d’affiliation. Les représentants provinciaux ont fourni des renseignements sur leurs programmes respectifs d’aide aux membres. Les numéros des lignes d’aide correspondants seront fournis dans le Bulletin et la section réservée aux membres du site Web de l’ACO à l’intention de tous les membres qui ont besoin d’appui.

CAO Bulletin • SPRING 2014

The CFAO is holding a Silent Auction at the CAO Conference in Montreal, QC! Dr. Stephen Roth, CFAO President, is looking to be astounded by your support of the CFAO and one great way to do that is by donating an item for the CFAO Auction. Our bidders will bend over backwards for items such as:

✯ ✯ ✯ ✯ ✯

One of a kind art/jewellery pieces

Use of a Resort condo or “Time Share”

Tickets to Sporting Events or live Theatre Spa/Restaurant Certificates

Sports Memorabilia (think “The Goal Heard ‘Round the World”!)

We want as much juggling for top bids at the auction tables as we can get, so this is no time to clown around! It’s time to donate exciting new items for this year’s Auction that supports a number of CFAO Programs and Initiatives.

Please contact the CFAO office at (416) 491-3186 for more information.

Committee Reports

Treasurer’s Report

CAO/AAO Report

Dr. Michael Patrician Treasurer

Dr. Garry Solomon CAO/AAO Liaison

Email: drpatrician@bellnet.ca

Email: hellener@lks.net

As of December 31, 2013, the general operations of the CAO generated net income of $ -10,765.61 and the Scientific Session generated net income of $-14,669.70. The net combined revenue of the CAO as of December 31, 2013, was $-25,435.31. The total member’s equity is $581,817.55 and the total current assets stand at $765,278.35. The annual dues for 2014 have been increased by $20.00 to $615.00 plus HST partly in response to the anticipated costs of the Consumer Awareness Program (CAP), the future website development and the CFAO educational contingency. The Board anticipate a further dues increase for 2015 and for 2016 because of the anticipated costs of the CAP. Due to the new regulations from CRA concerning Not-ForProfit organizations, the Board has made changes in the strategic planning for emergency reserves. The CAO operational capabilities must be protected through the creation of both a CAO Scientific Session Reserve Fund and a CAO General Operations Reserve Fund. In the case of any unfortunate catastrophe, CRA will permit reserve funds provided they have been segregated in an organized manner and do not exceed one year’s expenses. The Board is also planning ahead for a successful CAP in support of orthodontics by orthodontists. To this end, the Board has plans to create a CAP reserve fund.

The CAO has committed $100,000 per year for three years to piggyback onto the AAO funding to increase media coverage in Canada. The CAO has paid $8500 for French dubbing advertisements. The CAO will facilitate the process if any component society wishes to piggyback additional provincial funding with the CAO/AAO CAP. The AAO has set aside $308,000 for the Canadian 2013-14 CAP of which $60,000 is for French media on Radio Canada. The advertisements will air on the HGTV, The Food Network, DYI and E! channels. English advertisements will run from August 2013 until May 2014. French advertisements will run from November 2013 until April 2014. All advertisements are 15 second spots. Radio Canada advertisements from January 1 until April 30 2014 will cost $76,346 and comprise of 147 spots, 8 of which ran during the Winter Olympics. The AAO has provided a link from the AAO website to the CAO website, as requested by the CAO, to facilitate New and Younger Members’ access to information. The AAO has allowed the Canadian advertisements to place the CAO logo ahead of the AAO logo for improved visibility. The Master Agreement between the AAO and the CAO as well as the affiliation agreements are still under revision. It is anticipated that they will be finalized in the near future. The ADA Commission on Dental Accreditation requires orthodontic residency programs to address ethical issues. Fifty three percent of the orthodontic programs require more resources on topics related to ethics. Richard Marcus is the chairman of the AAO Council on Membership, Ethics and Judicial Concerns (COMEJC). The universities in the United States have no standardized curricula. COMEJC, working with the Council on Education, will explore the options and promote ethics in the post-graduate orthodontic curriculum. The objective is to build a consolidated collection of resources to facilitate the educators in developing their curricula.

Signing the Memorandum of Understanding.

Continued… SPRING 2014 • CAO Bulletin

Committee Reports The ADA Survey on the Economics of Orthodontic Care indicated an increase in billing and an increase in expenses from 1996 to 2011. Gross billings increased forty-two percent from $610,016 to $866,670. 2007 surveys reported that net income peaked for orthodontists at $306,226 and has decreased every year to 2011 to $230,000. In 2011, orthodontists had the highest average annual practice expenses per dentist at $460,000, a 41 percent increase from 1996. From 2003 to 2011 the survey has indicated a 20 percent decrease in orthodontic patients. In 2011, 50 percent of orthodontists reported not being busy enough, in comparison to 38.6 and

CFAO Donations Since November 2013 McIntyre Fellows Dr. Sanjay Anand Dr. Fannie Brousseau Dr. David A. Brown Dr. Brent D. Cote Dr. Michael G.D. Culbert Dr. Roger Drouin Dr. Helene Grubisa Dr. Maxine Herbert Dr. C. Bruce Hill Dr. Hugh W. Lamont Dr. Jeffrey A. Stewart Dr. Dan A. Stuart Dr. Daniel Tanguay Dr. Barry W.White

33 percent of general practitioners and other specialists respectively. Despite these pessimistic statistics, AAO surveys have shown some improvements in the last two years.

CFAO Report Dr. Stephen Roth CFAO President Email: stephenfroth@mac.com The past year has been a productive one for the CFAO. Some established programs will undergo significant changes in 2014, while new programs continue to develop. Supporting the Next Generation - The CFAO is thrilled to support the inaugural Student Research Symposium during the upcoming Scientific Session in Montreal. This event should be an excellent opportunity for the Canadian orthodontic residents to present their research to a live audience. Please make plans to attend to support the residents and discover the cutting edge of orthodontic research in Canada. CFAO Joint Plenary Session in Montreal - The CFAO is also pleased to support the Joint Plenary Session during the Scientific Session. This session is a unique opportunity to review the multiple methods of Class II correction available to the practicing orthodontist. The joint session is bound to be one of the highlights of the scientific program and those in attendance will gain a new appreciation for the variety of methods of correction currently in use. FUNdraising - The Annual CFAO Silent Auction at CAO Gala Banquet continues to grow. This event is fast becoming a central component of the CFAO’s fundraising efforts. The CFAO sincerely appreciates the generosity of all who have donated auction items and participated in the auction in the past and hopes to count on your support to make this year’s auction bigger than ever. Please contact the CAO administrative offices if you have an item you would like to donate.

CAO In memoriam of Dr. Allen Feldman OAO In memoriam of Dr. Allen Feldman CAO In Memoriam of Dr. Vincent Dontigny

CAO Bulletin • SPRING 2014

S4C - The CFAO executive recently passed a motion to implement Smiles 4 Canada; a program to facilitate the orthodontic treatment of deserving, low-income young people. A recent survey indicates that 85 per cent of the membership would consider participating in such a program. A framework has been developed and work is in progress to finalize the details. Additional information is forthcoming as the program is phased in over the next two years. Anyone interested in help-

Committee Reports ing with the administration of this very worthwhile program is welcome to contact me for more details. McIntyre Fellowships - The CFAO is happy to welcome a significant number of new McIntyre Fellows this year. Keep your eyes open for new ways that the CFAO will recognize the generosity of these members at the CAO Scientific Session. As always, this is just a sample of CFAO activity. Please feel free to contact me directly if you have any suggestions or questions. You can also find more information on the website…CFAO.ca.

Insurance Report Dr. Robert Cram Chair Insurance Task Force [Email: rjcram@shaw.ca]

joining us on our second conference call. Thank you to the members of the task force for their contributions, emails, and their willingness to serving the membership by participating in the Insurance Committee activities going forward. This report to the Board marks my last official duty as the Chair (or Acting Chair) of the Insurance Committee. It has been my pleasure (it’s not work when you’re doing something that you feel passionately about) to serve my association, my friends and fellow orthodontists. I will forever be thankful for the thirtythree years that I have been lucky enough to practice as a certified specialist of orthodontics in beautiful Red Deer, Alberta.

New and Younger Members Report Dr. Susan Tsang New and Younger Members Representative Email: s_tsang2@hotmail.com

The CAO insurance committee has responded to three requests for assistance from orthodontists during the past four months. Two of the three were related to the completion of the Standard Information Form, and/or questions about the CAO insurance guidelines. In addition to these same two elements, the third request for assistance was complicated by the desired business plan of the orthodontist. Recently a member noticed that Oral-B (Proctor and Gamble) had posted (both in French and English) inaccurate advice on their public website, outlining criteria (including the acceptance of assignment of benefits) potential orthodontic patients should employ when choosing an orthodontist. Several present and past CAO Presidents quickly contacted senior Canadian Oral-B representatives, to request that they change or delete that advice, and corrections immediately ensued. A CAO Insurance Task Force was struck by Immediate PastPresident Paul Major late last spring. Robert Cram was asked to Chair this task force, and the remaining members were appointed with a purposeful bias towards the more recent graduates in order to help the task force be more responsive to the new and younger members’ concerns. The mandate was to revise whatever insurance guidelines required revision and to restructure the Insurance Committee to make it forward-focused and more responsive. Thank you to Alison Nash for her assistance in arranging the conference calls and for taking and distributing the minutes and to President Garry Solomon for

The 2014 GORP meeting will take place August 1 to 3, 2014, at the University of Michigan in Ann Arbor, MI. The CAO was present at the 2013 meeting at the University of North Carolina. The Board has elected to have representation every other year commencing in 2015. Sherry Nappier of the AAO has been contacted to request a list of AAO student members that have requested CAO student membership. The regional directors in provinces with graduate programs are currently arranging meetings with residents of this academic year to discuss CAO membership and benefits. Further consideration will be given as to whether it is feasible to arrange a gathering for residents completing the RCDC exam in Toronto. Mr. David Lind from Professional Practice Sales in Toronto will speak on practice valuations at the upcoming NYM Luncheon at the 2014 Annual Session in Montreal.

Continued… SPRING 2014 • CAO Bulletin

Committee Reports CAP Report Dr. Sheila Smith Email: drdb@bellnet.ca The AAO will contribute $307,410 to the CAO CAP for the next session. Canadian members pay 80 percent of the $750 assessment, with select members at the 25 and 50 percent of the assessment level. The CAO has undertaken an initiative to provide an additional $100,000 for the CAP in 2014- 2015. A breakdown of the projected costs was requested of Creative Bubetube, as recommended by George Clark. It was further requested that French dubbing of the commercials be limited to either two fifteen second ads or one fifteen second and one thirty second ad. The CRTC requires all commercials to have closed captioning as of Sept 1, 2014. Although Creative Bubetube has provided a quote for the approximate costs of the CAP, changes may be required when a final decision is made on the direction of next year’s campaign. Costs will vary if the networks are changed or Athorn Clark decides to take the CAP digitally. Unfortunately we are not privy to these details at this time.

RCDC Report Dr. Tom McIntyre Orthodontic Councillor, RCDC/RCDC Liaison The current members of the Royal College Executive are, President Lee McFadden, Vice-President Hugh Lamont, Immediate Past-President Garnet Packota, Examiner-in-Chief Paul Jackson, Registrar David Precious, Treasurer Ernest Lam and Executive Director Peter McCutcheon. The RCDC Annual General Meeting was held in Toronto, ON September 22, 2013, on the day immediately following convocation. The College is constantly improving the examination process. In Dr. McFadden’s 2013 annual report to the RCDC, he stated that the College invited representatives from the dental regulatory authorities to attend the Component II exams as observers. He quoted a response from the RCDSO “The overall impression gained from this exercise was that the RCDC specialty examination process appears to be transparent, fair and standardized. It appears that the RCDC has gone to great lengths to create a fair and equitable playing field for

CAO Bulletin • SPRING 2014

all candidates”. The RCDC annual report is informative and is available from the College. Unfortunately the 2013 RCDC convocation and annual meeting conflicted with the CAO Annual Session in Banff. This conflict appears to be an ongoing problem. It is especially difficult for the graduating students who often present research posters at the CAO in that they must either leave one event early or miss one in its entirety. Diane Gaunt and Peter McCutcheon are working together to avoid conflicts in the future. The 2014 and 2015 dates have been set with no conflict in the former, but present in the latter. The RCDC is looking into moving its convocation to October or to November starting in 2016. The 49th Annual Convocation of the RCDC will take place in Halifax, NS on Saturday, September 20, 2014, with the annual meeting following on Sunday September 21, 2014.

CDSA Report Dr. Ritchie Mah CDSA Liaison [Email: ritchiemah@gmail.com] As the year draws to a close, it is my pleasure to update the membership on the state of affairs regarding the Canadian Dental Specialties Association. It is rewarding to witness the progression of the CDSA from an ideal to becoming the officially recognized national voice of the dental specialties in Canada. If not for the efforts of the CDSA’s founding fathers, Drs. Lee McFadden (CAOMS), John Perry (CAOMP/OM) and Christopher Robinson (CAOMS) it is unlikely that the CDSA would be up and running today. A great many thanks to all for their efforts, both past and present. Under the guidance of our first two presidents Drs. Aaron Burry (CAPHD) and Calvin Pike (CAE), the CDSA made significant inroads in fulfilling its mandate. The CDSA has maintained and strengthened our relationship with the Canadian Dental Association and believes that there is much to offer to each other as national organizations. The three CDA presidents in office since CDSA’s inception; Drs. Robert McGregor, Robert Sutherland and Peter Doig have been forthcoming in their respective support for the CDSA and have made efforts to reach out to the CDSA and its member associations. In return, the CDSA has been available to respond to any requests made by the CDA for specialty input with the CDSA board kept fully abreast of the CDA’s activities. With this level of mu-

Committee Reports tual understanding and respect, the CDSA has asked the CDA to disband its Internal Committee on Specialists Affairs (COSA); the former conduit between the CDA and the dental specialists made redundant following the CDSA. This shift had been one of the goals of the CDSA from the outset. An assumption of that role. The CDSA has been asked by the CDA to develop a program for the 2014 CDA National Dental Forum held annually just prior to the CDA Annual General Meeting. This interactive forum provides the opportunity to examine and to discuss current issues and concerns in dentistry among the CDA’s membership and its leaders. It further allows CDSA to highlight its role as the voice of the dental specialists while contributing to the CDA’s role as the national voice of dentistry. As a young organization, CDSA has identified the need for recognition and the need for participation in other national dental organizations as one of its key objectives. To this end, the CDSA sought to attend the annual council meetings of the Royal College of Dentists of Canada (RCDC) as well as the board meetings of the Canadian Dental Regulatory Authorities Federation (CDRAF). The CDSA has been granted observer status to attend both these important meetings. CDSA Vice President Dr. Rob Barsky (CAPD) attended the RCDC Council meeting in Toronto in September, 2013 to present this request formally and it was approved in November, 2013. As CDSA President, I attended the CDRAF meeting in Saskatoon in October 2013, where I presented the CDRAF Board with our CDSA message as well as presenting an offer to participate in future meetings. Internally, the Board is continuing to identify further activities with which it can be involved. The CDSA will endeavour to establish a dialogue with its provincial counterparts, to help improve the lines of communication at the national level. The website will continue to improve as bylaws and minutes of meetings are posted for the membership. There is need to establish standing committees and to assign roles and responsibilities to our board members to continue growth. I am proud with what has been achieved in a relatively short period of time. It is obvious there is still much to accomplish; the CDSA is only as strong as its membership. The CDSA needs active participation from each of the nine member associations and from the individuals within. If this momentum cannot be sustained then the organization will falter. The founding fathers and the board members have invested much of their blood, sweat and tears into the birth and the infancy of the CDSA. Its

future growth and its success depend on our members and their respective memberships. It is the newer and younger members of each member association that must now take ownership of CDSA, because it is they who shape the future.

WFO Report Dr. Amanda Maplethorp WFO Committee Email: a_maple@shaw.ca Garry Solomon attended the WFO Breakfast Meeting in New Orleans on behalf of the CAO. The next Scientific Session Meeting of the IOC will be the September 2015 meeting in London, UK. The WFO voted to reduce student membership fees to $0 for a trial period.

Helpline Numbers Available for Member Assistance Programs (MAP) This list of contact numbers will provide support to any CAO member who might need or seek additional support in a crisis situation affecting their personal lives. These are anonymous contacts and will provide support and resources for a variety of situations. Nova Scotia Professional Support Program (PSP) 902-468-8215 Quebec (Medi-Secours) - 514-440-4520 Ontario and Manitoba (CDSPI) English - 1-800-265-5211 French - 1-800-363-3872 Saskatchewan (PAR Consulting) – Saskatoon: 1-800-978-8282 or 306-652-3121 Regina: 1-877-352-0680 or 306-352-0680 Alberta (Confidential Assistance Program – CAP) 1-800-226-6433 British Columbia (CDSPI) – English - 1-800-265-5211 French - 1-800-363-3872 or Dental Professional Assistance Plan (DPAP) 1-800-661-9199

SPRING 2014 • CAO Bulletin

CAO Survey Summary In November, 2014, the CAO undertook a membership survey hoping to identify the areas of most importance and concern to our members, and therefore begin a strategic plan to address those and other areas that affect our profession. Over 175 members participated in the survey, reflecting a variety of regions, age and stage of practice. The information gleaned from this survey will help shape the future of the CAO and help target opportunities for more cohesion across the orthodontic profession. We thank all of those who took the time to participate and give your feedback! Below are some of the highlights from the survey results. Overall Satisfaction The majority of members felt that the CAO was meeting their expectations through their membership, and in some cases were exceeding. One membership category that felt that the CAO could improve in meeting their needs was our New and Younger Members. The CAO Membership Committee hopes to engage more of this demographic in the future to help identify and offer services that meet the specific needs of our newest to join the profession.

Professional Challenges Our members felt that competition from General Dentists was of concern to them. Again, while not a surprise, the other area of concern that was raised by our younger members was a feeling that there is currently an oversupply of orthodontists. More research in this area is needed and will be done. Communication Our members felt that the CAO could do more to promote any support services available to those members in trouble, but not participate in a similar program for patients in any organized fashion. We also learned that not surprisingly, more of our members are utilizing social media to interact with their current patients and attract new patients. The CAO Communications Committee will be investigating ways to link all these social media activities thereby creating a larger network for our members to identify with. The CAO Bulletin remains an important source of Association information and was viewed favourably by our respondents. The Editor is always looking at ways to keep the publication fresh and current to meet both association and profession-specific needs.

Goals for the CAO There is no doubt that the Outreach to the Public ranked the highest priority for our members, in terms of primary CAO goals. With over 85% of members across all demographics echoing this sentiment, the Consumer Awareness campaign, along with our new CAO website, both geared to identify the benefits of using an Orthodontic Specialist is on target. The CAO Board of Directors is specifically looking at ways to expand on the current programs and utilizing new media such as blogs and other digital media to help reinforce this concept to key consumer markets. Our members did feel that an assessment of some kind was acceptable to help fund such an ongoing campaign. The CAO Board approved utilizing reserve funds to avoid assessing members for the next three years, and at that time, they will assess the current professional climate and needs, and budget accordingly to best meet the needs the CAO members, while respecting the amount willing to be spent by individual members in this area.

CAO Bulletin â&#x20AC;˘ SPRING 2014

Education Respondents were very pleased with the direction of the CAO Scientific Session, as it ranked extremely high in its approval as a member benefit. The Conference Committee will continue to offer a program full of excellent educational and networking opportunities. The CAO Webinar program is gaining momentum and involvement. However, it was clear that members were not aware that past webinars are archived on the CAO Members Website for future viewing and CE points. More promotion of this program will be offered in the future.

Again, thank you for all of your participation in this survey. The information gathered from this process will shape the next few years of strategic direction of the CAO and provide the Board of Directors to involve more members and engage more orthodontists in the professional pursuits of the CAO.

Student Posterboards Abstracts from the 2013 CAO Annual Scientific Session – Part 2 of 2 part series

University of British Columbia MICROSENSOR TECHNOLOGY TO MONITOR COMPLIANCE WITH REMOVABLE ORAL APPLIANCES Authors: Kirshenblatt SJ1*, Chen H2, Lowe A2, Pliska B2 and Almeida F2

CONCLUSIONS: All 3 microsensors are comparable in their accuracy. While some statistically significant differences were found between the microsensors, clinically these differences are not significant. All 3 materials are suitable to be used with these microsensors in clinical settings.

1Graduate

Orthodontics, Faculty of Dentistry, The University of British Columbia, Vancouver, Canada; 2Department of Oral Health Sciences, Faculty of Dentistry, The University of British Columbia, Vancouver, Canada

OBJECTIVE: The aim of this study is to evaluate the reliability of thermo-sensitive microsensors which record “wear-time” of removable OA and help clinicians evaluate patient adherence. METHODS: DentiTrac (Sensor D, n=16), TheraMon (Sensor T, n=20) and Air-Aid Sleep microsensors (Sensor A, n=30) placed in a water bath (34-380C) to simulate “wear-time” of OA. In trial 1, sensors were in the water bath for 7 hours/day. In trial 2, sensors were in the water bath for 2 hours, removed for 1 hour, and replaced for 2 hours/day. In trial 3, the sensors were embedded into 3 different materials, acrylic, polyvinylchloride, and thermoactive acrylic and were placed into the water bath for 7 hours/day. Each trial was conducted for 10 days. RESULTS: In trial 1, there was no significant difference between the actual log time and the computed time readouts for Sensor T (0.90±12.37 min/day) and Sensor A (-0.42 ±4.69 min/day). Sensor D significantly overestimated time (3.53±2.42 min/day) during long durations of “wear”. In trial 2, there was no significant difference between the actual log time and the computed time for Sensor T (0.15±3.00 min/day). Sensor A significantly underestimated time (3.67±9.34min/day) and Sensor D significantly overestimated time (8.34±3.62 min/day) during short durations of “wear”. In trial 3, only Sensors D computed readout were significantly different depending on the material.

University of British Columbia CRANIOFACIAL MORPHOLOGY AND SLEEP DISORDERED BREATHING IN CHILDREN Authors: Aran Reza, Almeida Fernanda, Pliska Benjamin, Chen Hui, Lowe Alan PURPOSE: The aim of this study is to understand how the craniofacial morphology and severity of malocclusion can contribute to sleep disordered breathing (SDB) symptoms in children when controlled for age, gender and body mass index (BMI). METHODS AND MATERIALS: A total of 301 subjects with complete records were included in this study. 237 were preadolescents, 97 male and 140 female, (mean age 9.9±1.6); and 64 were adolescents, 24 male and 40 female, (mean age 13.8±0.9). All parents were asked to complete SDB questionnaires. Lateral cephalometric images were analyzed to assess cephalometric craniofacial features. Clinical examination performed to determine the Angle classification, Mallampati, tonsil size (Brodesky), and BMI. RESULTS: Data from 301 children were evaluated. Subjects were divided to two groups based on their age and each group was divided into two groups based on gender. Preadolescents presented with significantly higher incidence of hyperactivity, headache in the morning, snoring more often, and bedwetting compared to adolescents. Adolescents showed significantly higher daytime sleepiness, difficulty getting up, and impaired daytime function. Frequent snoring, and morning headache are more prevalent among females, while daytime sleepiness, and

(*Presenter)

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CFAO Graduate Student Posterboards hyperactivity are more common among males. Craniofacial features that have significant relationship with SDB symptoms include: lower position of hyoid bone, retruded mandible, steeper mandibular plane angle, and retroclined lower incisors.

tients with cleft lip and palate appears to show a moderate relapse rate in the horizontal plane and a high relapse rate in the vertical plane. Keywords: Stability, Le Fort I osteotomy, Cleft lip and palate

CONCLUSION: This study shows that craniofacial morphology but not the severity of malocclusion could be a potential contributing factor to the severity of SDB symptoms. Keywords: Craniofacial Morphology. Sleep Disordered Breathing. Questionnaire. Cephalometric Analysis.

University of Manitoba SPHENO-OCCIPITAL SYNCHONDROSIS MATURATION AS RELATED TO THE DEVELOPMENT OF CERVICAL VERTEBRAE, MANDIBULAR CANINE AND CHRONOLOGIC AGE: A CONEBEAM COMPUTED TOMOGRAPHY ANALYSIS

University of Alberta STABILITY AFTER MAXILLARY ADVANCEMENT WITH CONVENTIONAL ORTHOGNATHIC SURGERY IN CLEFT MAXILLARY DEFORMITIES

Authors: Richard M. Halpern, BSc, DMD, MS; William A. Wiltshire, BChD, MDent, MChD, DSc, FRCD(C); Frank J. Hechter DMD, MSc, MEd, PhD, FRCD(C); Ian Clara BScH MA, PhD

Authors: Humam Saltaji, Michael P. Major, Mostafa Altalibi, Carlos Flores-Mir PURPOSE: To evaluate the long-term skeletal stability after maxillary surgical advancement with conventional Le Fort I osteotomy in patients with cleft lip and palate by a systematic review of the published data. METHODS: An electronic search of eight databases was performed. Studies were considered for inclusion if they assess the stability of maxillary surgical advancement with conventional Le Fort I osteotomy fixed with plates at the post-treatment follow-up 1 year or more postoperatively in patients with cleft lip and/or palate. Both prospective and retrospective studies, with more than 6 patients per intervention group, were included. Study selection, risk of bias assessment and data extraction were performed in duplicate. RESULTS: A total of 25 reports met the initial search criteria, and 10 reports were finally selected. The overall methodologic quality scores were high for only 1 randomized clinical trial. After maxillary advancement with Le Fort I in patients with cleft lip and palate, the long-term horizontal relapse at the A-point was 20% to 30% in 4 studies and 30% to 40% in 3 studies. In addition, vertical relapse was more than 50% in 4 studies. The study judged as a high-quality study reported a 37% rate of horizontal relapse and a 65% rate of vertical relapse at the A-point. CONCLUSIONS: Current evidence suggests maxillary surgical advancement with conventional Le Fort I osteotomy in pa-

CAO Bulletin â&#x20AC;˘ SPRING 2014

INTRODUCTION: Orthopaedic treatment necessitates patency of skull base synchondroses of which the spheno-occipital is the last to fuse. The aim of this study was to investigate and determine the relationship between maturation of spheno-occipital synchondrosis (SOS), and cervical vertebrae (CVM), dental development of the mandibular canine (DI) and chronologic age. METHODS: Retrospective cone-beam computed tomograms were selected based on chronological age grouping for each gender. Seventy-seven subjects (42 females and 35 males) were randomly selected for each of six groups: (1) 9 year old females, (2) 11-12 year old females, (3) 16-17 year old females, (4) 10-11 year old males, (5) 13-14 year old male and (6) 18-21 year old males. Spearman correlation coefficients between SOS, CVM, DI, and age, along with tabulations of SOS stage and CVM, were estimated separately for gender. RESULTS: The maturation of SOS was significantly correlated (p<0.001) with CVM (0.811 [females] and 0.786 [males]); and with Chronologic age (0.747 [females] and 0.800 [males]). A weaker correlation was found (p<0.001) between SOS maturation and DI (0.647 [females] and 0.630 [males]). All males with fused SOS were in CVM stage 4 or later and in the pubertal or post-pubertal age group, while all females were in at least CVM stage 3 and in the post-pubertal age group. No subjects with open SOS were in post pubertal age group. CONCLUSIONS: SOS stages are valid indicators of potential growth and development and correlate with measures such as CVM.

CFAO Graduate Student Posterboards University of Western Ontario BOND STRENGTH OF BRACKETS TO COMPOSITE RESINS Authors: Brian Phee, Mathew Tse, Ali Tassi, Antonios Mamandras, Amin Rizkalla, Khadry Galil, and Richard Bohay OBJECTIVE: To compare the mean bond strengths and mode of bond failure, in vitro, of five bonding systems (MIP1, Conditioner2, Assure2 , Scotchbond3, and Transbond XT1), when bonding an orthodontic bracket to an artificially-aged composite resin restoration, with and without mechanical surface preparation with a diamond bur. METHODS: Class V buccal composite resin restorations were prepared in 240 upper right central incisor dentoform teeth. The restorations were artificially aged for 35 days, bonded with metal brackets, stored in distilled water at 37°C for 30 days, thermocycled for 500 cycles, and subsequently debonded with an Instron universal testing machine. RESULTS: The mean bond strengths for Transbond, MIP, Plastic Conditioner, Assure, and Scotchbond groups were 12.1, 12.3, 13.3, 17.2, and 17.7 MPa respectively. The mean bond strengths for Transbond+Diamond , MIP +Dimond, Plastic conditioner+Diamond, Assure+Diamond, and Scotchbond+Diamond groups were 18.5, 16.4, 19.1, 19.5, and 20.7 MPa respectively. ANOVA revealed a statistically significant difference (P≤0.05) among groups. CONCLUSIONS: Mechanically roughening the surface of a composite resin restoration with a diamond bur, provided significantly greater bond strengths, regardless of the bonding resin used. However, Assure and Scotchbrand, without diamond bur preparation, provided similar bond strengths to Transbond, MIP and Plastic Conditioner, with diamond bur preparation.

University of Toronto NITRIC OXIDE CHANGES IN GINGIVAL CREVICULAR FLUID FOLLOWING ORTHODONTIC FORCE APPLICATION Authors: H Ford*, S Suri, SG Gong BACKGROUND: Nitric oxide (NO) is a signaling molecule involved in bone remodeling induced by mechanical loading. It has also been shown to enhance the rate of orthodontic tooth movement (OTM) in rat models. In humans, however, the role of NO in OTM remains less clear. In this study, we measured NO concentration in gingival crevicular fluid (GCF) after patients were bonded with maxillary fixed edgewise appliances (braces). METHODS: Thirteen male participants (ages 11-18, mean 14y 0m) undergoing non-extraction orthodontic treatment were recruited. Samples of GCF were collected immediately before (T0), 1 hour after (T1), and 3-4 days after (T2) bonding of the maxillary right to left first molars and insertion of light Nitinol archwires. The maxillary second molars served as controls. GCF samples were collected with PerioPaper points on maxillary bilateral central incisors and first and second molars and analyzed for the levels of NO. RESULTS: Comparative t-tests revealed a significant increase (p<0.05) in total nitrite levels (μM) at T1 at the buccal surfaces of the central incisors when compared to both the controls and posterior teeth experiencing an applied orthodontic force. CONCLUSIONS: It is hypothesized that the sites undergoing pressure due to incisor proclination demonstrate elevated nitrite levels at early time points, as this significance was not observed at 3-4 days.

3M Unitek, Monrovia CA Reliance Orthodontic Products, Itasca IL 3 3M ESPE, St. Paul MN 2

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SPRING 2014 • CAO Bulletin

CFAO Graduate Student Posterboards University of Montreal MYOFUNCTIONNAL APPLIANCES FOR CLASS II CORRECTIONS: EMG OF TWINBLOCK VS MODIFIED XBOW

University of Montreal EXPRESSION OF THE OSTEOBLAST MEMBRANE PROTEIN BRIL IN TOOTH AND PERIODONTAL TISSUES

Authors: K. Lam resident, Dr A Montpetit DMD MSD, Dr H. ElKhatib DMD MSD. N. Huynh PhD, Université de Montréal, Faculté de Médecine dentaire, section orthodontie

Authors: Shingo Kuroda1,2; Clarice Nishio1,3*; Rima M. Wazen1; Juliana Dos Santos Neves1; Eiji Tanaka2; Antonio Nanci1; Pierre Moffatt4,5 1 Laboratory for the Study of Calcified Tissues and Biomaterials, Department of Stomatology, Faculty of Dentistry, Université de Montréal, Montréal, QC, Canada. 2 Department of Orthodontics and Dentofacial Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School, Tokushima, Japan. 3 Department of Orthodontics, Faculty of Dentistry, Université de Montréal, Montréal, QC, Canada. 4 Shriners Hospital for Children, Montréal, Québec, Canada. 5 Department of Human Genetics, McGill University, Montreal, Quebec, Canada.

Class II correction with myofunctionnal appliances is common treatment with a growing child. The Twinblock is a popular appliance and researches about its effects on orofacial musculature are numerous. Electromyography (EMG) of the masticatory muscles were measured before and after appliance use and brought up results consistent with possible muscle adaptation. But researchers have not looked upon fixed appliances such as the Xbow®. The latter has proven to be more of a dento-alveolar correction but are the muscles affected as well ? Given that the treatment goals is similar but the biomechanics are different, we hypothetised that the muscles should adapt in a similar manner whether a Twinblock is used or a modified Xbow. In a pilot study, 14 patients in CVS 2-3 and a class II malocclusion were selected and assigned in a randomised fashion to either one of the appliance. EMG of the suprahyoid muscles, of the masseter and temporal muscles were measured before appliance seat, then one week after, then 5, 13 and 20 weeks. The signicantly different results seemed associated with the swallowing exercises, the bilateral masseter sand the suprahyoid muscles showed a higher value with the Twinblock than with the Xbow (Repeated measures ANOVA : 0.01≤P≤0.09). According to the results, muscle adaptations are very similar in both appliances. It can be then infer that, although both appliance act in a different manner, the patient muscles adapts similarly. Given that data collection is still ongoing, more analyses will shed further light in the near future.

Thanks to GAC for their support of the CFAO Posterboards

CAO Bulletin • SPRING 2014

Bone-restricted Ifitm-like protein (BRIL) is an osteoblast-specific membrane protein with a potential role in mineralization. The objective of this study was to evaluate its expression pattern in tooth and surrounding periodontal tissues during development and experimental tooth movement in rodents. Mice collected on embryonic day E14.5 and E17.5, postnatal day 4, and 4 weeks-old were used for the development study. Adult male rats were used for tooth movement and sacrificed after 3 and 5 days. Tissues were decalcified and processed for paraffin embedding and immunohistochemistry with an antiBRIL antibody. At embryonic stage E14.5, BRIL was immunodetected throughout the forming intramembranous bone of the jaw. By day E17.5, BRIL was strongly associated with osteoblasts of the forming alveolar bones and with differentiating incisor odontoblasts. At day 4 postnatal, BRIL staining was also seen in differentiating molar odontoblasts. In adult animals, in addition to osteoblasts and young incisor odontoblasts just prior to mantle dentin mineralization, cementoblasts from cellular cementum were also immunoreactive. At day 3 following tooth movement, BRIL was upregulated in alveolar bone on the tension area and over the facing cellular cementum. BRIL appeared stronger on the compression site only at day 5. At sites of active matrix deposition, BRIL was also associated with newly entrapped but not with mature osteocytes. In conclusion, the distinctive pattern of expression and localization of BRIL observed during development and tooth movement suggest it may mediate cell and/or matrix events on bone forming surfaces and have a functional correlation with mechanical stress. Key words: Bril; osteoblast; cementoblast; odontoblast; bone remodeling; tooth movement.

Membership Milestones Congratulations to the following members celebrating milestones in their CAO membership for the 2014 Membership Year!

60+ Years of Membership Dr. Gerald P. Copeland Dr. Arthur A. Fraser Dr. Rowland D. Haryett Dr. Arthur M. Hayes Dr. Jack Alan Langmaid Dr. Bruce C. Morrow

Dr. Paul H. Korne Dr. Paul Keith Kyle Dr. Parm Lalli Dr. Lesley E. Pollard Dr. Norm Hubert Riekenbrauck Dr. Louis Roy Dr. Howard Steiman

50 Years of Membership

10 Years of Membership

Dr. Yvon Bergeron Dr. Daman Dev Thanik

Dr. Scott Allen Dr. Normand Bach Dr. Gina M. Ball Dr. Magda Barnard Dr. Lucien Bellamy Dr. Louis H. Cadotte Dr. Nicola(Nick) Crichigno Dr. John Daskalogiannakis Dr. Louis Dorval Dr. Roger Drouin Dr. Tarek H. El-Bialy Dr. Fabrice Garnier Dr. Siew-Ging Gong Dr. David Hirsch Dr. Fernando Inocencio Dr. Aly Kanani Dr. Nicholas Karaiskos Dr. Pablo M. Kimos Dr. Kresimir Lackovic Dr. Edward Mah Dr. Michel Martin Dr. Jordan Millar Dr. Annie Miron Dr. Florence Morisson Dr. Paul Morton Dr. Jay Nagamatsu Dr. Julia Ng Dr. James Noble Dr. Elyane Poisson Dr. Grace Richardson Dr. Harold Rosenberg Dr. Pavel Akila Sectakof Dr. Dana Van Elslande Dr. William L. Wilson Dr. Serge Yacoub

40 Years of Membership Dr. Aubey R. Banack Dr. W. Nigel Chalk Dr. Russ J. Dmytruk Dr. Mel L. Drosdowech Dr. James J. Flynn Dr. Richard M. Marcus Dr. Ron J. Markey Dr. Theodore Schipper Dr. Barry Ernest Shapero Dr. H. Geoffrey Smith Dr. Marvin H. Steinberg

35 Years of Memberhsip Dr. Martin B. Chin Dr. Robert Cram Dr. Michel Di Battista Dr. William Bell McLaird Dr. Paul A. Milne Dr. Gordon Organ Dr. Reijo Eric Peltoniemi Dr. Gerry Ronald Solomon Dr. Stanley T. Takasaki Dr. Donald Taylor Dr. Ronald Wolk Dr. Clark G. Wood Dr. Janice E. Yip

25 Years of Membership Dr. David A. Brown Dr. Sylvain Chamberland Dr. Steve Davis Dr. C. Bruce Hill

Canadian Association of Orthodontists UPCOMING ORTHODONTIC MEETINGS 2014 June 6-8 . . . . . . . .OAO Scientific Meeting, Niagara-on-the-Lake, ON Sept 4-6 . . . . . . . .CAO Annual Scientific Session, Montreal, QC Sept 11-13 . . . . .GLAO/MSO Annual Session, Chicago, IL Oct 2-5 . . . . . . . .PCSO Annual Session, Anaheim, CA Nov 6-9 . . . . . . . .NESO Annual Session, Hartford, CT

2015 May 15-19 . . . . . .AAO Annual Session, San Francisco, CA Sept 10-13 . . . . .NESO Annual Session, Providence, RI Sept 17-19 . . . . .CAO Annual Scientific Session, Victoria, BC Sept 27-30 . . . . .International Orthodontic Congress, London, UK October 8-10 . . .MSO Annual Session, Rochester, MN

SPRING 2014 â&#x20AC;˘ CAO Bulletin

CAO Consumer Awareness Program The CAO Consumer Awareness Program (CAP) has been in national operation on English networks since September 2013 and will continue through June 2014. The networks airing the fifteen and thirty second commercials are the Food Network, HGTV, Do It Yourself (DIY) TV and E! Channel. These networks were selected because they are most often viewed by the target audience, that being, females between the ages of 25 and 50 years old and males between the ages of 20 and 40 years old. The CAO contracted for French dubbing of the commercials and they are currently getting national airplay on SRC Radio Canada. Commercials have been placed throughout the day to reach the target group and were aired during primetime Olympic cover-

CAO Bulletin • SPRING 2014

age. The current campaign will continue until late May, 2014. The current campaign is entitled “My Smile, My Orthodontist” and spotlights the relationship between the patient and his or her orthodontist. The campaign highlights the additional two to three years of specialty training. The advertisements feature the new CAO logo and refer the public to the new website. Please visit the website to view all advertisements currently on air. The CAO has pledged to provide funds in addition to AAO funding to increase density to our target audience. For 2014, $70,000 has been set aside to increase the profession’s presence by 30 per cent. The Alberta Society of Orthodontists (ASO) has purchased an additional $25, 000 dollars of airtime on the CBC

networks in Calgary and Edmonton providing air time during the 2014 Winter Olympics, the World Figure Skating Championships, Dragon’s Den, Coronation Street as well as others. This option of addition funding will be open to all provinces in the future years. The CAP is a complex and ambitious member benefit that has evolved through the hard work and dedication of numerous volunteers. The message that orthodontics is best performed by the orthodontist is slowly getting out to the public. The statistics that speak to the impact of the CAO CAP change on an annual basis. The current feeling is the future campaign should be “harder hitting” but not negative with regard to general dentists. The CAO endeavors to continue to develop the program to the benefit of all.

Component Society Reports

British Columbia Dr. Rick Odegaard Email: dr.odegaard@shawcable.com The BCSO website is now operational and comprises separate members and public sections. A future objective is for the website to have a regularly updatable blog on the public site associated with topics on orthodontic care. A proposal has been made to profile two randomly selected practitioners per week on social media over the course of the year. The BCSO will evaluate the success of the current CAP prior to committing further funds for local advertising. The Annual General Meeting for the BCSO is scheduled for Friday, June 13, 2014, at the UBC Golf Club.

Alberta Dr. Todd Lee-Knight Email: todd@drlee-knight.com The Alberta Society of Orthodontists held its Annual General Meeting and Scientific Session April 4 and 5 at the RimRock Hotel in Banff, the heart of the Rocky Mountains. Speakers included Dr. Lou Shuman and Ms. Amy Morgan, both of whom will address the topic of ‘How to Future- Proof your Practice’. Ms. Morgan discussed relationship building within the dental community comprised of professionals, parents and patients. Dr Shuman reviewed considerations within the growing world of social media. The ASO’s philanthropic activity continues to be significant. An iTero scanner was purchased and subsequently donated to the University of Alberta graduate orthodontic program. In addition the ASO donated a ‘Banff Ski Weekend’ for the CFAO silent auction at the annual CAO meeting in Banff. Individual ASO members also donated items to the CFAO auction, including hand-crafted jewelry and NHL tickets. The ASO has had a number of members active in committee

work with the Alberta Dental Association & College (ADA&C) in the development of CBCT standards, educational programs, and the certification process. ASO members continue to provide strong leadership roles within the Alberta Society of Dental Specialists; the conduit to greater influence within the ADA&C.

Saskatchewan Dr. Mike Wagner Email: image.orthodontics@gmail.com Hello from the flatlands! The Saskatchewan Society of Orthodontists (SSO) has recently examined the shortage of certified orthodontic clinical personnel, the digital media age and how it relates to the collective association and the provincial level of public education and awareness. How orthodontics is viewed both publically and professionally was also discussed. A task force has been formed to initiate talks with the College of Dental Surgeons, the University of Saskatchewan and the Saskatchewan Dental Assistants Association to address the shortage of certified clinical staff. The SSO aims to work alongside our provincial colleagues to improve accessibility to the training program in order to increase the frequency and the availability of the orthodontic training module. To assist our institutions in providing increased access to trained dental personnel, the SSO is in the process of constructing a proposal for a supplemental certification orthodontic training course. Presently, there is one post-graduate course offered per year in Saskatchewan. As a collective, it was agreed that resources must be pooled to better inform the public of our role in the community. The SSO is in the early stages of developing a website to define and to consolidate the organization, to becoming one of the main public educational resources in orthodontics. Broadening public knowledge beyond our own endeavors is something that will be included in the upcoming educational plan. The SSO is of the opinion that it is necessary to begin working closer with the provincial governing body. It is the goal of the SSO to ensure equal representation for all related members of the dental professions. Public dental education should include information as it pertains to procedures and roles of SPRING 2014 • CAO Bulletin

Component Society Reports Cont’d the individuals that make up the complete dental team, including receptionists, hygienists, therapists, dentists and dental specialists. Meetings will commence with the College of Dental Surgeons of Saskatchewan this spring in hopes of continuing the development of a more comprehensive information section within the provincial website on the ‘complete dental team’. Saskatchewan’s provincial advertising guidelines remain strict to ensure the public has access to non-biased educational media. The SSO will work closely with the governing body as new public information sites are developed to remain consistent within the ethical guidelines.

The next SSO provincial meeting will take place in Saskatoon at a date to be determined in the fall. Dr. Peter Konchak, head of the Orthodontic division at University of Saskatchewan College of Dentistry, will be stepping down after 33 years at the helm. Dr. Devon Anholt will be assuming the role as head in the near future. Congratulations to Dr. Konchak for his years of service.

Manitoba Dr. Susan Tsang

On December 1, 2013, strict new infection protocols were brought into effect. The protocols increase quality control, improve public perception and promote adherence to a uniform processing guide in an effort to better protect the public as well as clinicians.

I N M EMORIAM Dr. Allen Feldman Allen Feldman passed away on Sunday, March 16, 2014 in Toronto. A consummate family man, Dr. Feldman is survived by his wife Marilyn, his children Michael (Nanette), Stuart (Sandrine) and Julie (Robert) and five grandchildren. Allen practiced in midtown Toronto for over thirty years. He was an immensely popular instructor in the graduate clinic at the University of Toronto. One time, just for fun, Dr. Feldman instructed me to fabricate a multi-looped .014 stainless steel archwire as my initial archwire. In my infinite wisdom, I started with a standard preformed arch, so of course, by the time I finished with my work of art, it was about four teeth too short. Too embarrassed to show Dr. Feldman, I quickly inserted an 0.014 nickel titanium archwire and sent the patient on his way. Afterward, Dr. Feldman came by to see me. “How’d that archwire go in?” “Fine.” “You didn’t use it, did you?” “No.” “I didn’t think so.” (Said laughing, with a twinkle in his eye.) Dr. Feldman was a fine man, an excellent teacher and friend to many. The CAO extends its condolences to the Feldman family during this difficult time. Dr Jim Posluns

CAO Bulletin • SPRING 2014

Email: s_tsang2@hotmail.com The fall Manitoba Orthodontic Society (MOS) dinner meeting was held on October 24, 2013, and was fortunate to host CAO President Garry Solomon who provided an update on recent CAO activities. A Manitoba chapter of the Smiles for a Lifetime program, which provides pro-bono orthodontic care for those with limited financial resources, is now operational. Eight Manitoba orthodontists are currently participating. The first board meeting composed of a cross-section of professionals that have interaction with potential applicants, was held in January, 2014. Dr. Billy Wiltshire returned in April, 2014 as graduate program director after his year long sabbatical. The spring MOS meeting took place May 8, 2014.

Ontario Dr. Sheila Smith Email: stuart.smith4@sympatico.ca The Ontario Association of Orthodontists has had a very busy fall organizing the first combined Annual Meeting and Scientific Session scheduled for June 6 until June 8, 2014 in Niagara-onthe Lake, ON. The early bird registration deadline has been extended to April 15, 2014, and 80 to 100 attendees are anticipated. Sponsorship for the event is sold-out. As previously noted, each attendee will be able to acquire 6 of the 15 Category A points required for RCDSO continuing education certification by the December 15, 2014, deadline. The OAO Executive met separately with both the President of the Ontario Dental Association and the Registrar of the RCDSO to discuss issues of concern, including the expansion

Component Society Reports Cont’d of the delegation of duties for dental assistants in the province. The duties delegation issue has been ongoing for many years and the OAO may finally have support from the dental assistants since the ODAA has been denied a separate college by the Ontario Ministry of Health. The other issue which has arisen is decreased hospital operating room time for orthognathic surgery patients, the impetus for the potential resurrection of the Ontario Association of Dental Specialists (OADS). The OAO New and Younger Members Committee has been resurrected under the leadership of Mariella Anderson to assist in recruitment and in the planning of events. The next Executive meeting will be held Friday April 11, 2014. The Annual General Meeting will be held Saturday June 7, 2014, in Niagara-on-the Lake, ON.

with the “Journée Paul-Geoffrion” on March 28, 2014. The AGM is scheduled for May 26, 2014 during the “Journées Dentaires Internationales du Québec”. Dr. Carrière from Bacelona, Spain will be the keynote speaker at this meeting. This fall, the two scientific meetings will be held on October 17 and November 21, 2014. The speakers will be Mrs. Charlene White of Orthodontic Consulting & Management Solutions and Drs. Charles Rodrigue & Patrice Pellerin who will both be lecturing in French. From September 4 until September 6, 2014, the CAO will be holding its Annual meeting in Montreal, PQ. The QAO hopes to see all in this great city. If CAO colleagues wish to attend a QAO meeting, they can simply contact the QAO’s headquarters at (450) 441-0852.

Rapport de la province de Québec Quebec Dr. Sonya Lacoursière Email: lacedge@videotron.ca The 5th edition of the QAO Gala was once again a great success with total donations of $78,000 collected for less fortunate and sick children. Since its inception in 2008, the Gala has distributed nearly $500, 000 to the Ste-Justine Hospital, the Montreal Children’s Hospital, Dr. Julien’s Foundation and the Quebec University Centre. The QAO recognizes the extraordinary work of the Gala Committee composed of Florence Morisson, Luigi Di Battista, Catherine Jomphe, George Papanastasoulis and Madelaine Shildkraut. The committee wishes to thank all donors and is looking to pass the torch to other colleagues eager to get involved with this great initiative. The QAO Board is reviving its ethics committee. This committee, consisting of Daniel Zilio, Chrissy Cheretakis, Michel Di Battista, Réjean Labrie and Olivier Quintin has several mandates including, but not limited to, the review of complaints from its members. A committee of Master course was formed under the initiative of Florence Morisson, President of the QAO. Florence Morisson, Andrée Montpetit and Jean-Marc Retrouvey will create assessment tools, will find teacher-orthodontist internships and will provide the link between the ODQ and the QAO for patient’s follow-ups. The committee will take charge of orthodontic cases from general dentists that are facing a temporary suspension from the practice of orthodontics following an inspection or a complaint at the ODQ.

La 5ème édition du Gala de l’AOQ fut encore une fois un grand succès avec un total en dons de 78,000$ recueillis pour les enfants démunis et malades. Depuis sa création en 2008, ce Gala a distribué près d’un demi-million de dollars à l’Hôpital Ste-Justine, l’Hôpital Général pour enfants, la Fondation du Dr Julien et au Centre Universitaire de Québec. Nous ne pouvons passer sous silence le travail extraordinaire du comité du Gala de l’AOQ composé des Drs Florence Morisson, Luigi Di Battista, Catherine Jomphe, George Papanastasoulis et Madelaine Shildkraut. Le comité tient à remercier tous ses généreux donateurs et veut maintenant passer le flambeau à d’autres collègues désireux de s’impliquer dans la continuation de cette belle initiative. Le conseil d’administration de l’AOQ a décidé de faire renaître son comité d’éthique. Ce comité formé des Drs Daniel Zilio, Chrissy Cheretakis, Michel Di Battista, Réjean Labrie et Olivier Quintin aura plusieurs mandats dont l’analyse des plaintes de ses membres pour en nommer que quelques-uns. Un comité de Maître de stage a été formé sous l’initiative de la Dre Florence Morisson, présidente de l’AOQ. Les Drs Morisson, Andrée Montpetit et Jean-Marc Retrouvey auront pour tâches de créer du matériel d’évaluation, trouver des orthodontistes maîtres de stage et d’assurer le lien entre l’ODQ et l’AOQ pour le suivi des patients. Le comité prendra en charge les dossiers des dentistes généralistes subissant une suspension temporaire de la pratique de l’orthodontie suite à une inspection ou une plainte à l’ODQ. L’AOQ offre un beau programme scientifique pour l’année 2014 qui débutera avec la « Journée Paul-Geoffrion » le 28 mars prochain. Notre assemblée générale annuelle est prévue pour le 26 mai

The QAO offers a great scientific program in 2014 beginning

Continued… SPRING 2014 • CAO Bulletin

Component Society Reports Cont’d prochain pendant les Journées Dentaires Internationales du Québec. Le Dr Carrière (Barcelone, Espagne) sera notre conférencier lors de cette rencontre.

Atlantic Report

Cet automne, les deux rencontres scientifiques de notre association provinciale se tiendront le 17 octobre et le 21 novembre prochains. Les conférenciers seront Mme Charlene White (Orthodontic consulting & Management solutions) ainsi que les Drs Charles Rodrigue & Patrice Pellerin (conférence en français).

Email: info@taortho.ca

Du 4 au 6 septembre prochain, nous aurons le plaisir d’accueillir le Congrès annuel de la CAO à Montréal. Nous espérons vous y voir en grand nombre. En terminant, je voudrais rappeler à nos confrères/consoeurs de l’ACO que si vous êtes intéressés à vous joindre à nous pour une des conférences de l’AOQ, vous n’avez qu’à communiquer avec le siège social de l’AOQ au (450) 441-0852.

Dr. Don Johnston The most recent meeting of the Atlantic Orthodontist’s Association (AOA) was held on May 24, 2013 in Halifax, Nova Scotia. At this administrative meeting, Don Johnston was welcomed as the incoming President and Stuart Matheson was installed as Vice President. Stephen Roth will continue to act as Secretary Treasurer until a new member is selected. In addition to the business agenda, an evening of great food and camaraderie was enjoyed at the Fiasco restaurant. The next meeting will be held in the late spring on a date to be announced.

Edmonton and surrounding area requires a

FULL TIME ORTHODONTIC ASSOCIATE You will be met with empowerment, support and a healthy team atmosphere. This practice prioritizes patient care and respect and dignity in all interactions. The offices are well equipped and patient orientated. The successful candidate will demonstrate a strong sense of professionalism, a healthy work ethic and a passion for the positive difference Orthodontics can make. Self-motivation, a sense of humour and effective communication skills are essential. Daily rate based on experience and qualifications. Please submit your resume and covering letter to dr.mar@marorthodontics.ca.

CAO Bulletin • SPRING 2014

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

Wooly Bully, Wooly Bully “If I had a mayor acting the way I’ve conducted myself, I would have done the exact same thing.”

Rt. Hon. Robert Ford. Nov. 15, 2013.

(Did you really need the reference?) Unless you recently arrived from Mars, never engage in conversation with another human being or refuse to participate in society whatsoever, you know of the illustrious (sort of) Mayor of Toronto. I’ve given up way more time than I care to admit following the antics of a man so caught in the crosshairs that it’s scary. Call it horrid fascination. When Rob goes down, the collective sense of relief of the good citizens of Toronto will be second only to that of the Leafs winning Lord Stanley’s Mug; it’s that critical. Ford is a bully, through and through. Bullies and bullying are hot topics these days. Back in the day, bullies ruled the earth like dinosaurs. I remember my personal Pleistocene Era like it was yesterday. The notorious Mike Egan chased me off the school bus every afternoon at 3:42 with glee until I finally had enough and bashed him on the pogonion with my violin case. Things seemed to stop after that. For a while that is. I’ve never had the pleasure of meeting Mr. Ford (although I did see him at the airport one time, but this was well before the crack cocaine and the drunken stupor and the minor set-back of speaking profanely in a bizarre Jamaican patois

and the racist, mean-spirited and homophobic remarks about the Chief of Police, so Mr. Ford passed through the rigorous security line at Pearson with nary a beep). But I’ve met many people like him. These people just don’t get it. And when you practice orthodontics, they come at you from all sides.

Case 1: Staff. Hire a bully and your office will never be the same. I knew of this assistant who must have been a contortionist in her spare time because she could twist things around tighter than an .008” ligature on initial tie-in. When the complaints started coming, it was because the entire staff was against her. She made her rounds, befriending, confronting and then systematically attacking each and every member of the team. I never saw her do much work; but then again, how could she? This type of drama demands attention. I tried explaining her antics to a non-dental colleague, but he was adamant that there was no way a single individual could destroy the morale of an office on a continual basis.

ets) to get rid of a bully like this but it can be done and it’s the only solution. And the effect is instantaneous. Case 2: Parents. The parental bully is right on you right from the initial consult. They know it all; they don’t need you to explain it to them. They will wreak havoc with your schedule, your front desk and your sanity. You shudder when you see his or her name on the day sheet, and you know that you’ll be running late once he or she has finished his or her routine. I met this parent once who would march into the operatory with her progeny right in tow. She’d sit in the adjacent chair, munching a snack, complaining between mouthfuls about the lack of progress while another of her brood would ransack the place. Every appointment was a nightmare. One day, they missed a specially arranged early appointment made just for them and shortly thereafter a request for records was received in the post. I headed, nay sprinted, to my computer and swiftly completed a CAO transfer form. I was freed from my bully, again. I’m sure the next orthodontist was none-too-pleased. (Sorry Bro.) Case 3: Salespeople. Allow me to preface. Not all salespeople are bullies. In fact, I don’t know of one in orthodontics and don’t think they exist. But sales is a competitive business and everyone has the right to make a living. I live by the adage that if you didn’t you call about it, you don’t need it. I was recently acContinued…

It takes a Herculean task (or deep pockSPRING 2014 • CAO Bulletin

From the Editor Cont’d. costed by a salesman who was convinced that I couldn’t live without his automated appointment reminder software. He called and emailed me daily. When I didn’t respond to his liking, he moved on to the staff. Finally, I let him have it and warned him that if he didn’t stop, I would call the authorities. Flashback to 1978, its 3:42 and I’m still getting off the bus. Bullies are tenacious. If Rob Ford was your employee, you’d fire him. If Rob Ford was your patient, you’d transfer him. If Rob Ford was your sales rep, you’d ignore him. How he is able to keep his job is a puzzle I will never comprehend, and I’m sure he keeps more than a few awake at night. If bullying has no place in our profession, it has no place in our city. Hand me my violin case, will ya? Jimmy P

100 dental specialists are attending a dental convention. Each specialist is either an orthodontist or an oral surgeon. At least one is an orthodontist. Given any two of the specialists, at least one is an oral surgeon. How many are orthodontists and how many are oral surgeons?

Straight Shooters The orthodontist repeatedly returned to the Humane Society to exchange his dog. He was an expert in canine substitution. It is a tad bit frustrating when one’s temporary anchorage devices fail. Self-ligation can be defined as getting oneself ‘all tied up in knots!’

(from the Toronto Star, 25/3/2014)

Puzzle Answer: Only one is an orthodontist to go along with the 99 oral surgeons 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.

CAO Bulletin • SPRING 2014