CAO BULLETIN - Spring 2016

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

Bulletin Spring 2016

In this Issue…

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Message from the President

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Committee Reports

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Student Posterboards

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Component Society Reports

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In Memoriam: - Dr. Bill Campbell - Dr. Jack Dale - Dr. Bo Hoglund - Dr. Ralph Latham CAO Selfie Smile Contest Winners New and Younger Member Perspective

Canadian Association of Orthodontists Association canadienne des orthodontistes 2800 14th Avenue, Suite 210 Markham, Ontario L3R 0E4 Telephone (416) 491-3186 / 1-877-CAO-8800 Fax (416) 491-1670 E-mail cao@associationconcepts.ca Website www.yoursmileourspecialty.ca AND www.canadabraces.ca

2015/2016 Board of Directors OFFICERS President President Elect Past President 1st Vice President 2nd Vice President Secretary/Treasurer

Dr. Jean-Marc Retrouvey Dr. Robert D. Kinniburgh Dr. Helene Grubisa Dr. Rick Odegaard Dr. Sheila Smith Dr. Michael Patrician

REGIONAL DIRECTORS British Columbia Alberta Saskatchewan Manitoba Ontario Quebec Atlantic

Dr. Gerald Philippson Dr. C. Todd Lee-Knight Dr. Michael Wagner Dr. Susan Tsang Dr. J. Eric Selnes Dr. Michel Di Battista Dr. Donald E. Johnston

COMMITTEES President CFAO CAO/CDSA Liaison Insurance Committee

Dr. Stephen Roth Dr. Robert D. Kinniburgh Dr. Mike Wagner Dr. Don Johnston

Membership Committee

Dr. Todd Lee-Knight

Sponsorship Chair

Dr. Michael W. Patrician

WFO - Country Rep

Dr. Jean-Marc Retrouvey

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

Dr. Michael Patrician Dr. Howard Steiman Dr. James Posluns Dr. Rick Odegaard Dr. Jean-Marc Retrouvey Dr. Daniel Pollit Dr. Helene Grubisa Dr. James Posluns Dr. Thomas R. McIntyre

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

Dr. Daniel Pollit Dr. James Posluns Dr. Amanda Maplethorp Dr. Howard Steiman Dr. Michael W. Patrician

Message from the President Dr. Jean-Marc Retrouvey Email: Jean-marc.retrouvey@mcgill.ca

2016 has been an eventful year so far at the CAO with many committees working on many topics. A communications task force has been implemented to further improve the relationship between orthodontists, patients and referring dentists. The goal is to increase the CAO’s visibility to the Canadian public through increased Canadian content on the website.

On the income tax credit front, Mike Patrician and Garry Solomon before him have been in contact with CRA to discuss and to defend the input tax credits (ITCs) that orthodontic practices are permitted to claim. This discussion was facilitated by the accounting firm KPMG and the CDA. Congratulations to Mike. After many years of discussion, he was able to get CRA to clarify the ITC issue. Hopefully, CRA will not change the rules unilaterally.

The Insurance Committee composed of Mike Wagner and Don Johnston has continued its hard work with the insurance companies. After exploring several options, it seems that a solution may be to accept a unique code for orthodontic services rendered by certified orthodontic specialists who are members of the CAO. Please see their report for greater detail.

To increase the visibility of the CAO, to better communicate and to enhance relationships between the CAO and the provincial associations, I will attend annual general meetings in Halifax, Banff, Toronto and Montreal. During the media training session in October, a few members of the Board had the opportunity to spend some time with the incoming OAO President and a member of the Executive Committee. Media training was a worthwhile experience for all, but having the opportunity to discuss what the OAO and the CAO had in common and how to better serve our respective and overlapping membership was an enlightening experience.

Emails and telephone calls are effective up to a point but a face-to-face exchange of ideas undoubtedly leads to a more productive collaboration.

In Texas, recognized dental specialties came under attack from general dentists in an effort to obtain specialty status from specialties, like implantology, that are not recognized by the American Dental Association. The judge assigned to the case sided with the general dentists, sending a potentially dangerous message to the public. The implications of the Texas ruling remain to be felt in Canada. Recently, the College of Dental Surgeons of British Columbia ruled that the RCDC(C) acronym could no longer be used on business cards and other correspondence.

To date, the RCDC has been unable to challenge this ruling.

The Consumer Awareness Program (CAP) continues to evolve and is the beneficiary of the decline of the Canadian dollar relative to the American dollar. Since the AAO funds are delivered in American dollars, the decline in the Canadian dollar meant that the relative number of Canadian dollars to spend in the home market has Continued…

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increased. As mentioned above, the CAO has created a task force to revamp communications with members and the public. A plan will be presented to the membership in Charlottetown.

The CAO has been in contact with NIHB as it has been asked to give feedback on the adjudication process for orthodontic treatment. The intention of the CAO is not to dictate which patients are covered by this program but rather to keep communication opened with Health Canada to insure that the CAO’s voice is heard.

Message de la présidente sortante L’Association Canadienne des Orthodontistes a connu un début d’année 2016 bouillonnant d’activités. Nos différents comités ont travaillé sur de nombreux projets. Un groupe de travail a été créé pour améliorer les relations entre les orthodontistes, les patients et les dentistes référents. Le but est d’accroître la visibilité de l’AOC auprès du public canadien en optimisant le contenu multimédia produit par la CAO. Au niveau de la problématique des crédits intrants (GST) , Mike Patrician tout comme son prédécesseur Garry Solomon ont maintenu un contact étroit avec Revenu Canada pour poursuivre le dialogue et défendre les crédits intrants auquel les orthodontistes ont droit. Le CDA et la firme KPMG ont contribué positivement au maintien du dialogue.

Félicitations à Mike car après de nombreuses années de discussions, il a été capable de préciser la position de Revenu Canada. Espérons maintenant que Revenu Canada ne changera pas d’avis unilatéralement Le comité en charge du dossier des assurances, composé de Mike Wagner et Don Johnston, a continué de nous représenter auprès des compagnies d’assurances. Après avoir exploré plusieurs options, il semble que la solution serait d’accepter un code unique pour toutes les procédures orthodontiques rendues par un spécialiste en orthodontie.

Veuillez consulter leur rapport pour plus de détails.

Afin d’augmenter la visibilité de l’ AOC, et améliorer les relations entre l’AOC et les associations provinciales, j’ai participé à la réunion annuelle des maritimes te à celle de l’Alberta. En mai, j’assisterai à celle de l’Ontario et du Québec. Au cours de la session dévolue aux relations avec les médias, tenue en octobre, des membres de la direction de l’AOC eurent l’opportunité de dialoguer avec le futur président et un membre de l’exécutif de l’association des orthodontistes ontariens . Ces discussions nous ont permis de mettre en lumière les points communs pour mieux servir nos membres conjoints. Cette expérience très enrichissante

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m’a convaincu de la nécessité de maintenir un dialogue constructif avec les diverses associations provinciales. Les courriels et les conversations téléphoniques sont efficaces mais ne remplacent pas les rencontres en personne qui renforcent les liens et amènent à une collaboration plus productive.

Au Texas, les spécialités dentaires reconnues ont été contestées devant les tribunaux par des dentistes généralistes. Le but était d’obtenir le statut de spécialité pour des disciplines non reconnues par l’association dentaire américaine . Le juge donna raison aux plaignants, envoya ainsi un message potentiellement dangereux au public. Ce jugement n’a eu aucune répercussion au Canada jusqu’à présent. Récemment, le collège des chirurgiens dentistes de la Colombie Britannique interdisait l’usage de l’acronyme RCDC(C) sur les cartes d’affaires et toute correspondance pour les spécialistes. A ce jour, le RCDC a été incapable de renverser ce règlement.

Le programme de sensibilisation des consommateurs (Consumer Awareness Program) de la AOC-AAO continue sa progression et a grandement bénéficié de la chute du dollar canadien. Les fonds de l’AAO nous sont remis en dollars américains, la chute du huard résulte en un budget plus important sur notre marché national. Ces fonds supplémentaires ont permis à l’AOC de créer un groupe de travail. Le but est de revamper et d’accroitre les communications avec nos membres et le public. Le projet sera dévoilé lors de notre congrès à Charlottetown.

L’ AOC a été approchée par le NIHB afin de le conseiller sur le procédé d’adjudication des les patients aborigènes ayant besoin de traitements orthodontiques. L’intention de l’AOC n’est pas de dicter qui devrait être admissible au programme.. Le but de cette démarche est de nous assurer que notre avis soit entendu afin que les patients reçoivent les traitements les plus adaptés à leur condition orthodontique.

Stephen Roth a été très occupé à organiser la campagne ‘’ Smiles4Canada’’ . Le projet pilote localisé dans les maritimes est maintenant prêt à accueillir ses premiers patients. Le Québec ne participe pas encore à ce programme et Smile4Canada planifie des rencontres avec l’exécutif de l’AOQ pour étendre ce programme à toutes les provinces.

A titre de président et accompagné de plusieurs membres de l’exécutif de l’AOC, j’ assisterai au congrès de l’association Américaine des orthodontistes qui se déroulera à Orlando au mois de mai. Les membres de l’exécutif vous attendent en grand nombre à Charlottetown, Ile du Prince Edouard, en septembre 2016 pour notre congrès annuel.

Howard Steiman et son comité scientifique nous ont préparé un programme des plus intéressants.

Sincèrement Jean-Marc Retrouvey

Committee Reports

Treasurer’s Report Dr. Michael Patrician Treasurer Email: drpatrician@bellnet.ca As of December 31, 2015, the general operations of the CAO generated net income of (minus) $33,945.84. The Scientific Session generated net income of $46,389.25. The net combined net revenue of the CAO as of December 31, 2015, was $12,433.41. The total member's equity was $569,849.40 and the total current assets stand at $738,246.79.

At the Annual General Meeting in September, the Board of Directors approved a dues increase for 2016 of $10.00. The membership approved an assessment of $200.00 for the Consumer Awareness Program (CAP) only for 2016. The total dues for 2016, including the assessment, is $845.00 plus HST. To date, the general operations are proceeding according to plan. There was an anticipated decrease in operating net income by year end, principally due to the additional CAP expenditure. A three-year CAP expenditure, started in 2014, will continue into 2016. Future assessments will be planned for in the 2017 budget. The Board has proactively decided to

CFAO Donations CAO In Memoriam of: Dr. William Campbell Dr. Jack Dale Dr. Bo Hoglund Dr. Cory Liss McIntyre Fellow Dr. Sheila Smith McIntyre Fellow

eliminate debt arising from the current CAP, with plans to continue the CAP in the future. The CAP appears to be the largest expenditure going forward beyond 2016.

The total hours accumulated by Association Concepts (AC) as of December 31, 2015, were 1153.50. The hours accumulated by Association Concepts at December 31, 2014, were 1112.50. The contractual obligation for the CAO general operations is 1200 hours per year.

Insurance Report Drs. Mike Wagner & Don Johnston Co-Chairs, Insurance Committee Email: insuranceenquiries@cao-aco.org Dr. Benoit Soucy addressed the CAO Board at the annual ad-interim meeting in March, where he spoke on CDAnet implementation, and how it interacts with the CAO’s proposed digital insurance predetermination and payment processing plan.

The Insurance Committee worked with clinicians in Ottawa and Montreal to resolve complications arising from the extraction of teeth being submitted to insurance as orthodontic related treatments.

In BC, based on conversations with various agents, there have been an increased number of requests from insurance companies for a greater breakdown of costs when submitting claims. The issues have been resolved through the differentiation between the specialist form and the Personal Dental Clinician (PDC) form.

A number of Facebook forum posts concerning insurance, including submission and processing, have been answered. The increased number of digital based insurance discussions supports the CAO’s involvement in this area.

Maintenance work continues on keeping relations with the software parties current with regards to the Committee’s proposed digital platform. There is support from the larger companies for the integration of a new "button" into their software to allow for insurance predetermination.

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Committee Reports CAO/AAO Report Dr. Rick Odegaard CAO/AAO Liaison Email: dr.odegaard@shawcable.com The AAO has begun to implement a number of public relations initiatives to elicit media interest using tools to release compelling information. Some of these initiatives include press releases to inform media outlets of AAO news, public service announcements to broadcast outlets, media pitches, targeted e-mail messages or phone calls to “pitch” stories and social media including Facebook, Twitter, YouTube, Pinterest and LinkedIn. The AAO is currently training spokespeople in effective interview techniques who make themselves available upon request by media outlets.

Member resource packages are being created by the AAO on how to implement a local PR program for one’s practice. The packages include a FAQ guide, classic Do’s and Don’ts, direction on identifying who the media decision makers are, interview tips, templated press releases, a social media guide, webisodes, educational content and public service announcements.

During the month of November, there will be communication with existing and prospective members of the AAO that will focus on the many programs, services, resources and tools available. The communication program will include a 30-day social media outreach that promotes one AAO benefit per day across the social media platforms, with emphasis on new, under-utilized and overlooked tools, the AAO champion program that identifies members that are highly engaged and career related events. An example of the career events includes the Virtual Career Fair that incorporates online practice transition Q&A, various career opportunities, an exchange of contact information and the scheduling of future meeting with prospective employers.

The Matching Grant Program permits component (state/ province/territory) organizations to use AAO CAP materials to reach consumers. The AAO will match the funds of component organizations up to a maximum determined by the number of AAO members in the component. At present, 3 million USD are earmarked for matching purposes.

The 2015 –2016 AAO CAP will appear on multiple digital and cable channels in the United States and Canada. The core message is that one should seek care of an orthodontic specialist, by highlighting the advanced training and the wide range of orthodontic treatment options available.

In addition, there are numerous AAO desktop and mobile website, banner, displays and social media advertising. At the

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same time, television advertisements will continue to drive consumers to mylifemysmile.org.

The 2016 advertisement schedule is available www.aaoinfo.org/communities/topic/aao-advertising.

at

The AAOF has requested that practitioners consider asking that a donation be made to AAOF in lieu of customary professional courtesies when treating an applicable patient.

The 2016 AAO Annual Session took place in Orlando, April 29 to May 3, 2016.

CAP Report Dr. Sheila Smith Email: stuart.smith4@sympatico.ca The Consumer Awareness Program (CAP) has been running on television and on the Internet since September, 2015. For 2016, the message is consistent, but newer banner ads for the digital display have been produced. The English campaign has been equally divided between television and digital advertisements. Input from the AOQ for the French digital advertisements is forthcoming.

The AAO has provided $340,000 USD as part of the one-time allocation of additional funds by the AAO to the CAO. Both BC and Alberta have had CAP plans approved by the matching program of the AAO. Ontario’s submission plan has recently been approved. The BC plan is a combination of television and digital advertisements and is currently underway.

The Alberta plan will commence June, 2016. The hope is that Quebec will formalize and submit a matching plan in the near future.

The television advertisements are currently airing on “W” network, “E!” network during the red carpet shows, and the CBC during specific sporting events. Overall audience exposure will be improved through the purchase of air time during the NHL playoffs this year.

The digital advertisements are currently present on Google, Yahoo, Hulu, Pandora and the CBC. The takeover of the CBC website homepage on the day after the Federal election was a success and plans are in the works to find a date for a French homepage takeover.

The current CAP will continue until June 2016.

Committee Reports CFAO Report Dr. Stephen Roth CFAO President Email: stephenfroth@mac.com The Smiles4Canada pilot program was launched in September, 2015. The pilot program is now open to residents of all four provinces in Atlantic Canada, with Avi Goldberg as the Atlantic Regional Director.

A great deal was learned from the pilot program. There was significant positive feedback and support from the local orthodontic community. Information has been sent to various stakeholders in each province including school boards, health departments, dental associations, dental hygiene associations and dental assisting associations. These associations have been helpful promoting the program throughout the dental community. Other dental specialists have stepped forward and offered to provide additional treatment for Smiles4Canada patients, and a dental lab has even offered to fabricate retainers for Smiles4Canada patients.

Efforts have been made to inform and to educate the general public about the program and about the benefits of orthodontics. The Smiles4Canada program was featured on the CBC Halifax Radio morning show and on the CBC Nova Scotia website. A shorter interview was completed with another Halifax radio station, Hot Country 103.5. This exposure generated significant awareness of the program. Numerous inquiries from the general public have been received and completed applications have started to arrive at the CFAO office.

The plan is to launch the program nationwide in September, 2016. Jeff Stewart has been appointed the B.C. Regional Director. Sunny Leong has been appointed the Prairies Regional Director and Gordie Organ has confirmed his position as the Ontario Regional Director. These practitioners are currently assembling their respective Regional Committees.

Despite the Committee’s best efforts, deciding how the program could be implemented in Quebec has proved to be a challenge. Volunteers from Quebec are needed to ensure that the program is available across the entire country.

This program will significantly benefit the profession and the participating orthodontists by providing a life-changing service to those fortunate to receive treatment under Smiles4Canada.

Full details about the program can be found on the website: smiles4canada.ca.

Hey Golfers! Have you been to Prince Edward Island? If you have, you know P.E.I. is a golfer’s paradise. For the last 20 years, Cerum Ortho Organizers has been proud to sponsor the

annual CFAO golf tournament during the CAO Scientific Session. This year the CFAO is pleased to hold the tournament on the unforgettable Links at Crowbush Cove. Please plan to join the tournament for what will be a truly enjoyable day.

The CFAO exceeded the CRA-mandated distribution quotient for 2015. A total of $26,406 was distributed through various CFAO programs and endeavours including the Student Poster Presentations, the McIntyre Lecture, the Latest Advances in Canadian Orthodontic Research, the CAO Educational Webinar Series, the Smiles4Canada program and the Undergraduate Dental Awards.

CFAO Treasurer Report As of December, 31, 2015 the net revenue for the CFAO was $1,135.35 and the total current assets were $351,093.02.

Total members equity is $215,325.02. The 2015 disbursements from the Foundation have been completed.

As of December, 31, 2015, the total hours accumulated by Association Concepts (AC) is 125.75 hours. As at December, 31, 2014 the total hours for Association Concepts was 94.5 hours. The increase in hours is attributable to the Smiles4Canada program.

New and Younger Members Report Dr. James Posluns New and Younger Members Representative Email: james.posluns@utoronto.ca Mr. Marco Dolfi, a lawyer based in Windsor, Ontario, will address the New and Younger Members group at the annual NYM Luncheon at the CAO Scientific Session in Charlottetown, PEI. The title of his presentation, “The Rise of Corporate Dentistry in Canada: The Force Awakens” promises to be both relevant and engaging.

A conference call was held with the New and Younger Members Committee on February 8, 2016. Thanks to Vice President Sheila Smith for participating. Other members of the committee include John Scalia, Kevin Knowlton, Michael Greene, Laura Mancini and Sean Chung. The call lasted approximately one hour and some excellent ideas were discussed. A significant amount of time was spent on the possibility of a CAO Facebook site to act as a resource to assist NYM in connecting with the numerous online forums that already exist.

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Committee Reports The annual GORP orthodontic resident’s meeting is scheduled for August 4 to 7, 2016, in Ann Arbor, Michigan. The CAO will be present at this meeting as a vendor to engage Canadian orthodontic residents currently enrolled in US programs.

CCOE Dr. James Posluns Educators Liaison

RCDC Report Dr. Tom McIntyre Orthodontic Councillor, CAO/RCDC Liaison The current members of the Royal College Executive are Hugh Lamont - President, Chris Robinson - Vice-President, Lee McFadden - Past-President, Keith Morley - Registrar, James Posluns - Treasurer, Ben Davis - Examiner-in-Chief and Mr. Peter McCutcheon - Secretary.

Email: james.posluns@utoronto.ca The Orthodontic Educators met in Orlando prior to the 2016 AAO Annual Session. At the time of this writing, there were no issues to relay. The meeting at the CAO Scientific Session in September will take place following the CAO fall Board Meeting.

On behalf of the Orthodontic Educators, Billy Wiltshire thanks the Board for agreeing to give the orthodontic faculty an opportunity to take part in the poster displays. It is the feeling of the Educators that this opportunity is an important forum for young faculty to disseminate their research findings while in attendance at the CAO Scientific Session.

Communications Report Dr. Daniel Pollit Communications Chair Email: dpollit@rogers.com The “Show Off Your Selfie Smile” contest had 120 entries from 27 orthodontic offices. The winning entries were patients from the respective offices of Brien Stackhouse and of David Morrow. Based on the success of the inaugural contest, a second contest is currently in the planning stage, for roll-out in the fall of 2016. Look for promotional materials at the upcoming Scientific Session in PEI. Website statistics for December 2015 and January 2016 showed solid traffic flow to the CAO Members Website. The CAO Public Website had less traffic and plans are in the works to improve this statistic going forward. As a result of the contest, the Selfie Pages were the most popular pages. The new section, Ask The Experts, attracted interest in December but interest waned in January. The committee is looking at additional search engine optimization for the public website (yoursmileourspecialty.ca) as a means of increasing traffic.

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The 50th Annual Convocation of the RCDC was held on September 19, 2015. Forty Fellowships were awarded in Orthodontics. A strategic planning session was held for two days thereafter. One of the priorities to emerge from this session is improved engagement of the College membership going forward. This priority may include mentorship and continuing education programs. The importance and the challenge of developing and administering a valid exam by a primarily volunteer workforce was recognized.

Given the previous problems with electronic delivery of the Component I Examination, it was decided to revert to a conventional written exam until the reliability of electronic delivery can be confirmed. The College is aware of the inconvenience for the candidates to travel, some as much as three time zones, for this exam. To address this concern, the Component I Examination was held simultaneously in Toronto and in Calgary on February 27, 2016.

The 51st Annual Convocation will be held in Montreal on September 24, 2016, the weekend following the CAO meeting.

Thanks go to Diane for helping to resolve the perennial conflict between these two meetings.

GST/HST Report Dr. Michael Patrician Treasurer Email: drpatrician@bellnet.ca Following a lengthy delay, a meeting between dentistry and senior CRA officials in Ottawa materialized on October 30, 2015. Dr. Benoit Soucy from the CDA, Mr. Rob Allwright from KPMG and the CAO Treasurer Michael Patrician met to explain the orthodontists’ need for clarification of the GST/HST ITC system.

From the profession’s perspective, CRA has not communicated with the CAO of late. As a result, the CAO has been un-

Committee Reports able to provide accurate guidance on the ITC system. Further, the CAO has been unable to advise members of the issues that CRA has found during their audits of orthodontic offices.

The CAO strives to enhance the partnership it had with CRA, to improve the ITC system, and to assist in the education of its membership to potentially prevent audits in the future.

motional materials, including their own websites. The Board discussed this letter and advocated the writing of a letter to the President of CDSBC. Dr. Chambers has sent correspondence to Dr. Lamont supporting the RCDC’s position as well as a letter to the President of the CDSBC requesting a change in the by-law.

Although CRA was agreeable on all points there was an underlying message that the GST/HST ITC system will likely be cancelled sometime in the future. CRA is of the opinion that some elements of the practice business environment, including incorporation and intra-office management companies, has complicated the administration of this program. No timeline was given for this potential change.

The newly established CDSA Travel Award criterion has been uploaded to the CDSA website and was added to the new policy and procedures manual following approval of the Board at the CDSA AGM. The award will fund $1,000.00 towards the attendance of a graduate and an undergraduate student to the annual IADR meeting.

Despite the news of the potential cessation of the program, a member communiqué was developed to disseminate what has been discovered by CRA when auditing orthodontic offices. If cancellation of the program eventually occurs, and if the membership wishes to continue to use the ITC system, then the CAO plans to work with CRA and its auditors to ensure that the practice lives of orthodontists remains as uncomplicated as possible.

The Board would like the CDSA website to be more public-oriented and include a “Find a Specialist” tab linking to a page that lists all recognized dental specialties. The tab will include a description of each speciality and a link to each specialty website. From the specialty website, the public would be able to search for a particular dental specialist.

There has been discussion of a NIHB Task Force to examine and to evaluate the changes at NIHB. A representative of CDSA was initially invited but there has been no further progress on this initiative to date.

CDSA Report Dr. Robert Kinniburgh CDSA Liaison Email: drbob@ncortho.ca The CDSA meeting with the Executive of the CDA was held on Friday, April 15, 2016. Among the items on the agenda was how the CDA can improve relationships between the general dentist and the dental specialist. The CDSA requested that they have increased representation in specialist issues when they arise at the CDA. Finally, the CDA’s representation in maintaining the Hicks Agreement with CRA was discussed.

Dr. Frank Hohn of the Canadian Association of Oral and Maxillofacial Surgeons (CAOMS) has joined the CDSA Line as of the annual meeting in April. Dr. Jean Pierre Picard of the Canadian Association of Prosthodontists (CAP) is the current President and Dr. Ernest Lam of the Canadian Association of Oral and Maxillofacial Radiologists (CAOMR) is the current Vice-President.

Dr. Hugh Lamont, President of Royal College of Dentists of Canada (RCDC), forwarded correspondence to Dr. Duncan Chambers, President of the CDSA, informing him that the College of Dental Surgeons of British Columbia (CDSBC) passed a by-law in BC which prohibits Fellows of RCDC from including their fellowship designation after their name in all pro-

WFO Report Dr. Amanda Maplethorp WFO Executive Committee Email: a_maple@shaw.ca Amanda Maplethorp has been re-elected as one of the two North American representatives to the World Federation of Orthodontists (WFO) Executive Committee for the 2015-2020 term during which she will serve concurrently as Vice President.

As CAO President, Jean-Marc Retrouvey represented Canada at the WFO Breakfast Meeting in Orlando.

Membership in the WFO is still available to orthodontic graduate students at no cost. Membership is an ideal opportunity for students to connect with others from around the world.

A world orthodontic student organization (WFPOS) now exists. The current president is Karolina Kaczor-Urbanowicz (kaczor.karolina@gmail.com) from the UCLA School of Dentistry in Los Angeles, California. Dr. Kaczor-Urbanowicz is evaluating opportunities for students at the WFO. One of Continued…

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Committee Reports I N M EMORIAM these opportunities includes placing poster boards at WFO meetings and in the WFO Journal. Student recruitment is currently ongoing.

Dr. Maplethorp spoke with the UBC students on March 21, 2016 to promote “Orthodontists Participation in Specialty Organizations”.

Dr. Silvia Allegrini, SIDO (Italian) President, had recently contacted the WFPOS with an offer prepared especially for WFPOS postgraduates. The offer included reduced fees for pre and post conference courses taking place during both SIDO international congresses. One conference was held in Rome, March 11 and 12, 2016. The second conference will take place in in Florence, October 13 to 15, 2016. For additional information, please contact the WFO Liaison.

The next IOC meeting will be held in Yokohama, Japan, in 2020.

I N M EMORIAM Dr. Bo Hoglund Dr. Bo Hoglund passed away April 3, 2016. Dr. Hoglund obtained his DDS degree from the Royal Caroline Institute, Stockholm, Sweden, in 1978 and certified as a specialist in orthodontics in Sweden in 1992. He was licenced to practice dentistry in Canada in 2000 and became a Fellow of the Royal College of Dentists of Canada in Orthodontics in 2001.

Dr. Hoglund was a member of the British Columbia Society of Orthodontists, the Canadian Association of Orthodontists and the World Federation of Orthod-ontists.

His private practice, limited to orthodontics was located in White Rock, British Columbia.

The CAO extends its sincerest condolences to the friends, family and collegues of Dr. Hoglund.

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Dr. Ralph Latham Dr. Ralph Latham II was born July 15, 1936 in Portsmouth, England and grew up in Enniskillen County Fermanagh, Northern Ireland. Ralph pursued his academic studies with vigor and passion earning degrees in Anatomy (BSc 1958) and Dentistry (BDS, 1960) from Queen's University, Belfast. He was bestowed an honorary PhD (1967) from the Univ. of Liverpool where he was a lecturer in Oral Anatomy (1961-1971) carrying out innovative anatomical research on cleft palate treatment. He furthered his innovative work at UNC, Chapel Hill, (1971-1974). Dr. Latham worked closely with plastic surgeon Dr. Ralph Millard in Miami which led to developments of an ECPR bilateral appliance and the Latham technique for pre-surgical orthopedic correction. As a professor at the University of Western Ontario in 1978, Dr. Latham was inspired to create a DMA unilateral appliance.

Dr. Latham received his degree in orthodontics UWO (MSc1982) and had an orthodontic practice from 1984 until 2010 in London, Ontario. Throughout his practice, Dr. Latham’s priority remained the continued care of cleft palate babies and the orthodontic care they required orthodontics throughout childhood. Dr. Latham was internationally recognized for his treatment of infants with cleft palate, traveling worldwide to help newborns with palate deformities. His dedication resulted in a much improved capability for repositioning the protruded premaxillary segment of the bilateral cleft infant. Dr. Latham generously taught medical students and colleagues from around the world in the fabrication and insertion of the Latham appliance.

Dr. Latham was predeceased by his wife Elizabeth Ann and survived by his children, grandchildren, sisters, nieces and nephews. The COA extends its sincerest condolences to the Latham family at this time.

Student Posterboards Abstracts from the 2015 CAO Annual Scientific Session – Part 2 of 2 part series

University of British Columbia EFFECT OF NTP ON SBS OF ORTHODONTIC BRACKETS –IN VITRO STUDY Authors: Dr. Deepak Arora1, Dr. Rick Carvallho2, Dr. Dorin Ruse3, Dr. Ed Yen4 1

Graduate Resident, Division of Orthodontics-UBC, Professor, Department of Oral Biological and Medical Sciences UBC. 3 Prof. Materials Engineering and Dentistry 4Prof.Orthodontics 2

OBJECTIVES: Non-thermal plasma (NTP) has been used to modify dentin surfaces and improve the interfacial bonding of dental composite restorations. We sought to determine if NTP application after enamel acid etching could improve bracket to enamel bonding and also if NTP application by itself has a potential to bond brackets.

METHODS: 84 extracted pre-molars, washed and disinfected were divided into 2 broad groups: No-treatment and Treatment group. No–treatment group consisted of 12 premolars on whom orthodontic bracket bonding was performed without any surface treatment. Treatment group consisted of 72 premolars which were divided randomly into 3 main groups of 24 premolars each. These groups were Group 1: Etch, Group 2: Etch + NTP and Group 3: NTP. As the shear bond strength (sbs) testing was conducted at 2 time points -24 hours and 30 days, each group was subdivided into 2 subgroups of 12 premolars each according to the time point. The teeth were stored in distilled water for 24 hours and 30 days prior to testing.

Fracture mode and amount of adhesive left on the enamel was studied by using the Adhesive remnant index score. SEM pictures were taken of enamel surfaces at different magnifications.

RESULTS: During the first 24 hours of testing, sbs was maximum with Etch +NTP treated group followed by the Etch group and then by NTP group. After 30 days of aging the sbs was maximum with the Etch group followed by Etch+ NTP group and then the NTP group. ARI scoring was higher with Etch and Etch + plasma group. SEM pictures showed acid etch pattern with Etch and Etch+ NTP group whereas NTP treated group showed no surface changes.

CONCLUSIONS: NTP (plasma) application by itself has a potential to bond orthodontic brackets however longer ageing time is required to determine feasibility.

University of British Columbia CAREGIVER BURDEN AND COPING STRATEGIES IN PRESURGICAL INFANT TREATMENT FOR CLEFT LIP AND PALATE Author: Travis Gibson INTRODUCTION: Pre-surgical infant orthopedics (PSIO) in cleft lip with or without cleft palate (CL/P) refers to treatment provided prior to lip closure surgery at 3-6 months of age.

Goals of PSIO include improving nasal morphology and decreasing cleft size prior to surgery. Recent systematic reviews have noted a potential positive effect on nasal symmetry, but failed to detect significant benefits in motherhood satisfaction, feeding, speech, facial growth, maxillary arch dimensions, occlusion, or nasolabial appearance from PSIO as compared to no treatment. It has been suggested that the limited benefits provided by PSIO may not justify the increased burden. However, proponents suggest that objective measures of burden are not appropriate as PSIO may relieve caregiver anxiety and promote positive coping. This study aims to assess burden of care and coping strategies in parents and caregivers of children with CL/P prior to lip surgery.

METHODS: Prospective inclusion of all consenting primary caregivers of infants with CL/P being treated at BC Children's Hospital. Caregiver burden and coping strategies will be assessed subjectively using a questionnaire constructed from the following validated metrics: Maternal Confidence Questionnaire, Stress Scale for Parents with CL/P, Coping Response Inventory, and Parenting Stress Index 4th Ed. Questionnaires will be administered after completion of any PSIO treatment, and before lip closure surgery. Objective measures of burden, including number of PSIO appointments and length of PSIO treatment, will be provided by the treating orthodontist.

Continued…

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CFAO Graduate Student Posterboards

Poster participant Dr. Abdulkadir Bukhari

University of British Columbia DIMENSIONAL CHANGES IN THE PALATE ASSOCIATED WITH EARLY TREATMENT OF POSTERIOR CROSSBITE Authors: Abdulkadir Bukhari, Second Year Graduate Student, University of British Columbia PURPOSE: The purpose of this study was to evaluate palatal symmetry, initial palatal dimensional and molar angulation changes following slow maxillary expansion during the mixed dentition compared to untreated controls.

0.71mm2 (Range= 3-15mm2); in the posterior halves pretreatment it was 2.7mm2 (Range= 1-8mm2) and posttreatment it was 5.5mm2 (Range= 1-19mm2). The mean volume increased by 919.72mm3; the mean difference pretreatment between the anterior halves was 13.3mm3 (Range= 354mm3) and post treatment it was 5.28mm3 (Range= 366mm3); in the middle halves pretreatment it was 3.01mm3 (Range= 2-91mm3) and posttreatment it was 14.89mm3 (Range= 2-130mm3); in the posterior halves pretreatment it was 17.7mm3 (Range= 13-58mm3) and posttreatment it was 37.96mm3 (Range=3-214mm3). The right molar mean buccolingual angular changes were 4.99° (Range= (-8°)- 8°) and the mean mesiodistal angular changes were 4.18° (Range= (0.7°)- 9°). The left molar mean buccolingual angular changes were 5.65° (Range= (-3°)- 16°)and the mean mesiodistal angular changes were 4.32° (Range= 0.4°- 8°).

CONCLUSIONS: Early to conclude anything because these results are only based on a sample of 8 patients.

University of British Columbia ANALYSIS OF EARLY FETAL FACIAL GROWTH AND JAW RELATIONSHIPS Author: McFadden MK1*, Ford NL2, Richman JM1, Diewert VM1 1

MATERIALS AND METHODS: The treatment sample consists of 35 subjects who were treated for unilateral posterior crossbite with a functional shift with a Haas-type appliance at a private dental office. The control sample consists of 35 subjects from Oregon Health and Sciences University. The control and treated samples were matched for dental age and gender.

Records were taken at two time intervals T1= before expansion (mean age of 7 years old), T2= after expansion (8 years old). Measurements of molar angulation, palatal surface area, width, volume were done on digitized models. Palatal surface area and volume were divided into 3 parts (anterior, middle and posterior) which were split in halves by the midpalatal plane to measure symmetry.

RESULTS: All measurements showed changes following expansion. The mean intercanine width increase was 4.91mm while the intermolar width was 4.87mm. The mean increase in the total surface area was 115.66mm2; the mean difference pretreatment between the anterior halves was 1.06mm2 (Range= 1-9mm2) and post treatment it was 0.6mm2 (Range= 1-12mm2); in the middle halves pretreatment it was 3.64mm2 (Range= 1-7mm2) and posttreatment it was

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CAO Bulletin • SPRING 2016

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

OBJECTIVES: Abnormal jaw relationships can be a warning sign of the presence of congenital anomalies. During the late second and third trimesters the jaw relationship is hypothesized to be stable allowing for detection of abnormal jaw position. This study aims to analyze growth of the jaws in 2D and 3D during the early fetal period of 10-20 weeks in normally human conceptuses.

METHODS: Lateral and frontal radiographs were available from a collection of 197 fetal specimens aged 10-20 weeks gestation, of these 28 specimens were selected for micro-CT scanning. Inclusion and exclusion criteria were applied and 16 linear and 6 angular measurements were made on digitized radiographs and micro-CT volume renderings. Linear regression models were used to analyze the relationship between the data collected and age in days of the specimens.

RESULTS: 141 frontal radiographs, 121 lateral radiographs and 25 micro-CT scans met the inclusion criteria. All linear

CFAO Graduate Student Posterboards measurements of the maxilla and mandible show a positive association with increasing age in days with age significantly predicting the size of the maxilla and mandible in all three planes of space. Both the maxilla and mandible increased more in width than length or height. Between 10-20 weeks, age in days was a significant (P<0.001) but moderate predictor of the jaw relationship. When the radiographic data was divided into two groups; age in days was a significant (P<0.001) but weak predictor of jaw relationship during the 10-14 week period but not a significant (P<0.054) predictor of the jaw relationship during the 15-20 week period.

CONCLUSIONS: During the early fetal period the maxilla and mandible grow more in width than height or length. Age in days is a strong predictor of maxillary and mandibular size in all three planes of space but is only predictive of jaw relationships in the 10-14 week period.

ACKNOWLEDGMENT: Supported by Faculty of Dentistry Research Grants to VMD & MKM and the BC Health Research Foundation Grant 65 4255 to VMD

University of Alberta MANDIBULAR ADVANCEMENT APPLIANCES FOR THE TREATMENT OF PEDIATRIC OBSTRUCTIVE SLEEP APNEA: A SYSTEMATIC REVIEW

Poster participant Dr. Natasha Nazarali

Sample mean ages ranged from 6 to 12 years of age. A metaanalysis was not possible due to the heterogeneity in study designs and collected information.

CONCLUSIONS: Based on current limited evidence, it is not possible to conclude that MAAs are effective to treat pediatric OSA. A reduction in AHI was consistently observed. When MAAs are orthodontically indicated in pediatric OSA patients, they can result in improvement of OSA signs and symptoms.

University of Alberta ASSOCIATION BETWEEN OBSTRUCTIVE SLEEP APNEA ON BONE MASS IN ADULTS: A SYSTEMATIC REVIEW

Authors: Nazarali N, Altalibi M, Major MP, Flores-Mir C, Major PW Authors: Eimar H, Ghorashi S, Isfeld D, Flores-Mir C OBJECTIVE: To evaluate the effectiveness of mandibular advancement appliances (MAAs) for treatment of pediatric OSA

Orthodontic Graduate Program, School of Dentistry, University of Alberta, Edmonton, Alberta, Canada

METHODS: A systematic search of several electronic databases (PubMed, EMBASE, MEDLINE, Healthstar), limited grey literature, and manual searches was completed with the assistance of a senior librarian specialized in health sciences database searches. Studies evaluating the effects of MAAs in children with OSA were selected for full article review.

PURPOSE: To assess existing evidence based on human studies on the potential association between obstructive sleep apnea (OSA) and reduction in bone mass.

RESULTS: Only 4 articles satisfied all inclusion criteria, and individual analysis of the selected articles was completed. Only one study was a quasi-randomized clinical trial. The remaining studies were of retrospective nature. All included studies had high risk of bias. Absence of control groups, short-term observation periods and small sample sizes were the most limiting characteristics across selected studies. The limited available evidence suggests that MAAs result in improvements in AHI scores; however they do not normalize AHI scores.

METHODS: An electronic search of three databases: PubMed, MEDLINE and EMBASE, was performed until May 2015. The inclusion criteria consisted of studies in humans (case controls, cohorts, cross sectionals, secondary outcomes of clinical trials), which assessed the association between OSA and bone metabolic diseases. OSA diagnosis done by an overnight polysomnography (PSG), at home using a portable monitor or through validated records collected from health care databases. Regarding low bone mass diagnosis, reduced bone mineral density (osteopenia), osteoporosis, serum/ urinary levels for markers of bone formation and reContinuedâ&#x20AC;Ś

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CFAO Graduate Student Posterboards MATERIALS & METHODS: A cross-sectional study design was employed. Data was collected at a single point in time from a sample of prospective patients. 86 patients and their caregivers met the inclusion criteria and were asked to complete the questionnaires. The mean age of patients included in the study was 13.57 +/- 1.57 years, which included 55 females and 31 males. Data collection was undertaken through clinical exams, and each patient was assessed via the Index of Orthodontic Treatment Need (IOTN), both dental and aesthetic component grades. Correlation tests used included Pearson correlation, Pearson Chi-squared, Phi coefficient and Gamma tests.

Poster participant Dr. Hazem Eimar

sorption, or risk of fractures caused without history of trauma were considered indicators of it. Study selections, risk of bias assessment and data extraction were performed in duplicate.

RESULTS: A total of 8 studies (5 cross-sectional and 3 cohort studies) were systematically reviewed. One study was found to have high risk of bias potential, whereas the remaining studies were considered to be of medium to low risk of bias potential. Six out of 8 studies reported an increase in risk of developing bone diseases such osteoporosis in OSA patients. One study did not report a significant association, whereas one study reported an increase of bone density in OSA patients compared to non-OSA patients.

CONCLUSIONS: Patients diagnosed with OSA seem to have a higher risk of developing bone diseases (low bone mass, osteoporosis or risk of bone fracture).

University of Alberta ASSESSING THE CORRELATION BETWEEN MALOCCLUSION AND PSYCHOSOCIAL WELL-BEING Authors: Khatib O*, Schönwetter D, Drummond R, Wiltshire WA University of Manitoba, College of Dentistry, Division of Orthodontics, Canada INTRODUCTION: Orthodontic treatment can include physical and/or psychosocial elements in addition to straightening teeth.

OBJECTIVE: Assess the correlation between malocclusion and psychosocial well-being from the perspective of younger patients, their caregivers, through the inclusion of normative criteria.

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CAO Bulletin • SPRING 2016

RESULTS: 1. There is a very strong correlation between patients' satisfaction with body image and their caregivers' satisfaction with their childrens’ body image (p<0.01) 2. There is a significant difference between caregivers' and childrens' motivations to seek orthodontic treatment (p<0.01).

3. No significant difference between males and females with regards to being bullied about dental appearance (p>0.01).

4. There is a weak correlation between caregivers' satisfaction with tooth appearance and IOTN dental and aesthetic component grades. As the satisfaction score increases (reflecting overall dissatisfaction with body image), the more likely that the patient actually needs treatment (p=0.01).

5. There is no significant correlation between children satisfaction with their teeth and IOTN dental and aesthetic component grades (p>0.01).

CONCLUSION: Malocclusion does impact perceptions of psychosocial well-being.

University of Manitoba ROOT PARALLELISM IN INVISALIGN™ TREATMENT Author: Nemes, J., Hechter, F.J., Piedade, L., Todescan, R. AIM: To assess root parallelism after Invisalign™ treatment.

MATERIALS AND METHODS: The sample consisted of 101 patients (mean age: 22.7 years, 29 males, 72 females) treated non-extraction with Invisalign™ by one orthodontist. Root angulations were assessed using the 4-point angulation tool (Dolphin imaging™); the long axes of adjacent teeth were traced, yielding a convergence/divergence angle. Acceptable

CFAO Graduate Student Posterboards CONCLUSION: Root parallelism was improved post-Invisalign™ treatment in ten of the fourteen areas evaluated.

Thus, Invisalign™ treatment may be an effective treatment modality in controlling root angulation in non-extraction cases.

University of Toronto EVALUATING ESTHETICS OF CANINE SUBSTITUTION IN TREATMENT OF MISSING MAXILLARY LATERAL INCISORS USING EYE TRACKING Author: Caroline Cheung Poster participant Dr. Jordan Nemes

root parallelism was assessed if the root angulation did not converge/diverge more than 7 degrees. Sites evaluated: between 1st molars and 2nd premolars, 2nd and 1st premolars, lateral and central incisors, and between central incisors in all four quadrants. The average change in mesio-distal root angulation was assessed between pre- and post-treatment panoramic radiographs.

RESULTS: Paired t-tests were used to analyze the average change in mesio-distal root angulation. Statistically significant differences were obtained indicating a reduction in the convergence/divergence angles between teeth #16-15, #15-14, #11-21, #24-25, #25-26, #45-44, #42-41, #41-31, #31-32, and #34-35 (at p-value <0.05). The average change in root angulation was not affected (p>0.05) by age (Pearson correlation coefficient), gender, occlusion type (I, II, or III), or elastic use (unpaired, 2 sample t-test at p<0.05). Intra and inter-rater reliability for 20% of the studied sample was assessed using the interclass correlation coefficient test. All measured areas except teeth #16-15, #26-25, and #36-35 yielded good ICC reliability scores above 0.7.

BACKGROUND: Agenesis of permanent maxillary lateral incisors poses a dilemma in orthodontic treatment planning which may be addressed by one of two treatment options including space closure, known as canine substitution, or prosthetic replacement. Of primary interest to patients is the esthetic outcome of the two treatment options.

OBJECTIVE: To determine how perceptible canine substitution is as a treatment option for missing maxillary lateral incisors.

METHODS: Raters consisted of forty (n=40) orthodontists and thirty-five (n=35) laypersons. Each rater was shown a series of twenty-four photographs of orthodontically treated smiles, consisting of three treatment groups: 1) patients who had bilateral canine substitution 2) patients with bilateral lateral incisor implants 3) controls with no missing teeth. Raters provided an esthetic rating from 0 to 10 and eye tracking was used during the course of viewing the photographs.

RESULTS: Control photos received the highest esthetic ratings, on average, by both orthodontists and laypersons.

Continued…

Thanks to GAC for their support of the Latest Advances in Canadian Orthodontic Research Symposium and the CFAO Posterboards

SPRING 2016 • CAO Bulletin

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CFAO Graduate Student Posterboards Orthodontists rated the implants as more esthetic than canine substitution. There was no significant difference in esthetic ratings given by laypersons between these two treatment groups. Eye-tracking measures, including number of fixations, did not significantly differ across the three treatment groups.

RESULTS: No significant differences were seen in the plaque index scores of the probiotic group or between the probiotic or placebo groups at any surface (buccal, mesio-distal, lingual) at any time points. All participants self-reported a lozenge consumption compliance over 90%, and 78% of participants reported perfect compliance.

CONCLUSION: The esthetics of canine substitution and implants for treatment of missing maxillary lateral incisors is comparable. Only weak correlations were found between objective eye-tracking measures and esthetic ratings assigned by orthodontists and laypersons, demonstrating that esthetic preferences are indeed subjective.

CONCLUSION: Dental probiotic therapy cannot be recommended for the prevention of white spot lesions during fixed orthodontic treatment in adolescent patients.

University of Toronto EFFICACY OF A DENTAL PROBIOTIC IN REDUCING PLAQUE ACCUMULATION AND S. MUTANS LEVELS IN ORTHODONTIC PATIENTS: A RANDOMIZED, DOUBLE--BLIND, PLACEBOCONTROLLED STUDY Authors: F Jivraj*, S-G Gong, H Tenenbaum, S Suri & B Tompson.

INTRODUCTION: Several studies have shown that both plaque accumulation and bacterial levels of S. mutans increase significantly in patients with fixed orthodontic appliances, thus placing patients at-risk for enamel demineralization and white spot lesions.

A novel and safe probiotic complex consisting of six oral bacteria including S. salivarius BLIS K12 and five lactobacilli strains L. paracasei, L. plantarum, L. acidophilus, L. salivarius and L. reuteri has yet to be investigated within the orthodontic context.

OBJECTIVE: This randomized clinical trial was designed to investigate the efficacy of the Lorodent probiotic complex at reducing plaque accumulation and cariogenic bacterial load in orthodontic patients.

MATERIALS AND METHODS: A total of 60 participants were randomized into two groups to receive either probiotic or placebo lozenges daily for 28 days. The participants were evaluated at 4 appointments over a total of two months. At each appointment, plaque index was assessed clinically and salivary and plaque samples were collected to determine the probioticâ&#x20AC;&#x2122;s effect on plaque accumulation and bacterial counts of S. mutans.

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CAO Bulletin â&#x20AC;˘ SPRING 2016

ACKNOWLEDGMENTS: Clinical trial funded by the Ontario Centres of Excellence.

Membership Milestones Congratulations to the following members celebrating milestones in their CAO membership for the 2015 Membership Year!

60+ Years of Membership Dr. Robert M. Perry

Dr. Oleg S. Kopytov Dr. Victor A. Lepp Dr. Alan A. Lowe

50 Years of Membership Dr. Melvin Brown Dr. Robert D. Hazelton Dr. Michael Rennert Dr. Frank E. Shamy

40 Years of Membership Dr. Gurkan Altuna Dr. Jean-Louis Ares Dr. Robert L. Beath Dr. Morton H. Cooper Dr. Donald C. Hatheway Dr. Ross E. Jenne

35 Years of Memberhsip Dr. Donald G. Cronin Dr. Ken Glover Dr. Lindsay A. Guthrie Dr. Neil Shapera Dr. Paul Witt Dr. Charles A. Woods

25 Years of Membership Dr. Bryan Altshuller Dr. Kathryn J. Bibby Dr. Danielle Boivin

Dr. Maryse Gendron Dr. Darrel W. Kemp Dr. Stuart A. Matheson Dr. Robert Bruce McFarlane Dr. Yves Tellier Dr. JoAnne M. Walin

10 Years of Membership Dr. Amy Archambault Dr. Denis Bernard Dr. Daulatkhanu Bharwani Dr. Shari Borsuk Dr. Chrissy Cheretakis Dr. Andrea Heckler Dr. Kimberly Hodder Dr. Ryan Lacoursiere

Dr. Brian Laski Dr. Sunny Leong Dr. Lenore Louie Dr. Anthony MacIsaac Dr. Mitchell Miller Dr. Christa Oliver Dr. Luis Piedade Dr. Mark Rosenblatt Dr. John Sherrard Dr. Christos Sideris Dr. Jennifer Smith Dr. Jennifer Y. Tan Dr. Belinda Weltman

Congratulations to the following members celebrating milestones in their CAO membership for the 2016 Membership Year!

60+ Years of Membership Dr. Douglas N. Allen

50 Years of Membership Dr. Robert C. Baker Dr. Ernest Cohen Dr. Paul D. Henderson Dr. Sidney R. Kirson Dr. Ewart D. MacKay Dr. Louis C. Melosky Dr. Leonard L. Prosterman Dr. Martin H. Scherzer

40 Years of Membership Dr. Donald A. Fitzpatrick Dr. Frank J. Hechter Dr. James F. Hickman Dr. Brian John Hurd

Dr. Samuel Israelovitch Dr. Sidney Konigsberg Dr. Hugh W. Lamont Dr. Charles C. Smith Dr. Jay T. Winburn

Dr. Campbell Rae Munroe Dr. Michael Patrician Dr. Elli G. Roehm Dr. Garry A. Solomon Dr. Michael D. Taylor

Dr. Michael Sherman Dr. Madelaine Shildkraut Dr. Cheng-Lun Wang Dr. Lennard Weiss

10 Years of Membership 35 Years of Memberhsip

25 Years of Membership

Dr. Alan Bobkin Dr. Linda K. Bourgeois Dr. Alain Brault Dr. Ayman Chamma Dr. Samuel Chiang Dr. Duncan W. Higgins Dr. David B. Kennedy Dr. Franklin D. Lo Dr. Amanda Maplethorp Dr. Thomas R. McIntyre Dr. William R. Mercer

Dr. Bruce Victor Freeman Dr. Mark A. Lawrence Dr. Bernard Lim Dr. Angelina Loo Dr. Thomas J. Moonen Dr. E. Frederick Murrell Dr. Jean-Pierre Perron Dr. Gerald E. Philippson Dr. Kris L. Row Dr. Kathleen A. Russell Dr. Diane Ruud

Dr. Michelle Couto Dr. Dean Heinrichs Dr. Christie Laberge Dr. Bradley Lands Dr. Bowen Miles Dr. Andree Montpetit Dr. Ramune Sileikyte

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I N M EMORIAM

Dr. Jack Dale I’ve known Jack Dale at arms length for years.

When I was an undergraduate University of Toronto dental student in the late ‘80s, he had drawn many of the illustrations in Richard Ten Cate’s histology text. He was also the guy known as ‘Mister’ Doctor Dale as he was married to ‘Mrs.’ Doctor Dale, aka Anne Dale, our effervescent histology demonstrator. Later, during my first summer as an orthodontic resident, Jack introduced Dr. Herb Klontz from the Tweed Foundation, brought in especially to give us neewbies some fresh insight. The fact that Jack and Herb both wore spiffy Bollo ties was enough to be cause for concern. Was this orthodontics, or was it the latest in ‘Tweed’ fashion? When the time came to finally start a practice, Jack Dale was the orthodontist just up the road who had been there for years. Did I know what I was up against?

– No. But when the parents of almost every new patient in for consultation have impossibly straight teeth and inform you that his or her orthodontist was Jack Dale, followed by a detailed explanation about how much fun it was, you know you are up against something big.

It was time for me to find out first hand just what was going on.

No one could be this nice, this well known and this humble.

So when the powers that be suggested Jack be the focus of this edition’s ‘Legends in Orthodontics’ article, I jumped at the chance to be the author. I was as nervous as cat at a dog show when I finally finished procrastinating long enough and picked up the phone to make the call to set up our meeting.

Two minutes later, Jack had made arrangements for us to get together down at the school, at a time so convenient, I didn’t even need to upset my precariously balanced schedule. I sent over a few of the questions that were to be the focus of our conversation. Two days before our meeting, a two-volume dossier arrived at my door, its contents containing the answers to these questions, and beyond. To say this man is organized is a major understatement.

Not wanting to appear too anxious, I arrived one minute after our arranged time to meet Jack at his wife’s office on the other side of the Faculty Library. They were both up and looking for me. So much for being fashionably late. As I awkwardly said hello and extended my hand, Anne politely inquired as to how long we would be. “No more than 15 to 20 minutes”, I replied smiling, “I’ve already got all of the information I need so this should be no more than a formality.” Two hours later, Jack and I emerged from our meeting in the dental library Alumni Room, with me still smiling and finally getting a handle on the mystique surrounding this man.

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CAO Bulletin • SPRING 2016

Jack was born in Cleveland Ohio around the time of the Great Depression. Even though his parents relocated to Canada shortly thereafter, he returned to the Home of Rock and Roll in the summers to spend time with his grandparents.

When he was old enough to take a summer job, Jack worked as a bricklayer’s assistant, maneuvering bricks and developing his reflexes to avoid being hit on the head by a brick that failed to make the mark. No hard hat; no workman’s compensation. Just guts and determination in a city of heavy metal and broken dreams. Jack’s parents, Emerson Dale and Marion Gallagher, had two other children before Jack came along. Sister June was eight years older and brother Emerson, or ‘Yank’ as he was known to his friends back home in Canada, was seven years his senior.

Jack spent his formative years in Ontario, calling both Beeton and Alliston home. It was at Alliston High School that Jack met and fell in love with Anne Thomson. Together, they were Canada’s own Frankie and Annette. As seniors, they were honored as superior students at the 1950 Canadian National Exhibition, a distinction bestowed on a select number of graduates nationwide. They must have known back then that together they had it going on. From Alliston, it was on to the Big City. Jack and Anne attended University College at the University of Toronto. It was during their undergraduate years that they figured out ‘the system.’ By studying together and supporting one another throughout their respective Bachelor of Arts degrees, they were able to achieve a level of success unattainable had they acted alone. But these were no perfect little angels! Jack and Anne wed at Bathurst United Church on January 25, 1952 during a lunch in second year. Jack was 21 years old, Anne just 18. As they headed back to botany lab that afternoon, the newlyweds swore to keep their vows a secret until the end of the school year. Jack and his pals would call over to the new Mrs. Dale at mealtime with no one on the outside wise to the meaning. Anne’s father was especially accepting, grateful for the absence of the word ‘shotgun’ as Jack deftly described the events six months prior.

Jack and Anne entered the University of Toronto, Faculty of Dentistry together promising to become the first husband and wife team to enter and graduate from the undergraduate dental program. Their story caused quite a stir and appeared in multiple local and national newspapers. They didn’t just complete the program together. They owned it. Jack stood first in his class for all four years with Anne close behind. In their final year, they finished first and second, making a clean sweep of the 1958 awards. All in all, together they collected an un-

precedented 43 awards throughout the four years, with Jack taking home 38 of them. It’s like Tiger Woods being married to Maria Sharapova: power couple extraordinaire!

Jack and Anne headed to Boston for postgraduate work. Anne interned at the Forsyth Dental Infirmary for Children while Jack began a 3 year fellowship at Harvard. Selected as one of twenty inductees into Harvard’s prestigious Society of Fellows, Jack was given free reign to study whatever he desired. Originally interested in oral medicine and pathology, Jack arrived at Harvard to discover his supervisor, the world renowned Kurt Thoma was just about to retire. He then went to Dr. John B. McDonald, his former microbiology professor in Toronto and then Director of the Forsyth Dental Infirmary for Children and Fellowship to inform him of his problem. Dr. McDonald, a fellow Canadian (really, can you get more Canadian!) accommodated young Jack to pursue orthodontics, a decision Jack recalls as the best decision he ever made, next to marrying Anne. Jack and Anne returned to Toronto in 1961 to begin practice, with daughters Anne and Hali in tow. Forty seven years later, the first orthodontist in the medical dental building at 1849 Yonge Street is still at it, loving every minute of it. Hali joined Jack in practice back in 1990 and the team is as strong as ever.

Jack’s list of honours and accomplishments is unprecedented.

To list them all here would be impossible. Recognized numerous times by the American Association of Orthodontists, including the James E. Brophy Distinguished Award, Jack has been Board Certified by the American Board of Orthodontics since 1974 and involved with the Board for 22 years. He is the recipient of the Albert H. Ketcham Award, the highest honour awarded by the ABO. He is a decorated member of The Angle Society and the Charles H. Tweed International Foundation for Orthodontic Research. There is a Residency in Orthodontics at Harvard named after him that attracts international speakers annually. The list of European, North and South American, African, Asian and Canadian honours is exhaustive, spanning more than forty years of service, practice and education.

These days, you can still find Jack in the office three days a week. He simply loves seeing his patients. Recently, Jack has decided to spend less time abroad, preferring to spend his time closer to home. He and Anne maintain a number of historic properties in Alliston, having overseen the restoration of these homes from top to bottom. When asked to sum up such a full life and illustrious career Jack just leans back, smiles and says “I’m really happy.”

What kind of man is Jack Dale? When Ambrose Heyden, a gentleman who assisted Jack restoring his homes over many years recently passed away, Jack persuaded the town to rename the street where the homes are located ‘Ambrose Heyden Street’ as a memorial to his good friend.

I N M EMORIAM Dr. William (Bill) Frederick Campbell Bill was born on January 30, 1920. His early years were spent in the Wolesley area of Winnipeg.

Bill’s father owned a dental laboratory where he worked and developed an interest in dentistry.

Bill attended the University of Manitoba in Winnipeg, earning his Bachelor of Arts degree.

Upon graduation in 1942, with World War II underway, he enlisted in the army and was commissioned in the Royal Canadian Army Services Corps. Bill spent four years in the Canadian Army, most of it overseas, ultimately rising to the rank of Captain.

Bill returned to Canada after the war, and resumed his studies at the Faculty of Dentistry at the University of Toronto. He graduated in 1950 with a D.D.S. degree and returned to practice in Winnipeg and Souris, Manitoba.

In 1953, Bill and his wife Isabelle moved to Montreal to enable Bill to begin the orthodontic program at the University of Montreal. It is a testament to his ability with languages that he was able to pursue his graduate studies in French. After receiving his Certificate of Orthodontics, Bill joined the orthodontic practice of Jack Abra in Winnipeg.

Bill was President of the Canadian Association of Orthodontists from 1969 to 1970 and President of the Midwestern Society of Orthodontists from 1974 to 1975.

Bill passed away on November 22, 2015 in Winnipeg, Manitoba, at the age of 95 years. Bill is survived by his wife of 62 years, Isabelle Campbell (nee McKinnon), by his five children, five grandchildren and his brother Dennis and Sister-in-Law Betty.

The CAO extends its sincerest condolences to the Campbell family.

I think that says it all.

[Editors Note: Jim Poslins wrote this for the University of Toronto Orthodontic Alumni Newsletter in Spring 2008]

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CONTEST A HUGE SUCCESS! The CAO launched its new web feature “Show Us Your Selfie Smile” in September 2015. After sending marketing posters in both French and English to all members for their offices, requests came pouring into the CAO office for additional posters to promote the program. This enthusiastic support sent the CAO’s Communication Committee’s wheels into overdrive.

Shortly after the feature’s launch, a contest was announced encouraging their patients to upload their selfies to the CAO site and to tag their orthodontic specialist. The CAO noted a high rate of participation in the CAO’s inaugural contest. All across Canada, patients were showing off their smiles, all because of the great work of their orthodontist.

In February, the CAO collected all uploaded entries, and held a draw for two iPhone 6S phones!

Congratulations to:

Bridget B orrow David M r.

D f o t n patie ON Toronto,

Sofia P patient of Dr. B rien Sta ckhous Rothes e ay, N B

Thank you to all that participated and encouraged your patients to SHOW US THEIR SELFIE SMILES! We will be doing another contest this coming fall…stay tuned for details!

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CAO Bulletin • SPRING 2016

Component Society Reports

British Columbia Dr. Jay Philippson Email: drgphilippson@shaw.ca The BCSO has been approved for their proportionate share of the AAO-CAP matching programme. A total of $33,469 USD will be used to enhance BC’s marketing efforts. Approximately 95 orthodontists are members of the BCSO and have paid their levy to the CAP. The BC College of Dental Surgeons is undergoing a revitalisation of their practice guidelines and other bylaws. New advertising restrictions limit a member’s ability to mention degrees, fellowships and association memberships. Members of the BC College of Dental Surgeons are able to display their names and the fact that they are a certified specialist in orthodontics. They are only allowed to mention earned degrees in a separate location but must also state the school and the date of completion. Nowhere on promotional items (business cards, letterhead, websites, etc.) can members mention an affiliation with the CAO, RCDC (including fellowship) or any other association.

Webinar Update The fall webinar was held on November 18, 2015. Dr. James Mah presented on “Neuromodulators in the Management of Bruxism”. There were more than 30 registrants. Thirteen members answered the post-webinar survey and the overall feedback was positive. All participants were satisfied with the 8:00 pm time slot.

The spring webinar was held on April 21, 2016, at 8:00 pm EST. The speaker was Dr. Thomas Shipley, who spoke on micro-osseo-perforation and orthodontics.

The presentation was co-sponsored by Propel Orthodontics, who covered the honorarium to the speaker.

The College is also examining practice guidelines as they pertain to personal relationships. Personal, business and commercial relationships are considered potential conflicts of interest. The guidelines read “that the healthcare practitioner must act with the utmost good faith to put their patients’ interests above their own. This includes declining to enter into a practitioner-patient relationship where a conflict of interest…exists.” So potentially, an orthodontist practicing in a small community can have a relationship that would create a conflict of interest with every community member. There is significant concern by the membership that the bylaws and guideline changes are extreme.

Alberta Dr. Todd Lee-Knight Email: todd@drlee-knight.com The Alberta Society of Orthodontists held its Annual Scientific Session and Meeting on Friday April 8 and Saturday April 9, 2016, at the RimRock Hotel in Banff. This year, the meeting featured full-day sessions with Dr. Luis Carriere, and Ms. Lori Williams.

Dr. Carriere’s presentation was entitled, “Achieving Complete Facial, Skeletal and Dental Harmony in Class II & Class III treatments: Facially Driven Orthodontics”. The application of his ‘Carriere Motion Appliance’ in non-extraction cases was reviewed in detail.

Ms. Lori Williams, of the Strategix Group, identified the practice management techniques that one should be aware of during these ever-changing economic times. She presented the building blocks needed to achieve a high quality, people-centric practice that is both profitable and rewarding for the orthodontist.

The ASO has again supported the CAO Consumer Awareness Program (CAP) through the supplementation of the national campaign with additional provincial funding. Additionally, the ASO Executive submitted a successful application to the Continued…

SPRING 2016 • CAO Bulletin

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Component Society Reports Cont’d AAO to receive matching funds to further supplement the CAP program. The ASO has continued its support of the CFAO by donating a weekend stay for two in Banff as part of the silent auction fundraiser at the CAO Scientific Session.

cally organized Smile for a Lifetime Canada program. Of the 33 applications received to date, 22 patients have commenced treatment. The remaining 11 patients were not approved due to inadequate oral hygiene, lack of orthodontic need, or a relatively favourable financial situation. The Smiles for a Lifetime Canada program has recently received registered charity status.

Saskatchewan Dr. Mike Wagner Email: wagner.orthodontics@gmail.com All is quiet on the home front. The most recent provincial meeting was a success with respect to auxiliary attendance with 54 staff members attending the educational day with Dr. Dan Bills. However, only 8 out of 15 orthodontists attended the Annual General Meeting.

At the meeting there was strong encouragement for orthodontists to continue membership in the CAO and the AAO. The mechanics of the AAO-CAP were at the forefront as the catalyst for total AAO and CAO membership of all Saskatchewan orthodontists. In addition, discussions ensued regarding a possible start-up of a private CDA educational program. The need for more specialty licensed orthodontic assistants continues to be a challenge.

There has been a change in website developers leading to a brief development hiatus but plans are in the works to move forward.

Manitoba Dr. Susan Tsang Email: s_tsang2@hotmail.com The latest Manitoba Orthodontic Society (MOS) dinner meeting was held on November 20, 2015 in conjunction with continuing education sponsored by GAC. Featured speakers included Dr. Lou Shuman and Mr. Ian McNickle. The meeting was well attended by orthodontists, staff and residents.

The accessibility to orthodontic care by patients in need is improving steadily. As of November 2015, eight members of the Manitoba Orthodontic Society are providing pro bono orthodontic services to the young patients through the lo-

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Dr. William Campbell passed away on November 22, 2015 at age of 95 years. Dr. Campbell was involved in a variety of professional dental associations and organizations, serving as President of the Canadian Association of Orthodontists (1969-1970) and President of the Midwestern Society of Orthodontists (1974-1975).

The University of Manitoba’s Graduate Orthodontic Department will be celebrating its 50th anniversary during the CAO’s Scientific Session in Charlottetown this upcoming September. Congratulations to Department Chair William Wiltshire and the entire department for its past, current and future successes. Hopefully, many Manitoba alumni will be in attendance this fall to celebrate this wonderful milestone.

The spring MOS meeting was held on May 5, 2016.

Ontario Dr. Eric Selnes Email: str8smiles@sympatico.ca The OAO has retained Bond Executive Management to manage, organize and coordinate its administrative duties. The next OAO Scientific Session will take place May 26 to 29, 2016, in scenic Niagara-on-the-Lake, Ontario. On-line registration is now open.

The OAO continues to formulate its web campaign and its AAO-CAP business plan. The AAO-CAP matching funding for Ontario was approved by the AAO Board for approximately $72,000 USD over a three-year period.

A conference call was recently held with Searchkings and Athorn Clark. As a result of the call, Requests for Proposals (RFP’s) were implemented. Searchkings was chosen for this year for its high rating with Google for maximum exposure in addition to offering limited perks for not-for-profit clients.

Component Society Reports Cont’d The OAO has petitioned the Royal College of Dental Surgeons of Ontario (RCDSO) to clarify and to establish its positon on increased delegation of duties for dental assistants in an orthodontic practice. In addition, the RCDSO is seeking an exemption for dentistry in the EU-Canada trade deal. The OAO is working on proposing a delegation working group to assist the RCDSO going forward.

The AAO Presidents Elect Conference Planning Committee held its annual meeting in Washington DC, February 28 to March 1, 2016. Mitch Miller of the OAO Executive was in attendance.

Canada Revenue Service (CRA) has informed the Executive of the Ontario Dental Association (ODA) that dentists may be required to start charging HST related to their services in the future.

The corporatization and the unionization of dental offices continues to be a concern. At the OAO General Meeting held November 26, 2015, Mr. David Ross L.L.B., of Hicks Morley, Human Resources Law & Advocacy, spoke about protecting against and dealing with the challenges of office unionization.

There are currently two large practices located in Mississauga, Ontario (one general dental practice and one oral and maxillofacial surgery practice) that were recently unionized.

The 2015-2016 OAO Executive consists of Lui Redigonda President, John Bozek - Vice President, Mitch Miller - Secretary/Treasurer, Drew Smith - Past-President, J. Eric Selnes CAO Representative and Webmaster, Gagan Bhalla - GLAO Representative, Mariela Anderson - New and Younger Members Chair, Richard Marcus - Scientific Chair and Michael Goldstein - Newsletter Editor.

Quebec Dr. Michel Di Battista Email: micheldibattista@gmail.com At the QAO, year 2016 is full of projects.

This February, for the first time, the QAO will sit at the Quebec Federation of Dentists Specialists (QFDS) advertising committee table.

The purpose of this committee is to educate the public about the dental specialties, the certified specialists and how the services they provide can be harmonized with those offered by the general dentists.

The next QFDS meeting will be held November 17 to 19, 2016 at the Montreal Airport Sheraton. It will feature great lecturers and an exhibit show. The theme will be: “10 SPECIALTIES, ONE FUTURE TOGETHER’’.

Furthermore, in conjunction with Les Journées Dentaires Internationnales du Québec (JDIQ) May 2017, Montreal will host the Association Internationale des Orthodontistes Francophones (AIOF) annual session for the very first time in North America.

We, at the QAO are proud to welcome our colleagues from Europe to share our knowledge and passion.

ALL CANADIAN ORTHODONTISTS ARE INVITED TO JOIN US FOR THESE TWO VERY SPECIAL EVENTS. Special thanks to Sylvain Gagnon for having been instrumental in securing Montreal as the host city for this world class meeting. (www.aiof.org) Our president, Jean Marc Retrouvey and I will represent the CAO at the QAO Annual General Meeting, May 30, 2016.

Rapport de la province de Québec À l'AOQ les projets pour l’année 2016 ne manquent pas!

Pour la première fois, en février, nous serons représentés au comité de la publicité de la Fédération des Dentistes Spécialistes du Québec (FDSQ).

La FDSQ veut faire connaître du plus grand nombre l’existence et l’essence des spécialités dentaires légalement reconnues ainsi que la complémentarité des services offerts par les spécialistes et les dentistes.

Le prochain congrès et salon d’exposition de la FDSQ se tiendra au Sheraton Montréal Aéroport les 17-19 novembre 2016.

Continued…

SPRING 2016 • CAO Bulletin

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Component Society Reports Cont’d Le thème sera: “10 SPECIALITÉS, UN AVENIR ENSEMBLE’’

Atlantic Report

De plus, en mai 2017, dans le cadre des Journées Dentaires Internationales du Québec (JDIQ), Montréal sera l'hôte du Congrès de l'Association Internationale des Orthodontistes Francophones (AIOF) et ce pour une première fois en Amérique. Nous sommes fiers d'accueillir nos confrères d'Europe afin de partager nos connaissances et notre passion.

Dr. Don Johnston

CE SONT DEUX RENDEZ-VOUS QUE TOUS LES ORTHODONTISTES CANADIENS NE DEVRAIENT PAS MANQUER. Nous remercions le Dr Sylvain Gagnon d’avoir soumis la candidature de Montréal et de participer activement à l'organisation de ce congrès d'envergure Internationale. (www.aiof.org) L’AOQ tiendra le 30 mai prochain son Assemblée Générale Annuelle, à laquelle j’assisterai avec Jean Marc Retrouvey notre président de la CAO.

NOTICE OF CAO ANNUAL GENERAL MEETING NOTICE IS HEREBY GIVEN that the Annual General Meeting of the Canadian Association of Orthodontists will be held the 17th day of September, 2016 from 7:00 am to 8:30 am in the Prince Edward Island Convention Centre, Charlottetown, PEI. The following matters will come before the meeting: 1.0 Call to Order 2.0 Approval of Minutes of last Annual General Meeting, September 19, 2015* 3.0 President’s Report 4.0 Reports of Officers and Directors 4.1 Treasurer’s Report 4.1.1 2015 Reviewed Year-end Financial Statement* 4.1.2 Appointment of Outside Year-end Reviewers for 2016 5.0 Reports of of Committees 6.0 Unfinished Business 7.0 Nominations and Election of Officers and Officials* 8.0 Indemnification Clause 9.0 New Business 10.0 Adjournment Jean-Marc Retrouvey President, CAO * Reports will be posted in June on the CAO Members' Website. If you wish a full copy of the AGM material in advance, please contact the office at cao@associationconcepts.ca.

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CAO Bulletin • SPRING 2016

Email: johnston.donald@gmail.com The Atlantic Orthodontic Association (AOA) met on April 24, 2015, at the Delta Barrington Hotel in Halifax, Nova Scotia.

The meeting was held in conjunction with a continuing education session, featuring Dr. Luis Carriere, sponsored by Cerum Ortho Organizers.

There were no major issues brought forward. The highlight of the meeting was the passing of amended association bylaws bringing the Atlantic Association into compliance with the newly enacted bylaws of the CAO. The next step is to complete the incorporation of the Atlantic Association, which is currently in the works.

The latest meeting of the AOA was held on April 15, 2016, at the Westin Nova Scotia Hotel in Halifax. This meeting marked the installation of Stuart Matheson as the incoming president of the AOA. The meeting was preceded by a continuing education course presented by Dr. William Kotterman, was sponsored by Invisalign.

Canadian Association of Orthodontists

UPCOMING ORTHODONTIC MEETINGS 2016 September 15-17 . . .CAO Annual Scientific Session, Charlottetown, PEI September 22-25 . . .GLAD/MASO Annual Session, Phoenix, AZ October 6-9 . . . . . . . .NESO Annual Session, New York, NY October 13-16 . . . . .RCSO Annual Session, Seattle, WA November 4-5 . . . . . .MSO Annual Session, Chicago, IL

2017 September 14-16 . . .CAO Annual Scientific Session, Toronto, ON

2018 September 6-8 . . . . .CAO Annual Scientific Session, Vancouver, BC

New & Younger Members Perspective

It’s Uphill Until You Reach the Top By: Dr. Mostafa Altalibi DMD, MAPP, MSc, D.Ortho, FRCD(C)

About 1650 B. C., Egyptian scribe Ahmes, made a transcript of even more ancient mathematical scriptures dating to the reign of the Pharaoh Amenemhat III. In 1858 Scottish antiquarian, Henry Rhind came into possession of Ahmes’s papyrus. The papyrus is a scroll 33 cm wide and about 5.25 m long filled with funny math riddles.

One of the problems is as follows:

As soon as the hectic life of an orthodontic resident comes to a frantic end, the big question of what to do next becomes front and center. It’s not an easy decision, nor one to take lightly. It’s a decision that I was confronted with not so long ago.

Having graduated a year ago, I felt very ill prepared to be able to appraise businesses and to scout opportunities given my biological science background and my lack of business savvy. So I had to rely heavily on the advice of others, whom I trusted, to help me decide.

From associating, to buying out an existing practice, to buying into an existing practice, to building my own clinic; there were an abundance of options to consider. Furthermore, I needed to decide where I wanted to practice, and being flexible in the location made the choices ever more daunting.

Fortunately for me, one of my mentors had an opportunity of his own for me and it was ideal. I got to be in a growing city (Calgary) with a strong history of economic growth. I got to own my own practice and I got to work and learn from one of my trusted mentors.

A year later, looking back at that deal, I feel that despite the great mentorship and wonderful work environment, it’s still an uphill battle. I thought that being in Alberta, and having such a great deal structure would make things easy, but what I’ve learnt is that nothing comes easy. With hard work, constant and persistent effort, I was able to build my practice to heights I never imagined, but it’s still an uphill battle until the summit.

100 measures of corn must be divided among 5 workers, so that the second worker gets as many measures more than the first worker, as the third gets more than the second, as the fourth gets more than the third, and as the fifth gets more than the fourth. The first two workers shall get seven times less measures of corn than the three others.

How many measures of corn shall each worker get? (You can have fractional measures of corn.)

– Answer on page 27 –

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.

SPRING 2016 • CAO Bulletin

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From the Editor

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

You Talkin’ to Me? —Robert De Niro, Taxi Driver, 1976 Imagine, if you will, having a market all to yourself, providing a service to the public that knows your product and knows what you are all about? Imagine, now, that you’ve had this market for years and it’s regulated and controlled. Then someone comes along and asks the quintessential question, ‘What’s so special about what you do? I can do that, plus I can do it cheaper and I can do it better.’

Then all heck breaks loose, leading to confusion and angst amongst the masses.

trained and regulated professional drivers, knew what was best for the unsuspecting public. They made noise. They organised protests in the streets.

And they lost. Bigtime. The taxi industry was ripe for a revamp and it happened. Too bad those who governed the business didn’t see it coming and got caught with their proverbial pants

You couldn’t pay me enough to be a cab driver these days, no way, no how.

Uber. If it’s not comfortably nestled in your home town as yet, it will be, in very short order. Ridesharing in areas where lots of people co-exist in relative harmony is the new reality. Uber swept into Toronto, Montreal and Vancouver with all the subtlety of a summer storm.

Folks were intrigued.

“Do you mean I can open an app, request a ride, track its arrival, sit in a car that doesn’t smell like it came from the zoo, pay less for it and never even have to take out my wallet when I get to where I want to go?”

Yep. “Sign me up.”

The cabbies freaked. They ranted and they raved about how wrong was this new way of doing things. They, the

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CAO Bulletin • SPRING 2016

down. More to the point, they got their behinds whipped.

Now, having accepted their fate, they spend their days playing catch-up. I wouldn’t be surprised if the traditional taxicab goes the way of the horse and buggy in very short order.

Remember a course from high school math known as Functions and Relations?

A is to Y as B is to Z. Or something like that. (Math was never my forte and just thinking about high school makes me a tad nauseous). With this handicap clearly exposed, I put forth the following hypothesis: Uber is to cabdrivers as Invisalign is to orthodontists.

The similarities of the two scenarios are striking. Both the orthodontists and the cabbies pretty much owned their respective turfs from the beginning. Both the orthodontists and the cabbies were directly affected by a technology that opened their respective professions (did I just say that driving a cab is a profession?) to public scrutiny. And both the orthodontists and the cabbies watched as other people (us: the general dentists, they: the ex-pizza delivery guys) started to do what they always assumed only they could do.

Having seen the enemy, both the orthodontists and the cabbies pretty much reacted in the same fashion. The orthodontists complained to the dental regulators, while the cabbies arranged meetings with whomever it is who oversaw the fleet. And the outcomes were pretty much the same: Not much. The orthodontists launched an impressive consumer awareness campaign while the cabbies plastered their vehicles with nifty glow-in-the dark stickers imploring public to use their neato new appy thing.

And then, late in the third, with the Cup on the line, the cabbies did the dance of desperation and pulled their goalie; they lowered their fees. And the orthodontists? No way! Solidarity only goes so far.

There are similarities between Uber and Invisalign, but I’m going to state the obvious and say it takes a bit more book learnin’ to be an orthodontist than it does to drive a cab and hopefully some of that time spent so well in the library

From the Editor Cont’d. can be used for things other than trying to convince a 12-year old that you know better. To me, a guy whose experience with cabs is mainly avoiding getting run down by them while atop my bicycle on my way to work, the cabbies seem to be fighting the unwinnable fight. Change is good and it’s inevitable.

Darwin explained this to the people all hundreds of years ago; the cabbies must have missed that class.

But orthodontists have risen from the ashes. In the face of adversity, the profession continues to evolve. Continued promotion of us as the specialists in the development of the craniofacial complex, the incorporation into practice of advanced treatment modalities like lingual braces and the nonwavering support of quality research dedicated to the field are the defense mechanisms that separate the orthodontist from the masses. Never shall an orthodontist exclaim “follow that cab!” (unless he or she is following someone special to the airport or something like that.)

I’m confident that the orthodontist is here to stay; the cabdriver, I’m not so sure. As we closely monitor what happens on the roads within our respective home towns, take a moment to reflect and to thank your lucky stars you don’t spend time behind the wheel for a living. While our circumstances may be similar, the approach between the two industries are distinct enough so that chances are, years from now, the orthodontist will still be seated firmly in the driver’s seat. Or so I hope.

Because the meter’s running for all of us!

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) - 902-4688215 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

Bring on the heat!

Jimmy P Courtesy of: http://brainden.com/cool-math-games.htm

Puzzle Answer from page 25

What do orthodontists like best about Thanksgiving?

The ‘tourque’-y!

2 equations give a clear answer to the given question: 5w + 10d = 100 7*(2w + d) = 3w + 9d

What do psychiatrists say about orthodontists and their families?

They’re bonded.

Where w is amount of corn for the first worker, d is the difference (amount of corn) between two consecutive workers. So this is the solution:

What do psychiatrists say about orthodontists?

Their kids tend to be ‘adjusted’ normally.

1st worker = 10/6 measures of corn 2nd worker = 65/6 measures of corn 3rd worker = 120/6 (20) measures of corn 4th worker = 175/6 measures of corn 5th worker = 230/6 measures of corn

Straight Shooters

SPRING 2016 • CAO Bulletin

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