Document 6421903

Southern Association of Orthodontists
Summer 2011
SAO NEWS
Alabama
Florida
Georgia
Kentucky
Louisiana
Mississippi
North Carolina
South Carolina
Tennessee
Virginia
West Virginia
SAO
SAO TRUSTEE’S REPORT
What Does the AAO Do for YOU?
he American Association of Orthodontists held its
111th AAO Annual Session in Chicago, Illinois
May 13 – 17th. The meeting had record attendance with more AAO members (6,763 orthodontists)
and more exhibitor representatives (320 companies) than
any previous meeting. Dr. Lee Graber and his 2011
Annual Session Planning Committee should be commended for an excellent program with attention to every
detail.
marathons – AMAZING!
Mike’s 2012 Annual Session
Planning Committee (chaired
by SAO Past President Rick
McClung) is working hard on
the 2012 AAO Annual Session
in Hawaii. I encourage everyone to plan their itineraries
now because you will not want
to miss what promises to be
a spectacular AAO Annual
Session.
T
The SAO’s Dr. Mike Rogers from Augusta, Georgia was
installed as the 112th President of the AAO. Mike has
made enormous leadership contributions to our profession and will lead us well. To name only a few of his
accomplishments, Mike has served as President and
Speaker of the House for the Georgia Dental Association, served in the ADA House of Delegates, served as a
Delegate and Speaker of the AAO House of Delegates,
served as President of the SAO, given many lectures at
the AAO Annual Session, and has maintained a busy
orthodontic practice with his son-in-law, Lee Andrews.
Mike has a passion for running and has competed in 39
AAO BUSINESS
Some of the significant resolutions that were approved
in the 2011 House of Delegates were:
1. A dues increase of $43, made 2011-2012 dues $788
for active members. This is the first dues increase in
10 years and reflects expanded membership services
and AAO financial policies approved by the HOD.
2. A $650/year assessment for two years to fund the
Consumer Awareness Program (CAP).
The HOD approved the SAO resolution to require the
Council on Communications to provide an annual report
that summarizes the activities of CAP during the previous year. The Council is to provide data to show the
effectiveness of the Campaign by February 15 to members of the HOD.
In This Issue
TRUSTEE’S REPORT
DeWayne McCamish, DDS
2
MEMBERSHIP REPORT
5
RESEARCH
How Would You Treat This Patient?
6
Long-Term Changes in the Dental
Occlusion of Subjects Treated Orthodontically
Kenneth Cooper Dyer IV, DDS
Abstracts: UKY and UNC
DeWayne McCamish, DDS, MS
Chattanooga, TN
3. Modification of the AAO Mission Statement as
follows:
The American Association of Orthodontists is a professional association of educationally qualified orthodontic
specialists dedicated to:
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• ethically advancing the art and science of
orthodontics and dentofacial orthopedics worldwide
10
• improving the health of the public by promoting
quality orthodontic care, the importance of overall
oral healthcare, and advocating for the public interest
GUEST EDITORIAL
13
Ask Not for Whom the Students Cheat:
They Cheat for Thee
Rushworth Kidder, Editor of Ethics Newsline®
ABO DALE B. WADE AWARD OF EXCELLENCE
IN ORTHODONTICS
14
• educating the public about the benefits of orthodontic
treatment and the educational qualifications of
orthodontic specialists
SAO ANNUAL MEETING
18
• supporting AAO members in the practice of
orthodontics.
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Summer 2011
SAO
4. A new logo was adopted with the provision that all
members be allowed to continue to use the existing logo
in transition until May 2013.
Many thanks to the SAO Delegation Chair, Page
Jacobson, and Co-Chair, Robert Moss for the
efficiency and the thoroughness of the SAO Delegation. The other members of the Delegation are:
Old
James Donaghey, Alabama
Robert Goldie, Florida
Jeri Stull, Kentucky
New
Cory Turpin, Louisiana
Michael O. Williams, Mississippi
Watt Cobb, North Carolina
Richard Hewitt, South Carolina
J. Randall Smith, Tennessee
John Coker, Virginia
Dan Joseph, West Virginia
5. A Society of Educators (SOE) was formed with oversight from the Council on Orthodontic Education (COE).
SOE will allow the Council to better fulfill its duties and
further enhance its relationship with orthodontic educators. This committee will provide a forum for all
orthodontic educators to share, discuss, and learn about
current matters in orthodontic education.
Russell Mullen, Delegate at Large
EXECUTIVE COMMITTEE ALTERNATE
DELEGATES:
Robert Calcote, President
Jay Whitley, President-Elect
AAO Advertising and Marketing Toolkit Reorganized
Richard Williams, Secretary-Treasurer
The AAO online Advertising and Marketing Toolkit has
been reconfigured to make it easier to search by category
of marketing tool. Rather than being organized by campaign, the kit now has items available in the categories of
customizable print advertising, radio advertising, online
advertising, direct mail, web content, publicity items, educational materials, etc. The toolkit is accessible via the
“My Practice/Marketing” section of AAOinfo.org. Log-in
will be required.
Henry Zaytoun, Jr., First Senior Director
Brian Jacobus, Second Senior Director
Rod Klima, Third Senior Director
Kim Reed, Past President
Please thank all of the members of the SAO
Delegation for their time as they work hard to
represent your interest.
It is truly my privilege to serve the SAO as your Trustee.
I welcome any comments, suggestions or concerns that you
may have regarding our specialty and/or issues being faced
by the AAO. We are blessed to have a specialty that provides a service that is respected and of value to the patients
we serve. May we always honor the Code of Ethics that
provides the guidelines for the actions and motivations of
our daily practice.
Have an idea? Have a comment?
Want to make a suggestion?
Contact DeWayne McCamish at dbm@dbmortho.com.
(423) 622-4173, (423) 629-9889 fax
4610 Brainerd Rd., Ste. 3, Chattanooga, TN 37411
3
SAO NEWS
SAO
A publication of the Southern
Association of Orthodontists
32 Lenox Pointe
Atlanta, GA 30324-3169
(404) 261-5528 or (800) 261-5528
Fax: (404) 261-6856
e-mail: saortho@Bellsouth.net
Web site: www.saortho.org
OFFICERS
President
Robert D. Calcote (SC)
drrdcalcote163@aol.com
President-Elect
Jay Whitley (LA)
jaywhitley@msn.com
Secretary-Treasurer
Richard A. Williams (MS)
rwbraces@bellsouth.net
Past President
R. R. Reed, Jr. (FL)
rrrortho@gmail.com
SENIOR DIRECTORS
First Senior Director
Henry Zaytoun, Jr. (NC)
drhenryjr@zaytounorthodontics.com
Second Senior Director
Brian B. Jacobus, Jr. (FL)
smylfxr1@aol.com
Third Senior Director
Rodney J. Klima (VA)
rodklima@hotmail.com
AAO TRUSTEE
DeWayne McCamish (TN)
dbm@dbmortho.com
EDITOR
James Vaden (TN)
jlvaden@frontiernet.net
We Need Your Input
As a cost saving measure, the SAO Board directed the SAO Editor and staff
to disseminate two issues of the 2011 SAO News electronically. The Winter
issue was mailed; the Spring issue was sent electronically. The Fall issue is
scheduled to be electronic.
We would like to hear back from you about providing mailed and/or electronic editions of the SAO News. Do you want all issues electronic or printed and
mailed? Would you like a choice? Please respond by emailing
saortho@bellsouth.net. Thank you.
James L. Vaden, Editor
Spring 2011 SAO News
The first digital edition of the SAO News contained a wealth of information.
If you missed it, it can be accessed at www.saortho.org under the tab “SAO
News.”
Here is a short synopsis of the contents:
Trustee’s Report: Dr. DeWayne McCamish provides a plethora on information on what the AAO is doing for YOU. Find out the latest advocacy initiatives and successes, background on CAP (Consumer Awareness Program) and
other member benefits.
History of the VAO: In the journey to recognize component (state) organizations, Virginia has a stellar history of representing orthodontists for the last 50
years. Find out who, how, and what.
In the Aftermath of Katrina: NO—not the storm, but an employee who
helped herself to the doctor’s receipts. How he discovered the theft and what
he did is reported in graphic fashion. BONUS—tips from Charlene White to
safeguard your practice against embezzlement
EDITORIAL BOARD
Jeremy Albert
Todd Bovenizer
Mark Dusek
Jeff Rickabaugh
Terry Trojan
Mark Yanosky
EXECUTIVE DIRECTOR
Sharon Hunt, CAE
(800) 261-5528
saortho@bellsouth.net
Founded in 1921
Fostering the Ethical Delivery of
Quality Orthodontic Care
SAO News is published four times a year
by the Southern Association of
Orthodontists. The opinions expressed
in articles and editorials are those of
the authors and not necessarily
those of the Association.
Most Frequently Asked Questions on Coding and Claims: What code(s)
should your office use for submitting orthodontic diagnostic records and the
consultation appointment or TADs? Read the answers to the Top 10 Questions
the AAO receives about codes and claims.
NEW FEATURE—SnapShot: See how three SAO members answered this
question: If your teenage son/daughter said they wanted to become an
orthodontist, what would you tell them? Want to participant in future questions? Let us know.
Who Are SAO Members, What Are They Doing and How Are They
Doing It?: Read this benchmark study on the results of a SAO survey on how
our members practice, segmented by years in practice. Results include how
many orthodontists use digital imaging, digital radiography, digital lasers and
much more. How do you compare?
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Summer 2011
SAO
SAO Membership Report
Welcome to new members since January 1, 2011.
ALABAMA
TENNESSEE
TRANSFERRED OUT
Katherine Miller
Dothan, UFL
Damon Barbieri
Nashville, TEMPU
FLORIDA
VIRGINIA
David Mansour
Orlando, UFL
Yugal Behl
Newport News, BOSU
GEORGIA
Liliana Calkins
Great Falls, HOWU
Marc Ackerman
Mitra Derakhshan
Jeffrey Godel
Brian Leung
Ben Neibaur
Marvin Ngwafon
Mindy Streem
Aaron White
Timothy Collins
Evans, WHMC
John Iaculli
Atlanta,UILL
Virginia McCune
Augusta, MCG
Cristiana Araujo
Jacksonville, FL
Hannah Oliver
Louisville, UL
Kamran Shaikh
Louisville, UL
Jennifer Sullivan
Lexington, UKY
Alvin Tight, II
Ft. Lauderdale, FL
Ralph White
Powell, TN
Michael Weiler
Harrisonburg, MCG
KENTUCKY
Jean Anne Jensen
Louisville, UL
Stephen Paige
Ocala, FL
Robert Park
Roanoke, CW
TRANSFERRED IN
Gerry Ahrens
Crestwood, NYU
Baird Faulkner
Hermitage, TN
Syed Hussaini
Woodbridge, COLU
Stephanie Moore
Alpharetta, MCG
We regret to inform you
of the passing of these
Members
Gen Y
Silent:
Before 1946
Silent
Gen X:
1965-1980
Gen X
Kristen Benes
Suffolk, VA
Baby Boomer:
1946-1964
Gen Y:
1981-
Stuart Josell
Greenville, NC
Baby
Boomer
Louis Kubula
Ft. Benning, GA
Akash Pandya
Leesburg, VA
NORTH CAROLINA
Christopher Rawle
Altamonte
Springs, FL
Lance Miller
Cary, STLU
Steven Zombek
Hollywood, FL
SAO MEMBERSHIP BY GENERATION
Russell Weaver
Aberdeen, UL
SOUTH CAROLINA
Desmond Chapman
Charleston, MUSC
Glen Davis, Jr.
Greer, VAND
James Raman
Columbia, NOVA
SAO MEMBERSHIP BY COMPONENT
5
SAO
HOW WOULD YOU TREAT THIS PATIENT?
he patient presented with a history of malocclusion in the family and no contributory medical
factors. Due to delayed eruption of the teeth,
the patient did not present for orthodontic correction of
the malocclusion until she was 15 years of age.
T
The facial photographs (Figure 1) exhibit a very pleasing and balanced facial pattern. The casts (Figure 2)
confirm a deep overbite, an “end on” Class II dental
relationship on the right side, and the lack of eruption
of many of the permanent teeth even at 15 years of age.
The pretreatment panoramic radiograph (Figure 3) confirms unerupted maxillary canines, a blocked out
mandibular right second premolar, and unerupted maxillary and mandibular left second premolars with the
retained deciduous teeth holding them in their unerupted positions. The cephalogram and its tracing (Figure
4a, 4b) confirm a very straight face with upright
mandibular incisors, a low mandibular plane angle, and
an ANB of only 1º. A careful space analysis revealed a
tooth arch discrepancy in the anterior mandibular dental arch of 2 mm, a tooth arch discrepancy in the mid
arch of 3 mm, and a curve of Spee depth of 2.5 mm.
The total anterior and mid arch discrepancy was 7.5
mm. The molar relationship on the right side required
3 mm of space for correction to her Class I relationship. The total space required for correction of the
malocclusion was measured to be 10.5 mm.
Figure 1 - Pretreatment Facial Photographs
Figure 2a - Pretreatment Casts
Figure 2b - Pretreatment Casts
Figure 3 - Pretreatment Panoramic Radiograph
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Summer 2011
SAO
Figure 4b - Pretreatment Tracing
Figure 4a - Pretreatment Cephalogram
unerupted teeth, and distalize the teeth to make space so
that the maxillary and mandibular anterior teeth are not
protruded.
Treatment Options
1) Put braces on, align the teeth as they erupt and use
Class II elastics on the right side.
3) Consider extraction of premolars.
2) Selectively band the teeth that were present, use TADs
in the posterior to hold space, try to gain eruption of the
To see the treatment plan that was utilized for this patient
and the posttreatment records, please go to page 15.
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STOP. According to Principles & Advisory
Opinions IF: Patients should be informed of their oral
health status without disparaging comments about the patient’s
prior treatment which are not supported by known facts.
7
SAO
Summer 2011
The SAO has contributed approximately $200,000 toward orthodontic research. Here are some of the results of the investment.
Long-Term Changes in the Dental Occlusion
of Subjects Treated Orthodontically
Kenneth Cooper Dyer IV, D.D.S.
findings contend that they do not represent the quality of
treatment provided by experienced specialists in the private sector where the bulk of the nation’s patients are
treated.
major challenge in orthodontics is to provide a
treatment result that remains stable after appliances are removed. Orthodontic treatment moves
teeth from their neutral positions. This increases potential
for future relapse. The stability of long-term orthodontic
treatment results has been of interest for several decades
in the literature. Literature that reports on studies from the
University of Washington, Seattle, shows that relapse is
pervasive and of considerable magnitude (Little RM. Stability and relapse of mandibular anterior alignment: University of Washington studies. Semin Orthod
1999;5:191-204). Little (1999) reported that only about
30% of orthodontic patients exhibit acceptable long-term
results. This finding of considerable relapse puts
orthodontic treatment in a poor light, but critics of these
A
The present study further explores the stability of
orthodontic treatment that is delivered by the private sector. Dental casts (n = 52 individuals) were made at the
start of treatment, at the end of the active phase of treatment, and at the long-term recall examination. Subjects
were comprehensively treated by a single experienced
orthodontist who used standard edgewise mechanics. The
average long-term recall period for these patients was 24
years out of the active phase of treatment.
The purpose of the present study is to use these dental
Figure 1: Arch Length Decreased Over Time
Figure 2: Arch Width Decreased Over Time
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SAO
RESEARCH
Figure 3: Irregularity Index compare the present study to others reported in the literature
casts to evaluate the longterm changes that occur in
the dental arch 20 or more years out of treatment.
Changes over this interval of roughly two-and-a-half
decades include whatever relapse was going to occur
(cf. Horowitz and Hixon 1969) in combination with
aging changes during the 20s and 30s of adulthood.
Posttreatment changes in the dental arch observed in
the present study were then compared to reports in the
literature.
Arch length (Figure 1) and width (Figure 2) decreased
with age, accompanied by a 1.1 mm “relapse” in
incisor irregularity during the posttreatment period.
The amount of in-treatment change is one of the few
identifiable predictors of the vectors of posttreatment
relapse. Arch depth decreased 1.3 mm during the posttreatment interval. Intercanine width was increased
(2.2 mm) during treatment, but decreased (1.2 mm)
towards the initial dimension after treatment. About
half (1.0 mm) of the in-treatment intercanine expansion was present at the recall examination. Intermolar
width did not change significantly after treatment.
Overjet increased (0.8 mm) and overbite deepened
(0.7 mm) after treatment. Half (0.6 mm) of the treatment correction in overbite was lost during the posttreatment period. Both buccal segment and canine
relationship remained stable after treatment. This suggests that, once established, cusp-fossa relationships
tend to persist with time. Correction of the maxillary
incisor irregularity remained stable with age (1%
relapse). 65% of the correction in mandibular incisor
irregularity was maintained over the long-term period.
(Figure 3) The mandibular incisor irregularity at the
recall examination was less than 3.5 mm (suggested
by Little as the upper limit of acceptability) in 77% of
the patients. The University of Washington studies
reported that less than 30% of their cases exhibited
clinically acceptable longterm mandibular incisor
alignment (Little RM, Wallen TR, Riedel RA. Stability and relapse of mandibular anterior alignment-first
premolar extraction cases treated by traditional edgewise orthodontics. Am J Orthod 1981;80:349-65). The
present results exhibit less relapse than that reported
in most long-term recall studies.
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SAO
Summer 2011
The SAO has contributed approximately $200,000 toward orthodontic research. Here are some of the results of the investment.
SAO Research Supported Abstracts
RESEARCH FROM:
individual genetic factors, especially those that come to
the forefront during the pubertal growth spurt. CYP19A1
encodes aromatase that catalyzes estrogen biosynthesis by
converting androgens. Dr. George is testing the hypothesis
that genetic variation at SNP rs2470144, which is present
in the CYP19A1 exon/promoter I.1 region and has been
shown to produce functional variations in aromatase activity, will be associated with variation in male sagittal jaw
growth during puberty.
Dr. Jerrod Dempsey: Genetic Association Study of a
CASP1 Single Nucleotide Polymorphisms (SNPs)
And External Apical Root Resorption (EARR)
During Orthodontia
Progress: Dr. George has just completed her second year
of a three year residency program. Dr. George has full
Institutional Review Board (IRB) approval for her project.
Over the past year, she has been organizing and identifying pre-orthodontic treatment cephalographs and DNA
samples to be utilized in her research. She is currently
measuring Cephalometric parameters on subject radiographs to determine several facial measurements on Dolphin software. Beginning this summer, she will begin
genotyping the DNA samples corresponding to subjects
examined on Dolphin. None of her grant money has been
spent yet. Her grant money will be used this summer and
fall to cover part of the costs associated with genotyping
the DNA samples (i.e. 96-well plates for genotyping,
pipetman tips, Genotyping Master Mix and Taqman
Genotyping Assay).
Summary: Caspase-1/interleukin-converting enzyme
(ICE) is a cysteine protease that acts as an inflammatory
mediator by cleaving Pro-Interleukin-1β (inactive) into
mature Interleukin-1β (active) in macrophage and monocytic cells, and may be associated with an individual’s predisposition to root resorption. In this study, Dr. Dempsey
is investigating the association of single nucleotide polymorphisms (SNPs) in the human gene for ICE (CASP1
rs530357 and rs1613367) with EARR of the maxillary
incisors in orthodontic patients.
Progress: Dr. Dempsey has just completed his second
year of a three year residency program. Dr. Dempsey has
full Institutional Review Board (IRB) approval for his project. Over the past year, he has been organizing radiographs and DNA samples to be utilized in his research.
He is currently in the process of reviewing subject radiographs to determine the level of root resorption observed.
Beginning this summer, he will start genotyping subject
DNA samples. None of his grant money has been spent
yet. His grant money will be used this summer and fall to
cover part of the costs associated with genotyping the
DNA samples (i.e. 96-well plates for genotyping, pipetman tips, Genotyping Master Mix and Taqman Genotyping Assay).
Dr. Anna Vu: Single Nucleotide Polymorphism
(SNP)-based Analysis of Genes Associated with
Hypodontia and Epithelial Ovarian Cancer:
A Pathway to Improved Cancer Detection?
Summary: This case-control study is designed to validate
a genetic association between hypodontia and Epithelial
Ovarian Cancer (EOC)-risk (and/or EOC-disease) with the
hopes of using Dr. Vu’s findings as a platform to improve
biomarker set(s) for early screening susceptibility for
EOC. Extensive family cancer and dental histories for
three generations will be collected from all subjects along
with the saliva as a source of DNA for genetic analysis.
Single Nucleotide Polymorphisms (SNPs) within the three
candidate genes: MSX1, RUNX2 and RUNX3 will be
genotyped and statistical analysis of the data will test for
genetic association.
Dr. Kristen George: Evaluation of CYP19A1 Single
Nucleotide Polymorphisms (SNPs) in Male Sagittal
Facial Growth During Puberty
Summary: As useful as facial growth predictions are
based upon expected growth curves starting from some
prior point in the patient’s life, more valid prediction must
incorporate and account for the variation associated with
Progress: Dr. Vu has just completed her second year of a
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SAO
RESEARCH
three year residency program. It has taken longer than
expected to receive full Institutional Review Board
(IRB) approval for Dr. Vu’s project due to the nature
of working with young patients and issues of cancer.
After multiple protocol revisions to address the concerns of the IRB Committee, Dr Vu received official
approval to begin consenting research subjects in
April 2011. Dr. Vu has meet with the resident and
faculty several times in April and May 2011, identifying subjects to be consented for her research. She is
in the process of subject recruitment. None of her
grant money has been used yet. Her grant money will
be spent in the summer and fall of 2011 to purchase
the saliva collection devices needed to complete her
research.
RESEARCH FROM:
Dennis J. Weber II: Effectiveness and
Efficiency of a Customized Versus Conventional
Orthodontic Bracket System
The goal of this investigation was to compare the
clinical effectiveness and efficiency of a customized
versus a conventional orthodontic bracket system.
Pre-treatment and post-treatment diagnostic records of
11 patients treated with conventional brackets and 35
patients treated with Ormco’s® InsigniaTM appliance
were analyzed. The two groups were comparable with
respect to average initial PAR and age. Data regarding
total treatment time, final PAR, and ABO score were
compared using ANCOVA controlling for initial PAR
and age at start of treatment. The number of scheduled appointments, emergency appointments, debonded brackets, and repositioned brackets and/or
detailing bends were descriptively summarized.
InsigniaTM proved to be an effective tooth-moving
appliance based on final PAR score. Further, cases
treated with InsigniaTM had superior ABO scores compared to the similarly treated cases with conventional
brackets. InsigniaTM was also more efficient in regards
to total treatment time and number of scheduled
appointments.
Kervin B. Mack: Relationship between Body
Mass Index Percentile and Skeletal Maturation
and Dental Development in Orthodontic
Patients
Objective: To investigate the relationship between
body mass index (BMI) percentile and skeletal and
dental maturity.
Methods: Orthodontic patients between 8 and 17
years of age were assessed using a retrospective chart
review. Skeletal maturation was assessed using the
Cervical Vertebral Method (CVM), dental age using
the Demirjian method, and weight status using BMI
percentile. Linear regression and logistic regression
models were used to assess the effect of BMI percentile on dental age and CVM stage respectively.
Results: 540 subjects were included. CVM stage
and dental age were more advanced in subjects with
increased BMI percentile. For dental age the coefficient for BMI percentile was 0.005 years per 1 unit
increase (p<0.001) and the odds ratio for BMI percentile’s effect on CVM was 1.02 (p<0.001).
Conclusion: Orthodontists should consider weight
status when evaluating the timing of growth modification treatment in growing patients.
Lindsey Eidson: Three dimensional evaluation
of lip position before and after orthodontic
appliance removal
Objectives: To develop a reproducible method of
superimposing 3-D images for measuring soft tissue
change over time and to use this method to document
changes in lip position after orthodontic appliance
removal.
Methods: 3-D photographs of 50 subjects were made
in repose and maximum intercuspation before and
after orthodontic appliance removal using the 3dMD®
stereocamera. For reliability assessment, two photographs were repeated for 15 patients. Images were
registered on stable areas and surface-to-surface
measurements were made for defined landmarks.
Results: Mean changes were below the level of
clinical significance (set at 1.5mm). However, 51%
percent and 18% of subjects experienced changes
greater than 1.5mm at the commissures and lower lip,
respectively.
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SAO
Summer 2011
Conclusions: The use of serial 3-D photographs is a reliable method of documenting soft tissue changes. Soft tissue changes following appliance removal are not clinically
significant; however, there is great individual variability.
Supported by the AAOF and the SAO.
facial brackets were placed on the maxillary left central
incisor through first premolar. An intrusive tooth movement was utilized to test the model and compare labial and
lingual biomechanics. The ANSYS 13.0 birth-death function simulated force interaction between the wire and
brackets.
Christopher Howard Canales:
A Novel Biomechanical Model Assessing
Orthodontic, Continuous Archwire Activation
in Incognito Lingual Braces
The goal of placing labial and lingual bracket-wire systems
on accurate anatomy including multiple teeth was
achieved. Material property definitions had an effect on a
finite element model. The birth-death computer technique
simulated the clinical effects of placing an archwire in
brackets and allowing forces to be transferred from the
bracket-wire system to the surrounding dental structures.
The lingual appliance has different biomechanical effects
than the labial appliance.
The purpose of this research is to develop a virtual,
orthodontic, continuous archwire model for assessing a lingual bracket system. A digital model of a maxilla, periodontal ligament, and dentition was constructed from
human computed tomography data. Virtual lingual and
SAO Consumer Awareness Campaign Order Form
(allow 2 weeks for delivery)
NAME: ________________________________________________________
You wouldn’t want
ADDRESS: ____________________________________________________
an orthodontist
CITY: ________________________ STATE: _______ ZIP________________
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face lift.
So why consider anyone
but an orthodontist
for your family’s
orthodontic therapy?
$________
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MAKE CHECK PAYABLE TO SAO AND MAIL TO:
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To charge, complete the form and fax to the SAO at 404-261-6856.
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12
So why consider anyone
but an orthodontist
for your family’s
orthodontic therapy?
Summer 2011
SAO
Guest Editorial: we feel this editorial relates to orthodontic offices and staff.
Ask Not for Whom the Students Cheat:
They Cheat for Thee
Rushworth M. Kidder, Editor of Ethics Newsline®
hat you’re about to read is a stealth column. On
the surface, you may think it’s just another piece
about education. So if you’re in the corporate,
military, or government sectors, you may be tempted to
click on by. Don’t. This column is about your organization.
W
Start with three data points. First, today’s high-school students are cheating at unprecedented levels. A survey by
David Wangaard of the School for Ethical Education in
Milford, Connecticut, and Jason Stephens of the University
of Connecticut finds that 95 percent of high-school students say they’ve cheated in the past year — even though
57 percent agree that “it’s morally wrong to cheat.” True,
the survey covers only six schools in the Northeast and it
assumes that admitted cheaters answer surveys honestly.
But having looked at such surveys for more than 20 years,
I think these numbers are probably on target.
Second, on a weekly basis, 44 percent see other students
cheating on tests, while 82 percent report seeing cheating
on homework. Our high-schoolers, it seems, inhabit a culture of corruption so visible and embedded that almost all
of them could weekly lead you through the halls, point to
other students, and say, “Yeah, I saw them cheat.” Cheating
in school is no under-the-table game, like international
bribery or government bidding scandals. It’s brash, in your
face, and widely known.
Third, only 12 percent of these kids report seeing cheaters
getting caught. They see cheating all the time, and they
know teachers see it, too. But they can find hardly anyone
— teacher, administrator, or peer — willing to enforce
penalties. When the researchers asked students what
changes they’d most like to see in school, what came
through was a longing for adults to take a much stronger
stand against academic dishonesty.
There are lots of ways for school staff to do this, including
greater transparency, deeper moral courage, and programs
that build such strong cultures of integrity that help students say, “Cheat? No way. That’s not how we do things
around here!” But this is a stealth column, remember? It’s
not about school programs. It’s about a much bigger question: “So what?” What’s it to me, as a corporate executive,
if students cheat? Why should I, as a general or admiral,
worry about high-school dishonesty? If I’m a senior civil
servant, how does youthful fraud affect my department?
You know the answers. This is your workforce. You’re
already hiring these people. They’ve finished their education and now they’re in your organization. If you don’t
think that matters, ask business guru Warren Buffett. “In
looking for people to hire,” he notes, “you look for three
qualities: integrity, intelligence, and energy. If they don’t
have the first, the other two will kill you.”
Kill is a strong word. No, Admiral, you won’t actually get
killed. Instead, your military unit — or your business
enterprise or your government agency — will simply grind
to a halt. Your smart, vigorous workforce will invent so
many innovative scams, schemes, and workarounds that
things will just freeze up. Their mastery of deception,
blame shifting, and mutual protection, which they learned
early on, will become legendary. What’s more, they’ll create within your organization a culture of convenience,
compromise, and corruption for the next generation. And
all of it will happen on your watch.
What can you do? Remember that you’ve got a massive
force on your side, which is that kids don’t like it this way.
They long for strong leadership to stand up against cheating. They want to work in cultures of trust, honor, and
respect. They want to admire the adults in their lives. Sure,
they may mouth the hip language of rule-free living, but
they crave the boundaries and discipline within which they
can truly excel.
How can you help? “Hey, kids,” you need to be able to say,
in every way possible, “things are different out here in the
world of work. Unlike high school, we don’t cheat. We live
in a culture of integrity, and we’re looking for kids who
have the values, the reasoning skills, and the courage to
join us.” If you can’t honestly say that, of course, don’t
pretend to: Kids can smell hypocrisy a mile away. But if
you can, let them hear from you. Unless you speak up,
what are kids to think? Simply this: that by learning to
cheat they’re doing what you want.
A modern-day John Donne, writing about for whom the
bell tolls, would have put it much more succinctly than I
have. Never send to know for whom the students cheat, he
might have said. They cheat for thee.
©2011 Institute for Global Ethics
13
SAO
Summer 2011
Dr. Hershey Honored to Receive the ABO Dale
B. Wade Award of Excellence in Orthodontics
he American Board of Orthodontics (ABO) awarded
Dr. H. Garland Hershey Jr. the Dale B. Wade Award
of Excellence in Orthodontics Saturday, May 14 at
the annual luncheon of the College of Diplomates of the
American Board of Orthodontics (CDABO), which was
held in conjunction with the 2011 Annual Session of the
American Association of Orthodontists in Chicago, Ill.
T
The ABO bestows this award to an exemplary senior clinician and Diplomate who demonstrates exceptional dedication to orthodontics through clinical excellence and/or
devoted teaching in the image of Dr. Dale B. Wade, a past
president of the ABO.
Dr. Hershey of Chapel Hill, N.C., has served as a professor
of orthodontics in the Department of Orthodontics at the
University of North Carolina-Chapel Hill (UNC) since
1978. He has also served as the associate dean of academic
affairs for the UNC School of Dentistry, vice chancellor
for health affairs (CEO of the UNC Medical Center), UNC
vice provost and interim provost, and consultant to the
chancellor on health affairs. Since 1998, he has also been a
professor in the Department of Health Policy and Management. He is a Diplomate of and examiner for the ABO. He
is a fellow of the American College of Dentists, the International College of Dentists, the World Federation of
Orthodontists and the Academy of
Dentistry International. Dr. Hershey has received the Arthur R.
Weurhmann Prize from the Academy of Oral and Maxillofacial Radiology, the Dean’s Excellence
Award in Teaching (UNC) and the
Distinguished Alumnus Award
from the University of Iowa. The
Southern Association of OrthodonH. Garland Hershey Jr.
tists named him Pioneer of the Specialty in 2009. He has also received several UNC Teaching
Awards and Faculty Teaching Awards. He currently serves
on the editorial review board of the American Journal of
Orthodontics and Dentofacial Orthopedics and the editorial boards of the American Dental Association (ADA) Continuing Education Online and The Angle Orthodontist. He
is a consultant to the ADA Council on Dental Education
and Licensure, a consultant to the Commission on Dental
Accreditation and a commissioner for the National Commission on Accreditation for the American Psychological
Association. He also serves on numerous national boards,
commissions and committees in health care and higher
education.
Calling all
Photographers
If you have a favorite photo of a scene
– landscape, flower, tree, animals, etc.
that you think would look nice on the
cover, please send it to
saortho@bellsouth.net. Make sure that
the photo is a high quality, 300 dpi
photo (the “fine” settings of most
digital cameras).
Submission is approval to print the
picture with credit given.
Cover photo by Jan Alston, wife of Rick Alston of Rocky Mount, NC
14
Summer 2011
SAO
How Would You Treat This Patient continued from page 5
Treatment Plan
Due to the fact that the patient had a very straight and
pleasing face, the clinician opted to treat the patient without the removal of any premolars. Treatment progressed
for approximately 9 months. At that time a new cephalogram was made (Figure 5), and it was obvious that the
teeth were not erupting because there was not enough
space. The maxillary and mandibular incisors were being
flared forward. Additionally, the second molars did not
have room for eruption and third molars were becoming
more and more impacted. At this time it was decided that
second premolars were to be removed.
This was accomplished and the patient was treated with
simple sliding mechanics and arch wires that were large
enough to maintain anterior third order position. The
posttreatment photographs (Figure 6) confirm maintenance
of the pleasing face and essentially no change in the soft
tissue outlines. The posttreatment casts (Figure 7) confirm
correction of the Class II dental relationship on the right
side and a nice interdigitation of the teeth. Arch form and
arch width were maintained.
The posttreatment panoramic radiograph (Figure 8) confirms closure of the extraction space and uprighting of the
roots into the space. Third molars will probably have
Figure 6 - Posttreatment Facial Photographs
Figure 5 - Midtreatment Cephalogram
Figure 7a - Posttreatment Casts
Figure 7b - Posttreatment Casts
Figure 8 - Posttreatment Panoramic Radiograph
15
Summer 2011
SAO
room for eruption. The posttreatment cephalogram and its
tracing (Figure 9a, 9b) confirm maintenance of pretreatment tooth position even though extractions were done.
The IMPA is essentially what it was at the beginning of
treatment. FMA has decreased, ANB is still 1º, and the Z
angle, which is a measurement of lip protrusion, is exactly
the same as it was at the outset. The pretreatment/posttreatment superimpositions (Figure 10) confirm
some amount of mandibular change, but quite a bit of protraction of maxillary and mandibular posterior teeth.
after the cessation of treatment. The facial photographs at
recall (Figure 11) confirm the softness of the face with a
very orthognathic and pleasing facial profile. The recall
casts (Figure 12) confirm settling of the occlusion into a
very tightly interdigitated Class I relationship and maintenance of extraction space closure.
The recall panoramic radiograph (Figure 13) illustrates
some further development of third molars. The recall
cephalogram and its tracing (Figure 14a, 14b) confirms
further decreases in the FMA, but the facial profile has
remained exactly the same. The pretreat-
Recall records were made approximately a year and a half
Figure 9b - Posttreatment Tracing
Figure 9a - Posttreatment Cephalogram
Figure 11 - Recall Facial Photographs
Figure 10 - Pretreatment\Posttreatment
Superimpositions
Figure 13 - Recall Panoramic Radiograph
Figure 12 - Recall Casts
16
Summer 2011
SAO
Figure 14b - Recall Tracing
Figure 14a - Recall Cephalogram
Figure 16 - Pretreatment\Posttreatment\Recall Smiles
Figure 15 - Pretreatment\Posttreatment\Recall
Superimpositions
ment/posttreatment/recall superimpositions (Figure 15)
confirm not much change in the overall dental or skeletal
relationship. The pretreatment/posttreatment/recall smiles
(Figure 16) say it all. The patient has a gorgeous broad
smile with a very acceptable dentition.
It is interesting to note that the patient’s mother and the
patient’s grandmother have the same type of facial and
skeletal pattern. The patient’s smile and her mom’s smile
seem to be almost the same, and yet on profile view, the
Figure 17
mother even has a more straight face than does the patient
(Figure 17 and 18). The patient’s brother was also treated,
but was treated without premolar removal (Figure 19). The
records of this patient were presented to illustrate the fact
that even though the patient had a “straight” face, it was
felt that extractions were required to maintain the integrity
of the dentition and of the face. Extractions did not in any
way compromise the facial esthetics of the patient.
Figure 18
17
Figure 19
SAO
Summer 2011
SAO Annual Meeting
September 29 - October 2
You Still Have Time!
To register online, go to www.saortho.org,
Meetings page, “to Register for the Meeting,
click here!” link
OR
download the registration forms and mail
or fax to the SAO office.
As of July 15, all room types are available except Cloister Traditional with double beds.
There are many types to choose from, but register today.
PLAN TO ATTEND THE OPENING BREAKFAST
7:00 a.m. Friday, September 30
Don’t miss recognition of outstanding SAO members who have contributed to the specialty.
The following awards will be presented:
Oren Oliver Distinguished Service Award
James L. Vaden, DDS
SAO Citizenship Award
David Jones (Virginia) and Greg Lacy (West Virginia)
David Jones
James Vaden
Greg Lacy
The program will feature the AAO lobbyist, Kevin O’Neill who will provide the latest
information on the political picture inside the Beltway. This informative presentation
will lay the landscape for the 2012 Presidential Election. You will not want to miss
insider information.
Kevin O’Neill
2011 SAO Partners
PLATINUM
GOLD
18
SILVER
Summer 2010
SAO
New & Young Doctor and
Resident Schedule
Doctor Traditional
Schedule
THURSDAY, September 29
10:00-11:00 a.m.
Faculty Lecture:
Early Treatment of
Class III
Malocclusion Using
Skeletal Anchorage
Dr. Tung Nguyen
11:00 a.m.-12:00 p.m.
AAO Services
FRIDAY, September 30
9:00-9:45 a.m.
Opening Statement
and Presentation
Dr. Mark Johnston
9:45-10:30 a.m.
Working with Practice Management
Consultants
Dr. Steve Tinsworth
10:30-10:45 a.m.
1:30-4:00 p.m.
Walk Through Fire
Customer Loyalty
Mr. Dennis Snow
Break
10:45 a.m.-12:15 p.m.
Starting a Practice
Dr. Kim Reed and
Dr. Tim Shaughnessy
12:15-1:15 p.m.
FRIDAY, September 30
10:00 a.m.-5:00 p.m.
The Interdisciplinary
Team: Creating
Esthetic Success in
the Ortho-Restorative
Patient
Dr. Vince Kokich, Jr.
FRIDAY, September 30
8:00-11:00 a.m.
Patient Focus
Dr. Chris Frigo
8:30-9:15 a.m. - Interactive Sessions
Training for Clinical Efficiency
Kerry Petrauskas OR
The Treatment Coordinator’s Role
Lisa Jones
9:45-11:15 a.m.
Basic Principles of Tooth
Movement (Repeated)
Dr. Jennifer Hamilton
10:15-11:00 a.m. - Interactive Sessions
Orthodontic Appointment, Tracy Vitug OR
Converting New Patients into
Production, Sandra Issiac
1:45-2:45 p.m.
Working with Quickbooks and Your
Accountant
Dr. Will Engilman
11:15 a.m.-12:00 p.m. - Interactive
Sessions
Success for Teams, Jennifer Dupuy OR
Managing Quality in the Orthodontic
Practice, DJ Garrison
Break
3:00-4:30 p.m. Panel Discussion
Dr. Chris Howell
Dr. Preston Miller
Dr. Juddson Reed
Dr. Jeri Stull
Exhibit Hours
9:00 a.m.-4:00 p.m. Friday
9:00 a.m.-2:00 p.m. Saturday
THURSDAY, September 29
1:30-4:30 p.m.
Patient Loyalty, Mr. Dennis Snow
1:15-1:45 p.m.
Getting a SBA Loan: What the
Banks Want
Mr. John Dunn
2:45-3:00
SATURDAY, October 1
9:00 a.m.-4:00 p.m.
The McLaughlin Way
for Achieving Accuracy and Efficiency in
Clinical Orthodontics
Dr. Terry McDonald
Lunch
Staff Schedule
Receptions 5:30-7:00 p.m.
Thursday and Friday
19
1:00-2:30 p.m.
Prudent IT Spending
Mr. Andy Hicks
1:15-2:45 p.m.
Basic Principles of Tooth Movement
(Repeated)
Dr. Jennifer Hamilton
SATURDAY, October 1
8:00 a.m.-2:00 p.m.
Consistency=Efficiency
Misty Everman
Tomorrow’s wave. . .
Catch it!
Sept. 28-Oct. 2, 2011
Boca Raton Resort & Club
Learn
Network
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SAO FUTURE MEETINGS
September 26-30, 2012
October 2-6, 2013
October 8-12, 2014
September 30-October 4, 2015
Grove Park Inn
Asheville, NC
Marriott Hilton Head Resort
Hilton Head Island, SC
Atlantis Paradise Island
Nassau, Bahamas
Marriott World Center
Orlando, FL