the great lakes association news - glao
TRANSCRIPT
We’re Going to Toronto!We’re Going to Toronto!
Published bi-annually byThe Great Lakes Association
of Orthodontists
Vol. 45 • No. 1Spring 2009
TABLE OF CONTENTSPRESIDENT’S REPORT ......................................... 2
EDITOR’S EDGE ................................................ 3
AAO TRUSTEE REPORT ................................... 4
COUNCIL ON COMMUNICATIONS ....................... 7
COUNCIL ON INFORMATION TECHNOLOGY ......... 7
COUNCIL ON MEMBERSHIP, ETHICS
AND JUDICIAL CONCERNS .................................. 8
COUNCIL ON NEW AND YOUNGER MEMBERS ..... 9
COUNCIL ON ORTHODONTIC EDUCATION ......... 10
COUNCIL ON ORTHODONTIC PRACTICE ..................... 11
GLAO AWARD NOMINATIONS .............................. 11
COUNCIL ON ORTHODONTIC HEALTH CARE ............. 12
COUNCIL ON SCIENTIFIC AFFAIRS ............................. 13
COUNCIL ON GOVERNMENTAL AFFAIRS .................... 13
ABO NEWS .......................................................... 14
AAOF NEWS ....................................................... 15
GLAO DISTINGUISHED SERVICE AWARD ................. 16
COMPONENT UPDATES ....................................... 17
GLAO LEADERSHIP ......................................... 19
GLAO CALENDAR OF EVENTS ......................... 20
DEVELOPMENT OF PERIODONTAL DISEASE
DURING TREATMENT CAN RESULT IN AMALPRACTICE CLAIM ......................................... 21
2009 AAO LEADERSHIP CONFERENCE ............. 22
GLAO 2009 ANNUAL SESSION INFORMATION 23
NewsNews
Eaton Centre
Hockey Hall of Fame
Toronto Skyline
Old City Hall
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PRESIDENT’S REPORT
RICHARD M. MARCUS, D.D.S., D. ORTHO
Published bi-annually byThe Great Lakes Association
of Orthodontists17 South High Street, Suite 200
Columbus, OH 43215877/274-6420 (p) • 614/221-1989 (f)
Vol. 45 • No. 1Spring 2009
Indiana • Michigan • OhioOntario • Western Pennsylvania
News
EDITOR
John F. Monticello, D.D.S., M.S.1750 Grand Ridge Ct., NE #300
Grand Rapids, MI 49525616/364-1700 (p)
Richard M. Marcus, D.D.S., D. Ortho#202-4040 Finch Avenue EastScarborough, ON, M1S 4V5
CANADA416/292-1206
Ronald S. Good, D.M.D., M.D.S.1111 Washington StreetWashington, PA 15301
VICE PRESIDENT
Robert F. Good, II, D.M.D., M.D.S.1111 Washington StreetWashington, PA 15301
SECRETARY/TREASURER
Michael W. Sherman,B.S.c., D.D.S., M.S.c., M.B.A.
31 Disera Drive, Suite, 240Thornhill, ON L4J 0A7
CANADA905/886-8262
[email protected] TRUSTEE
John F. Buzzatto, D.M.D., M.D.S.3942 William Flynn Highway
Allison Park, PA 15101412/257-0025 (p)
[email protected] PAST PRESIDENT
Mary K. Barkley, D.D.S.Pierce Lake Professional Center
1305 S. Main StreetChelsea, MI 48118
EXECUTIVE DIRECTOR
Ms. Debbie Nunner, CAE17 S. High Street, Suite 200
Columbus, OH 43215877/274-6420 (p) • 614/221-1989 (f)
A wonderful event is being planned inToronto this Fall. The Great LakesAssociation of Orthodontists ismeeting between October 29 –November 1, 2009 at the SheratonCentre, Toronto. This 2009 AnnualSession is presented in partnershipwith the University of TorontoOrthodontic Alumni Association(UTOAA) and the TorontoOrthodontic Club (TOC).
Our organizing committee has beenvery busy lining up a diversifiedprogram that I’m sure you will allenjoy. The Scientific Sessions willinclude, for the first time on any stage,the “Tom and Gerry Show”: Dr. TomMulligan and Dr. Gerry Samson,presenting on Biomechanics. Otherspeakers will include Drs. Jason Cope,Ravi Nanda, and Robert Boyd. OurStaff Program will include such well-known speakers as Rita Bauer, onphotography, Paul Gange, on dentalmaterials and Tripp Frolichstein — anenthusiastic speaker who willenergize both doctors and staff.We haven’t forgotten that Toronto is agreat place to socialize. Our FridayEvening Social Event will be held atthe Hockey Hall of Fame. There’ssomething for everyone here! It’spartially housed in a beautiful formerbank head office, which offers quietand relaxation while the new area isfilled with exhibits and interactiveevents, for a truly energetic experience.
GLAO ANNUAL SESSIONSheraton Centre, Toronto, Canada
October 29 – November 1, 2009
We have also set aside an openevening so that visitors can enjoy thewonderful restaurants, theatre, and allthat Toronto has to offer.This meeting will also be the first timethat members of the TorontoOrthodontic Club, and the Universityof Toronto Orthodontic AlumniAssociation have partnered with theGLAO. Instead of their traditionalone-day events in the fall, the membersof these organizations will beencouraged to register themselves andtheir staff for the 3-day GLAO meetingat the same registration rates as GLAOmembers. We hope that this willencourage greater Canadianparticipation, and give theopportunity for new friendships to beforged.
We want to take this opportunity tothank all those companies whosupport our meeting. The exhibit hallwill afford an opportunity for bothDoctors and their staff to meet withcompany representatives. Be sure toget your “dance cards” completedwhile touring the hall. The exhibithall will also be the venue for a wineand cheese reception — a great chanceto mingle with friends.
Don’t forget to visit the GLAO websiteat www.GLAO.org to get updates onthe 2009 Annual Session, so that bothyou and your staff can get moreinformation on how to register.
Mark your calendars and join us the last weekend inOctober 2009 for a memorable scientific meeting and party!
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JOHN MONTICELLO, D.D.S., M.S.
EDITOR’S EDGE
The GLAO News is the official publication of the Great Lakes Association of Orthodontists.The opinions expressed in the GLAO News are those of the authors and do not necessarily reflect those
of the Great Lakes Association of Orthodontists.
The spring of 2009 welcomes two newpresidents into the world community.Dr. Richard Marcus and SenatorBarack Obama have been elected intotheir respective presidencies to leadtheir people into the second decade ofthe 21st century. With the downturn inthe economy, increasingunemployment, rising costs and apopulation less eager to spend moneyon “wants” and more interested inpaying the mortgage, PresidentMarcus certainly has his job cut outfor him. The other President cansimply increase taxes and print moremoney.
2009 has already started off withissues that Dr. Marcus has had toaddress for his people. His invocationat the Gran Melia in Puerto Rico waswell attended, but Dr. Marcus hasgone to great lengths to make thisyear’s annual session, in hishomeland of Toronto Canada, evenbetter. The GLAO again returns to ourConstituency to one of the finestvenues for a regional meeting. This
will be a very staff friendly meetingwith excellent education for both thestaff and the doctors. Without a doubt,in this “taxing” economy, this will bea very cost effective meeting foreveryone within our region to attend.State and Province licensing CEUrequirements are not reduced orforgiven when practice income levelsdrop. Toronto is a beautiful city withmany exciting theatrical shows,museums and exhibits to experience.Please watch the mailers and checkour website for what is available forthe family as the doctors and staff arein class. As always, you will not wantto miss the planned social events andlocal tour activities.
This winter and spring, the GLAOBoard has been working diligentlywith the AAO and the otherConstituencies, to codify an AffiliationAgreement between the AAO, theConstituencies and the Components.Until now, the AAO has been theeffective parent of all the orthodonticassociations without any writtenagreement of how we must behaveother than the AAO Bylaws andPrinciples of Ethics. Recently, asituation arose where a Componentassociation’s actions resulted in arestraint of trade lawsuit that exposeda legal liability that might have causedthe bankruptcy and termination of theAAO.
Fortunately, the case fell apart and theAAO and all its member associationswere saved. This action motivated theAAO to seek national legal counsel toform an agreement that still allows forour autonomy when following
guidelines while also protecting theparent organization. The Trustees andConstituent Presidents have workedtogether to craft a document, whichprovides that protection. It willundoubtedly require future revisionsand modifications as circumstanceswarrant, but it is a very good start andour organizations are now shelteredfrom the accidental or intentionalactions of some.
The House of Delegates met in Denverand studied many resolutions and the2009 budget. There was much interestin members using undocumentedclaims in their advertisements andpossible penalties as a violation of theprinciples of ethics provisions. Thatwill most certainly be discussed againin Boston as more resolutions arepresented to address this issue. TheCouncil on Communication’sConsumer Awareness Campaign,“More than a Smile” has shown somevery promising results with continuedemphasis placed on orthodonticservices delivered by a specialist. Thebudget for 2009 called for someincreases and decreases but the bottomline is that there was no dues increaseas any additional funding was to betaken out of the excess reserves. The2010 budget promises to be even morechallenging as the AAO income willlikely be lower due to the reduction invalue of investments
Please enjoy this issue of the GLAONews and learn what is going on, andwelcome Dr. Richard Marcus whenyou spot him in Boston or Toronto. Heis the right person for the right job atthe right time.
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AAO TRUSTEE REPORT
JOHN BUZZATTO, D.M.D., M.D.S.
The Board of Trustees met February19-21, 2009 in St. Louis. Following is abrief overview of the highlights of theBoard Meeting.
Council on Communications: TheBoard approved the following councilrecommendations: (1) JenniferMontana, wife of Joe Montana, beinvited to be the spokesperson forNational Facial Protection Month inApril 2009. (2) That a More Than ASmile® customizable print ad templatebe created that includes a coupon for afree orthodontic check-up and that thecoupon specify that the free check-upis only applicable with the AAOmember(s) listed on the customizedadvertisement. (Bob Good-GLAOrepresentative)
Council on Governmental Affairs:The Board approved the followingcouncil recommendation: (1) That theAAO establish a panel of member-experts on issues that may be criticalto our members for the purpose ofbeing prepared to testify beforeCongress. (Don Hayes-GLAOrepresentative)
Council on Health Care: The Boardapproved the following councilrecommendations: (1) Bob Brown beappointed to serve as AAOrepresentative to the Smiles ChangeLives (SCL) National Advisory Board.(2) Stephen Robirds, Paul McKenna
and William Kochenour be appointedto serve as AAO representatives to theADA Code Revision Committee (CRC).(3) Paul McKenna and WilliamKochenour be appointed to serve asAAO representatives to the AmericanAssociation of Dental Consultants(AADC). (4) Robert MacLean beappointed to serve as the AAOrepresentative responsible for meetingwith the leadership of the AmericanCleft Palate Association &Craniofacial Foundation (ACPACF) toidentify ways in which the AAO andthe ACPACF might work together toaddress access to care concerning CleftPalate and Craniofacial Syndromes.(Bob Brown-GLAO representative)
Council on Information Technology:The Board approved the followingcouncil recommendations: (1) That theCouncil on Information Technologymake a change in mission from: Beresponsible for the development,implementation, and ongoingadministration of information technologyas it affects the operation of the AAO andthe Association’s relationships with itsmembers, health-related entities, and thepublic. To: Be responsible for (1)researching, exploring and introducingnew clinical and other technologies thatimpact members, (2) providing educationto members on how these technologiesmight best be used and (3) working withother councils to enhance thedissemination of association informationto and from its members, health-relatedentities, and the public. Additionally, thecouncil should be active in informingabout and participating in development ofdigital based standards (e.g., ADA SCDI& DICOM). (2) That the Council onInformation Technology change itsorganizational structure fromConstituent Representation toExpertise Based Representation andalso a concomitant change fromcouncil to that of a BOT standingcommittee, pending the action of the2009 House of Delegates. (JoeJanowski-GLAO representative)
Council on Insurance: The Board
approved the following councilrecommendations: (1) That theendorsement of the CNA PersonalLines Umbrella policy and theendorsement on the Digital smallgroup brokerage plan be rescinded. (2)A 21% increase for all Major MedicalPlans, effective April 1, 2009. (3) Thatthe $1500/$3,000 Health SavingsAccount (HSA) Major Medical befrozen to new participants. (JerryHickman-GLAO representative)
Council on Orthodontic Education:The Board approved the followingcouncil recommendations: (1) DavidA. Covell, Jr., Councilor of the ADEAOrthodontic Section, be appointed asan advisor to COE and be invited toattend the COE meetings during the2009-2010 fiscal year. (2) TheCouncilor of the ADEA OrthodonticSection, be appointed as an advisor toCOE and be invited to attend the COEmeeting held in conjunction with theADEA Annual Session. (GeneRoberts-GLAO representative)
Council on Membership: The Boarddeliberated on the following councilrecommendations to the 2009 House ofDelegates: (1) Rejection (formerly 29-08SWSO) Assessment Relief forOrthodontists Employed at Least Half-time as Faculty. (2) Rejection (formerly33-08 SWSO) Dues reduction forOrthodontists Employed at Least Half-time as Faculty. (3) Approval of Duesand Assessment Reduction for activemembers who are employed full-timeas hospital/institution staff (formerly31-08 SWSO). (4) Approval of ADAMembership Eligibility Requirement(formerly 34-08 BT), ADA membershiprequired only on the date ofapplication for AAO membership. (5)Approval that the AAO’s Principles ofEthics and Code of ProfessionalConduct be amended by including thefollowing Advisory Opinion: V. D. Inaddition to other rules, in any publicstatements, announcements of services,and promotional activities, all claimsmade or utilized by members must besupported by scientifically reliableevidence. (Richard Marcus-GLAOrepresentative)
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Council on New and YoungerMembers: The Board approved thefollowing council recommendation: (1)That the AAO forward the followingrecommendation to the ABO Board ofDirectors regarding the current ABOcertification process: When the ABOinitial certification exam has beenpassed and the petitioner haspresented six accepted cases duringthe initial presentation phase, thepetitioner will receive a ten-yearcertificate; or When the ABO initialcertification exam has been passedand the petitioner has presented atleast three accepted cases, thepetitioner will receive a five-yearcertificate. If the petitioner presentsthree additional accepted cases withinfive years, the petitioner will thenreceive another five-year certificate,making a total of six cases accepted;and further, If the petitioner presentsand has accepted more than threecases in the initial certificationprocess, then the petitioner will onlyneed to present and have accepted theremaining number of cases that willtotal six accepted cases to receive thesecond five-year certificate (e.g., if thepetitioner has four cases accepted inthe initial certification process, thenthey only need to have two casesaccepted within the next five years toqualify for the additional five-yearcertificate). (Scott Schulz-GLAOrepresentative)
Council on Orthodontic Practice: TheBoard approved the following councilrecommendation: (1) That a February2011 Orthodontist as CEO conferencebe the mid-winter national meetingpending final budget and locationapproval. (Mary Barkley-GLAOrepresentative)
Council on Scientific Affairs: TheBoard approved the following councilrecommendation: (1) One or morespecial merit awards may be conveyedeach year by the Council on ScientificAffairs. This award is aimed atrecognizing excellence in researchrelated to orthodontics. A $2,000
award will be made available to nomore than four individuals who mayreceive the Thomas M. Graber Awardof Special Merit and who are invited toappear in the research program of theAnnual Session. Of these four awardsIf there is a sufficient number ofdeserving applications, then up to two(2) are to be presented to entries thatare related to clinical research and upto two (2) are to be presented to entriesrelated to basic science research. If inone of the categories only oneapplication is found to be deserving ofan award, then the other three awardsmay be presented to applications fromthe remaining category. If in onecategory no applications are found tobe deserving of an award, all fourawards may be presented toapplications from the remainingcategory. If in both categories noapplications are found to be deserving,then no awards shall be presented. Inaddition, travel expenses to amaximum of $750 for the annualmeeting will be provided. These costsare paid out of the COSA budget. Theresearch or applicant must come froman ADA- or CDA-accreditedorthodontic program. The researchmust have been conducted in theUnited States or Canada. (Mike Riolo-GLAO representative)
Board Committees: The Boardapproved the following committeerecommendations: (1) That beginningin FY 2011, the AAO MembershipDirectory be produced, updated andmade available to all members viawww.aaomembers.org and further,and that the directory also be madeavailable upon request in an electronicmedia (i.e. CD-ROM) format at nocharge for AAO members. (2) ThatAAO develop an awareness programfor communities of interest, includingdental associations, orthodonticprograms and related healthcareorganizations that promotes AAOprograms, services and events thathave been designed to address criticalissues of interest to the dentalcommunity. (3) That a committee of the
Board study AAO members’ volunteeractivities with the ADA, ADEA, andother dental organizations with thegoal of formalizing a communicationprotocol that will establish dialoguewith these organizations and enhancethe AAO’s organizationalrelationships; and further, that thecommittee recommend ways toencourage the involvement of moremembers in other dental andhealthcare organizations. (4) That theCouncil on Government Affairs(COGA) develop a protocol for aquarterly review and report of AAOpositions and potential positions andfurther, that COGA provide the Boardwith issues “on the horizon” that mayrequire further research. (5) That theAAO encourage the ABO to studycertifying AAO international membersthat may not meet current eligibilityrequirements. (6) That the AAOAnnual Session Planning Committeeconsider including product specificprograms at AAO Annual Sessions aspart of the scientific program. (7) Thatthe current policy allowingthe presentation of meetings,programs, events, and courses byindividuals, organizations or businessentities in conjunction with theAnnual Session be expanded to beforeor after all appropriate AAOsponsored conferences. (8) That atAAO-sponsored events such as theGovernment Affairs Conference, ADAAnnual Session and other similarprograms, local AAO members beinvited to participate in activities thatwould reinforce AAO goals for theevent and further, that each programbe reviewed individually by the Boardfor approval prior to extendinginvitations. (9) That the legal book betitled, Legal Handbook for Orthodontists;and further That the Handbook bemade available in bound form (three-ring binder), and that the related formsbe included on CD-ROM; and furtherThat the Handbook be made availableto both AAO members and non-member orthodontists. (10) That theAAO fund, per policy, eight (8) voting
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members of the AAO and theExecutive Director to attend andparticipate in all official activitiesincluding the WFO Council meetingand World Orthodontic Congress inSydney, Australia. (11) That the AAOutilize a translation service thatprovides a reasonable turnaround forWeb pages and brochures and thatoffer translators with a medical and/or dental background.
Other Committees: The Boardapproved the followingrecommendations: (1) That theLeadership Conference maintains aone-day format for the conference andto continue to hold it jointly with theAAO mid-winter meeting. (2) That thecurrent AAO Investment PolicyStatement be replaced by therecommended Investment PolicyStatement prepared by DiMeoSchneider & Associates. (3) Revisedversion of the Annual SessionOperations Manuel was accepted asthe official version.
Other Recommendations: The Boardapproved the followingrecommendations: (1) Orthodonticconcepts as presented by the AAOCode Task Force for submission to theADA Editorial Panel and inclusioninto SNODENT (SystematizedNomenclature for Dentistry). (2) Thatthe SAO be allowed to attach the AAOlogo on the SAO’s public relationscard. (3) Michael Weiler (SAO) andElizabeth Hess (SWSO) be appointedto CONYM as resident members for
2009-2010. (4) Renewal of theTrademark License and RoyaltyAgreement between the AAO andAAOIC. (4) That the AAO utilize atranslation service that provides areasonable turnaround for Web pagesand brochures and that offerstranslators with a medical and/ordental background; further, that theselected translation service bereviewed annually.
Task Force on Faculty Recruiting andRetention: The Board approved thefollowing task force recommendation:(1) Distance Learning business planfor FY 2009-2010 ($32,000).
Surveys: The following survey wasapproved: “MATCH Program”.
ADA’s Norton M. Ross Award forExcellence in Dentistry: Vince Kokichwas selected as the AAO nominee forthe Norton Ross Award.
AAO Services Inc. (AAOSI): TheBoard approved the following AAOSIrecommendation: (1) David Williamsbe nominated to the Board of Directorsof AAOSI to fill the unexpired term ofRobert Varner.
Budget and Finance: The 2009-2010budget proposed by the Board ofTrustees includes revenues of$20,221,599; expenses of $20,125,283;with a projected surplus of $96,316.The budget also includes the 2nd yearof a 3 year $550 assessment to fund theConsumer Education Campaign. The
total 2009-2010 campaign will spend$4,463, 800 compared to the currentyear’s $6,923,750. The difference($2,459,950) was mostly funded fromreserves ($2,320,000) and to continueto fund the campaign at the same levelwould require an additional $280assessment (proposed by COC) orinvading reserves.
Reserves:
Total unrestricted reserves$18,680,167
75% target for liquid reserves$14,010,125
24 month average liquid reserves$16,669,858
Excess liquid reserves$2,659,733
Meetings: The following is a list ofmeetings/conference calls in which Ihave participated since the NovemberBoard of Trustee’s meeting: COMEJCconference call, December 17, 2008;BOT conference call, January 6, 2009;COMEJC meeting, January 17, 2009, St.Louis; Leadership Committeeconference calls, January 19 & 21,2009; Committee C conference call,January 21, 2009; AdvocacyConference, January 27 & 28, 2009,Washington, DC; Budget AdvisoryCommittee meeting, February 4, 2009,Orlando; Leadership Conference,February 5, 2009, Orlando; AAO-AAPMid-winter meeting, February 6-8,2009, Orlando; Budget AdvisoryCommittee meeting, February 18, 2009,St. Louis.
AAO TRUSTEE REPORT ...CONTINUED FROM PAGE 5
Visit the Great Lakes Association of Orthodontists website at
www.GLAO.orgfor the most current information on GLAO activities.
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Council on CommunicationsDR. ROBERT F. GOOD, II
AAO COUNCILS
Consumer AwarenessCampaign Update
Year 3 of the Consumer AwarenessCampaign is in full swing andincludes More Than A Smile ads onABC Family, HGTV, TV FoodNetwork, and Discovery Health. Therewill be 20 ads running in U.S.publications during Year 3 of the MoreThan A Smile campaign. Six ads willrun in Canadian publications duringYear 3. In addition to a 12-monthKeyword Search campaign in both theU.S. and Canada, Web bannersappeared on a variety of U.S. andCanadian targeted web sites andseveral U.S. and Canadian broadreaching Web sites. By November 1,2008, the first time visitors tobraces.org were continuing to increasesince the campaign launched in thefall of 2006. Overall, 1.56 million firsttime visitors were driven to braces.orgsince the beginning of the campaign inOctober 2006. In total, over 5 millionAAO member names and contactinformation have been forwarded toconsumers since the campaignlaunched in 2006.
The number of AAO membersrequesting to customize the More ThanA Smile ads continues to increase. Ifyou would like to add your name andcontact information to a More Than ASmile print ad, please contact LindaGladden at 1.800.424.2841. If you’reinterested in customizing Webbanners, the TV commercial or a radiocommercial, contact SchuppCompany’s Eluka Moore at314.421.5200.
Public Relations Extensions –Expert Webisodes
The AAO is currently working on aseries of five expert Webisodes. TheWebisodes, or video clips, will beconversational in nature and will beposted on braces.org. Weber
Shandwick, the AAO’s publicrelations firm, will be responsible fordriving consumers to the expertWebisodes.
TV Public ServiceAnnouncements
The Council received the followingPSA results from January 2008 –November 2008:
SummaryTotal stations:
294Total known airings:
30,404Estimated audience viewings:
273,951,000Equivalent advertising dollar:
$4,134,944
The above summary is for UnmaskYour Smile, Smiley Face, and Who AmI? Respectively, the PSAs werereleased June 2007, February 2008,and October 2008.
Resolution to the 2009House of Delegates
The Council will send a resolution tothe 2009 House of Delegates that willrecommend a $280 ConsumerAwareness assessment for the 2009-2010 fiscal year and for the 2010-2011fiscal year. The resolution willrecommend that an assessment of$280 per active and affiliate memberswill help generate awareness of thespecialty and will continue to promotethe fact that orthodontists undergoadditional specialized trainingbeyond dental school. The $280assessment, in addition to the $550assessment that passed during the2008 House of Delegates, could meanthat active and affiliate memberswould be assessed a total of $830 in2009-2010 and in 2010-2011 for thecontinuation of the ConsumerAwareness Campaign.
It seems like technology isevolving almost every day. Inorder to keep up with this rapidchange, the AAO will becompletely revamping itswebsite. The Internet Servicesstaff at the AAO headquarters iscurrently working with San SerifGraphics in preparation of theupcoming Web site design. Inconjunction with the website,the AAOmembers.org emailservice is in the process of beingupgraded. New featuresincludes the “Push” feature thatinstantly and actively transfersemail to a user’s smartphone;Apple iPhone ® and Windows-Mobile ® support; new interfaceenhancements; and, WebAdministrator updates. Work isalso underway to add a GoogleSearch Appliance to the webenvironment. This will improvethe searching functions on AAOweb sites and provide the abilityto search across multipleservers, web sites and networks.
Aside from websiteimprovements, a COITsubcommittee is also working ona joint project with COOP tocreate a buyer’s guide thatwould outline features of thedifferent practice managementsoftware programs. Details willbe forthcoming once the finaldraft has been approved.
Council onInformationTechnology
DR. JOSEPH JANOWSKI
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Council on Membership, Ethics and Judicial ConcernsDR. RICHARD M. MARCUS
The Council on Membership, Ethicsand Judicial Concerns met in personon January 16th and 17th, 2009, as wellas by several teleconference calls.Several Resolutions of the 2008 Houseof Delegates were referred back toCOMEJC for consideration, includingResolutions dealing with Memberspromoting products or services withspecific claims, dues reduction forMembers working in Hospital/Institutional settings, and for Membersworking as Faculty at least half-time.The AAO staff is creating a databasewith information on each of theGraduate Orthodontic Programs in theUnited States and Canada. Thisdatabase has and will provide theCouncil with very useful information.For example, the Council has becomeaware, for the first time, of thesignificant level of financial supportthat the Universities provide inpayment of dues for our AcademicMembers. Other key benefits of thisdatabase will be to: 1) provide AAOstaff with the ability to communicatewith graduates to ensure transition toactive membership upon programcompletion, 2) provide a way tocommunicate/survey departmentsdirectly on issues related to full andpart time faculty positions, and 3)provide key contacts within each
graduating class to develop leadershipopportunities in the AAO.The Council is suggesting severalways that the AAO could amelioratethe transition from student to activemembership, including providingpayment plan options, keeping closetrack of residents near the end of theirresidencies so that up to date contactinformation is available. It is alsohoped that Alumni associations maybe able to assist in this process.The Council is increasing its efforts torespond to the needs of Internationalmembers, and to do so, invited Dr.William DeKock to attend theCouncil’s January meeting. Dr.DeKock suggested that the AAOconsider: multi-lingual signage andtranslation services at some AAOSession lectures, and that the goal forthe AAO be that internationalmembers attend at least every otherAAO annual meeting.
The Council agreed to initiate a planto determine the number ofOrthodontists who are neithermembers of the AAO or ADA. Thiseffort will require the co-operation ofthe state licensing agencies. Letterswill be sent by AAO staff to all stateswith licensing requirements to requesta list of licensed orthodontists.
Assistance from our componentgroups may also be needed.
The Board of Trustees had asked theCouncil to study the issue ofseparating the Ethics portion theCouncil’s duties. Neither the legalCounsel of the AAO, nor the Board feltthere was a need at this time toseparate these duties from theCouncil’s mandate.
The Council addressed the concern ofGLAO Members related to multiplecomplaints from one Member toanother with no resultant disciplinaryaction, and the Council directed theAAO’s legal counsel to contact theindividual.
It is interesting to note that of the lastnine ethics complaints that theCouncil received last year, seven wererelated to advertising. It is possiblethat with difficult economic times, andgreater competition, that thesenumbers will increase.
Finally, the Council is encouraging theAAO to promote and publicize theability of its Members to pay AAOdues under several payment planoptions.
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9
Council on New and Younger MembersDR. SCOTT O. SCHULZ
The Council on New and YoungerMembers (CONYM) met at AAOHeadquarters in St. Louis, MO onJanuary 17, 2009. The following isa brief review of the council’sdiscussion.
2009 Annual SessionNew Orthodontist/Resident
ConferenceCharlene White will be thespeaker for this year’s conferenceat the AAO Annual Session inBoston. Ms. White will focus herpresentation on staff/teammanagement issues in anorthodontic practice. Theconference is scheduled from 2-5pm on Sunday, May 3, 20009followed by a one-hour cocktailreception. The last 30 minutes ofthe program will be a Q&Asession with Ms. White. Spousesmay attend this ticketed event.
Child Care Services to Be Offered at AAO
Annual SessionCamp AAO, the childcare serviceprovided during the 2009 AnnualSession in Boston, aims to make agrand debut. A new service at theannual session, Camp AAOpromises to be an increasinglyutilized service for annual sessionattendees in the years to come.The AAO is providing a financialguarantee, so the program will beheld in Boston even if registrationis low. This allows for last minuteand even walk-in registrationonsite. The program will also beguaranteed to be held in 2010 atthe Annual Session inWashington D.C.
AAO LeadershipOpportunities forYounger Members
Younger members are encouraged tocommunicate their interest in AAOservice/leadership with theirconstituent and component presidentsand executive directors. The councilagreed that the “getting involved”process should be streamlined so thatinterested young members do not haveto go through this sometimescomplicated communication process.If you are interested in increasing yourinvolvement in the GLAO and AAO,contact your CONYM representative,Scott Schulz.
New Member/Practice Alternatives
Presentations to ResidentsCONYM members agreed that the bestscenario for the AAO presentation toresidents would include anexperienced member accompanied bya new/younger member to providetwo perspectives. We also advise thateach school make the programavailable to all residents each year,because the information is helpful indifferent ways at each point in aresidency. A task force was assembledto begin updating the PowerPointpresentation, which is in process. Ifyou have any interest in helping withthe Practice Alternatives Program atyour Alma Mater, contact theorthodontic residency programdirector.
I Keep SafeBrochure for Teens
The AAO currently endorses the IKeep Safe Coalition’s program
promoting Internet safety forchildren. The council membersrecommend that the AAO increasetheir marketing of the current IKeep Safe program and thedownloadable brochure located onthe AAO member website, so thatmore members become aware ofthis important program and ofways they can promote theprogram to their patients andparents.
Student DebtCONYM members expressedinterest in the development of astudent loan repayment program asan added benefit to AAO members(and a further incentive forstudents/residents to become AAOmembers). The Council onEducation is interested indeveloping this concept and hasbeen discussing possible ways toimplement such a program. TheCOE has identified a potentiallender for student loans. Thecollateral would be provided by theAAO from its reserves/investments. A concept paper hasbeen sent to the orthodonticeducators to request their thoughtsand ideas. The next step will be forthe COE to propose a motion attheir meeting on March 15.Following that meeting, the motionwill be distributed to CONYMmembers for their review and input,with the goal of sending a jointmotion to the May Board ofTrustees.
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Council on Orthodontic EducationDR. W. EUGENE ROBERTS
Information You Wish to Share About Activites
in Your Council:• American Dental Education
Association (ADEA) – As usual thespring COE meeting March 16th willbe concurrent with the AmericanDental Education Association(ADEA) annual conference. ADEAis primarily focused on predoctoraldental education, so few graduateorthodontics educators attend. Thisis a problem because ADEA isimportant in the dental educationaccreditation process via theCommission on DentalAccreditation (CODA). All of theother dental specialties are presentat the ADEA meeting so it is a goodopportunity to interact with ourfellow specialists and dental schooladministrators. To help alleviate thegap between the ADEAOrthodontics Section and mostorthodontics educators, BOTapproved the following COErecommendations: (1) David A.Covell, Jr., Councilor of the ADEAOrthodontic Section, be appointedas an advisor to COE and be invitedto attend the COE meetings duringthe 2009-2010 fiscal year. (2) TheCouncilor of the ADEA OrthodonticSection, be appointed as an advisorto COE and be invited to attend theCOE meeting held in conjunctionwith the ADEA Annual Session.Hopefully, including ADEAorthodontics leadership in COEbusiness will help focus allorthodontic educators on the sameagenda.
• 2009 ADEA Deans Luncheon – TheAAO will sponsor a Dental Dean’sLuncheon on March 16th in Phoenixto present and discuss educationalissues. This year the speakers will beDr. Karen West, Dean at UNLV, andDr. Larry Jerrold, Dean and Directorat Jacksonville University,
presenting the pros and cons ofcorporate funding for graduateorthodontics education. To enhanceparticipation, deans and senioradministrators are personallyinvited by program directors,members of the BOT and/or otherprominent orthodontists. This morepersonal approach has substantiallyincreased participation in recentyears.
• 2009 Educational LeadershipConference – These annual AAOconferences have emerged as aprominent internationalorthodontics educational forum,largely because most educatorsprefer a meeting at the AAO annualsession as opposed to the ADEAmeeting. The May 1st conference inBoston will honor Dr. RobertIsaacson for his outstanding careerin orthodontics education andscholarship. Bob Isaacson andSouthwestern COE representativeEmile Rossouw are organizing aprogram for developing institutionalleadership to manage theincreasingly difficult financialissues facing graduate orthodonticseducation. It is a pleasure toannounce that BOT has recentlyconfirmed our own Dr. Kate Vig asthe honoree for the 2010 EducationalLeadership Conference. The GLAOcan take great pride in Kate’s majorcontributions to orthodonticseducation. In addition to her recentABO Ketchum Award, COE looksforward to furthering honoring Kateat the 2010 Educational LeadershipConference.
• Craniofacial Anomaly and SpecialNeeds Fellowships – Council onDental Accreditation (CODA) hasapproved the COE initiative forCFA&SN fellowships. Since this afully accredited CODA fellowship,the institutions providing a fellow’seducation must also be accredited.Institutions with CFA&SN programs
may be reluctant to initiate theaccreditation process unless there isa financial incentive. COE plans torequest that the AAO fund threefellowships as an incentive forappropriate institutions to pursueaccreditation to provide advancedtraining for orthodontists in the fieldof CFA&SN. Expanding thisspecialized training will benefitorthodontics education and theservice orthodontists can offer theirpatients.
• Graduate Program ClinicalRequirements and Outcomes - TheABO has the responsibility forsetting and maintaining clinicalstandards in orthodontics. Directorsof accredited programs areresponsible for ensuring thatminimal competencies are consistentwith the ABO certificationrequirements. COE has proposedthat all graduate orthodonticsprograms pursue the same minimalclinical competencies based on theABO requirements. At the recentABO Certification Examination, anumber of current graduatessuccessfully presented cases treatedduring their residency for the InitialCertification Examination (ICE)requirement. Although somegraduates are achieving the ICEstandard for ABO certificationduring their residency, it is not clearif that is a realistic requirement forall graduates. The current issuebefore COE is to recommend toCODA an outcome assessment formonitoring the success of graduatesin attaining ABO certification.
Concerns You Wish to Bringto the Board of Directors:
• Student Indebtedness – As theworld economy slows, many recentgraduates are struggling with thesubstantial debt they incurred as
AAO COUNCILS
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AAO COUNCILS
COOP is overseeing an excitingaddition to the AAO’s distancelearning continuing educationprograms. A series of Webinars arebeing offered for AAO members andstaff. Past topics include filingorthodontic insurance claims, accountcollections, controlling practiceoverhead, and OSHA updates. EachWebinar is offered on two differentdates, at different times, toaccommodate different time zones.Notices about the Webinars are sentout in the Straight Off The Wire e-mails from the AAO.
Are you looking for an associate, or abuyer for your practice? Did you knowthat the AAO provides a matchingservice for orthodontists who areseeking practice purchase, sale orassociateships? Call AAO staffmember, Katie O’Rourke at 800-424-2841, ext. 587 for information.
At the 2009 Annual Session, COOPwill again be sponsoring severalticketed seminars. The PracticeTransition Seminar on Friday, May 1will feature a panel discussion by four
practice transition experts. Also onFriday, the S.T.A.R.T. Program.
Have you checked out the AAOmember web site lately? There aremany articles, patient handouts,manuals and forms that can enrichyour practice at no charge. “LegalSummaries and Articles”, under theLegal & Government sidebar on thehome page may be useful reading. The“Patient Education” section under thePractices Resources sidebar hasillustrations that may be printed off forpatients, demonstrating alignment ofimpacted cuspids, serial extractionand Class II correction.
COOP continues to update the PracticeManagement forms, available on themember website. A Laser TreatmentConsent Form is the latest addition.Under the Practice Resources sidebaron the home page, open “OfficeManagement.”
Please feel fee to contact me with anyquestions about the Council onOrthodontic Practice.
Council on Orthodontic PracticeDR. MARY K. BARKLEY
students. This is a major problemfor orthodontists who were forced tofinance their graduate educationwith high interest private loans,after they exhausted the limit forfederally-guaranteed loans duringdental school. For the first time inmemory, many orthodonticsprogram directors are reporting thatthere are few if any practiceopportunities for current graduates.Future financial problems mayunfavorably impact their ability toretain membership in professionalorganizations like the ADA andAAO. COE is pursuing educational
options for providing financialcounseling to help students controltheir debt and effectively manage itsrepayment.
• Student Loan Dilemma – Because ofthe current credit crunch and therestrictions on profits for lendinginstitutions, many lenders have leftthe market and the remaininglenders are having difficulty raisingadequate funds which can be lent tostudents at favorable rates. Thisproblem is expected to drive up thedebt of graduate studentsdramatically in coming years.Similar to the highly successful
malpractice insurance program, theAAO would be wise to expand otherfinancial services particularly tostudent and younger members.Currently AAO Services is pursuingan option for starting a Credit Unionand COE is working on a plan for anAAO supported student loanprogram. In addition, COE isinvestigating other ways fordecreasing the cost of orthodonticeducation, such as hospital-basedprograms with access to graduatemedical education (GME) funds.
Council on Orthodontic Education...CONTINUED FORM PAGE 10
GLAO AwardNominations
Congratulations to the followingindividuals that were selectedby the GLAO Board of Directorsas the 2009 GLAO nominees forthese prestigious awards:
Dale B. Wade AwardDr. W. Eugene Roberts
ADA Norton M. Ross AwardDr. Walter Loesch
We recognize these individualsfor their dedication to thespecialty of orthodontists andwe wish them the very best! Formore information on theseawards or the nominationprocess, go the GLAO website atwww.GLAO.org.
• • •
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Council on Orthodontic Health CareDR. ROBERT J. BROWN
ADA Subcommitteeon the Code Meeting
Three AAO representatives attendedthe Subcommittee on Code Revision(CRC) meeting hosted by theAmerican Dental Association (ADA)in Chicago on February 13, 2009.Attending the meeting from COHCwere Dr. Stephen Robirds and Dr.William Kochenour and Ms. AnnSebaugh. AAO representativesattended a pre-CRC meeting hosted bythe American Associate of PediatricDentistry. The meeting served as acaucus where the specialties brieflydiscussed any submissions they werebringing before the CRC. Goingforward, the specialties have agreed toelectronically communicate any itemsto be brought before the CRC. Many ofthe specialties have long-termexperience in interacting with theCRC and can help the lessexperienced specialties be moresuccessful in their efforts with havingcoding measures adopted.
Dr. Alan Friedel, Chair of the CRCthanked the AAO for their willingnessto be receptive when the ADAcommunicated that AAO coderequests were meeting resistance. Hefurther noted that it was evident thatthe AAO was trying to become heavilyengaged in the code revision processand becoming “team players”. Dr.Friedel also offered his help in editingany future AAO code requests to helpensure success.
With Board approval, the council alsoplans to continue efforts to buildstronger alliances with payers byattendance at the NationalAssociation of Dental Plans (NADP)and the American Association ofDental Consultants (AADC). AAOefforts to enhance relationships withpayers have proven to be effective.Open dialogue with payers gives theAAO code representatives a betterunderstanding of how code revision
actions will affect orthodontic benefitreimbursements.
Access to Oral Health CareThe AAO’s endorsement of theVirginia Brown CommunityOrthodontic Partnership known as theSmiles Change Lives (SCL) Programcontinues. Dr. Robert MacLeancontinued to represent the AAO on theSCL National Advisory Board. At theirJanuary meeting, the council namedDr. Robert Brown to succeed Dr.MacLean as the representative to theSCL board. If the AAO endorsement ofthe program continues, COHC isrequesting funding for Dr. Brown toattend the periodic meetings.
In keeping with the AAO White Paperon Access to Care, COHC hascontacted the American Cleft Palateand Craniofacial Association(ACPCA) to explore a possiblepartnership in delivering moretreatment to patients with cleft palateand other craniofacial abnormalities.COHC is requesting guidance on howthe AAO may proceed and funding fora reconnaissance meeting with theACP CA.
CDT Coding and Third PartyPayer Initiatives
The Dental Benefits Member AdvisoryHotline continues to be sponsored byCOHC. Hotline callers are assistedwith third party reimbursement issues,limited practice management issuesand CDT coding questions. TheCouncil worked in conjunction withCOOP to produce and deliver a total offour Webinars to AAO members andtheir staff. The Webinars were entitled“Navigating the World of InsuranceCoding.”
The Council also produced the 2009-2010 version of the AAO At-A-GlanceGuide to CDT coding. UponCommittee C approval, the guide wasagain posted to the AAO memberwebsite.
COHC also noted a rise in callersasking for help dealing with aspects ofemployee dishonesty and will beworking with COOP to explore thepossibility of webinars for doctorsonly. In addition, the council will beworking to have information on howto prevent employee dishonestypublished in upcoming issues of TheBulletin.
In response to a DBAS Hotline callrequesting a definitive AAO positionon Lifetime Orthodontic MaximumBenefits and the allocation of benefitsfor ancillary services such as bicuspidextractions against orthodonticmaximums, COHC has drafted aposition statement for the Board’sconsideration.
Supplies of AAO Superbills have beendepleted and sales have beensuspended.
National Insurance GuideThe council has drafted an additionalchapter addressing electronic claimssubmission and “real time” eligibilitychecking for member offices.Additional information is beingresearched for inclusion in thematerial to make the chapter morehelpful to members and the draft isexpected to be presented to the Boardfor their consideration at the May,2009 meeting.
Pro Bono StatisticsIn conjunction with the AAO Access toCare Task Force, COHC is working toidentify ways to better measure andquantify the pro bono work being doneby AAO members. The council haspresented a proposed AAO sanctioneddefinition of “pro bono care” to theBoard for their approval. COHCbelieves that much pro bono care iseither going unreported or isoverstated and an associationsponsored definition will help providestatistically valid results that may bereported to the government and to themedia.
AAO COUNCILS
13
Council on Scientific AffairsDR. MICHAEL L. RIOLO AND JACKIE HITTNER, AAO LIBRARIAN
The Council on Scientific Affairs(COSA) met via videoconference onJanuary 9, 2009.
COSA determined the following AAOResearch Awards:
Milo Hellman Research Award to Dr.Rodrigo F. Viecilli from IndianaUniversity/Purdue University forresearch titled OrthodonticMechanotransduction and the Role of theP2X7 Receptor.
Harry Sicher Research Award to Dr.Alia Aljabeiti from University of thePacific for research titled TGFâ3 IsAssociated with Nonsyndromic Cleft Lipand Palate in Guatemalan Population.
Thomas M. Graber Award of SpecialMerit to:
Dr. Padma M. Mukherjee from theUniversity of Connecticut for researchtitled Cherubism Gene Sh3bp2 IsImportant for Optimal Bone Formation,Osteoblast Differentiation and Function.
Dr. Benita Wong from University ofCalifornia – San Francisco for researchtitled Role of Neural Crest Cells inTrigeminal Nerve Morphogenesis.
COSA accepted 28 Oral Researchapplications, 256 Posterboardapplications and 39 Table Clinicapplications to be presented at the2009 AAO Annual Session. ElectronicPosters (E-Posters) will be availableagain this year. Watch for details inupcoming AAO publications beforeand after Annual Session.
COSA continues to be involved withevidence based orthodontic research.Article citations are being added to theevidence based orthodontic researchwebsite on a regular basis. The websiteis found on the aaomembers.orgwebsite under the Library andResearch tab.
In 2009, COSA will publish in theAJODO a summary statement ofevidence-based research on PreventingDemineralization/White Spots DuringOrthodontic Treatment. Dr. Lokesh Suri,
Tufts University, took the lead on thearticle with COSA members addinginput to the article.
COSA will continue to monitor theorthodontic literature for articles toadd to the Bisphosphonate website.The website is found on theaaomembers.org website under theLibrary and Research tab.
COSA’s will meet on Friday, May 1,2009 prior to the start of AnnualSession. During Annual Session,COSA members will be involved withjudging the Charley Schultz ResidentScholar Award presentations, judgingthe Table Clinics and awarding theJoseph E. Johnson Table Clinic Award,moderating the Oral Researchpresentations and moderating thelectures given by the Hellman, Sicherand Graber Award winners.
COSA meets every January usually byvideoconference. The next video-conference meeting is scheduled forJanuary 8, 2010.
The Council on Governmental Affairsand AAO/PAC Board of Directors metJanuary 26, 2009 in Washington, DC.The following actions were taken:
Council onGovernmental AffairsPrioritization of Issues
The Council determined that the AAOshould focus on a limited number oftop concerns, or legislative andregulatory initiatives that could mostimpact members, including:
Council on Governmental AffairsDR. M. DONALD HAYES
• Healthcare reform;• Regulations such as ergonomics;• Small business tax issues;• Student loan interest deduction;• Alternative Minimum Tax reform;• HIP AA and OSHA regulations; and• IRS section 179 expensing provi-
sions.
AAO Strategic PlanThe Council reviewed the AAOStrategic Plan for potential changes.Upon examination of the document, itmade no suggested changes.
Review of Academy of GeneralDentistry White Paper On
Access to Care The Council reviewed the AGD’sWhite Paper on Access to Care. Itfound no substantial areas of dis-agreement.
Improvements to the AAOGovernment Relations
ProgramThe Council discussed several sug-gested improvements to the AAO
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ABO NEWS
SCOTT A. JAMIESON, D.D.S., M.S.
Actice Diplomates as ofJanuary 1, 2009: 5,158
New Purpose,Mission Statement and Vision
PURPOSEThe primary purpose of the AmericanBoard of Orthodontics is to elevate thelevel of orthodontic care for the publicby encouraging excellence in clinicalpractice and specialty education in theUnited States and throughout theworld.
MISSION STATEMENTThe certification process willaccomplish the purpose of theAmerican Board of Orthodontic by:
1. Evaluating the knowledge andclinical skills of graduates ofaccredited orthodontic programsby conducting exams andconferring time-limited certificates.
2. Re-evaluating clinical knowledgeand skills through administrationof recertification exams during aDiplomate’s career.
3. Supporting the development ofquality graduate, post-graduateand continuing educationprograms in orthodontics.
4. Promoting and encouragingcertification expertise throughoutthe world.
VISION STATEMENTTo promote and enable every qualifiedorthodontist to be certified by theAmerican Board of Orthodontics.
Educator’s SymposiumSixty-nine faculty members fromaccredited U.S. graduate orthodonticprograms gathered for the ABO 2008Educators Symposium on November 2in St. Louis, MO. The purpose of thesymposium was for the ABO Directorsto explain the certification process, toallow an opportunity for Educatorinput and to learn how they mightcontribute to future ABOexaminations.
During the morning session, the ABODirectors gave presentations onvarious aspects of the Written andClinical Examinations. In theafternoon session, the faculty membersparticipated in “breakout” sessions todiscuss the following:
- how graduate orthodonticprograms can prepare theirresidents for the InitialCertification Examination as theyexit their residencies.
- how to contribute to thedevelopment of alternative optionsfor residents to earn ABOcertification if such an alternativeis necessary.
- how to improve the College ofDiplomates of the American Boardof Orthodontics’ preparatorycourses for the ABO examinations.
- how to enhance both the writtenand clinical aspects of the ABO’sCertification process.
The faculty provided excellentfeedback regarding the ABOcertification process and this feedbackwill be explored b y the ABO.
Adult and PeriodontallyInvolved Adolescent Patients
Studies have shown and significantincrease in the number of adultorthodontic patients. However,
documentation of advancedperiodontal disease has been shown toaffect a percentage of this adultpopulation. Periodontally susceptibleadults must therefore be identifiedbefore tooth movement is initiated, andreferral for specialty evaluation andco-therapy need be accomplished.
The number of case displays presentedfor the ABO Clinical Examinationinvolving patients over the age of 18has paralleled the increase number ofadult patients in active treatment.Therefore, the ABO requires at least sixadditional radiographs (maxillary andmandibular periapical as well asbitewing films to augment apanoramic film, or alternatively, a fullmouth series of radiographs) forcomparison of pre- and post- treatmentcrestal bone levels and root status.Other options include documentationof periodontal specialty evaluation orperiodontal charting for similarassessment. See AJODO, July 2008,SPECIAL ARTICLE by ABO for furtherdetails.
The Board has also modified the age atwhich a patient has achieved adultstatus to 18 years of age becauseclinical evidence has documented thecommon onset of periodontalinvolvement in late adolescence.These requirements will be in effect forperiodontally-involved adolescent andall adult cases in which pretreatmentrecords were produced in March 2007and thereafter.
Technology ReportDuring the ABO’s fall retreat, the ABOTechnology Committee successfullygraded six cases from one examineewhich were submitted electronically.In addition, at the Clinicalexamination there will be a field test tograde more cases electronically.Examinees who use Dolphin/OrthoCad will submit their cases tothe ABO office on a memory device orCD prior to their examination date.These examinees will bring onlyplaster final casts to the examination.
15
STEPHEN E. HERSHEY, D.D.S., M.S.
American Association ofOrthodontists FoundationAAOF NEWSAAOF
The examiners will be provided with acomprehensive training session beforethe clinical exam to learn the methodof grading digital records usingimaging software and dual monitors.
ABO Written ExaminationThe Written Examination will be givenApril 20 -24 , 2009. There arecurrently more than 375 examineesregistered for that exam.
ABO Clinical ExaminationThe Clinical Examination will be heldFebruary 21 – 25, 2009. There are 131examinees registered for the exam.This group includes 42 InitialCertification Exams (ICE), 74 FirstRecertification Exams (FRE), 3Beginning Certification Exams(BGCE), and 12 TraditionalCertification Exams.
2008–2009 Board of DirectorsDr. John E. Grubb
President & PCSO Director
Dr. Peter M. GrecoPres-Elect & MASO Director
Dr. Jeryl D. English Sec./Treas. & SWSO Director
Dr. Barry S. BrissNESO Director
Dr. Scott A. JamiesonGLAO Director
Dr. Marvin C. “Buddy” KastropRMSO Director
Dr. Paul T. CasteleinMSO Director
Dr. Eladio DeLeon, Jr.SAO Director
Dr. Allan H. MoffittImmediate Past President
The American Boardof Orthodontics
401 Lindbergh Blvd., Suite 308, St.Louis, MO 63141
Phone: 314/432-6130Fax: 314/432-8170
2009 Awards ProgramAt the meeting held last weekend inFebruary the AAOF Board of Directorsvoted to continue finding the AAOFCraniofacial Growth Legacy Collection,designed to preserve a representativesample of the major orthodontic legacycollections. ( I encourage you to becomefamiliar with this project by visiting thefoundation website.)
Three awards in support of juniorfaculty were approved as well as twoAccess to Care proposals. The Accessto Care proposals were fundedthrough the AAOF by the AAO in theform of a restricted gift.
Four 2008 AAOF awards recipientswill display Poster boards and /or E-Posters of their AAOF funded researchat the 2009 AAO Annual Session inBoston. These four are:
• Maria Fernanda Orellana –Porosity of Dental Enamel AfterEtching for Variable Times
• Sarandeep Huja – Short TermAdminstration of High Dose I.V.Bisphosphonate Causes PreClinical Lesions of ONJ But NoErosions in Oral Cavity
• Dawei Liu – Low intensity PulsedUltrasound (LIPUS) InducesOpposite Metabolic Responses ofCementoblasts versus Osteocytes InVitro
• Sawsan Tabbaa- A CurriculumModel Design for ResearchProgram, Leading to a Master ofScience Degree in Orthodontics,during Three Years PostdoctoralOrthodontics Residency Education(R-PORE)
• Poster board exhibits in Boston areon Monday, May 4 from 10:00am-5:00pm and Tuesday, May 5 from9:00am – Noon.
• E-Posters can be viewed in theCyber Café during Annual Sessionand for two months after AnnualSession from the E-Poster link offthe AAOmembers.org website.
2010 Jarabak AwardFor 2010, the Directors selectedTakayuki Kuroda (INT/Japan) waselected to receive the Jarabak Award inWashington, D.C.
The Planning and Awards ReviewCommittee (PARC) continue to dooutstanding work reviewing variousapplications, as well asrecommending which projects are tobe funded.
PARC membership 2008-2009 iscomposed of Stephanos Kyrkanides(NESO/NY-Chair), Leslie Will(MASO/MA- Vice Chair), Stephen J.Lindauer (SAO/VA), Hyun-Duk Nah(MASO/PA), Emile Rosseuw (SWSO/TX), Kirt Simmons (SWSO/AR),Thomas E. Southard (MSO/IA), andTimothy Wheeler (SAO/FL). JeffreyCavanaugh (MSO/MO) continues toserve Board Liaison to PARC.
Foundation CampaignAs of March 1, 2009, the AAOFFoundation Campaign, A Case for theFuture, realized $32.2 million inpledges, of which $23.0 million hasalready been redeemed. The campaignhas seen numerous pledges fromConstituent and Component Societies,AAOF Corporate Partners, Friends ofthe Specialty, including AAO staff, butvast majority of all funds pledged havecome from AAO members.
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AAOF ...CONTINUED FROM PAGE 15
What’s New at the AAOF?The Century Club
As an alternative to pledging at a certainlevel over time, the Foundation createdin 2008 the Century Club, which callsfor an open-ended, ongoingcommitment of a minimum of $100 permonth, with this option available eithervia an automatic account debit or arecurring credit card charge.
Charitable Gift AnnuitiesThe Board is in the process ofincorporating this planned givingvehicle into its overall plan of work andhopes to have available on the web siteshortly after the adjournment of theAnnual Session.
Continued Commitment to the Specialtysm
In early 2007, the AAOF Directors andan equal number of non-Directors metfor the purposes of revising thefundraising portion of theFoundation’s overall Strategic LongRange Plan (SLRP). One of theoutcomes of this process was the callfor the creation of a new Research andMarketing Plan that would ultimatelylead to re-focusing /re-branding thecurrent fundraising campaign, andresulting from this is the new themefor the Foundation’s overallfundraising. To date, this process hasyielded a new campaign theme,“Continued Commitment to theSpecialtysm , a new logo and newbrochure, which is expected to be
available at the Foundation display inBoston.
Golf Tournament in BostonPlaces are still available for the 2009AAO Foundation Benefit GolfTournamet, which special pricing fororthodontic residents.
If you have any questions about theAAOF, please go to the Foundation’sweb page, either through the memberweb site (www.AAOmembers.org) ordirectly to the Foundation’s HomePage at www.aaofoundation.net. Ifyou wish to contact the AAOF, pleasecall Robert Hazel, AAOF EVP, at 800-424-2841, #546 or send an e-mail [email protected].
The GLAO Distinguished ServiceAward recognizes a GLAO memberwho has served the Association invarious capacities through the years inan exemplary manner. The GreatLakes Association of Orthodontistswas proud to present the 2008 awardto John R. Barbour, DDS, MSD ofCarmel, Indiana. This award ispresented in recognition and gratefulappreciation for his meritous contribu-tions – both to the GLAO as anorganization, and to the orthodonticprofession in general. His tirelessefforts are deeply appreciated by hisGLAO friends and colleagues. Thisaward was presented to Dr. Barbour atthe GLAO Annual Business Meetingon Sunday morning, October 12th,2008.
Dr. Barbour earned his undergraduatedegree at Indiana University inBloomington, Indiana and completedhis D.D.S. degree at the IndianaUniversity School of Dentistry in 1967.Upon graduation he served on active
GLAO Distinguished Service AwardCongratulations to Dr. John Barbour
Recipient of the 2008 GLAO Distinguished Service Award, presented at the 2008 GLAO/MASO Joint Annual Session
duty in the United States Navy, andserved one year with the U.S. Marines,3rd Marine Division in Vietnam. Aftercompletion of his military service Dr.Barbour returned to Indiana and wasaccepted into the Orthodontic programat Indiana University. He has been inthe private practice of orthodonticssince 1972 in Carmel, Indiana.
Dr. Barbour was a clinical instructorin the Indiana University School of
Dentistry, Department of Orthodonticsfrom 1972 to 1979 and has partici-pated in the Central Indiana Orth-odontic Study Club, of which he is afounding member, since 1974. Heserved the Indiana Association ofOrthodontists for many years and waspresident in 1984. He was the GLAOrepresentative to the AAO Council onCommunications from 1993 to 2002and was chairman of that council for 2years. He has served as a delegate tothe AAO House of Delegates for 11years and was president of the GLAOin 1997.
Dr. Barbour has been happily marriedto his wife Gloria (B.A. Ball StateUniversity) for 44 years. They havefour children: Jennifer (B.M.E. IndianaUniversity), Timothy, CPA (B.S.Indiana University), Brian, Attny.(B.A. Arizona State University, J.D.Brooklyn Law School) and Debra (B.S.East Carolina University). All four aremarried and Dr. Barbour has 4 grand-sons and 1 granddaughter.
Pictured L to R: Dr. Marcus (2008 GLAOPresident-Elect), Dr. Barbour (GLAOAward Recipient), and Dr. Barkley (2008GLAO President)
17
Michigan Associationof OrthodontistsDR. GREGORY OPPENHUIZEN
Indiana Association ofOrthodontists
DR. ARON E. DELLINGER
COMPONENT UPDATES
Indiana had its annual meeting Feb 27in Indianapolis at the new Lucas Oilstadium, which was well attended.For the first time in recent history theIndiana orthodontic alumni associa-tion and the IAO combined theirmeetings. This made for a good turnout for both groups and the combinedresources made for a great meeting.Jason Cope was the presenter, hespoke on temprary anchorage tech-niques. Both the IAO and the IOAAheld their annual business meetingsas well. New officers for the IAO wereapproved: President Aron Dellinger,President elect Jeff Roberts, Pastpresident Ron Miller, Secretary/Treasurer Eric Dellinger. Next yearsmeeting was announced to be heldMarch 10 in Indanapolis, speakerMaurice Salama, topic “Interdiscipli-nary Treatment”. All members ofGLAO are invited to attend thismeeting, which will be a great pro-gram full of topical information aboutcomplex interdisciplinary cases andtreatment planning. Action items for2010 are synchronization of the AAOmember site callendar and the IAOcallendar, reinstitution of the scholar-ship program, and improved commu-nication within the component.
The MAO is presenting its annualbusiness meeting on May 29, 2009at the Detroit Athletic Club inDetroit, Michigan. Representativesfrom several of the leading orth-odontic supply companies willalso be present at the meeting. SixCERP credits will be offered forattending the meeting. Ourspeaker for the meeting will beChar Eash from Tampa, Florida.She will be speaking on practicemanagement.
For several years no orthodontistshave served on the MichiganBoard of Dentistry. The MAO hasactively promoting the inclusionof an orthodontist on the Board ofDentistry. In June 2008 DebbiePriestap, was appointed to theboard. Dr Priestap is an orthodon-tist from Milford, Michigan, andformer President of the MichiganAssociation of Orthodontists. Shewas also the long term MAOappointee to the Michigan Councilof Dental Specialists and has beenan outstanding voice for orth-odontics in Michigan.
The MAO Board closely watchesthe Board of Dentistry and Michi-gan legislature and provides inputwhenever governmental decisionsaffect the delivery of orthodonticsin Michigan.
I am pleased to say that onFebruary 25, 2009, the MichiganDental Association withdrew itsattempt to rewrite the Michigan
Public Health Code by creating anew field in Dentistry called theCommunity Dental Health Coordi-nator (CDHC). The MDA sent theCDHC pilot program back to theAmerican Dental Association tofind another location. Thepurported reason for theirwithdrawal was the closing ofone of two public health carefacilities planned to have been thelocation for the pilot project.However, the MDA faced anuphill battle in the Michiganlegislature, in part, due to theirunwillingness to unite thebroader dental community inMichigan behind the CDHCconcept.
Failure of the CDHC initiative inMichigan was welcomed by theMichigan Association of Orth-odontists who had taken a standagainst the CDHC initiative andactively lobbied against theproposed change. The MAOposition was that the CDHC, asproposed would not be a licenseddental provider and not under thesupervision of the MichiganBoard of Dentistry yet would beperforming dental services thatcurrently require a license andBoard supervision. Consequentlythe CDHC was a backward steptoward creating a two tier dentaldelivery system which woulderode the quality of patient carefor the poorest people in Michi-gan while doing nothing toimprove access to dental care. TheMDA’s failure is a step forwardfor patient safety in Michigan andfor the profession of Dentistry.Unfortunately, another state willinstead become the target of theADA CDHC pilot project.
The MAO deserves to be proud ofits accomplishments in thegovernmental arena in the lastnine months.
Don’t forgetyour PASSPORTS
for the 2009Annual Session!
18
Ontario Associationof Orthodontists
DR. JEFF BERGER
Pennsylvania Associationof Orthodontists
DR. J. RICHARD PFEFFER
COMPONENT UPDATES
Dr. Jim Posluns - PresidentDr. Graeme Hibberd – Sec./Treas.Dr. Sheila Smith – Vice-President
The following topics were dis-cussed at recent OAO Executivemeetings:1. The general membership had
expressed interest in a PRcampaign and Schupp Co. wascontacted for a proposal. Theysuggested that we supplementthe AAO “More Than A Smile”Consumer Awareness Campaignby providing additional mediaactivity in Ontario, including TV,radio & print. A decision wasmade to develop a 3-year planwith cost projections, whichwould be reviewed at the nextexecutive meeting in March.
2. “Locate an Orthodontist”received the most amounts of hitsat 16,262 followed by “Home”with 15,068 hits. The leastamount of hits was the “MemberLogin Page” at 1,441.
3. The President of the ODA, Dr.Larry Levin, made a guestappearance at the January OAOExecutive meeting and providedthe following information:a.ODAA (Ontario Dental
Assistants Association) areseeking their own college andexpanding their scope ofpractice.
b.It is mandatory in everyprovince to be a member of theCDA except in Ontario. Dr.Levin was advised that someOAO members were opposedto mandatory membership andthat ODA membership
(80%) is stronger because it isnot mandatory. Dr. Levinindicated that by merging the
ODA with the CDA one benefitwould be national representa-tion at the federal level with astronger voice. However, theissue is still in the fact-gatheringmode.c. Dental Hygienists are starting
to expand their scope ofpractice.
d.Competition Bureau & InfectionControl – in 2007 the bureauinvestigated other health disci-plines but in 2009 they will beinvestigating Dentistry. Onepossibility is that the newsterilization requirements inAlberta eventually will affectdentists in Ontario.
e. Dr. Levin was made aware thatthe ODA home page waslacking a specialty section
4. Agreement on InternationalTrade(AIT) – This agreementstates that anyone who is li-censed anywhere in the countrycan go to any province. Compli-cating this is the prospect ofinternational mobility, especiallysince France falls under the EUand Quebec has signed anagreement with France. Discus-sion ensued regarding how tocontrol the standard of care. AITis scheduled to take effect inAugust 2009.
5. Apology Act – If the bill recentlyintroduced in Ontario becomeslaw, then an apology will becomea sign of compassion and empa-thy, not guilt. Reports indicatethat the absence of an apologyoften leads to bitterness andprolonged litigation and thatnearly one in three plaintiff in theU.S. would not have sued if theyhad received simple apologies.The “Apology Act” has beenendorsed by a range of medicaland legal groups, including theOntario Medical Association andthe Ontario Bar Association. If thebill passes, Ontario will be thefourth Canadian province toenact apology legislation. MostAustralian states and more than30 U.S. states have similar lawsin place.
The Pennsylvania Association ofOrthodontists continues to be a strongand viable organization under theleadership of President Matt Stacy.The organization is on soundfinancial footing with sufficientreserves. We continue to offerexcellent continuing education inconjunction with our Annual Meeting,and the Philadelphia Society andWestern Pennsylvania Association ofOrthodontists also continue to provideexcellent CE.
This year’s meeting is somewhat out ofthe ordinary in that we are going outof state. The Jupiter Beach Resort andSpa in Florida will be the venue for the42nd Annual Meeting. It will be heldApril 2nd - 4th and promises to be anexcellent meeting. The CE topics willbe temporary anchorage devices, thebenefits of the iBraces System, as wellas self-ligating appliances. Thespeakers include Dr Clifton Alexanderof Dallas, Texas, Dr. Anoop Sondhi,from Indianapolis, and Dr. Kee-Joo Leefrom Seoul, Korea.
The Jupiter Beach Resort is a beautifulboutique beach hotel adjacent to 1,000feet of Florida sand. Endless beachand spa amenities will help uscontemplate the excellent topics beingdiscussed by our speakers. Space isstill available for this meeting and youcan call 610-688-6414 or registeronline at www. pao-ortho.org.
An extensive discussion has takenplace regarding the component/constituent affiliation agreementwhich we have all recently reviewed. Ifully expect the PAO to vote to sign theagreement at this upcoming meeting.As the state legislature continues todeal with budget issues due to theeconomic slump, there have been nodental issues that have come to theforefront.
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GLAO LEADERSHIP
DirectorsINDIANA
Dr. Aron E. Dellinger1120 E. Dupont RoadFort Wayne, IN 46825
MICHIGAN
Dr. Gregory Oppenhuizen205 W. 29th StreetHolland, MI 49423
ONTARIO
Dr. Jeff Berger600 Tecumseh Road E #241
Windsor, ON N8X 4X9CANADA
OHIO
Dr. Phillip J. Beckwith829 Eastwind Drive
Westerville, OH 43081
WESTERN PENNSYLVANIA
Dr. J. Richard Pfeffer508 Logan Blvd.
Altoona, PA 16602
MAILING ADDRESS:GLAO
17 South High Street, Suite 200Columbus, Ohio 43215
www.GLAO.org
AAO Council Representatives
Active
Affiliate
Academic/Foreign Trained
Honorary
Life
Retired
Total
GLAOMembership
March 2009
929
5
5
2
118
316
1375
2009 GLAODelegates &
Alternate DelegatesThe following will be representing
the GLAO at the 2009AAO House of Delegates:
DELEGATESDr. Jeff Berger
Dr. Robert F. Good, IIDr. Ronald S. Good
Dr. Richard M. MarcusDr. John F. MonticelloDr. W. Eugene Roberts
Dr. Michael W. Sherman
ALTERNATE DELEGATESDr. Stephen J. BelliDr. Jerry Hickman
Dr. Gregory OppenhuizenDr. Christopher A. Roberts
NewlyRetired Members
George G. BrownSusan S. ElesGene M. Fryar
Gary F. IgleburgerPaul J. Keck
Peter C. KeslingMelvin MayersonJames W. Reese
Suzan M. Stacknik
RecentlyDeceased Members
Lee M. ButlerMichael J. Frantz
Larry S. Lawrence
Council on Communications .........................................................Dr. Robert F. Good, II
Council on Governmental Affairs ................................................. Dr. M. Donald Hayes
Council on Information Technology .............................................. Dr. Joseph Janowski
Council on Insurance .......................................................................... Dr. Jerry Hickman
Council on Membership, Ethics, and Judicial Concerns ........ Dr. Richard M. Marcus
Council on Orthodontic Education ............................................ Dr. W. Eugene Roberts
Council on Orthodontic Health Care ...............................................Dr. Robert J. Brown
Council on Orthodontic Practice ..................................................... Dr. Mary K. Barkley
Council on Scientific Affairs ............................................................ Dr. Michael L. Riolo
Council on New and Younger Members ......................................... Dr. Scott O. Schulz
Tamer Mohamed Abdelhameed BedairChristopher L. Crane
Richard A.N. FernandesSteven GajdaSusan Guest
Nicholas KaraiskosAlan Joseph Ker
Kresimir Lackovic
New Active MembersBelow are the New GLAO members since November of 2008:
Sean Shih-Yao LiuJames Noble
Nicole J. Siara-OldsMohamad Ziad Omar
Harold RosenbergKelton T. Stewart
Anthony TangLyndon Wong
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Government Relations Program. As aresult, it has submitted two recommen-dations to the Board of Trustees: One,that panels of four or five member-experts be identified to testify beforeCongress on issues relevant to theAAO including: small business taxissues; regulatory initiatives such asergonomics standards; healthcarereform and other access to careinitiatives; student loan interestdeduction and accreditation.The Council has also submitted arecommendation to the Board thatmembers of COGA be allowed tocommunicate directly with members oftheir constituency, consistent with theAAO’s communications action plan,regarding government relationsupdates. Council members will alsoactively seek to present a PowerPointpresentation during constituencymeetings this Fall on actions taken bythe Council and their relevance tomembers.
Volunteer of the Year AwardThe Council Chair appointed asubcommittee to field nominations forthe 2009 Government RelationsProgram Volunteer of the Year. TheAward will be presented to the winnerduring the 2009 Annual Session inBoston.
2010 Annual SessionGovernment Relations
InitiativesThe Council learned that the 2010Annual Session Planning Committeehad accepted its proposal to devote aportion of the meeting, which will beheld in Washington, DC, to CapitolHill visits with legislators. Memberswill be able to sign up through theLifestyles Program for the event, whichwill take place on Tuesday morning,
May 4, 2010. Participants will beinvited to attend webinars prior to theevent in order to be fully briefed on theissues that they will discuss withlegislators.
Future Meeting DatesThe Council will next meet in June,2009.
AAO/PAC Board of DirectorsFundraising Goals
and InitiativesThe Directors discussed severalinitiatives to increase contributions,and held a brief strategic planningsession with Legislative Counsel. As aresult, the PAC Board has submitted arecommendation to the AAO Board ofTrustees to allocate $29,000 for theretention of a fundraising consultantto help it formulate strategies andmessaging.
2010 Contribution StrategyThe Directors determined that theAAO/PAC will not focus on a setformula for contributions during the2010 election cycle as it relates to partylines. Rather, it will examine eachcandidate’s record on issues impor-tant to the AAO.
New ContributionsThe Directors allocated $5,000 each tothe following candidates:Rep. Nathan Deal (R-GA) Rep. TomPrice (R-GA) Sen. Ben Cardin (D-MD)Sen. Evan Bayh (D-IN) Rep. DorisMatsui (D-CA) Rep. Lloyd Doggett(D- TX)
Future Meeting DatesThe AAO/PAC will next meet withCOGA during its early 2010 meeting.
GLAOCalendarof Events
2009October 29 – November 1
GLAO Annual SessionSheraton Centre
Toronto, ON, CANADA
2010September 30 – October 3
GLAO/MASOJoint Annual Session
The BreakersPalm Beach, FL
2011September 15 – 18
GLAO/MASOJoint Annual Session
Hilton PittsburghPittsburgh, PA
2012September 6 – 9
GLAO Annual SessionHyatt Indianapolis
Indianapolis, IN
Council on Governmental Affairs...CONTINUED FROM PAGE 13
If you know a spouse of adeceased GLAO member whowould be interested in receivingGLAO newsletters and AnnualSession invitations, please contactthe GLAO office and provide theirmailing address and emailaddress. The GLAO recognizesthat these individuals havebecome part of the GLAO familyand may wish to continue toreceive communications. You mayemail this information [email protected] or call877-274-6420.
Attention Members:
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One frequent cause of loss oforthodontic malpractice claims isdevelopment or exacerbation ofperiodontal disease during treatment.The defense of these claims is difficultfor the doctors involved; it is time-consuming and contentious.Depending on the damages and size ofthe settlements, these claims canpotentially jeopardize futureinsurance coverage. Any settlementpaid must be reported to the NationalPractitioner’s Data Bank.
Here is a summary of a claim that washandled for AAOIC (RRG).
The 31-year old female patient wasreferred to the orthodontist by hergeneral dentist. The doctor begantreating her with Invisilign trays.Throughout treatment she complainedof pain in her maxillary posteriorteeth. The orthodontist madeadjustments to the trays, thinking thatmight be the cause of the pain. A yearafter treatment began, the patientelected to stop it even though heroutcome was not perfect.
Six months later, the patient’s generaldentist discovered severe periodontaldisease in teeth #2, #3, #14, and #15.A periodontist unsuccessfullyattempted to graft bone, but the boneloss was too great. All four teeth wereextracted. The patient was not acandidate for implants; she neededtwo permanent bridges. She made aclaim against the orthodontist fornegligent treatment.
The investigation of this claimrevealed that an initial x-ray showedrecession and bone loss in teeth #2,#3, #14 and #15 which wasoverlooked by the orthodontist. Therewas no documentation ofcommunication with the patient aboutthe problem, and the doctor had notobtained informed consent. Midway
Development of Periodontal Disease During TreatmentCan Result in a Malpractice Claim
ELIZABETH FRANKLIN, CLAIMS MANAGER, AAO SERVICES, INC.
through the treatment, the patientbecame pregnant and refusedadditional x-rays. The doctor’s recordscontained no mention of prognosis forthe longevity of the teeth.
The general dentist’s records wereobtained; they indicated that threeyears before orthodontic treatmentbegan, the patient had bone loss in thesame four teeth; at that time, thatdoctor’s prognosis was guarded. Thepatient then saw a periodontist whorecommended surgery; she declined.She did not advise the orthodontist ofthis information.
Despite the comparative negligence ofthe patient, defending the orthodontistfrom the allegations made in this claimwas difficult. The doctor hadoverlooked evident problems thatshould have been addressed beforetreatment began. This patient blamedthe loss of her teeth on the orthodontictreatment; she was angry. The claimprocess was protracted; it required“cool down” time. Eventually thepatient agreed to settle the matter forless than $12,000.
This is a small case, but when it isanalyzed, it shows that themalpractice claim was probable due tolack of attention to critical details fromthe beginning of the treatment. Therewas a great deal this doctor couldhave done to preclude this claim.
Risk Management Issues:Before treatment, examine everypatient for periodontal problems.From the claims handled at AAOIC(RRG), periodontal disease occurs inchildren as well as adults.
The majority of the claimants,however, are adults. Manyorthodontists say they refer all adultpatients to either a periodontist or ageneral dentist prior to initiating
treatment. From a risk managementpoint of view that would be excellentinsurance. Do not stop at the referral;wait for clearance. Obtain a writtenresponse from the examining doctor;do not simply take the patient’s wordthat their condition is satisfactory.Patients often fail to see referraldoctors, and then conveniently“forget” that they were referred afterthey file a lawsuit. The AAO has aReturn Correspondence Formdownloadable from the website that isan excellent tool to document referralto a specialist and also subsequentclearance to begin orthodontictreatment.
Before beginning treatment, take adetailed dental history and read it;that may contain information thatsuggests pre-existing periodontalproblems or indicates the patient maybe at risk. Ask the patient questions,and listen carefully for any pre-existing issues that might beimportant. Ask the patient aboutsmoking or heavy drinking; thesehabits can impact the patient’speriodontal status.
Getting the patient’s informed consentis critical. A good informed consentform will address not only a detaileddiscussion of periodontal diseasedevelopment, but also the importanceof oral hygiene, the need for periodiccheckups and other issues, such as theneed to terminate treatment early. Allstates require that the patient givetheir informed consent to begintreatment. Be sure that you provide adetailed explanation of all risks, andthen have the patient sign a formverifying the process was given.Without a signed informed consentdocument in the records, defense ofclaims for bone loss and developmentof periodontal disease will be muchmore difficult.
CONTINUED ON PAGE 22...
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If you are aware that the patient hadperiodontal problems before beginningorthodontic treatment, be sure tomonitor for re-development ofproblems. Take progress x-rays,measure pocket depts., and re-refer tothe general dentist or periodontist.Discuss the situation with that dentistto be sure continued treatment isappropriate—and document therecords. If the patient complains ofpain, determine the cause of the pain.
Communication is important in allorthodontic cases; it is critical whenperiodontal disease is evident.Communicate with the patient; adviseof problems, and keep him/her awareof all efforts being made to precludeexacerbation of the disease and boneloss. Tell the patient what is needed toprotect him/herself, and advise ofconsequences if directives are notfollowed. Communicate also with thegeneral dentist or periodontist. Besure you understand the severity of thedisease, and the consequences of yourtreatment to the patient. Ultimately,you as the doctor, are responsible ifyour treatment exacerbates theproblem.
Thorough records documentation is
important when periodontal disease ispresent. It is difficult to prove that theorthodontist did all that should havebeen done to recognize the problemand to treat the disease, if the recordsdo not contain the information. Wherelitigation is concerned, anything thatis not recorded is considered not tohave occurred.
It is important that the treatment planfor these cases be appropriate for thepatient’s condition. Is the disease sosevere that it will not support theforces needed or tooth movementdistance required to completeorthodontics successfully? If so,adjust the treatment plan if possible,or refuse to treat if necessary. It isbetter to decline business than to treata case that will result in a malpracticeclaim or lawsuit.
Conclusion:All orthodontists were general dentistsonce; the law will hold you to astandard of care that includesrecognizing pathology normallyaddressed by general dentists. Anorthodontist is not expected to treatperiodontal disease, but recognitionand referral is required. If your patienthas pre-existing periodontal disease or
develops it during treatment, andsuffers severe consequences, you willlikely find yourself defending amalpractice claim, just as the doctor inthe case did. Take steps to protectyourself.
The GLAO was well represented at the recent AAO Leadership Conference.Attendees included:
Back Row (L-R) Dr. Jason Charnley, Dr. Gregory Oppenhuizen, Dr. Phillip Beckwith, Dr. Eric Dellinger,Dr. Graeme Hibberd, Dr. Howard Steiman, Dr. Walter Schratz, Dr. John Buzzato, Dr. Terry Pracht
Front Row (L-R) Dr. Andre Haerian, Debbie Nunner, Dr. Michael Sherman, Dr. Sheila Smith, Dr. Aron Dellinger,Dr. Richard Marcus, Dr. Valerie Martone, Dr. Dale Anne Featheringham, Dr. Ronald Good, Dr. W. Eugene Roberts
2009 AAO Leadership Conference
This article is brought to you by theAAO Insurance Company (a RiskRetention Group) (AAOIC).
Elizabeth Franklin, the claims managerfor the AAOIC who works closely withdefense attorneys, prepared this articlefor the GLAO newsletter. The AAOICprovides professional liability insuranceto AAO member orthodontists and isendorsed by the AAO.
AAOIC is currently marketing a uniqueopportunity for our members who donot have their professional liabilitycoverage with AAOIC. Currently, for alimited time only, a 25% rate discount isbeing offered to first time buyers withAAOIC (this does not apply to newgraduates). It is time again to compareyour current policy with the AAO’sbecause of the potential savings and toevaluate the many benefits offered byhaving a liability policy overseen byyour peers.
For more information call 800-622-0344or contact your AAO Councilrepresentative Dr. Jerry Hickman [email protected].
Development of Periodontal Disease/ Malpractice Claim...CONTINUED FROM PAGE 21
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GLAO Annual SessionOctober 29 – November 1
Toronto
CONFIRMEDSPEAKERSINCLUDE:
Rita BauerCapture the Perfect Makeover andPrepare Effective Marketing andEducational Material for Your PracticeSponsored by PracticeWorks/OrthoTrac
Dr. Robert BoydImproving the Predictability of QualityTreatment with Clear Aligner Therapy
Dr. Jason CopeJust A TAD Better InterdisciplinaryTreatment: Using TADs to Place TeethWhere Your Restorative ColleagueReally Wants ThemCo-sponsored by 3M Unitek
Carolyn FriedmanHow to Overcome the Affects of theEconomy on OrthodonticsSponsored by GAC International
Tripp FrohlichsteinCreating a Healthy, Beautiful Message
Paul GangeOrthodontic Materials & ClinicalBonding Situations
Dr. Ravi NandaEsthetics and Biomechanics with SelfLigating Brackets and “Smart” WiresSponsored by Cerum Ortho Organizers
Dr. Gerry SamsonThe Exceptional EmployeeCo-sponsored by 3M Unitek
Dr. Gerry Samson/Dr. Tom Mulligan
“The Tom & Gerry Show:” SimplifiedClinical Mechanics for StubbornOrthodontic ProblemsCo-sponsored by 3M Unitek
SCHEDULE-AT-A-GLANCE• Tentative •
Thursday, October 2912:00 pm – 6:00 pm Registration Open / Exhibitor Set up9:00 am – 2:00 pm GLAO Board of Directors Meeting6:30 pm – 7:30 pm Welcome Reception
Co-Sponsored by the Ontario Association of Orthodontists
Friday, October 307:30 am – 4:00 pm Exhibits Open with continental breakfast, breaks and lunch8:30 am – Noon Doctor Session8:30 am – Noon Staff SessionNoon – 1:30 pm ABO / Leadership Luncheon1:30 pm - 4:30 pm Doctor Session1:30 pm - 4:30 pm Staff Session6:00 pm – 10:00 pm Hockey Hall of Fame Event (optional ticket)
Saturday, October 317:15 am – 8:15 am GLAO Business Meeting7:30 am – 5:30 pm Exhibits Open with continental breakfast, breaks and lunch8:30 am – Noon Doctor/Staff Session1:30 pm - 4:30 pm Doctor Session1:30 pm - 4:30 pm Staff Session4:30pm – 5:30pm Wine & Cheese Reception in Exhibit Hall5:00pm Raffle Prize Drawing
Sunday, November 18:30 am – Noon Doctor/Staff Session
THANKS TO THE FOLLOWING SPONSORS FOR THEIR SUPPORT!
Gold Level SponsorAmerican Orthodontics
Silver Level SponsorSPEED System Orthodontics
Bronze Level/Speaker Sponsors3M Unitek
Cerum Ortho OrganizersGAC International
OrmcoPracticeWorks / OrthoTrac
Co-SponsorOntario Association of Orthodontists
The Sheraton Centre Toronto Hotel will be the hosthotel for the GLAO Annual Session. The Sheraton Centrehas recently undergone an extensive makeover to ensurethe utmost in urban comfort and style. In the centre of thebusiness and entertainment districts, the CAA/AAA FourDiamond Sheraton Centre Toronto is connected to PATH, a16-mile underground network of shops and services. TheSheraton Centre is steps from the Eaton Centre shoppingmall and the Four Seasons Centre for the Performing Arts,home of the Canadian Opera Company and the NationalBallet of Canada Four Seasons Centre.
To make your hotel reservations, please go to: www.GLAO.org or call the Sheraton at1-888-627-7175 and ask for the “GLAO block” to receive the special group rates. Pleasenote: you must go through the link provided on the GLAO website to receive the group rateif reserving online.
Online meeting registration will be available through the GLAO website soon! Go towww.GLAO.org for the latest information about this meeting or call the GLAO office at877-274-6420.
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The Great Lakes Association of Orthodontists17 South High Street, Suite 200
Columbus, OH 43215-3458
BE SURE TO MARK YOUR CALENDARS!
GLAO Annual SessionSheraton Centre Toronto
Toronto, ON, Canada
October 30 – November 1, 2009
GLAO/MASO Annual SessionThe Breakers
Palm Beach, Florida
September 30 – October 3, 2010