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Prevention of Impacted Cuspids with Early Diagnosis Trouble Selling Your Practice with the Real Estate? Devlin Award Bestowed on Dr. Robert J. Bray DELAWARE • DISTRICT OF COLUMBIA • MARYLAND • NEW JERSEY • PENNSYLVANIA • PUERTO RICO/VI MASO Journal Middle Atlantic Society of Orthodontists Spring 2005 THE AWARD WINNING Join us in beautiful Bermuda, October 2005! March 18, 2005 - MASO CE Event Philadelphia, PA Doubletree Hotel “Charting the Course: A 21st Century Approach in Utilizing Self-ligation” Dr. Gary L. Weinberger

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Page 1: thodontists - maso.org · The integral nickel-titanium clips permit easy and simple archwire insertion and removal, yet hold the archwire with a pre-programmed force that avoids unintentional

Prevention of Impacted Cuspidswith Early Diagnosis

Trouble Selling Your Practicewith the Real Estate?

Devlin AwardBestowed on Dr. Robert J. Bray

DELAWARE • DISTRICT OF COLUMBIA • MARYLAND • NEW JERSEY • PENNSYLVANIA • PUERTO RICO/VI

MASOJournalMiddle Atlantic Society of Orthodontists Sp

ring

200

5

THE AWARD WINNING

Join usin beautifulBermuda,October 2005!

March 18, 2005 - MASO CE EventPhiladelphia, PA Doubletree Hotel

“Charting the Course: A 21st CenturyApproach in Utilizing Self-ligation”

Dr. Gary L. Weinberger

Page 2: thodontists - maso.org · The integral nickel-titanium clips permit easy and simple archwire insertion and removal, yet hold the archwire with a pre-programmed force that avoids unintentional

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ON THE COVER AND ABOVE: The Southampton Princess Hotel sits high atop a Bermuda hill awaiting the MASO/GLAOJoint Annual Session in October. See page 12 for additional information.

MASO Journal 3 Spring 2005

EDITOR IN CHIEF Dr. Richard A. Levy

MANAGING EDITOR Dr. Lawrence Wang

CONTRIBUTING ORTHODONTISTS Dr. Marc Bernard Ackerman

Dr. Robert J. BrayDr. Constance Greeley

Dr. Natalie ParisiDr. George Scott

Dr. Lawrence WangDr. Gary Wiser

OFFICERSDr. John Mariotti

PresidentDr. Mario Polo President-Elect

Dr. Robert E. WilliamsSecretary

Dr. George W. ScottTreasurer

Dr. Elizabeth B. SpannhakeImmediate Past President

DIRECTORSDr. Robert E. Binder

Dr. Constance GreeleyDr. Natalie M. Parisi

Dr. Robert N. SeeboldDr. Steven Siegel

Dr. Luis A. Toro, Jr.

HISTORIAN Dr. Frederick Preis

COMPONENT SOCIETY PRESIDENTSDELAWARE

Dr. Stephanie Steckel42 Hiawatha Lane, Dover DE 19904Office: 302-672-7776 Fax: 672-9256

eMail: [email protected] OF COLUMBIA

Dr. Ashur Chavoor5803 Chain Bridge Forest Ct., McLean, VA 22101

Office: 703-538-7030 Fax: 703-538-7030 MARYLAND

Dr. Zenaida Cofie1212 East Joppa Road, Towson, MD 21286Office: 410-825-1771 Fax: 410-825-0619

NEW JERSEY

Dr. Martin S. Levitt500 Piermont Road, Closter, NJ 07624

Office: 201-768-4121 Fax: 201-768-3495eMail: [email protected]

PENNSYLVANIA

Dr. Normand Boucher33 West Lancaster Avenue, Wayne, PA 19087

Office: 610-688-3355 Fax: 610-688-7181eMail: [email protected]

PUERTO RICO

Dr. Jose A. Morales-Diaz395 Via Versalles, Villas Reales Dev

Guaynabo, PR 00969Office: 787-744-2845 Fax: 787-744-2645

eMail: [email protected]

DELEGATES TO AAODr. Richard H. Albright

Chairman Dr. Normand BoucherDr. Henry DiLorenzoDr. James I. Heslop

Dr. Kenneth M. HrechkaDr. Frank W. Krause

Dr. Frederic C. Sterritt

ALTERNATE DELEGATESDr. Jaime DeJesus-Vinas

Dr. Nahid MalekiDr. John Mariotti

AAO TRUSTEEDr. Robert J. Bray

EXECUTIVE DIRECTORMrs. Anita L. Field

2005 ANNUAL SESSION CHAIRDr. Constance Greeley

Spring 2005

DELAWARE • DISTRICT OF COLUMBIA • MARYLAND • NEW JERSEY • PENNSYLVANIA • PUERTO RICO/VI

MASOJournalMiddle Atlantic Society of Orthodontists

MASO Journal is the official publication of the Middle Atlantic Society of Orthodontists, 17 South HighStreet, Columbus, OH 43215, phone: 1-866-748-MASO(6276), e-mail: [email protected], andwebsite: www.MASO.org

Advertising rates are available from, and all advertising materials and correspondence should be sent toStickles Associates, P.O. Box 219, Bath, PA 18014. The Middle Atlantic Society of Orthodontists reserves theright to refuse any advertisements for any reason. All ads must comply with the “AAO Advertising Guidelines.”

Articles for publication may be sent directly to Dr. Richard A. Levy, 1325 18th Street, NW Suite 204,Washington, DC. All material should be typed, double-spaced, on 81⁄2" x 11" paper. Tel: (301) 370-7485.FAX: (202) 293-9515. E-Mail: [email protected]

The Journal is published two times a year: Spring & Autumn. The opinions expressed in the Journal arethose of the authors and do not necessarily reflect those of the Society, nor does the appearance ofadvertisements imply endorsement by the Society.

Clinical Articles & Practice Management Prevention of Impacted Cuspids with Early Diagnosis - Dr. Natalie Parisi ........................................................7Trouble Selling Your Practice with the Real Estate? - Dr. Gary Wiser .................................................................11Management Tip of the Month - Dr. Natalie Parisi ...............................................................................................12Advertiser’s Corner - Summit Orthodontic Services, Inc. ........................................................................................13

AAO Council & Committee ReportsCouncil on Information Technology - Dr. Lawrence Wang ..................................................................................15Council on Insurance - Dr. Luis A. Toro ..................................................................................................................15Council on New & Younger Members - Dr. Tanya Stavisky.................................................................................15Council on Orthodontic Education - Dr. Robert E. Binder ...................................................................................16Council on Orthodontic Health Care - Dr. Gary Wiser.........................................................................................16Council on Orthodontic Practice - Dr. David A. Paolini........................................................................................17AAO-PAC - Dr. Lawrence S. Harte...........................................................................................................................17ABO - Dr. Peter Greco ...............................................................................................................................................17

News from the Components .................................................................................................................................. 18Graduate Program Reports

Albert Einstein Medical Center - Dr. Alan J. Borislow ......................................................................................... 18Children’s National Medical Center - Dr. Linda Hallman ................................................................................... 19Temple University - Dr. Orhan C. Tuncay.............................................................................................................. 19University of Medicine and Dentistry of New Jersey - Dr. Robert E. Binder.................................................... 19University of Maryland - Dr. Stuart D. Josell ........................................................................................................ 20

CommentaryOrthodontic Dogma 101, Pledging Allegiance at the Academy - Dr. Marc Bernard Ackerman ........................9

Other NewsPresident’s Message - Dr. John Mariotti ................................................................................................................... 4MASO Member Running for ADA President-Elect .............................................................................................. 4AAO Trustee’s Report - Dr. Robert J. Bray.............................................................................................................. 5Thanks to Exhibitors and Sponsors - Dr. Lawrence Wang ..................................................................................... 52005 Continuing Education Event ........................................................................................................................... 5Devlin Award Bestowed on Dr. Robert J. Bray ....................................................................................................11Join us in beautiful Bermuda, October 2005! - Dr. Constance Greeley. .............................................................. 12Mark Your Calendar.................................................................................................................................................12Dr. Jaime DeJesus Sr. Receives MASO Lifetime Achievement Award!............................................................13Treasurer’s Report - Dr. George Scott......................................................................................................................14Gerard A. Devlin Award - MASO Executive Office ................................................................................................14MASO Current Assets & Financial Summary ......................................................................................................14Scenes from MASO’s 51st Annual Session............................................................................................................21

THE AWARD WINNING

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MASO Journal 4 Spring 2005

As we enter 2005 we look forwardto another healthy and pros-

perous year. MASO is here to helpyou achieve this with programsdesigned to meet the needs of all ofthe membership. Orthodonticscontinues to be a vibrant and everchanging profession. As changecomes faster, it behooves us as

Dr. John [email protected]

President’s Message - DR. JOHN MARIOTTI [email protected]

Visit the MASOwebsite…www.MASO.org

to download event brochures andregistration materials.^

professionals to take full advantage ofthe superb continuing educationprovided by our organization.Technology is moving faster thanmost of us do so it is even moreimportant that we continue to learn asmuch as we can in the easiest format.MASO will try to provide that venuefor all of you.

We will strive to provide you withdirection on diagnostic and treatmentadvances, computer technologies toenhance your effectiveness, andbusiness strategies to help you to beoptimally profitable. As importantly,we will try to help with staffing issuesin ways to improve guidance, training,and motivational techniques for yourstaff. The goal is to instill in themconfidence and increased profes-sionalism to help them do their jobsbetter. Successful practices recognizethe potential of an empowered team.

It becomes the responsibility ofeach of us to become a force bycoming together. We will then be able

to affect change to move Orthodonticsforward in a quickly changing healthcare field. Take time to connect withsome of the younger graduatescoming from orthodontic programsand mentor them to maintain ourconsistency of high quality care. See ifthere is something that you can offerto others through the MASOorganization or determine if youwould like to volunteer some of yourtime to MASO.

Consider giving back to this greatprofession of ours in some fashion,whether it be your time on an issue ora donation to the AAOF. Maintainingthe standards of our own educators isa costly endeavor.

As always, the MASO leadership ishere to serve you, the members.Please feel free to contact me at anytime with thoughts or comments. Letme know if there are any particularinterests for the upcoming AnnualSession. My e-mail address [email protected]. Happy New Year!

MASO MemberRunning for ADA

President-ElectDr. Ron Gross, DDS, MS, who practices

orthodontics in Pottstown PA, isrunning for president-elect of the AmericanDental Association. Ron Gross hasserved the dental profession in positionsof leadership at every level. He hasdemonstrated time and again the virtueswe need in our national leader. Ron has theforesight, the experience, and the energyto lead us in these challenging times.

Dr. Gross has served as President of Pennsylvania's SecondDistrict Dental Association, President of the PennsylvaniaDental Association, President of the Pennsylvania Associationof Orthodontists, President of the Middle Atlantic Society ofOrthodontists, and President of the American Association ofOrthodontists. Ron is a graduate of the Temple UniversitySchool of Dentistry, where he studied both dentistry and

orthodontics; he also served in the UnitedStates Air Force.

While Dr. Gross is well qualified toserve the interests of dentists throughoutour great nation, he has intimateknowledge of the needs of dentalprofessionals right here in southeastPennsylvania. Whether the issue ismembership, dental auxiliary utilization,or access, Ron will listen and seekcreative and innovative solutions,inspiring and motivating the ADAmembers to participate in the processthat will improve the health of patientsand secure the integrity of the profession.

Our profession is routinely confrontedby new and complex problems that threaten the survival of thepractice of dentistry as we know it. We need a leader who hasproven he can lead and succeed. Facing the future means beingcreative, being innovative, asking tough questions, and makinghard decisions. Ron Gross has always been an advocate ofproactive change. In him, we will have a leader tested andcapable of meeting the future challenges of American dentistry.

Dr. Ronald B. Gross

Please show your appreciation to ouradvertisers and sponsors by using them.

TELL THEM THE

MASO JournalSENT YOU!

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MASO Journal 5 Spring 2005

Happy New Year! Hope youenjoyed your holidays.

Chris Vranas has taken over as theAAO’s new Executive Director,having moved up from being ourAssociate Executive Director. TheAAO Board of Trustees has recentlyannounced that the sale of the TPAtook place. The total amount that wewill realize from the sale isapproximately $220,000-250,000.

The AAO is covering all AAOentities, and will pay for deductibles

and premiums for one year for theDirectors and Officers Insurance. TheAAO has asked that the entitiesattempt to find coverage to cover thedeductible with certain provisions.

The AAO’s 2005 LeadershipConference was held in St. Louis fromJanuary 28-29. MASO’s representationwas: Marie Dang, Rob Murray,Natalie Parisi, Mario Polo, StevenSiegel, Tanya Stavisky, KristinThiry, Larry Wang, and Anita Field.The individual states within MASOsent representatives, namely: AndrewOrchin (DC), Cassiano Garcia (MD),and Stephanie Steckel (DE). Othersattending and representing theircouncils: Ted Berkinshaw (COC),Rob Binder (COE), Gary Wiser(COHC), Luis Toro-Lloveras (COI),and Hyun-Duck Nah (COSA). TheAAO’s President, Terry Pracht ,presented during the Presidents-ElectOrientation; along with the AAO’slegal counsel, Jim Bowlin; and EdBarlow presented on “VolunteerLeadership and How to EffectivelyCommunicate to Members”. Otherpresenters were: Don Joondeph from

Trustee’s Report - DR. ROBERT J. BRAY [email protected]

Dr. Robert J. [email protected]

PCSO; Bram Briggance, UCSF Centerfor the Health Professions; and TimHaake, presented on federal/stateregulatory issues impacting the AAO.

AAO’s 105th Annual Session willbe held in San Francisco, CA, May 20-24, 2005. Registration is open on-lineat www.AAOmembers.org. There will bespecial events held on Friday, May 20,with John K. McGill presenting onTransition/Orthodontist as CEOConference; Lori Garland-Parker andDebbie Best with staff training anddevelopment: The Key Strategy forBuilding the Best Team. Jay Leno isthe featured speaker for OpeningCeremonies on Saturday, May 21. TheAAO Foundation’s Gala black tieaffair will feature “Phantom of theOpera,” and will be held at the WestinSt. Francis Union Square. Our“Excellence in Orthodontics Luncheon”will feature Terry Bradshaw, FootballHall of Fame Quarterback and analystfor Fox Sports, as our keynote speaker.

As always, it is a pleasure to serveas your Trustee. If you have anycomments or questions, please feelfree to contact me at [email protected].

Thanks to Exhibitors & Sponsorsby Dr. Lawrence Wang

Many thanks to the exhibitors andsponsors who helped MASO celebrate its

51st Anniversary in Baltimore last October.Without our exhibitors and sponsors, it wouldnot be possible to offer the world classspeakers and such excellent social programs.

The sponsors who really showed theirMASO colors on this memorable occasiondeserve special mention. Contributing at theplatinum level ($5,000+) were Unitek andAlign Technology/Invisalign and as majorsponsors they warrant special thanks!

Other sponsors included: AmericanOrthodontics, AOA/PRO Laboratories, BoydIndustries Inc., Dolphin Imaging, Dr. CassGarcia, GAC International Inc., KrauseAOA/Pro MCLR, Maryland State Society of

Orthodontists, Ormco, Orthodontists Fee Plan, Raintree Essix Inc., RockyMountain Orthodontics (RMO, Inc.), and Summit Orthodontic Services.

Thanks again to all exhibitors and sponsors for their part in helping us celebrateour 51st Anniversary with a GREAT meeting!

For Additional Information, Please Contact MASO [email protected] or Call (866) 748-MASO.

Middle Atlantic Society of Orthodontists51st Annual Session

Bound for Baltimore…Navigating to Clinical Excellence

October 15-17, 2004AT THE

BaltimoreMarriottW aterfront HotelBALTIMORE, MARYLAND

2005CONTINUING EDUCATION EVENTRegistration information has been

sent to all MASO members:MARCH 18, 2005

MASO CE EventPhiladelphia, PA Doubletree Hotel

“Charting the Course:A 21st Century Approachin Utilizing Self-ligation” Gary L. Weinberger, DDS, MScD

SPONSORED BY 3M UNITEK CORPORATION

8:00 AM to 9:00 AMRegistration & Continental Breakfast

9:00 AM to NoonSeminar

Noon to 1:00 PMLunch Provided

1:00 PM to 4:00 PMContinuation of Seminar

COST FOR MASO MEMBERS $185

Download registration informationat www.MASO.org

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MASO Journal 7 Spring 2005

Impacted cuspids pose increased difficulty to orthodontistsand increased treatment time to patients that experience

them. Often these teeth need to be surgically exposed andbrought into the arch via a bonded attachment and elasticthread. Impacted cuspids may cause damage to adjacent teethand surrounding periodontal tissues. In a worst case scenario,impacted cuspids may become ankylosed and thus need to beextracted. Even in cases where we are successful in bringingthe cuspid into alignment, the ability to achieve an idealresult is much more difficult. The cuspid may be severelyrotated or damaged. The gingival tissue around the cuspidmay be compromised due to the surgical intervention.

Most impacted cuspids can be avoided simply by earlydiagnosis.What should we be looking for? • Arch length deficiency (crowding) in the maxillary arch• V-shaped maxillary arch• Small or missing maxillary laterals• Flared maxillary laterals (Figure 1)• Lack of cuspid bulgeWhen should we start looking?• Clinical evaluation should be done as

early as 8 years old• Absence of normal canine bulge

through intraoral palpation orasymmetry of canine bulge by age 11(high on the alveolar process abovethe deciduous cuspid)

• Delayed eruption or retention ofdeciduous canine beyond 13 yearsold is a strong clinical sign (Bishara, AJO 1992)When we see a flared maxillary lateral, we should not be

surprised to see an ectopic cuspid with an associatedenlarged eruption cyst. (Figure 2). Between ages 8 – 10 thecanine migrates buccally from a position lingual to the rootapex of the deciduous precursor. The panorex should showa cuspid that is distal to the distal half of the lateral incisor.

In a study done by Ericson & Kurol, 1988, EuropeanJournal of Orthodontics, they studied 46 consecutiveectopically positioned maxillary canines. Immediately afterdiagnosis of the ectopic path of eruption, the primarycuspid was extracted. 78% of the ectopic canines showednormalization of the path of eruption and later a clinicallycorrect position. 91% of those canines distal to the midline ofthe lateral incisor showed normalization. 96% of allpermanent canines will erupt when their cusp tips do notoverlap or lie mesial to the lateral incisor root on the mixed-dentition panoramic x-ray. Figures 3 & 4 show movement ofectopic cuspids six months after extraction of theirdeciduous precursor (with no exposure). Note that themaxillary right cuspid, whose cusp tip was mesial to the

central incisor did not erupt on its own, but the maxillaryleft cuspid, whose cusp tip was not past the long axis of thelateral, changed its path of eruption without exposure.

Note that Figure 5 shows us a success rate of eruption 18months after extraction of primary cuspids. This study clearlyshows that extraction of primary canines has a favorable effecton palatally malerupting maxillary canines and is thetreatment of choice for ages 8-10 in cases of ectopic eruption ofmaxillary cuspids.

It is our duty asspecialists, not only torecognize this abnor-mality early, but toeducate referring den-tists, hygienists andoral surgeons. Aware-ness could reduce thenumber of impactedcuspid cases in youroffice by 91%.

Prevention ofImpacted Cuspids

with Early Diagnosisby Dr. Natalie Parisi

Figure 1

Figure 2

Figure 3 Figure 4

Figure 5

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Advancing the Future of Orthodontics, are registered trademarks ortrademarks of Ortho Organizers, Inc. © 2004 Ortho Organizers, Inc. 012304

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MASO Journal 9 Spring 2005

Orthodontic Dogma 101PLEDGING ALLEGIANCE AT THE ACADEMYby Marc Bernard Ackerman, DMD, Clinical Associate Professor,Temple University School of Dentistry Department of Orthodontics,Private Practice, Bryn Mawr, Pennsylvania

6 Wennstrom JL. Mucogingival considerations in orthodontic treatment.Semin Orthod 1996; 2:46-54.7 Mohlin BO, Derweduwen K, Pilley R et al. Malocclusion andtemporomandibular disorder: a comparison of adolescents with moderateto severe dysfunction with those without signs and symptoms oftemporomandibular disorder and their further development to 30 years ofage. Angle Orthod 2004; 74(3): 319-327.8 Bjork A, Skieller V. Growth of the maxilla in three dimensions as revealedby the implant method. Br J Orthod 1977; 4(2): 53-64.9 Singh GD. Morphologic determinants in the etiology of class IIImalocclusion: a review. Clin Anat 1999; 12(5): 382-405.10 Wheeler TT et al. Effectiveness of early treatment of Class II malocclusion.Am J Orthod Dentofacial Orthop 2002; 121: 9-17.11 Tulloch JFC, Proffit WR, Phillips C. Outcomes in a 2-phase randomizedclinical trial of early class II treatment. Am J Orthod Dentofacial Orthop2004; 125: 657-667.12 Reichenbach E, Taatz H. Kieferorthopadische Klinik und Therapie. JohanAmbrosius Barth, Leipzig, 1971.13 Huertas D, Ghafari J. New posterioranterior cephalometric norms: acomparison with craniofacial measures of children treated with palatalexpansion. Angle Orthod 2001; 71(4): 285-292.14 Herberger T. Rapid palatal expansion: long term stability and periodontalimplications. Unpublished Master’s thesis, Department of Orthodontics,University of Pennsylvania, Philadelphia, 1987.

THE EXPANSIONISTSPremise Supporting Evidence Anecdotal Evidence

Hard tissue limitation for In a growing patient, treatment in the maxillary maxillary expansion has arch. no bounds. Mandibular

orthopedic widening orsurgical distraction couldbe used simultaneously,to match maxillaryorthopedic expansion.

Expansion of the maxilla The foot in shoe model12.in a Class II patient will The wider the shoe, the unlock the mandible and it more anterior the foot canwill reposition anteriorly. position itself.

There is a periodontal Width mismatch iseffect caused by a width measured best on PAmismatch between the ceph film. Questions as toskeletal maxilla and appropriateness of norma-mandible. tive data13, however, are

What is the mechanism ofrecession14?

Extraction of premolars NONE NONEcreates negative space in thebuccal corridors on smile.

THE CLASSICISTSPremise Supporting Evidence Anecdotal Evidence

Hard tissue limitation Inviolability of inter- for treatment is the canine width12. Suturalmandibular arch. fusion at symphysis3.

Soft tissue limitations Soft-tissue facial mask for treatment are the expansion limits4.facial soft-tissue mask, Periodontal limits56.the PDL, and the TM joint. TM joint limits7.

Maxillary deficiency is a Understanding normal multi-faceted diagnosis. growth and its aber- It must take into account rations, using dentalall three planes of space. and skeletal features89.

Early growth modification Randomized clinical in the majority of Class II trials for Cl. II patients is not as efficient/ treatment1011.effective as later therapy.

COMMENTARY…COMMENTARY…COMMENTARY…COMMENTARY…COMMENTARY…

Orthodontic graduate students are in the midst of a type offraternity rush, being recruited for membership in one of

the two prevalent schools of thought in our specialty today.On the one hand, they may align with the Classicists, who areoffering a treatment approach emphasizing individualizedthree-dimensional diagnosis combined with a mix ofextraction, non-extraction, and surgical-orthodontic therapies.To the Classicist, “diagnosis” is far more critical than theselection of any given mechanotherapy directed to optimizethe patient’s problem. In contrast, they may choose to alignwith the Expansionists, who offer a treatment approach thatemphasizes early orthopedic mechanotherapies directed atyounger patients and surgical-orthopedic therapies for thosepatients outside the window of dentoskeletal growth.Expansionists base this mechanically-driven approach on adiagnostic scheme primarily concerned with one anatomicplane, the transverse dimension. In an attempt to assess thechoice that our graduates are compelled to make, let usexamine a few of the premises that both groups rely on andevaluate the evidence that support these claims.

How might our young and impressionable orthodonticgraduates choose which group will ultimately define theirclinical identity and possibly their reputation within thecommunity in which they practice? In an ideal world, theorthodontic graduate’s decision should rely principally on thebest available data in support of their chosen school of thought.That evidence should come from referenced journals andmoderated symposia rather than textbooks and unpublishedmaster’s theses. In reality, the graduates of orthodonticresidencies are usually influenced by the points of viewexpressed by their chairman and faculty during their education.As well, the orthodontic graduate might also be influenced bythe philosophy of their childhood orthodontist or perhaps thesenior practitioner with whom they decide to associate.

It is incumbent upon both schools of thought to provideorthodontic students with the best possible evidencesupporting their premises. The field will only advance ifproper science is submitted to our journals and subjected topeer review. Withholding graduate theses from publication,albeit citing them as evidence in lectures and publications, isan affront to the orthodontic community at large. Our job aseducators is to promote debate and scholarship in order tounify the profession under a mantle of evidence rather thana cloak of anecdote. 1 Little RM. Stability and relapse: Early treatment of arch length deficiency.AJODO 2002; 121:578-581.2 Little RM. Stability and relapse of mandibular anterior alignment: Univ. ofWashington studies. Semin Orthod 1999; 5(3); 191-204. 3 Nystrom M, Ranta H. Tooth formation and the mandibular symphysisduring the first five postnatal months. J Forensic Sci 2003; 48(2): 373-378.4 Rosen HM. Facial skeletal expansion: Treatment strategies and rationale.Plast Reconstr Surg 1992; 89(5):798-808.5 Wennstrom JL, Lindhe J, Sinclair F, et al. Some periodontal tissue reactions toorthodontic tooth movement in monkeys. J Clin Periodontol 1987; 14:121-129.

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Center, and his master’s degree fromthe University of Rochester MedicalSchool. Upon completion of schooling,he served in the US Air Force atEdwards Flight Test Center inCalifornia as Chief of Orthodontics.

He has been involved in his localdental society serving as Treasurer forover 20 years. He is a member of thevarious dental organizations includingThe Edward H. Angle Society ofOrthodontists, North Atlantic Compo-nent. He is a Diplomate of theAmerican Board of Orthodontists;Fellow, American College of Dentistsand the International College ofDentists. Bob recently was therecipient of the outstanding alumnusof the University of Rochester MedicalCenter for “recognizing his devotion,commitment and leadership”.

Through the years, Bob has volun-teered for various fundraising andhumanitarian endeavors. EastmanDental Center’s J. Daniel SubtelnyEndowment Fund is one of his prioritieshaving been chair of the fundraising. Heserved on the Brigantine Board ofEducation and its President for over10 years. Bob enjoys sharing his love

Devlin Award Bestowed on Dr. Robert J. Bray

On October 16, 2004, Dr. RobertJames Bray, MASO’s Trustee to

the AAO, received the prestigiousGerard A. Devlin Award duringMASO’s Annual Session in Baltimore.The award was presented to Bob fordistinguished service and “foruntiring devotion to our professionand outstanding and generouscontributions to our Society.”

Bob received his D.D.S. from theUniversity of Maryland, his certificateof orthodontics from Eastman Dental

Dr. Robert J. Bray (left) is presented withthe Devlin Award by Dr. Anthony Quinn

of orthodontics as associate clinicalprofessor at Temple’s OrthodonticDepartment. A member of the Board ofTrustees for Shore Memorial Hospital,he has been a member as well as chairof the Howard B. Stainton Society atthe hospital, which raises money forvarious development projects.

Bob has been invited to presentaround the country and abroad onvarious orthodontic topics – mostnotably as the innovator of the PatientManager System, which allowspatients to see the same staff membereach time they come to the orthodon-tist’s office, from the very beginning oftreatment right through removal andretainer checks. This System has beenimplemented in many orthodonticpractices around the country.

Bob also managed various ortho-dontic meetings for MASO and theAAO. In 2002 he was chairman of theAnnual Session in Philadelphia whenour own Fred Preis was the AAOPresident. Congratulations to Dr.Robert J. Bray, recipient of MASO’smost prestigious award!

MASO Journal 11 Spring 2005

PRACTICE MANAGEMENT…PRACTICE MANAGEMENT…PRACTICE MANAGEMENT…

This is a question raised by a current orthodontist client ofWiser Management and my response. I think membersselling their practices in the near future will benefit byreading this very common scenario.

QI’m in the process of selling my practice to a veryqualified Buyer and everything was going along without

a hitch until I brought up the sale of my office condominiumas a condition for the purchase of my practice. The Buyer iswilling to purchase the practice but is very reluctant to buythe condominium. Where should I go from this point?

AUnfortunately, you are in the majority of yourcolleagues with your desire to sell the real estate and

your practice as a “package.” Many orthodontists who owntheir office building want to sell the facility to the Buyeralong with the practice and be “free and clear” of theheadaches of ownership. This is not a good decision most ofthe time, because the Buyer just can’t afford to purchase thepractice and the real estate simultaneously. Most Buyers stillhave student loan debt, have been in practice for a short

period of time, and lack the ability to obtain sufficientfinancial support to make both purchases.

I have found it is preferable to sell the building for anagreed upon price at some future date. Most commonly, thebuilding is purchased in the year following the final practicerepayment. You will provide an equitable lease at the timeof the practice sale which parallels the number of years forthe practice’s repayment schedule. This should satisfy bothparties, and will provide time for the Buyer to establish agood, solid track record to obtain satisfactory mortgagefinancing for the building.

Seller financing is not recommended for real estate salesbecause of the extended number of years required forcompletion of the obligation, and the absence of taxconsequences similar to the sale of a practice. The profitfrom the sale of a professional building is almost completelytaxed at the capital gains rate of 15%, but the sale of anorthodontic practice usually has a component of ordinaryincome tax ranging much higher from 35 - 45%. Have theBuyer use a bank for the condominium financing !

Trouble Selling Your Practice with the Real Estate?Dr. Dr. Gary Wiser

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MASO Journal 12 Spring 2005

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Join us inbeautiful Bermuda,

October 2005!by Dr. Constance Greeley

We are proud to announce the2005 Joint Annual Session of

MASO/GLAO in Bermuda at theSouthampton Princess Hotel. Themeeting will be held from October28th to October 31st. We hope thatyou will make plans to attend so you,your family, and your staff can enjoy

the beautiful island of Bermuda. Our theme this year is: “Relax –

Great Treatment without the Fuss”. Weare planning excellent morningscientific sessions and giving you theafternoon off to enjoy golf, tennis,swimming, site seeing, shopping andother activities in Bermuda or just

relax and enjoy the beautiful scenery!The scientific session is designed to

help you reduce the stress in yourpractice by selecting treatmentmodalities that will economize yourefforts and achieve the results yourpatients desire. Dr. Joe Mayes willpresent new concepts in Herbsttreatment. Dr. H. M. Kyung willdiscuss the latest in micro-implantsand additional topics will include adiscussion of the Forsus System byDr. William Vogt. All designed tomake your technical life easier.

Wendy Lipton and Hal Dibner ofProfessional Impact, Inc. are poised tohelp us reduce stress with motiva-tional techniques and problemhandling – vital information for bothstaff and doctors. Wendy and Hal areexperts in stress resolution, commu-nication and practice enhancement.They have “tried and true” techniquesto make your staff the practiceambassadors you’ve dreamed of. Planto attend and bring your deservingstaff along.

Registration information will bemailed by July 2005. Mark yourcalendar now. We look forward toseeing you there!

MARK YOUR CALENDAR

MARCH 18, 2005MASO CE EventDoubletree Hotel PHILADELPHIA, PA

MAY 20-24, 2005AAO 105th Annual SessionMoscone Convention Center

SAN FRANCISCO, CA

OCTOBER 28 - 31, 2005MASO/GLAO Annual Session

Fairmont Southampton Princess BERMUDA

NOVEMBER 2-8, 2006MASO/NESO Annual Session

Atlantis, Paradise Island BAHAMAS

Dr. Herbert M. KoenigsbergOwings Mills, Maryland

IN MEMORY OFMANAGEMENT TIP OF THE MONTH - Dr. Natalie Parisi

In our office, every patient knows the retainer mantra:

“Night-time for a Lifetime”

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MASO Journal 13 Spring 2005

ADVERTISER’S CORNER…ADVERTISER’S CORNER…ADVERTISER’S CORNER…

It’s faster, smoother, easier, andshinier than pumice. And now you

can purchase it at Summit Ortho-dontic Services.

This is the newest, most advancedacrylic polishing compound on themarket today, designed to makepumicing and polishing far easier.According to the manufacturer,Acrylux™ requires substantially lessoperator pressure, so it puts lessstrain on your hands and extends thelife of your rag wheels.

And unlike the pumice andpumice substitutes currentlyavailable which contain high levels ofcrystalline silica (a known carcinogenand cause of silicosis), Acrylux™ iscrystalline silica-free.

Because of its superior combinationof speed, shine, and smoothness,

several of the major dental andorthodontic laboratories have alreadyswitched from the standard pumicethey’ve used for several decades toAcrylux™. The manufacturer stressesthat proper use (i.e., less pressure) iscritical to achieve the higher shineand smoother finish than one wouldobtain with pumice.

Acrylux™ is available from SummitOrthodontic Services in two differentgrades: Acrylux™ 150, for those whocurrently use coarse grade pumice;and Acrylux™ 1000, for medium andfine grade pumice users.

To experience for yourself thenewest breakthrough in pumicingtoday, call Summit OrthodonticServices and ask for the 2 lb trial size.Once you determine the grade thatbest suits your needs, you can try thelarger 12 lb or 50 lb containers — allcompetitively priced: 1-800-321-9124.

Acrylux™ Pumice Substitute by Summit Orthodontic Services, Inc.

Developed by Toshio Horima, D.D.S.

FDA 2954754

Acryli

c Free

The All-Wire Retainer

M erit

4) The All-Wire Retainer is developed for 24 hour a day use, even during meals and when brushing teeth after each meal.

our wire retainer is covered by UPS. PAT. No. 4725230and may not be copied or reproduced without our written consent.

MAUI

The MASO LifetimeAchievement Award

was presented to Dr.DeJesus Sr. of PuertoRico during the MASOAnnual Session inBaltimore. This award is given to a

MASO member who, inthe opinion of theMASO Board ofDirectors has madesignificant contributionsto his or her communityof patients, has servedwith distinction as a

member of the American Association of Orthodontists at thenational, constituent and/or component level, has personallycontributed to the betterment of the specialty of orthodontics, hastaught in a graduate or undergraduate orthodontic programduring his or her professional career and/or been associated withorthodontic research or been an orthodontic staff member orconsultant on a hospital staff.

Congratulations to Dr. DeJesus Sr. on being the recipient ofthis most prestigious award!

Dr. Jamie DeJesus Sr. ReceivesMASO Lifetime Achievement Award!

Dr. Jamie DeJesus, Sr.

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MASO Journal 14 Spring 2005

MIDDLE ATLANTIC SOCIETY OF ORTHODONTISTS FINANCIAL SUMMARYINCOME Year-End 2004 2005 BudgetDues - Active/Reinstatement...............................................105,297.00......................102,200.00Newsletter Advertising...........................................................16,290.60........................16,000.00Membership Application Fee...................................................2,250.00..........................2,000.00CE Course..................................................................................11,570.00........................11,570.00Annual Session .......................................................................241,355.00......................125,000.00*OTHER INCOMEPrior Year Income ......................................................................2,233.44................................ 0Interest Income ...........................................................................3,493.97..........................2,900.00Gain/Loss.......................................................................................513.75................................ 0TOTAL INCOME..................................................................383,788.76......................259,670.00EXPENSES Year-End 2004 2005 BudgetOPERATING EXPENSESAAO Dues Billing Fee ..................................................................797.00.............................840.00President Honorarium .................................................................500.00.............................500.00Management Fee ......................................................................70,530.00........................47,186.00Office Supplies............................................................................1,247.87..........................1,500.00Accounting..................................................................................1,090.00..........................1,500.00Stationary & Envelopes................................................................203.80..........................1,500.00Copying ..........................................................................................601.43.............................700.00Postage/Mailing House ............................................................1,341.89..........................1,000.00Telephone/Fax ...........................................................................4,184.55..........................3,500.00AAO Liability Insurance...........................................................2,568.46........................10,000.00**Office/File Storage........................................................................240.00.............................300.00Journal Editor-Honorarium.........................................................500.00.............................500.00Journal Publication/Mailing ..................................................18,669.51........................22,000.00Website ........................................................................................1,073.97..........................1,200.00MASO BOARD EXPENSEBOD - Travel ...............................................................................5,955.20..........................6,000.00BOD - Meals/Room/Av ...........................................................1,740.54..........................3,000.00BOD - AnnlSession Bus Mtg(Nov) .................................................0...............................1,500.00BOD - Conference Calls................................................................187.73.............................200.00CE COURSE ...............................................................................13,948.15........................14,000.00ANNUAL SESSION ...................................................................123,084.71........................75,000.00* NATIONAL ANNUAL MEETINGLeadership/Gov. Affairs Conference ........................................156.20..........................2,500.00AAO - Caucus Mtg Meals.........................................................1,131.66..........................1,200.00AAO - Del(7) Alt(3) Honorarium ..........................................10,091.91........................10,000.00AAO - Delegates And Alt Airfare ...........................................5,214.00..........................8,000.00AAO - Exc Dir Attendance .......................................................2,492.23..........................2,000.00AAO - Travel Expense...............................................................2,426.07..........................2,500.00Misc (Hawaii 2003) (Orlando 2004) ................................................0...............................1,000.00AAOF Contribution...................................................................1,475.00..........................1,500.00AAO - BOD Business Meeting ......................................................64.00.............................. —Committee Expense ......................................................................479.84.............................500.00GORP Program...........................................................................1,950.00..........................2,500.00Plaques/Awards ...........................................................................500.00.............................500.00AD HOC Committees...........................................................................................................200.00OTHER EXPENSESCredit Card Fee ..........................................................................3,300.72.............................800.00Bank Service Charges .....................................................................78.95.............................100.00Miscellaneous ................................................................................325.17.............................500.00Annual Session 2008 .....................................................................461.06.............................. —Estimated Taxes.................................................................................0..................................900.00CE Renewal Fee.................................................................................0..................................250.00TOTAL EXPENSES...............................................................278,611.62......................226,876.00NET INCOME........................................................................105,177.14........................32,794.00

*JOINT MEETING WITH GLAO **DOL NEW PROVIDER

CURRENT ASSETS AS OFDECEMBER 31, 2004

Savings/Cash .........................$256,866.53Reserve Account ....................$145,220.84 TOTAL ASSETS: $402,087.37

MASO, 17 South High St. – Suite 200,Columbus, OH 43215

Phone: 1.866.748.MASO(6276)FAX: 614.221.1989

E-mail: [email protected]: www.MASO.orgThe year end balance of our MASO

assets have reached a record high$402,000. This is largely due to theprofits generated at the previous 2Annual Sessions. Our ExecutiveDirector, Anita Field’s skillful adminis-tration of these meetings as well as theoverall organization has providedgreater financial accuracy and account-ability and this shows on our bottomline. Before Anita’s arrival, our soloAnnual Meetings profits averagedabout $1,500. The last two haveaveraged over $140,000 with similarparticipant turnout - a 9300% increase.The upcoming joint Annual Sessionsin the Bahamas and Bermuda may notbe as profitable since the monies areshared proportionately and a lot ofexpenses overlap.

Any questions regarding theBalance Sheet or other Treasury issuescan be addressed to Anita or me.

Treasurer’s ReportDR. GEORGE [email protected]

by MASO Executive Office

The MASO NominatingCommittee is acceptingcandidates for the Gerard A.Devlin Award. Nominationsmay be sent to Dr. FredericSterritt, [email protected] April 1, 2005.

Candidates must demonstrateat least one of the followingcriteria: significant service orcontribution to MASO beyondhis/her membership or otherofficial capacity; significantcontribution to the orthodonticor dental health of children oradults; notable study in researchthat adds to current knowledgeand etiology, analysis andtreatment of orthodontic patientsor other phases of dentistry; orsignificant contribution to otherareas of dentistry or science.

Each candidate must besupported by a curriculum vitaeand a letter of recommendation.The Award will be presentedduring the Joint Annual Sessionof MASO/GLAO to be held thisOctober in Bermuda.

GERARD A. DEVLIN AWARD

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MASO Journal 15 Spring 2005

AAO COUNCIL & COMMITTEE REPORTS…AAO COUNCIL & COMMITTEE REPORTS…

Council on Information TechnologyDr. Lawrence Wang

[email protected] held its most recent meeting

in St. Louis in December of 2004. Therewere several major projects on theagenda. The revision of the web site(www.AAOmembers.org) continues to bethe main focus of the Council. In 2004COIT and its corresponding AAO staffmade great strides in the redesignprocess. The new and improvedmember web site is projected to go liveat the end of January 2005. Look forannouncements and information onthe web site in upcoming editions ofThe Bulletin, The ADO/DO, and StraightOff The Wire.

Even after the initial launch, therewill still be several site enhancementsthat will be under development whichCOIT hopes to incorporate later on inthe year. Some of these projects willinclude: An orthodontic locator whichwill feature member oriented searches,an online testing system for theAJO/DO monthly continuing educationprogram and a virtual AAO librarywhich could include presentations ofhistorical documents, classic lectures,drug and disease references andonline educational tutorials.

The AAO/CAO pilot program isnow complete and the California website (www.caortho.org) is up andrunning. In the near future, the AAO isgoing to make it an option for thevarious constituents to move theirrespective sites onto the AAO platformusing the California template. Supportwill be provided in customizing thetemplate to suit the needs of thedifferent constituencies. Support willalso be provided in the training ofsociety representatives to administerand manage content for their respective

sites. Component societies will be ableto be a part of the constituent sites withtheir own individual content pages.

COIT will be working with COOPon the 2006 Orthodontist As CEOconference program. The Council willbe responsible for that part of theprogram which will deal with use oftechnology relative to the CEO needs,looking at topics such as the dynamicsof bank technology, deciphering andnetworking with practice managementsoftware, internet communication withpatients, and so on. This will lay thefoundation and criteria from whichCOIT plans to develop a proposal foran AAO ‘stand alone technologyconference’ to be considered for 2008.

COIT works under the principlethat “technology should be viewed asan investment in our association’sfuture and as insurance for ourcontinued prosperity.”

Council on InsuranceDr. Luis A. Toro, Jr., [email protected] AAO is pleased to introduce

several new products. The AAOGroup Health Insurance Plan isadding the new Health SavingsAccount (HSA). This health insuranceplan is part of the landmark Medicarebill sign by President Bush inDecember 2003. It offers employersand individuals a health care insurancewith generous tax breaks. Since it is ahigh deductible plan the insured willpay a lower premium. The AAO nowoffers HSA qualified PPO’s andfreedom of choice (traditional) planswith a variety of deductibles.

AAOIC (AAO Insurance Company)is also introducing a new 10-yearLevel Term Life Insurance Plan. Thisterm life insurance plan was designedto offer our members more

competitive rates that are guaranteedto remain level for a 10 year period.

In our continual effort to providemore and better choices to ourmembers and their employees, theAAO has arranged for all ourmembers access to the MedicalBenefits Center through JLT Services(AAO’s insurance administrator).Members can receive expert advice ongroup or individual/family medicalplans. The service will include quoteson multiple plans, assistance withplan selection, and help with theapplication and underwriting process.

For more information on any ofthe AAO Group Insurance Plansplease call the AAO Insurance Officeat 1-800-622-0344.

Council onNew and Younger Members

Dr. Tanya [email protected]

The AAO’s Council on New andYounger Members (CONYM) held aconference call on August 9, 2004 forthe new members to get acquaintedand to discuss plans for the comingyear. The discussion began with areview of CONYM’s 2004 AnnualSession program which featured CarolEaton as the keynote speaker. Shediscussed marketing strategies for thenew and younger practitioner. Thesession received very positive reviews,was well attended and well received.We also received many great ideas forfuture speakers. The next topic ofdiscussion was the 2005 AnnualSession. Plans are underway to againhave a panel discussion, lunch and aspeaker to discuss financial advice forthe new orthodontist.

The next topic of discussion was theformation of a subcommittee composed

Dr. Lawrence [email protected]

Dr. Tanya [email protected]

Dr. Luis A. Toro, [email protected]

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MASO Journal 16 Spring 2005

AAO COUNCIL & COMMITTEE REPORTS…AAO COUNCIL & COMMITTEE REPORTS…

Dr. Robert [email protected]

of members of CONYM, COMEJC andCOC. The purpose of this sub-committee is to research and develop aDVD about AAO membership to bedistributed to orthodontic residents.Two CONYM representatives wereappointed to this subcommittee.

We also discussed our New andYounger Members online Newsletter(NYMO). This is an online newsletterthat publishes articles that specificallypertain to the new and youngermember. The authors of the articles varyfrom new orthodontists to consultantsto older, more experienced practitioners.

Finally, we discussed plans for ourannual face to face winter meeting.This year CONYM will meet inJanuary in Las Vegas, NV. Since manyof the council members will beattending the Early TreatmentSymposium we decided that thiswould be an ideal place to meet.

CONYM works very hard topromote the importance of AAOmembership to new/youngerorthodontists and students and torepresent and to promote the interestsof new/younger members andstudents to the AAO. For moreinformation regarding CONYM pleaselook at our on-line newsletter. To get tothe web site go to www.aaomembers.organd then click on NYMO. This sitefocuses on issues of special interest tonew and younger members.

Council on Orthodontic EducationDr. Robert Binder, [email protected]

During this year the AAO Councilon Orthodontics held their annual allday meeting on March 7th at theSheraton Seattle Hotel and Towers inconjunction with the American DentalEducation Association AnnualMeeting. The following agenda itemswere discussed and motions madeand carried:2004 AAO Orthodontic EducatorsConference

Dr. Robert Keim reported on theupdate program and the proposedagenda Motion: That the AAOEducators Conference be opened toall educators from ADA accreditedorthodontic programs. Carried.

Motion: That the Educators Confer-ence in odd number annual sessionyears be for departmental chairs andprogram directors and that even numberannual sessions be open to all orthodon-tic educators from ADA accreditedorthodontic programs. Carried.

Internet 2: A written report from Dr.David Hall on this area of interest wasread and discussed with pertinentcomments by Drs. George Cisnerosand Tim Wheeler. The concept in theapplication of this technology would bethe sharing of information and teachingand learning technology with otherinstitutions, thus expanding curriculumpossibilities and reducing expenses

Motion: That the AAO conduct asurvey of Orthodontic Programs todetermine the type, style, programcontent of technologically basededucation and that the topic of the2005 AAO Department LeadersConference focus on Internet 2 andother forms of education distributedby technological methods. Carried.ABO Phase II Examination:

Motion: That the COE form a taskforce to explore the use of the ABOPhase II exam as the standardized exitexamination for all ADA accreditedorthodontic programs.GME Funding: All funding of non-hospital based orthodontic trainingprograms by Graduate MedicalEducation sources of the FederalGovernment will cease with nopromise of payments to continue forcurrently enrolled students.Commission on Dental Accreditation:

Motion: That the AAO supports tothe level of proficiency of surgicalprinciples, pre/post operativetraining and implant related surgery.Carried.Improving Oral Health Article:

Motion to the BOT: That the AAOappoint a task force that addressesissues on the role and responsibilitiesof the orthodontic community toimprove the Oral Health status of allAmericans through improved access

to care and addressing an increasingdiverse population, and that the taskforce be made up of members of COE,COOP, COC, COM, and NYMAC.Carried.Length of Graduate OrthodonticPrograms:

The issue was previously submittedto the BOT for consideration but wassent back to the COE for morebackground information. The COEhad previously suggested an increasein curricular time to three academicyears. The issue will be a topic ofdiscussion at the Educators Confer-ence at the AAO Annual Session.

Motion: That the ABO be requestedto provide a breakdown of scores onthe Phase II exam based on the lengthof the individual schools program.Carried.

Council on Orthodontic Health CareDr. Gary Wiser, [email protected] meeting of the AAO Council of

Orthodontic Health Care was held inSt. Louis on Sunday, January 30, 2005immediately following the AAOLeadership Conference which wasscheduled for Friday and Saturday,January 28 and 29, 2005. The COHChas been very proactive working withthe ADA to provide the necessaryorthodontic insurance codes forinclusion in the CDT -2005 list. Ipersonally attended the meeting lastJanuary in Chicago with the ADACommittee working to include thecodes needed by us in our practices.The ADA was very receptive to ourconcerns. If any MASO memberwould like a current list of the codesprior to publication, please contact meby email ([email protected]) or phone(609) 259-8850 and I will be veryhappy to see that you receive the list.

Dr. Gary [email protected]

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MASO Journal 17 Spring 2005

AAO COUNCIL & COMMITTEE REPORTS…AAO COUNCIL & COMMITTEE REPORTS…

serve MASO as a council member. Anyquestions concerning COOP activitiescan be addressed to me at 250 BufordAvenue, Gettysburg, PA 17325.

AAO-PACDr. Lawrence S. Harte, [email protected]

On Your Mark, Get Set, Go!The election is now over. The

political process is about to go into highgear. In this past election, 91% of thecandidates that AAOPAC sup-ported,won their seats.There was also a10% increase in member contributions.

Here are some of the items that weare concerned with this year:• Supporting guidelines for main-

taining the highest standards forentering Orthodontic residents.

• Addressing association health plansthat can offer greater benefits withless cost and red tape for members.As Dr. Jim Cavaney said, “The

government can change your profes-sional lives more by one decision thanour best AAO internal programs canin years.” We can only win the race ifwe get off the mark. Please send yourcheck or credit card number to:AAOPAC, 401 North LindburghBlvd., St Louis, MO 63141

ABODr. Peter Greco, [email protected] ABO has unanimously decided

to modify the Board certificationprocess. The basic premise of thechange is early entry into certificationfollowed by meaningful, periodicrecertification throughout an ortho-dontist’s career will elevate thequality of orthodontic care. TheBoard’s vision is that every qualifiedorthodontist will demonstrate clinicalcompetency by participating in theABO certification process.

The Board emphasizes that therewill be no compromise in the primaryobjective of the ABO, which remainsas the pursuit of excellence inorthodontics. There will be nodiminution of the traditional highstandards required of case presenta-tions and in the overall testing process.

By 2007, a Phase III Initial Certi-fication Examination for graduatingorthodontists will be in effect. Theresults of the Pilot Study, an ongoinginvestigation intended to assess theresidents' ability to treat cases to ABOstandards, will be used as evidencefor determining the details of thecertification examination. The newcertifying examination will use casestreated in the orthodontist's residencyand will be judged by existing ABOstandards. The orthodontist will beissued a ten (10) year certificate whichwill require recertification for main-tenance of the certificate.

The first Recertification Examin-ation will take place by 2009. It willrequire the presentation of six (6)cases of specified difficulty based onthe previously established DiscrepancyIndex (DI). Successful completion ofthe Recertification exam will earn theDiplomate an additional ten (10) yearsof certification.

The Board emphasizes that the newcertification-recertification model willallow present and future orthodontiststo become certified and continue todemonstrate their competency throughan established recertification schedule. Itwill also provide valuable informationfor educators as they strive to improvethe existing orthodontic educationsystem. Hence, this new model willenhance both the quality of orthodon-tic training and elevate the level ofspecialty care for the public we serve.

Council on Orthodontic PracticeDr. David A. Paolini

[email protected] has been a very busy Council

this past year. The Council hasprepared the 2005 conference for theSan Francisco Annual Session, entitled“Transition Orthodontist CEO”. Thiswill be a full day program on Friday,May 20, 2005. It will incorporate bothpractice transition and Orthodontist asCEO concepts. John McGill will be thespeaker for this conference.

The 2005 S.T.A.R.T. (Staff Training:Advancing & Renewing Teams) willalso be held in conjunction with theannual session on May 20th. It will bea full-day, follow-up program from the2001 Train the Trainer pilot programand the 2004 START Program inOrlando, Florida.

A sub-committee has been approvedto update the office design manual.This will be available on the web site.

A repeat of the well received, “TheOrthodontist as CEO” conference willtake place on February 9-12, 2006 inPhoenix, Arizona.

COOP has developed a new patienteducation brochure which addressestobacco use and its effects on ortho-dontic treatment. “Tobacco Use andYour Orthodontic Treatment” isavailable in packages of 100 for $10.00.

A practice transition/practiceopportunities subcommittee of COOPhas developed a new practice transi-tion manual. It will be presented toeach orthodontic student at anaccredited program. The distributionwill be preceded by a video featuringAAO President Terry Pracht andnoted transition specialists, Mr.Collier and Mr. Burning.

Thank you for the opportunity to

Dr. Peter [email protected]

Dr. Lawrence S. [email protected]

Dr. David A. [email protected]

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MASO Journal 18 Spring 2005

President Elect ......Dr. Cassiano GarciaSecretary/Treasurer....Dr. Larry WangNew Directors .......Drs. Steve Godwin,

Barbara HalpernStuart Josell

The next general membership of theMSSO was held on January 26, 2005, atthe Sheraton in Columbia, MD.

New JerseyDr. Martin S. Levitt

[email protected] continuing education pro-

grams have received well deservedkudos. We hope many will partakein our March 30, 2005 scientificsession which also serves as ourannual meeting. The featuredspeaker will be Dr. Straty Righellis.The two part presentation willinclude, “Clinical Excellence andClinical Efficiency-They can worktogether!” and “The Oops and Ahsof Interdisciplinary Care”.

The NJAO Nominating Committeeis preparing the slate of officers andBoard members for 2005-2006. Thenames will be presented to theExecutive Board on February 7. Weare striving to involve more of thenewer members of the association inthe decision making processes.

A marketing project detailing theneed to see a trained orthodontist fortreatment, through our website andselect media representatives, is stillongoing. We expect a detailedanalysis shortly to evaluate the costeffectiveness of the program.

Our Groundhog ShadowingProgram has commitments from moreoffices than last year. With the help ofhigh school guidance counselors, weare able to serve students with aninterest in a career in orthodontics.

DelawareDr. Stephanie Edwards Steckel

[email protected] Delaware State Orthodontic

Society met for its annual meeting inOctober. Elections for officers wereheld. Dr. Stephanie Steckel waselected President and Dr. Rob Pennawas elected Secretary-Treasurer.

A survey of the members revealedthe top three issues ranked in order ofimportance were State Licensure,Dental Insurance Plans, and MedicaidCoverage for orthodontic services.Detailed reviews of these issues areplanned with the members todetermine future action plans.

The members were encouraged torecord their pro-bono services for the yearon the AAO website - www.aaortho.org.

Dr. Steckel is scheduled to attendthe AAO 2005 Leadership Conferencein St. Louis, January 27-29.

District of ColumbiaDr. Ashur Chavoor

Our next meeting will be held priorto MASO’s 52nd Annual Session inBermuda. The exact location and timewill be announced.

MarylandDr. Olwyn Diamond

[email protected] Maryland State Society of

Orthodontists’ final general member-ship meeting for 2004 was held October27 at the Sheraton in Columbia,Maryland. The speaker for the evening,Yisroel Roll, an attorney, Rabbi andpsychotherapist gave an informativepresentation on Self Esteem.

The election of new officers for2005 was confirmed:President ...................Dr. Zenaida Cofie

COMPONENT NEWS…COMPONENT NEWS…COMPONENT NEWS…COMPONENT NEWSPuerto Rico

Dr. Jose A. [email protected]

The Puerto Rico Society ofOrthodontists held a generalmembership assembly on Novemberl3th, 2004. The speaker for theafternoon was our local Dr. RubenColón, who presented an excellentlecture about digital photography.During this meeting the new board ofdirectors of our local societycommenced their two year terms. Thenew officers for 2005-2006 are:

Dr. José A. Morales-DiazPresident

Dr Roberto Hernandez-OrsiniImmediate past president

Dr. Jazmin OlivaSecretary

Dr. Hector JoyTreasurer

Dr. Luis A. Toro, Jr.Director of MASO members committee

Dr. Ruben ColónDirector of continuing education committee

Dr. Carlos MendezDirector of the public education committee

This past December 4, 2004, we hadDr. Anoop Sondhi lecturing aboutcurrent concepts in OrthodonticTreatment with preadjusted edgewiseappliances. The next day, December5th, we celebrated our traditionalChristmas Party at Dr. Milton Matos’country house. It was an amazing,joyful and unforgettable party. Ournext membership meetings will be thePuerto Rico Orthodontics TechnoExpo on January 22, 2005, and onMarch 12th we will have Dr. MartinEpstein lecturing about differenttreatment modalities and mechanics.

that is most appreciated but little recognition occurs publicly,especially in the larger arena of our specialty. The members ofthe Albert Einstein Medical Center Orthodontic AlumniSociety have been and continue to be a devoted and loyalgroup of individuals. They not only care about the residencyprogram on an ongoing basis, but they also have routinelystepped forward with important financial support toaugment the institutional resources. Their loyalty andassistance is very apparent to recent and current residents

GRADUATE PROGRAM REPORT…GRADUATE PROGRAM REPORT…Albert Einstein Medical Center

Dr. Alan Borislow, Chairman and Program [email protected]

Much has been said in past reports regarding thecommitment and accomplishments of the orthodonticresidents and faculty at Albert Einstein Medical Center. Andof course we continue to be proud and pleased regardingour current complement of teachers and students.

There is another important program-related component

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MASO Journal 19 Spring 2005

GRADUATE PROGRAM REPORT…GRADUATE PROGRAM REPORT…through alumni donations. The availability of supplementalfunds allows for financial support for educational resourcesand resident travel to meetings and other continuingeducation opportunities. There is also a visible reminder ofthe many alumni donors due to the great number ofappreciative dedicatory and recognition plaques located inthe department. This alumni support sets the example forcurrent residents to contribute when they are able. Theyrealize that on an ongoing basis they and future residentsdirectly benefit from alumni giving. My gratitude is extendedto the following leadership individuals who are officers of theAEMC Orthodontic Alumni Society: Drs. Michael Roth,President; John Nista, Immediate Past-President, Larry Siegel,Founding President; Harold Middleberg, Treasurer; PaulAdams, Secretary; and Stuart Messinger, Editor.

I was so pleased to see many of our alumni at an on-campus Society Reunion on October 29. The featuredspeaker was Dr. Roger Levin and his presentation was,“Winning Strategies for Orthodontic Practice Success”. Inaddition, research papers and completed case reports inABO format were available for review from our most recentgraduates, Casey Johnson, Ed Silverman and Yana Volfson.

Children’s National Medical CenterDr. Linda Hallman, Director - [email protected]

This year has been an exciting one at Children’s Hospital.We successfully went through accreditation, along with ourPediatric Dentistry Program. As we all know, it was a timefor celebration. We added a new faculty member to ourregular staff, Dr. Karen Tratensek. She has been a wonderfuladdition to the faculty and we are very pleased that she hasjoined our CNMC family. One of our part-time faculty, Dr.Donald Norton, recently bought a practice in Fort Meyers,Florida. Although we were sad to lose him from our faculty,we are very happy for him and his family to move on to thisnext phase in their lives.

We have also had several transitions in the Department ofDentistry, which houses the Division of Orthodontics and theDivision of Pediatric Dentistry. In July, Dr. ManWai Ng leftthe Department as Chair, for a Position as Program Directorin Boston. Dr. Anu Tate has assumed the role as InterimChair until the permanent Chair arrives. Dr. Seth Canion, aPediatric Dentist, will be joining us from Case Western thisJuly as permanent Chair of the Department. We are excitedfor his arrival, as he is quite supportive of our orthodonticprogram and our mission. We have also added two newadministrative staff members Ternice Jett and KianaWhittinton who have already made all of our lives easier.

We welcomed two new first year residents in July. Dr.Carla Banduci came to us from University of Pennsylvania,and Dr. Rachel Frisbe graduated from the University ofFlorida. They have made a nice addition to our staff and arefully integrated into the program and the clinic. I am alwaysamazed at how quickly the residents grow professionallywhen they begin to focus their educational efforts in onedirection. Our second year residents Dr. David Baker and Dr.Brian Hamby assumed the Chief resident responsibilitiesseamlessly. They are busy finishing graduation and research

requirements, as well as preparing to move on to begin theirprofessional practices. Again, we matched at the top of our listfor next year with Eli Halabi, University of Pennsylvania, andBrandon Chadwell, from Medical College of South Carolina.

We are all looking forward to the upcoming year. We are inthe process of an addition of clinical and administrative space toour Department. At the next writing we should be moved intoour new space and have welcomed our new Chair and staff!

Temple UniversityDr. Orhan C. Tuncay, Professor and Chairman Dept. of Orthodontics

On April 20th and 21st we went through ouraccreditation. The last one was in 1997. Since then much haschanged, but our current faculty is certainly our best andmost impressive asset. Drs. W. Viechnicki, M. Mele, H.D.Nah, R. VanSciver, G. Jacobson, M. Ackerman, R. Bray, R.Albright, E. Spannhake, M. Coats, K. Silverstein, V.Cacciafesta, G. Wiser, and many others deserve specialrecognition. They are the finest and most sophisticated in thenation. We are grateful, at Temple, for our good fortune. Inlarge part due their presence, we went through theaccreditation process with flying colors and commendations.

We keep our tradition to publish extensively. Most notably,however, is Dr. Ackerman who is the recipient of the DewelAward in 2004. This is the award given to the author of themost significant paper published in the Amer J OrthodCraniofac Orthod in the year preceding. Meanwhile, Templefaculty and alumni/ae continue to steer our specialty.Currently, Dr. Spannhake is the Past-President of MASO, Dr.McCormick the president of GPSO, while Dr. Mele runs it year-after-year, Dr. Bray is the AAO trustee from MASO, Dr. Nah isour liaison to the Council on Scientific Affairs, Dr. Albright isthe chairman of the MASO delegation, just to mention a few.

Our work in imaging technology and biotechnologycontinues. It won’t be long before we reach our lofty goal ofaffecting the future of orthodontics. But our facility is nowshowing it’s age. We will soon ask all our alumni and friendsfor substantial help towards our capital campaign torenovate the department; our goal is $2 million dollars. Ourconversion to digital format in the graduate clinic has beensuccessful, and it impresses the visitors to the department.We are grateful for the support of all our friends who care.And we aim to reciprocate by working to get even better.

University of Medicine and Dentistry of New JerseyNew Jersey Dental School

Department of OrthodonticsDr. Robert E. Binder, Professor and Interim Chair, Department of

Orthodontics - [email protected] New Jersey Dental School Department of

Orthodontics has been, still is and hopefully will continue tobe in a state of flux. While change for the sake of change canbe counterproductive, change to create progress andimprovement does just that. Since the beginning of thecalendar year there has been significant changes in the facultyof the Department with several additions, and thankfully nodeletions. Almost all of the new faculty members areDiplomates of the American Board of Orthodontics and all

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MASO Journal 20 Spring 2005

GRADUATE PROGRAM REPORT…GRADUATE PROGRAM REPORT…are members of the New Jersey Association of Orthodontistsas well as MASO. The new faculty members are: AnilArdeshna, who is the Director of the Postgraduate Program;Richard Bloomstein, Peter Antonellis, Joseph Lohner, RichardMarulli, and Frank Bogden the last four of whom aregraduates of the NJDS orthodontic program. Isaac Post alsojoined last year and Rene Johe has increased his timecommitment and responsibility. Rene Johe is coordinating allof the predoctoral programs and Richard Bloomstein iscoordinating all adult adjunctive orthodontic therapy.Although these increases have helped to fill some openpositions, the Department is still seeking orthodonticclinicians for full or part time employment at all levels andfor time commitments for one half day per week or more.

The start and the end of each academic year always bringstransition with old students graduating and new studentsenrolling. Four students received certificates of proficiency inorthodontics at the UMDNJ graduation in May: SharonKnoll, Cristina Kamvisi, Tatyana Kaganonva, and MelissaGrieder. Drs. Knoll and Kamvisi also received Master ofScience in Oral Biology degrees from the Graduate School ofBiomedical Sciences, while Dr. Kaganova received a Masterof Science in Informatics from the joint program of theSchools of Allied Health Professions and Public Health.

The new first year class has four entering studentscontinuing the total program enrollment up at the currentmaximum of twelve. All of these individuals were at the top oftheir respective classes and are now deeply involved in didacticand clinical activities. They are: Courtney Fong, a graduateof the Harvard School of Dental Medicine; Allison Loeb andTodd Steinhart, both from UMDNJ; and Joseph Lamendella,a Penn graduate who is also the son of a former student,making him the third generation attending our program.

The match for the class that will be entering in July of

2005 has already occurred, and once again we will have anexceptional group of individuals joining us. They are DavidCanggiano, a graduate of NJDS who did a GPR and wasengaged in private general dental practice for several years;Corey Turk from Columbia, Irina Lovinescu from Penn, andTania Saint Amand from Pitt.

As has occurred with most other orthodontic programs,the loss of GME funding has had a negative effect on thefunds available to our students, the Department ofOrthodontics and the New Jersey Dental School. Efforts willshortly be underway to raise money to design and construct anew 24 to 30 chair state of the art, non-traditional orthodontictreatment and learning facility which will allow each studentto have two units available for his/her use. It is hoped thatthis facility will come on line in the next two years.

University of MarylandStuart D. Josell, DMD, MDent Sc, Acting Chair, Department ofOrthodontics Baltimore College of Dental Surgery University of

Maryland Dental School University of Maryland, Baltimore [email protected]

The Advanced Specialty Education Program inOrthodontics at the Baltimore College of Dental Surgery,University of Maryland Dental School, was site-visited thispast September by the Commission on Dental Accreditation.Among the commendations noted in our successfulaccreditation evaluation was praise of the part-time facultyfor “its loyalty and dedication to the program.” At the recentMASO meeting in Baltimore, Dean Christian Stohlerpresented the keynote address and faculty members Dr. JackRosenberg, Dr. William Davidson, and Dr. Frederick Preispresented lunch-and-learn sessions. Recent graduate Dr.Victor Kong, received the Middle Atlantic Society ofOrthodontists Kress Award for his thesis, “Sodium Channelsin Rat Pulpal Afferents and Their Expression FollowingInflammation.” The other recently completed research theseswere “The Effect of Mandibular Primary Canine ExtractionAlone on Incisor Position, Arch Dimension and AnteriorCrowding” by Dr. Brian Lorei, and “The Effects of Primersand Adhesive Bonding on Orthodontic Brackets—An invitro study” by Dr. Jeffrey Jarvis.

As the department plans its move into a new dentalschool and clinical facility during the 2005-2006 academicyear, we have been fortunate in recruiting a new full-timefaculty member and several part-time Dean’s Faculty. Dr.Monica Schneider will be joining us as a full-time facultymember during the spring of 2005. Dr. Schneider completedher orthodontic training at the University of Minnesota andhas recently been teaching at the University of Michigan.Also joining our faculty as part of the Dean’s (volunteer)Faculty are: Drs. Chris Liang, Yvonne Kwong, Martin Lang,Lara Minahan, and Mehdy Rad. In addition, Dr. Frederick(Spike) Fink has rejoined our predoctoral teaching staff.

On June 17, 2005, the Advanced Specialty EducationProgram in Orthodontics and the Maryland OrthodonticAlumni and Friends Organization will be sponsoring a CEevent featuring Dr. Gerald Samson. Additional informationwill be forthcoming.

NEW JERSEY DENTAL SCHOOL, DEPARTMENT OF ORTHODONTICS

FACULTY POSITIONSAVAILABLE

Several full and part time positions are available in theDepartment of Orthodontics, UMDNJ-New Jersey Dental School.Duties include teaching in the advanced dental education andpredoctoral programs and participating in the research andacademic activities of the Department. Board certification oreligibility is required as is graduation from a dental schoolaccredited by the American Dental Association and eligibility forlicensure in New Jersey.

Appointment rank and competitive salary plus fringe benefitswill be dependent on qualifications.

If you are interested in “giving back” please contact or sendletter and resume to: Dr. Robert E. Binder, Professor and InterimChair, Department of Orthodontics, New Jersey Dental School,110 Bergen Street, PO Box 1709, Newark, NJ 07101-1709

Telephone: 973-972-6858, Fax: 973-972-0526, e-mail: [email protected]

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MASO Journal 21 Spring 2005

5Drs. Kenneth Hrechka (left) and Frank Krause (right) lead the Fun Run.

Dr. Victor Kong (second from left), recipient of the William S. KressResearch Award, with Dr. Christian Stohler (left), Dr. Elizabeth

Dr. Elizabeth Spannhakeaccepts the Past President’splaque from newly inducted

President Dr. John Mariotti.4

Dr. Anthony Quinn (left)presents the Devlin Award toDr. Robert J. Bray (right).4

5Pictured left to right: (back row) Drs. Henry DiLorenzo, RichardAlbright, John Mariotti, Robert Seebold, Robert Williams, Steve Siegel

and James Heslop (front row) Drs. Mario Polo, Robert J. Bray,Constance Greeley

5Dr. James Bond (left) and Dr. Frank Krause (right).

SScceenneess FFrroomm MMAASSOO’’ss5511sstt AAnnnnuuaall SSeessssiioonn

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BERMUDA 2005“Relax -

Great Treatmentwithout the Fuss”

DETAILS INSIDE

MMAASSOO JJoouurrnnaallMIDDLE ATLANTIC SOCIETYOF ORTHODONTISTSDr. Richard A. Levy, EditorMrs. Anita Field, MASO Executive Director17 South High St. – Suite 200Columbus, OH 43215