Report: Not cleaning retainers can be harmful / The 2011 AAO Annual Session offers new educational and social events to add to your schedule / A look at professionalism / 3-D imaging: the light in the attic / AAO Exhibitors
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N
ITI
O
ED
CI
AL
AA
O
ORTHO TRIBUNE
SP
E
The World’s Orthodontic Newspaper · U.S. Edition
April/May 2011
www.ortho-tribune.com
Vol. 6, No. 2
Elevating care
Sneak peek
Off to Vegas
How 3-D imaging can
change your practice
What you can expect
in the AAO exhibit hall
OrthoVOICE is mixing
things up this year
uPage
Report: Not
cleaning
retainers can
be harmful
5
uPages
8–20
uPage
22
Make your choices
By Daniel Zimmermann,
Dental Tribune International Group Editor
O
The city of Chicago (Photo illustration/Provided by stock.xchng)
The 2011 AAO Annual Session offers new educational
and social events to add to your schedule
“C
hanges, Challenges, Choices” are three things you
likely face on a daily basis,
whether you are a clinician or a
staff member. You’ll find more of
all three when you head to Chicago
for the AAO Annual Session, taking
place May 13–17. With so many educational and social events to choose
from, the challenge of even planning
out a schedule might prove difficult.
Dental Tribune America
116 West 23rd Street
Suite #500
New York, NY 10011
rthodontic
retainers
are
a potential source of harmful microbes if not properly
cleaned, scientists in the U.K. have
warned. In a series of tests conducted at the UCL Eastman Dental Institute in London, at least 50 percent
of all tested retainers contained species of Candida and Staphylococcus
microorganisms, including MRSA, a
multidrug-resistant bacterium that
can be fatal to patients with a compromised immune system.
The Candida yeast, found universally on human skin and in other
areas, can also cause infections.
Amongst other conditions, it has
been associated with oral candidiasis, a condition often related to illfitting dentures.
Both species do not normally
occur in the oral cavity.
Researchers said the high number
of harmful bacteria found in retainers is most likely the result of poor
cleaning, allowing microbes to build
up a resistant biofilm and spread to
other areas of the oral cavity.
They recommend wearers wash
their hands thoroughly before and
after inserting their retainers. Proper dental hygiene also helps to keep
harmful bacteria from entering the
mouth. OT
To help in that cause, here are
some highlights that await you.
Scientific program
This year, annual session lecture
categories include such topics as
craniofacial growth and tissue engi-
neering, advances in anchorage
control, appropriate use and value
of aligners, treatment of the complex patient, Class II and Class III
treatment, esthetics and orthodontic
g OT page 3
AD
PRSRT STD
U.S. Postage
PAID
Permit # 306
Mechanicsburg, PA
[2] =>
2
From the Editor
Ortho Tribune | April/May 2011
A look at professionalism
By Dennis J. Tartakow, DMD, MEd, EdD, PhD
Editor in Chief
W
hat is the meaning of professionalism? How has it
evolved? I would opine that
professionalism is a set of values,
behaviors and relationships underpinning the trust that the public has
for doctors. Building and maintaining trust is the most important aim
of professionalism. Our role must
be defined by what is in the best
interest of our patients as well as
society. We must be capable of taking the ultimate responsibility for
all decisions in situations of clinical uncertainty and complexity by
drawing on our scientific knowledge and acute clinical judgment.
Our role as clinicians continues
to evolve alongside concepts of
professionalism. This evolution is
driven by changes in the practice
of dentistry in regard to skills, discoveries and technology, as well as
a more multidisciplinary approach
to health-care delivery. It is also
responsive to society’s consensus
of what is expected and demanded
from each of us.
Professionalism has several vital
elements: (a) advocating a desire
to improve what clinicians do;
(b) accepting change as an asset
rather than a threat; (c) using different approaches to develop and
mobilize knowledge for improving
care and to build formal evidencebased development; (d) accentuating the importance of working
in multidisciplinary teams across
organizational boundaries; (e) committing to expand the quality of
patient care; (f) placing stronger
emphasis on accountability; (g) recognizing the benefits of creating a
diverse dynamic between patients
and doctors; (h) assuming a stronger sense of responsibility for the
ways in which health care works in
all dimensions; and (i) endorsing
excellence of the clinician’s role,
which is a core value of professionalism.
These basic fundamentals push
us toward the gold standard of professionalism that is more than just a
social construct. It is underlined by
a relatively new science, complementary to the established ways of
knowing what has subjugated the
delivery of health care.
Quality improvement (QI) has
grown in academic recognition
and clinical popularity. According to PubMed records, in 2008,
there were more than 360 published articles pertaining to the
key words “quality improvement.”
Jones (2006) indicated there was a
new health foundation in the U.K.
for improving faculty responsibility
toward patient safety and quality of
care. It was an independent charity
devoted to improving the quality of
health care throughout the U.K. and
supporting hundreds of health-care
projects.
On an international stage, the
Institute for Healthcare Improvement (IHI) has pioneered improvement initiatives such as the 5 Million
Lives Campaign here in the United
States. IHI is now collaborating with
tens of thousands of health-care
organizations in countries including
England, Scotland, Ghana, Malawi
and South Africa. This global push
for quality improvement created the
momentum for this transition to
the new model of professionalism
presented.
Further reinforcement for this
model lies in the urgent need, due
to the stringent financial conditions,
for improved efficiency and productivity. It is widely acknowledged that
to achieve this will require clinical
leadership by those who understand
quality improvement. Cameron
(2010) pointed out that this renewed
focus on clinicians developing and
actively altering the services they
provide will ensure better patient
care and will lead to a new facet of
the compact between the public and
clinicians that centers on the nature
of professionalism.
This does not detract from the
doctor-patient relationship but rather is intended to help patients by
achieving a one-to-one interaction.
The public health community has
recognized the importance of influencing the environment through
quality assurance for many years,
but now it must be expanded as a
core body of knowledge and skill for
all clinicians.
The importance of quality
improvement training and making it
a part of everyday delivery of health
care requires training commencing from the undergraduate dental
school level on up. According to
Friedson (1986), professional norms
are adopted from role models in
the workplace. Unfortunately, many
senior clinicians are less familiar
with the science of quality improvement and, ultimately, unprepared
to teach it; this is a challenge. The
transmission of knowledge relies
upon the traditional gradient of
senior to junior. This dissemination of knowledge regarding quality improvement as a core of the
concept of professionalism may best
be dispersed via formal and informal networks, online and offline.
This concentration of knowledge
and its application is required to
extend beyond the traditional con-
cepts of professionalism to include
all aspects of dentistry and dental
organizations.
Health care and its changing
world are complex and often intimidating to resolute professional
norms. Clinicians are encouraged
to become actively involved in service improvement as part of their
professional identity and responsibility; commitment to improving
quality in health care is no longer a
choice — it is a core value of professionalism. OT
This editorial was inspired by
an article from Stanton, E., Lemer,
C., and Marshall, M. (2011). Journal of the Royal Society of Medicine,
104:48-49.
References
• Berwick, D. (2008). Protecting five million lives. Retrieved
from www.ihi.org/IHI/Programs/
Campaign/.
• Cameron, D. (2010). Equity and
excellence: Liberating the NHS.
London: The Stationery Office.
Retrieved from www.dh.gov.uk/
prod_consum_dh/groups/dh_
digitalassets/@dh/@en/@ps/docu
ments/digitalasset/dh_117794.pdf.
• Freidson E. (1986). Professional
powers: A study of the institutionalization of formal knowledge.
Chicago, IL: University of Chicago
Press.
• Jones, K. (2006). Institution for
innovation and improvement: The
improvement faculty for patient
safety and quality. Retrieved from
www.institute.nhs.uk/improve
ment_faculty/general/the_improve
ment_faculty_for_patient_safety_
and_quality_of_care.html.
OT
Corrections
Ortho Tribune strives to maintain
the utmost accuracy in its news and
clinical reports. If you find a factual error or content that requires
clarification, please report the details
to Managing Editor Kristine Colker at
k.colker@dental-tribune.com.
Image courtesy of Dr. Earl Broker.
ORTHO TRIBUNE
The World’s Orthodontic Newspaper · U.S. Edition
Publisher & Chairman
Torsten Oemus
t.oemus@dental-tribune.com
Chief Operating Officer
Eric Seid, e.seid@dental-tribune.com
Group Editor & Designer
Robin Goodman
r.goodman@dental-tribune.com
Editor in Chief Ortho Tribune
Prof. Dennis Tartakow
d.tartakow@dental-tribune.com
International Editor Ortho Tribune
Dr. Reiner Oemus
r.oemus@dental-tribune.com
Managing Editor/Designer
Ortho Tribune & Show Dailies
Kristine Colker, k.colker@dental-tribune.com
Managing Editor/Designer
Implant, Lab & Endo Tribunes
Sierra Rendon, s.rendon@dental-tribune.com
Online Editor
Fred Michmershuizen
f.michmershuizen@dental-tribune.com
Product & Account Manager
Humberto Estrada
h.estrada@dental-tribune.com
Product & Account Manager
Mark Eisen
m.eisen@dental-tribune.com
Product & Account Manager
Gina Davison
g.davison@dental-tribune.com
Marketing Manager
Anna Wlodarczyk
a.wlodarczyk@dental-tribune.com
Marketing & Sales Assistant
Lorrie Young
l.young@dental-tribune.com
C.E. Manager
Julia Wehkamp
j.wehkamp@dental-tribune.com
C.E. International Sales Manager
Christiane Ferret
c.ferret@dtstudyclub.com
Dental Tribune America, LLC
116 West 23rd Street, Ste. 500
New York, NY 10011
Phone: (212) 244-7181
Fax: (212) 244-7185
Published by Dental Tribune America
© 2011, Dental Tribune International
All rights reserved.
Dental Tribune makes every effort to report
clinical information and manufacturer’s
product news accurately, but cannot assume
responsibility for the validity of product claims,
or for typographical errors. The publishers
also do not assume responsibility for product names or claims, or statements made by
advertisers. Opinions expressed by authors are
their own and may not reflect those of Dental
Tribune International.
OT Editorial Advisory Board
Jay Bowman, DMD, MSD
(Journalism & Education)
Robert Boyd, DDS, MEd
(Periodontics & Education)
Earl Broker, DDS
(T.M.D. & Orofacial Pain)
Tarek El-Bialy, BDS, MS, MS, PhD
(Research, Bioengineering & Education)
Donald Giddon, DMD, PhD
(Psychology & Education)
Donald Machen, DMD, MSD, MD, JD, MBA
(Medicine, Law & Business)
James Mah, DDS, MSc, MRCD, DMSc
(Craniofacial Imaging & Education)
Richard Masella, DMD (Education)
Malcolm Meister, DDS, MSM, JD
(Law & Education)
Harold Middleberg, DDS
(Practice Management)
Elliott Moskowitz, DDS, MSd
(Journalism & Education)
James Mulick, DDS, MSD
(Craniofacial Research & Education)
Ravindra Nanda, BDS, MDS, PhD
(Biomechanics & Education)
Edward O’Neil, MD (Internal Medicine)
Donald Picard, DDS, MS (Accounting)
Howard Sacks, DMD (Orthodontics)
Glenn Sameshima, DDS, PhD
(Research & Education)
Daniel Sarya, DDS, MPH (Public Health)
Keith Sherwood, DDS (Oral Surgery)
James Souers, DDS (Orthodontics)
Gregg Tartakow, DMD (Orthodontics)
& Ortho Tribune Associate Editor
[3] =>
News
Ortho Tribune | April/May 2011
f OT page 1
OT At the AAO
technology, among much more.
In addition, this year the program
will feature the “Big Show” concept:
pairing speakers who are recognized experts on the same topic.
Each pair may speak in agreement on their topic or may take
opposing positions on it. Some
of the expert pairs have worked
together previously; others have
not. Each pair will present information interactively, rather than
in back-to-back presentations. Each
program will feature two orthodontic experts, two podia and two perspectives on one topic.
For staff members, a separate
program has been developed to
address the most urgent and complex challenges facing today’s orthodontic team members, both on the
business side and on the clinical
side.
For plenty more information on
this year’s AAO, including a look at
new products and can’t-miss events,
don’t miss the Ortho Tribune Daily
Edition, available exclusively during
the AAO Annual Session.
Exhibitors forum
The 2011 Annual Session Exhibitors
Forum, held Saturday from 8 a.m.–4
p.m. and Sunday from 1–4 p.m., will
feature presentations by exhibitors
about their latest innovations in
products and services. A non-C.E.credit series, the day-and-a-halflong forum will include in-depth
information on new offerings for
orthodontic practices.
Exhibit hall
More than 300 companies will show
off their newest and best products
in the exhibit hall from Saturday
to Tuesday, and you don’t have to
skip class to go shopping. Each day,
11 a.m. to 1 p.m. has been set aside
as dedicated time for clinicians to
explore the exhibit hall without
having to worry about classes or
any other event. Each day, from
noon to 2 p.m., has been set aside
for staff members to do the same.
Many companies are offering
discounts, launching new products
or providing entertainment in their
booths. (For more on what you can
see in the exhibit hall, turn to Page
8.)
Go wireless
Enjoy free Wi-Fi throughout the
McCormick
Place
convention
center, where the annual session
is being held, including in public spaces, meeting rooms and the
exhibit hall.
The 2011 annual session mobile
Internet browser is now available
and accessible to anyone using a
smart phone, including an iPhone.
The native application for the
iPhone is available via iTunes.
View session details, create your
own agenda, network with other
attendees, complete session evaluations, view exhibitor information
and more. Any member wishing
to use the mobile service, but who
does not have a smart phone, will
be able to rent an iPod Touch onsite at a kiosk that will also offer
assistance with using the technology.
View complete instructions, or
open the browser on your mobile
device and type: mobile.aao2011.
alliancetech.com. Click the “Add
Bookmark” icon at the bottom left
of the page. Choose the “First Time
User — Click Here to Create an
Account” option. When prompted,
enter your annual session badge
ID (confirmation) number to begin
using the application and create
your profile.
If you need assistance, the support contact is aao11support@
alliancetech.com.
AAO gala at the Museum
of Science and Industry
Social events are a big part of the
AAO. This year’s gala, taking place
Monday, May 16, will include an
early evening “family time” with
child-friendly refreshments. Enjoy
hundreds of hands-on activities,
including the new “Science Storms”
exhibit featuring a 40-foot tornado,
a tsunami wave, an avalanche and
bolts of lightning. Later in the evening, adult festivities will include
musical entertainment by the band
1964.
A look at orthodontic fashion
The AAO is hosting its first fashion show from 4:30–5:30 p.m. Sunday. Travel through time from early
orthodontic wear to the latest in
3
office attire. There will be wine
and snacks at a ticketed reception
before the fashion show, starting at
3:30 p.m.
Chicago tours
Even those who have visited the
Windy City multiple times will find
that the 2011 tours offer opportunities to experience it in new
ways. Enjoy an architectural tour
by boat along the Chicago River;
visits to Greektown, Chinatown and
Little Italy; a tour of the Frank Lloyd
Wright Home and Studio; and, for
cyclists, a guided Chicago bike hike
(bike and helmet included) along
Lake Michigan, historic neighborhoods and Lincoln Park.
Go online to www.aaomembers.
org/mtgs/2011-AAO-Annual-Session.
cfm for more information and to
sign up. OT
AD
[4] =>
[5] =>
Ortho Tribune | April/May 2011
Industry Clinical
5
3-D imaging: the light in the attic
By Juan-Carlos Quintero, DMD, MS
O
rthodontists have always
needed to predict the unpredictable, to see the crowns
of the teeth in relationship to each
other and to visualize the roots and
how they influence tooth movement
and adjacent teeth. Without enough
detailed data, it feels like trying to
maneuver through a dark attic filled
with objects. If you don’t know what
is up there, you will surely bump
into something.
For an orthodontist, visualization
is everything — to see is to know,
and to know is to avoid problems.
Among my many tools for orthodontic treatment, my CBCT scanner (i-CAT®) provides that precise
information that has improved my
diagnostic and treatment capability.
In the following case, having
three-dimensional scans averted a
very serious outcome. The patient
was referred by her dentist who
noted two impacted canines on his
2-D panoramic X-ray (Fig. 1).
Usually, the orthodontic assumption on 95 percent of cases of bilaterally impacted maxillary canines is
that both are located on the lingual
or palatal, or on the facial or buccal, or on the front or behind the
incisors. Of course, knowing the
buccal-lingual position of the tooth
is critical, both from a surgicalplanning perspective and an orthodontic planning perspective.
At the diagnostic session, we captured an i-CAT scan and sent it to
Anatomage for production of an
“Anatomodel” that highlights the
teeth, produces a digital model from
the scan and segments the teeth and
the roots (Fig. 2). This interactive
model improves visualization.
When the teeth are segmented
digitally, I can move them around
for virtual treatment planning purposes. This is why we no longer
take impressions for study models
on any of the cases in our practice.
To my surprise, this case defied
the 95 percent rule of both canines
being impacted on the same side. In
this case, tooth #6, the upper right
canine, was actually positioned
facial-buccally on top of the upper,
the maxillary left lateral incisor.
Armed with the 3-D information,
I was able to treatment plan this
case for clear, predictable, concise
movements. I simulated extractions
of the premolars using the Anatomodel and was able to simulate
placements of a temporary anchorage device (TAD), a microscrew
that was placed in the upper right
quadrant of the patient, to perform
a virtual movement of the tooth.
Precise tooth movement is critical because with the teeth in this
position, using traditional mechanics to force-erupt the tooth would
have caused significant problems.
g OT page 6
Fig. 1
Fig. 2
Fig. 1: Impacted canines as seen on panoramic X-ray. Fig. 2: The Anatomodel produces a digital model from the
scan. (Photos/Provided by Dr. Juan-Carlos Quintero)
AD
[6] =>
6
Industry Clinical
Ortho Tribune | April/May 2011
f OT page 5
I would have exposed the tooth
and put a chain on it to bring it
down against the archwire. However, with this treatment, the tooth
would have moved slightly to the
lingual on its way down and collided against the root of the lateral
incisor, potentially resulting in root
resorption on the lateral incisor and
basically leading to the loss of this
tooth later.
On a 3-D scan, it was easy to
diagnose that a different plan of
action was appropriate. I placed a
TAD between the upper right first
molar and upper right second premolar.
Understanding 3-D geometry and
spatial relationships of teeth, the
movements had to be instituted in
two phases: the crown of the tooth
had to be tipped distally away from
the roots of the lateral incisor first,
to allow the tooth to straighten, and
after that, I would force-erupt the
tooth and bring it down (Fig. 3).
Moving the teeth in this manner
avoided iatrogenics, collisions and
damage to adjacent teeth.
Six months into treatment, we
took a mini 4.8-second progress
scan to evaluate root and tooth position to determine if the tooth had
cleared the root of the lateral incisor, making it safe to force-erupt it
into position. The tooth had moved
perfectly, just as we had predicted,
and it was now safe to change the
vector of force and redirect the
retraction of the canine. A potentially disastrous scenario was averted,
and the patient achieved a safe and
happy ending to orthodontic treatment (Fig. 4).
This is what makes orthodontists
lose sleep at night. If I only had traditional 2-D imaging during treatment planning, I would have made
an erroneous assumption in this
case and probably established my
mechanics thinking that the teeth
were symmetrical. As a result, I
would have been 100 percent wrong
at least on one side, leading to
incorrect diagnosis and treatment
planning and probably to iatrogenic
side effects.
With impacted canines, it is
imperative to find out the position of the teeth in 3-D. CBCT also
allows visualization of space considerations to determine whether
there is enough room and, if not,
how to create the space.
A panoramic radiograph, ceph
or photos are not accurate ways to
measure spaces or crowding, and
with models, we can see only clinical crowns, not root information.
That is critical in simple or complicated cases.
Cone beam helps the orthodontist to consider the biomechanical
considerations of the case — the
vectors of force needed to successfully retrieve the canines into position, to calculate the directions of
movement that we want to produce and determine the anchorage
requirements. If we have all this
data, even more complicated cases
become quite simple.
OT About the author
Fig. 3: Planning tooth movements virtually allows for more predictable and
positive outcomes.
Fig. 4: A progress scan helps to determine if the teeth have moved into the
proper position to safely continue treatment.
Dr. Juan-Carlos Quintero received
his dental degree from the University
of Pittsburgh in Pennsylvania and his
degree in orthodontics from the University of California at San Francisco
(UCSF). He also holds a master’s of
science degree in oral biology. He
has served as national president of
the American Association for Dental
Research Student Research Group, is
a faculty member at the L.D. Pankey
Institute and is an attending professor at Miami Children’s Hospital,
Department of Pediatric Dentistry,
as well as the immediate pastpresident of the South Florida Academy of Orthodontists (SFAO). He practices in South Miami, Fla.
OT At the AAO
‘CBCT has
elevated patient
care in my practice
to previously
unattained levels.
We have better and
more information
for diagnostic and
treatment-planning
sessions, and we
make fewer
mistakes.’
CBCT machines are not all alike.
Mine allows me to control all of the
variables of the 3-D image, from the
field of view to exposure time, pixel
size and resolution. My practice is
very radiation-exposure conscious.
I can capture a limited field of
view, a full head or just the maxilla
or mandible and control exposure
time because parameters for each
case differ according to the patient’s
needs.
It is important to educate patients
about our dedication to radiation
safety. We explain to them that we
are cognizant of dosimetry of radiation levels at all times and for all
patients.
In orthodontics, radiation levels
with 2-D radiographs can be similar or more to that of a low dose
3-D scan. The difference is that the
CBCT data offers a greater wealth
of information and more accurate
data.
When you compare taking a traditional digital pan, a lateral and frontal ceph, an occlusal radiograph, an
FMX or a couple of bitewings and
a couple of periapicals, the patient
can potentially be exposed to more
radiation than taking a low dose
CBCT on landscape mode.
The public watchdog for radiation safety, known as the International Commission on Radiological
Protection (ICRP), recommends that
we should keep diagnostic radiation exposure to less than 1,000
microsieverts per year,1 and our
i-CAT scans measure way below
that threshold (only 3 percent to 7
percent of that threshold level).
CBCT has elevated patient care
in my practice to previously unattained levels. We have better and
more information for diagnostic and
treatment-planning sessions, and
we make fewer mistakes. Our new
model increases patient education.
Prior to implementing our CBCT
unit, we followed what most prac-
For more information on the
i-CAT, stop by the Imaging Sciences
International booth, No. 2809.
tice management consultants recommend: condensing three appointments into one (exam, records and
treatment conference). Before 3-D,
we took a pan, ceph and photos at
the same visit and made a quick
decision. I felt rushed and stressed
because there is a lot at stake for
orthodontic patients. It felt too
“sales-y.”
CBCT scans show how teeth are
integrated into sinuses, jaw joints
and buccal lingual dimensions of
bone. I look at airways more and
also differently than ever before
and actually design most treatments
around airway status now. It makes
me slow down and treatment plan
more clearly, more comprehensively and with greater confidence.
We also educate patients more
and build stronger relationships
with them than ever before. I no
longer feel the anxiety of the dark
attic. CBCT sheds light on potential
obstacles and makes the orthodontic process more precise. OT
Reference
1. International Commission on
Radiological Protection: Radiation
protection, ICRP Publication 60,
1990.
[7] =>
[8] =>
8
AAO Exhibitors
Ortho Tribune | April/May 2011
Education for a
healthier future
By Chris Farrell, BDS (Sydney), founder and CEO
Myofunctional Research Co.
OT At the AAO
M
Visit Myofunctional Research Co.’s
booth, No. 2715, and discover firsthand how to implement the company’s new range of educational
materials in combination with its
orthodontic appliances.
yofunctional Research Co.
(MRC) has been developing
innovative intra-oral appliances to treat the causes of malocclusion and TMJ disorder since
1989.
MRC developed these concepts of
treating malocclusion into a range
of appliance systems suitable for all
ages of growing children. Although
a significant number of clinicians
AD
around the world currently use
these systems, many do not realize
that MRC has developed more than
just orthodontic appliances.
Myofunctional
Research Co.
makes
educating
patients and
their parents
a priority.
(Photo/
Provided by
Myofunctional
Research Co.)
In 2009, MRC marked the launch
of MRC Clinics,® a concept that provided the industry with a completely
new way of treating myofunctional
habits in growing children for better
dental alignment and facial development. This concept also offered
a profitable and more cost-effective
solution to the worldwide problems
orthodontists and dentists faced.
Nearly every child has some form of
malocclusion, and traditional treatment methods of fixed braces have
shown many limitations and, arguably, failure in the long term.
Our fundamental philosophy at
MRC differs from other international companies as we do not only
develop orthodontic appliances, we
also take a strong focus on advancing knowledge through developing
educational materials on the importance of correcting myofunctional
habits in children as early as possible. MRC’s main goal is not just
straightening teeth without braces,
but it is to make a lifelong positive impact on the development and
health of children.
MRC has been able to achieve
better health and development for
patients through creating effective
materials to directly educate clinicians, parents and patients. This
dedication to delivering quality educational materials is a crucial part
of our role as an active educational
company.
The key to our approach is to
educate at every level, from the
growing child right through to the
clinician. Providing proper education can empower clinicians to
break out of the old, outdated orthodontic concepts and procedures,
leading many to better and more
profitable methods of delivering the
right pediatric care for more children.
The AAO 2011 will allow MRC to
demonstrate practical and costeffective means of delivering
advanced myofunctional correction
for every child, along with showcasing our latest world-leading appliances. OT
OT About the author
Dr. Chris Farrell graduated from
Sydney University in 1971 with a comprehensive knowledge of traditional
orthodontics using the BEGG technique. Through clinical experience,
he took an interest in TMJ/TMD disorder and, after further research, discovered the etiology of malocclusion
and TMJ disorder was myofunctional,
contradicting the current views of his
profession. Farrell founded Myofunctional Research Co. in 1989 and has
become a leading designer of intraoral appliances for orthodontics, TMJ
and sports mouthguards.
[9] =>
[10] =>
10
AAO Exhibitors
Ortho Tribune | April/May 2011
OrthoBanc
aims to hit it
out of the park
Look for a replica of
US Cellular Field
when you stop by the
booth during the AAO
I
f you are going to the American Association of Orthodontists
Annual Session in Chicago, you’ll
want to stop by the OrthoBanc booth
(No. 1204). OrthoBanc, a payment
drafting and management company,
works to create a buzz at the AAO
The OrthoBanc staff in their politcal rally-themed booth at last year’s AAO
Annual Session, held in Washington, D.C. (Photo/Provided by OrthoBanc)
AD
with its city-themed booth activities.
Two years ago, OrthoBanc’s Boston Tea Parties were standing room
only. Clever giveaways and attention to detail landed OrthoBanc’s
Marla Merritt an All Star Award in
Exhibitor Magazine, a national publication directed at the trade show
industry.
Last year, OrthoBanc went for a
patriotic theme with a political rally
setting for the Washington, D.C.,
event.
This year, OrthoBanc is preparing its booth to look like US Cellular Field, the home of the Chicago
White Sox. The company will offer
several presentations on Saturday,
Sunday and Monday.
During these sessions, there will
be a variety of concessions available, including the staple of baseball games: hotdogs. There will also
be giveaways and the opportunity
to get tickets to a White Sox game
being played on Monday night.
In addition, a Team OrthoBanc
photographer will be in the booth
snapping pictures of orthodontic
teams. The photos can be used later
on Facebook pages or a practice’s
website at no charge to the practice
or clinician.
“OrthoBanc can provide real
change for a practice looking to
become more efficient and profitable,” Merritt said.
“We love telling our story in a fun
setting, and we have some great
plans for Chicago.” OT
OT At the AAO
For a presentation schedule, see
the ad on Page 17. To make reservations for any of the presentations,
e-mail Marla Merritt at mmerritt@
orthobanc.com or text her at (423)
718-0336. You will need to provide
the name of the practice, the names
of the people who will be attending
and the date and time of the presentation you would like to attend. Each
person who makes a reservation will
be entered into a drawing for a $100
gift card to be given away at each
session.
[11] =>
[12] =>
12
AAO Exhibitors
Ortho Tribune | April/May 2011
3Shape releases Dental System 2010
3Shape’s
Dental
System 2010
(Photo/
Provided
by 3Shape)
AD
3
Shape has released its next
generation Dental System 2010.
This software for dental CAD/
CAM solutions brings new indications never before seen in the digital arena, offering productivity and
business gains for dental laboratories.
According to the company, the
new Dental System 2010 features
include
simultaneous
modelling on the upper and lower jaw,
Dynamic Virtual Articulation, the
market’s fastest digital design of
removable partials, SmileComposer
with mirror and clone functionality for designing esthetic full anatomy bridges, sophisticated design
of implant bars, virtual addition of
OT At the AAO
Please contact your local supplier,
or visit www.3shape.com regarding
availability, reselling and purchasing
information. You can also stop by the
booth, No. 1127, during the AAO.
attachments for any indication and
many more features.
Tais Clausen, CTO and 3Shape
co-founder, has already demonstrated Dental System 2010 to hundreds
of dental professionals at seven different locations in the United States.
“Attendees were very impressed
with the many new features,”
Clausen said, “but they were also
very happy to see that 3Shape has
improved and strengthened Dental
System’s basic engine functionalities, such as copings, bridges and
abutment design, making these
essential indications even faster and
easier to design.”
Selected dental laboratories have
been using Dental System 2010 and
evaluating its performance with
actual customer cases. Kurt Reichel,
founder and owner of Kurt Reichel
Dental Lab, is already providing
restorations using the latest Dental
System 2010 features.
“It’s like driving a sleek vehicle with enormous engine power,”
Reichel said. “Dental System 2010’s
new SmileComposer and Dynamic
Virtual Articulation have sped up
our workflow significantly while
ensuring new levels of esthetics and
consistent results. The new partial
design software has opened up a
whole new profitable service area
for my business.”
3Shape has released Dental System 2010 to its partners, who will be
providing it to end-users in the
course of the next few months. OT
ClearCorrect
announces
e-courses
ClearCorrect, manufacturer
of an affordable and clinicianfriendly alternative in clear
aligners — otherwise known as
clear braces — has announced a
more convenient way to become
a provider with its new e-course.
The new e-course, released
in January, is self-paced and can
be completed from the home or
office.
Upon completion, clinicians
will receive a C.E. certificate,
marketing materials, submission
materials and will be listed on
the ClearCorrect website as a
provider.
The purpose of the e-course
OT page 14
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[14] =>
14
AAO Exhibitors
f OT page 12
is to offer clinicians who are
unable to attend the full-day
workshop an economical and
convenient solution for becoming a ClearCorrect provider.
ClearCorrect is a lab that
offers clear aligner therapy, an
orthodontic treatment involving a series of clear, removable
aligners that gradually move
teeth to improve esthetics and
bite function. The technique,
often referred to as “invisible
braces,” is becoming increasingly popular with the public and a
key growth area for orthodontists looking to add services.
Clinicians receive the plastic
models for each set of aligners so
they can fabricate replacement
aligners in-house if needed, e.g.,
if the patient loses them. All
ClearCorrect treatment products
include retainers at no extra
charge. All products have Compliance Checkpoints™ to ensure
optimum results.
At the AAO
For more information about
ClearCorrect, visit www.clear
correct.com, call (888) 331-3323
or stop by booth No. 4930 during
the AAO.
AD
Ortho Tribune | April/May 2011
Drs. Larry and Will Andrews
team up with Ortho Organizers
Larry Andrews known
as the ‘inventor of the
straight-wire appliance’
O
rtho Organizers,® a leading
global manufacturer of orthodontic products, laboratory
services and continuing education
programs, announced April 22 that
it has entered into a long-term consulting and licensing agreement
with Drs. Larry and Will Andrews.
Larry Andrews is the discoverer
of the Six Keys™ to normal (optimal)
occlusion and is recognized in the
orthodontic industry as the “inventor of the straight-wire appliance.”
Building upon the straight-wire
appliance, which is the appliance
concept used most by orthodontic
professionals today, he and his son,
Will Andrews, have dedicated the
last 20 years to research, which has
led to the finding of the Six Elements of Orofacial Harmony.™
These are the characteristics
found to be shared by individuals
with both optimal occlusion and
OT At the AAO
For more information on Ortho
Organizers, call (800) 547-2000 or
(760) 448-8600, e-mail at usasales@
orthoorganizers.com, visit www.
ortho-organizers.com or stop by booth
No. 3600 during the AAO.
balanced faces. They are proposed
as optimal treatment goals for orthodontic patients and serve as the
basis for a new positionally correct
classification system.
“Drs. Larry and Will Andrews are
known and respected worldwide,”
said Russell Bonafede, president of
Ortho Organizers.
“Our new relationship with them
will be invaluable in developing
strategic partnerships throughout
the orthodontic specialist commu-
nity. In addition, we look forward to
developing a stream of innovative
products and educational courses
that align with their new treatment
philosophy.
“Our shared goal is to provide
optimal treatment goals that will
benefit the patients and clinicians
alike by offering superior esthetics, ideal occlusion, balanced faces
and treatment efficiency, which is
substantiated by independent university researchers.”
Larry and Will Andrews are the
directors of the Andrews Foundation, which is the educational platform of their Six Elements of Orthodontic Philosophy. In addition to
lecturing around the world, both
clinicians maintain a private practice in San Diego.
About Ortho Organizers
Ortho Organizers, part of the orthodontic portfolio of Henry Schein,
provides a wide range of orthodontic products to the worldwide dental
market.
The company serves practitioners in the domestic and international markets. OT
[15] =>
[16] =>
16
AAO Exhibitors
Ortho Tribune | April/May 2011
Ortho2 announces Edge 2.0
O
rtho
Computer
Systems
announces the release of Edge
2.0 enhancements. Ortho2
introduced the revolutionary Edge
system, a comprehensive practice
management, imaging and communication system that utilizes secure
web-based data hosting and back
up, one year ago.
Edge 2.0 features enhancements
such as Edge Animations, Edge
Reminders, HR Manager, Online
Forms, Image Morphing and Collections Assistant, designed to optimize the efficiency of the practice.
Edge Animations are a tool for
enhancing patient education, compliance and case presentation.
OT At the AAO
For more information about
Ortho2, visit www.ortho2.com or stop
by the booth, No. 1413.
Edge and ViewPoint include a set
of patient compliance animations
at no charge. An optional extended
set of treatment-based animations
is available for both Edge and ViewPoint, as well as with other management systems or by itself.
According to the company, the
cutting-edge rendering techniques
used produce videos that must be
seen to fully appreciate their edu-
AD
Edge Animations (Photos/Provided
by Ortho2)
cational power. Features include
powerful surgical animations, stereoscopic (3-D) animations, easyto-use graphical interface, annotate and draw functionality, custom
audio narration and more.
Edge Reminders, available for
both Ortho2 ViewPoint and Edge
users, is an easy-to-use system
for automating patient reminders.
Reminders can be sent via multiple
message options, including phone,
text message and/or e-mail, for any
range of upcoming appointment
dates, recall reminders, birthday
greetings and more.
There are no minimum monthly
charges and no long-term commitments required.
“Edge 2.0 showcases some exciting new enhancements,” said Dan
Sargent, president and co-founder
of Ortho2. “Every upgrade we make
further demonstrates our focus and
commitment to helping our orthodontic partners succeed.
“We’re working hard to make
certain Edge increases efficiency
and profitability for orthodontic practices. It’s part of Ortho2’s
proven track record of listening to
our customers and providing innovative solutions for orthodontic
practices.”
In addition to offering complete
practice management, imaging and
communication systems, Ortho2
also offers several independent
modules: Edge Imaging, Premier
Imaging and Edge Animations. OT
Edge Reminders can be sent by text,
phone or e-mail.
[17] =>
[18] =>
18
AAO Exhibitors
Ortho Tribune | April/May 2011
Align completes acquisition of Cadent
A
lign Technology announced
May 2 that it has completed the
acquisition of privately-held
Cadent Holdings (Cadent), a leading provider of 3-D digital scanning
solutions for orthodontics and dentistry and makers of the iTero™ and
OrthoCAD® iOC™ scanning systems.
The acquisition of Cadent positions Align as a leader in one of
the best growth opportunities in
dentistry and medical devices today,
according to Align. Intra-oral scanning is a critical part of enabling
new digital technologies and procedures in dental practices, including
CAD/CAM for restorative dentistry
or in-office restorations. Cadent
strengthens Align’s ability to drive
AD
(Photo/
Provided by
Align
Technology)
OT At the AAO
To learn more about Invisalign,
visit www.invisalign.com or stop by
booth No. 1613 during the AAO.
adoption of Invisalign by integrating
Invisalign treatment more fully with
mainstream chairside tools and procedures in clinicians’ practices.
According to Align, the combination of the companies will help
accelerate the use of intra-oral scanning in the dental industry by leveraging Align’s global sales reach, professional and consumer marketing
capabilities and base of more than
55,000 ClinCheck® software users.
“Align is committed to supporting
and building on the technology and
products that have made Cadent one
of the emerging leaders in intra-oral
scanning,” said Thomas M. Prescott,
Align Technology president and
chief executive officer. “That commitment includes continued support of an open system approach
that gives doctors and laboratories
maximum flexibility and continued
investment in tools that aid and
improve restorative, implant and
orthodontic procedures.
“We will continue to invest in
Cadent products and look forward
to combining our technology and
expertise with Cadent’s to deliver
innovative new tools to our customers.”
Cadent president and chief executive officer Timothy Mack has been
appointed senior vice president of
business development, reporting
directly to Prescott. Mack is responsible for creating and developing
business partnerships in dentistry
and extending Align’s technology
with distributors and lab partners.
Align plans to maintain all
Cadent products and services,
which include the iTero digital impression system, OrthoCAD
iOC orthodontic digital impression
system, OrthoCAD iCast™, OrthoCAD iQ™ and OrthoCAD iRecord™.
As part of an ongoing program to
evaluate interoperability of intraoral scanning systems for future
use with Invisalign treatment, Align
is in final interoperability beta tests
with Cadent’s intra-oral scanning
systems and continues to expect
to announce interoperability in the
second quarter of 2011.
About Align Technology
Align Technology designs, manufactures and markets Invisalign,
a proprietary method for treating
malocclusion. Invisalign corrects
malocclusion using a series of clear,
nearly invisible, removable appliances that gently move teeth to a
desired final position. Because it
does not rely on the use of metal
or ceramic brackets and wires,
Invisalign significantly reduces
the esthetic and other limitations
associated with braces. Invisalign is
appropriate for treating adults and
teens.
Align Technology was founded in
March 1997 and received FDA clearance to market Invisalign in 1998.
The Invisalign product family
includes Invisalign, Invisalign Teen,
Invisalign Assist, Invisalign Express
and Vivera Retainers. OT
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20
AAO Exhibitors
Ortho Tribune | April/May 2011
TAD User Forum takes
education to a new level
T
here is only one meeting in the
United States that offers attendees a weekend of 10 different
speakers with lectures, workshops,
round-tables, hands-on and even
live clinical experience all purely
dealing with the use of TADs in the
orthodontic office. That meeting is
the TAD User Forum, which is held
annually in Las Vegas during the
month of November and is hosted
primarily by Dentaurum with the
help of several co-sponsors.
The meeting is being moved
to the WYNN Resort this year to
accommodate the attendance from
last year that completely sold out
the event at the UNLV Dental School
with more than 250 attendees.
Why is there such a strong
demand for this TAD User Forum
when there are already so many
other TAD lectures being offered
by various companies and regional/
national meetings?
“The thing that makes this venue
so attractive is that it appeals to
even the most advanced TAD users
who have already sat through 10
other basic lectures that are being
offered,” said Dentaurum General
Manager Craig Beach.
“Most of the other lectures and
meetings are being offered by the
same ‘lecture-circuit speakers’ who
have given a similar lecture for five
or six years now with little variation. Also, many of these lectures
are tailored to the beginner users,
and many times, the advanced users
walk away disappointed that more
advanced and challenging treatment planning was not discussed.”
“The exciting part of this meeting is that each of the lectures
is limited to only 1.5 hours, and
they are offered on a simultaneous
four-track schedule, which always
ensures that there is a topic of
interest being offered in that time
segment for every attendee, regardless of their experience level with
TADs.”
In addition to the lectures and
workshops, the meeting offers
attendees the opportunity to personally place a TAD on a live patient
in a monitored clinical setting.
“In addition, we try very hard
OT Register
Register by June 30 at www.
tomasforum.com and you will receive
a $100 “early registration” discount
on tuition. Call (800) 523-3946, visit
www.tomasforum.com or stop by
booth No. 4213 during the AAO for
more information.
The TAD Users Forum will take place at the WYNN Resort in Las
Vegas.
The TAD Users Forum offers attendees a chance to place a TAD on a
live patient in a monitored clinical
setting. (Photos/Provided by
Dentaurum)
to provide speakers who are using
TADs for groundbreaking and innovative treatment that is not typically
being shown by most speakers,”
Beach said.
“Topics being offered this year
include such innovative concepts as
TADs and Invisalign, TADs as temporary implants, Class III correction
with TADs, full-arch intrusion, distalization of full arch, molar protration to avoid implants, etc.
“These are topics that might only
be briefly discussed with one to two
cases at a typical lecture, but at the
TAD User Forum, we have speakers
that focus on these topics for 1.5
hours with a great deal of insight
on the pitfalls and successes that
can be expected with this advanced
TAD treatment.”
In order to ensure a first-class
venue with even more capacity this
year, the show was moved to the
WYNN Resort. WYNN is also the host
hotel for this meeting, and all registered attendees will qualify for a
discounted group room rate of only
$195 per night.
The TAD Users Forum opening session will take place on Nov. 4.
‘We try very hard
to provide speakers
who are using TADs for
groundbreaking and
innovative treatment.’
The meeting is planned for Nov.
4–6, with all the lectures, workshops
and round-table meetings being
offered on Friday and Saturday at
the WYNN. The optional hands-on
and live TAD placements will be
offered in a clinical setting at the
UNLV Dental school on Sunday,
Nov. 6.
According to Beach, whether
you have been placing TADs as an
expert for many years or even if you
have not yet begun, this meeting
will provide the necessary basics for
successful TAD placement, make
you more efficient with innovative
and time-saving TAD mechanics
and open your eyes to completely
new treatment protocols for your
progressive orthodontic office.
The four-track lecture format
almost guarantees no attendee will
walk away hearing the same old
information and your only challenge for the weekend will be trying
to decide which lecture you want to
hear next and which SPF level of
sunscreen you need for the pool. OT
Canon EOS 60D
Canon’s latest digital camera model
is the EOS 60D. The 60D represents the
greatest evolutionary step for the Canon
xxD series.
The 60D is slightly smaller and lighter than the 50D and features an articu(Photo/Provided by PhotoMed)
lating LCD screen (the first Canon digital SLR to do so). Resolution is bumped
from 15 to 18 megapixel and the 60D
gets 1080p HD video capability.
PhotoMed offers the Canon 60D with
your choice of four macro lenses and
three macro flashes.
You can see the Canon 60D system
in booth No. 3716 during the AAO,
or you can get more information at
www.photomed.net.
[21] =>
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22
AAO Exhibitors
Ortho Tribune | April/May 2011
OrthoVOICE steps up its game
Meeting organizers
promise collaboration,
new ideas, growth
strategies, team vision,
time-tested principals,
emerging technology
and clinical concepts
OT Attend OrthoVOICE
More details about the OrthoVOICE meeting and the golf tournament can be found online at
orthovoice.com or facebook.com/
orthovoice. You can also call (402)
932-1298 or fax (402) 334-5620.
Registration and deadlines
• Free – Exhibit hall only
• Free – Residents
• $299 – Regular registration before
July 31
• $399 – On-site registration
• Hotel Rooms from $149 per night
W
ho would have thought that
an idea a few years ago to
have some vendors share a
vision for a meeting would spark
and become OrthoVOICE? Well, last
fall that is exactly what happened.
OrthoVOICE 2010 had around 30
vendors and 160 total attendees, of
which a little more than 80 were
clinicians.
Now, meeting organizers are
gearing up for the 2011 edition to
be held Oct. 20–22 in Las Vegas.
According to the organizers,
attendees at last year’s event said
they enjoyed the fresh ideas and
Register at orthovoice.com.
Dr. James TenBrook enjoys last year’s OrthoVOICE. (Photos/Provided by
OrthoVoice)
collaboration with other clinicians
and teams.
“I attended quite a few really
good meetings in 2010 and took my
team to a few; however, perhaps
none gave me as much to take away
AD
Organizers say one of the main
goals for the meeting is to create
an environment where collaboration and idea sharing will flourish.
The exhibit hall-only access is one
of the ways this can be achieved.
In addition, because the meeting is
focused on offering things for the
entire team, it gives some flexibility
for clinicians to bring more team
members.
One word of caution: If you do
plan to attend with the exhibit hallonly pass and later decide to attend
the lectures, you will have to pay the
on-site price of $399.
New this year
Some of the rooms in Planet Hollywood in Las Vegas, where this year’s
OrthoVOICE will be held.
as OrthoVOICE,” said one 2010
attendee. “Many of the most significant improvements I have made
in my practice over the past few
months are directly related to ideas
I got at OrthoVOICE.”
Meeting organizers say they are
planning for around 80 companies
to participate this year and between
200–250 clinicians to attend.
OrthoVOICE offers a few unique
registration options that range from
free to $299. With the exhibit hallonly registration, clinicians and
team members have the option of
attending the meeting and gaining
access to all of the events surrounding the meeting without paying a
single cent. The only exception is
they can’t get into the lectures.
If you attended the 2010 meeting,
or even if you didn’t, you might recognize a few additions made to this
year’s meeting based on attendee
and vendor feedback. Organizers
say that listening to the customers is
the best way to create an event that
is geared toward what they want. A
few tweaks to the schedule, evening
events and much more have been
a direct result of feedback given
in the post-meeting survey. Even a
few of the speakers were asked to
attend because of requests from the
survey.
Among the additions this year,
OrthoVOICE will host its first charity golf tournament, which will benefit Smile for a Lifetime Foundation. Smile for a Lifetime (S4L)
is a national organization dedicated to helping underserved children throughout the United States
receive the benefits associated with
orthodontic treatment. The national
organization works with local chapters consisting of an orthodontist
and his/her local board of advisors.
The golf event will be held at Rio
Secco Golf Club in Henderson, Nev.,
and will cost $250 per player. Registration includes green fee, shared
golf cart, access to range and all
practice facilities, bag handling,
divot tool, yardage guide, bottled
water, boxed lunch and round-trip
transportation between Planet Hollywood Resort and Rio Secco Golf
Club. OT
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