today daily AAO Annual Meeting May 5, 2012today daily AAO Annual Meeting May 5, 2012today daily AAO Annual Meeting May 5, 2012

today daily AAO Annual Meeting May 5, 2012

AAO News / Explore Oahu / Product scrapbook / Exhibitors

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AO
!
DA
ILY
AT
TH
EA

ORTHO TRIBUNE
The World’s Orthodontic Newspaper · U.S. Edition

SATURDAY, MAY 5, 2012 — Vol. 3, No. 1

www.ortho-tribune.com

product scrapbook

play in the clouds

TECHNOLOGICAL ADVANCES

Don’t enter the exhibit
hall without checking out
Ortho Tribune’s guide to the
products that are in there.

Edge software makes
backing up your most
important info both
safe and secure.

Do it all — from
diagnostics to orthodontic
treatment planning —
with this new software.

” page 4

” page 6

” page 8

Out and
about
in Oahu
Welcome to Hawaii!
Now that most of us have flown here,
from across the country or even from
across the world, you don’t want to miss
this opportunity to see the best of what
Hawaii and Oahu have to offer. And with
the exhibit hall doors closing each day at
3:30 p.m., it leaves plenty of time to get
out and explore Oahu.
With Waikiki as a central hub, you can
explore the legendary North Shore one
day and spend the next on the east side
snorkeling at Hanauma Bay, a protected
marine sanctuary with tons of colorful
fish. Thrill seekers can skydive at Mokuleia while daydreamers can relax peacefully on the beach.
Here are some tips and activities to
consider when exploring Oahu.

Traveling on Oahu
You can get around by car rental, shuttle,
taxi or Oahu’s public transportation sys” See OAHU, page 15

A surfer takes on Oahu’s North Shore. Photo/Hawaii Tourism Authority, Kirk Lee Aeder

Quench your thirst
This year’s AAO annual meeting promises to satisfy your need for knowledge
with expert lecturers and an array of companies showing off new technology
By Sierra Rendon, Managing Editor

T

Photo/Provided by Hawaii Tourism Authority

he sun is shining, the water is
beckoning, it’s a beautiful day
in Honolulu, and you’re headed
… inside?
Yes, from at least 8 a.m. to 3:30 p.m.,
you’re going to want to head inside the
Honolulu Convention Center to get the
most out of the American Association
of Orthodontist’s 112th annual meeting.
Nowhere else will you find the vast educational opportunities and C.E. opportunities aimed directly at orthodontists
than this group’s annual meeting, which
is why thousands of orthodontists and

orthodontic staff make sure not to miss
this educational program — even when
the beaches of Waikiki are calling.
More than 160 clinicians and experts
are here to speak on the most important
trends, technologies and advance in orthodontics.
“We think that the exciting slate of
speakers presenting during the next
few days will satisfy your thirst for
knowledge, while the relaxing environment will help you unwind and absorb
the positive culture that permeates Hawaii,” said Michael B. Rogers, DDS, AAO
president, in the program guide.
It’s also the perfect place to contemplate and make those big practice pur-

chases you’ve been thinking about all
year. With more than 300 exhibiting
companies on tap, you’re sure to find
everything you ever wanted and much
more.

Education
Scientific lectures at the AAO will run
the gamut from risk management to
fundamentals to surgical considerations.
Here is just a small sampling of the extensive list of programs you may attend
at the AAO:
• “The Role of Micro-implants in Surgi” See THIRST, page 2


[2] =>
2

a ao news

Ortho Tribune U.S. Edition | May 5, 2012

“ THIRST, Page 1

ORTHO TRIBUNE

cal Orthodontics,” with Hyo-Sang Park (8
a.m. Sunday)
• “Case Report: A Class II Malocclusion
with TMD Symptoms,” with Marissa Chu
Keesler (1:55 p.m. Sunday)
• “The Enigma, Evidence, Efficacy, Efficiency and Clinical Outcomes of Class
II Growth Modification in Modern Day
Orthodontics: Is There Consensus?” with
William A. Wiltshire (8:35 a.m. Monday)
• “Generalized Use of CBCT in Orthodontic Practice: Is This a Dream?” with
Sercan Akyalcin (12:30 p.m. Monday)
• “Biomechanics of Root Resorption:
Genetic Predisposition and Physiologic
Balance,” with Eugene Roberts (9:40 a.m.
Tuesday)
In addition to the extensive schedule
of scientific lectures for clinicians, there
is also a complete schedule for orthodontic staff each day.
Even when the annual meeting ends
on Tuesday, there are “post-conferences”
Wednesday and Thursday in Maui, Oahu
and Kauai. For more information, check
with the registration desk.

Publisher & Chairman
Torsten Oemus t.oemus@dental-tribune.com
Chief Operating Officer
Eric Seid e.seid@dental-tribune.com
Group Editor
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 Show Dailies
Kristine Colker k.colker@dental-tribune.com
Managing Editor ORTHO Tribune
Sierra Rendon s.rendon@dental-tribune.com
Managing Editor
Fred Michmershuizen
f.michmershuizen@dental-tribune.com
Managing Editor
Robert Selleck, r.selleck@dental-tribune.com
Account Manager
Gina Davison g.davison@dental-tribune.com
Account Manager
Humberto Estrada h.estrada@dental-tribune.com
Marketing Manager
Anna Kataoka-Wlodarczyk
a.wlodarczyk@dental-tribune.com

Shuttle schedule
The AAO shuttles will operate at 15minute intervals in the mornings from
6 a.m. to 9 a.m. and late afternoons from
1 p.m. to 3:30 p.m.; and at 30-minute intervals from 9 a.m. to 1 p.m.
Please refer to the shuttle signage that
will be posted in each shuttle hotel for
hours of operation and special event details. Routing and pickup locations are
subject to change.

Marketing & SALES Assistant
Lorrie Young l.young@dental-tribune.com
C.E. DIRECTOR
Christiane Ferret
c.ferret@dtstudyclub.com
Dental Tribune America, LLC
116 West 23rd Street, Suite 500
New York, NY 10011
Phone (212) 244-7181
Fax (212) 244-7185
Published by Dental Tribune America
© 2012 Dental Tribune America, LLC
All rights reserved.

Mobile technology
The 2012 Annual Session iPhone application and mobile Internet browser for
other smart phones is available. View
session details, create your own agenda,
network with other attendees, complete
session evaluations, view exhibitor information and more.
First-time users will be asked to log in
with their annual session registration
confirmation numbers*, create profiles
and select new passwords.
• To view the application on your
phone, type in http://mobile.aao2012.
alliancetech.com (Click on “My Agenda”
to log into an existing account or create
a new account.)

Ad

Photo/Provided by Hawaii Tourism Authority

Dental 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 contact Managing Editor Sierra Rendon at
s.rendon@dental-tribune.com.

• iPhone users should visit the app
store via their phones and search for
AAO 2012.
* Your registration confirmation number and attendee service center login
password can be found in your registration confirmation e-mail. The subject line
of the confirmation is: Registration Confirmation — 2012 AAO Annual Session.
Attendees who wish to use the mobile service but do not have a smart phone may
rent an iPod Touch on-site.

Dental Tribune cannot assume responsibility for the
validity of product claims or for typographical errors. The publisher also does not assume responsibility for product names or statements made by advertisers. Opinions expressed by authors are their own
and may not reflect those of Dental Tribune America.

Editorial Board

Image courtesy of Dr. Earl Broker.

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 Sierra Rendon at
s.rendon@dental-tribune .com.

Tell us what you think!
Do you have general comments or criticism you
would like to share? Is there a particular topic
you would like to see articles about in Ortho
Tribune? Let us know by e-mailing feedback@
dentaltribune. com. We look forward to hearing
from you! If you would like to make any change
to your subscription (name, address or to opt
out) please send us an e-mail at database@
dental-tribune.com and be sure to include which
publication you are referring to. Also, please note
that subscription changes can take up to 6 weeks
to process.

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


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Ortho Tribune U.S. Edition | May 5, 2012

a ao news

3

Here at the AAO: What to know
What

Where

Plantation and the Hawaii Children’s Discovery Center.
Camp AAO activity center hours are
from 6:30 a.m.–3 p.m. daily. Youth tour
hours are 9 a.m.-12:30 p.m. daily.
For more information, visit www.
accentregister.com/register/campAAO12
or call (504) 524-0188.

Hawaii Convention Center, 1801 Kalakaua
Ave., Honolulu

Professional lecture recordings

American Association of Orthondontists’
112th Annual Session

When
Today through Tuesday

Online
www.aaomembers.org/mtgs/
2012-AAO-Annual-Session.cfm

Exhibit hall hours
The exhibit hall is located in Level 1 of the
Honolulu Convention Center.
• 8 a.m.–3:30 p.m. today, Sunday and
Monday
• 8 a.m. –2 p.m. Tuesday

Table clinics
7:30 a.m.–2:30 p.m. today, Sunday, Monday and Tuesday

Scientific posterboard exhibits
9-11 a.m. Sunday

Attire
The official dress code of the AAO is “Aloha Wear,” which includes aloha shirts,
khakis and loafers for men and aloha
shirts, khakis, skirts, city shorts, dresses,
loafers and sandals for women.

C.E. Pavilion
While attending the AAO, record the
lectures you attend and print your C.E.
hours report at the C.E. Pavilion on the
Level 3 Breezeway.

Shuttle schedule
The AAO shuttles will operate at 15-minute intervals in the mornings from 6
a.m. to 9 a.m. and late afternoons from
1 p.m. to 3:30 p.m.; and at 30-minute intervals during mid-day from 9 a.m. to 1
p.m. every day.
The following hotels will have shuttle
service: Hilton Hawaiian Village, Courtyard, Doubletree, Embassy Suites, Hilton
Waikiki Beach, Hyatt Regency, Moana
Surfrider, Royal Hawaiian, Sheraton Princess, Sheraton Waikiki and Waikiki Beach
Marriott.
Please refer to the shuttle signage,
which will be posted in each shuttle hotel, for hours of operation and special
event details. Routing and pickup locations are subject to change.

Camp AAO
Children 6 months to 12 years old are
welcome to participate in the Camp AAO
on-site program. The activity center will
be located at the Hawaii Convention Center, Room 321, and will be open daily.
Children ages 6 to 17 have the opportunity to participate in educational youth
tours as well. The tours depart and return
to the on-site activity center each day.
Those children participating in tours
also have the option to sign up for hourly
on-site attendance prior to and following
the tour. An hourly rate will apply.
The youth tour program will include
visits to Waikiki Aquarium, Honolulu
Zoo, Bishop Museum, Dole Pineapple

Most of the lectures presented at this
conference will be audio recorded and
available as a package set on a DVD ROM
in MP3 format. Most of these recorded
lectures will also include the speaker’s
screen presentation as an integrated
synchronized file. On-site orders will be

The Hawaii
Convention
Center at night.
Photo/Hawaii
Tourism Authority,
Chuck Painter

available for $158 (includes shipping).

Giving back
Annual session attendees will have an
opportunity to “give back” to the Honolulu community by aiding hungry resi-

dents of Oahu. The annual session “Virtual Food Bank” kiosk on Level 2 of the
Convention Center will accept contributions and provide receipts for donations.
All funds contributed will go to a local
food bank.

Ad


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scr apbook

Ortho Tribune U.S. Edition | May 5, 2012

Product scrapbook
Here is a look at some of the products you’ll want to check out in the exhibit hall

Cloud9Ortho is the first true cloud-based
orthodontic practice management
software, which means no more servers.
You can use Macs or PCs, have fast speed in
your satellite offices and lower your IT cost.
Stop by booth No. 239 for a free demo.
Photo/Provided by Cloud9Ortho

The 4-Part MiniScope by Specialty
Appliances allows for greater opening
and lateral movement while keeping the
forces in the proper direction. Stop by
booth No. 946 for more information.
Photo/Provided by Specialty Appliances

The GXDP-700 Series from Gendex starts with a digital panoramic system with sophisticated styling and an ergonomic design, including an
advanced touchscreen interface. The GXDP-700 is a modular system, upgradable from 2-D panoramic to cephalometrics or 3-D cone beam
with expandable field-of-views or both. Visit booth No. 4010 to learn more! Photo/Provided by Gendex

Stop by booth No. 547 to take a look at this digital ‘SLR’ camera with traditional ringlight or
wireless ringflash. The camera also comes with a 90 mm macro lens with orthodontic
settings. Photo/Provided by CliniPix
Visit Dentaurum at booth No. 1037 to see its new line of M-Series Buccal Tubes. These tubes
feature a patented laser-structured bonding pad that is guaranteed to bond better than any
other tube on the market or Dentaurum refunds your purchase at 150 percent! You can also
call (800) 523-3946 or e-mail sales@dentaurum-us.com for more information.
Photo/Provided by Dentaurum


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Ortho Tribune U.S. Edition | May 5, 2012

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Opal Orthodontics’ new line of highly
specialized instruments were handcrafted
in Germany by Hammacher. Each
instrument is individually inspected for
workmanship and accuracy every step of
the way to guarantee consistency. The line
of instruments includes pliers and cutters.
Stop by booth No. 409 to check them out.

5

Ortho Organizers is shifting the way you think about orthodontics.
To limit extractions and turn difficult Class II cases into simpler Class
I cases is a dream come true for you and your patients with the
Carriere Distalizer Appliance. See the appliance at Ortho Organizers’
booth, No. 1227. Photo/Provided by Ortho Organizers

Photo/Provided by Opal Orthodontics

For a glove that feels inexistent and provides the maneuverability of a bare hand, take a look at Plak Smacker’s newest
gloves: the Ultra Thin Nitrile. The Ultra Thin Nitrile — part of
Plak Smacker’s new TruFit line — is a latex-free glove made
with a soft nitrile material. This allows the glove to be used
during appointments where the patient or clinician has a
latex allergy. Free TruFit samples are available at booth No.
1847. They are available in seashell white in both 100-count
and 200-count boxes. Photo/Provided by Plak Smacker

Headquartered in Houston, Texas, ClearCorrect serves orthodontic
industries by providing an affordable and doctor-friendly clear
aligner system. No course is required. To send in a case, simply call
and register at (888) 331-3323 with your new accounts specialist or
visit ClearCorrect at booth No. 856. Photo/Provided by ClearCorrect

Ad


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6

exhibitors

Ortho Tribune U.S. Edition | May 5, 2012

Edge combines management,
imaging and communication
The Edge Dashboard.
Photo/Provided by Ortho2

Ad

Edge from Ortho2 delivers an allencompassing practice management,
imaging and communication software
with plenty of features, high capability and integrated programs — all supported by a customer service team. Edge
features private Cloud Computing with
off-site data hosting options, innovative
imaging, reminders, patient-education
animations and more.
With private, secure Cloud Computing

from Ortho2, your practice can eliminate
the cost, complexity and risk associated
with in-house servers and backups. This
feature allows you to fully access the secure web-based data infrastructure from
anywhere, even your smart phone.
• 35 percent to 44 percent cost savings
with lower initial and ongoing hardware
costs
• Secure data protected by world-class
firewalls

Here at the AAO
For more information, contact Ortho2 at (800) 6784644 or by e-mail at sales@ortho2.com, go online to
www.ortho2.com or stop by the booth, No. 2003.

• Reliable backups on multiple platforms
• Decreased risk of theft, vandalism
and fire
• Two data access pathways: Internet or
cell-based network
The design inside Edge uses the latest
user interface innovations, such as navigation elements that present meaningful
options, hover view and use of drag-anddrop, and Edge is backed by an industryleading customer-support team.
Check out other advancements available with Edge.
• Edge Imaging is one of the most robust imaging technologies available today, according to Ortho2. With an intuitive interface, time-saving features and
easy customization, Edge Imaging can
help manage all of your patient image
files.
Edge Imaging includes new features
such as quick-access card flow presentation, smart drag-and-drop layout customization, unlimited undo capabilities,
silhouette image alignment and more.
• Premier Imaging is an optional upgrade for Edge Imaging and includes
comprehensive image morphing, ceph
tracing and analysis and Bolton Standards. Superimpose multiple time points
on structures rather than oriented
planes or use Bolton Standards for notrace quick review. There is no additional
cost for a multi-user license or digital
X-ray integration.
• Edge Animations are patienteducation animations for improved compliance and case presentation, including
surgical and 3-D animations. With Edge
Animations, you have the ability to edit
and customize videos, using annotation
and audio controls or drag-and-drop, so
virtually any image or movie can be included. Publish your animations to disc,
e-mail or YouTube.
• Edge Reminders is an easy-to-use system for automating your patient reminders. Send automated phone, text and
e-mail appointment reminders for any
range of upcoming appointment dates,
recall reminders, birthday greetings and
more. Patient responses are even integrated into your schedule. Edge Reminders offers low, flat billing with no minimum monthly charge.
• Edge Portal offers 24/7 online account
access for patients, responsible parties
and consulting professionals to retrieve
appropriate information and images,
make online credit card payments and
more.
Edge Portal also gives your practice
real-time access to vital practice information, treatment chart data and images
from any location or device, including
tablets and smart phones.


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exhibitors

Ortho Tribune U.S. Edition | May 5, 2012

7

Opal Orthodontics previews
new VALO Ortho Cordless
Opal Orthodontics will preview its new
VALO Ortho Cordless curing light this
week at the 2012 AAO Annual Session
here in Honolulu.
VALO Ortho Cordless follows suit
with VALO Ortho, its expertly engineered counterpart, adding a battery-operated,
cordless
wand
for
mobility. Both lights maintain the
powerfully efficient broadband technology that VALO has been awarded
from notable dental organizations.
VALO Ortho Cordless is designed for the
orthodontist performing direct and indirect orthodontic procedures, who is
seeking the quality, durability and power
of VALO, now with the convenience of a
cordless curing light.
The light features custom, multi-wavelength Light Emitting Diodes (LEDs) to
produce high-intensity light at 395-480
nm — capable of polymerizing all lightcured dental materials quickly and efficiently.
VALO Ortho Cordless comes with
VALO rechargeable batteries and a battery charger suitable for power outlets
from 100 to 240 volts. The standard
lithium iron phosphate rechargeable
batteries are safe, inexpensive and

The VALO
Ortho Cordless.
Photo/Provided by
Ortho Orthodontics

Here at the AAO
For more information, visit Opal Orthodontics’
booth, No. 409. Opal Orthodontics will feature a
daily VALO Ortho Cordless giveaway at its booth.
You may also visit www.valo-led.com or call customer service at (888) 863-5883.

optimized for power and longevity.
The new handpiece is designed to rest in
a standard dental unit bracket, or it can

be custom-mounted using the bracket
included in the kit. It offers consistent
curing intensity and output in a durable,
aerospace aluminum body with Teflon
coating and a sleek, ergonomic design.

About Opal Orthodontics
Opal Orthodontics, a division of Ultradent Products, Inc., is committed to
bringing new and innovative products to
the orthodontic market. Opal Orthodon-

tics products include bands and brackets, archwires, adhesives, instruments,
elastomerics and homecare products designed to meet the demanding needs of
today’s orthodontics practices.
Opal Orthodontics is also a proud partner of Susan G. Komen for the Cure in its
fight to eliminate breast cancer.
For more information about Opal Orthodontics, call (888) 863-5883 or visit
www.opalorthodontics.com.

Ad


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exhibitors

8

Ortho Tribune U.S. Edition | May 5, 2012

Ortho Classic offers new
marketing, design service
Founded in 1991, World Class Technology/Ortho Classic has quickly grown
from strictly manufacturing orthodontic products for some of the industry’s
largest suppliers to a direct-to-doctor
manufacturer and supplier.
During this growth, the company has
placed further focus on offering industry-specific solutions and services from
an in-house orthodontic laboratory to its
newest service offering, OrthoAMP.
OrthoAMP is a marketing and design
service primarily focused on helping
orthodontic practices create innovative
and cohesive multi-channel marketing
assets. With strategic focus placed on advertising, marketing and practice building (or AMP), OrthoAMP services include
many diversified solutions from professional print and web design solutions to
promotional items and advertising.
Each and every project is custom-designed by graphic designers and marketing specialists who currently work in the
orthodontic industry.
To best facilitate this new service,
Ortho Classic has built a state-of-theart marketing and graphic design
and production room in the heart of
its 60,000-square-foot manufacturing

Here at the AAO
For more information, contact Ortho Classic at
(866) 752-0065 or visit its booth, No. 1603.

‘The next logical step
was to bring in the
printing equipment for
our graphic designers.’

Ortho Classic’s state-of-the-art marketing and graphic design and production room in its
60,000-square-foot manufacturing headquarters in McMinnville, Ore.
Photo/Provided by Ortho Classic

headquarters in McMinnville, Ore.
Equipped with an in-house photo studio, wide format printer and a 25-foot,
print-on-demand digital press, there are
very few jobs the company can’t handle.

Canon Rebel T3i Digital
Clinical camera system
The Canon Rebel T3i is the first Rebel
model to include the ability to work
with wireless flashes. This feature was
previously reserved for higher end, professional cameras and allows the T3i to
work with modern wireless macro
flashes.
Doing away with the flash power pack and cord results in a
lighter,
more
balanced
camera.
The Rebel T3i is an 18-megapixel digital camera that features an articulat-

“It just made sense for us,” said Ortho
Classic President Rolf Hagelganz of the
new design and production room.
“Everything we do is based on vertical integration; we design and manufac-

ture our entire product line in-house, so
the next logical step was to bring in the
printing equipment for our graphic designers.”
Ortho Classic aims to provide design
and marketing expertise on projects of
any size, making every effort to understand your practice’s business needs
and goals. Its team of marketing experts
provide innovative solutions designed to
draw attention and improve the visibility of your practice.
For more information, contact:
Ortho Classic, OrthoAMP Service, 1300
NE Alpha Dr. , McMinnville, Ore. 97128,
(866) 752-0065.

PLANMECA ProMax 3D Mid
The new PLANMECA ProMax® 3D
Mid is a CBVT all-in-one unit, including 3-D imaging, panoramic, extraoral
bitewing and cephalometric, that can
accommodate all of your clinical needs.
The PLANMECA ProMax 3D Mid provides an extended selection of 3-D volume sizes combined with traditional
2-D panoramic and cephalometric imaging.
The unit has the unique ability to
meet all of your diagnostic needs, including implantology, endodontics,
periodontics and orthodontics, as well
as dental and maxillofacial surgery and
TMJ analysis.
The volume sizes range from ø3.4 by
4.2 cm to ø16 by 16 cm. This wide selection of volume sizes allows for optimizing the imaging area according
to specific diagnostic task — always
complying with the best practices of
dentistry, including the ALARA (as low
as reasonably achievable) principle, to
minimize radiation.

ing LCD screen and a 1080p HD video
mode.
PhotoMed offers two wireless flash
options for the T3i as well as two traditional macro flashes and four macro
lens options.
For more information or to see the
Canon Rebel T3i for yourself, visit www.
photomed.net, call (800) 998-7765 or
stop by the PhotoMed booth, No. 847,
here during the AAO Annual Session.

Photo/Provided by PhotoMed

For more information on the
PLANMECA ProMax 3D Mid, stop by the
Patterson Dental booth, No. 655, here
during the AAO.
Photo/Provided by Patterson Dental


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exhibitors

10

Ortho Tribune U.S. Edition | May 5, 2012

Advanced ortho case control
with Tx STUDIO for i-CAT
In orthodontics, as with any dental specialty, the more details the clinician can
see, the more control is possible over the
treatment outcome.
For this reason, CBCT imaging is increasingly becoming a valuable orthodontic tool for effective, less invasive
treatment planning. Now, orthodontists
with i-CAT® have access to software, Tx
STUDIO™, that makes diagnosis, treatment planning and implementation
even more precise and predictable. With
its wide selection of treatment-planning
features,
Tx STUDIO is an integral part of
i-CAT cone beam 3-D systems, which are
known for unparalleled clinical and dose
control, as well as the industry’s fastest
workflow, the company says.
The process begins with an i-CAT scan
from which all initial records, including
panoramic and cephalometric views, can
be accessed with a single scan. Accessing
cross-sectional views and volume renderings from the scan shows the orthodontist the precise location of impacted
and unerupted teeth that can interfere
or prevent proper tooth movement during treatment. Then, treatment planning
and implementation is facilitated with
the Tx STUDIO.
Fully integrated and exclusive to
award-winning i-CAT 3-D systems,
Tx STUDIO is the only software designed
for a cone-beam 3-D unit that does everything from diagnostics to implant and
orthodontic treatment planning.
Because it was designed by clinicians,
Tx STUDIO addresses the goals and concerns of the orthodontist, resulting in a
fast workflow and more control over results. Tx STUDIO’s optional 3-D Cephalometric Analysis package results in quicker, more accurate ceph tracings than
traditional 2-D ceph tracings.
Another innovative feature is the new
face-MATCH photo-wrapping feature
that allows easy and immediate wrapping of a facial photo taken with a standard digital camera onto the 3-D volume.
With no special camera set-up required,
face-MATCH demonstrates the impact
of anatomy and treatment plan on the
facial profile and personalizes the case to
each patient.
When viewing this application, patients are amazed to see their own features instead of a model or stock images
and, as a result, are often more confident
the treatment will be specific to their
needs.
Tx STUDIO also includes a feature that
provides virtual study models in occlusion, complete with the crowns, roots
and bone. With this, the orthodontist
can predict soft-tissue changes that may
result from orthodontic or surgical treatments. In addition, Tx STUDIO includes
an anchor pin library for virtual TAD
placement.
Airway analysis and sleep studies are
increasingly becoming an important

Tx STUDIO’s optional 3-D
Cephalometric Analysis
package results in quicker,
more accurate ceph tracings than
traditional 2-D ceph tracings.
Photos/Provided by Imaging Sciences

The new face-MATCH photo-wrapping
feature allows easy and immediate
wrapping of a facial photo taken with a
standard digital camera onto the 3-D
volume.

An analysis of an airway using TxSTUDIO.

A reconstructed
pan from a
3-D scan.

Here at the AAO
For more information on Imaging Sciences’ technology, stop by booth No. 1213.

part of the orthodontic workup. As a result of these studies, clinicians can provide orthodontic services, appliances or
recommend surgery. Tx STUDIO gives
clinicians the ability for instant measurement of total airway volume, localization and area measurements of maximum constriction and also automatic
color-coded constriction values of the
airway volume.
To implement treatment that relieves
the pain of joint disorders, the TMJ
visualization tool allows orthodontists to track condylar position over the
course of treatment by showing superimposed changes to the TMJ complex
over time.
The ability to forecast the changes over
the course of treatment is beneficial to
the clinician for case control, but it is also
imperative to be able to share this infor-

mation with other specialist colleagues
and use it to show patients why treatment is necessary.
The Diagnostic Reports Tool option
quickly and efficiently fosters communication by using customized templates.
The combination of scan views and renderings that are accomplished in the
software lets patients view and understand their anatomy, so they comprehend how treatment will evolve. Understanding leads to greater compliance and

even faster and more successful treatment outcomes.
“Tx STUDIO gives our orthodontic customers access to advanced 3-D treatment
tools that result in better diagnostics
and treatment for the patient, and allows
the clinician to advance the practice to
provide more options,” said Mark Hillebrandt, business unit director for i-CAT.
“More information on the patient’s dentition leads to better planning and less
surprises during treatment.”


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exhibitors

12

Ortho Tribune U.S. Edition | May 5, 2012

Myofunctional orthodontics
and myofunctional therapy
By Chris Farrell, BDS, Sydney

Here at the AAO
For more information on myofunctional orthodon-

A brief history of orthodontics

Begg bracket.
(Photos/Provided by Dr. Chris Farrell)

Ad

Bonded retainer.

More than 100 years ago, and before Edward Angle, dentists realized they could
move teeth into a more esthetic position by applying various mechanical devices to the teeth. This, in turn, caused
apposition and deposition of bone in
areas where forces were increased or
decreased. Teeth could be moved into a

tics, stop by the Myofunctional Research Co. booth,
No. 1948.

more esthetic position, and so the orthodontic profession was born.
Angle clearly stated his view that it
was unethical to extract teeth for orthodontic purposes and proved that, with
his complex fixed appliances, he was
able to expand the arches and align the
teeth. The problem at this stage was that
a lot of these cases (possibly most of
them) relapsed.
So Tweed, who was Angle’s student,
suggested that the extraction of teeth
was the only way to get stability. In the
1950s, extraction orthodontics became
the normal practice after the Australian
Orthodontist Percy Raymond Begg developed the first straight wire appliance,
which required less wire bending skills
than previous methods.
Today, orthodontists revere self-ligating brackets as the key to non-extraction
orthodontics. Angle would be amused if
he were around today. Has the stability
of orthodontics changed? No. The orthodontic profession has accepted that to
expect case stability using fixed appliances without fitting permanent retainers is both impractical and unrealistic.
Progress in orthodontic stability is
achieved by advances in flowable composite, rather than advances in orthodontic technique. The Australian Society of Orthodontists (ASO) website is an
example of the widespread acceptance
that stability is not possible with toothcentred orthodontics.1
“Teeth may have a tendency to change
their positions after treatment. The
long term, faithful wearing of retainers
should reduce this tendency.” (Source:
www.aso.org.au/Docs/Orthodontics/
Risks.htm)

Myofunctional therapy
Understanding how the oral muscles
and the tongue influence the jaws and
dental arches predates Angle by a long
way. The history of myofunctional therapy dates back to the 15th century in
Italy. In 1906, American Orthodontist
Alfred Rodgers experimented with facial muscle exercises and, in 1918, wrote
a paper titled “Living Orthodontic Appliances,” in which he cited that muscle
function alone would correct malocclusion. In 1907, renowned orthodontist Edward H. Angle’s textbook “Malocclusion
of the Teeth” detailed the effects of oral
habits on occlusion.
Angle stated that in his view, every
malocclusion has a myofunctional
cause. Myofunctional therapy became
the popular “adjunct to orthodontics” in
the 1960s and 1970s, when Daniel Garliner created the Myofunctional Institute in Florida.
Garliner trained thousands of myo-


[13] =>

[14] =>
exhibitors

14
functional therapists and wrote multiple books on the subject. The new etiology of malocclusion was confirmed by
rapid success in treating malocclusion
with greater stability. Unfortunately,
this success was not evident in 100
percent of cases. Arguably, the ensuing
decades saw myofunctional therapy
diminish in popularity due to the then
time consuming treatment being seen
as only an optional little adjunct for cases where the patient exhibited tongue
thrusting. Tooth-centered orthodontics
with direct bonded brackets and superelastic wires no longer warranted the
“tongue thrust therapist” in all but the
occasional cases.

Myofunctional orthodontics
Myofunctional orthodontics put forward that the cause of malocclusion
was muscle dysfunction. From an early
age, mouth breathing, thumb sucking,

Ad

Ortho Tribune U.S. Edition | May 5, 2012

About the clinician
Chris Farrell, BDS, 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, Farrell discovered that the etiology of malocclusion
and TMJ Disorder was myofunctional; contradicting the established views of his profession. Farrell
founded Myofunctional Research Co. (MRC) in 1989

The tongue supports upper-arch
development.

Lower-crowding caused by poor
myofunctional habits.

and has become the leading designer of intra-oral
appliances for orthodontics, TMJ disorder and
sports mouthguards.

tongue thrusting or swallowing incorrectly can be observed in most children.
All will have a developing malocclusion.
The correction of these dysfunctional
habits not only corrects the malocclusion (if treated early enough), it also has
the potential to improve facial growth.
The problem with treating myofunctional habits early is that the compli-

ant patient will no longer need braces.
This is one of the biggest dilemmas facing an orthodontist today. Correct the
causes early and the market for braces
can be drastically decreased. However,
treating children earlier at their optimal growth stage (between ages 5-8
years) using myofunctional orthodontic techniques can make orthodontic

treatment later easier and more stable.
Once a practitioner can see the causes
of a child’s malocclusion, it is possible
to serve the growing demand from
parents who do not want to delay treatment for their children.
We also now know that toothcentered orthodontic treatment can
only achieve short-term results unless fixed or removable retainers are
used in the long-term.1 Parents must be
made aware of this if they are to make
an informed decision for their children.
Should the problems be treated now, or
should the patient wait?
Myofunctional orthodontics is not
just about moving teeth. The first objective of myofunctional orthodontics is to
have enough space for the tongue to sit
in the maxilla. The second objective is
to have the patient breathing through
their nose with their lips together.
If the patient is not breathing through
their nose, then correct arch development and correct dental alignment cannot be achieved.
For patients unwilling or unable to
correct their own dysfunctional habits
(chronic mouth breathers, for example), correct dental alignment and arch
development is only possible if the patient accepts wire and glue for life. Occasionally patients do accept this, and so
sometimes retainers are fitted under the
direction of the patient or parent. This
occurs for only a minority of cases.
Once you can diagnose the causes of
the malocclusion, you are capable of resolving the malocclusion, rather than
just treating its symptoms.
Treating the causes of the malocclusion, rather than just relying on mechanical forces to align teeth has great
benefits for both patients and parents.
If you’d like to learn more, MRC offers
Myofunctional Orthodontic training.

Benefits of myofunctional
orthodontics
Myofunctional orthodontics produces
healthier patients who are able to grow
without the detrimental habits that
limit facial growth. Patients who stop
mouth breathing are healthier and get
less allergies and infections because of
breathing through their nose. Fixing
incorrect swallowing patterns and improving poor nutrition allows correct
downward and forward facial growth
and development.
Case after case using myofunctional
orthodontics produces stable maxillary
arch development and resolves lower
anterior crowding with little mechanical effort. No braces are needed, and for
the majority, no permanent retainers
are required.

Reference
1. www.aso.org.au/Docs/Orthodontics/Risks.htm


[15] =>
Ortho Tribune U.S. Edition | May 5, 2012

explore oahu

15

“ OAHU, Page 1

tem. Many visitors also enjoy taking bus
tours to conveniently explore the island.
Others rent mopeds and motorcycles.
Oahu’s city transportation system is
aptly named “TheBus.” Fares are reasonable, routes are extensive, and there are
special visitor passes for multiple day
uses. For more information on fares, bus
routes to popular attractions and other
information, visit www.thebus.org.


Another affordable option is the trolley. The routes and destinations are not
as extensive as TheBus but the trolley
goes to most major tourist attractions
and offers tickets for unlimited rides
during a certain number of days. For
more information, visit www.waikiki
trolley.com or call (808) 593-2822.


Taxis are a great way to travel when in
a group, and the cost can be shared. You
can find taxi stands at most major shopping malls, in the business district and at
the airport. Note that rather than hailing
a cab, finding taxi stands at major shopping malls and businesses as well as calling for pick-ups via hotel concierge or
phone is the norm in Hawaii.

A view of Waikiki Beach from Kapiolani Park. Photo/Provided by Hawaii Tourism Japan

The North Shore
If there is such a thing as a perfect wave,
you’ll likely find it on the North Shore.
The big, glassy winter waves of this legendary surf mecca attract the best surfers in the world. Stretching for more than
seven miles, the beaches of the North
Shore host the world’s premier surfing
competitions, including the Super Bowl
of wave-riding, the Vans Triple Crown of
Surfing.
To get to the North Shore, drive along
northwestern Kamehameha Highway
(Highway 83) from Haleiwa to Sunset
Beach. From Waikiki, it takes about 45
minutes to get to Haleiwa and an hour to
get to the beaches.
Top places to visit in the North Shore:
• Waimea Bay: Waimea Bay is the birthplace of big wave surfing and is the venue
for the Quicksilver in Memory of Eddie Aikau Big Wave Memorial. This surf
competition pays homage to legendary
surfer Eddie Aikau and takes place only
when the epic Waimea waves are at least
20 feet high.
• Banzai Pipeline (Ehukai Beach): The
merciless waves of Pipeline break just 50
to 100 yards off the beach over a shallow
reef, making this one of the most dangerous surf spots in the world.
• Sunset Beach: The northernmost surf
spot on the North Shore is Sunset Beach.
The long wave breaks here are the setting
for the O’Neill World Cup of Surfing, the
second contest in the Vans Triple Crown
of surfing.
• Haleiwa: This laid-back surf town
with a country feel is the gateway to the
North Shore, filled with great restaurants
and shops.

Waikiki
World-famous Waikiki was once a playground for Hawaiian royalty. Known in
Hawaiian as “spouting waters,” Waikiki
was introduced to the world when its first
hotel, the Moana Surfrider, was built on
its shores in 1901.
Today, Waikiki is a vibrant gathering
place for visitors from around the world.
Along the main strip of Kalakaua Avenue,
you’ll find shopping, dining and entertainment.

An aerial view of Hanauma Bay. Photo/Hawaii Tourism Authority, Heather Titus

At legendary Waikiki Beach, a statue
of Hawaiian hero Duke Kahanamoku
welcomes you with open arms. Regarded
as the “Father of modern surfing,” Kahanamoku grew up and surfed in Waikiki
during the turn of the century. Discovered as a swimming sensation, he won
Olympic gold medals in the 100-meter
freestyle in 1912 and 1920, then went on
to act in Hollywood and use his fame to
spread the popularity of surfing.
Waikiki has a variety of beaches to explore. The main stretches include:
• Waikiki Beach: This is the classic
shoreline behind the Sheraton Waikiki,
the Royal Hawaiian Hotel and the Moana
Surfrider.
• Kuhio Beach: When the world thinks
of Waikiki, this golden stretch of sand
along Kalakaua Avenue is what comes to
mind. To the east, Kapahulu Pier extends
into the Pacific, giving you a view of the
Waikiki shoreline. The rock “Wall” shelters the beach, providing a tranquil spot
to swim.
• Queens Surf Beach: Past the volleyball
nets at the Diamond Head end of Waikiki,
the beaches get less crowded and grassy
areas spring up, offering spots for picnicking.
To learn more about Waikiki’s history,
take a stroll along the Waikiki Historic
Trail, which highlights 23 historic sites,
19 of which are marked by bronze surfboards with a wealth of historical information.

The trail begins at the Royal Hawaiian
Center in the heart of Waikiki. The Royal Grove in historic Helumoa was once
home to 10,000 coconut trees. The trail
continues to the sacred Wizard stones off
of Kuhio Beach; King’s Village, a shopping center that was once the residence
of King Kalakaua; and the Duke Kahanamoku statue.

Pearl Harbor
Pearl Harbor, named for the pearl oysters
once harvested there, is the largest natural harbor in Hawaii and the only naval
base in the United States to be designated a National Historical Landmark. The
aerial attack on Pearl Harbor resulted in
2,390 dead and hundreds wounded, and
drove the United States into World War II.
Today, these attacks are honored by memorial sites.
• USS Arizona Memorial: At 8:06 a.m.
on Dec. 7, 1941, the USS Arizona was hit
by a 1,760-pound armor-piercing bomb,
which ignited its forward ammunition
magazine. The catastrophic explosion
that resulted sank this massive battleship in nine minutes, killing 1,177 crewmen.
Begin your tour at the Visitor Center
where you can view a film about the attack and view plaques honoring lives lost
on that fateful day. You’ll then take a boat
shuttle to the USS Arizona Memorial, a
floating memorial built over the sunken
hull of the Battleship USS Arizona, the

final resting place for many of the ship’s
crew. In the shrine room, a marble wall
exhibits the names of the men who lost
their lives on the Arizona.
• Battleship Missouri Memorial: General
MacArthur accepted the unconditional
Japanese surrender that ended WWII on
Sept. 2, 1945, on the Surrender Deck of
the Battleship Missouri Memorial. Today, the massive “Mighty Mo” is a living
museum, with exhibits spanning three
wars and five decades of service. Explore
the decks of this 60,000-ton battleship,
three football fields long and 20 stories
tall. Stand on the Surrender Deck and
view the documents that ended the war.
Take a tour and get special access to restricted areas. And don’t miss the ship’s
most stunning feature: towering 16-inch
guns that could fire a 2,700-pound shell
23 miles.

Bishop Museum
Honolulu’s Bishop Museum is Hawaii’s
largest museum dedicated to studying
and preserving the history of Hawaii and
the Pacific. Originally designed to house
the extensive collection of Hawaiian artifacts and royal family heirlooms of Princess Bernice Pauahi Bishop, a descendent
of King Kamehameha I, the museum is
now the premier natural and cultural
history institution in the Pacific.
One of Oahu’s most historic places,
the museum holds millions of artifacts,
documents and photos about Hawaii and
other Polynesian cultures. Visit the newly renovated Hawaiian Hall, which immerses you in Native Hawaiian culture
and history by showcasing a variety of
important artifacts. In the planetarium,
kids can learn how voyagers navigated
the Pacific using the stars. In the Science
Adventure Center, children can see Hawaii’s unique natural environment like
never before through a variety of interactive exhibits.
Note that the museum is closed every
Tuesday but is open year-round with regular hours from 9 a.m. to 5 p.m.
(Source: Hawaii Visitors
and Convention Bureau)


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