CAO BULLETIN - Fall/Winter 2013

CANADIAN ASSOCIATION OF ORTHODONTISTS / ASSOCIATION CANADIENNE DES ORTHODONTISTES Your Smile is Our Specialty!

Bulletin Winter 2013/2014

In this Issue… n

Message from the Incoming President

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Outgoing President’s Message

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Highlights of the 65th Annual CAO Scientific Session

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CFAO Graduate Student Posterboards

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Committee Reports

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Component Society Reports

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2013 Award Winners In Memoriam

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PLUS n CFAO Needs Your Help n Challenges Facing the Young Orthodontist

Canadian Association of Orthodontists Association canadienne des orthodontistes 2175 Sheppard Avenue East, Suite 310 Toronto, Ontario M2J 1W8 Telephone (416) 491-3186 / 1-877-CAO-8800 Fax (416) 491-1670 E-mail cao@taylorenterprises.com Website www.yoursmileourspecialty.ca AND www.canadabraces.ca

2013/2014 Board of Directors OFFICERS President President Elect Past President 1st Vice President 2nd Vice President Secretary/Treasurer

Dr. Garry A. Solomon Dr. Helene Grubisa Dr. Paul Major Dr. Jean-Marc Retrouvey Dr. Robert D. Kinniburgh Dr. Michael Patrician

REGIONAL DIRECTORS British Columbia Alberta Saskatchewan Manitoba Ontario Quebec Atlantic

Dr. Rick Odegaard Dr. C. Todd Lee-Knight Dr. Michael Wagner Dr. Susan Tsang Dr. Sheila Smith Dr. Sonya Lacoursiere Dr. Donald E. Johnston

COMMITTEES President CFAO CAO/CDSA Liaison Insurance Task Force

Dr. Stephen Roth Dr. Robert D. Kinniburgh Dr. Robert Cram

Membership/P&P Task Force

Dr. Helene Grubisa

Sponsorship Chair

Dr. Michael W. Patrician

WFO - Country Rep

Dr. Garry A. Solomon

WFO - Member-at-Large Conference Advisory Committee Chair New & Younger Members Rep CAO/AAO Liaison Planning & Priorities By-Laws Task Force Communications Nominations Canadian Orthodontic Educators RCDC Liaison

Dr. Jean-Marc Retrouvey Dr. Howard Steiman Dr. Susan Tsang Dr. Garry A. Solomon Dr. Garry A. Solomon Dr. Amanda Maplethorp Dr. Dan Pollit Dr. Paul Major Dr. Gerry Solomon Dr. Thomas R. McIntyre

CAO Web Master Bulletin Editor Historian/Archivist CAO Helpline Task Force GST/HST Advisor

Dr. Daniel Pollit Dr. James Posluns Dr. Garry A. Solomon Dr. Howard Steiman Dr. Michael W. Patrician

Message from the President Dr. Garry A. Solomon [Email: hellener@lks.net]

Build Your New House Out of Bricks True leadership identifies problems and encourages one to stop and think. Traditionally, the President’s Message has been a safe and generic synopsis of the events at the CAO. Some readers may not agree with the views expressed in this particular message, but best case scenario, controversy leads to change.

Once upon a time, there were three little pigs. To protect himself from the Big, Bad Wolf (a.k.a all bad things affecting orthodontics), the first little pig built his house out of straw. For years there was plenty for everyone to do, and life was good. Over time, denturists began to practice independently and the referring dentists became less busy. The first little pig noticed fewer patients were being referred. More dentists and more orthodontists graduated and started to practice close to the house of straw. Soon hygienists became independent practitioners, and the referring dentists had even less to do. The protective straw house, once so comfortable, began to shake and collapse under the pressure.

The second little pig built a house out of twigs, thinking that it would keep the Big, Bad Wolf at bay. He hired expanded-duty auxiliaries to do more of his work for him, but didn’t notice that they were also working for the general dentist as well, with their week-end course experience and questionable advertising practices. The second little pig unwittingly joined forces with an insurance company, thinking that if he took assignment and provided treatment codes, then he would have a competitive edge over the other little pigs. He could not envision that his decisions would ultimately lead to increased overhead, larger accounts receivable, and a bigger staff. Then the second little pig turned to on-line coupon sites and advertised on shopping carts and buses, to gain a competitive edge, never thinking that this decision may be potentially detrimental to the profession.

The three little pigs once had control over much of what transpired in their lives but it became obvious that they were killing the goose that laid the golden egg. Having served on the boards of the Ontario and Canadian Association of Orthodontists, I have seen these untoward events unfold. The moral of this story is that the third little pig had better build his house out of bricks.

The brick is you. Get personally involved with your provincial and/or national organizations. Your profession and your practice will benefit. Don’t wait for the house of twigs to fall. Let’s work collectively for a better future. Get involved by volunteering your time, input and expertise. In the May 22nd, 2000 issue of Time magContinued…

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azine, orthodontics was predicted as one of ten careers which will disappear in the new millennium. All orthodontists have spent many years of training to become part of this revered profession; now is the time to donate a small amount of your time to ensure its survival. Change is inevitable; it is our collective responsibility to ensure that future generations of orthodontists have the same opportunities as our predecessors. If we do not work together, then we may not be working at all!

The Board has been discussing many new initiatives this year. The CAO Insurance protocols are being re-evaluated.

The Not-For-Profit restructuring mandated by Government must be completed by October 2014 and the Executive is working diligently to ensure a smooth transition. The CAO is in discussions with the AAO to explore the potential for additional funding for the Canadian media campaign, ensuring greater media exposure both in French and in English than the current AAO campaign can offer on its own.

I would be remiss if I did not thank Diane, Alison and the entire staff at Taylor Enterprises, as well as all members of the Board for their hard work that makes the CAO the well-respected voice for orthodontists throughout Canada.

Stay tuned for continuing episodes of “The Three Little Pigs”. Only time will tell if it will end happily ever-after.

(The views of this message are exclusively those of the author and do not necessarily reflect those of the Board of Directors or the Canadian Association of Orthodon-

Rapport du président Misez sur la brique pour votre nouvelle maison Le leadership exemplaire s’illustre par la capacité de cerner les problèmes et amène à prendre un temps d’arrêt pour réfléchir. Dans le passé, le message du président a pris la forme d’un recensement prudent et générique des événements liés à l’ACO. Certains lecteurs ne seront pas d’accord avec les opinions exprimées ici. Cela dit, dans le meilleur des cas, la controverse débouche sur le changement.

Il était une fois trois petits cochons. Comme ils voulaient se protéger contre le grand méchant loup (synonyme de l’adversité affectant l’orthodontie), le premier petit cochon s’est construit une maison de paille. Des années durant, tous étaient fort sollicités, et la vie allait bon train. Au fil du temps, les denturologistes ont commencé à œuvrer de leur côté, et les dentistes qui les recommandaient ont eu moins à faire. Le premier petit cochon constata une baisse du nombre de patients qui lui étaient recommandés. Le nombre de dentistes et d’orthodontistes qui obtinrent leur diplôme et installèrent leur cabinet près de la maison de paille allait croissant. Très vite, les hygiénistes devinrent des professionnels indépendants et les dentistes recommandant des clients eurent encore moins à faire. La maison de paille sûre, autrefois si confortable, commença à vaciller et à s’écrouler sous la pression.

Persuadé qu’il pourrait ainsi tenir le grand méchant loup en respect, le deuxième petit cochon érigea sa maison avec des brindilles. Il embaucha des aides aux attributions élargies, de sorte qu’elles accomplissent davantage de travail pour son compte, sans s’apercevoir qu’elles travaillaient également pour un dentiste généraliste qui avait acquis sa formation par des cours du week-end et qui recourait à des pratiques publicitaires douteuses. Le deuxième petit cochon a bien naïvement uni ses forces avec une compagnie d’assurance, persuadé que s’il acceptait des mandats prévus en contrepartie de codes d’actes, il aurait une longueur d’avance sur les autres petits cochons. Il n’avait pas prévu que ses décisions se traduiraient somme toute par une augmentation des frais généraux, des comptes clients et de son effectif pour interagir avec les compagnies d’assurance. Ensuite, il s’est tourné vers les sites de coupons de réduction en ligne et il a commencé à s’annoncer sur les paniers d’épicerie ou les autobus pour se distancer de la concurrence, sans songer une seconde que sa décision nuirait éventuellement à la profession.

Auparavant, les trois petits cochons contrôlaient la majeure partie de leur vie, mais il devint évident qu’ils étaient en train de trucider la poule aux œufs d’or. Comme j’ai siégé aux conseils de l’Association canadienne des orthodontistes et de l’Association ontarienne des orthodontistes, j’ai pu constater le déroulement de ces événements déplorables. La morale de ce conte est que le troisième petit cochon aurait intérêt à se construire une maison de brique.

tists.)

Or, la brique, c’est vous. Investissez-vous dans les activités de vos organisations provinciales et nationales. Votre profession et votre cabinet ne s’en porteront que mieux. N’attendez pas de voir s’écrouler la maison de brindilles. Travaillons ensemble collectivement à l’amélioration future. Offrez votre temps, vos idées et votre expertise.

Dans le numéro du 22 mai 2000 du magazine Time, on avait inscrit les orthodontistes à la liste des dix carrières qui disparaîtraient au cours du nouveau millénaire. Tous les orthodontistes ont consacré de nombreuses années à la formation leur permettant

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d’accéder au cercle de cette profession révérée; le moment est venu d’accorder à cette profession un peu de votre temps pour assurer sa survie. Le changement est inévitable, aussi avons nous comme responsabilité d’assurer que les générations futures d’orthodontistes jouissent des mêmes occasions que nos prédécesseurs. Si nous ne serrons pas les coudes, il se pourrait bien que nous en venions à nous tourner les pouces!

Cette année, le conseil s’est entretenu de nombre d’initiatives. Les protocoles de l’ACO au titre des assurances sont en cours de réévaluation. La restructuration des activités sans but lucratif qu’exige le gouvernement doit être parachevée d’ici octobre 2014 et les membres de la haute direction travaillent avec diligence à une transition sans heurts. L’ACO explore avec l’AAO l’idée d’augmenter le financement d’une campagne médiatique canadienne pour accroître la visibilité en français et en anglais, comparativement à ce que la campagne actuelle de l’AAO peut offrir.

Je manquerais à mes devoirs si je ne remerciais pas Diane, Alison, de même que tout le personnel de Taylor Enterprises et les membres du conseil de leur travail acharné grâce auquel la voix de l’ACO est reçue avec respect partout au Canada.

Demeurez à l’affût des prochains épisodes des Trois Petits Cochons. Seul l’avenir nous dira si ce conte connaît une fin heureuse.

(Les opinions contenues dans le présent message sont exclusivement celles de l’auteur et ne correspondent pas à celles des membres du conseil d’administration ni de l’Association canadienne des orthodontistes.)

Message from the Outgoing President Dr. Paul Major [Email: major@ualberta.ca] As my term as President comes to an end, I am pleased to provide an update and a progress report for 2012-2013.

The terms of reference for all of the CAO committees (including Chair) and CAO Liaison have been revised. The wording is now consistent across the various committees and is appropriate in relation to the new bylaws. The role of the president, executive and board of directors in recruitment and in the appointment of the various committee chairs and liaisons has been clarified. The process is more inclusive and more democratic. All of the committee chair and liaison positions have been filled with the exception of the Insurance Committee Chair. The incumbents have been reappointed, with the exception of the RCDC Liaison, Dr. Tom McIntyre who was recently elected.

Bob Cram has agreed to lead a task force to review the CAO third party insurance policies and guidelines. The task force members were recruited to represent the age and the geographic diversity of the membership. The task force will complete its report for consideration and action at the 2014 ad interim meeting in February. Pending the task force report, the CAO Board decided to defer the appointment of the Insurance Committee Chair. Bob has agreed to continue to act as Acting Chair until the task force has completed its mandate.

Sheila Smith has been leading the CAO Public Awareness Campaign task force.

Under her leadership, major progress has been made. In June, the Board voted to proceed with French dubbing of the AAO media advertisements. The Board has committed $100,000 per year for the next three years to augment the AAO Canadian campaign.

Helene Grubisa has been leading a task force to review and to update the CAO Policies and Procedures manual. The objective is to create a concise, web-based manual that is easily searched and updated regularly. Historic information will be archived and the manual will contain only current information. This new format is expected to provide considerable clarity and to facilitate Board decision-making. The new Policies and Procedures manual is being revised to be consistent with the new by-laws. It is anticipated that the task force will complete its work in time for the upcoming ad interim meeting.

After several years of relative calm, a member from Ontario has undergone an HST audit. In this case, not only has the HST claim been rejected, but the member is being required to pay back HST deductions. The member has requested that the CAO become involved as an advocate. The Board discussed this request at length and decided to remain at arms-length with respect to this particular audit and encourages all members to talk to his or her accountants to be as up to date as possible.

I thank the Board of Directors and the membership at large for providing me the opportunity to serve as your President.

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Rapport du le président sortant Au terme de mon mandat de président, je suis heureux de faire le point et de vous communiquer un rapport d’avancement portant sur l’année 2012-2013.

The CFAO needs your help.

Our Foundation was established in 1978 to promote the advancement of the science and art of orthodontics.

The CFAO is thankful for the generous donations from members of the CAO. Over the years, these donation have allowed for the establishment of a small reserve. The reserve interest, in addition to new donations, to fund our various programs, including the Graduate Student Poster Program, the Annual McIntyre Lecture, the CAO Educational Webinar Series and special projects of the Canadian Graduate Orthodontic Programs.

Unfortunately, over the last few years, new donations to the CFAO have decreased. The CFAO has been forced to draw upon its reserves to continue funding of the aforementioned programs. Regrettably, if this trend persists, the CFAO will not be able to continue funding all of its current programs and will be unable to initiate new programs in the future.

This year, the CFAO will be including a special notice with the CAO membership renewal mailing. Please take the time to read this information and learn more about the Foundation.

You can help by making a yearly donation to the CFAO. Your donations will help ensure a strong future for our profession.

Le mandat de tous les comités de l’AOC (dont celui du conseil) et celui des agents de liaison ont été révisés. L’énoncé du mandat des divers comités est maintenant uniformisé et il est en harmonie avec les nouveaux règlements. Le rôle du président, des membres de la haute direction et des administrateurs en matière de recrutement et de nomination des membres des comités et des agents de liaison a été éclairci. Le processus semble plus inclusif et démocratique qu’auparavant. Les postes de président de chaque comité et de tous les agents de liaison ont été comblés, exception faite de celui de président du comité de l’Assurance. Les titulaires ont été reconduits dans leurs fonctions, sauf dans le cas de l’agent de liaison avec le Collège royal des chirurgiens-dentistes du Canada (CRCDC), le Dr Tom McIntyre, qui a été élu dernièrement.

Bob Cram a accepté de diriger un groupe de travail en vue de réviser les politiques et les lignes directrices en matière d’assurance de tiers de l’AOC. Les membres de ce groupe ont été recrutés de sorte à représenter l’âge et la diversité géographique de l’ensemble des membres. Il soumettra son rapport aux fins d’une réflexion et de la prise de mesures à l’occasion de la réunion intérimaire qui se tiendra en février 2014.

D’ici là, le conseil de l’AOC a décidé de reporter la nomination d’un président du comité de l’Assurance. Bob a accepté de continuer d’agir à titre de président intérimaire d’ici à ce que le groupe de travail ait mené à terme son mandat.

Sheila Smith a dirigé le groupe de travail de la campagne de sensibilisation du public de l’AOC. Sous sa gouverne, des progrès importants ont été réalisés. En juin dernier, le conseil a adopté le doublage en français des publicités-médias de l’AAO. Le conseil a voté un budget annuel de 100 000 $ au cours des trois prochaines années en vue d’enrichir la campagne canadienne de l’AAO. Helene Grubisa a dirigé un groupe de travail en vue de réviser et de mettre à jour le manuel des Politiques et des méthodes de l’AOC. L’objectif consiste à créer un manuel Web concis, doté d’une fonction de recherche conviviale et mis à jour à intervalles réguliers. L’information périmée sera archivée, de sorte que le manuel ne contienne que des données à jour. On s’attend que ce nouveau format donnera accès à un contenu très clair et qu’il simplifiera la prise de décision du conseil. Le nouveau manuel des Politiques et des méthodes est en cours de révision à des fins d’uniformisation avec les nouveaux règlements. Il est prévu que le mandat du groupe de travail aura été mené à bien avant la prochaine réunion intérimaire.

Après plusieurs années d’un calme relatif, un membre ontarien a fait l’objet d‘une vérification en matière de TVH. Dans son cas, non seulement sa déclaration a-t-elle été refusée, mais il doit de plus régler des taxes rétroactivement. Il a demandé que l’AOC défende ses intérêts. Le conseil a longuement discuté de cette demande, a décidé de ne pas intervenir dans le cas de cette vérification en particulier et il encourage tous les membres à consulter leur comptable pour assurer que leur situation est en règle.

Je remercie le conseil d’administration et l’ensemble des membres de m’avoir donné l’occasion de les servir à titre de président.

Paul

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2013 CAO AWARD WINNERS 2013 CAO Distinguished Service Award Winner Dr. Richard Marcus Dr. Richard Marcus received his DDS from the University of Montreal, completed a one-year dental internship at the University of Toronto and earned his Diploma in Orthodontics from the University of Toronto in 1974. He has maintained a private practice in Scarborough, Ontario since graduation.

His father was a lawyer and his mother held a Masters in Genetics. Both were politically active; Young Richard grew up surrounded by regular political debates. Following his love of politics, Richard has served in almost every capacity at the Canadian Association of Orthodontics. He was the provincial representative for Ontario from 1994 to 1997. He was elected to the CAO line and served as CAO Representative to the Canadian Dental Association from 1998 until 2001. He was the 2000 to 2001 CAO President. Richard served as the CAO Secretary and Membership Chair from 2002 to 2006, the Chair of the CDS3 multi-specialist meeting in 2006, the CAO National Scientific Chair from 2007 until 2012, including the collaborative meeting with the oral and maxillofacial surgeons in 2010. Richard was also a CAO representative to the GORP meeting from 2004 until 2006, was a resource to the New and Younger Members Committee from 2002 until 2012.

Richard served on the CAO Insurance Committee and NIHB working group for many years. Richard took over the chair of the insurance committee in the 1990’s and continues to act as an advisor. Richard has shepherded the CAO Standard Information Form through at least three updates and/or revisions during his tenure.

It was Richard who initiated the annual insurance presentations at the CAO meetings. He was the first to establish provincial insurance committees and to have them appoint representatives to work with the CAO committee. Richard was always willing to (and frequently did) call managers or supervisors at insurance companies to advocate for the CAO membership whenever the need arose.

For all of this tremendous service to the CAO Richard received the CAO Award of Merit in 2004.

Richard has been very active in many other dental organizations and has served in numerous elected offices in all levels of organised orthodontics. Since 1979 to present day, Richard served as an Associate in Dentistry, University of Toronto, teaching clinical undergraduate orthodontics and directing a practice management course at the graduate level. Academics aside, you can find Richard most Friday afternoons enjoying Dim Sum with his teaching buddies: Gordie Organ, Gerry Solomon, Howard Tile, Ron Landsberg and Howard Steiman at the same New Treasure Restaurant across the street from the Dental School. These stalwarts are never denied a seat, regardless of the queue.

Richard is a member of the Canadian Association of Orthodontists, the Ontario Association of Orthodontists, the Ontario Association of Dental Specialists, the Toronto Orthodontic Study Club, the Ontario Dental Association, the American Association of Orthodontists, and the Alpha Omega Fraternity. In 1998, he was presented with the Distinguished Service Award by the Ontario Association of Orthodontists. In 1999, he became a Fellow of the Academy of Dentistry International and is a Fellow of the Pierre Fauchard Academy. Recently, he was bestowed a fellowship in the American College of Dentists.

During alleged ‘downtime’ Richard enjoys reading about current events, computers and Major League baseball.

Dr. Marcus is married to Seema and they have two children, Lisa and Jason.

Congratulations to Dr. Richard Marcus, winner of the 2013 CAO Distinguished Service Award. The organization is indebted to you for all that you have accomplished on behalf of the membership.

by Dr. Amanda Maplethorp

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A traditional greeting at the Welcome Reception

The band rocked the MountView BBQ

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Highlights of the 2013 An

Keeping warm by the fire at the BBQ

Taking everyone through the right line dancing steps.

Keeping them glued at the lectures

Keen interest at Dr. Kent Floreani's round table

Trying out the new scanners at the Trade Show

Great discussions at the Round Tables

Past Presidents gather for a breakfast meeting

Dr. Chung How Kau presents at the Plenary session.

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nnual Scientific Session!

Dr. Major welcomes new members at a private reception.

Dr. Stephen Roth thanks McIntyre Lecturer Dr. James Koehler.

Dr. Tarek El-Bialy leads a round table

Both educational and entertaining sessions!

Western University's alumnae reception in full swing.

Recognizing Dr. Marcus’ many years of service.

Ms. Susan Hastie speaking to the auxiliary delegates.

Enjoying the U of T alumnae reception

Retiring board member Dr. Ritchie Mah.

Thanking Dr. Dan Stuart for his work on the Board.

Walking through the trade show to see the latest gear.

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Highlights of the 2013 Annual Scientific Session!

The Fire & Ice Gala

The Beautiful Cascade Ballroom set the stage for the evening.

The Ice Queen thanking sponsor Ormco.

Taking in the view at the Reception.

Fun times with the Ice Queen.

Meeting up with friends before dinner.

Enjoying a chilled martini from the Ice Luge.

Drs. Major and Steiman present the Friend of the CAO Award to Mr. Don Millar.

Pausing for a photo during dinner.

Dr. Major with award winners Drs. Richard Marcus and Amanda Maplethorp.

Networking between dinner courses.

Posing between looking at items on the CFAO Auction.

Drs. Ron Wolk and Arlene Dagys celebrate with our award winners.

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Prize Winners: Mrs. Marjan DeJong Deller & Dr. Murray Deller Kobo Glo CAO Ms. Tara Smith & Dr. Alexis David ipod Nano CAO Dr. Jose Roberto Pereira, Orleans, ON Curing Light RMO Dr. Stephen Roth, Halifax, NS Apple TV & Curing Light 3M Unitek

Congratulations to Dr. Roth for his raffle prize win.

Dr. Zeit wins the 50/50 draw supporting local flood relief.

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The 2013-2014 CAO Board of Directors

Thank you to the Conference Planning Committee for all their hard work!

20 13 CAO AWAR D WI N N E R S Friend of the CAO Award Mr. Don Millar This award is given in recognition of a non-member for his/her (or company’s) outstanding contribution to the CAO and support of the CAO Mission. While it is not incumbent for the Nominations Committee to select a recipient annually, the CAO is proud to present this award in 2013 to Mr. Don Millar.

Don Millar is the V.P. of Sales and Marketing at Cerum Ortho Organizers. Don received his B.B.A. and M.B.A. from Wilfrid Laurier University and University of Calgary, respectively. At Cerum, Don’s responsibilities have focussed on customer service, distribution, marketing and sales specifically to orthodontists. However, Don’s expertise also lends to finance and brand/product management. Along with his wife, Tina, and his 3 cats, Don enjoys golf, fine dining and vacations to the warmer spots on the globe.

Don’s commitment to the CAO began when Cerum sponsored the coffee breaks at the 1992 Annual Scientific Session. With Don’s help, Cerum quickly expanded its sponsorship into The Welcome Reception, program speakers, delegate bags and a variety of other items each year. In 1997, Don and Cerum took their involvement to the next level by creating an annual CFAO golf tournament. This year marks the 15th consecutive year that Cerum has been our sponsor and organizer for this fundraiser.

The golf tournament, enjoyed by many delegates and other exhibitors, has become an integral part of the social program. Besides arranging a beautiful golf venue, providing meals, hole contests and prizes for all participants, Don and Cerum commit a minimum of $5000 to the CFAO regardless of the golfer turnout. It is this commitment to both the CAO and the CFAO that demonstrates a level of partnership that is appreciated and cherished.

It is with great pleasure to honour one of CAO’s truly steadfast sponsors who continues to support the CAO in any way possible, Mr. Don Millar.

by Dr. Howard Steiman

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Committee Reports

Treasurer’s Report Dr. Michael Patrician Treasurer Email: drpatrician@bellnet.ca As of June 30th, 2013, the general operations of the CAO have generated net revenues of $139,879.25. The Scientific Session generated revenues of $213,496.65, for a combined net revenue of $353,375.90. The total members’ equity as of June 30th, 2013 is $960,628.76.

The dues for 2013 have increased by $20.00 to a total of $595.00 (plus HST) due to expenses generated by the Canadian Dental Specialities Association (CDSA), legal costs associated with the new bylaws, and the website update. An increase of an additional $20.00 was passed by the Board to address costs anticipated with the updated national Consumers Awareness Program (CAP).

New regulations from CRA concerning Not-For-Profit organizations have led to changes in the CAO strategic planning for emergency reserves. The objective is to safeguard future operational capabilities by earmarking a Scientific Session Reserve Fund and a General Operations Reserve Fund. In the case of an unavoidable catastrophe, CRA will permit reserve funds as long as they are segregated, planned and do not exceed one year’s worth of expenses. The Board anticipates a successful program to strengthen public orthodontist awareness by creating a CAP Fund for precisely this purpose.

CAO/AAO Report Dr. Garry Solomon CAO/AAO Liaison Email: hellener@lks.net The most recent CAO-AAO Liaison meeting was held in Philadelphia, Pennsylvania on May 5, 2013. Milward Brown reported a 6 percent increase in treatment done by orthodontists. The AAO has budgeted $308,000 to run its campaign ads in Canada. The Ontario Association of Orthodontists (OAO) has piggybacked with the AAO media campaign by adding $100,000 in fund-

ing. The OAO ads got superb exposure in the Ontario cable media. The CAO has budgeted $100,000 per year for three years to piggyback with the AAO media campaign for more Canadian cable television air time. Hopefully some of the other provinces will also piggyback funds to increase media exposure across Canada. The CAO will pay $8,500 for French dubbing of the advertisements this year.

The CAO has been advised that an additional $75,000 through the CAO and possible provincial funding would Increase the frequency of the advertisements for maximum effect. The AAO plans to increase the advertising assessment to $800 per annum.

The Canadian dental regulatory authorities (DRAs) will not allow individual dentists to advertise using logos. However, various dental organizations (AAO, CAO, OAO etc.) may use logos on association ads. The brevity of the ads leaves no time to read the logo. A request was made for the Canadian logo to be placed on the left of the ad so it would be read first and that Find An Orthodontist be the last line in the ads to direct the public to the CAO website.

There are increasing numbers of Canadian studying in the USA who seek practice information in Canada. A request was made to the AAO to provide a link to the CAO website to facilitate this process and this request has been granted. This resource can be used by all orthodontists undergoing a practice transition.

Since the Canadian Government has changed the Not-ForProfit (NFP) legislation for organizations, the AAO was updated on the need for the CAO to comply by October 2014 or lose its NFP status. The constituent and component society agreements must be aligned so our members are not placed in a conflict situation. It was suggested that the AAO and CAO draft a master agreement to address legal and administrative concerns and it has been done. The new by-laws were voted on and approved by the CAO membership at the Banff AGM. Compliance is progressing on-schedule and these documents will soon be ready to submit to the Federal government to obtain Not-For-Profit status for the CAO.

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Committee Reports CFAO Report Dr. Stephen Roth CFAO President Email: stephenfroth@mac.com The CFAO is making the necessary changes to our bylaws. The new bylaws are expected to be approved at an upcoming CFAO Board of Directors conference call. They will then be circulated to the CAO Board for approval at the February 2014 CFAO AGM during the CAO Ad-Interim meeting.

For the first time, the CFAO welcomed posterboard participants from Canada’s newest graduate orthodontic program at the University of British Columbia. There were changes to the posterboard program this year. Certificates were given to the presenters during the designated viewing time of 12:00 to 12:30 p.m. on the Saturday of the CAO Annual Scientific Session.

The CFAO was pleased to continue with the Silent Auction at the Gala Banquet during the CAO Annual Scientific Session.

Many thanks to all the individuals and the provincial associations that donated items this year. A record $13,550.00 was raised this year.

Thanks to Cerum Ortho Organizers for sponsoring the fundraising golf tournament again this year. Cerum’s continued commitment to our foundation, and our profession, is greatly appreciated.

The most common issue is not completing the Standard Information Form in one of the recommended ways. Members appreciate suggestions from the CAO office and plan to implement them in the future. Most problems arise because of old habits brought to the office by staff whose training is based in general dentistry. The staff is not aware of the uniqueness of orthodontic practice in Canada. Given that most practice consultants engaged by orthodontists in Canada are based in the USA, the unique benefits of the programme that the CAO has brokered with CHLIA are not appreciated by the consultants.

The task force struck to revisit the CAO insurance guidelines is looking forward so that recent graduates will have their views heard and reflected in the recommendations. The present landscape has been defined for our members; next, future directions will be discussed, followed by recommendations as to how the CAO can best support the membership.

The insurance committee of the future needs to be expanded to include several orthodontists, rather than only one or two, if the CAO is to assist those planning to employ a number of alternative methods of dealing with orthodontic insurance.

CCOE Report Dr. Gerry Solomon Chair, Conference of Canadian Orthodontic Educators Email: solomonstr8ner@rogers.com

The CFAO will continue to increase awareness of the CFAO at the New and Younger Members Luncheon and the posterboard presentations. The CFAO will also be including a separate notice about the CFAO with the CAO annual renewal mail-out.

Insurance Report Dr. Robert Cram Chair Insurance Task Force [Email: rjcram@shaw.ca] The CAO Insurance Task Force responded to five requests for assistance however we received no requests during the previous 12 to 18 months. During that period, there was at least one request per week, involving questions such as how to complete the Standard Information Form, and/or how to review the current CAO insurance guidelines.

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CAO Bulletin • WINTER 2013/2014

This report follows the most recent Educators’ meeting held September 19, 2013. Four of the six program directors were present. One program director could not attend and one had a conflict with the Midwest Educators’ meeting in Kansas City, of which he was the chairman.

Howard Steiman explained the format for the inaugural Graduate Student Research Symposium at the Annual Scientific Session in Montreal in September, 2014. He explained the timing and the objectives of this initiative, reviewed the proposed honorarium process and reinforced that this symposium does not impact on the residents’ poster board program as it currently exists.

Dr. Wiltshire plans to contact Dr. Lesley Williams, Chief Orthodontic Examiner for the RCDC to initiate a dialogue between the program directors and the RCDC examination preparation committee. The results of this request are to date

Committee Reports unknown. Dr. Wiltshire will also contact Mr. Irwin Fefergrad, Executive Director of CDRAF, to propose a meeting to address regulatory control on advertising and how the DRA’s see their role (presumably protecting the public) regarding aggressive and misleading marketing of particular orthodontic products/techniques, especially those related to short-term treatments (eg. Six-Month Braces).

The program directors are currently in the process of drafting a memorandum of understanding to send to future applicants to avoid conflicts with the U.S. Match Program. The program directors have agreed to schedule their ad-interim spring meeting in New Orleans on Friday, April 25, 2014 in conjunction with the AAO Scientific Meeting. The CCOE/CCGOPD will meet again at the CAO Annual Scientific Session in Montreal on Wednesday, Sept. 3, 2014.

Updates from the programs around the country: The University of British Columbia has accreditation pending.

The site visit has been completed and the recommendations deemed acceptable. A Dental Specialist Assessment and

Training Program (DSATP) student is scheduled to commence in the near future.

The University of Alberta accepted a DSATP student August, 2013.

At the University of Manitoba, Dr. Wiltshire is on administration leave until April, 2014. Dr Frank Hechter is acting head of orthodontics and program director until Dr Wiltshire's return.

Dr Pinheiro, a full-time tenure track assistant professor and Dr. Baretto, a renewable-term position lecturer will be commencing the internal GAP assessment in the near future, to be assessed by Drs. Wiltshire and Hechter. The University of Manitoba is still awaiting immigration formalities of the second tenure track position.

The University of Toronto is increasing its undergraduate enrollment in 2013 and 2014.

The University of Western Ontario will accept one international student in the future, most likely a DSATP student.

Challenges Facing the Young Orthodontist

By Amy Archambault As orthodontists, we have the ability to make someone smile who has not smiled for years. We have the opportunity to witness our patients’ self confidence grow month by month as they morph from shy teen into confident young adult. We are truly blessed to do what we do.

Building and managing an orthodontic practice requires courage, dedication and lots of time, as it always has. However, young orthodontists today face some new and unique challenges. A scarcity of orthodontic practices for sale coupled with an increase in the number of dentists providing orthodontic services make it more difficult to find new patients to fuel a growing orthodontic practice. New marketing strategies using social media will help us to reach out to our current and potential patients in creative and dynamic ways.

This year’s New and Younger Members’ Luncheon lecture on social media was both informative and inspiring. It could not have come at a better time. I created a Facebook page for my practice that weekend and I am sure many others in attendance did. Now everyone go out and like each other!

As young orthodontists with our careers ahead of us, we will need to find a way to differentiate ourselves as the leaders in the field of tooth movement in order to build successful practices and to remain the primary providers of quality orthodontic treatment. We are in a new era of information and technology and our patients are more informed than ever about their treatment options. The Canadian Association of Orthodontists is our association and together we will work towards making Canadians aware that they should trust their smile to an orthodontist.

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Committee Reports New and Younger Members Report Dr. Susan Tsang New and Younger Members Representative Email: s_tsang2@hotmail.com New and younger members are the future of the CAO and it is exciting to welcome some fresh faces to the New and Younger Members committee. The NYM committee is composed of Susan Tsang (Committee Chair), Helene Grubisa, Sheila Smith, Paul Morton, Amy Archambault, Mike Wagner, and Jim Posluns. These members represent a cross section of practice styles and career experience. The goal of the NYM Committee is to be a resource to those members who have the potential to gain from this collective experience. Please feel free to contact any member of the committee with any questions or concerns.

The 2013 GORP meeting was held August 2 to 4, 2013 at University of North Carolina in Chapel Hill. The CAO was present to meet with Canadian residents attending US and Canadian orthodontic programs. The 2014 meeting will take place at the University of Michigan, August 1 to 3, 2014.

RCDC Council meeting on September 22, 2013.

The Westin Harbour Castle Hotel in Toronto, the current examination venue, has proved to be too small to accommodate the number of NDSE candidates. To address this concern, the College has contracted with an alternate venue, the Toronto Marriott Eaton Centre and in 2014 will begin to stagger the examination times for the oral examinations between the various specialties so that not all specialties will be examined on the same weekend.

An electronic format for the written portion of the exam will be implemented in 2014 to allow candidates to write the exam in various locales across the country, reducing the travel expenses overall. This implementation won’t be complete until the 2016 exam so it is status quo until then. It is anticipated that the NDSE will be either remotely proctored or offered at various testing centres across Canada.

CDSA Report Dr. Ritchie Mah CDSA Liaison [Email: ritchiemah@gmail.com]

The 2013 NYM luncheon at the CAO annual meeting in Banff featured Mr. David West from Cayk Marketing Inc., who presented on the use of social media in practice marketing. Not only was it a well attended lecture, but attendees came away with new insight on how social media can be incorporated into marketing plans. The NYM committee is presently planning the next NYM lecture and welcomes any suggestions for topics and/or speakers. Please stay tuned!

As always, get active and join us online on the BraceSpace forum (located on the Members side of the CAO website).

RCDC Report Dr. Hugh Lamont Orthodontic Councillor, RCDC/RCDC Liaison I have enjoyed my role as CAO liaison over the years; looking forward to the tracking and reporting on the developments at the Royal College of Dentists of Canada to the Canadian Association of Orthodontists. This is my final report to the CAO; please welcome Tom McIntyre as the new Councilor in Orthodontics. Tom began his term in June and attended his first

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CAO Bulletin • WINTER 2013/2014

The Canadian Dental Specialties Association (CDSA) held its annual general meeting (AGM) in April 2013, coinciding with the annual meeting of the Canadian Dental Association (CDA). Holding the two meetings simultaneously permits the CDSA Board to meet with members of the CDA Board including President Robert Sutherland, President Elect Peter Doig, Executive Director Claude-Paul Boivin and others. The two meetings also allow the CDSA to participate in the CDA Dental Leadership Forum and in the interactive discussion sessions.

The CDSA AGM included the addition of new representatives from dental public health, endodontics, prosthodontics, periodontics, and oral and maxillofacial surgery. CDSA President Calvin Pike has continued to foster the relationship with CDA and has made inroads with other national dental organizations.

The CDSA has asked for and has been granted observer status with the Canadian Dental Regulatory Association Federation (CDRAF). This organization has assumed the role of leading discussions on the recognition and the licensing of any new national dental specialties. The CAO had representation on behalf of the CDSA at the CDRAF Board meeting in October of 2013, although the majority of the session is closed to observers. There remains a push by dental anesthetists for

Committee Reports recognition by a national dental specialty but only Ontario has granted recognition to date. The majority of CDASA Board members remain opposed to this action. The CDSA has requested observer status at the Royal College of Dentists of Canada (RCDC) Council. A presentation was made in September, 2013 and the RCDC Council is considering the request for 2014.

The CDSA is improving its website, organizing its finances and finalizing its bylaws. A dues increase was discussed, but tabled until next year until the financial support from CDA to support the CDSA AGM is fully assessed. At the CDA/CDSA Board meeting, President Sutherland (a specialist in periodontics) again voiced the support for the CDSA by the CDA. He expressed that the CDA wishes to reach out to all specialty members and organizations. Drs. Sutherland and Doig offered to attend any specialty meeting where the CDA would be welcomed.

A conference call was held in May 2013 to discuss general CDSA issues. These calls involving specialty presidents will continue, as it is the best way to keep all members of the

CDSA apprised of current concerns. The calls also allow for more immediate input from the members, although some stakeholders, such as the CAO would require Board input prior to some decisions being made. A follow-up call took place in October 2013, to be reported upon at a later date.

WFO Report Dr. Amanda Maplethorp WFO Committee Email: a_maple@shaw.ca Paul Major attended the WFO Breakfast at the AAO meeting in Philadelphia along with representation from 48 of the WFO affiliates. Plans are in the works for the 2015 meeting in London and are proceeding well. See the WFO website to take advantage of their debenture plan. This plan permits one to pay in advance and to receive preferential treatment and a reduction in fees. The WFO continues to expand. Most recently, the Ghana Society of Orthodontics has been approved as an affiliate.

WORLD FEDERATION OF ORTHODONTICS

2015 London Early Bird Special. Sign up now!!!

It seems not long since the 2010 7th International Orthodontic Congress meeting in Sydney, Australia, but the 8th IOC is coming up fast: London September 27-30, 2015. Over 4000 people came to Australia from 93 countries and it was a truly unique meeting. The London meeting will be easier to get to, the British Orthodontic Society has a track record of organizing spectacular meetings and the BOS is offering an innovative debenture package to WFO members (including WFO student members) only. The debenture package provides privileges to those who sign up early: participants qualify for a significantly reduced congress rate, priority at certain social events and may spread the registration payments over a defined length of time.

The 8th IOC will include four days of education, entertainment and enjoyment. It will be held in London’s premier conference venue, ExCeL, which is located in an area of the city that has undergone a renaissance as a result of the Summer Olympics in 2012. With excellent conference facilities that can cater to over 10,000 delegates and exhibitors and brand new transport links that can whisk attendees into the center of London, ExCeL is the ideal venue.

Visit http://wfo2015london.org to learn more about the 8th IOC.

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20 13 CAO AWAR D WI N N E R S Award of Merit Dr. Frances Amanda Maplethorp Dr. Maplethorp’s formal higher education includes: A Levels, United World College of the Atlantic, Wales, 1970-72; B.Sc. (Bioc.), University of British Columbia, 1972-75; D.M.D., University of British Columbia, 1974-78; Certificate Orthodontics, University of Oregon, HSC, 1979-81.

After obtaining her dental degree, Amanda practiced general dentistry at Qualicum Beach, BC from 1978-79. Following her orthodontic graduate training, she associated with Dr. Bob Hicks in West Vancouver from 1981 to 1990. In 1988, Dr. Maplethorp established her own orthodontic practice in Maple Ridge, BC, where she is presently located.

Amanda has been very active in orthodontic organizations. She has served in the following capacities: Clinical Instructor at UBC undergraduate orthodontic department, 82-88; Past President of the British Columbia Society of Orthodontists 92-93 and 93-94; Editor of the British Columbia Society of Orthodontist Members Manual, 1990-present; Staff Program Chair for the year 1996 PCSO Annual meeting in Monterey; Staff Program Co-Chair for PCSO meeting in Reno for the year 2000; Round Table Co-Chair for the year 1999 AAO Annual Meeting in Monterey; Internal Examiner for the Orthodontic Specialty Board Exam of BC, 1991-2000.

Dr. Maplethorp began her involvement with the Canadian Association of Orthodontists in 1995 when she became the BC Representative to the Board until 1998, when she was elected to a three year term as Secretary-Treasurer. She worked her way up the line and became the Association’s second female President. Since serving as President in 2004-2005, Amanda has continued her service with the CAO as the Planning and Priorities Liaison and since 2007, as the Chair of the Constitution and Bylaws Committee. She represented the CAO at the World Federation of Orthodontists from 2004 – 2007 and, since then, is a WFO Member-at-Large. As an Editorial Consultant to Dr. Bus Haryett, Amanda was most instrumental in assembling his book: “A History of Orthodontics in Canada”, which was published in 2008.

Amanda’s many contributions to dentistry have been acknowledged by her election to Fellowships in the American College of Dentists and the Pierre Fauchard Academy. She is married to Ian Spira, and her continuous energetic involvement in our Association is all the more remarkable given that she has been a devoted mother to her two children ever since Adrian Spira was born in 1995 and Eleanor Maplethorp in 1998.

by Dr. Arlene Dagys

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Student Posterboards Abstracts from the 2013 CAO Annual Scientific Session – Part 1 of 2 part series

University of British Columbia EVIDENCE THAT THE HUMAN SOFT PALATE FORMS BY FUSION AND NOT MERGING

University of British Columbia ORTHODONTIC TREATMENT NEED OF ADOLESCENTS IN HAIDA GWAII, CANADA

Authors: Mattson MN*, Diewert VM, Richman JM.

Authors: Asef Karim, Jolanta Aleksejuniene, Edwin H. K. Yen

OBJECTIVE: The human secondary palate is composed of the anterior hard and posterior soft palate, and forms between 6-12 weeks of gestation. There has been controversy as to whether palatal shelves in the soft palate join by fusion similar to the hard palate, or whether merging and proliferation of the mesenchyme at the posterior edge of the developing hard palate is the mechanism. The purpose of this study is to examine the mode of soft palate closure.

OBJECTIVE: The aims of the cross-sectional study were to determine the prevalence of malocclusion and orthodontic treatment need among schoolchildren of Haida Gwaii in British Columbia, Canada.

METHODS: Serial sections of secondary palates from 13 human fetuses from 54-74 days of development post conception were stained, photographed and imported into WinSurf 3D software. Anatomical structures were traced including the palatal shelves, midline epithelial seam and palatine aponeurosis, the images aligned and then stacked to create a 3D representation.

RESULTS: We analyzed the following numbers of specimens: 54 days-2; 57 days-4; 59 days -2; 64 days-1; 67 days-1; 70 days–2; 74 days-1. At 54 days, a midline seam is present in the anterior soft palate, but more posteriorly the soft palate is open. Between 57 and 59 days a thick midline seam is observed throughout. There is some variability between specimens, but by 74 days there was complete soft palate union with the presence of a continuous palatine aponeurosis. Overall, our sample included a total of 7 fetuses with a midline seam in the soft palate.

CONCLUSIONS: The formation of a bilayered epithelial seam followed by breakdown of the seam and mesenchymal fusion is the mode of soft palate formation in humans.

(*Presenter)

METHODS: Out of 535 schoolchildren, 215 (90 boys and 125 girls) agreed to participate in the clinical examination. A trained examiner assessed orthodontic treatment need with the Index of Complexity, Outcome, and Need (ICON) score and the ICON complexity grade. A questionnaire measured the schoolchildren’s expectations of and self-perceived need for orthodontic treatment; 192 schoolchildren were old enough to complete the questionnaire.

RESULTS: The mean age (N=215) was 12.9±2.8 years. The mean ICON score (N=215) was 43.46±26.2. There were no statistically significant differences in ICON scores regarding gender (independent sample t-test, P=0.207), ethnicity (independent sample t-test, paternal ethnicity P=0.886 and maternal ethnicity, P=0.389), or school (ANOVA with Post Hoc Bonferroni Adjustment P=0.317). Overall, 43.7 % of the schoolchildren need orthodontic treatment (ICON > 43).

Based on the ICON complexity grade, 31% of the schoolchildren have moderate to very difficult malocclusions. Adolescents with higher ICON complexity scores felt a greater need for orthodontic treatment, for extractions, that treatment would give them confidence, and that they were willing to be treated (One way ANOVA with Post Hoc Bonferroni Adjustment, P<0.001, 0.014, 0.002, <0.001, 0.007 respectively) compared to those with lower ICON scores.

CONCLUSION: There is need for orthodontic treatment among Haida Gwaii schoolchildren and specialty orthodontic services are recommended. The adolescents’ self-perceived need for orthodontic treatment corresponded to their clinical need.

Continued…

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CFAO Graduate Student Posterboards Key Words: Malocclusion, ICON, orthodontic treatment need, Aboriginal, children

University of Alberta CLEFT LIP AND PALATE INDICES: WHICH SHOULD I CHOOSE?

University of Manitoba LOWER INCISOR STABILITY FOLLOWING ORTHODONTIC TREATMENT USING A FIXED SPRING INDUCED APPLIANCE(FSIA) Authors: Crichton J*, Wiltshire WA, Hechter FJ, Ahing S

Authors: Mostafa Altalibi, Humam Saltaji, Ryan Edwards, Paul W Major, Carlos Flores-Mir

OBJECTIVE: To evaluate the lower incisor (Li) changes after completion of comprehensive fixed treatment in subjects with different facial patterns who were treated with a FSIA for Class II correction.

OBJECTIVE: To systematically review the available literature on the indices used to assess the occlusal schemes in dental models of CLP patients, with respect to the most commonly used index and the index that most fulfils the World Health Organization (WHO) criteria.

HYPOTHESIS: Once the lower incisor position has been established at the end of a FSIA treatment, they will remain stable in the same position after fixed treatment.

MATERIALS AND METHODS: Ten electronic databases, grey literature, and reference list searches were conducted. The inclusion criteria consisted of studies that aimed to assess a particular malocclusion index on study models of patients with CLP. Full articles were retrieved from abstracts/titles that appeared to have met the inclusion-exclusion criteria which were subsequently reviewed using more detailed criteria for a final selection decision. The Quality Assessment of Diagnostic Accuracy Studies tool was used to appraise the methodological quality of the included studies.

RESULTS: A total of 13 studies met the inclusion -exclusion criteria. These studies revealed seven utilized indices, namely the GOSLON Yardstick, Five-Year-Old, Bauru-Bilateral Cleft Lip and Palate Yardstick, Huddart -Bodenham, Modified Huddart -Bodenham, EUROCRAN Yardstick, and GOAL Yardstick. The GOSLON Yardstick was the most commonly used index, and the Modified Huddart -Bodenham performed the best according to the WHO criteria.

CONCLUSIONS: Current evidence suggests that the Modified Huddart -Bodenham Index equalled or outperformed the rest of the indices on all the WHO criteria and that the GOSLON Yardstick was the most commonly used index, possibly due to a longer time in use. Therefore, the Modified Huddart -Bodenham could be considered as the standard to measure outcomes of patients with CLP. Keywords: Index; Malocclusion; Dental models; Cleft; Systematic review

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CAO Bulletin • WINTER 2013/2014

SUBJECTS AND METHODS: A retrospective chart review was undertaken consisting of 115 subjects with Class II malocclusions, 43 male & 72, female. The average length of treatment was 1 year 7 months (S.E ± 0.57). The average age of the subjects at T1 was 13.7 years (S.E±1.5). Subjects were then categorized into three growth types based on pre-treatment (T0) cephalometric variables (MPA, Y-axis, LFH) with 29 brachycephalic, 53 mesocephalic, and 33 dolichocephalic subjects resulting. Data was compiled using digital lateral cephalometric analysis of the post-treatment FSIA subjects’ (T1) and post-treatment comprehensive fixed therapy subjects’ (T2) radiographs. Statistical evaluation used a mixed model repeated command to calculate marginal means & a post-hoc analysis to determine pairwise differences with the Tukey's test, reporting least square means.

RESULTS: Dental changes induced by fixed treatment included; 1. retroclination of the Li (LI-MP 5.7-9.7⁰±1.3 p<0.05) 2. retrusion of Li (LI-APo 0.1-1.0mm ±0.3mmp<0.05) There was no significant difference amongst the different facial groups (p>0.05). There was an increased trend of less incisor retroclination and retrusion for the dolichocephalic group.

CONCLUSIONS: Incisor proclination resulting from the FSIA is reversed after fixed orthodontic treatment & Li tend to retrocline and retrude. Use of zero or negative torque prescription in the Li bracket & Li uprighting mechanics throughout treatment ensure the Li return to a position between the initial treatment (To) & the final position established with the FSIA (T1).

Facial growth pattern demonstrate no relation to the amount of

CFAO Graduate Student Posterboards Li movement. The dolicocephalic group shows less Li change when compared to the other facial patterns.

University of Western Ontario ETHNIC IDENTITY AND THE PERCEPTION OF FACIAL PROFILE AESTHETICS: A PRELIMINARY STUDY Authors: Dr. Paul Glasser, Dr. Ali Tassi, Dr. Richard Bohay, Dr. Antonios Mamandras, Dr. Bruce Hill, Dr. Fernando Inocencio and Dr. John Murray

American female ethnic group. All other groups showed weak, non-significant correlations between profile preferences and ethnic identity. With the exception of the Caucasian-American female group, it appeared that ethnic identity did not contribute significantly to profile preference.

University of Toronto THE ROLE OF LIGHT EMITTING DIODE PHOTOTHERAPY (LED) IN ORTHODONTIC TOOTH MOVEMENT (OTM) Authors: S Chung*, S Gong, B Tompson

In a multicultural society, the orthodontist is often faced with the challenge of interpreting an individual’s aesthetic preferences, which depending on the individual might differ from Eurocentric standards. Psychological researchers have recognized that ethnicity is dynamic, and better defined as a perception of self, influenced by social interaction and cultural involvement. Ethnic identity was investigated using three broad ethnic groups (Caucasian-American, African-American and Asian-Amerian) with an established Multicultural Ethnic Identity Measure (Revised, MEIM-R). Profiles for males and females of each group were constructed using published soft tissue data. Each profile was modified from subnasale to soft tissue B-point by displacing the upper and lower lips horizontally in 2mm increments from Ricketts’ E-plane (-4mm, -2mm, 0mm (ideal), +2mm and +4mm). Six sets of profiles and demographic questions were presented through an online survey to groups of adult males and females (n = 380), stratified by ethnicity and supplied by Survey Monkey Audience® (surveymonkey.com). MEIM-R scores for the Caucasian-American groups were lower than the African- or Asian-American groups. With the exception of the African-American groups, significant profile preferences were observed. A moderate correlation (p<0.01) was observed between the MEIM-R score and a more retrusive profile preferences for the Caucasian-

OBJECTIVE: Objective: An increase in orthodontic treatment efficiency has been reported with laser application. However, lasers require a controlled clinical environment for safe and effective delivery. This study will investigate if light emitting diode (LED) phototherapy is a viable alternative. Results from our study will offer clues to the potential use of LED to accelerate the rate of orthodontic tooth movement (OTM) in the clinical setting.

METHODS: Eleven patients undergoing orthodontic treatment at the Faculty of Dentistry, UT, were selected. Inclusion criteria included bilaterally symmetric extraction of premolars and full banding and bonding of appliances. During space closure of the extraction site, LED phototherapy was applied to one side of the dental arch for 21 minutes daily for 4-12 weeks.

LED phototherapy was recorded by the LED unit as well as by the patient. To permit measurements of space closure on dental casts, dental impressions were taken at 3 time points using a chromatic alginate with long dimensional stability (Kromopan) immediately prior to (T0), during (T1) and after space closure (T2). The rate of space closure of the control and LED treated sides were compiled and compared with each other.

Continued…

Lots to learn from all of the research at the CFAO Poster Program

WINTER 2013/2014 • CAO Bulletin

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CFAO Graduate Student Posterboards

Poster presenters were presented with certificates from the CFAO.

RESULTS: All eleven patients were compliant with LED application. On average the duration of usage was 78% at T1 and 82% at T2. Preliminary results suggest that no significant differences resulted from the application of LED phototherapy.

CONCLUSIONS: The results suggest that extra-orally delivered LED phototherapy does not significantly alter the rate of OTM. This is to contrary previous findings with laser phototherapy mediated modulation of OTM and could be related to the duration or method of LED delivery. Further investigations are needed to determine whether LED phototherapy application can influence the rate of OTM.

MATERIALS AND METHODS: The sample of 120 consecutive patients was randomly distributed into 2 groups: direct bonding (n=60) and indirect bonding (n=60). The multi strand twist wires (0.0175”) used were all preformed by a technician and prepared for either direct or indirect bonding technique with a transfer matrix. Assure® and Filtek Flow® were used for direct bonding. Filtek Flow®, Assure®, and Sondhi® were used for indirect bonding. The lingual wires were evaluated for bonding failure, infiltration, breakage, and distortion at 2 months (T1) and 6 months (T2).

Supported by: University of Toronto, Faculty of Dentistry Dental Research Institute

RESULTS: Data for 69 patients at T1 (direct: 36, indirect: 33) and 30 patients at T2 (direct: 16, indirect: 14) have been collected so far. Preliminary results show that the failure rate for the indirect bonding method is 7.2% at T1 and 6.7% at T2, whereas the direct bonding method, it is 2.9% at T1 and 0% at T2. The data collection is ongoing.

University of Montreal A PROSPECTIVE RANDOMIZED CLINICAL STUDY COMPARING THE SURVIVAL RATE OF THE MANDIBULAR LINGUAL RETENTION WIRE USING DIRECT AND INDIRECT BONDING

CONCLUSION: Preliminary results suggest that a direct bonding technique of the lingual retention wire yields a better survival rate in the first 6 months.

Authors: Dong-Phung Van (ortho resident), Athéna Papadakis, Nelly Huynh, Jocelyn Talbot, Pierre Rompré BACKGROUND: The lingual wire has been shown to be an effective way to ensure the retention of the lower anterior segment after orthodontic treatment. As it is increasingly used, it is important to achieve proper bonding of the wire to ensure stability.

OBJECTIVE: The aim of this prospective randomized clinical study is to assess the short and medium term survival rate of the mandibular lingual retention wire using 2 different bonding techniques.

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CAO Bulletin • WINTER 2013/2014

Thanks to GAC for their support of the CFAO Posterboards

I N M EMORIAM Dr. Sam Hoshizaki

Dr. Hoshizaki was born and raised in Kelowna, BC. He graduated from the University of Alberta in 1965 with a DDS degree, then received his M.Sc. in Orthodontics in 1967 from the University of Indiana. He then returned to Edmonton, and received a Certificate in Orthodontics from the University of Alberta. Upon completion, he set up an orthodontic practice in Edmonton, where he practiced until 1996.

Dr. Hoshizaki was also on staff at the U of A Orthodontic Department, teaching both Undergraduate and Graduate students.

He also served as the Chairman of the Handicapped Childrenâ&#x20AC;&#x2122;s Dental Review Committee from 1975 until 1996; on the Executive off the Edmonton and District Dental Society, and was a Past President of the Alberta Society of Orthodontists.

He was a Fellow of the Royal College of Dentists of Canada and the International College of Dentistry.

Sam is survived by his wife Joy, and two sons, David and Brent, along with four granddaughters.

REDESIGNED CAO WEBSITE IS NOW ONLINE!!

We are pleased to announce that the new CAO public-directed website is now online! You will find our new website is not just a repackaging of the old site but it has been redesigned to provide information to the public so they can learn why to choose an orthodontist. We are excited about new features on the site such as patient testimonials, social media and of course our new logo and tagline. Please, take a few minutes on see what is new at the Canadian Association of Orthodontists. A full French translation of the site is currently being done and will be added shortly.

The member information will still remain at the old website address, with this new site specifically targeted at the public about the benefit of the use of orthodontic specialists.

Please visit the new site at

www.yoursmileourspecialty.ca Help advertise the new website and the use of an orthodontic specialist by ordering website promo cards from the CAO office!

WINTER 2013/2014 â&#x20AC;˘ CAO Bulletin

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Component Society Reports

British Columbia Dr. Rick Odegaard Email: dr.odegaard@shawcable.com The British Columbia Society of Orthodontists (BCSO) Annual General Meeting was held Friday, June 14, 2013. The BCSO Executive for this term is President Gina Ball, VicePresident Charity Siu and Secretary Treasurer Will Chow.

The BCSO is proceeding with development of a new website. The funding is now in place and the content is being discussed. The website will likely utilize the AAO consumer awareness information.

The BCSO mentorship program is progressing favourably. A request has been forwarded by the Mentorship Committee to all members requesting volunteers to act as mentors. Guidelines stipulate that mentors should have at least ten years practice experience and be knowledgeable in all aspects of orthodontic operation.

The PCSO Annual Scientific Session is in San Diego California this year. Dr. Bryan Hicks from North Vancouver is this year’s program chair. The PCSO is funding its own consumer’s awareness program (CAP) via a $50.00 levy to all members.

Alberta Dr. Bob Kinniburgh Email: drbob@ncortho.ca The Alberta Society of Orthodontists (ASO) held its Annual General Meeting March 15 to16, 2013 at the Rimrock Hotel in Banff, Alberta. The invited speaker was Dr. David Paquette who presented on the integration of technology, a non-surgical approach to impacted canines and advanced esthetics. The 2014 ASO Annual General Meeting will be held April 4 to 5, 2014 in Banff, Alberta. The featured speaker will be Dr. Lou Shuman who will share his insight to internet strategies, digital marketing and other emerging technologies.

During the most recent ASO meeting, the proposed CAO Consumer Awareness Program was presented and was discussed. Following a review of the proposed campaign, a strong vote of confidence in the program was made. The ASO has allocated up to $50,000.00 of reserve funds to be utilized toward the Consumer Awareness Program campaign, at the discretion of the ASO Executive.

The Current Executive of the ASO includes Past President Warren Cohen, President Ivan Hucal, Vice President Darren Tkach and Secretary Treasurer Kaled Sharaf. Todd Lee-Knight is the incoming Alberta representative to the CAO. Todd brings a wealth of enthusiasm and wisdom to the position, having previously served on the Executive of the ASO. The Alberta Dental Association and College (ADA & C) continues to revise and amend the CBCT guidelines. The ASO has made submissions to represent the interests of orthodontists in order to address the restrictions placed on the interpretation of CBCT imaging by the orthodontic specialist. The legislated infection control protocols that were formally mandated in January 2012 have been implemented to the satisfaction of the dental regulatory authority. The associated visitations from the ADA & C to confirm compliance have been completed.

The current ASO Executive continues to consider options and funds have been allocated for the redesign of the current ASO website. Reserve funds have been used to purchase an Itero scanner for use by the University of Alberta graduate orthodontic residents.

The ADA & C continues to restrict Alberta specialists from advertising membership in accredited specialty associations (AAO, CAO, PCSO) as well as fellowships other than the Fellowship in the Royal College of Dentists of Canada. Further to this, a complaint relating to the websites of several Calgary orthodontists has resulted in requests to the CAO from two of our members to remove their names from the Find an Orthodontist link on the CAO website. Utilization of this feature on the CAO website has been viewed as a violation of the ADA & C Code of Ethics. Paul Major made representation to the ADA & C regarding this matter on behalf of the CAO members. A clarification has been made; the CAO “Find and Orthodontist” directory web feature does not violate the ADA & C Code of Ethics, provided that there is not a direct link from the orthodontist’s website.

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Component Society Reports Cont’d Saskatchewan Dr. Mike Ziglo

toba in the dental hygiene, undergraduate dental and graduate orthodontic programs before opening her orthodontic practice in Winnipeg. She will be greatly missed.

Email: mikeziglo@hotmail.com The fall MOS meeting was held on October 24, 2013.

The Saskatchewan Society of Orthodontists met September 13 2013 in Saskatoon. Dr. William Kotteman provided a full day of continuing education entitled “Optimal Invisalign: Making it Work, Making it Productive and Making it Profitable”.

The session was followed by the Saskatchewan Annual General Meeting and a fine meal.

On another note, the Saskatchewan Roughriders are now World Champions!

Manitoba Dr. Susan Tsang Email: s_tsang2@hotmail.com The spring Manitoba Orthodontic Society (MOS) dinner meeting was held on April 4, 2013.

The prospect of pending CAO advertising campaign received a favorable response from those in attendance and there is interest in hearing the details of the CAO campaign once they are finalized. A new MOS website (www.mbbraces.com) is now live, with further refinement on the content ongoing.

At the University of Manitoba, the Department of Orthodontics has added a full time assistant professor, Dr. Fabio Pinheiro. Dr. Billy Wiltshire is currently on a one year administrative leave and Dr. Frank Hechter is the acting head of the department of orthodontics and the acting program director of the graduate program.

A Manitoba chapter of the Smile for a Lifetime program, which provides pro bono orthodontic care for those with limited financial means, has been initiated and Manitoba orthodontists are excited to be participating in such a worthwhile endeavor.

Winnipeg orthodontist, Dr. Keith Levin, received the AAO’s 2013 Earl E. Sheppard Distinguished Service Award on September 21st, 2013 at the MSO annual business meeting in Kansas City. Keith has served many years with the AAO in many capacities and most recently was the Speaker of the House. Congratulations Keith!

I am sad to report the passing of Dr. Susan Lukas. Dr. Lukas worked as a hygienist in Victoria BC, practiced dentistry in northern Manitoba and taught orthodontics at the U of Mani-

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Ontario Dr. Sheila Smith Email: stuart.smith4@sympatico.ca The Executive of the Ontario Association of Orthodontists has been busy organizing the OAO Spring Scientific Meeting. The conference will be held June 6 to 8, 2014 in Niagara-on-theLake, Ontario. The meeting will comprise two Core 1 lectures (radiology and informed consent) and one orthodontic lecture

by Drs. Paquette and Miller. The core lectures will provide 6 points toward the RCDSO requirement of 15 points. The spring General Meeting of the OAO will be held on Saturday June 7.

The Ontario Dental Assistants Association (ODAA) has been denied the right to form their own College by the Minister of Health. As a result of this decision, the OAO will rekindle discussions with the ODAA to expand their duties to include orthodontic procedures. Any expansion of duties would require the institution of an orthodontic procedure course for dental assistants.

Quebec Dr. Sonya Lacoursière Email: lacedge@videotron.ca The QAO’s Annual General Meeting was held during “Les Journées dentaires internationales du Québec” on May 27 2013, at le Palais des Congrès de Montréal. Dr. Dewitt C. Wilkerson presented an excellent conference on occlusion and sleep apnea.

I would like to personally thank the future Vice-President of the CAO, Dr. Hélène Grubisa, for taking the time in her very busy schedule to address the QAO members during our AGM. Our members were very receptive of her presentation of the OAO public awareness campaign. This campaign was conducted in active collaboration with the AAO. Despite the rejection of the original proposition that was going to be solely undertaken by the QAO, the members showed a lot of interest in a combined AAO/CAO/QAO campaign. Proper French dubbing of

Component Society Reports Cont’d the “AAO spots” reflecting the Quebec reality is one of the most important prerequisite.

The QAO Executive for 2013-2014 consists of President Florence Morrisson, President Elect Martin Rousseau, Treasurer Louis Roy Secretary Claudia Giambattistini, Archivist JeanMarc Dumoulin, Member at Large Madelaine Shildkraut and Past President Luigi Di Battista.

On October 18 2013, Dr. C. Greene presented a pot-pourri on TMJ concepts, followed by the 5th edition of the QAO Gala that evening, proceeds of which benefit sick and less fortunate children. In the event that you could not attend this benefit, you can still contribute by contacting the QAO representative at (450) 441-0852.

Dr. Alain C. Aubé from Quebec will visit the QAO on November 29 2013. His French presentation will be on the interaction of forces of occlusion with the TMJ. On March 21 2014, “la Journée Paul-Geoffrion” will be organized by the University of Montreal students. The next QAO AGM is May 26 2014. Dr. Carrière of Spain will be our guest speaker for the day where he will discuss correction of Class II cases with the Carrière Distalizer appliance.

Rapport de la province de Québec L’Assemblée annuelle de l’Association des orthodontistes du Québec (AOQ) a eu lieu le 27 mai dernier, pendant Les Journées dentaires internationales du Québec, au Palais des Congrès de Montréal. Le Dr Dewitt C. Wilkerson a présenté une excellente conférence sur l’occlusion et l’apnée du sommeil.

J’en profite pour remercier la future Vice-présidente de l’ACO, la Dre Hélène Grubisa, qui, malgré son horaire très chargé, est venue s’adresser aux membres de l’AOQ lors de notre assemblée annuelle. Nos membres ont été très réceptifs à la présentation de la Dre Grubisa sur la campagne de sensibilisation du public de l’AOO en collaboration avec celle de l’AAO. Malgré le rejet de la précédente proposition, nos membres ont démontré un intérêt marqué à investir dans une campagne menée conjointement avec l’AAO et la CAO. Une excellente traduction en français à la réalité des messages publicitaires en est cependant le préalable.

des produits TMJ Concepts qui a précédé la 5e édition du gala de l’AOQ dont les bénéfices viennent appuyer les enfants malades et défavorisés. Si vous n’avez pas pu assister à cette soirée-bénéfice, vous pouvez toujours verser un don en communiquant avec le représentant de l’AOQ, au 450-441-0852.

Le Dr Alain C. Aubé, du Québec, a rendu visite à l’AOQ le 29 novembre dernier. Sa présentation en français a porté sur l’interaction des forces de l’occlusion liées aux troubles de l'articulation temporo-mandibulaire (ATM).

Le 21 mars 2014, les étudiants de l’Université de Montréal tiendront la Journée Paul-Geoffrion. La prochaine assemblée générale de l’AOQ aura lieu le 26 mai 2014. Le Dr Carrière, d'Espagne, sera notre conférencier invité et traitera de la correction des cas de classe II au moyen du distaliseur Carrière.

Atlantic Report Dr. Dan Stuart Email: danstuart96@hotmail.com The most recent meeting of the Atlantic Orthodontist’s Association (AOA) was held on May 24, 2013 in Halifax, Nova Scotia. At this administrative meeting, Don Johnston was welcomed as the incoming President and Stuart Matheson was installed as Vice President. Stephen Roth will continue to act as Secretary Treasurer until a new member is selected.

In addition to the business agenda, an evening of great food and camaraderie was enjoyed at the Fiasco restaurant by all in attendance. The next meeting will be held in the late spring on a date to be announced.

It has been my pleasure to serve the members of the Atlantic region and to the CAO Board of Directors for the past three years.

Le comité de direction 2013-2014 de l’AOQ est composé de la présidente, Florence Morrisson; du président désigné, Martin Rousseau; du trésorier, Louis Roy; de la secrétaire, Claudia Giambattistini; de l’archiviste, Jean-Marc Dumoulin; membre sans portefeuille, Madelaine Shildkraut et de l’ex-président, Luigi Di Battista.

Le 18 octobre 2013, le Dr C. Greene a présenté un pot-pourri

The CAO Past Presidents meet in Banff, AB. WINTER 2013/2014 • CAO Bulletin

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I N M EMORIAM WEBINARS ONLINE!!

Dr. Howard Oliver Past President, CAO Howard Oliver was born in 1916. He graduated in dentistry at McGill in 1938 and interned at the in before starting a general practice.

Howard enlisted in the Royal Canadian Dental Corps in 1940. He saw service until 1945.

He obtained his certificate in orthodontics in 1949, and taught part-time until 1965. From 1967-72, he was a guest lecturer in the Department of Orthodontics at McGill.

Dr. Oliver became interested in neo-natal orthodontics and served part-time as Assistant Dental Surgeon at the Montreal Children’s Hospital from 1952-81, where he was the orthodontist on the cleft palate team. During this time, he served as consultant in orthodontics at: Catherine Booth; Shriners’ and Douglas and Mackay Centre Hospitals in Montreal.

Dr. Oliver is a Past President of the Province of Quebec Association of Orthodontists, 1959; Montreal Dental Club, 1960; Canadian Association of Orthodontists, 1968; and the Northeastern Society of Orthodontists, 1971. He was Chairman of the Specialists and Specialization Committee of the CDA, 1957-65.

Are you looking for CE Credits? Look no further!

The CAO Members Only website has a library of past Webinar presentations, each that run from 60-75 minutes on a variety of topics. If you missed the original webinar in its Live presentation, you can still access them in their recorded archive (both audio and powerpoint presentation) and receive credit.

Topics currently online and available to all CAO members include: • Recruit and Retain the Right Employees for Your Practice Presented by Daphne Souch, Recorded on November 20, 2013 • Bisphosphonates in Clinical Practice: Ortho-dos and Ortho-don’tics Presented by A.J. Lança, MD, PhD Recorded on April 23, 2013 • Obstructive Sleep Apnea Presented by Dr. Jean-Marc Retrouvey, DMD, MSc, FRCD Recorded on November 6, 2012.

Howard was a Diplomate of the American Association of Orthodontists, an honoured Fellow of the American College of Dentists and the International College of Dentists, a recipient of the CAO Distinguished Service Award (2003) and was a charter member of the Royal College of Dentists of Canada.

• The Black Triangle and Other Mysteries: Techniques to Enhance Your Orthodontic Outcome Presented by Dr. Elliott Weinstein Recorded on April 17, 2012

Dr. Oliver was President of the Griffintown Boys Club in 1947; President of the Montreal Rotary Club in 1981 and a recipient of the Paul Harris Award. He was also the Director of the Canadian Rehabilitation Council for the Disabled, 1986-88 and President of the Quebec Easter Seals Society, 1977.

• The Female Orthodontist: Work Life Balance Presented by Dr. Sarah Davidson, DDS, M Sc, FRCD (C) Recorded on November 8, 2011

Howard wrote many articles on treatment of cleft lip and palate in the newborn which were published in the American Journal of Orthodontics and the Journal of the Canadian Dental Association. He lectured in England, South America, Europe, Mexico, South Africa, Japan and China.

Dr. Oliver was an avid fisherman, golfer, yachtsman, curler, skier, and a man for all seasons.

Howard was married to Barbara Isabel Lafolley for 52 years before Barbara passed away in 2002. He is survived by one daughter and five sons.

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• Cone Beam CT Presented by Ernest Lam, DMD, MSc, PhD, FRCD(C), Recorded on May 25, 2011 More webinars are always being presented live and then archived for members. Keep your eyes peeled for the upcoming topics!

CE Credit certificate given upon request after completed viewing.

From the Editor Dr. James Posluns [Email: james.posluns@utoronto.ca]

The King is dead. Long live the King Donald G. Woodside passed away this summer past. He was the quintessential Big Man on Campus. It is highly unlikely that there will ever be another orthodontist of his stature in Canada. When the news of his passing spread, many of us took pause to reflect. He was a great man and his passing wasn’t tragic. He had a truly wonderful life. Although Don had been retired for many years and had since lead a very private life, the impact of his death holds great significance for the profession in this country. It truly is the end of an era.

Don was a unique combination of intelligence, clinical skill and presence, with just right degree of quirkiness; the perfect combination to put Canada on the orthodontic map. Great leaders across all fields possess similar traits. Forgetting for a moment your loyalty to any particular party, it’s easy to think of politicians who fit this bill; Trudeau Senior certainly did. He may be gone, but who will ever forget such memorable quotes as “fuddle-duddle” and “Just watch me”. Like Woody, Pierre Elliot Trudeau captivated his audiences with his wit, his resilience and his mischievous smile. And like Trudeau, Woody had the ability to polarize.

Dr. Woodside was arguably the face of orthodontics in Canada. Putting aside his Order of Canada for a moment, lecturers and presenters from around the world credit his work and pay homage to his dedication time and time again. He travelled extensively, presenting research conducted by him and his team in the United States, Europe and beyond. Put any number of Canadian (or other) orthodontists in a room and more than a

few will attribute their skills and success to Don. With no intended disrespect to the current educators and department heads, without the Woodside name, we’ve got a problem; Canadian orthodontics is faceless. It may be that the time for this sort of presence has passed. The United States has a similar problem. The big names are dying out. Graber. Ricketts.

Gianelli. Vince Kokich succumbed to a

heart attack the same week as Dr. Woodside. But the Americans are more resilient than we are for the simple fact that they have more people. They still have a pretty deep line-up and enough characters that they will continue to produce identifiable leaders for a long, long time.

Jeter is the Yankees; everyone knows that. Only the diehards know who plays for the Jays.

As Canadian graduates shy away from academia for a variety of reasons, the vast majority of teaching and research positions are and will continue to be held by foreign trained orthodontists. These folks may be our best bet. Regardless of where their training originated, once in

based in Canada, they are the ones to carry the flag on the world stage. It behooves us as a profession to support these individuals and the programs to which they are associated to get the word out that Canadian orthodontics is innovative, progressive and integral to the evolution of the profession.

Academics aside, it was Don’s personality that set him apart. The number of “Woody” stories that get told over and over again in Toronto is the stuff of legend. He bonded, de-bonded and rebonded his own teeth so many times he never needed a retainer. He was forever in a cast, a sling or recovering from some bizarre ailment and he loved to tell anyone who would listen exactly what had happened in great gory detail. Back in the day, he was the true life of the party; countless residents, Faculty and staff could relate story after story, most of which is not fit for print in this fine publication. Like Austin Powers the International Man of Mystery, Dr. Woodside was the International Man of Dentistry. Yeah Baby!

For the longest time, I thought that Dr. Woodside hated me, and like my parents, he probably did at the beginning.

Later I learned that he just couldn’t hear me so I learned to speak up (he was deaf in one ear). Twice he let me know that I surprised him. Once after I almost totaled his sailboat and another time after I presented a two hour diatribe on thumbsucking and other equally nasty oral habits. When Dr. Woodside paid you a compliment, your day was made, until of course, he called you over to let you know “your case was a disaster!”

Continued…

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So with the end of an era, what is a profession to do? Grieve?

Not in this case; Don was ready to go. Panic? Not at all. Dr. Woodside has been out of orthodontics long enough that the impact of him dying was for all intents negligible. Look inwards? Definitely: Dr. Woodside left a void that is yet to be filled. Should we be lucky enough for another to emerge, we’d all be better off in the long run.

But all is not lost. Did you hear the story about Dr. Woodside and his leopard skin underwear? Have I got a story to tell you!!!!

Three people check into a hotel. They pay $30 to the manager and go to their room. The manager suddenly remembers that the room rate is $25 and gives $5 to the bellboy to return to the people. On the way to the room the bellboy reasons that $5 would be difficult to share among three people so he pockets $2 and gives $1 to each person. Now each person paid $10 and got back $1. So they paid $9 each, totaling $27. The bellboy has $2, totaling $29. Where is the missing $1?

Puzzle Answer: Originally, they paid $30, they each received back $1, they now have only paid $27. Of this $27, $25 went to the manager for the room and $2 went to the bellboy.

I was given the incredible privilege of teaching alongside Dr. Woodside in his last few years at the University of Toronto. I vividly recall during one of his last sessions we had an opportunity to sit across the table from one another down in the cafeteria while the residents ran amok upstairs. He looked tired, wane, the collar of his stiffly starched lab coat sitting proud around his neck. He was asking me about how things were going and offering some ‘fatherly’ professional advice. All the while, he was smiling his funny little smile. He was done and it was time to move on. I didn’t know it at the time, but he did.

Go quietly into the deep dark night.

Jimmy P

Straight Shooters Word on the street is that the CAO Consumer Awareness Program will generate 350 million impressions.

Now that’s a lot of alginate!

An orthodontist goes to see a psychiatrist

Canadian Association of Orthodontists UPCOMING ORTHODONTIC MEETINGS 2014

Ortho: Doc, I just got a new intra-oral scanner in my office. Now whenever I look at teeth, all I see are barcodes!

Psychiatrist: Sounds serious.

Let me “Check you out!”

April 25-29 . . . . . . .AAO Annual Session, New Orleans, LA June 6-8 . . . . . . . . .OAO Scientific Meeting, Niagara-on-the-Lake, ON Sept 4-6 . . . . . . . . .CAO Annual Scientific Session, Montreal, QC Sept 11-13 . . . . . . .GLAO/MSO Annual Session, Chicago, IL

When an orthodontist is good at cinching back niti archwires, one could say he/she is of excellent “temper.”

Oct 2-5 . . . . . . . . . .PCSO Annual Session, Anaheim, CA Nov 6-9 . . . . . . . . . .NESO Annual Session, Hartford, CT

2015 May 15-19 . . . . . . .AAO Annual Session, San Francisco, CA Sept 10-13 . . . . . . .NESO Annual Session, Providence, RI Sept 17-19 . . . . . . .CAO Annual Scientific Session, Victoria, BC Sept 27-30 . . . . . . .International Orthodontic Congress, London, UK October 8-10 . . . . .MSO Annual Session, Rochester, MN

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CAO Bulletin • WINTER 2013/2014

Consider supporting the advertisers and service providers referred to in this Newsletter, recognizing that they have been supporters of the CAO. Advertisements are paid advertising and do not imply endorsement of or any liability whatsoever on the part of the CAO with respect to any product, service or statement.

The authors, the Canadian Association of Orthodontists, and its representatives will not be held liable in any respect whatsoever for any statement or advice contained herein. Authors’ views expressed in any article are not necessarily those of the Canadian Association of Orthodontists.