DELAWARE • DISTRICT OF COLUMBIA • MARYLAND • NEW …...A. Promote the ethical delivery of...

MASO JournalTHE AWARD WINNING

Middle Atlantic Society of Orthodontists

DELAWARE • DISTRICT OF COLUMBIA • MARYLAND • NEW JERSEY • PENNSYLVANIA • PUERTO RICO • VIRGIN ISLANDS

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MASO-Spring CEMarch 10, 2017The Ritz-Carlton

Tysons Corner, VirginiaDetails on page 6

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2017 TECHNOLOGY & EFFICIENCY SEMINAR

Hi Julia,

Your treatment is progressing well, keep wearing your Energy Pak Elastics!

Hope the vacation is going well, no appointment is needed until next month!

Dr. Anderson

MESSAGE FROM YOUR ORTHODONTIST

RMO® IS THE EXCLUSIVE DISTRIBUTOR OF DM™

MASO Journal Spring 20171

MASO JournalTHE AWARD WINNING

Middle Atlantic Society of Orthodontists

DELAWARE • DISTRICT OF COLUMBIA • MARYLAND • NEW JERSEY • PENNSYLVANIA • PUERTO RICO • VIRGIN ISLANDS

TYSONS CORNER, VIRGINIA

The MASO Journal is the official publication of the Middle Atlantic Society of Orthodontists, 17 South High Street, Suite 200, Columbus, OH 43215, phone 1.866.748.MASO(6276), e-mail [email protected], and website www.MASO.org.

Advertising rates are available from, and all advertising materials and correspondence should be sent to MASO, 17 South High Street, Suite 200, Columbus, OH 43215. The Middle Atlantic Society of Orthodontists reserves the right to refuse any advertisements for any reason. All ads must comply with the “AAO Advertising Guidelines.”

E-mail is preferred for receipt of items submitted for publication in the MASO Journal. Articles and photos may be e-mailed directly to Dr. Robert E. Williams at [email protected]. If an item must be mailed, send it to Dr. Williams at 1209 Stevenson Lane, Towson, MD 21286 or contact him by phone at 410.823.7458.

The Journal is published two times a year, Spring and Autumn. Reports, articles and ads are due June 30 and December 30. The opinions expressed in the Journal are those of the authors and do not necessarily reflect those of the Association, nor does the presence of an advertisement imply endorsement by the Association.

DEPARTMENTS

FEATURES

MISSION STATEMENT The Middle Atlantic Society of Orthodontists shall:

A. Promote the ethical delivery of quality orthodontic care by providing its members with educational opportunities and information regarding advances in orthodontic treatment and technology.

B. Be an advocate for, and a representative of, all constituent members for the purpose of making regional deci-

sions regarding policy, budget, member services, public information and communication.

Spring 2017

EDITORSEditor: Dr. Robert E. Williams

[email protected] - Phone: 410.823.7458

Case Reports: Dr. Hugh [email protected] - Phone: 610.820.5550

Structured Abstracts Editor: Dr. Bruni [email protected] - 787.927.3581

Journal Advertising: Dr. Laura [email protected] - 301.260.2030

OFFICERS President: Dr. Jean Edouard Asmar


President-Elect: Dr. Normand [email protected] - Phone: 610.688.3355

Secretary: Dr. Tarun (Ty) [email protected] - Phone: 410.730.1255

Treasurer: Dr. Russell [email protected] - Phone: 201.768.4121

DIRECTORSDr. Madeleine Goodman

[email protected] - Phone: 301.983.9804Dr. David Harmon

[email protected] - Phone: 301.333.3900Dr. Francis Picon

[email protected] - Phone: 787.957.6318Dr. Alireza Omid Rajaei


MASO COMMITTEE CHAIRSCommunications/Publications:

Dr. Robert E. [email protected]

Education/ResearchDr. Rene Johe

[email protected]

Government AffairsDr. Richa Dutta

[email protected] ServicesDr. Jose Vicens

[email protected]

Dr. Doug [email protected]

COMPONENT PRESIDENTSDelaware State Society of Orthodontists

Dr. Mark Fiss [email protected] Maryland State Society of Orthodontists

Dr. David Bonebreak [email protected] Jersey Association of Orthodontists

Dr. Barry Raphael [email protected] Association of Orthodontists

Dr. Hugh Friel [email protected] Rico Society of OrthodontistsDr. Jose Vicens [email protected]

DELEGATES TO AAOChairman

Dr. Luis A. [email protected]

DelegatesDrs. Natalie M. Parisi, Lawrence Siegel, Henry DiLorenzo,

Lawrence B. Wang, Richa Dutta, Jean Edouard Asmar

Alternate Delegates Drs. Douglas Harte, Normand Boucher, Richard Albright, III

AAO TRUSTEEDr. Steven Siegel


EXECUTIVE DIRECTORMs. Anita L. Field


3 .............. Editorial Dr. Robert E. Williams

2 .............. President’s Message Dr.Jean Edouard Asmar

2 .............. Trustee’s Report Dr. Steven Siegel

22-24 ........Component News

24-28 ........Graduate Programs

6-10 ......... Meetings 11-19.........AAO Business

20-22 ........MASO Business


PRESIDENT’S MESSAGEDr. Jean Edouard Asmar • [email protected]

It is my privilege to serve the Middle Atlantic Society of Orthodontists as your President for the year 2017! Fortunately my predecessor, Dr. Doug Harte, has done an outstanding job in serving the organization and providing a smooth transition. I want to thank the current

Board: Drs. Norman Boucher, Russell Sandman, Ty Saini, Doug Harte, Bob Williams, Francis Picon, Madeleine Goodman, and Dave Harmon, for their service; and welcome our new Director, Dr. Alireza Omid Rajaei to our MASO leadership team. These volunteers work on your behalf to address MASO’s critical issues. Our hard-working Trustee, Dr. Steve Siegel, is ascending in his leadership of the AAO, as is Dr. Nahid Maleki our own President-Elect for the AAO. The cohesive organization of our Society is due to the untiring efforts of our Executive Director Ms. Anita Field and her Association Management Company, Accent on Management.

As always, MASO’s leadership is here to serve you, the members. Please feel free to contact me at any time with your thoughts or comments.

This year one of our two big events will be our Continuing Education Seminar at the Ritz Carlton in Tysons Corner, in McLean, Virginia on Friday, March 10, 2017. Our speaker will

be Dr. Joseph G. Ghafari, Professor and Head of Orthodontics & Dentofacial Orthopedics at the American University of Beirut Medical Center. Register on-line at www.MASO.org to attend his innovative presentation, Revisiting Classes and Treatment of Malocclusions. We look forward to seeing you “putin’ on the Ritz”! And, make certain to attend MASO’s Annual Session, Beautiful Bermuda at the historic Southampton Hotel in Bermuda on November 2-5, 2017. Our committee is working tirelessly to bring topnotch speakers and exhibitors to Bermuda, offering you the best in education and entertainment!

Please consider giving back to this great profession of ours, whether it is your time, your comments on an issue, or a donation to the AAOF. Maintaining the standards of our own educators is a costly endeavor. Take time to connect with some of the younger graduates of our orthodontic programs and mentor them to maintain their high quality of care. See if there is something that you can offer to others through our organization, or determine if you’d like to volunteer some of your time to MASO. Let’s come together to affect change and move orthodontics forward in this quickly ever-changing health care field.

In closing, I want to wish each of you, “The Best of Success, Health and Happiness in this New Year!”

TRUSTEE’S REPORTDr. Steven Siegel • [email protected]

The AAO Board of Trustees held its first full virtual meeting on November 18, 2016. Our reason for choosing this format was to reduce travel costs and expedite business, and both were accomplished.

The BOT approved a recommendation from the Committee on Technology (CTECH) to examine the feasibility of creating an easy-to-use mechanism for AAO members to report non-orthodontists who are misrepresenting themselves as orthodontists to the public.

The BOT further approved the exploration of options to better differentiate orthodontists from general dentists in regard to website listings, or the advertising of orthodontic services and other services that could confuse the public. Staff will work with CTECH and bring a report to the BOT at its February 2017 meeting.

The BOT approved the Council on Communications (COC) request to conduct research specific to the Consumer Awareness Program message. The original CAP target audience and key message points were based on research conducted 10 years ago. This data needs to be updated in order to refine the CAP program.

Independent Specialty Recognition BoardThe ADA currently is recognized by the US Department of Education to be the body that recognizes specialty organizations. Due to recent court cases and FTC oversight, the ADA is looking at ways to either continue the status quo, form an independent body, or get out of the recognition business altogether. While the AAO is at the table during the ADA’s discussions, the Dental Specialty Group (DSG) is exploring ways to form an independent body to address this issue. The BOT has allocated $5,000 to retain independent attorneys that specialize in certification boards to explore this concept

Annual Session Advisory CommitteeThe BOT will be appointing an expertise-based advisory group to work with the Annual Session Planning Committees with the goal maintaining the relevance of the Annual Sessions. In addition, CTECH believes that a “branded” tech track as part of the doctor’s scientific program at each Annual Session would be beneficial to the membership. The BOT agreed, and approved this concept for implementation by CTECH and the AAO Annual Session Planning Committees.

AAO Website – www.aaoinfo.orgAs a result of the communications audit, the BOT approved a website usability study with the goal of improving navigation on the website.

AND CONTINUING ON PAGE 5


EDITORIALDr. Robert E. Williams • [email protected]

Quo vadis?(Latin: “Where are you going?”)

Orthodontic advertising, now known as “marketing”, has changed dramatically in the past forty years, with the greatest changes occurring over the past 5-10. During the 1980’s the AAO sponsored a then controversial ad campaign that allowed orthodontists to collectively buy an AAO produced ad to be run in the local newspaper, or placed in the “yellow pages” of the local telephone book. Orthodontists who contributed to the cost of the ads got their names listed in the advertisement. Practice promotion was done by taking the local “primary care doctors” out to lunch, providing in-office continuing education or study club programs, or making “muffin runs” to entice GP’s staff members to promote the office when making patient referrals.

The world is different now. Align Technology began its sales of Invisalign to orthodontists in the late 1990’s, and the marketing paradigm changed significantly in 2000 when they launched a $31 million television advertising campaign that The New York Times said was “the most aggressive consumer advertising plan the dental profession has ever seen”. By 2001, 75 percent of the 8,500 orthodontists in North America had been trained on the Invisalign system. That same year, Align Technology made Invisalign available to general dentists following a class-action lawsuit that alleged making the system available only to orthodontists resulted in unfair competition for general dentists. This significantly changed referral patterns as more and more GP’s began providing orthodontic treatment under Align’s Invisalign Assist program which was launched in 2010. It was OK that your local GP couldn’t treatment plan a case themselves, since Align’s technicians could do it for them. Ormco’s promotion of the “Damon System” and other company’s promotion of their products directly to consumers have exacerbated this trend. Some individual orthodontic offices now have links directly on orthodontic and health care products manufacturer’s websites. With the marketing of Six Month Smiles and similar “short treatment/fast results” products to GP’s, the primary referral source of orthodontic patients has been lost. By the way, when did orthodontic patients suddenly become consumers?

In the “short treatment/fast results world, OrthoAccel®, maker of the AcceleDent™ System, claims that their product has been “clinically proven to move teeth up to 50% faster”. PROPEL Orthodontics claims that “predicted treatment times are reduced by 60 percent or more”, and “those clinicians interested in participating in a paid clinical evaluation and receive free products are encouraged to log onto www.propelorthodontics.com for more information.” These claims which have yet to be confirmed (and are now being disputed) by trials published in peer-reviewed journals are being passed on to patients as fact, as a way to “differentiate” some offices. A U.S. district

court ruled on October 26, 2016 that Propel Orthodontics has “disseminated false and misleading advertisements” for its tooth aligners, while granting a preliminary injunction against the company in favor of OrthoAccel Technologies. In an unprecedented move, OrthoAccel Technologies has also sent what amount to cease and desist letters to orthodontists promoting the Propel product. How were these orthodontists identified? Perhaps through claims and postings on their practice websites?

Just a reminder:AAO PRINCIPLES OF ETHICS AND CODE OF PROFESSIONAL CONDUCTSection V. A. Members must have a reasonable basis to believe that their public statements with respect to their practice or the specialty are true.

Disturbingly, Align Technologies is now offering the “Invisalign Teen Guarantee”: “For a limited time, parents can give their teen all the benefits of straightening their teeth with Invisalign Teen clear aligners knowing their decision is backed by the option to switch to wires and brackets if they are not completely satisfied within the first six months of treatment. There is no additional charge to the patient or parent/guardian to redeem the Invisalign Teen Guarantee.” No charge to the patient, any discount to the provider?

To attract patients, some orthodontists are now offering a 100% Satisfaction Guarantee of treatment results.

Some are offering this at minimal cost: “If you complete full treatment with braces or Invisalign and find that your teeth have moved, for whatever reason, you can restart treatment without paying full treatment fees again. The only charges will be a regular office visit fee and the fee for new retainers. No questions asked.”and some are offering retreatment at no cost: “…after completing Comprehensive Orthodontic Treatment in our office, your smile is backed by the Mxxxxxxx Orthodontics 100% Lifetime Guarantee.” This means that if your teeth should shift over time or become crooked, we will put braces back on to straighten them again … FOR FREE! Even if you don’t wear your retainer!”

CONTINUED ON PAGE 4

Editorials represent the opinions of the author(s) and do not necessarily reflect the views of the Middle Atlantic Society of Orthodontists or the American Association of Orthodontists.


EDITORIALCONTINUED FROM PAGE 3

Fortunately, neither of the practices making these offers is located in Maryland, since guarantees of any kind for dental procedures are illegal here:

MD HEALTH OCCUPATIONS TITLE 4. DENTISTRY SUBTITLE 5. MISCELLANEOUS PROVISIONS4-503. Advertising (a) Advertising by licensed dentists. -- A licensed dentist may not advertise: (1) To guarantee any dental work.

…and against the AAO PRINCIPLES OF ETHICS AND CODE OF PROFESSIONAL CONDUCT: PRINCIPLES AND ADVISORY OPINIONSSection V. Members shall ensure that their public statements, announcements of services and promotional activities for providing information to aid the public, patients and/or other health care providers in making informed decisions, are not false, deceptive or misleading in any material respect.

How does the guarantee work if the patient moves, or the orthodontist retires? Do patients really stop growing after their teenage years? Are you (or your “system”) so good that your work never relapses, even with lifetime fixed retention? No other health care profession can (ethically) guarantee their results, is orthodontics any different?

As a result of increasing competition, orthodontists have (had to) become more creative in their attempts to attract patients. Semi-internal marketing using “braces buses” to pick up and drop off students at school not only provides convenience to patients of record, but also promotes the practice with eye-catching graphics splashed across the sides of the vehicles. Minivans were the initial vehicles of choice, but Hummer H2’s seem to be more prevalent now. Orthodontists anticipate that the additional patients/revenue generated by these vehicles will offset the significant additional cost and liability issues associated with them. A newer trend is the addition of “ice cream trucks” to the office motor pool. These vehicles are loaned out to various schools, youth groups, and sports leagues to serve ice cream, shaved ice, or hot beverages at events, or as a fund raising option for these organizations. The idea is to leverage the publicity of the organization to increase office visibility.

Why not “go big”? In December 2009, Mesa Arizona school district officials changed a policy to allow advertising on its 497 buses. By September 2010, two orthodontists and a community college combined to buy space on 65 buses. For those of you who may be interested, since 2011 New Jersey is the only state within MASO that allows advertising on school buses.

Not so inclined? There are always supermarket shopping carts as an alternative.

Recently, several companies began offering “live 24 hour chat lines” embedded in your website to answer patient’s questions and encourage a relationship with your office. Patient’s standard questions can be answered, but detailed information about your office is limited to links within your own website or pre-prepared scripts. This is primarily a service for prospective patients who are not willing to scroll through your website for the same information, but it does provide the illusion of increased customer service. Would this money be better spent on improving your website design? How do you measure the cost/benefit of these various promotional efforts?

In regard to websites, is any of your promotional or biographical material “misleading”? Lists of legitimate honors, and publications in peer-reviewed professional journals, are certainly appropriate; but articles in manufacturer produced publications such as Ormco’s Clinical Impressions, 3 M’s Incognito Journal, Patterson Dental’s Patterson Today, or Benco’s Incisal Edge; or publications like Orthodontic Products or Orthotown don’t merit the same consideration as the AJODO or Angle Orthodontist. Announcing that you’ve been published in “throwaway journals” to potential patients may be a little disingenuous. If you wouldn’t put in on your curriculum vitae perhaps you shouldn’t put it on your website either?

Recently a survey instrument was designed to evaluate factors influencing consumer selection of an orthodontist, and consumer’s perceptions of different forms of media advertising (radio, television, newspaper, magazine, direct mail, and billboard) by orthodontic practices. The surveys were distributed by eight orthodontic offices in and around the Richmond, Virginia area. 655 surveys were returned with a return rate of 97%. Of respondents, 14% to 24% felt that advertising orthodontists would offer a lower quality of care than non-advertising orthodontists. Newspaper, magazine, and direct mail advertisements were viewed more favorably than radio, television, and billboard advertisements.Daenya T. Edwards, Bhavna Shroff, Steven J. Lindauer, Chad E. Fowler, and Eser Tufekci (2008) Media Advertising Effects on Consumer Perception of Orthodontic Treatment Quality. The Angle Orthodontist: September 2008, Vol. 78, No. 5, pp. 771-777.

I understand the situation that offices face, particularly younger members with substantial school debt, or those of you with neighborhood GPs who aren’t shy about promoting


TRUSTEE’S REPORTCONTINUED FROM PAGE 2

Membership with the Association of Dental Support Organizations (ADSO)The AAO was invited to join the ADSO as a corporate member. The BOT agreed that being a corporate member of an organization whose members’ employees are either current or potential AAO members would address a critical issue to provide programs and services for all members regardless of practice modality.

Partnership Program for DSO’sThe AAO has had an open dialog with Dental Support Organizations (DSO’s) for the past few years in an effort to gain a better understanding of these corporate practices that employ current and potential AAO members. A partnership program was approved which provides access for two DSO entity representatives to www.aaoinfo.org and the eBulletin. Understanding what the AAO does for its members may encourage DSO’s to promote AAO membership among their employees. In addition, this partnership program would formalize the open collaboration that we have established in an effort to address our critical issues.

GME FundingThe availability of Graduate Medical Education (GME) funding for orthodontic programs was discussed. Since the funding is intended for graduate medical education, the mechanism is complex and open only to new dental programs that have never existed without GME support. The BOT asked COGA to investigate ways in which the GME rules could be modified to make it fair for all dental programs, and communicate their efforts to AAO members. Staff will request the PowerPoint presentation given on GME funding at the 2016 ADEA conference to better inform orthodontic programs and constituent leaders about this federal funding program.

EthicsThe ADA House of Delegates recently passed resolution No. 65, which amended section 5.H. of the ADA PRINCIPLES OF ETHICS AND CODE OF PROFESSIONAL CONDUCT, Announcement of Specialization and Limitation of Practice. A dentist may now ethically announce to the public that they are a specialist in any of the dental specialties recognized by the American Dental Association including dental public health, endodontics, oral and maxillofacial pathology, oral and maxillofacial radiology, oral and maxillofacial surgery, orthodontics and dentofacial orthopedics, pediatric dentistry, periodontics, and prosthodontics, and in any other areas of dentistry for which specialty recognition has been granted under the standards required or recognized in the practitioner’s jurisdiction, provided the dentist meets the educational requirements required for recognition as a specialist

adopted by the American Dental Association or accepted in the jurisdiction in which they practice.

Additionally, the requirement to limit practice exclusively to the announced dental specialties has been removed and replaced by “Dentists who choose to announce specialization should use ‘specialist in’ and shall devote a sufficient portion of their practice to the announced specialty or specialties to maintain expertise in that specialty or those specialties”. Dentists whose practice is devoted exclusively to an announced specialty or specialties may announce that their practice “is limited to” that specialty or those specialties.

There have been recent lawsuits and challenges regarding the authority of the ADA and state dental boards to define specialty areas. As previously noted, specialty recognition is being evaluated by the ADA and the Dental Specialty Group. The amendment of The ADA Principles of Ethics and Code of Professional Conduct was passed to ensure that the Code remains aligned with the legal landscape of specialty recognition in all jurisdictions.

Scope of PracticeIn our AAO Bylaws, to be an active member of the American Association of Orthodontists, a dentist must meet the following requirements:

Successful completion of the full curriculum of an accredited orthodontic program or successful completion of the educational requirements established by this Association and in effect at the time of completion of education at least one (1) year prior to the date of application for active membership and be in the exclusive practice of orthodontics.

Many of our members may perform dental procedures that do not fall under traditional orthodontic services, such as bleaching, Botox injections, treatment of sleep apnea or orofacial pain, etc. Some may provide hygiene services. A number of our members may provide some primary dental care services. The existing provision requiring exclusivity may be viewed as restricting dentists’ ability to engage in free competition and as creating a legal risk to the association. The removal of this restriction will alleviate that risk.

There will be a discussion and debate at the HOD this year about removing the requirement that active members be in the exclusive practice of orthodontics. I believe that our active membership category should be as inclusive to our members as possible. We need to stand united as a profession. We are orthodontists because of our unique education and training and this is what we must convey to the public.

Thank you for the opportunity and privilege to serve as your Trustee. Please do not hesitate to contact me should you have any questions, concerns or wish to provide feedback regarding any of the information provided in this report.

their own orthodontic services in external media. Your competition used to be your fellow orthodontists. Now it’s your former referral sources that are competing at least for the “easier” cases, and leading patients to believe that the quality of their treatment is the same as yours. Claims and guarantees made by manufacturers directly to the public often can’t be substantiated, but are we becoming our own worst enemy? If your practice promotion benefits you in the short term, but degrades the profession in the long term,

who really benefits? Is orthodontics a profession or just a commodity? Quo Vadis?

Or perhaps a better question would be: Quo accepto nobis?Latin: Where are you taking us?

Note: I realize that appropriate practice promotion is a personal and often difficult decision, and I welcome any feedback you may be interested in providing. Please forward your comments to: [email protected].


MEETINGS

Joseph G. Ghafari, DMD earned dental degrees from the Université Saint Joseph, Beirut, Lebanon, and the University of Pennsylvania School of Dental Medicine. He received his orthodontic education at the Harvard School of Dental Medicine/Forsyth Dental Center, and he rose to the rank

of Professor at the University of Pennsylvania. He is now Professor and Founding Head of the Division of Orthodontics and Dentofacial Orthopedics at the American University of Beirut; Professor of Orthodontics at the Lebanese University, where he also founded the postgraduate orthodontic program; Adjunct Professor of Orthodontics at the University of Pennsylvania; and Visiting Professor at New York University.

Dr. Ghafari is a Diplomate of the American Board of Orthodontics and a member of many national and international associations, including the American Association of Orthodontists, the Edward H. Angle Society of Orthodontists (Eastern Component), the European Orthodontic Society; and he is a fellow of the American and International Colleges of Dentists. He has served as President of the Craniofacial Biology Group of the International Association for Dental Research, President of the Greater Philadelphia Society of Orthodontists,

President of the Harvard Society for the Advancement of Orthodontics, and he is the founding President of the Lebanon Association for Dentofacial Research. Dr. Ghafari is the proponent and former Editor of Short Communications in the American Journal of Orthodontics and Dentofacial Orthopedics. He is a member of the Editorial Board of the Journal of the American Dental Association, the Editorial Director of JADA’s Middle East Edition, and is on the Editorial Board of Seminars in Orthodontics.

Among a rich array of research projects, Dr. Ghafari was the Principal Investigator of a prospective clinical trial supported by the National Institute of Dental and Craniofacial Research, in which alternative approaches are compared in the early treatment of Class II, Division 1 malocclusion. This field remains a centerpiece of his research activities. Author of numerous publications in American and international journals and books, he is also the co-author of the book Orthodontics at Crossroads. He received academic and professional recognitions from various organizations and institutions, including an honorary MA degree and the Earl Banks Hoyt Award from the University of Pennsylvania, the Vincent De Angelis Award from the Harvard Society for the Advancement of Orthodontics, and the Brainerd F. Swain Award of Excellence from the Edward Angle Society, Eastern Component.

2017 MASO Spring CE EventFriday, March 10, 2017 • The Ritz-Carlton, Tysons Corner, Virginia

Join your MASO colleagues and friends at The Ritz-Carlton in Tysons Corner, Virginia on Friday, March 10 from 9AM to 4PM for our annual Spring CE Event where MASO will host the world-renowned educator, Joseph G. Ghafari, DMD, from Beirut, Lebanon! Six CE credits will be awarded for the informative course, “Revisiting Classes and Treatment of Malocclusions”.

Register on-line at www.maso.org by February 17 for $295, after February 17 for $320, or on-site for $345. MASO residents receive a special rate of $130, if registered by February 17 – see website for details!

Has evidence been amassed to support or break through traditional knowledge on various malocclusions?

In this series of lectures, a scientific and clinical tour of malocclusions will reveal the potential and limitations of treatment of sagittal and vertical malocclusions. Clinical research yields central tendencies, but often we deal with “outliers.” Let’s explore “generic” versus “personalized” treatment. All types of malocclusion will be illustrated through treatment outcome. Variables in facial aesthetics, compatible or conflicting with the underlying hard tissues will be emphasized. Treatment modalities will be approached from various clinical and research perspectives.

Three basic messages will be relayed:

1. Because of inherently different phenotypes related to Class II and Class III malocclusions, their correction to a Class I phenotype encounters various limitations.

2. Genetic and environmental components of individual malocclusions related to dentoskeletal and/or soft tissue profile may prohibit treating to Class I norms.

3. The clinician should not discount the process of building and weighing the evidence for more “effective, efficient, stable and predictable treatment”, just because of the way the evidence is interpreted, particularly for the individual patient.

SEMINAR INFORMATION“Revisiting Classes and Treatment of Malocclusions”


MEETINGS

ObjectivesTo define the components of various malocclusions that are indicative of treatment outcome.

To recognize the Class II phenotypes that may not be modified through growth modification and orthodontic treatment to a Class I phenotype.

To recognize the variation in Class III phenotypes that may not require orthognathic treatment. To identify through cephalometric analysis the components that contribute to treatment outcome.

Attendees will be able to:Recognize the components involved in defining the severity of a malocclusion and the potential of treatment

Recognize the limitations of treatment in specific malocclusions.

Determine how changes in multiple components affects treatment outcome.

PROGRAM 8:00AM - 9:00AM Registration/ Continental Breakfast 9:00 AM - 10:20 AM Seminar 10:20 AM - 10:35 AM Coffee break 10:35 AM - 12:00 PM Seminar 12:00 PM - 1.00 PM Lunch 1:00 PM - 2:20 PM Seminar 2:20 PM - 2:35 PM Coffee break 2:35 PM - 4:00 PM Seminar

HOTEL INFORMATIONThe Ritz-Carlton, Tysons Corner

1700 Tysons BlvdMcLean, Virginia 22102

(Meeting Room – Salon II)PH: 703-506-4300

Book your room accommodations via telephone or online:Reservation #: 1-800-241-3333Cut-off Date: February 7, 2017Group: Middle Atlantic Society of Orthodontists Room Block Rate: Deluxe Room $189 single or double plus taxesGroup Code: MASMASA (when booking online)

TransportationGo to www.ritzcarltontysonscorner for details and shuttle information.Airports: Washington Dulles International (14 miles); National Airport (14 miles) Hotel ParkingValet parking is available. Parking charge of $40 for overnight and $20 for each vehicle parked for the day.

Self-Parking is available for $12 per day.

ExtrasAdjoining the hotel is the upscale Tysons Galleria with over 50 shops; Wolf Trap National Park for the Performing Arts is 5 miles away; Washington, DC is 12 miles away!


MEETINGS

2017 MASO -GLAO Annual SessionDr. Jean Edouard Asmar • [email protected]

JOIN US IN BEAUTIFUL BERMUDA!

It is indeed an honor and privilege as MASO’s President to invite you and your staff to the MASO Annual Session being held November 2-5, 2017 at the beautiful Fairmont Southampton in Bermuda!

Bring your family and staff for a fun and exciting atmosphere! Perched atop a 100-acre beach-front estate, this premier luxury resort features one of Bermuda’s most extensive dining and recreational facilities. This resort features a private beach, Willow Stream Spa, two championship golf courses, six tennis courts, Jet Ski and moped rentals, Explorers Kid’s Camp, a night club and six restaurants, including the AAA Four Diamond Waterlot Inn.

Get ready to experience “Beautiful Bermuda”! What an exciting and stimulating learning experience the 2017 Planning Committee has assembled for YOU and YOUR STAFF! We will have top-notch doctor and staff speakers!

Our Planning Committee: Drs. Harte and Penna doctor speaker co-chairs; Drs. Harmon and Seebold staff co-chairs; Drs. Boucher and Rajaei sponsor co-chairs; and Drs. Saini

and Sandman exhibitor so-chairs are committed to bringing you a fantastic meeting! Great speakers, fabulous location, warm weather, fun-filled parties, beautiful beaches, and clear blue waters await you!

Our program will feature special events, including a Friday night opening party on the lawn by the water, and a Saturday night beach party. Indulge your senses with activities from the artful to the adventurous on both sand and sea.

Soak up the sun on their private pink-sand beach at The Fairmont Beach Club. Try your skill at adventurous water sports. Frolic with the dolphins at nearby Dockyard. Experience beautiful, yet challenging, golf on the resort’s executive course, or be rewarded with a renewing revitalization at the Willow Stream Spa at The Fairmont Southampton. No matter what you choose, you’ll be surrounded by the energy and elegance of Bermuda!

PLAN NOW and SAVE THE DATE! Join your colleagues’ and their families at the beautiful Fairmont Southampton! Additional information and online registration will be available soon at www.maso.org. We will send blast emails to let you know when registration opens. Please mark your calendars and join us November 2-5 in Beautiful Bermuda. See YOU there!

The 2016 MASO Annual Session was held September 22-25, 2016 at the Arizona Biltmore Hotel in Phoenix, Arizona. It was a very successful meeting that held true to the session’s motto: Connect, Grow, and Energize in the Valley of the Sun! A superb lineup of speakers including: Dr. Christian Groth, Dr. Dan Bills, Ms. Joan Garbo, Dr. Jae Park, Dr. W. Eugene Roberts, Dr. Ron Roncone and Dr. Uche Odiatu provided the finest of learning experiences. MASO also welcomed 60 residents and their respective chairmen to the meeting. We thank the exhibitors and the sponsors for attending and sharing with us all the newest and latest in orthodontics. The joint meeting with GLAO was one of fun, camaraderie and friendship.

MASO honored outgoing President, Dr. Douglas Harte for his years of service to the society. In addition, also

specially honored were Devlin Award winner Dr. Natalie Parisi and Life-Time Achievement Award winner Dr. Larry Harte. At the business meeting our new board, led by incoming President Dr. Jean Edouard Asmar, was installed; and Dr. Jeffrey Godel presented the MASO William S. Kress Research Award to Dr. Brian Zebrick.

Under perfect skies and weather MASO and the Great Lakes Association of Orthodontists enjoyed all that Phoenix could offer. This included river raft trips, shopping, a golf outing and side trips to Sedona and the Grand Canyon. The Gala party on Saturday night was highlighted by American Indian tribal dancers in the historic Biltmore Hotel. MASO 2016 was an unforgettable experience and not soon to be forgotten.

2016 MASO -GLAO Annual SessionDr. Douglas Harte, Immediate Past President


CO

NNECTGROW

ENERGIZE

v

v

2016 GLAO/MASO Annual SessionSeptember 22-25, 2016

Arizona Biltmore Phoenix, AZ

In the Valley of the Sun

!

Dr. Doug Harte presents the Devlin Award to Dr. Natalie Parisi.

Incoming President Dr. Jean Edouard Asmar receives the gavel from outgoing President Dr. Doug Harte.

Outgoing President Dr. Doug Harte receives the gavel plaque from Immediate Past President Dr. Larry Wang.

MASO’s newly elected Board of Directors.

Dr. Doug Harte presents the Lifetime Achievement Award to his father, Dr. Larry Harte.

Dr. Brian Zebrick receives the Kress Award from Research Committee Chair Dr. Jeffrey Godel.


MASO Board and Delegation


AAO BUSINESS

AAO COUNCIL REPORTSCOUNCIL ON COMMUNICATIONSDr. Jean [email protected]

The Council continues to manage our CAP (Consumer Awareness Program) campaign. The focus of the CAP continues to be promoting education and awareness regarding the

benefits of orthodontic treatment to adults ages 25-54, with females being our target audience. Most of our advertising is now digital, and we have implemented a “programmatic approach” to our TV ad buy. This means that we are purchasing programs watched by our target audience. Efficiency in purchasing means that we will be able to fund a TV budget for the entire year.

The CAP continues to drive visitors to our consumer website www.mylifemysmile.org where consumers can learn about orthodontic care and locate a member orthodontist by using the Find an Orthodontist service. The CAP campaign also continues to produce social media content for member use. Feel free to like/share or retweet AAO content located on www.mylifemysmile.org. Just click on the social media icons in the left column.

The Council recently produced an animated video entitled “Six Must-Ask Questions at Your Orthodontic Consultation”. This video is available free to AAO members and the file can be downloaded at aaoinfo.org. To access the video, go to aaoinfo.org, click on Practice Management, Market Your Practice, Videos. You can find the video under the “Instructional Videos” heading.

The Council is currently conducting research to evaluate consumer buyer behavior. We are also considering mapping the patient journey during the orthodontic decision process, and identifying best practices in marketing.

We are still seeking nominees for the AAO Adult Hall of Fame. Members may nominate a current or past patient who had orthodontic treatment as an adult. Nominees should have interesting professions and/ or compelling stories on why they sought treatment or retreatment. They must also be willing to appear in the Adult Hall of Fame. Submit your nomination online. Visit aaoinfo.org; click Practice Management, Market Your Practice, and then the link named “Nominations for Adult Hall of Fame”.

COMMITTEE ON INSURANCEDr. Normand [email protected]

The Committee on Insurance held a video conference on December 2, 2016, and Dr. Ken Dillehay served as liaison for the Board of

Trustees. New York Life Insurance professionals provided a financial review of all AAO endorsed insurance products, and the Council concluded that the program is financially sound.

A report from our broker, Pearl Insurance, indicated a slight decrease

in overall premiums, but a favorable outlook for future premiums based on new products to serve our members’ ever changing insurance needs. For instance, with approval from the Board of Trustees, the maximum level of life insurance available has been increased to 3 million dollars for members, and to 1.5 million for spouses. The Council also provided final approval to add a Critical Illness plan and a Chronic Care rider to existing New York Life plans. Furthermore, an “own occupation” definition of disability is being developed by New York Life to enhance the disability program. As of April 1st, 2017 the rating of the disability program will be gender based rather than unisex based. All those currently insured will be grandfathered, and those applying for additional coverage will be rated at the new gender premium rates.

The next COGA meeting will coincide with the Professional Advocacy Conference from Tuesday, February 28 through Wednesday, March 1, 2017 at the W Hotel in Washington, DC.

We expect that the AAO will be well-positioned to advance its agenda of expanding or eliminating the cap on Flexible Spending Accounts (FSAs), and permanently repealing or reducing the Medical Device Tax. The AAO is currently working with a bipartisan group of legislators to advance legislation (the RAISE Act – H.R. 1185) that will increase the contribution cap for FSAs and tie the cap to the number of dependents in a household. As for our other legislation, we will take a wait and see approach to see what direction the next congress is going and what the next administrations goals are. I will have a more detailed update in the next issue of the Journal.

November brought about a complete change to the federal government for 2017 after the Republican Party swept both houses of Congress

and won the Presidency. We will see in the coming months how this will affect health care and other initiatives.

Our legislative priorities still remain the same:• Removing barriers to affordable high quality health care• Supporting oral health initiatives• Adopting tax reform for small businesses• Protecting and increasing Flexible Saving accounts• Repeal of the Excise tax on Medical Devices• Easing the burden of Student Debt• College affordability

COUNCIL ON GOVERNMENTAL AFFAIRSDr. Doug [email protected]


AAO BUSINESS

AAO COUNCIL REPORTSmembers. We continue to promote the value of our society and encourage ethical treatment with the highest level of care.

Our Council continues working on a patient abandonment policy. Concerns over how to transfer patients due to doctor sickness, death, retirement, and bankruptcy must all be considered. We are also discussing the possibility of developing ethics videos with input from Dr. Greco. All active life members will now receive a very nice lapel pin as our appreciation for their service.

COMEJC is developing a resolution to remove the exclusivity provision for specialists. The existing provision requiring exclusivity may be viewed as restricting a dentist’s ability to engage in free competition, thereby creating a legal risk. We continue to hear ethics violations against our members. Many of these complaints are meritless and I think we should be proud of our members.

This will be my last year and report for COMEJC. I have spent eight years on this

Council and have had such a wonderful experience interacting with dedicated energetic and intelligent people from all over the U.S. and Canada. I would like to thank MASO for giving me the opportunity to serve our association in such a fulfilling and rewarding capacity.

COMEJC has been a strong proponent for the AAO helping us develop and maintain a very strong and active membership. At a time when where many organizations are struggling to maintain members, we continue to have over 90% of orthodontists as

COUNCIL ON MEMBERSHIP, ETHICS & JUDICIAL CONCERNSDr. Henry [email protected]

Additionally, we have formed a sub-committee to review online forums and blogs to highlight the concerns of new and younger orthodontists, and the findings were reported to the AAO Board of Trustees at the August 2016 Board meeting. A conference was held in November to discuss ways to improve accessibility and relevance of AAO resources for new and younger members and create more opportunities for input and involvement by these members.

As a result of positive feedback from participants, we have decided to expand our Young Members Town Hall to the upcoming 2017 Winter Conference scheduled for Saturday, February 11th from 7-8 am. Furthermore, we are currently researching and solidifying plans for our speakers and small group discussion moderators for the New Ortho/Resident Conference at the Annual Session.

We will continue to work hard to develop resources aimed at new orthodontists and residents as we discussed at our meeting in January in St. Louis.

Hello, my name is Dr. Lauren Gray and I am happy to report the Council on New

and Younger Members had a busy and productive second half of the year.

We have now finalized the plans for our Electronic Mentoring Program. Earlier this year we chose a digital hosting platform called Chronus to provide the overall structure and pair mentors with mentees. Since then, we completed a Beta-test of the program to provide feedback on user workflow. The program has now successfully begun its’ pilot year with a maximum of 100 participants. A Business Review was scheduled with Chronus in early January to evaluate the results of the program to date.

COUNCIL ON NEW AND YOUNGERMEMBERSDr. Lauren [email protected]

required to withdraw from the Match before the Match occurs. It is better for students if the Match becomes universal. Why leave students in the middle? The COE is pleased to report that three non-match programs have decided to join the Match. These are Harvard University, the University of California San Francisco, and the University of Buffalo. Additionally, there is one new program which is negotiating to join the Match. Ultimately, we hope to persuade all U.S. based programs to be Match participants. Match participation is universal in oral surgery, which is typical of every graduate medical program.

A new arrival on the orthodontic education scene is the ADAT, or the Advanced Dental Aptitude Test. Why a new test? One

CONTINUED ON PAGE 13

The Council on Orthodontic Education continues to make progress on the MATCH program, the process by which orthodontic

graduate programs select new students. The most vexing problem is the simple fact that program participation is not universal. When some orthodontic programs refuse to participate, it leaves students caught in the middle. Students who accept an admissions offer from a non-match program are

COUNCIL ON ORTHODONTIC EDUCATIONDr. Sheldon [email protected]


AAO BUSINESS

AAO COUNCIL REPORTS

COUNCIL ON ORTHODONTIC HEALTH CAREDr. David [email protected]

The Council on Orthodontic Health Care met at the AAO Headquarters on July 9, 2016 at 8:10 AM CDT. Dr. David Drake, chairman of COHC, thanked everyone for

their attendance and welcomed Dr. John Metz, the council’s new representative from the SAO. Dr. Charles Ruff of Waterville, ME was present to represent NESO whose Council position is currently vacant until a replacement is appointed.

BOT LIAISON REPORT• The AAO Board of Trustees (AAO BOT) expressed their

appreciation that Dr. Robirds will be continuing to serve as Consultant of the COHC.

• COHC’s requested white paper contrasting private practice versus corporate practice has been completed.

• The 2016 AAO House of Delegates (HOD) the approved COHC’s recommended wording of the “Any Willing Provider” statement.

ACCESS TO ORTHODONTIC HEALTH CARE/AAO DONATED ORTHODONTIC SERVICES (DOS) PROGRAMDr. Durbin provided a status report on the DOS program. He

reported that the DOS Board was trying to expand the program to nationwide status and encourage more state programs to sponsor a program. He noted that some states were fearful of program start-up costs. He further noted that the DOS Board recently undertook a corporate sponsorship drive to secure program funding and would be expanding the number of directors on the board by engaging participation by our orthodontic supply company partners.

COHC CONSULTANT (Dr. Robirds)AAO MEETING WITH PAYERS AND SPECIALTIES:The AAO sponsored a meeting of dental specialties and industry payers to provide an overview of what has been happening relative to MNOC and efforts to streamline qualification and administration of orthodontic cases. He noted the following:• Diagnostic codes will need to be assigned to the proposed

auto-qualifiers; SNODENT coding has been suggested.• Dr. Oppenhuizen, COHC, is undertaking a retrospective

study to help determine the efficacy of the auto-qualifies and identify the case acceptance level.

MNOC-Dr. Robirds provided an overview on the background of the project and noted the efforts to try and streamline the qualification and administration of orthodontic cases in the present environment created by the Affordable Care Act (ACA).


COUNCIL ON ORTHODONTIC EDUCATIONCONTINUED FROM PAGE 12

of the problems was created by the National Board Exam deciding to switch to a pass/fail format. This gave orthodontic admissions people one less tool to distinguish among dental school graduates. For the record, the National Board feels its examination is designed to identify deficient achievers; not to select high achievers. These require very different processes. The ADAT will take time to fully develop but its goal is to ultimately produce an exam which will help predict how a prospective resident will do in a graduate program. The first exam was given this past year. Over time, resident’s exam scores will be compared with their performance during their residency.

The current definition of a specialty is unlikely to stay unchanged and legal decisions have impacted all nine dental specialties. Reacting to judicial decisions, the House of Delegates of the ADA has amended their ethics statement to permit practitioners outside the nine traditional specialties to call themselves specialists. This will affect our specialty in ways we cannot foresee, but what is certain is that change will occur.

I hate to leave the Council at such an uncertain time; but all AAO Councils have a six year term limit, and this is my last year on the COE. Much has happened in the past six years. Participation in the Match, although not yet universal, has grown. The Society of Orthodontic Educators was created

and is now a viable organization. Orthodontic educators now have the ADAT exam to help their admissions decisions. Much was accomplished but I leave much on the table. Orthodontic student debt remains a problem with large consequences for the student and for the profession. Also, growth in the number of orthodontic graduate programs has yielded an unprecedented number of recent graduates and additional new orthodontic programs are looming on the horizon. Adding to this uncertainty are the recent judicial decisions redefining the very nature of dental specialties. The issues are large and the consequences are vast. This highlights the need for our members to stay fully informed and become involved at all levels of organized dentistry.

I assure you that you will be left in capable and knowledgeable hands, as I have met many talented and intelligent people along the road this past six years. Please allow me a moment to acknowledge these rare and wonderful people. On the COE, my particular thanks to my colleagues who have taught me so much: Drs. Scott Conley, Kelton Stewart, Mitchell Lipp, Ed Yen, Leslie Will, Billy Wiltshire, Chun-Hsi Chung, Allan Weimer, and Ms. Anita Craig. I also wish to thank our Editor, Dr. Robert Williams, for making my articles appear more learned and organized than they actually are. I particularly wish to thank Dr. Nahid Maleki for giving me this opportunity six years ago. I got more from serving on the COE than it got from me. Still, I hope I served you well. Thank you, my MASO colleagues.


AAO BUSINESS

AAO COUNCIL REPORTS

Council representatives. The recent COOP meeting was one of the most active meetings in the last few years, and MASO’s own Dr. Steve Siegel is the Board of Trustees liaison.

AAO staff members, Mr. Hackworth and Ms. Snowden, provided an overview of the AAO’s confidential Practice Opportunities & Careers (POC) service. As of October 31, 2016, the POC site has 205 active opportunities and 616 registered seekers, and has generated 45 successful matches for the 2016 calendar year.

At the 2015 COOP meeting interest was expressed to further promote the Practice Opportunities and Career service to both


COUNCIL ON ORTHODONTIC PRACTICEDr. Kenneth [email protected]

COOP met in St. Louis on November 12, 2016. Due to term reductions established a year ago, and the dates that Council members began

their service to the AAO, 2/3 of the Council membership will change within 13 months. This puts an undue burden on new members. Fortunately, as faces change, there has been a great deal of assistance from departing COOP members to the new

COUNCIL ON ORTHODONTIC HEALTHCARECONTINUED FROM PAGE 13

AAO HOD:Dr. Robirds reported that the AAO HOD recently approved an “Any Willing Provider” policy statement that sets forth that any dentist willing to abide by the terms of the payer’s contract should be eligible to participate in the program, that patients should have the freedom of choice of dentists, and all legally qualified dentists should be eligible to render care for which benefits are provided.

ADA CODE MAINTENANCE COMMITTEE (CMC)The CMC meeting was held March 2-5, 2016 in Chicago, IL. The dental specialty groups met once again prior to the CMC meeting to discuss code requests of mutual interest.

Dr. Robirds reported the following status of codes that would impact orthodontics:• Inventory #41-arch reformulation therapy (ART)-defeated• Inventory #43-orthodontic scheduled payment-withdrawn

from consideration• Inventory #42-orthodontic bracket removal-AAO was

requested by the CMC to revise and re-submit

Motion: Durbin/OppenhuizenResolved, that CMC Inventory item #42-Orthodontic Bracket Removal be revised and submitted to the BOT for approval as “Removal of Fixed Orthodontic Appliance(s)”. On vote, motion carried.

POTENTIAL ADDITIONAL CODING REQUESTSThe council is consider the development of new coding requests for the following:• Complex orthodontic treatment

The council noted that the purpose of the code would be to capture additional contracted/allowable fees when orthodontic treatment exceeds the usual parameters for comprehensive treatment.

• Fabrication of sleep apnea appliances The code would clearly state that the procedure would be

for appliance fabrication only, and only in the presence of a medical diagnosis of sleep apnea.

Dr. Robirds will discuss the possible submission of both of the requests with the NADP in order to gauge the level of their support.

REFERRAL FROM THE 2016 HOUSE OF DELEGATESPolicy language involving the orthodontic definition of interceptive orthodontics was brought before the 2016 House of Delegates. Since the constituents wanted the policy language revised, the resolution was referred back to COHC.

The following was approved by the Council:Resolved, that the following definition as drafted by COHC be approved by the AAO BOT and forwarded to the 2017 House of Delegates for consideration:

Interceptive OrthodonticsInterceptive orthodontics is orthodontic treatment that can occur in the primary or transitional dentition. When initiated during the incipient stages of a developing problem, interceptive orthodontics is intended to reduce the severity of a malocclusion and/or mitigate its cause. Once permanent dentition has been reached, subsequent comprehensive orthodontic therapy may be needed.

COHC CHAIR REPORTDr. Drake thanked the COHC for all the experiences that have been afforded him as both chairman and Council member. In addition, he expressed appreciation for the diversity of the Council over his eight year term particularly in regard to increased female and younger member representation.

FUTURE MEETINGSThe Council met on Saturday, January 28, 2017 at 1:00 PM Central time via conference call.

I would like to thank MASO for giving me the opportunity to represent their interest at the AAO level for the past eight years. It has been a gratifying experience meeting orthodontists throughout the country who truly have their constituent’s interest at heart in a very challenging professional/social environment.


AAO COUNCIL REPORTS

AAO BUSINESS

residents and younger members along with more experienced members, and these following steps have already been taken:• The April 2016 Bulletin was dedicated to Practice

Opportunities and Careers. • In July 2016, a direct mail postcard was developed to

promote Practice Opportunities and Careers to a targeted group of 5,700 AAO members who may be most likely to use the service to hire an associate or sell their practices.

• A quarterly email campaign is planned to promote Practice Opportunities and Careers to members who may be most likely to use the service to hire an associate or sell their practices.

• The AAO has continued to run a full-page color advertisement featuring Practice Opportunities and Careers in the AJO-DO, and in October 2016, the ad was redesigned to include one version for mid-career members and a second version for late-career members.

Beginning in 2017, the AAO Winter Conference will include a Practice Opportunities and Careers booth to promote the service to attendees. A similar booth is already available each year at the Annual Session.

The 2017 Practice Transition Seminar, scheduled for Friday, April 21 in conjunction with the AAO Annual Session, will feature networking and round table lunch discussions. The featured Speakers and topics are:• Mr. Chris Bentson: Orthodontic Market Place Overview: Trends

Affecting Owners and New and Younger Members• Mr. Brandon Collier: Not All Group Practices Fail: Structuring

the Transition to Address the Big Issues Fairly and Ensure Mutual Success

• Dr. Tom Ziegler: Buyers and Sellers: A Guide to Practice Transition• Mr. Mark Drake and Mr. Merritt Drake: The Evolution of

Dentistry: How DSOs are Shaping Orthodontics

The reception will again be sponsored by Ziegler Practice Transitions.

Efforts are being made to increase the involvement of all U.S. and Canadian orthodontic residency programs in the AAO’s Resident Vitals Program. The current 2016-17 totals for the Resident Vitals Program are:• 32 programs have completed the presentation• 7 programs have scheduled their presentations • 1 program has expressed interest to participate yet this

academic year• 417 residents are expected to have seen the presentation

during 2016-17.

The Council considered the option of introducing an informal meeting held after hours with a recent graduate or adjunct faculty members leading the Resident Vitals dialogue. Staff was asked to develop a spreadsheet of orthodontic adjunct faculty members

to utilize as a contact for those schools not participating in the program. In addition, staff will identify the orthodontic programs that haven’t held the Resident Vitals presentation in the past 2 years. Further suggestions included having the AAO President contact the department chairs, contact the Chief Resident in the program, and to have COOP council members discuss at their ad-interim constituent meeting.

Brandon Hackworth provided an overview of the AAO’s Career Fairs. • The 2016 Orthodontic Career Fair was held May 1, in Orlando

with 23 exhibitors and more than 200+ job seekers. • The AAO’s 2nd annual Virtual Career Fair was held on

November 17th. Twelve exhibitors and 35+ job seekers were involved.

The 2017 Orthodontic Career Fair will be held on April 23 in San Diego, California. This event is part of a full-day Annual Session track for residents and new and younger members, and will follow the New Orthodontist and Resident Conference and precede the Orthodontic Residents’ Reception.

COOP received an inquiry from the BOT: “Should the AAO provide programming on how/whether orthodontists could offer expanded dental services?” The Council would propose reframing the question to, “Should the AAO provide programming on how/whether an Orthodontist could expand scope of his/her practice?” Concern was raised that members would be violating the current Principles of Ethics and Code of Professional Conduct, and that the considerations are state specific. While there are no ethical conflicts with the ADA, the current conflict is with the present definition of AAO active membership which still requires the exclusive practice of orthodontics. The criteria of exclusive practice for active membership is currently being evaluated by a task force and recommendations will be made to the House of Delegates for consideration.

Patient Abandonment Subcommittee: This sub-committee is made up of three COOP and three COMEJC members. Drs. Hrechka and Pope reported that the issue may be best handled by the AAO Constituent and Component societies and individual State Dental Boards. COMEJC met in January 2017 and will then report to the BOT.

Dr. Hrechka invited Ms. Liz Franklin, Claims Manager-Professional Liability, AAO Services, Inc. (AAOSI) to provide information about the AAO’s Informed Consent Form, which is currently available in English and Spanish. Due to several current malpractice cases, Ms. Franklin recommends updating the Informed Consent form and video to greater emphasize root resorption and periodontal disease. Once this information has been revised, COOP members are in favor of using a new media format such as a PowerPoint with voice-over to replace the current Informed Consent DVD. This would be much more cost effective than creating a new Informed Consent Video. COOP also recommends that the new Informed Consent document be posted on the AAO website and/or You Tube to further assist


COUNCIL ON ORTHODONTIC PRACTICECONTINUED FROM PAGE 14


COUNCIL ON SCIENTIFIC AFFAIRSDr. Robert L. [email protected]

MASO is saddened by the recent death of Robert Lee Vanarsdall, Jr. a pioneer and innovator in orthodontics, and passionate teacher, who passed away at the age of 76 on January 1, 2017.

Known by most as “Slick,” as much for his engaging personality as for

his winning style—he received his undergraduate degree from William and Mary, and served in the U.S. Navy as a line officer beginning in 1962. He received his dental degree from the Medical College of Virginia in 1970, and his post-doctoral specialty training in both Orthodontics and Periodontics at the University of Pennsylvania in 1972/3. At Penn, he served as Chairman of the Department of Periodontics, Department of Pediatric Dentistry and directed Orthodontics for more than 25 years, all while serving as a professor and maintaining a private practice for more than four decades, continuing to teach and practice until his death.

Dr. Vanarsdall was finishing his second stint serving on COSA. MASO deeply regrets the loss of this extraordinary individual who has made many significant contributions to this organization and the profession.

The Council on Scientific Affairs (COSA) met via videoconference on January 6, 2017 and reviewed 31 applications for the Hellman, Sicher, and Graber Awards. The winners will present their lectures during Annual Session. The following are the 2017 AAO Research Awards winners:

Milo Hellman Research Award to Dr. Paul Lazari from the University of Illinois-Chicago for research titled: Secretory microRNA-29 in gingival crevicular fluid during canine retraction

Harry Sicher Research Award to Dr. Chris Cramer from Texas A&M University for research titled: The effects of micro-osteoperforations on tooth movement and bone in the beagle maxilla

Thomas M. Graber Awards of Special Merit to: Dr. Matthew Cozin from the University of California – San Francisco for research titled: Altering osteoclasts in utero leads to changes in mandibular lengths in adult mice

Dr. Paula Zabalegui from University of Southern California for research titled: Three – dimensional quantification of post-surgical condylar displacement Dr. Fouad-Hassan Ebrahim from the University of Michigan for research titled: Accuracy of cone beam computed tomography in assessing the internal trabecular structure of the mandibular condyle

Dr. Eliane H. Dutra from the University of Connecticut for research titled: Cellular and matrix response of the mandibular condylar cartilage to botulinum toxin


AAO BUSINESS

our members. The Council also supported placing the current Informed Consent video on the Consumer Website at no cost to members.

AAO Annual Video Contest: The 2017 Video Contest, Retainer Instructions, will remain open to members and orthodontic staff. Prizes are: 1st place-$2,000, 2nd place $1,000, and 3rd place $500.

Webinars: In 2016 – 2017, a series of twelve Webinars addressing clinical and practice management topics have been planned for doctors and/or staff. A series of six webinars have been planned for The Business of Orthodontics Webinar series, and are provided at no charge for all AAO members.

Orthodontic Staff: In August 2010, the AAO launched the AAO Voluntary Staff Certification Program®. Those who complete and pass the online qualifying exam and educational or work experience earn the recognition of Specialized Orthodontic Assistant® (SOA). There are currently 588 Specialized Orthodontic Assistants; and 75 SAOs have renewed their Specialized Orthodontic Assistant® credential. The

AAO’s Orthodontic Staff Club (OSC) is available for office membership and is inclusive of all staff members in each office. Individual memberships are also offered. All recognized Specialized Orthodontic Assistants® (SOA’s) receive one year’s complimentary membership in the OSC. OSC has grown every year with 2016 membership at 7,732.

The AAO’s second annual Orthodontic Staff Appreciation Week was observed June 6-10, 2016. Support for the event grew to seventeen participating orthodontic staffs versus six the first year. Again, a dedicated web page was loaded with resources that practices can utilize to celebrate with their staff and patients.

Mutual Aid Agreement: Council revisions to the Mutual Aid Agreement have been reviewed and approved by AAO General Counsel for posting at www.aaoinfo.org.

COOP’s next face-to-face meeting will occur in St. Louis on October 27-28, 2017.

If you have any questions regarding COOP’s activities please contact me at [email protected]. Following the AAO meeting in San Diego my eight years of service to MASO at the AAO will come to a conclusion. It has been my pleasure serving MASO on COOP.

COUNCIL ON ORTHODONTIC PRACTICECONTINUED FROM PAGE 15


AAO BUSINESS

The 2018 Hellman, Sicher, Graber applications will be online and will be available on March 15, 2017. The deadline to apply is October 1, 2017.

COSA accepted 28 Oral Research applications, 510 E-Poster applications, and 65 Table Clinic applications to be presented at the 2017 AAO Annual Session. There will be no hard copies of Posterboards displayed at the Annual Session. E-Posters will be available for viewing during the Annual Session and for two months after Annual Session on the AAO website.

COSA is accepting applications for the 2017 Charley Schultz Resident Scholar Award program to be granted at the 2017 AAO Annual Session. The online application can be found on

the AAO website. The deadline to apply for this program is February 15, 2017.

COSA continues to review published evidence based orthodontic research. Appropriate article citations are being added to the Evidence Based Orthodontic Research Resource Center on a regular basis, and on the AAO Library webpage. Also in the resource center of the AAO Library webpage is the CBCT Resource Center and the Bisphosphonate Resource Center.

COSA’s next meeting is on Friday, April 21, 2017 prior to the start of the Annual Session. During the Annual Session, COSA members will be involved with judging the Charley Schultz Resident Scholar Award presentations, judging the Table Clinics, awarding the Joseph E. Johnson Table Clinic Award, and moderating the Oral Research presentations.

AAOF UPDATEDr. Orhan [email protected]

We are pleased to announce that the Blair Award, given for meritorious service to the AAOF, will be presented to Dr. Robert James Bray (MASO/NJ) at the 2017 AAO Annual Session in San Diego.

AWARDS PROGRAMFor the 2017 Awards Program there were:• 45 submissions requesting $1.3 million, but only about

two-thirds of that amount could be budgeted.• Two of these proposals were submitted by individuals

and institutions within MASO.• The AAOF Planning and Awards Review Committee met

in late January to review all proposals.• The Foundation’s Board of Directors meets in late February

to review PARC’s recommendations and determine which submissions will be funded.

Including the amount budgeted for the 2017 Awards Program, the AAO Foundation has invested $11.7 million in some 450 orthodontic education and research projects in just over two decades.

MISSION OF THE AAOF & STRATEGIC PLANThe AAOF is in the process of effectively re-inventing itself for the years and challenges ahead, including revising the Mission Statement to reflect more focus on patient outcomes.

CONTINUED COMMITMENT TO THE SPECIALTY® If our specialty has been good to you, and if you are interested in ensuring its future, please: • Pledge $5,000, $25,000, or more over five or ten years.• Make an on-going commitment of $100 or more each

month and thus become a member of the Century Club. • Remember the AAOF in your estate plans by becoming a

member of the Keystone Society.

FOR MORE INFORMATIONSee the AAO Foundation website at www.aaofoundation.net for more information.

If you have any questions or concerns, please call Robert Hazel, at 800-424-2841, #ext. 546 [email protected], or me at your convenience.

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COUNCIL ON SCIENTIFIC AFFAIRSCONTINUED FROM PAGE 16

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ABO UPDATEDr. Chun-Hsi-Chung [email protected]

AAO BUSINESS

I would like to congratulate the following MASO members who passed the September, 2016 Clinical Examination and became ABO certified – Dr. David Bonebreak, Dr. Cherissa Chong, Dr. Krystian Jarosz,

Dr. Sara Kasten, Dr. Ji Lim, Dr. Marc Morrell, Dr. Anu Nellissery, Dr. Juan Vázquez Santiago, Dr. Chia-Ying Yang, and Dr. Eric Wu.

A complete listing of newly certified or recertified ABO orthodontists by constituency can be found on the ABO website. The next ABO Clinical Exam is scheduled for February 2017 in

St. Louis. The Clinical Examination Dates for 2017, including registration information, are now posted on the ABO website.The ABO recently announced changes to the Certification Renewal requirements. Individuals may now select from two different options in order to complete the certification renewal examination. These options include a Case Report Examination (CRE) for one case by mail along with continuing education credits from online AJODO exams OR prepare treatment plans for two online Board Case Exams (BCE) and continuing education credits from online AJODO exams. Complete information on Certification Renewal may be found on the ABO website.

The ABO will offer a workshop for ABO-appointed Advocates during the 2017 AAO Annual Session. The meeting will allow an opportunity to provide a review of the Advocacy program, materials available and answer any questions the Advocates may have.

AAO HOUSE OF DELEGATESDr. Luis [email protected]

On November 11, 2016, the AAO conducted its second virtual House of Delegates meeting. The purpose of this meeting was to inform the Constituent Delegations of the work done by

the Board of Trustees, the AAO Councils, and AAO staff since the adjournment of the 2016 AAO Annual Session. It also served to introduce any new ideas and/or resolutions that will be presented at the next House of Delegates meeting.

The following resolutions were presented: 1. The type of practice definition (2016 resolution): substitutes the word exclusive with the word primarily in our AAO Bylaws membership requirements. While this represents the change of only a single word, in reality it is a monumental shift. It is estimated that 40% of our graduating orthodontic residents are choosing to enter the world of corporate dentistry for personal, professional, and economic reasons. Even though they “primarily” do orthodontics, in many situations their contract obligations do not permit an “exclusive” practice. If this change is not adopted, a large number of orthodontists will be excluded from AAO membership in the near future. The task force has recommended that this issue be postponed until the spring Constituent ad interim meetings with a final decision to be made at the San Diego HOD meeting.

2. Orthodontic Workforce and Distribution – This 2016 substitute resolution (21- 16 RC) (S1-PCSO) appointed a task force to examine current educational trends with an emphasis on future needs of the public for orthodontic specialty care, and practice opportunities for new Orthodontic Graduates. The task force plans to present a preliminary report by the end of February 2017.

3. Resolution 23-16 directed the BOT to develop a plan and budget for a new strategic planning process. The plan and the budget are ready for discussion and final approval by the 2017 HOD. The new plan attempts to streamline the strategic planning process with a larger group of diverse stakeholders. If approved by the 2017 HOD, the new strategic plan should be ready for consideration by November 2017.

4. Council Member Term Extension: A resolution was presented by the Council on Scientific Affairs (COSA) to extend the term of one current COSA member to allow him/her to serve an additional year (to 2018). Currently, COSA will lose four of its eight members this year, and the one year term extension will help ensure that COSA has four members with significant institutional memory, and to establish a more stable plan for rotation. A final decision will be made at the 2017 HOD.

As a result of the success of this year’s virtual meeting, the AAO President appointed a committee of the House to develop the rules, mechanism, and technology necessary to create and manage ad interim virtual meetings of the House, with the ability to take action on current issues. I have the privilege of serving on this committee.

AAOPAC Successes in the 2016 ElectionThe AAO’s Political Action Committee (“AAOPAC”) has been working diligently this past year and was extremely successful in strategically giving to candidates who won their 2016 elections. The AAOPAC, which is governed

by the AAOPAC Board, goes through a detailed and extensive process to determine which Congressional candidates should receive funding. Each candidate is analyzed by the district/state they represent, the committees on which they serve, their leadership

AAO PAC UPDATEDr. George [email protected]

roles within Congress, and their proven support of the orthodontic industry and the AAO’s legislative initiatives.

In the 2015-2016 cycle, $408,000 worth of voluntary contributions (from U.S. members) was given to 106 candidates (76 House/30 Senate), and 97 of these won their elections. There now is a new group of legislators along with new leadership, and we need to educate each and every one of the 535 members of Congress about the issues important to orthodontists. Whether it is the RAISE Act, small business protection, or student debt, we need to continue our legislative efforts in 2017. We cannot do that without our PAC.

Thanks to those MASO members who contributed to the AAOPAC in 2016, and please consider a contribution in 2017 to our efforts.


AAO BUSINESS

SOE as a benefit of their position on the orthodontic faculty at their institution.

Please check with your respective program to confirm your membership in the SOE. In order to attend the SOE Conference, you must pre-register. If your plans allow, please plan to attend the Ram S. Nanda Educational Leadership Conference on Friday, April 21, 2017 from 7:30am – 4pm in the San Diego B Ballroom of the AAO Annual Session in San Diego, CA.

All orthodontic educators in the United States and Canada, whether full-time, part-time, or volunteer, pre-doctoral or post-doctoral, are eligible to join the

Society of Orthodontic Educators (SOE). Most orthodontic residency programs enroll all faculty as members of the

SOCIETY OF EDUCATORSDr. Vanessa [email protected]

Thank you for the opportunity to have been MASO’s representative to the College of Diplomates of the American Board of Orthodontics (College) for the past seven years.

The meeting at Asheville, NC was well attended, successful, and enjoyed by all. The Omni Grove Park Inn and the town of Asheville provided attendees with many memorable events and experiences.

For the last few years, the College has invited residents from orthodontic programs within reasonable proximity to the host hotel. Since serving the College as President this past year, I invited residents from thirteen different orthodontic programs to attend, and Directors from eight programs responded. Personal circumstances and university responsibilities limited the other potential attendees. The final count included eighteen rising senior orthodontic residents from the universities of: Kentucky, Tennessee, West Virginia, North Carolina and Augusta University, Georgia. We understand, these residents enjoyed the College meeting and are motivated to become ABO orthodontists. Support for the resident’s attendance comes from vendors. Special thanks to Dr. Todd Bovenizer of Cary, NC, who went out of his way to acquire vendors to support our residents program.

During this past year I also established a new and younger member committee that reported directly to the College council. The chair of this committee was Dr. Bryn Cooper of Houston, TX who offered the College a report that amazed the council. With continued work by this committee and Dr. Copper,

CDABO UPDATEDr. Kenneth [email protected]

the future of the College and quality in orthodontic practice and education should be assured.

The 39th Annual Meeting of the College of Diplomates of the American Board of Orthodontics will be held July 7-11, 2017 at the Resort at Squaw Creek at Lake Tahoe, California. This year’s president is Dr. Paul Miller of Quincy, Illinois who has prepared an incomparable meeting at an outstanding location. The topic for this year’s meeting will be Controversies: Stability of the End Result. The speaker list for this summer is perhaps the most impressive list of speakers any orthodontic meeting could possess, and includes: Drs. Wick Alexander, William Proffit, Peter Buschang, James Vaden, Jason Cope, Perry Opin and Gary Opin.

If you have ever attended a College meeting you know that these are not just great CE events, the College goes out of its way for family to be included. Plan on a College meeting becoming a vacation for the family, arrive early and stay late. A College meeting is a gathering of great people, the core being orthodontists. Our speakers and our membership include many of the Who’s Who in our profession. At a College meeting

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