Topics of the day:

1. ESCO - The Electronic Study Club for Orthodontics
2. Adult Orthodontics Goettingen/Germany
3. ESCO Digest - 2 Jan 2003 to 11 Jan 2003 (#2003-2) (2)
4. Re: bonding porcelain
5. Halitosis
6. OPMS Dos hardware
8. Craniofacial Orthodontic Fellowship
9. Request

Dear Colleague:

The Electronic Study Club for Orthodontics (ESCO) is a free forum for exchange of information and opinions among orthodontists, and for distribution of professional information, sponsored by the Department of Orthodontics, University of Illinois at Chicago.  Information distributed on this list-server is NOT edited or refereed, and it represents only the opinions of the writers of the individual messages. Such writers bear the sole responsibility for the content of messages they author.  Authors are required to verify information regarding other parties included in their messages.  

* What information can you get on ESCO?

* How to subscribe to ESCO?

* How to change your address?

* How to post messages on ESCO?

* How to get copies of old digests of ESCO?

For answers to these questions and more, please check our web site: htm

To view and search old digests, please view our web site: html

To view case presentations and case discussions, sponsored by Orthocad, please check our site at:
http:// /presentations/

Enjoy your reading!


Joseph H. Zernik, D.M.D. Ph.D.
Professor of Orthodontics

From: Dr. Henning Madsen [madsenh@T-ONLINE.DE]
Sent: Fri 1/17/2003 5:14 AM
Subject: Adult Orthodontics Goettingen/Germany

Dear colleagues,

taday a young class II/2 adult male in need for orthodontics including orthognathic surgery presented in my office. Medical history without any significant problems, teeth and periodontium very healthy. The arches looked good, besides uprignting the upper cebtrals, expanding the upper arch some millimeters and intruding the lower anteriors a little there remains not much to do to get him ready for surgery. All orthodontists he saw before told him about 2-3 years of active treatment were necessary, while I was shure not to extend active treatment to more than 15 months - there is really not more work to do!

From Goettingen/Germany to my office this man travels approximately 5 hrs, which I think would be feasible, but not a very good solution for practical reasons. So I promised to find an orthodontist familiar with efficient treatment of such cases near his city.

Can anybody recommend an orthodontist in or near Goettingen who can be recommended to that man?


Dr. Henning Madsen
Ludwigstr. 36
67059 Ludwigshafen
Tel 0049+621+59 16 80
Fax 0049+621+59 16 820

From: Orthodmd@AOL.COM
Sent: Mon 1/13/2003 8:47 PM
Subject: Re: ESCO Digest - 2 Jan 2003 to 11 Jan 2003 (#2003-2)


You mentioned that you were bilingual and your English was not as strong as it could be.  While I am not bilingual I am bifocal :-), so I hope that I really understood your point in the above section.  You seem to imply that Dr. Speck may not fully understand the TE principles (again, I may be wrong on this one.  It could be a language problem). You seem to be lecturing an acknowledged TE master on how to use his appliance to blow lower anchorage.  It sort of reminds me of Kwai Chang Caine,  "grasshopper",  in the old David Carridine Kung Fu TV show.

More on point, however, I would like to call your attention to the TE Guide, specifically the Q&A section, page 6.  If you will read the fine print under the third question, you will see that Dr. Speck is cited as a master clinician in Kesling's own book.

I also know that Dr. Speck has taught Begg and now TE at Harvard for at least 30 years.  He his held in high esteem by the faculty and the residents as both a fine clinician and a true mensch (see for definition of mensch).  

I'm a brand new Tip Edge instructor at Harvard recruited to the "Dark Side" by Dr. Speck.  I've yet to finish a case but have started approximately 25 in my private practice and I am really enjoying the process and how this technique solves some of the problems inherent in edgewise.  But I've been around the block enough times to understand that each appliance has it own goods and bads and eventually I will understand better the limitations of the TE appliance.  Hopefully, I will be able to pick and choose the best appliance for any particular patient.

I really enjoyed your comment at the end:
· "Well, this letter is already too long and I'm sorry cause I would have many other things to say, to add arguments favoring the TE. The only thing I wish to say is that the anchorage needs are not different. What is different is anchorage management ! ! For G. 's sake, please dear Edgewise fanatics, take the time to read the Tip-Edge Guide, because one day , people who know some things about the Tip-Edge will be tired to take the time to compensate for your ignorance."

The comment contrasting anchorage needs versus anchorage management is priceless.  I will use that often when instructing students.  You clearly have a good understanding of orthodontics even though you are still a resident.

My last comment is one in general and that is my firm belief that when "you build a better mousetrap, the world will beat a path to your door."  Why has that not happened in this case?  TE is used by only 2% of the orthodontics in the US (see most recent JCO Survey)

If you have the chance to come to Boston, I would love to host you for the day at Harvard.

Best wishes

Charlie Ruff

From: Ted Schipper [DrTedsBraces@AOL.COM]
Sent: Sun 1/12/2003 4:06 PM
Subject: bonding porcelain

I have read a number of posting on this topic. All seem to prepare the procelain surface by roughing it in some way. My question, what do you do after debonding to restore the porcelain to its original condition?

Ted Schipper

From: Ormond Grimes [heyorm@RAINBOW-ORTHO.ORG]
Sent: Mon 1/13/2003 9:50 AM
Subject: Re: ESCO Digest - 2 Jan 2003 to 11 Jan 2003 (#2003-2)

In reference to bonding to porcelain: What do you do with the roughened surface after you are though with the case? I bought a kit of rubber polishers that are supposed to restore the shine after treatment. I have to admit that I have never used them, even on anterior porcelain
crowns. The microetcher does not seem to damage the surface much. Orm

Orm's Web Site is <>

From: Azhar Kharsa [muhazhar@SCS-NET.ORG]
Sent: Mon 1/13/2003 8:15 AM
Subject: Halitosis

Dear Dr,Truswell:

I read your submission about halitosis treatment. I want to be informed whether it's available to be applied when mal-odor is accompanying fixed orthodontic appliances.

Thank you.
Dr.Azhar Kharsa

From: Alex Cassinelli [cassinellis@FUSE.NET]
Sent: Sun 1/12/2003 8:33 PM
Subject: OPMS Dos hardware

We switched from OPMS Dos to Oasys in December of 2000. Consequently, we have several pieces of "legacy" hardware still laying about. I have keyboard network stations, and networking hardware. The networking hardware/software was not Novell, but Multiware -Alloy. The Alloy Tap panel was at one point quite a rarity and I was quoted $1000 by a "colleague" to take the unit off his hands after he had upgraded to a Windows based system. If anyone out there still uses OPMS Dos and needs any of the above, it is yours. Just contact me and cover the shipping.

Best Regards,
Alex Cassinelli

West Chester Orthodontics
Drs. Starnbach, Biddle, and Cassinelli

Alexander G. Cassinelli, D.M.D., M.S.
Practice limited to Orthodontics.
Office: (513)-777-7060
Fax: (513)-777-0716

From: David Young [davyoun@ITSA.UCSF.EDU]
Sent: Sat 1/11/2003 10:33 PM
Subject: Re: SCANNERS

Epson ( ) makes some very nice scanners which handle x-rays with excellent results. Check out their current line of the Epson 1680 scanners. They come in a few different flavors (Special Edition, Artist, Professional, and Professional Firewire). The professionals come with a transparency unit (and cost more) but you could also get the special edition or artist and purchase the transparency adaptor separately. When looking for a scanner for the purpose of scanning cephs and pans, be sure to pay special attention to the maximum size that the transparency unit can handle. Some of the lower-end models cannot handle something as large as a ceph or pan.

David Young

From: Barry Grayson [barry.grayson@MED.NYU.EDU]
Sent: Mon 1/6/2003 8:06 PM
Subject: Craniofacial Orthodontic Fellowship

Craniofacial Orthodontic Fellowship
Institute of Reconstructive Plastic Surgery New York University Medical Center

Applications are now being accepted for the 2003-2004 Fellowship in Craniofacial Orthodontics (June 15th 2003 - July 1, 2004).
Program Description: This fellowship program provides advanced training in the treatment of patients with cleft lip and palate and other craniofacial anomalies. The Fellow will have a broad clinical experience in the pre and post surgical orthodontic management of patients undergoing craniofacial and orthognathic surgery. . This Fellowship will provide the recent orthodontic graduate with an alternative to the conventional practice of Orthodontics.
The training will include the following subspecialty practice experiences:
1. Presurgical orthopedics for infants born with cleft lip and palate.

2. Orthodontic management of patients with cleft or craniofacial anomalies from the deciduous through adult dentition.

3. Surgical/orthodontic treatment planning, pre and post surgical orthodontic management, surgical splint design and construction, and insertion of surgical fixation splints in the operating room.

4. 3D Computer based surgical planning

The Fellow will have the opportunity to express their interest in the design and execution of clinical research within the time constraints of a 12-month program. Institute faculty will provide mentorship and guidance in this clinical research endeavor.

The Fellow will participate in weekly meetings of the Cleft and Craniofacial Teams in preparation to serve as an orthodontic clinical consultant to other University or Hospital based Teams. This Fellowship training will provide the clinical skills needed for the diagnostic planning and orthodontic treatment of our most complex and challenging patients.

Requirements for application: The applicant must be a graduate of a dental school accredited by the American Dental Association and be qualified to take the National Dental Boards, parts I and II. The applicant must have graduated an orthodontic training program, accredited by the American Association of Orthodontics Application Process: Please contact Dr. Barry H. Grayson, Director of Craniofacial Fellowship Training Program Tel. 212 263 5206 or Fax 212 263 5400

From: KimMizrahi@AOL.COM
Sent: Thu 1/16/2003 2:26 PM
Subject: Request

Dear Members,

I am in the process of writing a book and I need some international input.

I would like to include a series of letters and all correspondence that takes place between the Orthodontist, patient / parent and referring dentist. I am looking for samples of correspondence from orthodontists in different parts of the world. I have no doubt they all convey the same messages but it will be interesting to record the different styles.

You may if you wish leave your letterhead on or remain anonymous, you can include actual monetary values or leave the relevant spaces blank. It goes without saying that all submissions published will be fully acknowledged.

Please feel free to contact me either via e-mail at  <  > or mail samples to. E Mizrahi, 11 Dolphin Court, High Road, Chigwell, Essex IG7 6PH, ENGLAND. Or contact me at Tel/fax ++ (0)20 8551 9336 (surgery), ++ (0)20 8500 9439 (home).

I look forward to hearing from anyone out there.

Many thanks.

Kim Mizrahi