Date: Sat, 13 May 2006 00:17:31 -0500
From: "ESCO automatic digest system" <LISTSERV@LISTSERV.UIC.EDU>
Subject: ESCO Digest - 28 Apr 2006 to 12 May 2006 (#2006-13)

There are 7 messages totalling 2943 lines in this issue.

Topics of the day:
2. Management software
3. Re: Indirect Bonding
4. Second bicuspids
5. As simple as fitting headgear
6. iBraces

Date: Sun, 7 May 2006 12:45:26 +0000
From: "Jérôme Wanono" <jeromewanono@YAHOO.FR>

Dear members, When I was living in Canada, I received once a, catalog from a US company proposing holidays ( cruises and hotels mainly in Mexico and the Carribean ) with dental / medical conferences. I lost this catalog and I can't remember the name of the company. I made a google search with keywords holidays and dental congress and it did not come out... Could anyone help me ? In advance, thank you Best Regards Jérôme WANONO, DDS, MSc Univ. Montreal  Montmorency, France

Date: Tue, 2 May 2006 14:59:00 EDT
From: "Dr. Robert W. Bruno" <Orthos68@AOL.COM>
Subject: Re: management software

Hi Everyone, I was looking for some assistance in deciding on a practice management software. I have been looking into Ortho II, Orthotrac and Dolphin systems. Are there any members that are highly satisfied with any of  the above to recommend. Any negative comments welcome also. Thanks, Rob Bruno Orthodontist Manhasset-Woodside, NY

Date: Sun, 30 Apr 2006 19:35:42 EDT
From: Typodont@AOL.COM
Subject: Re: ESCO Digest - 21 Apr 2006 to 28 Apr 2006 (#2006-12)

Indirect Bonding Dear Barry,    You have raised some good questions.  Your experience is not that dissimilar from most of us who are generically intrigued with the entire idea of indirect bonding.  Like many, however, after one disappointing experience with indirect bonding, most colleagues have completely abandoned the idea.  Serious bracket retention worries, excess composite bonding material (flash), and other problems seem to characterize most, if not all, of the early indirect bonding techniques.  The many different current indirect bonding techniques that we read about in both peer reviewed and non-peer reviewed publications, however, have appeared to have eliminated or greatly minimized many of these problems.  We have been using an indirect bonding technique that we developed at the Dept. of Orthodontics at NYU for over 10 years.  We published our early experiences in the JCO (May 1996). The technique is  predictable, reliable, and yes, very reproducible.  The technique includes the use of Thermacure (Reliance Corp.) bonding material that provides an unlimited working time.  All lab work is done “in house” and the orthodontist can check the bracket positioning that has been done by trained staff.  I still remain very enthusiastic about this particular technique and the entire subject of indirect bonding.  As bracket manufacturing becomes more and more sophisticated, so shall the demands of chairside placement.  At some point, customized brackets for each of our patients will be available and it is inconceivable that the placement of these futuristic orthodontic attachments will not be done indirectly. 
Please keep in mind, there is usually a bit of a learning curve with any of the currently advocated indirect techniques and most techniques are “technique sensitive”.
  I probably did not answer too many of your questions except your last one; “Is it worth the time and hassles?”.  My answer is “Yes indeed”.  Sincerely, Elliott M. Moskowitz,

Date: Sat, 29 Apr 2006 20:36:10 +0200
From: "Adrian Becker" <adrianb@CC.HUJI.AC.IL>
Subject: Second bicuspids

Scott Dillingham DDS wrote:

".....I have an 11y.o. male patient whose maxillary second bicuspids are inverted (growing up instead of down).  One bicuspid is approximately inverted 160 degrees and the same tooth on the other side of the arch is inverted approximately 120 degrees.  I have successfully had bicuspids that were 90 degrees off on their eruption paths self upright by having an oral surgeon tunnel a channel in the bone down to the crown of the tooth.  These maxillary bicuspids have approximately 2/3 root development and I am guessing that they are also angled palatally.  We plan on getting further x-rays to verify their orientation.  Does any one have any advice or experience with this kind of problem?" 

Palatally displaced maxillary second premolars usually respond very well to simple exposure only, without tunnelling, although these would appear to need a little orthodontic help. I personally am curious to know just what sort of periodontal condition your earlier successful case had, following the tunnelling procedure.

Assuming that your new radiographs confirm them to be on the palatal side and with that sort of angle, the teeth should be easily accessible for the surgeon. An attachment bonded to the tooth at the time of surgery can then easily be achieved. An open or closed exposure may be used (my preference is for the latter, unless the teeth are very superficially placed under the mucosa), but bone channelling is completely unnecessary and probably quite harmful in terms of the final periodontal outcome. I would suggest using a light auxiliary spring of the type we published for similarly-placed canines,10 years ago - Am J Orthod Dentofac Orthop 110:528-534, 1996

Adrian Becker

Date: Mon, 1 May 2006 09:24:17 -0700
From: "compuserve" <goel@COMPUSERVE.COM>
Subject: As simple as fitting headgear

Hi I have been using titanium implant screws for past about 4 years. We use screws made in India as they are much cheaper. Screw dimensions are 1.2 mm in dia and 8 mm long. Topical is adequate and while removal of screws there is no need to use any anesthetic. Look at the pics of the case here. This girl aged 15 years had her left Max cuspid placed labially. After analysing the case it was decided to ext first PMs on the rightside. Because of use of implant screw we could easily shift the anterior segment to the right and aligned the cuspid. Total treatment time was 12 months. Prof S. Goel India wesite-

Date: Fri, 28 Apr 2006 22:35:53 -0700
From: "Gary Hirsh" <DrummerDDS@SAN.RR.COM>
Subject: Re: Indirect Bonding

On 4/28/06 10:16 PM, "ESCO automatic digest system" <LISTSERV@LISTSERV.UIC.EDU> wrote:

I've been using Indirect Bonding (IDB) for 15 years with an intermission due to one case of incomplete bonding where the caries occurred under the brackets and have been using it for the last 10 years successfully. The impressions are taken along with the Initial Records models. The IDB procedures are scheduled during our examination times. Our lab tech places brackets on the models using bonding material. The models are placed in a light proof box or metal cookie tin.
She leaves them out for me with the panorexes to adjust heights and angulations. Depending on how much the bracket needs to be under the gingiva, I may not include it in the IDB. We use the double clear tray system  because I have learned that the light cure systems are stronger than the self cure. If a bracket comes off with the tray, the  assistant will use the tray to rebond it and if it then doesn't look perfect, I can place it between exams.
It is worth the time and hassle because you don't spend the time at the chair and it only takes a few minutes to review several cases at a time.
Gary Hirsh
San Diego, Ca


Date: Wed, 10 May 2006 14:03:32 -0400
From: "Charles Ruff" <orthodmd@MAC.COM>
Subject: iBraces

I'm thinking of getting involved in iBraces. Any thoughts? Also, one of the cases is a model with a palatally impacted 3. Additional thoughts?


charlie ruff