Date: Wed, 10 Jan 2007 00:16:17 -0600
From: "ESCO automatic digest system" <LISTSERV@LISTSERV.UIC.EDU>
Subject: ESCO Digest - 5 Jan 2007 to 9 Jan 2007 (#2007-4)

There are 6 messages totalling 428 lines in this issue.

Topics of the day:
1. Technology and change....
2. Dr. Smoron
3. Re: Finger Habit
4. Re: Align
5. TADs


Date: Sat, 6 Jan 2007 18:35:09 -0500
From: "GJ/RR Oppenhuizen" <doctoro@MACATAWA.COM>
Subject: Technology and change....

Dear Dr Smoron,

I suspect that I am not the only one who took exception to your reaction to the post by Dr. Kharsa . Actually, I think that Dr. Kharsa has a valid point to make. Of course, one can be accused of sticking his head in the sand with a dismissive attitude toward new technology. However, technology could move things far beyond a few new tricks in our bag. Technology could radically alter the way orthodontic treatment is delivered in ways that are not all clear today. Frankly, the combination of CAD/CAM align technology along with advances in computer hardware and software, digital scanners, 3D imaging technology, custom?ade bracket systems, robotic wire bending devices, Internet based video conferencing, high speed wireless, radically different delivery schemes and some other new stuff we don? even know about yet could all make the orthodontic profession very different indeed. While I am very optimistic about the potential for profession, I am also aware that an orthodontist could become a new-millennium blacksmith with a lot of education. Sure we can say we that all our knowledge and expertise is absolutely essential to do what an orthodontist does today but it is indeed debatable if that is really the case. It is a brave new world and I have no trouble at all seeing how the scope of change that is possible even with what we currently know could lead to more than a little indigestion among my peers. It reminds me of a lyric from a popular song from the 1980? : The winds of change are always blowing??nd every time I try to stay ?The winds of change continue growing??and they just carry me away.

Greg Oppenhuizen
Holland, MI

Date: Sat, 6 Jan 2007 06:36:28 +0300
From: "Dr.Kharsa" <dr.orth@GMAIL.COM>
Subject: Dr. Smoron

Dr. Smoron,

Thank you for your comments about my Aligner experience, anyway it's your opinion which I respect.

I am not complaining "about or to" my colleagues, however, I've sent my comment about not to depend too much on aligner, because I feel that orthodontist becomes completely dependant on the "Aligner laboratory" even in application of treatment plan, "I met once someone who just sends the impressions and even leaves the treatment plan to the aligner laboratory"!. . .

Straightwire is a little bit different; however, even straightwire, Aligner or any other technique is not a magic solution for all orthodontic problems.

My dear, I said my opinion, "whether wrong or not", nonetheless, my point of view is still to not depend completely on one technique, and to not depend completely on the sophisticated technology!.

Sorry if  there had been any ambiguous aspect in my viewpoint, anyhow, again it was just a personal opinion.

Best Regards

Dr. Kharsa

Date: Fri, 5 Jan 2007 21:22:15 +0000
From: ljerrold@OPTONLINE.NET
Subject: Re: Finger Habit

Regarding habit breakers, my advice to Jeff would be use a rake instead of a crib leaving the prongs extra long and trimming them when you fit the appliance.  If it is constructed properly (extending to the depth of the lower gingivasl margin) it will stop the patient from sucking the middle two digits. Larry Jerrold

Date: Sun, 7 Jan 2007 23:54:46 -0500
From: atogrye@AOL.COM
Subject: Re: Align


personal attacks does not benefit any one. I don't believe Dr.Kharsa ever affended you personally, he simply is interested in other topics. I for one, have enjoyed your postings and have no problem with the Align/OC discussion. If a spesific subject does not interest one, then they should not read that posting. Lets all just get along.


Date: Sat, 6 Jan 2007 08:24:18 -0500
From: "charles ruff" <orthodmd@MAC.COM>
Subject: TADs

I was teaching yesterday and helping a resident place self drilling self tapping mini screws. Something I had seen someone else do was to insert the screw perpendicular to the bone surface until "it caught" (just a couple of turns) then to back it out and to reangulate it obliquely and then to screw it into place. This allows a small hole to be made before full insertion and helps to prevent the screw from skating across the bone surface when inserting it obliquely. The student commented that it was his understanding that you were not supposed to unscrew the screw and then reinsert it. He had read that somewhere. Thoughts?

Thanks and Happy New Year!
charlie ruff