Date: Monday, August 20, 2007 11:09 PM
From: "ESCO automatic digest system" <LISTSERV@LISTSERV.UIC.EDU>
Subject: ESCO Digest - 17 Aug 2007 to 20 Aug 2007 (#2007-64)

There are 8 messages totalling 1286 lines in this issue.

Topics of the day:

  1. The Right thing to say
  2. ABO Certified Orthodontist
  3. ABO Turf ISSUE
  4. Headgear assisted by RPE expansion/contraction
  5. Ed O'Keefe
  6. Soft tissue over impacted canines and around lasers

Date: Sunday, August 19, 2007 6:22 AM
From: Barry Raphael <drbarry@ALIGNMINE.COM>
Subject: Re: The Right thing to say

I am thinking that the responses to this query will be colored by whether one is certified or not.  I am not.  But I understand and value the place of the ABO as a societal mechanism for uplifting and validating the status of orthodontists. 

Whether doing the boards would make me a better orthodontist, I don't know.  From what I've seen, my work and service is at least equal to those who wear the pin. 

My question is, was the attitude of the ABO orthodontist merely an effort of self-aggrandizement and competitiveness, or is it an attitude, or worse, policy being promulgated within the society itself?

Barry Raphael

Clifton, NJ


Date: Saturday, August 18, 2007 2:31 PM
From: Ejpdrb@AOL.COM <Ejpdrb@AOL.COM>
Subject: ABO Certified Orthodontist


It is a month too late to suggest this to your colleague, but for only a small down payment, the maligned orthodontist could have bought his boards like everyone else. I understand the ABO threw in a free toaster to the first 50 recent graduates who wanted to sport the shiny ABO lapel pin. This ABO debacle is going to make us the laughing stock of organized dentistry. What do you think the gp's are going to say when they find out that being "board certified" means you succumbed to the ABO shakedown to "buy now, pay later." I am not board certified and have to admit that the prospect of buying my status was momentarily tempting. I feel bad for those of you who earned it the honest way. I predict that when the five-year mark approaches and it is time for all of those "tin star" diplomates to have to put plaster on the table, the ABO is going to shake everyone down for another thousand or so for an "extension." On top of that, those who don't want to present cases are going to continue to extol their pseudo-ABO status and the ABO and AAO aren't going to have the backbone to dress-down the offenders. It is unfathomable to me why the ABO would cheapen our profession. It reeks of money and a turf war. No doubt my comments are going to find me on the wrong side of some powerful people in organized orthodontics, but it is time to address the elephant in the room. Am I the only one who find this whole affair unprofessional and embarrassing or am I woefully misinformed? Fire away.

Eric Ploumis

Date: Saturday, August 18, 2007 10:36 AM
From: Andrew Trosien <andy94122@YAHOO.COM>
Subject: ABO Certified Orthodontist

Regarding the orthodontist who made disparaging remarks about a non-ABO orthodontist, this should be reported to the AAO and the ABO.  It is clearly stated by the ABO that ABO certification cannot be used for marketing purposes.  That is not the purpose of the ABO, and it cheapens the entire profession.  An ABO member may state that s/he is a Diplomate of  the ABO, but cannot imply or expressly state any superiority as a result.  The right thing to do is to report it.  I'm not sure about helping or hurting any individual in the short term, but that is the right thing to do in the larger picture of the profession and the ABO.

This is taken directly from the ABO Policy of Conduct (which we all receive copies of after completing certification):
* May not be used in any advertisement which includes wording that implies exclusivity and/or superiority.

Andy Trosien
Tracy, CA

Date: Saturday, August 18, 2007 8:55 AM
From: Richard Savage <rasavage@YAHOO.COM>
Subject: ABO Turf ISSUE

I would suggest that it is very unethical for one to make an issue out of ABO certification and as such it would be wise for the affected orthodontist to lodge a complaint with the AAO and the ABO.  The ABO is a voluntary certification and should not be used to establish or attempt to establish a criteria of ability, worth or superiority.  One may have the grounds for a law suit against an orthodontist who willfully in effect slanders another and causes economic harm by making an issue out of the certification and telling people not to go to a non-ABO orthodontist.

Rich Savage

Date: Saturday, August 18, 2007 12:23 AM
From: Typodont@AOL.COM <Typodont@AOL.COM>
Subject: Removing arch wires for dental prophylaxis

Removing arch wires for dental prophylaxis

Is this really worth a debate?

I read with some concern the interchange about removing arch wires at the request of another attending dental clinician for a routine dental prophylaxis while a patient is undergoing orthodontic treatment. It is unimportant whether there is any science or not associated with the benefits of removing orthodontic wires for routine dental cleanings by a hygienist or dentist. What is important is that the dental community views orthodontists as concerned members of the dental team who are interested in assisting everyone's efforts in providing oral health care to individual patients. Is it that onerous to remove arch wires for a dental cleaning and then replace them after the prophylaxis has been performed? If the dentist or hygienist feels that removing arch wires facilitates their efforts in providing prophylaxis to their patients, then just simply do it. Referring dentists and parents have “soured” on many an orthodontist because of issues unrelated to the quality of the occlusions that we are often capable of producing. Unresponsive, uncaring, dismissive, and tunnel vision attitudes are easily noticed by other dental colleagues and the lay public. Successful orthodontic practices (and orthodontists) want to project a concerned, caring, and responsive outlook to our other dental colleagues and our patients. Removing dental arch wires, when requested (and without whining or grumbling about it) would seem to be just one of the many tasks that we all must do on a daily basis. Such good will efforts on our part will engender a greater respect from our dental colleagues (and yes, hygienists who frequently are asked by parents about orthodontists in the community) and ultimately pay significant dividends to our practices and our own professional reputation.

Elliott M. Moskowitz, D.D.S.,M.Sd

New York City

Date: Monday, August 20, 2007 11:14 AM
From: "SCOTT SMORON" < >
Subject: Headgear assisted by RPE expansion/contraction

Anybody else out there doing the RPE expansion/contraction/expansion
protocol to create a mobile maxilla for reverse headgear application?  I
think I saw Dr. Proffit present a case at the AAO, but I don't think I
have seen an article on it or the process.  Is there any research out
there on this to anyone's knowledge?  Dr. Proffit, if it was you, are you
out there?

Anyone feel they have done this enough to know what they are doing?  My
protocol has been to expand fully, then back off 10 turns, then re-expand
fully and eval...rinse lather and repeat until I see the mobility I want.
Not alot of experience with this.  Just a handful of cases and I don't
know where I came up with the idea so I assume there are others out there
who stumbled across the idea, too, or else read whatever article gave me
the idea, too.

Dr. Klempner, who designed the tandem appliance...have you tried this?  I
know you must have given CIIIs alot of thought.

Love to hear feedback from anyone who has more experience with this
expansion/contraction process than I.  And so far, no negative
consequences from the approach at my end.

Scott Smoron

Date: Monday, August 20, 2007 12:04 PM
From: "SCOTT SMORON" < >
Subject: Ed O'Keefe

Anyone out there I you know who this guy is?

I am getting weekly VOLUMES of marketing materials from this guy.  I
cannot believe this guy can afford to mail this MUCH stuff.

Anyone used this guy?  What do you think?

For those not in the know (or who have more competent mail filtering,
perhaps) (wait, love my staff, just joking)'s about marketing to
patients...blah blah blah...

I think more than anything else, I find "slashes your debt like a samurai
warrior" to be perhaps the most credible direct-marketing claim I have
seen in a while.

So seriously, who is one of these 47 orthodontists he works with?  Is he
worth whatever it costs?

For those veterans skeptical about all this...I know.  Please feel free to
post, but I know.  But love to hear what others are thinking.

Scott Smoron

Date: Monday, August 20, 2007 12:04 PM
From: "SCOTT SMORON" < >
Subject: Soft tissue over impacted canines and around lasers

OK, I'll punt another topic out there to get flamed on, but... Those open
> exposure canines where the tooth was above the mucogingival junction,
> where you see no keratinized tissue above it...and you pull it down and a
> few mos later, voila, a few millimeters of keratinized tissue...
> Now I know when a tooth is brought down it brings bone with it, and the
> underlying bone (perioosteal membrane) can dictate what soft tissue is
> above it.  So it kind of makes sense.  But there are time where I have
> someone do an apically positioned flap to preserve the keratinized tissue,
> bring it down, and then most of the preserved tissue disappears, leaving
> only a little keratinized tissue.
> So my question is, does anyone have the area of soft tissue development
> around erupting teeth well worked out?  I think we all know the basics,
> but when you erupt a tooth the soft tissue is not like a hoop the tooth
> jumps through, it is dynamic.  But when I talk to everyone I know in
> perio, they say they don't really know the exact interaction.
> The laser comes in because the same thing...if the tooth is exposed and
> the bone surrounding the canine will be dictated by the canine, and the
> bone will dictate soft tissue, then do we need to be careful of the
> mucogingival junction?  I am, but I am surprised by the things I see.
> Anybody else out there surprised and a little puzzled and wondering if
> this phenomenon is well explained?  Did any of this make sense?
> Scott Smoron