There are 6 messages totalling 2337 lines in this issue.

Topics of the day:
1. Insurance and General Philosophy
2. New office
3. New office
4. Instructions of Using ESCO
5. Interesting Molar relationship-?Pseudoclass IV
6. Office design

In a message dated 10/23/2007 1:14:13 A.M. Eastern Daylight Time, LISTSERV@LISTSERV.UIC.EDU writes: However, in Dr. Johnson's letter, i did question what constitutes "way too many times....".  I like to think that every patient is honest until proven not.  It is hard to penalize the next patient in spite of what the last patient did. 
I have to disagree.  Not that a given patient is not honest, but that the nature of TMD problems being what it is, routinely, once the pain is relieved they move on to other things, emotionally and psychologically.  So what they were willing to sacrifice for two weeks ago, now does not seem like a priority at all.  Even in cases where the patient had been suffering for years.  Now, of course, if the patient or family is a regular in the office and they have always paid their bills dependably in the past, then I would go ahead and treat them more like an ortho case than a new patient TMD case. We will accept insurance assignment for splints, if we get a written pre-est before making the splint.  As anyone who treats TMD knows, insurance coverage is spotty and even verbal assurances from the CSRs that it is covered often mean nothing. 

Hi Dave: Thanks for the feedback.  Sorry about replying to the group but did not have Dave's email address.  

Mark

Hi Diane: Thanks so much for the detailed info.  Sorry about sending this back out to ESCO but I did not have a phone number or email address to reply directly.  

Mark

Dear ESCO subscribers, Please refer to the following web page for more detailed information regarding instructions of using ESCO: http://www.uic.edu/depts/dort/esco.html .

Huibi Liu

Hullo Group,                    

Here is an interesting case (12-F)presented with Angle's Class III relationship on the right first molar region and Angle's Class II relationship on the left first molars. According to an available reference( Undergraduate Orthodontics- Perry Hitchcock), this may be termed  Class IV malocclusion.                    

Interestingly, lower right second premolar(45) and upper left second premolar(25) are impacted, as was inferred clinically and confirmed radiologically (OPG). Is it appropriate to call this pseudo Class IV ? Since the molars are likely to have migrated one may not choose to call it Class IV. (Other pictures are available on request to the real seekers) Your views on the case and terminology will be most welcome.

Regards,
Jayaram Mailankody

For help in the design of  new office ,I suggest you look on the AAO web site for the new office design  link. It is designed to give you all you need to make intelligent decisions.
Terry sobler