Thanks for all your replies to this difficult situation.

However a small error occurred (I should have taken typing in high school!) The sentence beginning "Her maxillary central were previously avulsed completely..." should read "maxillary centrals", meaning both were avulsed and reimplanted, and are now failing.

I can't remebr if the patinet required extractions in the lower arch - if this is the case a neat plan is to use the lower premolars into the central sockets - you need a good delicate surgeon (get him to read Andresen's book on trauma of incisors) the success rate is as good as implants.

but you need close coporeation with someone to do the RCT on the transplanted teeth then to reshape the crowns

you place the molars side on

we have used this with good results in a number of case following trauma and in hypodontia

 

ross Hobson

[Ross Hobson]

 

                            ORTHOD-L Digest 693

Topics covered in this issue include:

  1) ESCO - The Electronic Study Club for Orthodontics
        by Joseph Zernik <orthodl@hsc.usc.edu> (by way of Joseph Zernik <orthodl@hsc.usc.edu>)
  2) Re: text for front desk staff
        by Ted Schipper <ted.schipper@utoronto.ca>
  3) Re: ORTHOD-L digest 691
        by Ted Schipper <ted.schipper@utoronto.ca>
  4) Orthodontist in Belfast area
        by "Gerald Zeit" <g.zeit@utoronto.ca>
  5) Re: ORTHOD-L digest 691
        by "Ron Parsons" <ronparsons@mindspring.com>
  6) Re: ORTHOD-L digest 691
        by YURFEST@aol.com
  7) Re: ORTHOD-L digest 692
        by Orthodas@aol.com
  8) Re: ORTHOD-L digest 692
        by Larry Jerrold <jerr2@idt.net>
  9) Re: ORTHOD-L digest 691 Invisalign
        by DrDCarter@aol.com
 10) Moving teeth through irradiated bone
        by stuart messinger <stmessin@bellatlantic.net>
Date: Tue, 18 Apr 2000 13:30:45 -0700
From: Joseph Zernik <orthodl@hsc.usc.edu> (by way of Joseph Zernik <orthodl@hsc.usc.edu>)
To: ORTHOD-L@usc.edu
Subject: ESCO - The Electronic Study Club for Orthodontics
Message-ID: <3.0.6.32.20000418133045.007a1100@hsc.usc.edu>
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"

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.  ESCO is moderated by Dr. Joseph
Zernik from the University of Southern California Department of Orthodontics.

* What information can you get on ESCO?

* How to subscribe to ESCO?

* How to change your address?

* How to post messages on ESCO?

For answers to these questions and more, please check our web site:
http://www-hsc.usc.edu/~jzernik/eclub.htm

Enjoy!

Sincerely,

Joseph H. Zernik, D.M.D. Ph.D.
Professor, Department of Orthodontics
University of Southern California
http://www-hsc.usc.edu/~jzernik/

3

Date: Thu, 13 Apr 2000 22:53:58 -0400
From: Ted Schipper <ted.schipper@utoronto.ca>
To: orthod-l@usc.edu
Subject: Re: text for front desk staff
Message-ID: <38F688DE.56FFB4DB@utoronto.ca>
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit

There probably are such texts but my suggestion is to close your office for
a long lunch hour (3 hours or so), order in sandwiches or pizza, and teach
your staff directly, creating the manual as you go. TGS.

Mary K Barkley wrote:

> I am looking for a textbook for front desk orthodontic staff who have no
> orthodontic experience. Ideally, the book would cover dental
> nomenclature and orthodontic numbering, an overview of orthodontic
> appliances, and a discussion of orthodontic records. Is anyone aware of
> such a text?
> Mary K. Barkley
> Chelsea, MI

Date: Thu, 13 Apr 2000 22:56:19 -0400
From: Ted Schipper <ted.schipper@utoronto.ca>
To: orthod-l@usc.edu
Subject: Re: ORTHOD-L digest 691
Message-ID: <38F6896C.74A6C9F7@utoronto.ca>
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit

Laws differ. In Ontario you cannot abandon a patient for non-payment, but there
is a protocol for stopping treatment. My advice is to contact either a lawyer or
your state/provincial licensing association (or both). TGS.

OrthoSheff@aol.com wrote:

> I have an adult male patient who has been in treatment for 9 months.  Total
> treatment is scheduled for 12 months.  He has fallen behind on his payments,
> and has paid for only 1/2 of his treatment.  He was in today and told us that
> his insurance is not paying as much as he thought they would.
> He informed us that he would NOT honor his contract and that he would pay us
> an amount that was considerably amount less than agreed upon.
>
> What rights do I have as far as terminating treatment.?
> Can I refuse to schedule an further appointment until his account is paid?
> Can I terminate treatment, take his braces off and give him retainers?
> Can I not give him retainers unless his account is paid?
>
> What is the best way (and legal way) to approach this without "abandoning the
> patient" or leaving him with an unstable occlusion?
>
> John Shefferman
> Washington, D.C.

Date: Fri, 14 Apr 2000 14:38:16 -0400
From: "Gerald Zeit" <g.zeit@utoronto.ca>
To: <ORTHOD-L@USC.EDU>
Subject: Orthodontist in Belfast area
Message-ID: <001901bfa640$3251c280$0f85968e@drzeit>
MIME-Version: 1.0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

Hello group

I have an adult, mandibular deficient patient, who is part
way through a combined surgical-orthodontic
treatment in Toronto, Canada.  She has not had her surgery
yet.

She will be moving to Ireland (Belfast area) for about one
year.

Can anyone recommend an orthodontist/surgeon who could take
over her treatment???

Thank You

Gerry Zeit, DDS, D. Ortho
Toronto, Canada

Date: Fri, 14 Apr 2000 09:10:59 -0400
From: "Ron Parsons" <ronparsons@mindspring.com>
To: <OrthoSheff@aol.com>, <orthod-l@usc.edu>
Subject: Re: ORTHOD-L digest 691
Message-ID: <00a401bfa612$e0f77880$83b3fea9@g48sy>
MIME-Version: 1.0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

John,

You have no obligation to work for free.  What would your attorney do if you
stopped paying what you agreed to pay?

Simply inform the patient that treatment  has been terminated because of
unmet financial obligations.  Also inform him that emergency services ONLY
will be provided for 30 days.  Inform him that he needs to seek orthodontic
care because of the risks of having braces without treatment.  Then send the
letter certified.  That's all you need to do.

Dr. Ron Parsons
Orthodontist, Atlanta, GA
OrthAlliance member
Ohana Venture Capital Advisory Board




----- Original Message -----
From: <OrthoSheff@aol.com>
To: <orthod-l@usc.edu>
Sent: Tuesday, April 11, 2000 2:10 PM
Subject: Re: ORTHOD-L digest 691


> I have an adult male patient who has been in treatment for 9 months.
Total
> treatment is scheduled for 12 months.  He has fallen behind on his
payments,
> and has paid for only 1/2 of his treatment.  He was in today and told us
that
> his insurance is not paying as much as he thought they would.
> He informed us that he would NOT honor his contract and that he would pay
us
> an amount that was considerably amount less than agreed upon.
>
> What rights do I have as far as terminating treatment.?
> Can I refuse to schedule an further appointment until his account is paid?
> Can I terminate treatment, take his braces off and give him retainers?
> Can I not give him retainers unless his account is paid?
>
> What is the best way (and legal way) to approach this without "abandoning
the
> patient" or leaving him with an unstable occlusion?
>
> John Shefferman
> Washington, D.C.
>

Date: Sat, 15 Apr 2000 00:33:49 EDT
From: YURFEST@aol.com
To: orthod-l@usc.edu
Subject: Re: ORTHOD-L digest 691
Message-ID: <bb.26833f0.26294b2d@aol.com>
MIME-Version: 1.0
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

Regarding the non paying patient, our contract with our patients specifies
that I can terminate treatment for nonpayment. I send the patient a
registered letter that  he is in violation of our contract and can pick up
his records, direct where he wants them sent, get assistance in finding
another doctor, or have his braces removed.  The legal definition of
abandonment is not the same as patient "dismissal" . Check with your state
dental board for the exact procedure required to dismiss a patient.
Paul Yurfest, DDS, Atlanta GA
Date: Fri, 14 Apr 2000 13:03:37 EDT
From: Orthodas@aol.com
To: orthod-l@usc.edu
Subject: Re: ORTHOD-L digest 692
Message-ID: <31.3b9b210.2628a969@aol.com>
MIME-Version: 1.0
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

Re: textbook for new front desk.  If you can find something I'd like to know
about it also.  My chairsides have brought in their dental assistant texts
but there is not much on ortho.  This is a real problem for our profession. 
Al Landucci, pres of Calif Assoc Ortho, is trying to get something started to
address the staffing education problem.
Re:invisalign use - call me at 650-368-8348 or email at orthodas @aol.com and
I'd be glad to answer any questions and tell you my experiences.  You could
also talk to patients if you'd like.
Re: retained SUBMERGED lower E's.  The key here is the word submerged.  How
submerged.  As a former restorative dentist for 16 years before going into
ortho, I can tell you that the important point here is alveolar bone height
and width.  Now that there are the grafting procedures you have many more
options.  I would consult with a perio or oral surgeon who has experience
grafting and determine when would be the best time to ext and graft.  Because
the long term consequences of leaving these teeth is not good.  You can have
them restored but they will continually be a problem.  It may be that
adjusting the width now to conform to bi size and then later ext and grafting
is indicated or it may be that now is the time to remove them.
Date: Sat, 15 Apr 2000 14:07:59 -0400
From: Larry Jerrold <jerr2@idt.net>
To: orthod-l@usc.edu
Subject: Re: ORTHOD-L digest 692
Message-ID: <38F8AFFF.C56FA207@idt.net>
MIME-Version: 1.0
Content-Type: multipart/alternative; boundary="------------4A875A3AA9817DB4B5CF3C73"

John:

Not knowing what type of case this delinquent patient was may change things but lets assume that since it was a 12 month case it was not a biggie nor was it a significant extraction case.  My answers to your questions are several, no, no, and no.  My first question though is why would you be worried about abandoning this patient?  Look at it this way, he agreed to a treat plan, he agreed to pay a certain fee in a certain manner, and he unilaterally decided not to honor his financial obligations for his elective therapy (orthodontics is elective) and he unilaterally determines that you should treat for less.  He abandoned you!

Lets look at your questions.  Your rights are that you can (a) acquiesce to his demands and accept less or (b) tell him to take a hike and finish his treatment elsewhere.  If you are going to terminate tell him in writing why (non-payment) give him sufficient time to seek substituted care (4-8 wks.), inform him that he still needs continued care and that you will be available for emergcies only during this 4-8 weeks, that you'll make his records available to him or any subsequent treating practitioner, etc.

You cannot refuse to give him any more appointments until his account is paid.  This is consructive abandonment.

You cannot terminate in the middle of treatment and place retainers unless he agrees to accept an unfinished result as the removal of appliances and th placing of retiners may interfer with his ability to seek substituted care.

You cannot refuse to give him retainers until his account is paid.  You can only withhold clinical tratment for clinical reasons, not financial ones.

In short, you have a right to tell this bozo to pay up or take off.  Rights are funny things.  Your decision to exercise them may cost you but they are your rights to exercise.  ost Docs and Lawyerrs out the would tellyou to eat it (finish the  case and move on).  This is smart risk management as you just paid a high price for the cost of aspirin (to get rid of the headache)      It doesn't address the etiology of your headache (poor account management)

Hope this helps.

Larry Jerrold DDS, JD
orthod-l@usc.edu wrote:

                           
ORTHOD-L Digest 692

Topics covered in this issue include:

  1) ESCO - The Electronic Study Club for Orthodontics
        by Joseph Zernik
<orthodl@hsc.usc.edu>
  2) text for front desk staff
        by Mary K Barkley
<mkb@mediaone.net>
  3) American Journal of Orthodontics and Dentofacial
Orthopedics  April 
 2000, Vol. 117, No. 4
        by "Harcourt Health
Sciences eTOC Service" <periodicals.web@mosby.com>
  4) Re: ORTHOD-L digest 691
        by OrthoSheff@aol.com
  5) RE: Substituting maxillary laterals for avulsed centrals:
reprise
        by "Ross Hobson"
<R.S.Hobson@ncl.ac.uk>
  6) RE: Agenesis mandibular 5s
        by "Ross Hobson"
<R.S.Hobson@ncl.ac.uk>

Subject: ESCO - The Electronic Study Club for Orthodontics
Date: Thu, 13 Apr 2000 18:26:47 -0700
From: Joseph Zernik <orthodl@hsc.usc.edu>
To: ORTHOD-L@usc.edu

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.  ESCO is moderated by Dr.
Joseph
Zernik from the University of Southern California Department of
Orthodontics.

* What information can you get on ESCO?

* How to subscribe to ESCO?

* How to change your address?

* How to post messages on ESCO?

For answers to these questions and more, please check our web site: 
http://www-hsc.usc.edu/~jzernik/eclub.htm

Enjoy!

Sincerely,

Joseph H. Zernik, D.M.D. Ph.D. 
Professor, Department of Orthodontics
University of Southern California
http://www-hsc.usc.edu/~jzernik/

2

Subject: text for front desk staff
Date: Mon, 10 Apr 2000 17:29:13 -0400
From: Mary K Barkley <mkb@mediaone.net>
To: orthod-l@usc.edu

I am looking for a textbook for front desk orthodontic staff who
have no
orthodontic experience. Ideally, the book would cover dental
nomenclature and orthodontic numbering, an overview of orthodontic
appliances, and a discussion of orthodontic records. Is anyone aware of
such a text?
Mary K. Barkley
Chelsea, MI

Subject: American Journal of Orthodontics and Dentofacial Orthopedics April
     2000, Vol. 117, No. 4
Date: Tue, 11 Apr 2000 09:52:59 -0500
From: "Harcourt Health Sciences eTOC Service" <periodicals.web@mosby.com>
To: ajodo_toc@mosby.com

American Journal of Orthodontics and Dentofacial Orthopedics
Table of Contents for April 2000, Vol. 117, No. 4
http://www.mosby.com/ajodo
--------------------------------------------------------------
ORIGINAL ARTICLES

Clinical applications of composite intramembranous bone grafts
A. Bakr M. Rabie, BDS, CertOrtho, MS, PhD, Siew Han Chay, BDS
Hong Kong, SAR
http://www1.mosby.com/scripts/om.dll/serve?article=a104904

Muscle activity with the mandibular lip bumper
Arndt Klocke, Drmeddent, MS, Ram S. Nanda, DDS, MS, PhD, Joydeep Ghosh,
DDS
Hamburg, Germany, MS, Oklahoma City, Okla, and Dallas, Tex
http://www1.mosby.com/scripts/om.dll/serve?article=a104688

Rapid orthodontic tooth movement into newly distracted bone after
mandibular distraction osteogenesis in a canine model
Eric Jein-Wein Liou, DDS, MS, Alvaro A. Figueroa, DDS, MS, John W.
Polley, MD
Taipei, Taiwan, and Chicago, Ill
http://www1.mosby.com/scripts/om.dll/serve?article=a101439

Alveolar bone resorption and the center of resistance modification
(3-D
analysis by means of the finite element method)
Allahyar Geramy, DDS, MS
Shiraz, Iran
http://www1.mosby.com/scripts/om.dll/serve?article=a104689

Relationship of natural head position to craniofacial morphology
Pedro Leitao, DMD, MS, PhD, Ram S. Nanda, DDS, MS, PhD
Lisbon, Portugal, and Oklahoma City, Okla
http://www1.mosby.com/scripts/om.dll/serve?article=a102547

SPECIAL ARTICLE

For four sixes
Paul Jonathan Sandler, BDS(Hons), MSc, FDSRCPS, DOrth, MOrth, Robert
Atkinson, BDS(Hons), LDSRCS, FDSRCS, Alison Margaret Murray, BDS, MSc,
FDSRCPS, DOrth, MOrth
Chesterfield, UK
http://www1.mosby.com/scripts/om.dll/serve?article=a97617

SHORT COMMUNICATION

Useful data from application of the HLD (CalMod) INDEX
William S. Parker, DMD, PhD
Sacramento, Calif
http://www1.mosby.com/scripts/om.dll/serve?article=a105878

ORIGINAL ARTICLE

Shear bond strengths of orthodontic plastic brackets
Guoqiang Guan, DDS, PhD, Teruko Takano-Yamamoto, DDS, PhD, Manabu
Miyamoto, DDS, PhD, Tetsuo Hattori, DDS, PhD, Kunio Ishikawa, PhD,
Kazuomi Suzuki, PhD
Okayama, Japan
http://www1.mosby.com/scripts/om.dll/serve?article=a103255

SPECIAL ARTICLE

Angle, the innovator, mechanical genius, and clinician
Claude Matasa, DCE, DSc, T. M. Graber, DMD, MSD, PhD
Hollywood, Fla, and Chicago, Ill
http://www1.mosby.com/scripts/om.dll/serve?article=a106503

ABO CASE REPORTS

Treatment of a patient with a Class I malocclusion with bialveolar
protrusion, mild upper and lower crowding, and mild mandibular
prognathism
Roberto Hernandez Orsini, DMD, MPH, MS
Guaynabo, Puerto Rico
http://www1.mosby.com/scripts/om.dll/serve?article=a90184

Treatment of a Class II, Division 1, malocclusion with the extraction
of
maxillary canines and mandibular first premolars
Raphael T. Schach, DDS, MS
San Antonio, Texas
http://www1.mosby.com/scripts/om.dll/serve?article=a93942

CONTINUING EDUCATION ARTICLES

A histologic and histomorphometric evaluation of pulpal reactions
following rapid palatal expansion
Fulya Kayhan, DDS, PhD, Nazan Küçükkeles, DDS, PhD, Dilaver Demirel,
DDS, PhD
Istanbul, Turkey
http://www1.mosby.com/scripts/om.dll/serve?article=a103253

Basal nitric oxide production is enhanced by hydraulic pressure in
cultured human periodontal ligament fibroblasts
Chie Nakago-Matsuo, DDS, PhD, Toshihiko Matsuo, MD, PhD, Tadao Nakago,
DDS, PhD
Okayama City, Japan
http://www1.mosby.com/scripts/om.dll/serve?article=a105576

Cephalometric comparisons between Chinese and Caucasian patients
with
obstructive sleep apnea
Yuehua Liu, Alan A. Lowe, Xianglong Zeng, Minkui Fu, John A. Fleetham
Vancouver, BC, Canada, and Beijing, China
http://www1.mosby.com/scripts/om.dll/serve?article=a102546

Vertical components of overbite change: A mathematical model
Siegfried A. Naumann, DDS, MS, Rolf G. Behrents, DDS, PhD, Peter H.
Buschang, MA, PhD
Dallas, Tex
http://www1.mosby.com/scripts/om.dll/serve?article=a103278

Continuing Education Questionnaire
http://www1.mosby.com/scripts/om.dll/serve?article=jod001174ce

IN MEMORIAM

Lester Levern Merrifield, 1921-2000
http://www1.mosby.com/scripts/om.dll/serve?article=aod1174498

Maurice Samuel Berman, 1914-1999
http://www1.mosby.com/scripts/om.dll/serve?article=aod1174500

Stanley Jacobs, 1939-2000
http://www1.mosby.com/scripts/om.dll/serve?article=aod1174501

VIGNETTE

Bernard Wolf Weinberger
Norman Wahl
http://www1.mosby.com/scripts/om.dll/serve?article=aod1174502

ORTHO BYTES

Computer voice recognition
Ron Powers
http://www1.mosby.com/scripts/om.dll/serve?article=aod1174504

LITIGATION, LEGISLATION, AND ETHICS

Self-incrimination in the civil arena
Laurance Jerrold, DDS, JD
http://www1.mosby.com/scripts/om.dll/serve?article=aod1174507

DEPARTMENT OF REVIEWS AND ABSTRACTS

Contemporary Orthodontics, 3rd edition
William R. Proffit, Harry W. Fields, Jr

DIRECTORY: AAO OFFICERS AND ORGANIZATIONS

The American Association of Orthodontists, its constituent societies,
the American Board of Orthodontists, the American Association of
Orthodontists Foundation Board of Directors, and the College of
Diplomates of the American Board of Orthodontics
http://www1.mosby.com/scripts/om.dll/serve?article=jod001174da

NEWS, COMMENTS, AND SERVICE ANNOUNCEMENTS

News of dentistry and orthodontics
http://www1.mosby.com/scripts/om.dll/serve?article=jod001174nw

READERS’ FORUM

Make no apologies
Roy K. King, PA
http://www1.mosby.com/scripts/om.dll/serve?article=aod117423a001

Revisiting root resorption
Inger Kjær, Dr Odont, Dr Med
http://www1.mosby.com/scripts/om.dll/serve?article=aod117423a002

It’s all in the details
Chuck Mertz
http://www1.mosby.com/scripts/om.dll/serve?article=aod117423a003

In response:
A. J. Feilzer, DDS, PhD, W. L. van Waveren, DDS, B. Prahl-Andersen, 
DDA,
PhD
http://www1.mosby.com/scripts/om.dll/serve?article=aod117424a001

Another Ricketts contribution
Arthur S. Quint
http://www1.mosby.com/scripts/om.dll/serve?article=aod117424a002

Muscle response to the Twin-block appliance
M. J. Trenouth
http://www1.mosby.com/scripts/om.dll/serve?article=aod117425a001

Follow-up on distraction osteogenesis in the mandible
Arthur S. Quint
http://www1.mosby.com/scripts/om.dll/serve?article=aod117425a002

READER’S SERVICES

Editorial Board
http://www1.mosby.com/scripts/om.dll/serve?article=jod001174eb

Information for Readers
http://www1.mosby.com/scripts/om.dll/serve?article=jod001174ir

_______________________________________________________________________
Copyright (c) 2000 by Mosby, Inc.
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Subject: Re: ORTHOD-L digest 691
Date: Tue, 11 Apr 2000 14:10:19 EDT
From: OrthoSheff@aol.com
To: orthod-l@usc.edu

I have an adult male patient who has been in treatment for 9 months.  Total 
treatment is scheduled for 12 months.  He has fallen behind on his payments, 
and has paid for only 1/2 of his treatment.  He was in today and told us that 
his insurance is not paying as much as he thought they would.
He informed us that he would NOT honor his contract and that he would pay us 
an amount that was considerably amount less than agreed upon.

What rights do I have as far as terminating treatment.?
Can I refuse to schedule an further appointment until his account is paid?
Can I terminate treatment, take his braces off and give him retainers?
Can I not give him retainers unless his account is paid?

What is the best way (and legal way) to approach this without "abandoning the 
patient" or leaving him with an unstable occlusion?

John Shefferman
Washington, D.C.

Subject: RE: Substituting maxillary laterals for avulsed centrals: reprise
Date: Tue, 11 Apr 2000 23:55:25 +0100
From: "Ross Hobson" <R.S.Hobson@ncl.ac.uk>
To: "Jeff Genecov" <c0018593@airmail.net>, <orthod-l@usc.edu>

Thanks for all your replies to this difficult situation.

However a small error occurred (I should have taken typing in high school!) The sentence beginning "Her maxillary central were previously avulsed completely..." should read "maxillary centrals", meaning both were avulsed and reimplanted, and are now failing.

I can't remebr if the patinet required extractions in the lower arch - if this is the case a neat plan is to use the lower premolars into the central sockets - you need a good delicate surgeon (get him to read Andresen's book on trauma of incisors) the success rate is as good as implants.but you need close coporeation with someone to do the RCT on the transplanted teeth then to reshape the crowns you place the molars side on we have used this with good results in a number of case following trauma and in hypodontiaross Hobson[Ross Hobson] 

Subject: RE: Agenesis mandibular 5s
Date: Tue, 11 Apr 2000 23:55:34 +0100
From: "Ross Hobson" <R.S.Hobson@ncl.ac.uk>
To: "Mark Cordato" <markc@ix.net.au>, <orthod-l@usc.edu>

00 1:45 PM
To: orthod-l@usc.edu
Subject: Agenesis mandibular 5s
In Newcstle on our hypodontia clinic this is a common problem
if there is no lower crowding or need for retraction of the incisors we
mainatin the E's as long as possible to keep bone - if necessary building
crown height to keep the occlusion
as and when they are lost 0 acid etch bridges work very well

if there is crowding then close the space.
ps.
class III molars are perfectly stable

Ross Hobson

 
Date: Mon, 17 Apr 2000 10:04:23 EDT
From: DrDCarter@aol.com
To: orthod-l@usc.edu
Subject: Re: ORTHOD-L digest 691 Invisalign
Message-ID: <3e.28eaf49.262c73e7@aol.com>
MIME-Version: 1.0
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

Drew Kohl asked about the Invialign course and other questions.  Here is the
company's latest news release, which reinforces my hunch that this will
become the method of choice for GPs/"orthodentists" and dovetails exactly
with the wave of "cosmetic" dentistry.  Notice that it begins with references
to orthodontists and subtly the references change to dentists. We may be the
scientific communities first distributed beta testers testing for our future
competition. 

Dick Carter

from AOL news

Straightening Teeth Over the Internet; Thousands of Orthodontists Use Web for
First Time to Treat Patients

Major New Internet Initiative in Orthodontics

 SUNNYVALE, Calif., April 6 /PRNewswire/ -- Align Technology Inc today re-
launched invisalign.com, a website that helps orthodontists straighten teeth.
The site -- which targets both doctors and patients -- is an integral part of
the Invisalign System (TM), a new, virtually invisible way to straighten
teeth.

Align Technology launched the Invisalign System (TM) in June 1999. Since
then, the Company has certified over 30% (more than 2,600) of U.S.
orthodontists to use the System. Over 2,500 patients are now straightening
their teeth the 'wireless' way.

Doctors treating patients with Invisalign spend approximately one hour per
case on invisalign.com viewing a 3D graphical representation of their
patient's teeth via ClinCheck(TM), a movie-like software program showing
teeth moving from present position into a final, straightened state. The
doctor diagnoses and plans the case by scripting and editing the movie of the
patient' s prescribed treatment -- all via the web. This makes invisalign.com
the only "must view" web-site in orthodontics and one of the stickiest
websites in the medical world.

There are already over 1000 registered users of invisalign.com. This figure
is expected to grow rapidly as the website becomes a central means of
communication between the doctor and Align Technology and, eventually,
between the doctor and his patients.

invisalign.com is a powerful platform for bringing together the 8500
orthodontists in the US.  As a group these doctors consume $1 to $2 billion
in supplies per annum and have an aggregate income of over $2 billion, or
$250k per doctor. In addition to providing a quality community site for the
industry, Align intends to sell to orthodontists via invisalign.com
everything they need to run their practices.

Orthodontists are not the only visitors to invisalign.com. The website is
also valuable to potential patients looking for information on Invisalign;
Invisalign-certified orthodontists in their neighborhood; testimonials of pati
ents who have gone through treatment; and a customer service forum where they
can interact with customer support representatives and current patients.

Expanding to Serve All In the Dental Arena 

Orthodontists and their patients are just the beginning.  Align intends to
make invisalign.com the portal of choice for tens of thousands of dentists.
For example, the site will offer dentists and patients new versions of
ClinCheck(TM) to help them visualize treatment solutions for cosmetic dental
services.

invisalign.com is another step in Align's quest to bring 21st Century
technology (not limited to the Internet) to the practice of orthodontics.
Align has devised a multi-step system for straightening teeth without the use
of metal braces:

 1.  The doctor sends digital photographs, x-rays and an impression of the 

patient's teeth to Align via e-mail and by courier. Using this data 

Align makes the 3D movie showing the tooth movements necessary for a 

straight smile.

2.  Then, the doctor uses invisalign.com to tell Align how to treat the 

patient's teeth. This description becomes the script for the 

ClinCheck(TM) 3D movie predicting the entire course of treatment.

3.  Days later, both doctor and patient can view the movie using Align's 

unique web-based diagnostic tool (ClinCheck)(TM). This revolutionary 

software allows them to take a virtual tour inside the patient's 

mouth. The patient sees her teeth as they are now, the way they will 

be at the end of treatment and all the stages in-between.

4.  The doctor's role is to edit the movie and approve the "final cut."

The editor's remarks are entered into the website. Align then uses 

CAD/CAM technology to translate the approved "final cut" to create a 

series of customized "aligners" for his patient.

The aligners are clear, lightweight polycarbonate devices that fit over the
patient's teeth and are worn at least 20 hours per day. Unlike metal braces
the aligners may be removed for eating, brushing, flossing or even kissing.

Most importantly, the aligners are clear, plastic and disposable, like
contact lenses that straighten teeth. They are nearly impossible to see when
worn, which removes a major barrier for the millions of adults who wish their
teeth were straighter but would never consider wearing metal braces. Just as
contact lenses eliminated the need for unsightly spectacles, Invisalign
eliminates the need for a mouth full of metal.

According to Align, 50% of adults age 25-to-49 -- or 50 million adults --
"wish their teeth were straighter." Yet less than 1% opt for braces every
year. This represents an enormous opportunity for orthodontists to expand
their patient base and significantly increase their revenues.

SOURCE  Align Technology Inc.

CO:  Align Technology Inc.

ST:  California
Date: Sun, 16 Apr 2000 14:59:53 -0400
From: stuart messinger <stmessin@bellatlantic.net>
To: orthod-l@usc.edu
Subject: Moving teeth through irradiated bone
Message-ID: <38FA0DA8.C482701F@bellatlantic.net>
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit

I have seen a patient for consultation. He presents as a 16yr old with a
history of naso pharangeal carcinoma of the naso-palatine area diagnosed
and treated at age seven. He received large doses of radiation which has
destroyed all of the hair follicles on his head. Dentally, he has
arrested growth of all teeth at the time of the radiation. There is
little root formation on the second molars and incomplete root formation
on the bicuspids and cuspids. The maxillary centrals are flared and the
maxillary right cuspid is erupted labially and slightly blocked out.  He
has a constricted maxilla with bilateral lateral open bites.  The boy
would like his "front teeth to look better".
Does anyone know the problems with moving teeth through heavily
irradiated bone? At most I would consider aligning the anteriors.
Thanks for the input.
Stuart Messinger

                            ORTHOD-L Digest 694

Topics covered in this issue include:

  1) ESCO - The Electronic Study Club for Orthodontics
        by Joseph Zernik <orthodl@hsc.usc.edu>
  2) Re: text for front desk staff
        by WRed852509@cs.com
  3) Re:Patient Dismissal
        by WRed852509@cs.com
  4) Orthodontist in Alma Ata, Kazakhstan
        by "Jens Ostheimer" <jens.ostheimer@gmx.net>
  5) Sassouni analysis
        by "Rodrigo F. Viecilli" <ulbranet00643@ulbranet.com.br>
  6) Re: ORTHOD-L digest 691 Invisalign
        by "Mark Cordato" <markc@ix.net.au>
  7) #691 - J Shefferman
        by "Paul D. Zuelke" <zuelke@email.msn.com>
  8) asymmetry
        by "Dr. Sumant Goel" <goel@vsnl.com>
  9) Re Text for Staff
        by "Hugh Bradley" <hughbradley@eircom.net>
 10) Orthodontist is Belfast area
        by "Hugh Bradley" <hughbradley@eircom.net>
 11) RE: Mary K Barkley and text for front office staff
        by "Mort & Gayle Speck" <morton_speck@hms.harvard.edu>
 12) Fw: text for front desk staff
        by "Roy King" <rkking@bellsouth.net>
Date: Fri, 21 Apr 2000 21:41:07 -0700
From: Joseph Zernik <orthodl@hsc.usc.edu>
To: ORTHOD-L@usc.edu
Subject: ESCO - The Electronic Study Club for Orthodontics
Message-ID: <3.0.6.32.20000421214107.007a6410@hsc.usc.edu>
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"






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.  ESCO is moderated by Dr. Joseph
Zernik from the University of Southern California Department of Orthodontics.

* What information can you get on ESCO?

* How to subscribe to ESCO?

* How to change your address?

* How to post messages on ESCO?

For answers to these questions and more, please check our web site:
http://www-hsc.usc.edu/~jzernik/eclub.htm

Enjoy!

Sincerely,

Joseph H. Zernik, D.M.D. Ph.D.
Professor, Department of Orthodontics
University of Southern California
http://www-hsc.usc.edu/~jzernik/

4




Date: Tue, 18 Apr 2000 20:39:40 EDT
From: WRed852509@cs.com
To: orthod-l@usc.edu
Subject: Re: text for front desk staff
Message-ID: <24.3dca516.262e5a4c@cs.com>
MIME-Version: 1.0
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

Hi Mary,
Just a thought about training front desk personel without any ortho
experience.  Do you have a R.O.P. program in your area?  They are usually
administered through a school district and have a dental assistant program
(and usually a dental front desk part also).
If you don't, I may be able to get the manuals from our R.O.P. and send them
to you.  I don't know what the cost would be.  Let me know.
Ron Redmond
ronredmond@compuserve.com
Date: Tue, 18 Apr 2000 20:46:40 EDT
From: WRed852509@cs.com
To: orthod-l@usc.edu
Subject: Re:Patient Dismissal
Message-ID: <99.3a31b1f.262e5bf0@cs.com>
MIME-Version: 1.0
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

The California Orthodontic Association published a letter that can be sent to
patients informing them of your intention to dismiss them from your practice.
 Usually patients that are behind in their financials are also poor about
keeping appointments and hard on their appliances.  Your decision to
discontinue can be "lack of cooperation".   If you would like a copy of this
letter, pleae let me know.  I have been using it for years, more as a
collection letter, but my intent is clear to the patient and parents.  Very
seldom do I actually have to dismiss someone,  but it acts as a good "wake-up
call".
Ron Redmond
ronredmond@compuserve.com
Date: Wed, 19 Apr 2000 19:15:49 +0200
From: "Jens Ostheimer" <jens.ostheimer@gmx.net>
To: <ORTHOD-L@USC.EDU>
Subject: Orthodontist in Alma Ata, Kazakhstan
Message-ID: <002e01bfaa22$ee9b7a40$702536d5@kasimir>
MIME-Version: 1.0
Content-Type: multipart/alternative;
        boundary="----=_NextPart_000_002B_01BFAA33.AC494440"

I am looking for an orthodontist located in the area of Alma-Ata, Kazakhstan or anywhere in Russia for the referral of a patient who is going to move there.
 
Sincerely
Jens Ostheimer
Aachen, Germany
Date: Wed, 19 Apr 2000 15:27:05 -0300
From: "Rodrigo F. Viecilli" <ulbranet00643@ulbranet.com.br>
To: <orthod-l@usc.edu>
Subject: Sassouni analysis
Message-ID: <LPBBJMLGGOCKOJHHALLECECMCJAA.ulbranet00643@ulbranet.com.br>
MIME-Version: 1.0
Content-Type: text/plain;
        charset="iso-8859-1"
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        Why the criteria of obtaining the "O"  center in this analysis differs from
some books to the original articles by Dr. Viken Sassouni? Are there any
explanations for the changes that are made? What principles for marking this
point are the orthodontists from USA using nowadays? And why?



Rodrigo F. Viecilli
UFRGS- Brazil



Date: Thu, 20 Apr 2000 07:32:03 +1000
From: "Mark Cordato" <markc@ix.net.au>
To: orthod-l@usc.edu
Subject: Re: ORTHOD-L digest 691 Invisalign
Message-ID: <200004192132.HAA28728@mail.ix.net.au>
MIME-Version: 1.0
Content-type: text/plain; charset=US-ASCII
Content-transfer-encoding: 7BIT

Dear Dick

On 17 Apr 00, at 10:04, DrDCarter@aol.com wrote:

> Drew Kohl asked about the Invialign course and other questions.  Here
> is the company's latest news release, which reinforces my hunch that
> this will become the method of choice for GPs/"orthodentists" and
> dovetails exactly with the wave of "cosmetic" dentistry.  Notice that
> it begins with references to orthodontists and subtly the references
> change to dentists. We may be the scientific communities first
> distributed beta testers testing for our future competition. 
>
> Dick Carter
>

The worm will probably turn at least once more. When they have
recruited the dentists to do the ortho and the company needs more
profit they may then recruit dental technicians and then DIY at home
kits. I can see a DIY kit really endearing itself to the dentists,
just like they may plan to do to orthodontists first.

Thankfully, like many technology advances on the web, others have
access to similar materials (for suckdowns) and others will see an
opportunity to make a profit and this will introduce its own
competition.

Invisalign looks interesting from my view in Australia but again from
this distance it looks like by using them you just may be helping to
develop yourself out of some work.

Cheers,
Mark Cordato
Bathurst
markc@ix.net.au
Date: Wed, 19 Apr 2000 14:03:55 -0700
From: "Paul D. Zuelke" <zuelke@email.msn.com>
To: "ESCO" <Orthod-L@USC.edu>
Subject: #691 - J Shefferman
Message-ID: <000a01bfaa42$c7972c80$086fa8c0@potlnd1.or.home.com>
MIME-Version: 1.0
Content-Type: multipart/alternative;
        boundary="----=_NextPart_000_0007_01BFAA08.198D1580"

Regarding the adult patient who decided to not honor his contract.. 
 
You have every right to terminate treatment of this case based on the decision of the financially responsible party to abrogate his contract without cause.
 
There is a fundamental question to ask first.  Is the patient is in equal or better clinical condition today than he was when you started treatment?
 
If the answer is "yes" and the patient is clinically (excessive emergencies, abysmal home care), or administratively (excessive missed appointments), or socially (a real jerk, loud, verbally abusive/demanding), or financially (non-payment) uncooperative, you may terminate treatment.
 
There are a couple of caveats.  You must have:
 

• Evidence that you have expended adequate effort to resolve the problem, and have failed to do so.
• Evidence that you have given the patient/responsible party adequate written notice of your intentions.

 
My recommendation to a client would be to, after adequate notice, remove this patient from the practice.  You have a right to quality of life within your practice and, subject to the answer to that fundamental question I mentioned, you have no legal, moral, or ethical obligation to continue to treat a patient who actively damages the quality of life within your practice.
 
An attorney may well give you the opposite advice.  Remember that an attorney can get in no trouble and has no risk at all in telling you to "play it safe" and finish the case.  After all, it is not his money being lost nor is it his quality of life that is suffering.  If, in fact, you do hear opposite advice from your attorney, ask him to quote the specific statute or case law upon which his advice is based.  You will likely find that the advice is based on personal opinion and not statute or case law.  To my knowledge there has never been a single case where a doctor was ruled against when the doctor/practice terminated a patient after fulfilling those two caveats.
 
Respectfully -
 
Paul D. Zuelke
zuelke@msn.com
 
Date: Thu, 20 Apr 2000 08:17:42 +0530
From: "Dr. Sumant Goel" <goel@vsnl.com>
To: <orthod-l@usc.edu>
Subject: asymmetry
Message-ID: <00c301bfaa72$d29161c0$5ac1d4d2@goel>
MIME-Version: 1.0
Content-Type: text/plain;
        charset="Windows-1252"
Content-Transfer-Encoding: 7bit

Dear Group,

In continuation of discussion of dealing with subdivision cases, asymmetries
are hard to dealwith. Especially in good many cases if the mandible is weak
on one side -it also results in maxilla being smaller on the same side
because of the reduces functional forces of the affected side. In such
situation how does one resort to any funcational appliance -as it will
impede maxillary growth as well.

We have a 10 year old female patient. Due to ankylosis she underwent
condylectomy on the left side 3 months ago. Occlusion (Overjet, overbite and
midline) is perfect at this time but during mouth opening the mandible is
deviating significantly to the leftside. She is likely to develop asymmetry?
I invite opinions on what are the options available to treat this girl - to
give the best possible outcome. What happens if she is left untreated.



Dr. Sumant Goel, M.D.S.
Prof. Of orthodontics
Visit my web  http://www.HealthMantra.com



Date: Thu, 20 Apr 2000 13:05:50 +0100
From: "Hugh Bradley" <hughbradley@eircom.net>
To: <orthod-l@usc.edu>
Subject: Re Text for Staff
Message-ID: <DOEHIBNLIAALDACDKGDGOEHDCAAA.hughbradley@eircom.net>
MIME-Version: 1.0
Content-Type: text/plain;
        charset="us-ascii"
Content-Transfer-Encoding: 7bit

I would highly recommend "The Book" by Dean Bellavia.
This covers very comprehensively all office procedures and includes a
section on dental anatomy etc.
Not a cheap book but one I have found very useful over the past 10 years.

It is available direct from his company :Bio-engineering Co., Buffalo, New
York.
This is the best address I have got unfortunately.

If anyone has a better contact address perhaps they might post it here.


Hugh Bradley
?-)

hughbradley@eircom.net
22 Park St., Dundalk, Ireland

Date: Thu, 20 Apr 2000 13:05:51 +0100
From: "Hugh Bradley" <hughbradley@eircom.net>
To: <orthod-l@usc.edu>
Subject: Orthodontist is Belfast area
Message-ID: <DOEHIBNLIAALDACDKGDGAEHECAAA.hughbradley@eircom.net>
MIME-Version: 1.0
Content-Type: text/plain;
        charset="us-ascii"
Content-Transfer-Encoding: 7bit

I would recommend that you would refer your patient to Consultant
orthodontist in the Belfast Dental School

Dr Donald Burden
Orthodontic Dept
School of Dentistry
Royal Victoria Hospital
Grosvenor Rd
Belfast


Hugh Bradley
?-)

hughbradley@eircom.net

-----Original Message-----
From: owner-orthod-l@usc.edu [mailto:owner-orthod-l@usc.edu]On Behalf Of
orthod-l@usc.edu
Sent: Wednesday, April 19, 2000 10:34 AM
To: Electronic Study Club for Orthodontics
Subject: ORTHOD-L digest 693


                            ORTHOD-L Digest 693

Topics covered in this issue include:

  1) ESCO - The Electronic Study Club for Orthodontics
        by Joseph Zernik <orthodl@hsc.usc.edu> (by way of Joseph Zernik
<orthodl@hsc.usc.edu>)
  2) Re: text for front desk staff
        by Ted Schipper <ted.schipper@utoronto.ca>
  3) Re: ORTHOD-L digest 691
        by Ted Schipper <ted.schipper@utoronto.ca>
  4) Orthodontist in Belfast area
        by "Gerald Zeit" <g.zeit@utoronto.ca>
  5) Re: ORTHOD-L digest 691
        by "Ron Parsons" <ronparsons@mindspring.com>
  6) Re: ORTHOD-L digest 691
        by YURFEST@aol.com
  7) Re: ORTHOD-L digest 692
        by Orthodas@aol.com
  8) Re: ORTHOD-L digest 692
        by Larry Jerrold <jerr2@idt.net>
  9) Re: ORTHOD-L digest 691 Invisalign
        by DrDCarter@aol.com
 10) Moving teeth through irradiated bone
        by stuart messinger <stmessin@bellatlantic.net>

Date: Thu, 20 Apr 2000 20:16:31 -0400
From: "Mort & Gayle Speck" <morton_speck@hms.harvard.edu>
To: Ortho Study Club <orthod-l@usc.edu>
Subject: RE: Mary K Barkley and text for front office staff
Message-ID: <38FAFB7C@webmail.med.harvard.edu>
Mime-Version: 1.0
Content-Type: text/plain; charset="ISO-8859-1"
Content-Transfer-Encoding: 7bit

Dear Mary and Similarly Interested Colleagues-

Don't reinvent the wheel.  An excellent orthodontic text and workbook were
developed by Dean Bellavia who runs (ran?) the Bio-Engineering Co. out of
Buffalo, NY, an orthodontic consulting co.  I could not find him listed in the
ATT directories. Perhaps one of you can supply his phone/adddress.

Some years ago Dean came out with "THE BOOK" and some of you may have it. It
was a detailed treatise on the nuts and bolts of running an orthodontic
practice. I would recommend it for those of you who don't want to afford a
consultant at this time, but have aspirations to be super organized. Bellavia
and "attention to detail" are synonymous.  No financial interest---just
admiration.
 
Hope this is helpful.

Mort Speck

Please reply to: <mgs@hms.harvard.edu>   (Mort & Gayle Speck)

Date: Fri, 21 Apr 2000 10:45:59 -0400
From: "Roy King" <rkking@bellsouth.net>
To: <orthod-l@usc.edu>
Subject: Fw: text for front desk staff
Message-ID: <003f01bfaba0$50147be0$b7d14cd8@pavilion>
MIME-Version: 1.0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

Mary,

GAC has a CD-rom to educate staff.

Roy King
ORTHOD-L Digest 695 Topics covered in this issue include: 1) ESCO - The Electronic Study Club for Orthodontics by Joseph Zernik 2) truth in advertising by pm.thomas@gte.net 3) Virtual Journal of Orthodontics 3.2 by Gabriele Floria 4) RE: Kevin Koller and Protraction Issues by "Mort & Gayle Speck" 5) Invisalign by Barry Raphael 6) Patient Dismissal by atindall 7) correction by "Paul M Thomas" 8) Text of Dismissal Letter by WRed852509@cs.com 9) Complete text of dismissal letter by WRed852509@cs.com Date: Mon, 24 Apr 2000 20:03:56 -0700 From: Joseph Zernik To: ORTHOD-L@usc.edu Subject: ESCO - The Electronic Study Club for Orthodontics Message-ID: <3.0.6.32.20000424200356.007cac90@hsc.usc.edu> Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" 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. * What information can you get on ESCO? * How to subscribe to ESCO? * How to change your address? * How to post messages on ESCO? For answers to these questions and more, please check our web site: http://www-hsc.usc.edu/~jzernik/eclub.htm Enjoy! Sincerely, Joseph H. Zernik, D.M.D. Ph.D. Professor, Department of Orthodontics University of Southern California http://www-hsc.usc.edu/~jzernik/ 1 Date: Sat, 22 Apr 2000 09:05:57 -0400 From: pm.thomas@gte.net To: "ESCO" Subject: truth in advertising Message-ID: <004001bfac5b$7feb6d40$941e1918@nc.rr.com> MIME-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: 7bit Colleagues and interested parties I am posting this information in this forum to shed some light on some misleading information which was inappropriately disseminated by Gunther Blaseio, the owner/CEO of Quick Ceph Software. His website and a recent nationwide mailing contain images illustrating orthognathic surgery treatment simulations on a series of patients having a variety of skeletal malocclusions. The more popular simulation software programs have been used in "auto treat" mode, meaning that no touch-up was done on any of the images. An actual postoperative outcome is also shown for comparison. I prepared these simulations with the help of Dr. Myron Tucker and Dr. Arlet Dunsworth over two years ago. They were part of a pilot study in preparation for a thesis project currently underway at the University of North Carolina. I showed the results to each of the vendors at the AAO meeting in San Diego and offered to send copies to those interested. Dr. Blaseio asked that I send him a CD with the images so that he could use them in a lecture he was giving last summer. I was flabbergasted to find that he had posted this material on his website without the permission of the authors or releases from the patients whose faces are being splashed all over the internet. I was even more shocked to learn that he has included this material in a nationwide mailing of a brochure promoting his products. Again, no permission, no releases. This was clearly not my intent in giving him access to these images. I would like to set the record straight. I realize there may be a limited readership of this list, but word can travel and it appears there is an international audience. [1] These images were prepared with software versions which are several years old, yet Dr. Blaseio implies they are current. This does a disservice to the other vendors to have made multiple improvements in image simulation since this pilot study was done. [2] Dr. Blaseo states that I clearly demonstrated the superiority of Quick Ceph Image Pro at a CE course held at UNC in April 1999. http://www.quickceph.com/qc2000_index.html I made no such statement. I simply displayed the images, explained how they were generated and allowed the audience to draw their own conclusions. I *did* say that Quick Ceph and DF Plus seem to manage patients having vertical changes (open bite and deep bite corrections) better than the other products. All products seem to perform reasonably well on sagittal movements. [3] I in no way endorse Quick Ceph Software. In fact I don't use it on a daily basis. I have tried to forge a good working relationship with all vendors in completing this pilot study and starting the larger research project, and it is an injustice to them that this material has been used in a misleading manner for self-promotion and advertising. It is clear that Dr. Blaseio likes to play by the rules....as long as he is the one who makes them. Paul M. Thomas, DMD, MS Adjunct Associate Professor Departments of Orthodontics and Oral and Maxillofacial Surgery University of North Carolina Dental School Manning Drive Chapel Hill, North Carolina 27514 Date: Sat, 22 Apr 2000 18:48:54 +0200 From: Gabriele Floria To: drfloria@tin.it Subject: Virtual Journal of Orthodontics 3.2 Message-ID: <3.0.32.20000422184601.0132c8a4@mail.dada.it> Mime-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: 8bit Virtual Journal of Orthodontics http://vjco.it Table of Contents for Issue 3.2 April 2000 http://vjco.it/vjo032.htm -------------------------------------------------------------- ORIGINAL ARTICLES - Skeletal Distraction for Mandibular Lengthening with a Completely Intraoral Toothborn Distractor Yan Razdolsky D.D.S. Buffalo Grove, IL Children's Memorial Hospital, Northwestern University, and Highland Park Hospital, Chicago, IL USA http://vjco.it/032/distren.htm (english version) http://vjco.it/032/distres.htm (spanish version) http://vjco.it/032/distrit.htm (italian version) PROSTHETIC REHABILITATION FOR PATIENTS WITH LABIOPALATOSCHISIS : traditional and new aproach R.Branchi MD DDS Assistant Research Professor Department of Prosthodontics Università degli Studi di Firenze Italy http://vjco.it/032/lpsen.htm (english vers.) http://vjco.it/032/lpses.htm (spanish vers.) http://vjco.it/032/lpsit.htm (italian vers.) INDIRECT BONDING a new improved adhesive Alberto R. Mazzocchi MD DDS Bergamo Italy http://vjco.it/032/sondin.htm (english vers.) http://vjco.it/032/sondes.htm (spanish vers.) http://vjco.it/032/sondit.htm (italian vers.) Orthodontic treatment conceptions (fourth part) (According to McLaughlin-Bennett-Trevisi) Arturo Fortini MD DDS Massimo Lupoli MD DDS http://vjco.it/032/Mbt04it.htm (italian version) (english and spanish version under conctructions) Le Disfunzioni del Sistema Cranio-Cervico-Mandibolare Umberto Montecorboli MD, DDS http://vjco.it/032/dccm4.htm (italian version) (english and spanish version under conctructions) READER’S SERVICES Editorial by Alberto Mazzocchi VJO associate editor http://vjco.it/032/ed032.htm (english vers.) http://vjco.it/032/ed032s.htm (spanish version) http://vjco.it/032/ed032t.htm (italian version) Orthodontic Meeting Database http://vjco.it/search.htm Orthodontic Department in the World http://www.vjco.it/orthodep.htm Opportunities http://www.vjco.it/inserzi.htm Keywords Search Engine http://vjco.it Apologies for cross-posting and mistakes Dr. Gabriele Floria DDS editor@vjco.it Date: Sat, 22 Apr 2000 22:22:51 -0400 From: "Mort & Gayle Speck" To: Ortho Study Club Subject: RE: Kevin Koller and Protraction Issues Message-ID: <38FBF90F@webmail.med.harvard.edu> Mime-Version: 1.0 Content-Type: text/plain; charset="ISO-8859-1" Content-Transfer-Encoding: 7bit The following is a dupe of what I thought I sent a short time ago when protraction was a current topic. Perhaps it got lost in cyber space, or I possibly missed it. Let's try it again! Greetings All- Though I haven't been much of a contributor as of late, I certainly have enjoyed the postings. Being retired, with the exception of some limited teaching, should afford me a lot of free time. However, being somewhat inefficient, and without the assistance of my organized staff to keep me on track, I find myself still playing catch-up! A few preliminary remarks: It it is all well and good to "leave orthodontics to the orthodontist and prosthetics etc.", but there are also socioeconomic issues to be considered, perhaps(?) more in other countries than ours. There are some patients whom you know will never be candidates for the ideal prosthetic restoration, and for whom protraction of posterior teeth in the face of congenitally missing premolars would be providing the best service, taking into consideration the skeletal pattern, the size of the teeth etc. We should all be very concerned about over-retracting the lower anterior teeth when protracting lower molars. Obviously, the key to success is to enhance your anterior anchorage, reduce your posterior resistance, and very important, to reduce your force levels. Bonding a lingual wire to every tooth from first premolar to first premolar goes a long way to fulfilling the first objective and I strongly recommend it for "long distance" protraction. Those of you who have the advantage of Tip-Edge mechanics can fill the brackets with a rectangular wire and add the potent resistance of root uprighting springs. I have found that by placing the wire in the relatively larger .036 molar double tube, there is a reduction in the amount of force necessary to protract the molar. Although some tipping may occur,once the space is closed, this is resolved by switching to the edgewise tube and subsequently leveling. (Obviously none of us would attempt to protract the first and second molar concomitantly, right?) I am aware that edgewise brackets now have the capability of receiving uprighting springs, (thanks, Dr. Begg) but I feel the problem of increased posterior resistance is created with a full slotted wire in the edgewise tube necessitating increased forces for protraction which can result in undesirable anterior over-retraction. Tony Gianelli certainly has the right idea with his Bidimensional Technique and I recommend a review of his articles for you edgewise mavens. Additionally, anterior anchorage can also be enhanced by placing an off-center bend, a la Mulligan, just distal to the first bicuspid in those instances where the second bicuspid is congenitally absent or has been extracted. A related issue I would like to mention is the integrity of the contact point between the 1st bicuspid and the molar in second bicuspid (minimal anchorage) extraction cases, particularly in adults, and also in those instances where the molar has been protracted a long distance when the 2nd bicuspid is congenitally absent. Frequently, the contact is loose, or reopens just enough to distress our periodontal colleagues. My clinical impression is that bonding a buccal wire between the molar and first bicuspid for 6 months or more after the space has been tightly closed allows the tissues to reorganize and mature and can minimize this problem. But even then there is no guarantee for a permanently tight contact. One last issue is the minimal occlusal contact area of the maxillary second molars when only lower second bicuspids are missing or extracted and the spaces closed. Your speculation relative to this occlusion is as good as mine. Perhaps some of may have some long term data. Sorry to be so long winded, but as you can see there are many considerations regarding this problem. We would all welcome additional insight into this problem. Regards to all, Mort Speck Please reply to: (Mort & Gayle Speck) Date: Sun, 23 Apr 2000 04:04:23 -0400 From: Barry Raphael To: ESCO Subject: Invisalign Message-ID: <3902AE87.4959CBB7@concentric.net> MIME-Version: 1.0 Content-Type: text/plain; charset=us-ascii Content-Transfer-Encoding: 7bit Invisalign Update Gentlemen and women, before you bristle more about this oncoming phase in our long and illustrious history, and before you let the paranoia set in, let me speak to the voice of reason. Remember, this technique is only a tool for our trade. Our trade is healthy occlusion and esthetics, not braces. Our expertise is in diagnosis and treatment planning far more than in placing appliances. As such, I believe that Invisalign, and whatever variations that follow, will not only open new markets for us directly, but will significantly broaden the demand for our more "traditional" services. Also, since the advent of Bionators, straightwire appliances and nickel titanium wire have not made orthodontics so easy that any GP can do it, neither will Invisalign spell our demise even if GP or home kits are offered.. While there may be lots that this appliance can do, there will be much it can't do. Dx and TxPlanning will be just as tricky, with as many shades of gray, as there are with any appliance. For instance, this appliance, so far anyway, is strictly INTRAARCH mechanics. I will not be surprised if we see anchorage effects create beautiful but mismatched arches since real anchorage vectors are not predicted in the Clincheck diagnostic process. Just like with fixed appliances, I think you should feel comfortable educating and encouraging your GP's to get involved (when the time comes), for after the first few cases that don't turn out, you'll still have a great source of referral. So far, I have four cases in progress with the fourth being my own self (just three days into a 20 step treatment), and two more in the lab. So far, I have felt totally in control of the treatment planning process and the appliances have been impeccably fabricated. I have also had to reject some cases from consideration - a choice only an orthodontist could make. So, if any of you are feeling too defensive to get involved, I suggest you let your guard down. There is great potential here for something that you would be foolish not to have in your bag of tricks. BTW. Absolutely no financial interest. Barry Raphael Clifton, NJ Date: Sun, 23 Apr 2000 21:49:18 +0930 From: atindall To: Ortho Study Club Subject: Patient Dismissal Message-ID: <3902EA45.8401FD3@dove.net.au> MIME-Version: 1.0 Content-Type: text/plain; charset=us-ascii Content-Transfer-Encoding: 7bit Regarding patient dismissal. What is the opinion of the group regarding children. The difference is of course that they do not have the contract with you as it is (usually) a parent who is paying for treatment. Unfortunately it is not the child's fault that the parent does not honour the contract. Andrew Tindall Adelaide South Australia atindall@dove.net.au Date: Sun, 23 Apr 2000 09:19:45 -0400 From: "Paul M Thomas" To: "ESCO" Subject: correction Message-ID: <003f01bfad26$989c3600$2f89f7a5@laptop> MIME-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: 7bit Colleagues, I would like to make a correction in my message of yesterday. Dr. Tucker informed me that Gunther Blaseio did, in fact, ask him for permission to use the Quick Ceph simulations and that his patients had given permission for publication of their likenesses. Other than that, my statements stand. I have never been personally asked regarding use of the other simulations and I still feel there are distortions and omissions in Dr. Blaseio's use of the material. Paul M. Thomas, DMD, MS Adjunct Associate Professor Departments of Orthodontics and Oral and Maxillofacial Surgery University of North Carolina Dental School Manning Drive Chapel Hill, North Carolina 27514 Date: Mon, 24 Apr 2000 02:00:13 EDT From: WRed852509@cs.com To: orthod-l@usc.edu Subject: Text of Dismissal Letter Message-ID: MIME-Version: 1.0 Content-Type: text/plain; charset="US-ASCII" Content-Transfer-Encoding: 7bit Hi All, There were so many requests for the text of the California Association of Orthodontists dismissal letter that I thought I should present this to the entire ESCO. The text represents a letter to the patient, but can be adapted for the responsible party. In view of the continuing lack of cooperation on your part, I am hereby advising you that I shall terminate your treatment thirty days from the date of this letter. In my opinion, you can benefit from continued orthodontic care and I urge you to seek the services of another orthodontist. If you decide not to have another orthodontist take over your treatment within the next four weeks, I recommend that you contact my office to have the appliances removed since there may be health problems from wearing appliances without periodic maintenance and adjustment. these potential problems include decalcification of teeth, increased risk of cavities and the possibility of injury to soft tissues of the mouth from loose or broken appliances. This should be sent by certified mail with a return-receipt-requested. Save the receipt in the patient's file, or if the letter is returned unopened or not deliverable, save the letter in the file. My experience has been that most patients or parents respond to this letter in a positive way. That is, they are more likely to clear up their account and proceed with treatment than go elsewhere. If the patient returns after a lengthy period (6 months) and wants to continue treatment, then they are informed of the necessity of new treatment records with a new diagnosis, treatment plan and fee. I have found this to be a reasonable way to prevent possible problems in the future. I hope this helps to your patient management a little easier. See you all in Chicago. Ron Redmond DDS Date: Mon, 24 Apr 2000 19:45:02 EDT From: WRed852509@cs.com To: orthod-l@usc.edu Subject: Complete text of dismissal letter Message-ID: MIME-Version: 1.0 Content-Type: text/plain; charset="US-ASCII" Content-Transfer-Encoding: 7bit Sorry I left off the last paragraph. Here is the complete text: In view of the continuing lack of cooperation on your part, I am hereby advising you that I shall terminate your treatment thirty days from the date of this letter. In my opinion, you can benefit from continued orthodontic care and I urge you to seek the services of another orthodontist. If you decide not to have another orthodontist take over your treatment within the next four weeks, I recommend that you contact my office to have the appliances removed since there may be health problems from wearing appliances without periodic maintenance and adjustment. these potential problems include decalcification of teeth, increased risk of cavities and the possibility of injury to soft tissues of the mouth from loose or broken appliances. Due to your lack of cooperation, broken appointments and failure to continue a prescribed treatment plan, I do not accept any responsibility for your orthodontic treatment. ORTHOD-L Digest 696 Topics covered in this issue include: 1) ESCO - The Electronic Study Club for Orthodontics by Joseph Zernik 2) Invisalign System by Drnickz11@aol.com 3) quick cure paste by g russell frankel 4) Re: ORTHOD-L digest 695 by Larry Jerrold 5) Re: Patient Dismissal by Dave Birks Date: Mon, 01 May 2000 12:32:55 -0700 From: Joseph Zernik To: ORTHOD-L@usc.edu Subject: ESCO - The Electronic Study Club for Orthodontics Message-ID: <3.0.6.32.20000501123255.007aabb0@hsc.usc.edu> Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" 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. * What information can you get on ESCO? * How to subscribe to ESCO? * How to change your address? * How to post messages on ESCO? For answers to these questions and more, please check our web site: http://www-hsc.usc.edu/~jzernik/eclub.htm Enjoy! Sincerely, Joseph H. Zernik, D.M.D. Ph.D. Professor, Department of Orthodontics University of Southern California http://www-hsc.usc.edu/~jzernik/ 2 Date: Tue, 25 Apr 2000 09:56:58 EDT From: Drnickz11@aol.com To: ORTHOD-L@usc.edu Subject: Invisalign System Message-ID: <9.4a6209d.2636fe2a@aol.com> MIME-Version: 1.0 Content-Type: text/plain; charset="US-ASCII" Content-Transfer-Encoding: 7bit I have spoken to several orthodontists who have used this system, and I find that the appliance is no more than a glorified Essix retainer. Likewise, it is very costly, and demands full cooperation from the patient. Furthermore, just as any removeable appliance, it only produces a tipping movement of the teeth, rather than a bodily movement. So if you want to save alot of money for yourself as the orthodontist, and save the patient alot of cash, a modified Essix retainer can easily produce equal results with minimal labwork. I can prove that. So anyone who thinks that this new company isn't a total marketing gimmick and isn't going to go after orthodontists' pockets is totally mistaken. By the way, no financial interest in Raintree-Essix here. Nick Zafiropoulos Mashpee Orthodontics Mashpee, MA Date: Tue, 25 Apr 2000 20:38:40 -0400 From: g russell frankel To: orthod-l@usc.edu Subject: quick cure paste Message-ID: <39063A90.F6BD7F53@cinci.rr.com> MIME-Version: 1.0 Content-Type: text/plain; charset=us-ascii Content-Transfer-Encoding: 7bit in case someone might be interested, i have been trying quick cure bonding paste from reliance and have been pleasantly impressed. i have been contemplating the laser at its inflated price. this stuff really works at 10 seconds/ bracket. it sets quite hard (flash), and i even put an elastic on a buccal tube and compressed coil springs. i went 20 seconds for molars. didn't get the 6 second probe for $279 because they didn't make it to fit my light. mine works fine, andit does reduce time. use it mainly on uppers, with fuji on lowers because of wetness. no financial interest, but it's worth a try. g russell frankel - cincinnati Date: Thu, 27 Apr 2000 08:53:09 -0400 From: Larry Jerrold To: orthod-l@usc.edu Subject: Re: ORTHOD-L digest 695 Message-ID: <39083834.42CB05C4@idt.net> MIME-Version: 1.0 Content-Type: text/plain; charset=iso-8859-1 Content-Transfer-Encoding: 8bit Andreww Tindall It doesn't matter, the parent contracts on behalf of the child. Larry Jerrold orthod-l@usc.edu wrote: > ORTHOD-L Digest 695 > > Topics covered in this issue include: > > 1) ESCO - The Electronic Study Club for Orthodontics > by Joseph Zernik > 2) truth in advertising > by pm.thomas@gte.net > 3) Virtual Journal of Orthodontics 3.2 > by Gabriele Floria > 4) RE: Kevin Koller and Protraction Issues > by "Mort & Gayle Speck" > 5) Invisalign > by Barry Raphael > 6) Patient Dismissal > by atindall > 7) correction > by "Paul M Thomas" > 8) Text of Dismissal Letter > by WRed852509@cs.com > 9) Complete text of dismissal letter > by WRed852509@cs.com > > ------------------------------------------------------------------------ > > Subject: ESCO - The Electronic Study Club for Orthodontics > Date: Mon, 24 Apr 2000 20:03:56 -0700 > From: Joseph Zernik > To: ORTHOD-L@usc.edu > > 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. > > * What information can you get on ESCO? > > * How to subscribe to ESCO? > > * How to change your address? > > * How to post messages on ESCO? > > For answers to these questions and more, please check our web site: > http://www-hsc.usc.edu/~jzernik/eclub.htm > > Enjoy! > > Sincerely, > > Joseph H. Zernik, D.M.D. Ph.D. > Professor, Department of Orthodontics > University of Southern California > http://www-hsc.usc.edu/~jzernik/ > > 1 > > ------------------------------------------------------------------------ > > Subject: truth in advertising > Date: Sat, 22 Apr 2000 09:05:57 -0400 > From: pm.thomas@gte.net > To: "ESCO" > > Colleagues and interested parties > > I am posting this information in this forum to shed some light on some > misleading information which was inappropriately disseminated by Gunther > Blaseio, the owner/CEO of Quick Ceph Software. His website and a recent > nationwide mailing contain images illustrating orthognathic surgery > treatment simulations on a series of patients having a variety of skeletal > malocclusions. The more popular simulation software programs have been used > in "auto treat" mode, meaning that no touch-up was done on any of the > images. An actual postoperative outcome is also shown for comparison. I > prepared these simulations with the help of Dr. Myron Tucker and Dr. Arlet > Dunsworth over two years ago. They were part of a pilot study in > preparation for a thesis project currently underway at the University of > North Carolina. I showed the results to each of the vendors at the AAO > meeting in San Diego and offered to send copies to those interested. Dr. > Blaseio asked that I send him a CD with the images so that he could use them > in a lecture he was giving last summer. I was flabbergasted to find that he > had posted this material on his website without the permission of the > authors or releases from the patients whose faces are being splashed all > over the internet. I was even more shocked to learn that he has included > this material in a nationwide mailing of a brochure promoting his products. > Again, no permission, no releases. This was clearly not my intent in giving > him access to these images. > > I would like to set the record straight. I realize there may be a limited > readership of this list, but word can travel and it appears there is an > international audience. > > [1] These images were prepared with software versions which are several > years old, yet Dr. Blaseio implies they are current. This does a disservice > to the other vendors to have made multiple improvements in image simulation > since this pilot study was done. > > [2] Dr. Blaseo states that I clearly demonstrated the superiority of Quick > Ceph Image Pro at a CE course held at UNC in April 1999. > http://www.quickceph.com/qc2000_index.html I made no such statement. I > simply displayed the images, explained how they were generated and allowed > the audience to draw their own conclusions. I *did* say that Quick Ceph and > DF Plus seem to manage patients having vertical changes (open bite and deep > bite corrections) better than the other products. All products seem to > perform reasonably well on sagittal movements. > > [3] I in no way endorse Quick Ceph Software. In fact I don't use it on a > daily basis. I have tried to forge a good working relationship with all > vendors in completing this pilot study and starting the larger research > project, and it is an injustice to them that this material has been used in > a misleading manner for self-promotion and advertising. It is clear that > Dr. Blaseio likes to play by the rules....as long as he is the one who makes > them. > > Paul M. Thomas, DMD, MS > Adjunct Associate Professor > Departments of Orthodontics and > Oral and Maxillofacial Surgery > University of North Carolina Dental School > Manning Drive > Chapel Hill, North Carolina 27514 > > ------------------------------------------------------------------------ > > Subject: Virtual Journal of Orthodontics 3.2 > Date: Sat, 22 Apr 2000 18:48:54 +0200 > From: Gabriele Floria > To: drfloria@tin.it > > Virtual Journal of Orthodontics http://vjco.it > > Table of Contents for Issue 3.2 April 2000 > http://vjco.it/vjo032.htm > -------------------------------------------------------------- > ORIGINAL ARTICLES > > - Skeletal Distraction for Mandibular Lengthening with a Completely > Intraoral Toothborn Distractor > Yan Razdolsky D.D.S. > Buffalo Grove, IL Children's Memorial Hospital, Northwestern University, > and Highland Park Hospital, Chicago, IL USA > http://vjco.it/032/distren.htm (english version) > http://vjco.it/032/distres.htm (spanish version) > http://vjco.it/032/distrit.htm (italian version) > > PROSTHETIC REHABILITATION FOR PATIENTS > WITH LABIOPALATOSCHISIS : traditional and new > aproach > R.Branchi MD DDS > Assistant Research Professor > Department of Prosthodontics > Università degli Studi di Firenze Italy > http://vjco.it/032/lpsen.htm (english vers.) > http://vjco.it/032/lpses.htm (spanish vers.) > http://vjco.it/032/lpsit.htm (italian vers.) > > INDIRECT BONDING a new improved adhesive > Alberto R. Mazzocchi MD DDS > Bergamo Italy > http://vjco.it/032/sondin.htm (english vers.) > http://vjco.it/032/sondes.htm (spanish vers.) > http://vjco.it/032/sondit.htm (italian vers.) > > Orthodontic treatment conceptions (fourth part) > (According to McLaughlin-Bennett-Trevisi) > Arturo Fortini MD DDS > Massimo Lupoli MD DDS > http://vjco.it/032/Mbt04it.htm (italian version) > (english and spanish version under conctructions) > > Le Disfunzioni del Sistema Cranio-Cervico-Mandibolare > Umberto Montecorboli MD, DDS > http://vjco.it/032/dccm4.htm (italian version) > (english and spanish version under conctructions) > > READER’S SERVICES > > Editorial > by Alberto Mazzocchi VJO associate editor > http://vjco.it/032/ed032.htm (english vers.) > http://vjco.it/032/ed032s.htm (spanish version) > http://vjco.it/032/ed032t.htm (italian version) > > Orthodontic Meeting Database > http://vjco.it/search.htm > > Orthodontic Department in the World > http://www.vjco.it/orthodep.htm > > Opportunities > http://www.vjco.it/inserzi.htm > > Keywords Search Engine > http://vjco.it > > Apologies for cross-posting and mistakes > Dr. Gabriele Floria DDS > editor@vjco.it > > ------------------------------------------------------------------------ > > Subject: RE: Kevin Koller and Protraction Issues > Date: Sat, 22 Apr 2000 22:22:51 -0400 > From: "Mort & Gayle Speck" > To: Ortho Study Club > > The following is a dupe of what I thought I sent a short time ago when > protraction was a current topic. Perhaps it got lost in cyber space, or I > possibly missed it. Let's try it again! > > Greetings All- > > Though I haven't been much of a contributor as of late, I certainly have > enjoyed the postings. Being retired, with the exception of some limited > teaching, should afford me a lot of free time. However, being somewhat > inefficient, and without the assistance of my organized staff to keep me on > track, I find myself still playing catch-up! > > A few preliminary remarks: > It it is all well and good to "leave orthodontics to the orthodontist and > prosthetics etc.", but there are also socioeconomic issues to be considered, > perhaps(?) more in other countries than ours. There are some patients whom you > know will never be candidates for the ideal prosthetic restoration, and for > whom protraction of posterior teeth in the face of congenitally missing > premolars would be providing the best service, taking into consideration the > skeletal pattern, the size of the teeth etc. > > We should all be very concerned about over-retracting the lower anterior teeth > when protracting lower molars. Obviously, the key to success is to enhance > your anterior anchorage, reduce your posterior resistance, and very important, > to reduce your force levels. Bonding a lingual wire to every tooth from first > premolar to first premolar goes a long way to fulfilling the first objective > and I strongly recommend it for "long distance" protraction. Those of you who > have the advantage of Tip-Edge mechanics can fill the brackets with a > rectangular wire and add the potent resistance of root uprighting springs. I > have found that by placing the wire in the relatively larger .036 molar double > tube, there is a reduction in the amount of force necessary to protract the > molar. Although some tipping may occur,once the space is closed, this is > resolved by switching to the edgewise tube and subsequently leveling. > (Obviously none of us would attempt to protract the first and second molar > concomitantly, right?) I am aware that edgewise brackets now have the > capability of receiving uprighting springs, (thanks, Dr. Begg) but I feel the > problem of increased posterior resistance is created with a full slotted wire > in the edgewise tube necessitating increased forces for protraction which can > result in undesirable anterior over-retraction. Tony Gianelli certainly has > the right idea with his Bidimensional Technique and I recommend a review of > his articles for you edgewise mavens. Additionally, anterior anchorage can > also be enhanced by placing an off-center bend, a la Mulligan, just distal to > the first bicuspid in those instances where the second bicuspid is > congenitally absent or has been extracted. > > A related issue I would like to mention is the integrity of the contact point > between the 1st bicuspid and the molar in second bicuspid (minimal anchorage) > extraction cases, particularly in adults, and also in those instances where > the molar has been protracted a long distance when the 2nd bicuspid is > congenitally absent. Frequently, the contact is loose, or reopens just enough > to distress our periodontal colleagues. My clinical impression is that bonding > a buccal wire between the molar and first bicuspid for 6 months or more after > the space has been tightly closed allows the tissues to reorganize and mature > and can minimize this problem. But even then there is no guarantee for a > permanently tight contact. > > One last issue is the minimal occlusal contact area of the maxillary second > molars when only lower second bicuspids are missing or extracted and the > spaces closed. Your speculation relative to this occlusion is as good as mine. > Perhaps some of may have some long term data. > > Sorry to be so long winded, but as you can see there are many considerations > regarding this problem. We would all welcome additional insight into this > problem. > > Regards to all, > > Mort Speck > > Please reply to: (Mort & Gayle Speck) > > ------------------------------------------------------------------------ > > Subject: Invisalign > Date: Sun, 23 Apr 2000 04:04:23 -0400 > From: Barry Raphael > To: ESCO > > Invisalign Update > > Gentlemen and women, before you bristle more about this oncoming phase > in our long and illustrious history, and before you let the paranoia set > in, let me speak to the voice of reason. > > Remember, this technique is only a tool for our trade. Our trade is > healthy occlusion and esthetics, not braces. Our expertise is in > diagnosis and treatment planning far more than in placing appliances. > > As such, I believe that Invisalign, and whatever variations that follow, > will not only open new markets for us directly, but will significantly > broaden the demand for our more "traditional" services. Also, since the > advent of Bionators, straightwire appliances and nickel titanium wire > have not made orthodontics so easy that any GP can do it, neither will > Invisalign spell our demise even if GP or home kits are offered.. > > While there may be lots that this appliance can do, there will be much > it can't do. Dx and TxPlanning will be just as tricky, with as many > shades of gray, as there are with any appliance. > > For instance, this appliance, so far anyway, is strictly INTRAARCH > mechanics. I will not be surprised if we see anchorage effects create > beautiful but mismatched arches since real anchorage vectors are not > predicted in the Clincheck diagnostic process. > > Just like with fixed appliances, I think you should feel comfortable > educating and encouraging your GP's to get involved (when the time > comes), for after the first few cases that don't turn out, you'll still > have a great source of referral. > > So far, I have four cases in progress with the fourth being my own self > (just three days into a 20 step treatment), and two more in the lab. So > far, I have felt totally in control of the treatment planning process > and the appliances have been impeccably fabricated. I have also had to > reject some cases from consideration - a choice only an orthodontist > could make. > > So, if any of you are feeling too defensive to get involved, I suggest > you let your guard down. There is great potential here for something > that you would be foolish not to have in your bag of tricks. > > BTW. Absolutely no financial interest. > > Barry Raphael > Clifton, NJ > > ------------------------------------------------------------------------ > > Subject: Patient Dismissal > Date: Sun, 23 Apr 2000 21:49:18 +0930 > From: atindall > To: Ortho Study Club > > Regarding patient dismissal. > What is the opinion of the group regarding children. The difference is > of course that they do not have the contract with you as it is (usually) > a parent who is paying for treatment. Unfortunately it is not the > child's fault that the parent does not honour the contract. > > Andrew Tindall > Adelaide > South Australia > atindall@dove.net.au > > ------------------------------------------------------------------------ > > Subject: correction > Date: Sun, 23 Apr 2000 09:19:45 -0400 > From: "Paul M Thomas" > To: "ESCO" > > Colleagues, > > I would like to make a correction in my message of yesterday. Dr. Tucker > informed me that Gunther Blaseio did, in fact, ask him for permission to use > the Quick Ceph simulations and that his patients had given permission for > publication of their likenesses. Other than that, my statements stand. I > have never been personally asked regarding use of the other simulations and > I still feel there are distortions and omissions in Dr. Blaseio's use of the > material. > > Paul M. Thomas, DMD, MS > Adjunct Associate Professor > Departments of Orthodontics and > Oral and Maxillofacial Surgery > University of North Carolina Dental School > Manning Drive > Chapel Hill, North Carolina 27514 > > ------------------------------------------------------------------------ > > Subject: Text of Dismissal Letter > Date: Mon, 24 Apr 2000 02:00:13 EDT > From: WRed852509@cs.com > To: orthod-l@usc.edu > > Hi All, > There were so many requests for the text of the California Association of > Orthodontists dismissal letter that I thought I should present this to the > entire ESCO. The text represents a letter to the patient, but can be adapted > for the responsible party. > > In view of the continuing lack of cooperation on your part, I am hereby > advising you that I shall terminate your treatment thirty days from the > date of this letter. In my opinion, you can benefit from continued > orthodontic care and I urge you to seek the services of another > orthodontist. > > If you decide not to have another orthodontist take over your treatment > within the next four weeks, I recommend that you contact my office to have > the appliances removed since there may be health problems from wearing > appliances without periodic maintenance and adjustment. these potential > problems include decalcification of teeth, increased risk of cavities and > the possibility of injury to soft tissues of the mouth from loose or broken > appliances. > > This should be sent by certified mail with a return-receipt-requested. Save > the receipt in the patient's file, or if the letter is returned unopened or > not deliverable, save the letter in the file. My experience has been that > most patients or parents respond to this letter in a positive way. That is, > they are more likely to clear up their account and proceed with treatment > than go elsewhere. If the patient returns after a lengthy period (6 months) > and wants to continue treatment, then they are informed of the necessity of > new treatment records with a new diagnosis, treatment plan and fee. I have > found this to be a reasonable way to prevent possible problems in the future. > > > I hope this helps to your patient management a little easier. See you all in > Chicago. > > Ron Redmond DDS > > > > ------------------------------------------------------------------------ > > Subject: Complete text of dismissal letter > Date: Mon, 24 Apr 2000 19:45:02 EDT > From: WRed852509@cs.com > To: orthod-l@usc.edu > > Sorry I left off the last paragraph. Here is the complete text: > > In view of the continuing lack of cooperation on your part, I am hereby > advising you that I shall terminate your treatment thirty days from the > date of this letter. In my opinion, you can benefit from continued > orthodontic care and I urge you to seek the services of another orthodontist. > > If you decide not to have another orthodontist take over your treatment > within the next four weeks, I recommend that you contact my office to have > the appliances removed since there may be health problems from wearing > appliances without periodic maintenance and adjustment. these potential > problems include decalcification of teeth, increased risk of cavities and > the possibility of injury to soft tissues of the mouth from loose or > broken appliances. > > Due to your lack of cooperation, broken appointments and failure to > continue a prescribed treatment plan, I do not accept any responsibility for > your orthodontic treatment. Date: Fri, 28 Apr 2000 20:55:36 +0100 From: Dave Birks To: orthod-l@usc.edu Subject: Re: Patient Dismissal Message-ID: <3909ECB8.F12A6B96@virgin.net> MIME-Version: 1.0 Content-Type: text/plain; charset=us-ascii Content-Transfer-Encoding: 7bit Please send me your draft letter re patient dismissal Thanks Dr J. R. Birks BDS D,Orth(Eng)
                            ORTHOD-L Digest 697

Topics covered in this issue include:

  1) ESCO - The Electronic Study Club for Orthodontics
        by Joseph Zernik <orthodl@hsc.usc.edu>
  2) Patient Survey
        by "Dr. Tim Dumore" <drtimbo@mb.sympatico.ca>
  3) Fwd: Virus Education
        by WRed852509@cs.com
  4) Invisalign
        by "Roy King" <rkking@bellsouth.net>
  5) Ortho Cad
        by "Roy King" <rkking@bellsouth.net>
  6) associates
        by g russell frankel <gr5@cinci.rr.com>
Date: Fri, 05 May 2000 09:26:00 -0700
From: Joseph Zernik <orthodl@hsc.usc.edu>
To: ORTHOD-L@usc.edu
Subject: ESCO - The Electronic Study Club for Orthodontics
Message-ID: <3.0.6.32.20000505092600.007cfc30@hsc.usc.edu>
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"






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. 

* What information can you get on ESCO?

* How to subscribe to ESCO?

* How to change your address?

* How to post messages on ESCO?

For answers to these questions and more, please check our web site:
http://www-hsc.usc.edu/~jzernik/eclub.htm

Enjoy!

Sincerely,

Joseph H. Zernik, D.M.D. Ph.D.
Professor, Department of Orthodontics
University of Southern California
http://www-hsc.usc.edu/~jzernik/

3





Date: Wed, 3 May 2000 14:55:02 -0500
From: "Dr. Tim Dumore" <drtimbo@mb.sympatico.ca>
To: <ORTHOD-L@USC.EDU>
Subject: Patient Survey
Message-ID: <002c01bfb539$94424e80$4f36c8cd@dstn>
MIME-Version: 1.0
Content-Type: multipart/alternative;
        boundary="----=_NextPart_000_0029_01BFB50F.8F872980"

Greetings,
    I intend to send an anonymous survey to my patients with the hope of getting some feedback on how our team is doing (?Do I really want to do this!).  I have an idea of some of the questions that I would like to ask, but I wonder if anyone else has ever done this before.  Anyone care to share their thoughts?
Date: Thu, 4 May 2000 16:48:44 EDT
From: WRed852509@cs.com
To: orthod-l@usc.edu
Subject: Fwd: Virus Education
Message-ID: <42.502813e.26433c2c@cs.com>
MIME-Version: 1.0
Content-Type: multipart/mixed; boundary="part1_42.502813e.26433c2c_boundary"

 
Return-path: <WRed852509@cs.com>
From: WRed852509@cs.com
Full-name: WRed852509
Message-ID: <29.4a91339.26433b20@cs.com>
Date: Thu, 4 May 2000 16:44:16 EDT
Subject: Fwd: Virus Education
To: orthod_l@usc.edu
MIME-Version: 1.0
Content-Type: multipart/mixed; boundary="part2_42.502813e.26433b20_boundary"
X-Mailer: CompuServe 2000 32-bit sub 101

Hi All,
I thought you would all benefit from this disertation sent to me by my IT
person.
Good Luck!  It was nice to see many of you in Chicago.  This meeting had more
technological content than any AAO meeting before it.
Ron Redmond DDS
Return-Path: <tandrews@langtech.com>
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Date: Thu, 4 May 2000 15:54:51 -0400
From: Tim Andrews <tandrews@langtech.com>
Subject: Virus Education
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From: Tim Andrews <tandrews@langtech.com>
To:
Subject: Virus Education
Date: Thu, 4 May 2000 12:50:53 -0700
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    boundary="----_=_NextPart_001_01BFB602.0E66DAE0"

 
You may have heard about this morning's world-wide virus attack called
"ILOVEYOU", and this is a perfect example of what NOT to do. Opening
attachments without first scanning them for viruses is just asking for
trouble. .exe, .com, .vbs, .js, .ws, .wsf, .bat, and .cmd files (there are
more, but these are the main ones) are executable, that is they are not data
files, they are actually code that executes. If you get any files with these
extensions, NEVER open them from your email program. In fact, don't open
them AT ALL unless you're absolutely sure that they do NOT contain malicious
code. Data files such as .jpg, .mp3, .tif, etc. cannot execute code so they
cannot contain viruses, but Microsoft Word and Excel and other Office
products can contain macros which do execute code. These programs also have
security settings to prevent unauthorized code from executing, but a virus
contained in a program (.exe., .vbs, etc.), or even a macro that someone
chooses to run, could disable this security, so you need to keep an eye on
the security settings to make sure you're protected. A program can do
anything a user can do, such as modify security settings of other programs
and delete files.
 
The Melissa and ILOVEYOU viruses work by reading the victim's address book
and sending itself to everyone in there AS THE USER WHO OPENED IT.
Therefore, it looks like it came from the user who opened the attachment.
The problem with .vbs files is that there's really no way of programatically
determining whether or not it's doing something harmful. Virus scanners have
a list of viruses and they scan for the "signature" of these viruses in
files on your system and sometimes even in email attachments, but these
signatures need to be downloaded every so often in order to have the latest
list. If a new virus hits you before its signature has been downloaded to
your antivirus software, you won't have any protection aside from knowing
not to open it. At the time of this writing, Norton's LiveUpdate still does
not contain the signature for ILOVEYOU. Some virus scanners can detect code
from unknown viruses based on known destructive patterns, but this
technology is still in its infancy and doesn't catch everything. If it did,
antivirus companies would be out of business.
 
Windows Scripting Host programs (.vbs, .js, .ws, .wsf) are very powerful
utilities but the potential for harm is also a huge concern. They are much
like .bat files, which contain DOS commands, but they're written in Visual
Basic or other scripting languages and can do anything a user can do and
more. A program that contains some code such as "myfile.delete()" is not a
bad thing, I use that command myself in scripts I create to clean up
temporary files when my script is finished. But if I said "for each file in
c:\; file.delete(); next", it would delete the entire contents of the hard
drive, which IS a bad thing. Unfortunately the actual code to do that is not
written in stone, there are many ways to do the same thing, therefore it's
practically impossible to write antivirus software that will catch these
programs before they've been discovered. So the only way to find out if a
script is harmful or not is to either have someone familiar with the
scripting language eyeball it and make a decision, or wait until some poor
victim finds out the hard way. The only foolproof method for eliminating
viruses is to never, ever, double-click on an attachment unless you're
absolutely sure that it's safe. Some files are easy, a .jpg file will never
be able to execute code on your system, but others require education. If
you're not sure, ask someone who knows or just delete it. If you must send
an executable file to someone, call them on the phone first and tell them
that the file you're about to send them is OK to execute.
 
Here is a checklist to keep your system as safe as possible:
 
1) Keep your antivirus software up to date. Most have automatic updates you
can configure. Antivirus software can't catch everything but they do help
immensely. Norton and McAfee (and some others) have server versions for NT,
Exchange, Proxy, etc. that can scan files before they even reach the user.
2) Lock down the file permissions on servers and even workstations so users
only have the access they need to get the job done. If my wife accidentally
opened the ILOVEYOU virus (she knows better), it would replicate itself to
everyone in her address book but the MP3s and JPGs on the server would be
safe because she has read-only permissions to them. Viruses can only run
with the permissions of the user who opened them.
3) Administrators, keep a separate admin account and do your day-to-day work
as a regular user. The NT Resource Kit has su.exe, which allows you to run a
program with elevated privileges by supplying the admin name and password,
so you don't have to log out to reset someone's password.
4) Don't open questionable attachments, even if it comes from someone you
know. Unfortunately, not everyone learned from the Melissa virus which was
relatively harmless. ILOVEYOU is very destructive and operates the same way.
5) Closely monitor your applications' security settings, especially Word,
Excel, Internet Explorer, Outlook, and Outlook Express. Microsoft supplies
System Policy files for the entire Office suite and IE that will enforce
settings upon login. Use them.
 
If you have any concerns about your company's security (or lack thereof),
Langtech will be able to provide a comprehensive review of the hardware,
software, and policies in your company and install any necessary software,
hardware, and system policies to make sure your computers are doing all they
can to keep themselves virus-free. The final step (and biggest security
hole) is user education, everyone should know not to open attachments unless
they're absolutely sure they're safe. They haven't written a virus (yet)
that can spread itself without the help of users.

Tim Andrews, MCSE, Sr. Systems Consultant
Langtech Systems Consulting
(800)480-8488 x204
http://www.langtech.com <http://www.langtech.com/>



 
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
You may have heard about this morning's world-wide virus attack called "ILOVEYOU", and this is a perfect example of what NOT to do. Opening attachments without first scanning them for viruses is just asking for trouble. .exe, .com, .vbs, .js, .ws, .wsf, .bat, and .cmd files (there are more, but these are the main ones) are executable, that is they are not data files, they are actually code that executes. If you get any files with these extensions, NEVER open them from your email program. In fact, don't open them AT ALL unless you're absolutely sure that they do NOT contain malicious code. Data files such as .jpg, .mp3, .tif, etc. cannot execute code so they cannot contain viruses, but Microsoft Word and Excel and other Office products can contain macros which do execute code. These programs also have security settings to prevent unauthorized code from executing, but a virus contained in a program (.exe., .vbs, etc.), or even a macro that someone chooses to run, could disable this security, so you need to keep an eye on the security settings to make sure you're protected. A program can do anything a user can do, such as modify security settings of other programs and delete files.
 
The Melissa and ILOVEYOU viruses work by reading the victim's address book and sending itself to everyone in there AS THE USER WHO OPENED IT. Therefore, it looks like it came from the user who opened the attachment. The problem with .vbs files is that there's really no way of programatically determining whether or not it's doing something harmful. Virus scanners have a list of viruses and they scan for the "signature" of these viruses in files on your system and sometimes even in email attachments, but these signatures need to be downloaded every so often in order to have the latest list. If a new virus hits you before its signature has been downloaded to your antivirus software, you won't have any protection aside from knowing not to open it. At the time of this writing, Norton's LiveUpdate still does not contain the signature for ILOVEYOU. Some virus scanners can detect code from unknown viruses based on known destructive patterns, but this technology is still in its infancy and doesn't catch everything. If it did, antivirus companies would be out of business.
 
Windows Scripting Host programs (.vbs, .js, .ws, .wsf) are very powerful utilities but the potential for harm is also a huge concern. They are much like .bat files, which contain DOS commands, but they're written in Visual Basic or other scripting languages and can do anything a user can do and more. A program that contains some code such as "myfile.delete()" is not a bad thing, I use that command myself in scripts I create to clean up temporary files when my script is finished. But if I said "for each file in c:\; file.delete(); next", it would delete the entire contents of the hard drive, which IS a bad thing. Unfortunately the actual code to do that is not written in stone, there are many ways to do the same thing, therefore it's practically impossible to write antivirus software that will catch these programs before they've been discovered. So the only way to find out if a script is harmful or not is to either have someone familiar with the scripting language eyeball it and make a decision, or wait until some poor victim finds out the hard way. The only foolproof method for eliminating viruses is to never, ever, double-click on an attachment unless you're absolutely sure that it's safe. Some files are easy, a .jpg file will never be able to execute code on your system, but others require education. If you're not sure, ask someone who knows or just delete it. If you must send an executable file to someone, call them on the phone first and tell them that the file you're about to send them is OK to execute.
 
Here is a checklist to keep your system as safe as possible:
 
1) Keep your antivirus software up to date. Most have automatic updates you can configure. Antivirus software can't catch everything but they do help immensely. Norton and McAfee (and some others) have server versions for NT, Exchange, Proxy, etc. that can scan files before they even reach the user.
2) Lock down the file permissions on servers and even workstations so users only have the access they need to get the job done. If my wife accidentally opened the ILOVEYOU virus (she knows better), it would replicate itself to everyone in her address book but the MP3s and JPGs on the server would be safe because she has read-only permissions to them. Viruses can only run with the permissions of the user who opened them.
3) Administrators, keep a separate admin account and do your day-to-day work as a regular user. The NT Resource Kit has su.exe, which allows you to run a program with elevated privileges by supplying the admin name and password, so you don't have to log out to reset someone's password.
4) Don't open questionable attachments, even if it comes from someone you know. Unfortunately, not everyone learned from the Melissa virus which was relatively harmless. ILOVEYOU is very destructive and operates the same way.
5) Closely monitor your applications' security settings, especially Word, Excel, Internet Explorer, Outlook, and Outlook Express. Microsoft supplies System Policy files for the entire Office suite and IE that will enforce settings upon login. Use them.
 
If you have any concerns about your company's security (or lack thereof), Langtech will be able to provide a comprehensive review of the hardware, software, and policies in your company and install any necessary software, hardware, and system policies to make sure your computers are doing all they can to keep themselves virus-free. The final step (and biggest security hole) is user education, everyone should know not to open attachments unless they're absolutely sure they're safe. They haven't written a virus (yet) that can spread itself without the help of users.

Tim Andrews, MCSE, Sr. Systems Consultant
Langtech Systems Consulting
(800)480-8488 x204
http://www.langtech.com

 
Date: Thu, 4 May 2000 22:57:55 -0400
From: "Roy King" <rkking@bellsouth.net>
To: <orthod-l@usc.edu>
Subject: Invisalign
Message-ID: <007001bfb63d$b709db40$2fc84fd8@pavilion>
MIME-Version: 1.0
Content-Type: multipart/alternative;
        boundary="----=_NextPart_000_006D_01BFB61C.2EEBAD40"

Dear Group,
 
It appears that everyone agrees that Invisalign will allow the general dentist to utilize its services.  Does anyone think that Invisalign will set up Invisalign Centers around the country ( similar to Smile Centers or Bleaching Centers)?
 
Sincerely,
Roy King
Jupiter,Fl
 
P.S. It was nice to see old friends at the AAO meeting.
Date: Thu, 4 May 2000 23:12:36 -0400
From: "Roy King" <rkking@bellsouth.net>
To: <orthod-l@usc.edu>
Subject: Ortho Cad
Message-ID: <008301bfb63f$c42028a0$2fc84fd8@pavilion>
MIME-Version: 1.0
Content-Type: multipart/alternative;
        boundary="----=_NextPart_000_0080_01BFB61E.3C0B2260"

To EOSC
 
What are the chances of eliminating our plaster models and substituting them with 3-D models from Ortho Cad?  The cost is $35 and the effect on the parent is high techish.  Will the ABO accept?  The images are watermark to show no tampering.It appears that high tech is rapidly changing orthodontics.  Does anyone have any opinions on how Acuscape is going to effect ou diagnosis in orthodontics?  It is certainly an exciting technology.
 
Go Gators!
Roy King
The Planet before Saturn,Fl
Date: Fri, 05 May 2000 07:54:59 -0400
From: g russell frankel <gr5@cinci.rr.com>
To: orthod-l@usc.edu
Subject: associates
Message-ID: <3912B693.310184FE@cinci.rr.com>
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit

for those looking for associates out of residencies:
Reaching the end of a job interview, the Human Resources
Person asked a young Engineer fresh out of MIT, "And what
starting salary were you looking for?"

The Engineer said, "In the neighborhood of $125,000 a year,
depending on the benefits package."

The interviewer said, "Well, what would you say to a package
of 5 weeks vacation, 14 paid holidays, full medical and dental,
company matching retirement fund to 50% of salary, and a
company car leased every 2 years - say, a red Corvette?"

The Engineer sat up straight and said, "Wow! Are you kidding?"
And the interviewer replied, "Yeah, but you started it."

g r frankel

                            ORTHOD-L Digest 698

Topics covered in this issue include:

  1) ESCO - The Electronic Study Club for Orthodontics
        by Joseph Zernik <orthodl@hsc.usc.edu>
  2) ESCO - The Electronic Study Club for Orthodontics
        by Joseph Zernik <orthodl@hsc.usc.edu>
  3) Re: Patient Survey
        by MDLhome <mdlively@gate.net>
  4) Re: Ortho Cad
        by WRed852509@cs.com
  5) Re: Invisalign
        by YURFEST@aol.com
  6) Re: Patient Survey
        by Ted Schipper <ted.schipper@utoronto.ca>
  7) Invisalign
        by Orthodmd@aol.com
  8) funny engineering story
        by Orthodmd@aol.com
  9)
        by "erx007tr" <erx007tr@libero.it>
 10) Transfer patient
        by atindall <atindall@dove.net.au>
Date: Mon, 08 May 2000 18:03:13 -0700
From: Joseph Zernik <orthodl@hsc.usc.edu>
To: ORTHOD-L@usc.edu
Subject: ESCO - The Electronic Study Club for Orthodontics
Message-ID: <3.0.6.32.20000508180313.007d3780@hsc.usc.edu>
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"




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. 

* What information can you get on ESCO?

* How to subscribe to ESCO?

* How to change your address?

* How to post messages on ESCO?

For answers to these questions and more, please check our web site:
http://www-hsc.usc.edu/~jzernik/eclub.htm

Enjoy!

Sincerely,

Joseph H. Zernik, D.M.D. Ph.D.
Professor, Department of Orthodontics
University of Southern California
http://www-hsc.usc.edu/~jzernik/

4


Date: Mon, 15 May 2000 12:21:28 -0700
From: Joseph Zernik <orthodl@hsc.usc.edu>
To: ORTHOD-L@usc.edu
Subject: ESCO - The Electronic Study Club for Orthodontics
Message-ID: <3.0.6.32.20000515122128.007d7100@hsc.usc.edu>
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"




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. 

* What information can you get on ESCO?

* How to subscribe to ESCO?

* How to change your address?

* How to post messages on ESCO?

For answers to these questions and more, please check our web site:
http://www-hsc.usc.edu/~jzernik/eclub.htm

Enjoy!

Sincerely,

Joseph H. Zernik, D.M.D. Ph.D.
Professor, Department of Orthodontics
University of Southern California
http://www-hsc.usc.edu/~jzernik/

5





Date: Fri, 05 May 2000 13:46:43 -0400
From: MDLhome <mdlively@gate.net>
To: orthod-l@usc.edu
Subject: Re: Patient Survey
Message-ID: <39130903.9439F6F9@gate.net>
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit

Hi Tim:

Up until a year ago, we used to send out a survey to all active patients
in treatment at their six month mark.   We would simply run a report on
all patients that became ACT for a certain month six months earlier.

We asked questions pertaining to service provided, ease in financing,
attention to details, ease in making appointments, perception as if our
office ran on time, comfort and of course if they thought things were
going more smoothly than they had intended.  These questions had
multiple choice answers along with blanks for comments.  I also asked
that they make comments about the staff - positive and negative.

They could sign their name or not.  We had close to an 80% response
rate.  We would send out one color for adult patients and one for
parents of patients.  After doing this for three years and fine tuning
the office based on constructive criticisms, we stopped sending out the
forms.  Stopping had more to do with not knowing how to run the same
report with our new system than not being interested in parent/patient
comments anymore.

I would highly recommend it.  I would also tell you not to bother doing
it if you are only looking for the praises.  You had better have some
thick skin and be open minded.  Some comments are ridiculous but at
least you get a better idea of what is expected of you and what the
patient/parent perception might be.

Good luck,  Mark

--

Mark David Lively, DMD
mdlively@gate.net

Lively Orthodontics, P.A.
106 N. Colorado Avenue
Stuart,  FL  34990


Date: Fri, 5 May 2000 17:47:20 EDT
From: WRed852509@cs.com
To: orthod-l@usc.edu
Subject: Re: Ortho Cad
Message-ID: <c5.506c42c.26449b68@cs.com>
MIME-Version: 1.0
Content-Type: text/plain; charset="US-ASCII"
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Hey Roy,
I'm here in Lyon, France following the AAO meeting (and my wife).  We have
been using OrthoCad for about 6 months, but impressions are still necessary. 
Redmond Orthodontics has agreed to beta test Orametrics which does intraoral
scanning, produces a 3D model which can be segregated into individual teeth
and then diagnostic setups are possible.  Expansion, interproximal reduction,
extraction patterns, etc.  Once you decide on treatment, then Orametrics
provides indirect bonding trays with brackets of your choice and archwires to
get from beginning to end with least change.  Imagine the effect of knowing
from visit to visit how much tooth movement has taken place (and if it is in
the proper direction).  This would require scanning at each visit, but think
of the possibilities.  My two sons and I have a bet as to whose treatment
protocol will more quickly achieve the finished result.  Also, we will
determine if 2 week or 12 week intervals are better (or something in
between). 
It appears we have a dichotomy, Invisalign or Oralmetrics, but maybe they
will survive side-by-side.  What a wonderful time for orthodontists!  We have
never had the capability to micro-measure our techniques, but now it is
available.  Who will survive?  Wait for the next chapter of "Day of Our Lives
(Orthodontics)." 
I think I have consumed too much wine tonight, but I hope you understand my
concept.
It was certainly nice to see all you computer "geeks" in Chicago.
Ron Redmond DDS
Lyon, France
ronredmond@compuserve.com
Date: Fri, 5 May 2000 21:46:17 EDT
From: YURFEST@aol.com
To: orthod-l@usc.edu
Subject: Re: Invisalign
Message-ID: <22.5663ec7.2644d369@aol.com>
MIME-Version: 1.0
Content-Type: text/plain; charset="US-ASCII"
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I remember when the big worry was that pedodontists and GP's would take all
the ortho cases by using straight wire brackets. I suggest we worry about our
stock portfolios instead.  
Paul Yurfest
Atlanta, GO BRAVES!!
Date: Fri, 05 May 2000 22:46:16 -0400
From: Ted Schipper <ted.schipper@utoronto.ca>
To: orthod-l@usc.edu
Subject: Re: Patient Survey
Message-ID: <39138777.13896C31@utoronto.ca>
MIME-Version: 1.0
Content-Type: multipart/alternative;
 boundary="------------AF7BD0E2655DA607B35F86B6"

Never done it, but the information I have received is to let an experienced outside 3rd party handle it for you. TGS.

"Dr. Tim Dumore" wrote:

 Greetings,    I intend to send an anonymous survey to my patients with the hope of getting some feedback on how our team is doing (?Do I really want to do this!).  I have an idea of some of the questions that I would like to ask, but I wonder if anyone else has ever done this before.  Anyone care to share their thoughts?

Date: Sat, 6 May 2000 06:35:23 EDT
From: Orthodmd@aol.com
To: orthod-l@usc.edu
Subject: Invisalign
Message-ID: <37.4cdedda.26454f6b@aol.com>
MIME-Version: 1.0
Content-Type: text/plain; charset="US-ASCII"
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Dear Group,

It appears that everyone agrees that Invisalign will allow the general =
dentist to utilize its services.  Does anyone think that Invisalign will =
set up Invisalign Centers around the country ( similar to Smile Centers =
or Bleaching Centers)?

Sincerely,
Roy King
Jupiter,Fl


I would like to point out that the introduction of "straightwire" 20 years
ago was viewed as a way to let the "general dentist's nose under the tent of
orthodontics."  While it certainly has had an effect of making us less
exclusive, it really does not seem to be a major problem. 

I predict that Invisalign will do something similar.  Yes, it will have an
effect; yes they most likely will open Invisalign franchises; and for those
of you who thought they bought a franchise when you went through your ortho
residencies, welcome to the reality of modern business.  Not just for ortho
is the world more and more competitive.

You may have noticed that Unitek has done very well since the Ormco bought A
Company.  Unitek did not stand on the sidelines and say, "Gee, we already
have 20% market share.  That's enough.  Ormco deserves a chance also."  The
Unitek reps worked the situation hard and converted two major accounts in my
area from Ormco to Unitek.  That's business.  I for one don't see a problem.

As far as technology taking over the market place, it was a great meeting.  I
would love to have a Suresmile robot in the lab.  If I could afford that, I
would stop buying large size gloves.  Now that I think about it, I need to
run a cost benefit analysis on the cost of gloves vs. the cost of the
Suresmile scanner and robot.

Seriously, the world changes but not everything sticks.  Some years ago,
Dolphin started as a way to eliminate xrays for cephs.  We were all going to
scan our patients and create an "image" but not a ceph.  Last I looked, no
one is doing that and Dolphin has metamorphisized into a more traditional
imaging company.

I also looked at the Serona (sic?) Digital Xray machine which involved CCD
technology.  $55,000.  That means $110,000 if you have two offices.  Maybe
that will fly and maybe not.  Great images but the CCD is very fragile and it
has to be physcially move from the ceph to the pan locations on the machine. 
This means that it is going to be moved multiple times per day.

I asked the rep how fragile a CCD unit was since I had heard that was a
problem.  She told me that they teach the DA's that they need to think of the
CCD as a newborn.  In other words, no dropping allowed.  For those of you
without OB-GYN trained DA's, $8,000 for a replacement CCD although you
probably can buy a rider for your insurance. 

Still a great system with great technology except the patient has to stand
still for 14 seconds for a ceph.  I have some young patients who can't stand
still for a 0.5 sec ceph.  Time will tell.  Actually, this will probably fly.

Anyone else care to make specific comments about things they saw.

Charlie Ruff
Date: Sat, 6 May 2000 06:35:22 EDT
From: Orthodmd@aol.com
To: orthod-l@usc.edu
Subject: funny engineering story
Message-ID: <9b.49e0d9e.26454f6a@aol.com>
MIME-Version: 1.0
Content-Type: text/plain; charset="US-ASCII"
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for those looking for associates out of residencies:
Reaching the end of a job interview, the Human Resources
Person asked a young Engineer fresh out of MIT, "And what
starting salary were you looking for?"

The Engineer said, "In the neighborhood of $125,000 a year,
depending on the benefits package."

The interviewer said, "Well, what would you say to a package
of 5 weeks vacation, 14 paid holidays, full medical and dental,
company matching retirement fund to 50% of salary, and a
company car leased every 2 years - say, a red Corvette?"

The Engineer sat up straight and said, "Wow! Are you kidding?"
And the interviewer replied, "Yeah, but you started it."

g r frankel

I know this is a funny story but the reality of the market place is very
close to the first part of the story, not the second part.  All I hear is how
hard it is to find an associate.  This is a nightmare for the senior ortho
who truly wants to retire.  He or she can't.

For work dogs like me, I intend to let my estate worry about the practice.

Best wishes

Charlie Ruff
Date: Wed, 10 May 2000 10:24:35 +0200
From: "erx007tr" <erx007tr@libero.it>
To: "ESCO - ORTODONZIA" <ORTHOD-L@USC.EDU>
Message-ID: <002401bfba59$2dcf9de0$20851c97@celeron>
MIME-Version: 1.0
Content-Type: multipart/alternative;
        boundary="----=_NextPart_000_0021_01BFBA69.F0212660"

HELLO
what can I do when there is agenesia of 2 lower prem and ankylosis of E in a patient female 17 ys old.
I don't want to extract E and (maybe 15-25) and close the spaces: she 's a deep bite.
 
your sicerely
dr errico Bucci Orthodontist
Date: Mon, 15 May 2000 20:38:23 +0930
From: atindall <atindall@dove.net.au>
To: Ortho Study Club <orthod-l@usc.edu>
Subject: Transfer patient
Message-ID: <391FDAA6.AB60558A@dove.net.au>
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit

Dear group,
A patient I am currently treating is moving to Washington D.C. later
this year. Can anyone help with continuing her treatment. I am treating
her with the Begg Lightwire technique and I would prefer that this be
continued rather than having to change brackets .
Andrew Tindall
Adelaide
Australia
atindall@dove.net.au.

                            ORTHOD-L Digest 699

Topics covered in this issue include:

  1) ESCO - The Electronic Study Club for Orthodontics
        by Joseph Zernik <orthodl@hsc.usc.edu>
  2) Re: funny engineering story
        by MDLhome <mdlively@gate.net>
  3) RE:
        by ABRAHAM LIFSHITZ <alifshitz@mexis.com>
  4) Will work for food
        by Roncone <roncone@hsc.usc.edu>
Date: Sun, 21 May 2000 18:29:43 -0700
From: Joseph Zernik <orthodl@hsc.usc.edu>
To: ORTHOD-L@usc.edu
Subject: ESCO - The Electronic Study Club for Orthodontics
Message-ID: <3.0.6.32.20000521182943.007acbb0@hsc.usc.edu>
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"




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. 

* What information can you get on ESCO?

* How to subscribe to ESCO?

* How to change your address?

* How to post messages on ESCO?

For answers to these questions and more, please check our web site:
http://www-hsc.usc.edu/~jzernik/eclub.htm

Enjoy!

Sincerely,

Joseph H. Zernik, D.M.D. Ph.D.
Professor, Department of Orthodontics
University of Southern California
http://www-hsc.usc.edu/~jzernik/

6

Date: Mon, 15 May 2000 21:05:56 -0400
From: MDLhome <mdlively@gate.net>
To: orthod-l@usc.edu
Subject: Re: funny engineering story
Message-ID: <39209EF4.B7B030DA@gate.net>
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit



Orthodmd@aol.com wrote:

> for those looking for associates out of residencies:
> Reaching the end of a job interview, the Human Resources
> Person asked a young Engineer fresh out of MIT, "And what
> starting salary were you looking for?"
>
> The Engineer said, "In the neighborhood of $125,000 a year,
> depending on the benefits package."
>
> The interviewer said, "Well, what would you say to a package
> of 5 weeks vacation, 14 paid holidays, full medical and dental,
> company matching retirement fund to 50% of salary, and a
> company car leased every 2 years - say, a red Corvette?"
>
> The Engineer sat up straight and said, "Wow! Are you kidding?"
> And the interviewer replied, "Yeah, but you started it."
>
> g r frankel
>
> I know this is a funny story but the reality of the market place is very
> close to the first part of the story, not the second part.  All I hear is how
> hard it is to find an associate.  This is a nightmare for the senior ortho
> who truly wants to retire.  He or she can't.
>
> For work dogs like me, I intend to let my estate worry about the practice.
>
> Best wishes
>
> Charlie Ruff

Not to sound ludicrous but what if one had to finish all of their patients and
then close the doors.  Equipment was written off, building that they owned could
be leased for additional income or sold and one's savings  would be used for
retirement (the way it was supposed to be used).  So, what if you could not sell
that practice?  Would it really be the end of the world?  Are we really that
dependent on what we may or not sell our practices for?

Considering that most in the workforce do not own their own businesses but rather
work for someone else, how do they manage to live out their lives with no
business to sell at the end.  Although the sale of a practice is everyone's
desire, is the thought of possibly not doing so the end of the world?  Is it
worth selling to a MSO just in case?

I do hope that I have saved enough in the end that the sale of my practice does
not make a difference.  We are part of a great profession that rewards us
handsomely.  My wife has already told me that I am giving the practice to my kids
so I am planning on living off of my savings and not the value of my practice.
If my kids do not go into this great profession and I end up selling my practice
for a buck, the grandkids will be guaranteed a great education and I get to
splurge or make a few charities very happy.

In the end, if we do not bank on selling our business for retirement, our mindset
will be different and we will plan around it.  Then selling it simply becomes
icing on the cake rather than the focus of our retirement.  I know my financial
adviser never considered the sale of my practice part of our retirement plan.

What do I know?  I am just a 10 year veteran with some distance between now and
then.  Maybe I will change my mind when retirement grows nearer.  I do know that
it is not a part of my retirement package at this point in my life.  Goodwill is
great but sometimes difficult to sell.  Hard assets' values may change but they
still have some value.

Mark

--

Mark David Lively, DMD
mdlively@gate.net

Lively Orthodontics, P.A.
106 N. Colorado Avenue
Stuart,  FL  34990


Date: Tue, 16 May 2000 21:37:59 -0500
From: ABRAHAM LIFSHITZ <alifshitz@mexis.com>
To: erx007tr <erx007tr@libero.it>, ESCO - ORTODONZIA <ORTHOD-L@USC.EDU>
Subject: RE:
Message-ID: <005101bfbfa9$4bb514c0$db93e994@computer>
MIME-version: 1.0
Content-type: multipart/alternative;
 boundary="----=_NextPart_000_003A_01BFBF7F.019BC200"

Enrico:
If the patient has a deep bite, I would suggest you to avoid any extraction, because, that will deepen the bite.
I hope this helps.
Sincerely,
 
Abraham B. Lifshitz D.D.S., M.S.
Professor
Graduate Orthodontic Program
Intercontinental University
College of Dentistry
Mexico City, Mexico
           *
Editor in Chief
The Orthodontic CYBERjournal (OC-J)
http://www.OC-J.com
 

----- Original Message -----
From: erx007tr
To: ESCO - ORTODONZIA
Sent: Wednesday, May 10, 2000 3:24 AM

HELLO
what can I do when there is agenesia of 2 lower prem and ankylosis of E in a patient female 17 ys old.
I don't want to extract E and (maybe 15-25) and close the spaces: she 's a deep bite.
 
your sicerely
dr errico Bucci Orthodontist

Date: Wed, 17 May 2000 20:43:45 -0700
From: Roncone <roncone@hsc.usc.edu>
To: orthod-l@usc.edu
Subject: Will work for food
Message-ID: <3.0.32.20000517204238.00692108@pop.primenet.com>
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"

Dear ESCO Members,

Anyone catch the May 22nd issue of Time Magazine (p. 73)?  They did an
article about the 10 hottest jobs of the next decade and the 10 jobs that
will disappear.  Number six on the list of jobs soon to
disappear......orthodontists.  Apparently these little, computer-generated
plastic things called "aligners" will soon make our profession obsolete.
Guess I should pull out and dust off the ol' resume.  Alternately, I could
tear up my ortho certificate, practice as a GP, and wait for my friendly
Invisalign rep to come knocking.

Chris Roncone
Vista, CA

                            ORTHOD-L Digest 700

Topics covered in this issue include:

  1) ESCO - The Electronic Study Club for Orthodontics
        by Joseph Zernik <orthodl@hsc.usc.edu>
  2) American Journal of Orthodontics and Dentofacial Orthopedics
  May 2000,  Vol. 117, No. 5
        by "Harcourt Health Sciences eTOC Service" <periodicals.web@mosby.com> (by way of Joseph Zernik <jzernik@hsc.usc.edu>)
  3) response to recent TIME issue
        by Caitlin Murphy <caitlin@fenton.com>
  4) Re: ORTHOD-L digest 699
        by Ormond Grimes <ogrimes@internetpro.net>
  5) Wilkodontics
        by Ted Schipper <ted.schipper@utoronto.ca>
  6) Re: New Engaland Orthorodontisssstsss
        by =?iso-8859-1?q?blair=20ADAMS?= <adams519@yahoo.com>
  7) 20th Congress of the EBSO, Jerusalem, ISRAEL 2001
        by "Tom Weinberger" <tomwein@cc.huji.ac.il>
Date: Fri, 26 May 2000 15:10:56 -0700
From: Joseph Zernik <orthodl@hsc.usc.edu>
To: ORTHOD-L@usc.edu
Subject: ESCO - The Electronic Study Club for Orthodontics
Message-ID: <3.0.6.32.20000526151056.007e1530@hsc.usc.edu>
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"




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. 

* What information can you get on ESCO?

* How to subscribe to ESCO?

* How to change your address?

* How to post messages on ESCO?

For answers to these questions and more, please check our web site:
http://www-hsc.usc.edu/~jzernik/eclub.htm

Enjoy!

Sincerely,

Joseph H. Zernik, D.M.D. Ph.D.
Professor, Department of Orthodontics
University of Southern California
http://www-hsc.usc.edu/~jzernik/

7




Date: Sun, 21 May 2000 23:12:53 -0700
From: "Harcourt Health Sciences eTOC Service" <periodicals.web@mosby.com> (by way of Joseph Zernik <jzernik@hsc.usc.edu>)
To: ORTHOD-L@USC.EDU
Subject: American Journal of Orthodontics and Dentofacial Orthopedics
  May 2000,  Vol. 117, No. 5
Message-ID: <3.0.5.32.20000521231253.008fc4f0@hsc.usc.edu>
Mime-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 8bit

American Journal of Orthodontics and Dentofacial Orthopedics
Table of Contents for May 2000, Vol. 117, No. 5
http://www.mosby.com/ajodo
--------------------------------------------------------------
American Association of Orthodontists: A Century of Smiles

Orthodontia: Its outlook
Rolf G. Behrents
Dallas, Tex
http://www1.mosby.com/scripts/om.dll/serve?article=a106121

Vignette: T. M. Graber
Lee Graber
Kenilworth, Ill
http://www1.mosby.com/scripts/om.dll/serve?article=a106017

The American Association of Orthodontist at 2000: Some thoughts for the
new millennium
Ronald S. Moen
St Louis, Mo
http://www1.mosby.com/scripts/om.dll/serve?article=a106935

The American Association of Orthodontists: For our common good, today
and tomorrow
Mervin W. Graham, Michael D. Rennert
Denver, Colo and Montreal, Canada
http://www1.mosby.com/scripts/om.dll/serve?article=a106338

American Board of Orthodontics: Past, present, and future
James L. Vaden, Vincent G. Kokich
Cookeville, Tenn, and Tacoma, Wash
http://www1.mosby.com/scripts/om.dll/serve?article=a106023

American Association of Orthodontists Foundation: Past, present, and
future
John K. Pershing, Jr, Daniel E. Even
Hastings, Neb, and Orange, Calif
http://www1.mosby.com/scripts/om.dll/serve?article=a106279

The World Federation of Orthodontists: “Bringing the world together”
William H. DeKock, Lee W. Graber
Cedar Rapids, Iowa, and Kenilworth, Ill
http://www1.mosby.com/scripts/om.dll/serve?article=a106024

Toward understanding the molecular basis of craniofacial growth and
development
Harold Slavkin
Bethesda, Md
http://www1.mosby.com/scripts/om.dll/serve?article=a106502

Stop me before I write again ...
Lysle E. Johnston
Ann Arbor, Mich
http://www1.mosby.com/scripts/om.dll/serve?article=a105875

Evidence-based treatment strategies: An ambition for the future
Anthony A. Gianelly
Boston, Mass
http://www1.mosby.com/scripts/om.dll/serve?article=a105876

The evolution of orthodontics to a data-based specialty
William R. Proffit
Chapel Hill, NC
http://www1.mosby.com/scripts/om.dll/serve?article=a106011

Clinical research about clinical treatment: A new agenda for a new
century
Sheldon Baumrind
Berkeley, Calif
http://www1.mosby.com/scripts/om.dll/serve?article=a106015

Tomorrow’s challenges for the science of orthodontics
Peter M. Sinclair
Los Angeles, Calif
http://www1.mosby.com/scripts/om.dll/serve?article=a106339

The contributions of craniofacial growth to clinical orthodontics
Ram S. Nanda
Oklahoma City, Okla
http://www1.mosby.com/scripts/om.dll/serve?article=a106118

A statement regarding early treatment
Robert M. Ricketts
Scottsdale, Ariz
http://www1.mosby.com/scripts/om.dll/serve?article=a106020

The significance of late developmental crowding to early treatment
planning for incisor crowding
Donald G. Woodside
Toronto, Ontario, Canada
http://www1.mosby.com/scripts/om.dll/serve?article=a106117

Orthodontic relapse versus natural development
Birgit Thilander
G&ouml;teborg, Sweden
http://www1.mosby.com/scripts/om.dll/serve?article=a106019

Serial extraction ... nobody does that anymore!
Jack G. Dale
Toronto, Ontario, Canada
http://www1.mosby.com/scripts/om.dll/serve?article=a106014

Maxillary transverse deficiency
James A. McNamara, Jr
Ann Arbor, Mich
http://www1.mosby.com/scripts/om.dll/serve?article=a105879

Dentofacial orthopedics or orthognathic surgery: Is it a matter of age?
Hans Pancherz
Giessen, Germany
http://www1.mosby.com/scripts/om.dll/serve?article=a105575

Orthodontics about face: The re-emergence of the esthetic paradigm
David M. Sarver, James L. Ackerman
Birmingham, Ala, and Bryn Mawr, Pa
http://www1.mosby.com/scripts/om.dll/serve?article=a106018

The mysteries of asymmetries
Donald R. Joondeph
Seattle, Wash
http://www1.mosby.com/scripts/om.dll/serve?article=a106221

2D or not 2D? That is the question
J. P. Moss
London, England
http://www1.mosby.com/scripts/om.dll/serve?article=a106025

Looking back and forward through my career in orthodontics
Fujio Miura
Tokyo, Japan
http://www1.mosby.com/scripts/om.dll/serve?article=a105880

Orthodontic magic
James L. Vaden
Cookeville, Tenn
http://www1.mosby.com/scripts/om.dll/serve?article=a106016

Clubs, quips, phrases, and hype: Musings for the new millennium
Harry L. Dougherty
Los Angeles, Calif
http://www1.mosby.com/scripts/om.dll/serve?article=a106431

Orthodontic biomechanics: Vistas from the top of a new century
Robert P. Kusy
Chapel Hill, NC
http://www1.mosby.com/scripts/om.dll/serve?article=a106281

Orthodontic bonding to artificial tooth surfaces: Clinical versus
laboratory findings
Björn U. Zachrisson
Oslo, Norway
http://www1.mosby.com/scripts/om.dll/serve?article=a106022

Ceramic brackets and the need to develop national standards
Samir E. Bishara
Iowa City, Iowa
http://www1.mosby.com/scripts/om.dll/serve?article=a105874

Orthodontics as a science: The role of biomechanics
Charles Burstone
Farmington, Conn
http://www1.mosby.com/scripts/om.dll/serve?article=a106013

Enhancing the value of orthodontic treatment: Incorporating effective
preventive dentistry into treatment
Robert L. Boyd
San Francisco, Calif
http://www1.mosby.com/scripts/om.dll/serve?article=a106021

The evolutionary tidal wave
R. G. “Wick” Alexander
Arlington, Tex
http://www1.mosby.com/scripts/om.dll/serve?article=a105877

Contemporary technology-centered practice
David L. Turpin
Seattle, Wash
http://www1.mosby.com/scripts/om.dll/serve?article=a106120

One viewpoint on teaching clinical orthodontics
Robert J. Isaacson
Richmond, Va
http://www1.mosby.com/scripts/om.dll/serve?article=a106119

The winds of change
Alex Jacobson
Birmingham, Ala
http://www1.mosby.com/scripts/om.dll/serve?article=a106012

Orthodontics in the next 100 years: Prediction or speculation?
Larson R. Keso
Oklahoma City, Okla
http://www1.mosby.com/scripts/om.dll/serve?article=a106009

The decade ahead: Finding a better way
Arthur A. Dugoni
San Francisco, Calif
http://www1.mosby.com/scripts/om.dll/serve?article=a106010

Pride in orthodontics
T. M. Graber
Chicago, Ill
http://www1.mosby.com/scripts/om.dll/serve?article=a106280

In Memoriam

William A. Mitchell, Jr
http://www1.mosby.com/scripts/om.dll/serve?article=aod1175621

Ortho Bytes

Do you have a satellite office in cyberspace?
James K. Mah
http://www1.mosby.com/scripts/om.dll/serve?article=a107638

Litigation, Legislation, and Ethics

If a professional practice is a small business...
Laurance Jerrold
Massapequa, NY
http://www1.mosby.com/scripts/om.dll/serve?article=aod1175624

Department of Reviews and Abstracts

Evaluation of a hyperbolic mathematical model to describe human
mandibular growth and development
J. Reutter
http://www1.mosby.com/scripts/om.dll/serve?article=jod001175br01

A systematic review of the relationship between overjet size and
traumatic dental injuries
Q. V. Nguyen, P. D. Bezemer, L. Habets, B. Prahl-Andersen
http://www1.mosby.com/scripts/om.dll/serve?article=jod001175br02

Skeletal and dental changes following the use of the Frankel functional
regulator
C. D. J. Rushforth, P. H. Gordon, J. C. Aird
http://www1.mosby.com/scripts/om.dll/serve?article=jod001175br03

Breathing obstruction in relation to craniofacial and dental arch
morphology in 4 year-old children
Lofstrand-Tidestrom B. Thilander, J. Ahlqvist-Rastad, O. Jakobsson, E.
Hultcrabtz
http://www1.mosby.com/scripts/om.dll/serve?article=jod001175br04

The effect of mechanical stress cycling on recycled human teeth: A dual
part study
K. Kapus
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Directory: AAO Officers and Organizations

The American Association of Orthodontists, its constituent societies,
the American Board of Orthodontists, the American Association of
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Diplomates of the American Board of Orthodontics
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Date: Mon, 22 May 2000 15:42:08 -0400
From: Caitlin Murphy <caitlin@fenton.com>
To: orthod-l@usc.edu
Subject: response to recent TIME issue
Message-ID: <4.2.2.20000522153241.00a44100@199.245.22.2>
Mime-Version: 1.0
Content-Type: multipart/alternative;
        boundary="=====================_7136604==_.ALT"

TIME magazine's May 22 issue ran a story predicting the 10 upcoming hottest jobs and the 10 jobs headed for extinction (pp. 72-73).  They mention orthodontists in the latter category, and base this claim on the advances in the industry made by the Invisalign System (created by Align Technology).  Please read on for Align's response to this article, which reflects the company's position on this issue.
Thank you.

Dear TIME editors,

Your tongue-in-cheek article "What Will Be the 10 Hottest Jobs and What Jobs Will Disappear” [May 22] was an interesting read, but flawed in prophesizing the demise of orthodontists.  I’m the President and Co-Founder of Align Technology, makers of the Invisalign System (you mention our aligners in your article).  It’s simply untrue that computer advances will render orthodontists obsolete.  While Invisalign’s ability to straighten adult teeth (through a series of removable, clear plastic aligners) is made possible by advanced 3-D imaging technology, the system relies on the diagnostic expertise and treatment skills of orthodontists to work.

Adults currently make up approximately 20% of all orthodontic cases, though an estimated 2/3 to 3/4 of the adult population could benefit from orthodontic treatment.  Adults wanted an alternative to metal braces.  Now, with Invisalign on the market, we expect many more adults will get their teeth straightened.  More adults in treatment could actually mean we need more, not fewer, orthodontists.  Already more than one-third of US orthodontists have been certified to use Invisalign.  Invisalign is now available commercially across the US and Canada.  For more information, readers can visit the website at www.invisalign.com.

Sincerely,

Kelsey Wirth
President
Align Technology, Inc. Sunnyvale, California
(408) 738-7101
Date: Mon, 22 May 2000 22:41:15 -0500
From: Ormond Grimes <ogrimes@internetpro.net>
To: orthod-l@usc.edu
Subject: Re: ORTHOD-L digest 699
Message-ID: <3929FDD4.DADE6B1E@internetpro.net>
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit

Mark Lively wrote:

>Not to sound ludicrous but what if one had to finish all of their
patients and
>then close the doors.  Equipment was written off, building that they
owned could
>be leased for additional income or sold and one's savings  would be
used for
>retirement (the way it was supposed to be used).  So, what if you could
not sell
>that practice?  Would it really be the end of the world?  Are we really that
>dependent on what we may or not sell our practices for?

My reply: 

I am the other end, Mark, having practiced almost four times as long as
your ten years.  I don't own my building. I rent.  My office is in an
expensive prime spot in my town.  I have equipment that has not been
written off yet because it was bought only a few years ago.  I try to
keep my technique up to date by going to clinics, meetings, etc.  I
cannot see myself paying the overhead (rent, utilities, salaries, etc.)
I would have to pay to finish all of my patients. How can I afford to do
this when the last few patients occupy the time previously allocated for
several hundred? I do not depend on selling my practice for my
retirement.   I would like to choose and train someone who would make
the transition much easier for the patients,  and for me.  If I can get
some compensation for this, so much the better.  With graduates looking
for the big time practice, I'm afraid I may be out of the loop. My
practice is small--less than 300 K/year.  I am sort of at a loss to be
able to know how I might successfully make this transition.  I wish it
were as simple for me as it apparently is for you.  Orm
--
Orm's Web Site is <http://www.Rainbow-Ortho.org>
Mailto:HeyOrm@Orthodontist.net
Date: Tue, 23 May 2000 22:53:55 -0400
From: Ted Schipper <ted.schipper@utoronto.ca>
To: Orthodontic List <orthod-l@usc.edu>
Subject: Wilkodontics
Message-ID: <392B4443.9ED0066E@utoronto.ca>
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit

Anybody heard of a technique called "Wilkodontics" (I think that's what
it's called) whereby corticotomies are done to speed tooth movement? Any
information would helpful. TGS.

Date: Tue, 23 May 2000 18:37:20 -0700 (PDT)
From: blair ADAMS <adams519@yahoo.com>
To: orthod-l@usc.edu
Subject: Re: New Engaland Orthorodontisssstsss
Message-ID: <20000524013720.12981.qmail@web906.mail.yahoo.com>
MIME-Version: 1.0
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 8bit


--- orthod-l@usc.edu wrote: >
>                           ORTHOD-L Digest 677
> y is it; we never c any of r colleegs frum ortho
scoool x ept charli ruff; y is he d only 1 who has any
presnentz on this web site, i look n i look n no
matter wer i g o or wat couses i take non of my
co-educashunists show up at meetings courses or
convenshuns ????????????????????????????

__________________________________________________
Do You Yahoo!?
Send instant messages & get email alerts with Yahoo! Messenger.
http://im.yahoo.com/
Date: Wed, 24 May 2000 09:59:05 +0300
From: "Tom Weinberger" <tomwein@cc.huji.ac.il>
To: <orthod-l@usc.edu>
Subject: 20th Congress of the EBSO, Jerusalem, ISRAEL 2001
Message-ID: <000a01bfc54d$8e3bca60$2e0d4084@benjywtcs>
MIME-Version: 1.0
Content-Type: multipart/mixed;
        boundary="----=_NextPart_000_0006_01BFC566.B251BAE0"

 
Attachment Converted: "C:\Program Files\UICNSKit\Eudora\Attach\The European Begg Society of Orthodontics1.doc"
                            ORTHOD-L Digest 701

Topics covered in this issue include:

  1) ESCO - The Electronic Study Club for Orthodontics
        by Joseph Zernik <orthodl@hsc.usc.edu>
  2) ABO in Halifax
        by Orthodmd@aol.com
  3) Retirement issues
        by "Richard Vlock" <rvlock@klink.net>
  4) transition
        by g russell frankel <gr5@cinci.rr.com>
  5) sterilizers
        by "William R. Hyman" <babbitecho@earthlink.net>
  6) Wilckodontics and more
        by Drted35@aol.com
  7) bracket design
        by "jose maria feliu" <jfeliu@airtel.net>
Date: Tue, 30 May 2000 14:16:28 -0700
From: Joseph Zernik <orthodl@hsc.usc.edu>
To: ORTHOD-L@usc.edu
Subject: ESCO - The Electronic Study Club for Orthodontics
Message-ID: <3.0.6.32.20000530141628.007a1950@hsc.usc.edu>
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"




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. 

* What information can you get on ESCO?

* How to subscribe to ESCO?

* How to change your address?

* How to post messages on ESCO?

For answers to these questions and more, please check our web site:
http://www-hsc.usc.edu/~jzernik/eclub.htm

Enjoy!

Sincerely,

Joseph H. Zernik, D.M.D. Ph.D.
Professor, Department of Orthodontics
University of Southern California
http://www-hsc.usc.edu/~jzernik/

8


Date: Fri, 26 May 2000 22:04:40 EDT
From: Orthodmd@aol.com
To: orthod-l@usc.edu
Subject: ABO in Halifax
Message-ID: <c0.439b0da.26608738@aol.com>
MIME-Version: 1.0
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

For all of those planning on attending the College of Diplomates meeting in
Halifax, please leave your deodorant at home or be prepared to be arrested
for criminal assault.

Charlie Ruff


    HALIFAX, Nova Scotia - Perfume is meant to provoke passion, but not the
sort stirring this
      historic seaport.

 To the horror of perfume makers worldwide, Halifax has become the first
major center in North
 America to prohibit the wearing of all cosmetic fragrances - from Giorgio to
grandmother's lavender
 soap - in most indoor public places, including municipal offices, libraries,
hospitals, classrooms, courts,
 and mass transit buses.

 With little fanfare, and less public debate, a city renowned for its sea
breezes and friendly folk has
 declared underarm deodorant, herbal shampoos, colognes, and other scented
products to be hazardous
 to public health - or at least too politically incorrect to be countenanced.
The ban, backed by ardent
 scent opponents, reflects not only concern for people discomforted by
fragrances but a grim new
 environmental view that sees a morning slap of aftershave as a blow against
Mother Earth.

 ''Aromatic chemicals are poisoning people and the planet as much as tobacco
or pesticides,'' said
 Karen Robinson, an anti-scent campaigner who compares the fight against
fragrances to writer
 Rachel Carson's celebrated early warnings about the effects of DDT, a
powerful insecticide now
 restricted by law. ''We don't want a `Silent Spring' brought by cosmetics in
Halifax. We've even got
 scent-free doughnut shops.''

 Meanwhile, students have been suspended from class for wearing hair gel and
other scented goo (one
 nearly landed in jail for ''assaulting'' his teacher's olfactory senses); an
84-year-old woman was
 booted out of City Hall for wafting her customary cologne while making a
civic inquiry; and another
 woman was ordered off a city bus for smelling too sweet.

 Private enterprise is joining the crusade with surprising alacrity. The
Chronicle-Herald, dominant
 newspaper in the city of 350,000, has ordered its employees to refrain from
even ''strong
 mouthwash.'' Other companies send perfumed or deodorant-wearing workers home
to a take shower,
 deducting the lost time from their paychecks.

 Critics are calling it the Halifax Hysteria.

 ''We're abandoning common sense in order to placate a small handful of
individuals bothered by
 scents,'' said City Council or Steve Streatch, one of the few local
politicians willing to speak for the
 record on what has become a highly emotional issue, with campaigners wearing
gas masks turning out
 to jeer anyone opposing their view.

 ''People have been wearing fragrances since biblical times,'' Streatch said.
''If someone wears too
 much, if they become obnoxious to people around them, then a friend should
speak to them. Or a
 work supervisor. But bringing government into what people dab on their face
or rub into their
 underarms is just too much like Big Brother.''

 But anti-fragrance advocates hail Halifax as standard-bearer for a
burgeoning New Age movement.
 In the United States, only Marin County, California, has displayed similar
zeal in combating perfumes
 and other fragrances. But its ''ban'' on scents in civic places remains
voluntary.

 ''Almost alone, this good city up in Nova Scotia is showing the courage to
take a stand against
 neurologically toxic chemicals guised as fragrance,'' said Fred Nelson of
the Michigan-based National
 Foundation for the Chemically Hypersensitive. ''Canadians are showing an
empathy for victims of the
 cosmetic chemical industry that seems to be lacking among Americans.''

 At the heart of the hullabaloo is a syndrome called Multiple Chemical
Sensitivity, also known as
 environmental illness. Sufferers claim that the ubiquitous presence of
chemicals in modern life has a
 cumulative effect that causes some individuals to become violently ill at a
whiff of any scent, whether
 Chanel No. 5 or Irish Spring.

 The trouble is, most US and Canadian physicians and researchers refuse to
recognize Multiple
 Chemical Sensitivity as a true organic disease. Specialists say some people
do suffer severely from
 exposure to perfumes and scented cosmetics, but the reasons are poorly
understood and the reactions
 - including headaches, vomiting, and seizures - do not appear to be caused
by genuine physical
 allergies, much less poisoning.

 By and large, mainstream epidemiologists and occupational health doctors
believe Multiple Chemical
 Sensitivity is a complex psychological, or ''psychosocial'' malady.

 ''What's taking place in Halifax appears to be collective hysteria over an
illness that does not exist,''
 said Dr. Ron House, an epidemiologist at the Occupational Health Center at
Toronto's St. Michael's
 Hospital.

 ''The uproar is fascinating from a cultural view. But [the ban on
fragrances] isn't good medicine, it's
 folly - political pandering to a few rather strident activists,'' he said.
''Sadly, the whole business leaves
 Halifax looking more crackpot than compassionate.''

 In a case that made world headlines, a 17-year-old student named Gary
Falkenham last month was
 handed over to the Royal Canadian Mounted Police by officials at a Halifax
area high school after
 showing up in class wearing Dippity Do hair gel and Aqua Velva deodorant.
His scent-sensitive
 teacher, Tanya MacDonald, demanded that he be charged with criminal assault
for supposedly
 jeopardizing her health.

 ''This is insanity,'' said Charles Low, president of the Canadian Cosmetic
Toiletry and Fragrance
 Association. ''This teenager was threatened not only with expulsion but a
criminal record for wearing
 deodorant.''

 The RCMP dutifully investigated but finally declined to bring charges. ''We
can't ignore complaints,
 but maybe this kind of thing is better resolved with dialogue,'' said
Sergeant Wayne Noonan.

 The school backed away from demands that Falkenham be prosecuted, and
instead suspended him
 for two days.

 Nancy Radcliffe, columnist for the Halifax Daily News and one of the few
Haligonians to raise a
 public voice against the fragrance ban, said Canada's famously civil society
has lately become far too
 credulous when confronted by anyone claiming to be a victim.

 ''Our problem is, we're too darn polite,'' she wrote recently. ''We don't
want to inconvenience anyone,
 so we're constantly giving up our rights because somebody claims it's
offending them.''

 Manufacturers of scented products are stunned by events unfurling in
Halifax, where sales of scented
 products have plunged 25 percent, according to local retailers. They are
most appalled that their
 industry is being cast as a ''merchant of death,'' in a league with Big
Tobacco and gunmakers.

 But cosmetics makers and perfumers may be in for a long battle. The
anti-scent movement appears
 to enjoy some support beyond the hard-core activists.

 ''The rest of the country may think we are a bunch of crackpots, but I
believe some people are
 canaries in a coal mine,'' Stephanie Domet, an editor at The Coast, a Nova
Scotia weekly, told the
 Toronto-based Globe and Mail newspaper. ''We've created a world where some
people are overly
 sensitive to chemicals. So is it really such a hardship for you not to be
able to pour on the Charlie?''
Date: Sun, 28 May 2000 08:44:15 -0400
From: "Richard Vlock" <rvlock@klink.net>
To: <orthod-l@usc.edu>
Subject: Retirement issues
Message-ID: <01bfc8a2$6edd0960$3c7714d0@richardv>
MIME-Version: 1.0
Content-Type: multipart/alternative;
        boundary="----=_NextPart_000_0040_01BFC880.E7CB6960"

I see that the subject of retirement and disposal of an orthodontic practice has come up again  and I would like to discuss my experience, having retired last year.
 
Dr. Grimes has put his finger on a very vexing issue: what to do if you have a practice that is modest in size.My own practice was not large enough to attract  any buyers, so my solution was to decide on a retirement date and then work an additional two years, treating the income from that period as though it had come from a buyer. I then arranged with a nearby orthodontist to take over my practice at no cost to him. Obviously, he would have inherited my patients anyway if I had just closed my office. We had an arrangement whereby I worked in his office for a certain period of time, about 6 months, I think, getting my patients ready for the transfer. My building, which I owned, was sold without much trouble , but not to a dentist.
 
If I had had a million dollar practice it would have been easy to hire an associate to eventually take over, but with a smaller practice, you can't do that, as there is insufficient cash flow for that.
 
However, being aware of the situation for many years prior to retirement I made sure that I always made the maximum contribution to my Keogh plan. I can't emphasize how important that is. At present, thanks to that strategy, my retirement account has  grown to the point where I make more income than I ever made doing  orthodontics. So, as Dr. Lively has astutely pointed out, the disposal of the practice should not be the prime consideration when contemplating retirement. Hopefully with proper planning, the sale of the practice will just be the " icing on the cake", and can be ignored if it doesn't happen.
 
When I am at a dental meeting, if the topic comes up, I try to impress my younger  colleagues to fully fund their retirement plans. I am always surprised with the excuses I hear from them. When they say    that they can't afford to do so, I say to them that they can't afford not to do so. Although they may not like to hear it, I suggest that  they should forgo the new BMW or the boat until after the Keoghs and IRA's are fully funded.
 
The above takes discipline, but it can be done, and you will reap the rewards after retirement.
 
Dick Vlock, DDS
 
Date: Sun, 28 May 2000 10:30:59 -0400
From: g russell frankel <gr5@cinci.rr.com>
To: orthod-l@usc.edu
Subject: transition
Message-ID: <39312DA3.761F87EF@cinci.rr.com>
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit


        Ormond Grimes <ogrimes@internetpro.net>

Mon 11:41 PM

 Subject:
        Re: ORTHOD-L digest 699
     To:
        orthod-l@usc.edu



Mark Lively wrote:

>Not to sound ludicrous but what if one had to finish all of their
patients and
>then close the doors.  Equipment was written off, building that they
owned could
>be leased for additional income or sold and one's savings  would be
used for
>retirement (the way it was supposed to be used).  So, what if you could

not sell
>that practice?  Would it really be the end of the world?  Are we really
that
>dependent on what we may or not sell our practices for?

My reply:

I am the other end, Mark, having practiced almost four times as long as
your ten years.  I don't own my building. I rent.  My office is in an
expensive prime spot in my town.  I have equipment that has not been
written off yet because it was bought only a few years ago.  I try to
keep my technique up to date by going to clinics, meetings, etc.  I
cannot see myself paying the overhead (rent, utilities, salaries, etc.)
I would have to pay to finish all of my patients. How can I afford to do

this when the last few patients occupy the time previously allocated for

several hundred? I do not depend on selling my practice for my
retirement.   I would like to choose and train someone who would make
the transition much easier for the patients,  and for me.  If I can get
some compensation for this, so much the better.  With graduates looking
for the big time practice, I'm afraid I may be out of the loop. My
practice is small--less than 300 K/year.  I am sort of at a loss to be
able to know how I might successfully make this transition.  I wish it
were as simple for me as it apparently is for you.  Orm

hey ormond,  they never told us at wash u. that we had such a solely
unique future problem, unlike any in any other phase of  the healing
arts.  man, it is really tough out there and a huge concern, not just
expenses but possible refunds. you can't stop taking new patients if you
want to sell or bring someone in, and if you finallydecide to quit and
not take new patients, there is not much to sell if someone would come
along.  this is not just from me but from almost all the other orthos i
talk to.  amen to your words.
rusty


Date: Tue, 30 May 2000 07:31:20 -0700
From: "William R. Hyman" <babbitecho@earthlink.net>
To: <orthod-l@usc.edu>
Subject: sterilizers
Message-ID: <NDBBJDPACLLDEGBFLKKIIEFPCAAA.babbitecho@earthlink.net>
MIME-Version: 1.0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

The California Dental Board has recently changed its requirements for
sterilization procedure. It now requires bagging instruments prior to
sterilization. This would seem to require me to change from a dry heat
sterilizer to either a cemiclave or steam autoclave. Does anyone have an
opinion about the pros and cons of these options?

Date: Tue, 30 May 2000 11:04:00 EDT
From: Drted35@aol.com
To: orthod-l@usc.edu
Subject: Wilckodontics and more
Message-ID: <b2.5cd0efc.26653260@aol.com>
MIME-Version: 1.0
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

Fellows of ESCO,
Go to search engine: topclick.com   and enter "wilckodontics"  and find 59
items. (Ted Rothstein :-)
Date: Tue, 30 May 2000 17:10:22 +0200
From: "jose maria feliu" <jfeliu@airtel.net>
To: <ORTHOD-L@usc.edu>
Subject: bracket design
Message-ID: <000801bfca49$2dc6f460$ce4690c1@usc.es>
MIME-Version: 1.0
Content-Type: multipart/alternative;
        boundary="----=_NextPart_000_0005_01BFCA59.F0C1DC40"

I´m looking for a department of Orthodontics which is interested on bracket design using finite element method.My name is Joseph Feliu from Spain.I´m doing my Masther Thesis in this issue , and I would like to contact with somebody who is working in the same topic.Please send information to: jfeliu@airtel.net.
ORTHOD-L Digest 702 Topics covered in this issue include: 1) ESCO - The Electronic Study Club for Orthodontics by Joseph Zernik 2) Re: sterilizers by WRed852509@cs.com 3) Re: transition by "Ron Parsons" 4) Re: ABO in Halifax by "Dr. Immanuel Gillis" Date: Fri, 02 Jun 2000 13:52:13 -0700 From: Joseph Zernik To: ORTHOD-L@usc.edu Subject: ESCO - The Electronic Study Club for Orthodontics Message-ID: <3.0.6.32.20000602135213.007f2920@hsc.usc.edu> Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" 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. * What information can you get on ESCO? * How to subscribe to ESCO? * How to change your address? * How to post messages on ESCO? For answers to these questions and more, please check our web site: http://www-hsc.usc.edu/~jzernik/eclub.htm Enjoy! Sincerely, Joseph H. Zernik, D.M.D. Ph.D. Professor, Department of Orthodontics University of Southern California http://www-hsc.usc.edu/~jzernik/ 9 Date: Tue, 30 May 2000 19:56:02 EDT From: WRed852509@cs.com To: orthod-l@usc.edu Subject: Re: sterilizers Message-ID: <30.5c530a1.2665af12@cs.com> MIME-Version: 1.0 Content-Type: text/plain; charset="US-ASCII" Content-Transfer-Encoding: 7bit Hi Bill, The other option is to buy an upgraded high heat sterilizer that can handle bagging of instruments. I have read everything I can get a hold of regarding this issue because we have 7 high heat sterilizers (of the old variety) that will need to be replaced. I appears that we will receive a discount from Dentronix for our old machines, but the cost is still considerable. Additionally, the new sterilizers will not cycle as fast, nor will they hold as many instruments. The good news is that high heat is still the best for pliers. We will soon bite the bullet and buy more pliers and trade in our old sterilizers and move forward, awaiting the next costly regulatory change. Ron Redmond DDS Date: Wed, 31 May 2000 21:16:13 -0400 From: "Ron Parsons" To: "g russell frankel" Cc: Subject: Re: transition Message-ID: <01ec01bfcb66$faafef40$1668fea9@g48sy> MIME-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: 7bit Rusty, I think doctors who are looking to get some value for their practice and expect to practice for 5 more years might consider OrthAlliance (Torrence,CA). You retain complete control of your practice, utilizing only the concepts you prefer to implement. For a 17% service fee, you receive 100% of the last 12 months receipts, half cash and half in a 3-yr note yielding 9.5%. After 5 years, you can walk away if you wish. This is a "transition" scenario I sent to Ormand: Find an orthodontist in your area who is willing to join OrthAlliance. Include your practice in the deal. OrthAlliance will pay the orthodontist you locate one year's gross, 50% cash and 50% as a 3-yr note yielding 9.5%. The orthodontist can just pay the money to you as you walk away. He, in turn, gets the full 100% for his practice and then continues to work at his practice with your practice, as a satellite. His overhead goes up 17% but so does his income. Bottom line... you and he get cash, you walk away, and he makes a great income with an additional satellite office. Ron Parsons OrthAlliance Member ----- Original Message ----- From: g russell frankel To: Sent: Sunday, May 28, 2000 10:30 AM Subject: transition > > Ormond Grimes > > Mon 11:41 PM > > Subject: > Re: ORTHOD-L digest 699 > To: > orthod-l@usc.edu > > > > Mark Lively wrote: > > >Not to sound ludicrous but what if one had to finish all of their > patients and > >then close the doors. Equipment was written off, building that they > owned could > >be leased for additional income or sold and one's savings would be > used for > >retirement (the way it was supposed to be used). So, what if you could > > not sell > >that practice? Would it really be the end of the world? Are we really > that > >dependent on what we may or not sell our practices for? > > My reply: > > I am the other end, Mark, having practiced almost four times as long as > your ten years. I don't own my building. I rent. My office is in an > expensive prime spot in my town. I have equipment that has not been > written off yet because it was bought only a few years ago. I try to > keep my technique up to date by going to clinics, meetings, etc. I > cannot see myself paying the overhead (rent, utilities, salaries, etc.) > I would have to pay to finish all of my patients. How can I afford to do > > this when the last few patients occupy the time previously allocated for > > several hundred? I do not depend on selling my practice for my > retirement. I would like to choose and train someone who would make > the transition much easier for the patients, and for me. If I can get > some compensation for this, so much the better. With graduates looking > for the big time practice, I'm afraid I may be out of the loop. My > practice is small--less than 300 K/year. I am sort of at a loss to be > able to know how I might successfully make this transition. I wish it > were as simple for me as it apparently is for you. Orm > > hey ormond, they never told us at wash u. that we had such a solely > unique future problem, unlike any in any other phase of the healing > arts. man, it is really tough out there and a huge concern, not just > expenses but possible refunds. you can't stop taking new patients if you > want to sell or bring someone in, and if you finallydecide to quit and > not take new patients, there is not much to sell if someone would come > along. this is not just from me but from almost all the other orthos i > talk to. amen to your words. > rusty > > > Date: Wed, 31 May 2000 13:02:38 +0300 From: "Dr. Immanuel Gillis" To: Subject: Re: ABO in Halifax Message-ID: <001501bfcae7$5b0566c0$570c4084@win95enb> MIME-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: 7bit I read and re-read the date on the e-mail but it still doesn't read April 1!!! I should probably adjust the date settings on my computer. Immanuel Gillis Jerusalem, Israel ORTHOD-L Digest 703 Topics covered in this issue include: 1) ESCO - The Electronic Study Club for Orthodontics by Joseph Zernik 2) Re: ORTHOD-L digest 702 by "Dr. B.L. Vendittelli" Date: Tue, 06 Jun 2000 14:15:57 -0700 From: Joseph Zernik To: ORTHOD-L@usc.edu Subject: ESCO - The Electronic Study Club for Orthodontics Message-ID: <3.0.6.32.20000606141557.007f4c40@hsc.usc.edu> Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" 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. * What information can you get on ESCO? * How to subscribe to ESCO? * How to change your address? * How to post messages on ESCO? For answers to these questions and more, please check our web site: http://www-hsc.usc.edu/~jzernik/eclub.htm Enjoy! Sincerely, Joseph H. Zernik, D.M.D. Ph.D. Professor, Department of Orthodontics University of Southern California http://www-hsc.usc.edu/~jzernik/ 10 Date: Sat, 3 Jun 2000 08:35:07 -0700 (PDT) From: "Dr. B.L. Vendittelli" To: orthod-l@usc.edu Subject: Re: ORTHOD-L digest 702 Message-ID: <20000603153507.8397.qmail@web1105.mail.yahoo.com> MIME-Version: 1.0 Content-Type: text/plain; charset=us-ascii In response to the OrthoAlliance scenario: Sure, the OrthoAlliance option is a valid one. Here's another scenario that will give the retiring orthodontist about the same overall income at the end, but may offer other advantages. For example let's take a practice which grosses $500,000 a year and has a %50 overhead. With the OrthoAlliance option: The orthodontist recieves $250,000 cash and a 3-year note of the same value. Overhead now goes up to 67% per year. This gives the orthodontist an income of $165,000 per year for 5 years (assuming that billings stay the same). After 5 years, the orthodontist is $1.35 million ahead and can walk away. Who will take over patients...maybe OrthoAlliance finds a new guy to come in. The other option: The retiring orthodontist finds a young and growing orthodontist in the area. He offers his practice to him for $250,000 (about 15-20 % below market value) and to stay on as an associate at 40% of billings. The retiring orthodontist gets $250,000 initially plus $200,000 income per year (assuming he still produces $500,000 of billings). Or he could decide to slow it down, hence the new orthodontists practice grows. He also receives coverage from another orthodontist, security that if he has to leave the practice sooner than 5-years that there is someone to take over his patients and to work with a young orthodontist who may invigorate his desire to practice. (i.e. more enjoyable). All said and done, the retiring orthodontist after 5-years makes way with $1.25 million (only 100,000 less that OAlliance scenario) plus other benefits as mentioned above. The young guy also wins: he buys a practice for less than market value, the security of a long-established practice and referal base and also has an orthodontist for coverage...not to mention the extra 10% left over from the paying of associates fees. The overall overhead of the practice could also be reduced, especially is the retiring orthodontist's office is gradually joined into the young orthodontist's facilities (overhead of one office as opposed to two). It appears as a win-win situation. Bruno L Vendittelli New York, NY soon to be in Toronto, Ontario > Rusty, > > I think doctors who are looking to get some value > for their practice and > expect to practice for 5 more years might consider > OrthAlliance > (Torrence,CA). You retain complete control of your > practice, utilizing only > the concepts you prefer to implement. For a 17% > service fee, you receive > 100% of the last 12 months receipts, half cash and > half in a 3-yr note > yielding 9.5%. After 5 years, you can walk away if > you wish. > > This is a "transition" scenario I sent to Ormand: > > Find an orthodontist in your area who is willing to > join OrthAlliance. > Include your practice in the deal. OrthAlliance > will pay the orthodontist > you locate one year's gross, 50% cash and 50% as a > 3-yr note yielding 9.5%. > The orthodontist can just pay the money to you as > you walk away. He, in > turn, gets the full 100% for his practice and then > continues to work at his > practice with your practice, as a satellite. His > overhead goes up 17% but > so does his income. > > Bottom line... you and he get cash, you walk away, > and he makes a great __________________________________________________ Do You Yahoo!? Yahoo! Photos -- now, 100 FREE prints! http://photos.yahoo.com
                            ORTHOD-L Digest 704

Topics covered in this issue include:

  1) ESCO - The Electronic Study Club for Orthodontics
        by Joseph Zernik <orthodl@hsc.usc.edu>
  2) Orthalliance option response
        by "Robert Pickron" <pickron@speedfactory.net>
  3) Enquiry
        by sighsm@wlink.com.np
  4) National Board of Orthodontics
        by "Roy King" <rkking@bellsouth.net>
  5) How safe is your computer data?
        by "Stanley M. Sokolow" <overbyte@earthlink.net>
  6) Scent free Halifax and the ABO
        by Lee Erickson <n1hssk23@pop1.ns.sympatico.ca>
  7) Digital Cameras
        by Cynthia Rosenberg <Cynthia_Rosenberg@Brown.edu>
Date: Tue, 13 Jun 2000 22:48:33 -0700
From: Joseph Zernik <orthodl@hsc.usc.edu>
To: ORTHOD-L@usc.edu
Subject: ESCO - The Electronic Study Club for Orthodontics
Message-ID: <3.0.6.32.20000613224833.007fb4b0@hsc.usc.edu>
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"




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. 

* What information can you get on ESCO?

* How to subscribe to ESCO?

* How to change your address?

* How to post messages on ESCO?

For answers to these questions and more, please check our web site:
http://www-hsc.usc.edu/~jzernik/eclub.htm

Enjoy!

Sincerely,

Joseph H. Zernik, D.M.D. Ph.D.
Professor, Department of Orthodontics
University of Southern California
http://www-hsc.usc.edu/~jzernik/

11

Date: Wed, 7 Jun 2000 06:12:20 -0400
From: "Robert Pickron" <pickron@speedfactory.net>
To: <orthod-l@usc.edu>
Subject: Orthalliance option response
Message-ID: <002901bfd068$ecc3e2e0$0a00a8c0@pickron.net>
MIME-Version: 1.0
Content-Type: multipart/alternative;
        boundary="----=_NextPart_000_0020_01BFD047.569ABC60"

Dr Vendittelli did a great disservice by painting a pretty picture for a retiring orthodontist.  His picture of OrthAlliance is totally incorrect also.
First, OrthAlliance is not interested in signing up retiring orthodontists.  The average age of the doctors is 47 and they are some of the most successful in the country.  Although there must an exit to any contract, it is not the main reason for joining this company.  Our exchange of ideas have allowed the doctors to grow their practices without working harder or longer.  When a young orthodontist joins OrthAlliance, experienced OrthAlliance doctors will mentor him/her as the practice grows and they have 6 full-time consultants that work in the field to help institute practice improvement programs that are proven to work.
But if you simply want to look at the 5 year senario in dollars, with the OrthAlliance program, you must add 7% minimum interest for 5 years to the $500,000 which is over $200,000 in the bank and could be more even with diversified investment vehicles.  OrthAlliance can help you find an associate and you can give him the practice, you have already been paid!!  I have a large group practice in Atlanta and I have 5 associates.  You are not going to find anyone smart to pay you $250,000 and make $50,000 coming in the door.  Where does he get the money to pay the principle and interest on $400,000.  Am I missing something here?  Most retiring orthodontists have practices in areas of declining school age populations and are treating a select population that cannot be sustained by a young orthodontist without help.  what are you going to do that you haven't done already that will make up the diference for him.  Where does the help come from as you retire?   I don't see anything in your senario that is even near the value offered by OrthAlliance.  Check your numbers and your potential associates and then call OrthAlliance.
Robert "Pete" Pickron
I am a founder of OrthAlliance and have a vested interest.
Date: Thu, 08 Jun 2000 09:04:55 +0530
From: sighsm@wlink.com.np
To: ORTHOD-L@USC.EDU
Subject: Enquiry
Message-ID: <393F145F.415B@wlink.com.np>
MIME-Version: 1.0
Content-Type: text/plain; charset=iso-8859-2
Content-Transfer-Encoding: 7bit

Anyone having the information about the progessive Orthodontic Seminar
Progamme(POS).....?.They have also the website-www.posortho.com.Someone
is interested to run this trainning for the general dental practioners
in Nepal.I want to know how worth and ellgible it is.Any information
will be highly appreciated.
        Dr.Shambhu Man Singh.

Date: Fri, 9 Jun 2000 23:38:30 -0400
From: "Roy King" <rkking@bellsouth.net>
To: <orthod-l@usc.edu>
Subject: National Board of Orthodontics
Message-ID: <00b901bfd28d$59731840$7d0dd6d1@pavilion>
MIME-Version: 1.0
Content-Type: multipart/alternative;
        boundary="----=_NextPart_000_00B6_01BFD26B.D16739C0"

Dear ESCO
 
If an orthodontist was not going to be certified by the ABO, is there any risk being certified by the NBO.  The premise is that they are trying to mimic the rest of the medical profession.  So the question is if you know that you are not going to take the ABO, then why not take the NBO?
 
Roy King
Jupiter,Fla
Date: Fri, 09 Jun 2000 22:35:59 -0700
From: "Stanley M. Sokolow" <overbyte@earthlink.net>
To: "orthod-l@usc.edu" <orthod-l@usc.edu>
Subject: How safe is your computer data?
Message-ID: <3941D3BF.F926721F@earthlink.net>
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit

I just read an article about some victims of the Los Alamos wildfire
disaster -- post-graduate students who lost three years of computer data
when their offices in field trailers burned up, setting back their
career plans.  This sort of thing happens over and over -- people using
computers take for granted the safety of the data in those machines, but
when disaster strikes, they discover how vulnerable they were.  Not long
ago I heard of an orthodontist in my area who lost all of his computer
data when his office burned.  He had his staff religiously make backup
tapes, but left them in the office routinely!  It's not rocket science.
Make backups, not all on the same removable media but rather on a
rotating batch of them.  Take the backup tapes or disks off-site.
Always verify the backups by reading them back and comparing with the
hard disk. (A good backup program should do that automatically, but you
may need to turn on that option.) Better yet, have a spare computer off
site and read the backup into that computer.  This keeps a spare
computer up to date for use at a moment's notice and it verifies that
the backup is readable by another computer. Even if you have a service
contract, the service people can't recreate your data from smoke.
Assume the worst, but prepare for it, too.  I've used my own computers
since the late 1970's and have seen that everything that can go wrong
eventually will go wrong:  hard disks fail, backup drives fail,
computers write faulty data, backup tapes can't be read back into the
computer when needed, power supplies fail and fry the computer circuits,
the backup disks were left in the direct sun and warped, etc., etc.

Just thought this would be a good time to remind everyone to back up
your data often, verify that the backup is useable, and take the data
off-site for safety.

Happy computing,

Stan Sokolow, DDS
overbyte@earthlink.net



Date: Mon, 12 Jun 2000 23:02:07 -0300
From: Lee Erickson <n1hssk23@pop1.ns.sympatico.ca>
To: orthod-l@usc.edu
Subject: Scent free Halifax and the ABO
Message-ID: <3945961F.415@pop1.ns.sympatico.ca>
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit

Dear Colleagues:
Don't let the media scare you away from attending the ABO in Halifax.
The "scent police" are not as pervasive as the media would have you
believe. I smell great and still wear deoderant....We are just
particular of the type of scent. Our #1 favorite is "Eau de Lobster".
Look forward to seeing you in Halifax.
Lee Erickson

Date: Tue, 13 Jun 2000 23:00:30 -0400
From: Cynthia Rosenberg <Cynthia_Rosenberg@Brown.edu>
To: orthod-l@usc.edu
Subject: Digital Cameras
Message-ID: <v04011703b56ca4b07bb8@[128.148.44.237]>
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"

Does anyone have any experience or thoughts to share about the Sony DSC
D770 digital camera as compared to the Fuji MX2900?  Washington Scientific
Camera Co. sells a nice, complete Sony package.  Other than Dolphin, I'm
not sure who else is selling the Fuji with a ring flash.

Thanks,

Cynthia Rosenberg
                            ORTHOD-L Digest 705

Topics covered in this issue include:

  1) ESCO - The Electronic Study Club for Orthodontics
        by Joseph Zernik <orthodl@hsc.usc.edu>
  2) American Journal of Orthodontics and Dentofacial Orthopedics June 2000,
 Vol. 117, No. 6
        by "Harcourt Health Sciences eTOC Service" <periodicals.web@mosby.com>
  3) Digital Camcorders
        by "B. Ellingson" <bellin@uslink.net>
  4) I need E-Mail
        by "Alvaro Sazo Rodriguez" <sazodent@entelchile.net>
Date: Fri, 16 Jun 2000 12:54:21 -0700
From: Joseph Zernik <orthodl@hsc.usc.edu>
To: ORTHOD-L@usc.edu
Subject: ESCO - The Electronic Study Club for Orthodontics
Message-ID: <3.0.6.32.20000616125421.00801750@hsc.usc.edu>
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"




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. 

* What information can you get on ESCO?

* How to subscribe to ESCO?

* How to change your address?

* How to post messages on ESCO?

For answers to these questions and more, please check our web site:
http://www-hsc.usc.edu/~jzernik/eclub.htm

Enjoy!

Sincerely,

Joseph H. Zernik, D.M.D. Ph.D.
Professor, Department of Orthodontics
University of Southern California
http://www-hsc.usc.edu/~jzernik/

12


Date: Tue, 13 Jun 2000 09:37:35 -0500
From: "Harcourt Health Sciences eTOC Service" <periodicals.web@mosby.com>
To: ajodo_toc@mosby.com
Subject: American Journal of Orthodontics and Dentofacial Orthopedics June 2000,
 Vol. 117, No. 6
Message-ID: <3946472F.89197FC2@mosby.com>
MIME-Version: 1.0
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 8bit

American Journal of Orthodontics and Dentofacial Orthopedics
Table of Contents for June 2000, Vol. 117, No. 6
http://www.mosby.com/ajodo
--------------------------------------------------------------
Editorial

Online AJO/DO becomes a member benefit
David L. Turpin, DDS, MSD, Editor-in-Chief
http://www.mosby.com/scripts/om.dll/serve?article=aod1176629

Original Articles

Evaluation of profile esthetic change with mandibular advancement
surgery
Andrew D. Shelly, DDS, MS, Thomas E. Southard, DDS, MS, Karin A.
Southard, DDS, MS, John S. Casko, DDS, MS, PhD, Jane R. Jakobsen, BS,
MA, Kirk L. Fridrich, DDS, MS, John L. Mergen, DDS, MS
Iowa City, Iowa
http://www.mosby.com/scripts/om.dll/serve?article=a99139

A comparative study of skeletal and dental stability between rigid and
wire fixation for mandibular advancement
Stephen D. Keeling, DDS, MS, Calogero Dolce, DDS, PhD, Joseph E. Van
Sickels, DDS, Robert A. Bays, DDS, Gary M. Clark, PhD, John D. Rugh, PhD

Gainesville, Fla, San Antonio, Tex, and Atlanta, Ga
http://www.mosby.com/scripts/om.dll/serve?article=a103256

The genetics of human tooth agenesis: New discoveries for understanding
dental anomalies
Heleni Vastardis, DDS, DMSc
Boston, Mass
http://www.mosby.com/scripts/om.dll/serve?article=a103257

Dental age in maxillary canine ectopia
Adrian Becker, BDS, LDS, DDO, Stella Chaushu, DMD, MSc
Jerusalem, Israel
http://www.mosby.com/scripts/om.dll/serve?article=a104412

Difference in dental lateral arch length between 9-year-olds born in the
1960s and the 1980s
Rune Lindsten, DDS, Björn Ögaard, DrOdont, DDS, Erik Larsson, DrOdont,
DDS
J&ouml;nk&ouml;ping and Falk&ouml;ping, Sweden, and Oslo, Norway
http://www.mosby.com/scripts/om.dll/serve?article=a104413

Sagittal changes after maxillary protraction with expansion in Class III
patients in the primary, mixed, and late mixed dentitions: A
longitudinal retrospective study
Marc Saadia, DDS, MS, Edgar Torres, DDS
Mexico City, Mexico
http://www.mosby.com/scripts/om.dll/serve?article=a103773

Craniofacial morphology in orthodontically treated patients of Class III
malocclusion with stable and unstable treatment outcomes
Khatoon Tahmina, BDS, MPh, Eiji Tanaka, DDS, PhD, Kazuo Tanne, DDS, PhD
Hiroshima, Japan
http://www.mosby.com/scripts/om.dll/serve?article=a103254

Treatment effects of simple fixed appliance and reverse headgear in
correction of anterior crossbites
Yan Gu, BDS, A. Bakr M. Rabie, BDS, CertOrtho, MS, PhD, Urban Hgg, DDS,
OdontDr
Hong Kong
http://www.mosby.com/scripts/om.dll/serve?article=a104410

Evaluation of the vertical holding appliance in treatment of high-angle
patients
Marc DeBerardinis, DMD, MS, Tony Stretesky, DDS, Pramod Sinha, DDS, BDS,
MS, Ram S. Nanda, DDS, MS, PhD
Oklahoma City, Okla
http://www.mosby.com/scripts/om.dll/serve?article=a105128

The effects of chronic absence of active nasal respiration on the growth
of the skull: A pilot study
Willis L. Schlenker, DDS, MS, Bryan D. Jennings, DDS, MS, M. Toufic
Jeiroudi, DDS, MS, Joseph M. Caruso, DDS, MS, MPH
Loma Linda, Calif
http://www.mosby.com/scripts/om.dll/serve?article=a98934

Seven parameters describing anteroposterior jaw relationships:
Postpubertal prediction accuracy and interchangeability
Hiroyuki Ishikawa, DDS, PhD, Shinji Nakamura, DDS, PhD, Hiroshi Iwasaki,
DDS, PhD, Shinichi Kitazawa, DDS
Sapporo, Japan
http://www.mosby.com/scripts/om.dll/serve?article=a99140

Case Reports

Nonextraction treatment of a high-angle Class II malocclusion: A case
report
Aldo Giancotti, DDS, MS
Rome, Italy
http://www.mosby.com/scripts/om.dll/serve?article=a97246

Treatment of a Class II Division 1 malocclusion with a severe unilateral
lingual crossbite with combined orthodontic/orthognathic surgery
Steven L. Cureton, DMD, MS, Ronald Bice, DMD, MS, James Strider, DDS
Johnson City, Tenn
http://www.mosby.com/scripts/om.dll/serve?article=a100078

Continuing Education

Questions and registration forms
Zane Muhl, DDS, MS, PhD, Editor
http://www.mosby.com/scripts/om.dll/serve?article=jod001176ce

Ortho Bytes

Advanced PowerPoint animation techniques: Part I
Demetrios Halazonetis, DMD, MS
http://www.mosby.com/scripts/om.dll/serve?article=a108383

Litigation, Legislation, and Ethics

D=IEL
Laurance Jerrold, DDS, JD
http://www.mosby.com/scripts/om.dll/serve?article=aod1176711

Department of Reviews and Abstracts

Facial esthetics in borderline extraction and nonextraction patients
N. Nalchajian
http://www.mosby.com/scripts/om.dll/serve?article=jod001176bk

Factors associated with apical root resorption in orthodontically
treated patient studied by a case control method
J. H. Ahn, A. Baumrind, R. L. Boyd
http://www.mosby.com/scripts/om.dll/serve?article=jod001176bk2

Construction, development and error analysis of a stereocephalometric
radiograph system
R. Gallagher
http://www.mosby.com/scripts/om.dll/serve?article=jod001176bk3

Using liposomes to target drugs to molecules of the periodontal membrane

T. Tong
http://www.mosby.com/scripts/om.dll/serve?article=jod001176bk4

Directory: AAO Officers and Organizations

The American Association of Orthodontists, its constituent societies,
the American Board of Orthodontists, the American Association of
Orthodontists Foundation Board of Directors, and the College of
Diplomates of the American Board of Orthodontics
http://www.mosby.com/scripts/om.dll/serve?article=jod001176dr

Correction

Follow-up on distraction osteogenesis in the mandible. El Bialy
2000:117(4);26A.
http://www.mosby.com/scripts/om.dll/serve?article=jod001176cr

Reader's Services

Editorial Board
http://www.mosby.com/scripts/om.dll/serve?article=jod001176eb

Information for readers
http://www.mosby.com/scripts/om.dll/serve?article=jod001176ir

Information for authors

Availability of journal back issues
http://www.mosby.com/scripts/om.dll/serve?article=jod001176aj

Bound volumes available to subscribers
http://www.mosby.com/scripts/om.dll/serve?article=jod001176bv

AAO Continuing education
http://www.mosby.com/scripts/om.dll/serve?article=jod001176ce

AAO Meeting calendar
http://www.mosby.com/scripts/om.dll/serve?article=jod001176mc

_______________________________________________________________________
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Date: Thu, 15 Jun 2000 21:44:52 -0500
From: "B. Ellingson" <bellin@uslink.net>
To: "ESCO" <orthod-l@usc.edu>
Subject: Digital Camcorders
Message-ID: <003801bfd73c$d9f9ce60$0101a8c0@pavilion>
MIME-Version: 1.0
Content-Type: multipart/alternative;
        boundary="----=_NextPart_000_0035_01BFD712.F0499300"

ESCO members,
Dr. Rosenberg recently asked about digital cameras.  I have a question about digital camcorders.  Has any one used them in orthodontic applications for their photo taking ability?  The Panasonic PV-DV910 for example can take 750 still photos on a 60 min tape.  It has an 18x optical zoom and 300x digital zoom.  From what I've seen they can get very clear pictures, very close up, in low light.  With index search so you can find your pictures and book mark so you can remove and replace partially used film and continue to add to it.These images can be saved on the computer and printed out or printed out on the digital photo printer.  There seem to be several good, uncomplicated, rather inexpensive models to chose from.  Just a thought.  Forgive me if this has already been discussed, I haven't been paying close attention lately.
 
Ben Ellingson DDS MSD
Date: Mon, 12 Jun 2000 04:38:10 -0400
From: "Alvaro Sazo Rodriguez" <sazodent@entelchile.net>
To: <ORTHOD-L@USC.EDU>
Subject: I need E-Mail
Message-ID: <000801bfd449$8bd5a9c0$b54754ce@default>
MIME-Version: 1.0
Content-Type: multipart/alternative;
        boundary="----=_NextPart_000_0005_01BFD428.03206BE0"

Please, I´m a Chilean Dentist Orthodontic, and I need To know the electronic adress
of Dr. Richard P. MacLaughlin.
Thanks
 
Dr. Alvaro Sazo R.   sazodent@entelchile.net
 

                            ORTHOD-L Digest 706

Topics covered in this issue include:

  1) ESCO - The Electronic Study Club for Orthodontics
        by Joseph Zernik <orthodl@hsc.usc.edu>
  2) Re: National Board of Orthodontics
        by YURFEST@aol.com
  3) traumatized centrals, osteodistraction, practice transition,
 patient termination
        by Scott Smoron <smoronsg@SLU.EDU>
  4) asymmetrical extraction
        by elie amm <elieamm@doctor.com>
  5) Mounting Cases
        by "James M Faulkner" <jmfaulkner@lamere.net>
  6) Shrinking Tonsils without Tonsillectomy -- New Technique
        by "Stanley M. Sokolow" <overbyte@earthlink.net>
  7) RV: bracket design
        by "jose maria feliu" <jfeliu@airtel.net>
  8) Webshots Photo Album
        by druday@vsnl.com
  9) Webshots Photo Album
        by druday@vsnl.com
Date: Tue, 20 Jun 2000 22:30:01 -0700
From: Joseph Zernik <orthodl@hsc.usc.edu>
To: ORTHOD-L@usc.edu
Subject: ESCO - The Electronic Study Club for Orthodontics
Message-ID: <3.0.6.32.20000620223001.007aede0@hsc.usc.edu>
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"




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. 

* What information can you get on ESCO?

* How to subscribe to ESCO?

* How to change your address?

* How to post messages on ESCO?

For answers to these questions and more, please check our web site:
http://www-hsc.usc.edu/~jzernik/eclub.htm

Enjoy!

Sincerely,

Joseph H. Zernik, D.M.D. Ph.D.
Professor, Department of Orthodontics
University of Southern California
http://www-hsc.usc.edu/~jzernik/

13


Date: Sat, 17 Jun 2000 13:27:30 EDT
From: YURFEST@aol.com
To: orthod-l@usc.edu
Subject: Re: National Board of Orthodontics
Message-ID: <20.763556c.267d0f02@aol.com>
MIME-Version: 1.0
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

By taking the NBO instead of the ABO, what are you trying to prove, and whom
are you tring to fool? If the ABO is the highest standard, what is the NBO?
Paul Yurfest, Atlanta,GA
Date: Sat, 17 Jun 2000 17:03:27 -0500
From: Scott Smoron <smoronsg@SLU.EDU>
To: orthod-l@usc.edu
Subject: traumatized centrals, osteodistraction, practice transition,
 patient termination
Message-ID: <000b01bfd8a7$de03eb00$966e86a5@slu.edu>
MIME-version: 1.0
Content-type: text/plain;       charset="iso-8859-1"
Content-transfer-encoding: 7bit

hello,

i just caught up on 20 or so ESCO and so my comments will ramble through
topics...
and please, I invite comments on the following...

first, to hit clinical stuff first and continuing the thread on avulsed
centrals...I am treating a patient w/ two centrals that were traumatized and
the patient would work well as a upper premolar extraction case...if the
upper centrals were questionable and you knew you had to take out two upper
teeth, would that sway anyone towards extracting the centrals rather than
risk taking out two premolars and then risking the loss of the centrals...

second, regarding missing mandibular 5s (2nd premolars ) and ankylosing
Es...has anyone out there done a vertical osteodistraction in the premolar
region to augment the bone for implants a few years down the road...I saw
this done for the anterior mandible at the AAO Meeting in Chicago using a
tooth-borne distraction device that was ligated to the cortical bone and
then slowly distracted the bone vertically to create bone for implants...it
looks like a better bone augmentation approach than a graft...

third, as a resident closing in on graduation...Ortho Cntr of America offers
$85k and $115k as a starting point for the first two years...that would mean
the standing offer is currently $100k a year for a warm body with an
Orthodontic degree...and by the way, every practitioner out there I know
thinks this is a bad deal in the long run, so you do the math...
also, I often talk to our instructors (Saint Louis U has about 20-25
part-time clinical instructors and others who teach) about this...my
metaphor is to imagine how cheaply you, as a hiring orthodontist, could put
me in a satellite office...well, that's how much it would cost me, plus I
could delay paying for anything for a year because every dealer will give me
a sweetheart deal...why would I pay one year gross for your practice?? or
even net??
lastly, there are more retirees than graduates and that means this is a
buyers' market...

fourth, along the same lines as above, despite some of what I am reading, I
don't personally foresee an actual shortage of orthodontists (except for
full-time academic roles) because most residents now see 250-300 starts a
year (grossing $750k plus) as average to small...we may be wrong, but its
our perception...OCA promotes that its practices start, on average, 450
patients per orthodontist, I believe...so what do you guys think, because if
there are fewer of us and our practices are not larger than those in the
past, we are heading for a shortage...

fifth, along the lines of dropping a patient...if the patient is a minor,
then they are a third party beneficiary to the deal and the fact that the
paying party broke their contract with you does not let you off the hook
with the third party beneficiary...that's what several lawyers I know tell
me...in addition, if the minor is paying, they still cannot be held
responsible for the contract, however you can be held responsible to your
part of the deal...these are basics of contract law, to my knowledge...

again, I invite personal remarks to smoronsg@slu.edu

Date: Sun, 18 Jun 2000 10:35:24 -0400 (EDT)
From: elie amm <elieamm@doctor.com>
To: orthod-l@usc.edu
Subject: asymmetrical extraction
Message-ID: <384569018.961338924631.JavaMail.root@web303-mc.mail.com>
Mime-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit

dear ESCO members,
i'm preparing a presentation about asymmetry in orthodontics, i'm trying to
talk about asymmetrical extraction: indication and diagnosis, biomecanics in
different techniques (tweed, ricketts, edgewise standard, ........),tips...
anybody can help me please.(thoughts, tips, articles, ref....)

Elie Amm, DDS, 2nd year resident.
departement of orthodontics
school of dental medecine
saint joseph university
Beirut, LEBANON.

______________________________________________
FREE Personalized Email at Mail.com
Sign up at http://www.mail.com/?sr=signup

Date: Mon, 19 Jun 2000 21:47:21 -0400
From: "James M Faulkner" <jmfaulkner@lamere.net>
To: "Electronic Study Club for Orthodontics" <ORTHOD-L@USC.EDU>
Cc: "Lisa Peter Howard" <lphoward@ime.net>
Subject: Mounting Cases
Message-ID: <01bfda59$7977c4a0$28da583f@jim-pc>
MIME-Version: 1.0
Content-Type: multipart/alternative;
        boundary="----=_NextPart_000_006B_01BFDA37.F26624A0"

Dear Club Members,
 
  At the risk of being ostracized for ignorance, I have a basic question to float around. Why would you routinely articulate your study models? I know orthodontists that routinely mount all their cases, but get a foggy answer why.  We know that occasionally there is difference between CO and CR and know that this knowledge may affect our treatment plan  But my question deals with all the other times. For your information I am board certified and have been in practice for 18 years. I am wondering if I am missing something.
 
Cheerio
Jim Faulkner
 Kennebunkport, Maine  (home of the REAL PRESIDENTS- note the "s")
 
 
Date: Tue, 20 Jun 2000 06:43:12 -0700
From: "Stanley M. Sokolow" <overbyte@earthlink.net>
To: "orthod-l@usc.edu" <orthod-l@usc.edu>
Subject: Shrinking Tonsils without Tonsillectomy -- New Technique
Message-ID: <394F74EF.57BE8085@earthlink.net>
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit

If you believe, as I do, that enlarged tonsils and adenoids have an
adverse effect on the posture of the tongue and mandible, especially if
nasal breathing is compromised, then this item found on the Internet
will be interesting.  It describes a way that surgeons can use to shrink
hypertrophic tonsils without removing them.  A radiofrequency
heat-generating probe (I think one brand has been called a "Hyfrecator")
is inserted into the tonsil and small amounts of heat are generated.
The killed tissue shrinks as it heals, thus shrinking the tonsil to a
more normal size.  It's a new application of an old device.  Since it is
quick, safe to do "in the chair" instead of in the hospital, and has
less risk than excisional tonsillectomy, it holds promise for a way that
oral surgeons can help us deal with those patients that have
malocclusions secondary to hypertrophic tonsils.
Read about it at:

http://www.ivanhoe.com/docs/thisweekonly/shrinkingtonsilsqa.html

Stan Sokolow, DDS
overbyte@earthlink.net

Date: Tue, 20 Jun 2000 16:11:16 +0200
From: "jose maria feliu" <jfeliu@airtel.net>
To: <ORTHOD-L@usc.edu>
Subject: RV: bracket design
Message-ID: <002801bfdac1$667bdcc0$ce4690c1@usc.es>
MIME-Version: 1.0
Content-Type: multipart/alternative;
        boundary="----=_NextPart_000_0025_01BFDAD2.298F2EA0"

 
----- Original Message -----
From: jose maria feliu
To: ORTHOD-L@usc.edu
Sent: Tuesday, May 30, 2000 5:10 PM
Subject: bracket design

I´m looking for a department of Orthodontics which is interested on bracket design using finite element method.My name is Joseph Feliu from Spain.I´m doing my Masther Thesis in this issue , and I would like to contact with somebody who is working in the same topic.Please send information to: jfeliu@airtel.net.
Date: Tue, 20 Jun 2000 08:45:14 -0700
From: druday@vsnl.com
To: orthod-l@usc.edu
Subject: Webshots Photo Album
Message-ID: <200006201545.IAA21555@p4.webshots.com>

Hi.

Have a look at these photos on the Webshots Community.  Point your browser to this link:

http://community.webshots.com/album/2408255DOtXGtGHyE

Cheers,
Dr.Uday
         
                   
_____________________________________
Put Incredible Photos On Your Desktop
FREE ~ http://www.webshots.com/go?now


Date: Tue, 20 Jun 2000 08:47:01 -0700
From: druday@vsnl.com
To: orthod-l@usc.edu
Subject: Webshots Photo Album
Message-ID: <200006201547.IAA09572@p5.webshots.com>

Hi.

Have a look at these photos on the Webshots Community.  Point your browser to this link:

http://community.webshots.com/album/1905070zOLPIbxiMy

Cheers,
Dr.Uday
         
                   
_____________________________________
Put Incredible Photos On Your Desktop
FREE ~ http://www.webshots.com/go?now

                            ORTHOD-L Digest 707

Topics covered in this issue include:

  1) ESCO - The Electronic Study Club for Orthodontics
        by Joseph Zernik <orthodl@hsc.usc.edu>
  2) Re: Mounting Cases
        by "Ron Parsons" <ronparsons@mindspring.com>
  3) information
        by "CARRILLO IREGUI" <infoban@norma.net>
  4) Shrinking tonsils with "hyfrecator"
        by Drted35@aol.com
  5) OCA for new graduates
        by Mbellard@aol.com
  6) Scott Smoron's thoughts on buying a practice
        by "Stanley M. Sokolow" <overbyte@earthlink.net>
  7) OCA, practice values + sizes
        by Scott Smoron <smoronsg@SLU.EDU>
  8) Mounting Cases
        by Bob Frantz <login@best.com>
  9) flashlight-type orthodontic operatory lights
        by "Dietmar Kennel" <Pediatric.Dentist@usa.net>
 10) Materials for Curing Light
        by "jun" <j-1@ijk.com>
 11) Webshots Photo Album
        by druday@vsnl.com
 12) contact with fellow orthodontists from rome university
        by "d\"r aryeh eshkol" <earyeh@bezeqint.net>
 13) Digital radiography
        by LucasE@aol.com
Date: Mon, 26 Jun 2000 00:03:53 -0700
From: Joseph Zernik <orthodl@hsc.usc.edu>
To: ORTHOD-L@usc.edu
Subject: ESCO - The Electronic Study Club for Orthodontics
Message-ID: <3.0.6.32.20000626000353.00819d50@hsc.usc.edu>
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"




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. 

* What information can you get on ESCO?

* How to subscribe to ESCO?

* How to change your address?

* How to post messages on ESCO?

For answers to these questions and more, please check our web site:
http://www-hsc.usc.edu/~jzernik/eclub.htm

Enjoy!

Sincerely,

Joseph H. Zernik, D.M.D. Ph.D.
Professor, Department of Orthodontics
University of Southern California
http://www-hsc.usc.edu/~jzernik/

14

Date: Thu, 22 Jun 2000 05:58:59 -0400
From: "Ron Parsons" <ronparsons@mindspring.com>
To: "James M Faulkner" <jmfaulkner@lamere.net>
Cc: "USC Orthodontic Study Club" <orthod-l@usc.edu>
Subject: Re: Mounting Cases
Message-ID: <00a001bfdc30$7deba780$1458fea9@g48sy>
MIME-Version: 1.0
Content-Type: multipart/alternative;
        boundary="----=_NextPart_000_009D_01BFDC0E.F5BE3740"

Why mount models? ... Sales & Marketing.  Why take models?  ... Sales & Marketing. 
 
Ron Parsons
 
 

----- Original Message -----
From: James M Faulkner
To: Electronic Study Club for Orthodontics
Cc: Lisa Peter Howard
Sent: Monday, June 19, 2000 9:47 PM
Subject: Mounting Cases

Dear Club Members,
 
  At the risk of being ostracized for ignorance, I have a basic question to float around. Why would you routinely articulate your study models? I know orthodontists that routinely mount all their cases, but get a foggy answer why.  We know that occasionally there is difference between CO and CR and know that this knowledge may affect our treatment plan  But my question deals with all the other times. For your information I am board certified and have been in practice for 18 years. I am wondering if I am missing something.
 
Cheerio
Jim Faulkner
 Kennebunkport, Maine  (home of the REAL PRESIDENTS- note the "s")
 
 

Date: Wed, 21 Jun 2000 10:33:39 -0500
From: "CARRILLO IREGUI" <infoban@norma.net>
To: <ORTHOD-L@USC.EDU>
Subject: information
Message-ID: <000701bfdb96$15a25240$532540d1@infoban>
MIME-Version: 1.0
Content-Type: multipart/alternative;
        boundary="----=_NextPart_000_0004_01BFDB6C.29EB4A60"

i need some help.I need to know some formation about where can i study or take some courses in lingual orthodontics,
thanks.
hebert
Date: Wed, 21 Jun 2000 13:03:02 EDT
From: Drted35@aol.com
To: orthod-l@usc.edu
Subject: Shrinking tonsils with "hyfrecator"
Message-ID: <54.583d4f5.26824f46@aol.com>
MIME-Version: 1.0
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

Dear Colleagues
    This procedure is being touted for snoring. It also "shrinks" the palate
and ENT docs started pushing it about 2 years ago. I had this procedure done
to help me reduce a snoring problem..  I annotated in toto the procedure on
my website at drted.com. You can even see the progress chart I made with my
snoring problem..
At the home page click on the link "somnoplasty to eliminate snoring" at the
bottom of the page.  Cordially, Ted :-)
Date: Wed, 21 Jun 2000 23:11:25 EDT
From: Mbellard@aol.com
To: orthod-l@usc.edu
Subject: OCA for new graduates
Message-ID: <a6.60563cc.2682dddd@aol.com>
MIME-Version: 1.0
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

dear smoronsg,

I read your post on esco about OCA, etc, and felt compelled to respond. I am
an independent, solo, private practitioner, 45 year old male, 16 years out of
ortho residency. It concerns me that so many residents are considering OCA or
other mso's as a viable entry vehicle into private practice.  it strikes me
from my perspective as being short sighted.  Yes, the starting salary is
tempting.  I would have been tempted, too.  Perhaps like you, I was in
substantial debt when I finished school.  I bought a practice for a year's
gross, and had a few lean years as I paid my debts and my practice note. 
More importantly though, I steadily turned the practice into what I always
wanted.  Now I have a large, state of the art practice with an income I
wouldn't have imagined when I was in school.  I am not tethered to a
"management" company.  Rather, I can hire consultants as I feel needed, and
have no strings attached.  My practice is just that, with 50+% going into my
family's pocket every year.
If you guys would look beyond the first few years, you will realize, as many
consultants have astutely pointed out, that you will earn substantially less
over your practice lifetime affiliated with an mso. Why do that? It defies
logic.  Sure, the first few years are easier. But aren't you gutsy enough to
venture out on your own and call your own shots?  I believe that you will
become very weary of paying the "management" fee after a while, realizing
that you are the one busting your behind every day to please patients and
parents and keeping staff happy. Don't think for a minute that OCA deals with
and solves your staff management problems for you.  The concept of coming to
work every day and only treating patients, leaving management to OCA, is
wishful thinking, in spite of what their recruiters may say.
This is a great profession, and I hate to think of it turning into what
optometry has become.  Corporate America sees orthodontics as a profit
center, understandably so,  and OCA is looking for young residents to make
money for them.  That's not why I went to school. How about you?
 
Mark Bellard
Date: Wed, 21 Jun 2000 20:41:04 -0700
From: "Stanley M. Sokolow" <overbyte@earthlink.net>
To: "orthod-l@usc.edu" <orthod-l@usc.edu>
Cc: smoronsg@SLU.EDU
Subject: Scott Smoron's thoughts on buying a practice
Message-ID: <39518AD0.B674A830@earthlink.net>
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit

Dear Scott:
    On June 17, you wrote to the mailing list some thoughts as a senior
orthodontic resident nearing graduation.  You asked "Why would I pay one
year gross for (a) practice?? or even net?? . . . Lastly, there are more
retirees than graduates and that means this is a buyers' market."  You
went on to explain that "Orthodontic Centers of America (OCA) offers
$85k to $115k as a starting point for two years ..."
    As an orthodontist 28 years in private practice, approaching
retirement, I offer some counter-thoughts.
    I looked into OCA several years ago.  The starting salary is not
truly a salary.  Rather, OCA guarantees that you'll be paid that amount,
but during the ramp-up of a new practice, your practice will be in
negative cash flow.  OCA loans the practice the money it needs to get
going:  construction, equipment, supplies, salaries, advertising, and
your personal salary, . . . to cover the negative cash flow.  The
practice accrues interest debt to OCA on the loan balance.  OCA shows
you spreadsheet projections that make certain assumptions, albeit based
upon experience from other practices they started, but still they are
projections and estimates.  Your mileage will vary.  If you start so
many cases per year, you'll ramp up so fast, reach positive cash flow in
month "X", and start paying back the loan to OCA.  Meanwhile, OCA is
sharing the practice income with you, since they "own" half of the
practice, and you pay them a fee for their services to the practice.
The contract is non-cancellable by you except if OCA fails to perform
(but by what criteria, and would you be in a position to take OCA to
court to enforce your disappointment with their performance, would they
say it's your fault that the practice didn't meet the projections?).
Study that contract and get competent advice.
    Okay, so you weather the ramp-up period.  Now you are working an
established practice that is bleeding out cash to OCA to pay for its
corporate profits (remember the stockholders expect return on
investment) and for corporate salaries and limos, etc.  Who controls
those expenditures?  OCA has a 20-year locked-in contract with the
practice, with an option to renew for 20 more years.  That's surely
longer than you'd want to be working, so basically, this is indentured
servitude.  Maybe you'd be better off with a Big Brother running your
show because you don't want to manage your own office or don't think you
can do it, but most of us went into dentistry to be our own boss, not to
be a cog in a wheel.  And remember, OCA isn't in that office, dealing
with the staff as people, dealing with the patients, doing the treatment
-- it's you.  They'll help you because they want the office to succeed,
but you're still the one where the buck stops.
    If you buy a small practice by your scale, say one grossing $500k,
well run, with an existing well-trained staff in place, all knowing
their jobs and working like a machine, you can have an overhead in the
50% to 55% range, more or less.  Let's say 55%.  You net 45%.  That's
$225k net to you, before debt service.  Let's say you draw $115k per
year, as you say that OCA offers.  That leaves $110k per year for debt
service.  If you pay the seller $350k for his practice and finance it
all, how long would it take you to pay off the loan?  I don't know the
current loan rates and I don't want to take the time to be precise on
the estimate, but my spreadsheet says you'll pay it off in about 3 years
9 months at 12% per annum paying $110k per year.  You can do the math.
    At that point, you'll own 100% of the practice.  If you want a
practice management consultant to help you, you can hire one for just
those services you feel you need.  You can fire them, shop around for a
better service, do without them, whatever.  It's your show.  Moreover,
you aren't paying for the lease on the corporate headquarters and the
corporate salaries and perqs and the shareholder dividends.  As you
said, there are lots of orthodontic suppliers competing for your
business and you can get good deals without OCA.  Moreover, supplies are
only a small part of your overhead.
    Meanwhile, you are building your practice on top of the one you
bought.  You can do almost anything that OCA can do for you, without the
hooks attached.  Besides, the best practice builder is your personal
contact with people, especially your referrers or potential referrers.
OCA can't do that for you.  Any techniques they have, you can do, too.
    When nearby older orthodontists with shrinking practices decide to
retire, you can buy one as a satellite, already in positive cash flow.
Pay a reasonable price.  Maybe even pick up a bargain.  I've seen some
advertised.  You can be the consolidator, instead of OCA.
    Sure, you can go the route of OCA and its like, but don't disregard
the advantages of taking over a private practice already running,
without a ramp-up, with a trained staff, systems in place, a workable
office space, a recall pool, prior patients who bring their kids in and
refer their friends, good relations with referring doctors, etc.  You
can gradually remake the old practice to your own desires, updating
equipment and redecorating, while you earn an income.  And it will be
100% yours, and you call all of the shots.
    And OCA isn't all that smart.  One OCA office I visited was using a
kitchen counter-top convection oven as a substitute for an FDA-approved
sterilizer.   Who would take the blame on that when a malpractice
lawsuit hits over an alleged cross-contamination infection?   That's
right, the doctor with the license, not OCA.  Another was designed with
the sterilization station way in the back of the office, making the
assistants walk the length of the office to recycle instruments after
each patient visit, whereas the x-ray and darkroom were centrally
located to the operatory although they are only needed a few times per
case.  Where is the expertise that office layout?
    Final thought:  I don't think you're right that there are more
retirees than graduates, not yet.  The boomer bulge will reach
retirement age soon, but many orthodontists like to continue working
longer than you may imagine.  When they finally are retiring in greater
numbers than new graduates emerge, who'll take over the patients of the
practices that don't sell?  Practices will consolidate, or disintegrate
and the neighboring offices will pick up the patients.  There will be
fewer practices, but they'll be bigger.  Get ready.  Get a practice.
You can succeed.  You know it.  Do it.

Stan Sokolow, DDS
overbyte@earthlink.net

Date: Wed, 21 Jun 2000 23:00:59 -0500
From: Scott Smoron <smoronsg@SLU.EDU>
To: orthod-l@usc.edu
Subject: OCA, practice values + sizes
Message-ID: <001301bfdbfe$7a23b5c0$8b6e86a5@slu.edu>
MIME-version: 1.0
Content-type: text/plain;       charset="iso-8859-1"
Content-transfer-encoding: 7bit

hello again,

i thought i would clarify three things about my previous posting...

1)  i am NOT considering OCA...i appreciate the advice, but a monkey could
figure out that OCA is not the way to go (apologies to all those associated
with OCA, but capital is not in short supply for orthodontic graduates)
2)  i base my assertion about practice size of 250-300 patients as medium to
small based upon discussions with faculty and private practitioners...the
ones doing less than 250 consider themselves not at full capacity but they
are STILL QUITE SUCCESSFUL...i want to iterate that size of practice should
be a function of practice philosophy, not the basis of measuring one's
success...
3)  my comments on practice values can be further explained...if fair market
value of the practice is one year gross, then in a buyer's market the value
decreases...and i know people who have been looking for a purchaser for
years...and others who have no problem...

by the way, i appreciate the great responses....but i'd rather not mislead
anyone into thinking that i would even contemplate OCA...i get enough junk
mail as it is...

scott smoron

Date: Wed, 21 Jun 2000 22:53:15 -0700
From: Bob Frantz <login@best.com>
To: ORTHOD-L@usc.edu
Subject: Mounting Cases
Message-ID: <3951A9CB.4D2E2397@best.com>
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit

Jim,
I find that after mounting all cases there is no other time, that is, I
am unable to determine by looking in the mouth what the type of
discrepancy is and the amount. Only by mounting casts are you able to
determine the character of the discrepancy. It may be horizontal or
vertical or both, and you cannot tell by manipulating the mandible. Most
slides that appear to be horizontal are in fact vertical problems, and
this can markedly alter your treatment.
Philosophically, I believe that mounting your cases in the best centric
relation of the day allows one to diagnose and therefore treat to a
seated condylar reference position. Doing so has helped me reduce the
amount of problem cases I have in my office.
I also found that when I tried to pick the cases to mount, often I
missed something, but when I started mounting all cases, then the amount
of information available in the study cast increased substantially.
And finally, from a purely practical standpoint, mounting cases is
quicker, easier, and less expensive than polished, white stone models
with a great deal more information available.

Bob Frantz
Danville, CA

Date: Thu, 22 Jun 2000 18:17:01 -0500
From: "Dietmar Kennel" <Pediatric.Dentist@usa.net>
To: <orthod-l@usc.edu>
Subject: flashlight-type orthodontic operatory lights
Message-ID: <005101bfdc9f$fbc58580$ddd5c2d0@oemcomputer>
MIME-Version: 1.0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

I would like to get some information about "flashlight-type" orthodontic
operatory lights. Who can give me info about pricing, manufacturer,
advantages and disadvantages compared with conventional dental operatory
lights.
The following link shows an ortho office equipped with these lights
http://www.daddonastudios.com/kawa.htm

Thanks for any info!

Dietmar Kennel DDS
South Plains Pediatric Dental Group
Lubbock, Texas

www.MyPediatricDentist.com

Date: Fri, 23 Jun 2000 12:44:38 +0900
From: "jun" <j-1@ijk.com>
To: <orthod-l@usc.edu>
Subject: Materials for Curing Light
Message-ID: <001401bfdce0$b9c2ce40$0101a8c0@compaq>
MIME-Version: 1.0
Content-Type: text/plain;
        charset="shift_jis"
Content-Transfer-Encoding: 7bit

Dear Members,

I am useing curing light with Apollo 95E lite Plasma Arc.
I think that it is good. However I feal that some materials need curing time
about 6 second.
Other some materials need curing time about 1-3 second.
but I don't have information for curing time.
I want to some information for curing time for some bonding materials and
filling resin.

Jun Matsumura
Kanagawa Japan
j-1@ijk.com


Date: Fri, 23 Jun 2000 23:26:06 -0700
From: druday@vsnl.com
To: orthod-l@usc.edu
Subject: Webshots Photo Album
Message-ID: <200006240626.XAA06403@p4.webshots.com>

Hi.

Have a look at these photos on the Webshots Community.  Point your browser to this link:

http://community.webshots.com/album/1781448baxlWOqoML

Cheers,
Dr.Uday
         
                   
_____________________________________
Put Incredible Photos On Your Desktop
FREE ~ http://www.webshots.com/go?now


Date: Sat, 24 Jun 2000 14:23:46 +0300
From: "d\"r aryeh eshkol" <earyeh@bezeqint.net>
To: ORTHOD-L@USC.EDU
Subject: contact with fellow orthodontists from rome university
Message-ID: <004901bfddce$b310fe20$0a4b19d4@default>
MIME-version: 1.0
Content-type: multipart/alternative;
 boundary="----=_NextPart_000_0046_01BFDDE7.CE8B9020"

i would like to contact  orthodontists  that works at rome university  italy
please cotact me - earyeh@bezeqint.net
aryeh eshkol
specialist in orthodontics
givataim
israel
Date: Sun, 25 Jun 2000 23:21:29 EDT
From: LucasE@aol.com
To: ORTHOD-L@usc.edu
Subject: Digital radiography
Message-ID: <b6.6f40d97.26882639@aol.com>
MIME-Version: 1.0
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

Does anyone have any experience with Planmeca's Dimax2 real-time digital
sensor system?  Especially integrating it with Orthotrac Imaging?
Luke Stevens
Tallahassee, FL
                            ORTHOD-L Digest 708

Topics covered in this issue include:

  1) ESCO - The Electronic Study Club for Orthodontics
        by Joseph Zernik <orthodl@hsc.usc.edu>
  2) Re: Mounting Cases
        by "Mark Cordato" <markc@ix.net.au>
  3) Re: OCA for new graduates
        by MDLoffice <mdlively@gate.net>
  4) Re: Scott Smoron's thoughts on buying a practice
        by MDLoffice <mdlively@gate.net>
  5) Re: ORTHOD-L digest 707
        by Kevin <parrothd@usmo.com>
  6) information
        by YURFEST@aol.com
  7) Nikon D-1
        by "Greg Hoeltzel" <orthocons@stlnet.com>
  8) Re: ORTHOD-L digest 707
        by Denise Lawry <DeniseLawry@access.net.au>
  9) Re: Mounting Cases
        by "Paul M. Thomas" <pm.thomas@gte.net>
 10) Re: Shrinking tonsils with "hyfrecator"
        by "Paul M. Thomas" <pm.thomas@gte.net>
 11) Re: OCA for new graduates
        by "Paul M. Thomas" <pm.thomas@gte.net>
 12) Re: flashlight-type orthodontic operatory lights
        by "Paul M. Thomas" <pm.thomas@gte.net>
 13) Re: ORTHOD-L camcorders
        by "Darick Nordstrom" <darick@nordstromd.com>
 14) Webshots Photo Album
        by druday@vsnl.com
 15) european orthodontics
        by "Kim Jones" <kim@cyberport.net>
 16) MOUNTED MODELS
        by =?iso-8859-1?q?blair=20ADAMS?= <adams519@yahoo.com>
Date: Fri, 30 Jun 2000 20:06:07 -0700
From: Joseph Zernik <orthodl@hsc.usc.edu>
To: ORTHOD-L@usc.edu
Subject: ESCO - The Electronic Study Club for Orthodontics
Message-ID: <3.0.6.32.20000630200607.007b4d60@hsc.usc.edu>
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"




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. 

* What information can you get on ESCO?

* How to subscribe to ESCO?

* How to change your address?

* How to post messages on ESCO?

For answers to these questions and more, please check our web site:
http://www-hsc.usc.edu/~jzernik/eclub.htm

Enjoy!

Sincerely,

Joseph H. Zernik, D.M.D. Ph.D.
Professor, Department of Orthodontics
University of Southern California
http://www-hsc.usc.edu/~jzernik/

15


Date: Mon, 26 Jun 2000 18:07:18 +1000
From: "Mark Cordato" <markc@ix.net.au>
To: orthod-l@usc.edu
Subject: Re: Mounting Cases
Message-ID: <200006260803.SAA22014@mail.ix.net.au>
MIME-Version: 1.0
Content-type: text/plain; charset=US-ASCII
Content-transfer-encoding: 7BIT

Dear James,

On 19 Jun 00, at 21:47, James M Faulkner wrote:

> Dear Club Members,
>
>   At the risk of being ostracized for ignorance, I have a basic
>   question to float around. Why would you routinely articulate your
>   study models? I know orthodontists that routinely mount all their
>   cases, but get a foggy answer why.  We know that occasionally there
>   is difference between CO and CR and know that this knowledge may
>   affect our treatment plan  But my question deals with all the other
>   times. For your information I am board certified and have been in
>   practice for 18 years. I am wondering if I am missing something.
>
> Cheerio
> Jim Faulkner
>  Kennebunkport, Maine  (home of the REAL PRESIDENTS- note the "s")
>

I know a few of the people here have been doing it for years. They
led me to start mounting models and I am thankful for their guidance.
Had I not been part of this group (ESCO) I think I would not have
changed.

Me, I've only been mounting models for a bit over a year.

The occlusion is (remarkably) more accurate regarding the overbite
and buccal relations. Models ground with a wax bite I now regard as
bordering on fictitious.

Plus it is (a little) cheaper and frees my staff up. It is easier for
the staff to get this right than model trimmer models.

You are proabably right, much of the time it makes little diference
but already I have a couple of patients where the diference from
mounting is significantly different to hand held models. I know I can
hear arguments already as to why it should make no difference. IMHO
it has made a difference.

In a decade or two I expect the publication standards for changes to
occlusion induced with orthodontics will need to be measured off
mounted models as hand held models will not have (it never has had)
adequate reliability and accuracy to measure for example the change
in molar relations in mm between pretreatment, deband and
posttreatment. This accuracy is required if a meaningful
interpretation of postreatment crowding, overbite and overjet changes
is desired.

So James, I am not saying you are wrong or your records are poor or
deficient just that for me I think there may be a better way.

Cheers,
Mark Cordato
Bathurst
markc@ix.net.au
Date: Mon, 26 Jun 2000 09:22:22 -0700
From: MDLoffice <mdlively@gate.net>
To: orthod-l@usc.edu
Subject: Re: OCA for new graduates
Message-ID: <3957833E.69E499BB@gate.net>
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit

Dear Mark:

Well said !!!

Mark

--
Mark David Lively, DMD
mdlively@gate.net

Lively Orthodontics
Stuart,  Florida


Date: Mon, 26 Jun 2000 11:02:23 -0700
From: MDLoffice <mdlively@gate.net>
To: orthod-l@usc.edu
Subject: Re: Scott Smoron's thoughts on buying a practice
Message-ID: <39579AAF.A7DFA991@gate.net>
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit

Dear Stan:

Great piece.  I have been in practice now for 10 years and for the past
7 I have been in solo practice.  I bought an existing practice, will be
making my last note payment next month and do not regret it.  I paid one
years gross and it was worth it.  I started out with a great income from
day 1, was my own boss, bought into an established referral pattern, the
dentists in the area became familiar with my work immediately, I ran the
show and use consultants as needed.

I did better than the OCA salary from day one and most should be able to
beat this if they are looking to buy a practice rather than going in as
an associate.  I gave the original ortho 3 months to do aquatint me with
all patients, treatment plans, intro to dentists and familiarize myself
with remaining tx plans to remaining balances.  It worked out great and
I was an immediate owner of my own business.

I cannot imagine doing it any other way.  Starting from scratch has its
advantages(not treating someone else's patients) and disadvantages
(starving).  Going with OCA may work well for some but I cannot imagine
that a soon to be graduate would not be smart enough to examine this
from all sides.  The second year resident sounded more like a paid
solicitor for OCA.  He was totally clueless and obviously frustrated.

Do the math, you cannot lose paying someone one years gross if you
simply buy out the practice from day one.  The banks will finance part
of the purchase and the owner will usually finance the other half.
Great deal and great income from the very start.

Mark

--
Mark David Lively, DMD
mdlively@gate.net

Lively Orthodontics
Stuart,  Florida


Date: Mon, 26 Jun 2000 11:21:14 -0500
From: Kevin <parrothd@usmo.com>
To: orthod-l@usc.edu
Subject: Re: ORTHOD-L digest 707
Message-ID: <395782F8.D2D4A666@usmo.com>
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii; x-mac-type="54455854"; x-mac-creator="4D4F5353"
Content-Transfer-Encoding: 7bit

RE: Lingual orthodontics

Mario Paz puts on an excellent 2 or 3 day course in Beverly Hills a
couple of times a year, usually April and October.  He is very well
organized and extremely personable.  It makes for a nice long weekend
with your spouse.  You can also check out the American Lingual
Orthodontic Association (ALOA).  They have a one day annual meeting
usually immediately preceding the AAO meeting.

Kevin Walde
Washington, MO

Date: Mon, 26 Jun 2000 12:43:50 EDT
From: YURFEST@aol.com
To: orthod-l@usc.edu
Subject: information
Message-ID: <cc.66bffe9.2688e246@aol.com>
MIME-Version: 1.0
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

I have been doing lingual since 1980 and there are no short cuts!!!! The
wires always have multiple finishing bends! I have tried all the labs for
indirect (the only way to go) and the results are always the same(poor).
The learning curve is very long: about 20 full cases.
Paul Yurfest, Atlanta
Date: Mon, 26 Jun 2000 13:05:48 -0500
From: "Greg Hoeltzel" <orthocons@stlnet.com>
To: "ESCO Listserver (E-mail)" <orthod-l@usc.edu>,
        "ESCO Listserver (E-mail)" <orthod-l@usc.edu>
Subject: Nikon D-1
Message-ID: <3B20254E881FD41199C0204C4F4F50203056@O2>
MIME-Version: 1.0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

The Granddaddy of professional digital cameras,
the NIKON D-1 is now advertised at around
$4000 (down from $14000).  Can I dust off my
NIKKOR macro lens and ring flash?  Anyone
have experience with this unit?

Greg Hoeltzel
Saint Louis

Date: Tue, 27 Jun 00 12:35:38 +1000
From: Denise Lawry <DeniseLawry@access.net.au>
To: <orthod-l@usc.edu>
Subject: Re: ORTHOD-L digest 707
Message-ID: <200006270233.e5R2XK413277@zed.access.net.au>
Mime-Version: 1.0
Content-Type: text/plain; charset="US-ASCII"

Dear Colleagues
I would be grateful if anyone could help me with a situation regarding my
clinical assistant who currently has a mixture of duties which include
chairside assistance and some reception and word processing. She has been
advised by her doctor that she requires two weeks off work because of
"tendonitis" or  repetitive strain injury. I do not believ



Date: Tue, 27 Jun 2000 09:03:53 -0400
From: "Paul M. Thomas" <pm.thomas@gte.net>
To: "Ron Parsons" <ronparsons@mindspring.com>,
        "James M Faulkner" <jmfaulkner@lamere.net>
Cc: "USC Orthodontic Study Club" <orthod-l@usc.edu>
Subject: Re: Mounting Cases
Message-ID: <010301bfe038$26033cc0$41e42304@dsl.gtei.net>
MIME-Version: 1.0
Content-Type: multipart/alternative;
        boundary="----=_NextPart_000_0100_01BFE016.9E52EBC0"

This is a deep philosophical question (or religious, if you prefer).  To my knowledge, there is no research to support the efficacy of *routinely* mounting models, so the motivation must be (as mentioned below) sales and marketing (implied superior technique and $$ for the guru teaching the technique)...or.....because it makes me feel good.  There *is* scientific evidence to suggest that you can equillibrate CO and CR, but whatever means...ortho, surgery, diamond, green stone, cranial suture manipulation, whatever.....but they (CO and CR) won't stay "synchronous" over time.  For all the science in the AJODO, it's amazing how many orthodontists are susceptible to dental cults.  There are cult members who believe the temporomandibular joint looks like working portion of an articulator.  You might call them "technologists".  There are others who view the temporomandibular joint as a biologic structure...complete with metabolism, variability, change over time, etc, etc.  You might consider them "biologists". 
 
Chuck Greene (of Laskin and Greene fame) suggested that we have the TMJ olympics...complete with teams and uniforms.  Each cult would field a team and compete for superiority on a *scientific basis*.  If there was a clear winner, they would be awarded the TMJ gold medal.  If there was *no* clear winner (and I suspect that would be the case), we would go back to doing what feels good and hopefully not harming patients.
 
My mentor has suggested that some orthodontists go through practice life transitions which he calls the "senile decline".  The first stage is a developing obsession with occlusion and TMD diagnosis.  This usually culminates in the second stage, which is buying a series of "5 speed" articulators and all the associated paraphernala to mount cases.  One can generally "recover" from the first two stages.  The third stage is an obsession with nutrition, complete with organic supplements, hair and fingernail analysis, in-office counseling, etc.  To his knowledge.....NOBODY has recovered from the third stage.
 
   -=Paul=-
 
Paul M. Thomas
 
 

----- Original Message -----
From: Ron Parsons
To: James M Faulkner
Cc: USC Orthodontic Study Club
Sent: Thursday, June 22, 2000 5:58 AM
Subject: Re: Mounting Cases

Why mount models? ... Sales & Marketing.  Why take models?  ... Sales & Marketing. 
 
Ron Parsons
 
 

----- Original Message -----
From: James M Faulkner
To: Electronic Study Club for Orthodontics
Cc: Lisa Peter Howard
Sent: Monday, June 19, 2000 9:47 PM
Subject: Mounting Cases

Dear Club Members,
 
  At the risk of being ostracized for ignorance, I have a basic question to float around. Why would you routinely articulate your study models? I know orthodontists that routinely mount all their cases, but get a foggy answer why.  We know that occasionally there is difference between CO and CR and know that this knowledge may affect our treatment plan  But my question deals with all the other times. For your information I am board certified and have been in practice for 18 years. I am wondering if I am missing something.
 
Cheerio
Jim Faulkner
 Kennebunkport, Maine  (home of the REAL PRESIDENTS- note the "s")
 
 

Date: Tue, 27 Jun 2000 09:08:10 -0400
From: "Paul M. Thomas" <pm.thomas@gte.net>
To: <Drted35@aol.com>, <orthod-l@usc.edu>
Subject: Re: Shrinking tonsils with "hyfrecator"
Message-ID: <010801bfe038$bf10c180$41e42304@dsl.gtei.net>
MIME-Version: 1.0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

A kinder and gentler approach might be laser UPPP....assuming that the level
of obstruction has something to do with tonsils.  Generally, they are so
atrophied in adults that they're a non-issue.  I hate to think what they'd
do if the level of obstruction is determined to be the tongue. :-)

I guess I would start conservative and see if one of the plethora of
"anti-snore" appliances was effective.  There is some science out of British
Columbia on this approach for those interested in science.

   -=Paul=-

Paul M. Thomas


----- Original Message -----
From: <Drted35@aol.com>
To: <orthod-l@usc.edu>
Sent: Wednesday, June 21, 2000 1:03 PM
Subject: Shrinking tonsils with "hyfrecator"


> Dear Colleagues
>     This procedure is being touted for snoring. It also "shrinks" the
palate
> and ENT docs started pushing it about 2 years ago. I had this procedure
done
> to help me reduce a snoring problem..  I annotated in toto the procedure
on
> my website at drted.com. You can even see the progress chart I made with
my
> snoring problem..
> At the home page click on the link "somnoplasty to eliminate snoring" at
the
> bottom of the page.  Cordially, Ted :-)
>

Date: Tue, 27 Jun 2000 09:49:44 -0400
From: "Paul M. Thomas" <pm.thomas@gte.net>
To: <Mbellard@aol.com>, <orthod-l@usc.edu>
Subject: Re: OCA for new graduates
Message-ID: <010d01bfe03e$8d257660$41e42304@dsl.gtei.net>
MIME-Version: 1.0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

Amen!  I would suggest that the "E-myth" be mandatory reading for finishing
grads.

   -=Paul=-

Paul M. Thomas


----- Original Message -----
From: <Mbellard@aol.com>
To: <orthod-l@usc.edu>
Sent: Wednesday, June 21, 2000 11:11 PM
Subject: OCA for new graduates


> dear smoronsg,
>
> I read your post on esco about OCA, etc, and felt compelled to respond. I
am
> an independent, solo, private practitioner, 45 year old male, 16 years out
of
> ortho residency. It concerns me that so many residents are considering OCA
or
> other mso's as a viable entry vehicle into private practice.  it strikes
me
> from my perspective as being short sighted.  Yes, the starting salary is
> tempting.  I would have been tempted, too.  Perhaps like you, I was in
> substantial debt when I finished school.  I bought a practice for a year's
> gross, and had a few lean years as I paid my debts and my practice note.
> More importantly though, I steadily turned the practice into what I always
> wanted.  Now I have a large, state of the art practice with an income I
> wouldn't have imagined when I was in school.  I am not tethered to a
> "management" company.  Rather, I can hire consultants as I feel needed,
and
> have no strings attached.  My practice is just that, with 50+% going into
my
> family's pocket every year.
> If you guys would look beyond the first few years, you will realize, as
many
> consultants have astutely pointed out, that you will earn substantially
less
> over your practice lifetime affiliated with an mso. Why do that? It defies
> logic.  Sure, the first few years are easier. But aren't you gutsy enough
to
> venture out on your own and call your own shots?  I believe that you will
> become very weary of paying the "management" fee after a while, realizing
> that you are the one busting your behind every day to please patients and
> parents and keeping staff happy. Don't think for a minute that OCA deals
with
> and solves your staff management problems for you.  The concept of coming
to
> work every day and only treating patients, leaving management to OCA, is
> wishful thinking, in spite of what their recruiters may say.
> This is a great profession, and I hate to think of it turning into what
> optometry has become.  Corporate America sees orthodontics as a profit
> center, understandably so,  and OCA is looking for young residents to make
> money for them.  That's not why I went to school. How about you?
>
> Mark Bellard
>

Date: Tue, 27 Jun 2000 09:54:35 -0400
From: "Paul M. Thomas" <pm.thomas@gte.net>
To: "Dietmar Kennel" <Pediatric.Dentist@usa.net>, <orthod-l@usc.edu>
Subject: Re: flashlight-type orthodontic operatory lights
Message-ID: <011401bfe03f$3a8f6220$41e42304@dsl.gtei.net>
MIME-Version: 1.0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

I wouldn't recommend them.  I had them installed when I first built my
present office.  Only one remains in a consultation room.  The provide
monofocal light and are worthless for seeing the lower arch in a reclining
patient.  It's too easy to block the light source with your hands.  The
parabolic reflector on conventional lights has a purpose...and that's to
provide a light source that's uniform and hard to block with your hand(s).
I've installed conventional lights on all the units.  I found that the
double banks of fluorescents don't quite do it for eyes past age 40.
   -=Paul=-

Paul M. Thomas


----- Original Message -----
From: Dietmar Kennel <Pediatric.Dentist@usa.net>
To: <orthod-l@usc.edu>
Sent: Thursday, June 22, 2000 7:17 PM
Subject: flashlight-type orthodontic operatory lights


> I would like to get some information about "flashlight-type" orthodontic
> operatory lights. Who can give me info about pricing, manufacturer,
> advantages and disadvantages compared with conventional dental operatory
> lights.
> The following link shows an ortho office equipped with these lights
> http://www.daddonastudios.com/kawa.htm
>
> Thanks for any info!
>
> Dietmar Kennel DDS
> South Plains Pediatric Dental Group
> Lubbock, Texas
>
> www.MyPediatricDentist.com
>
>

Date: Tue, 27 Jun 2000 11:08:09 -0700
From: "Darick Nordstrom" <darick@nordstromd.com>
To: <orthod-l@usc.edu>
Subject: Re: ORTHOD-L camcorders
Message-ID: <03cc01bfe062$b4e84140$da94fea9@lars>
MIME-Version: 1.0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

I tested many of these camcorders, along with most digital cameras as they
hit the streets ... bth for myself, and the sake of others that take my
courses or ask.

It is true that you can get OK picture quality, as you noticed, and can
append voice notes during the seconds that the image is frozen while the
tape continues to record, and that you can get many images on one tape.

I have a digital camcorder (Sony PC-100) and find that iti isn't too
difficult to go through the tape either (I have a SONY Vaio laptop with
i-link that fully controls this process in the camera by remote through the
program in the VAIO ... you could also use MotoD-V interface and software in
a regular computer).

BUT

1) There still won't be correct color and saturation in the images without
ideal lighting (unless you build color-corrected white LED video lights like
I have for other docs)
2) The standard is now assumed to be greater than 400 lines resolution, and
you will lose more after you crop.
3) You may get tired of downloading
4) you will need a close-up lens to be far enough away from the subject
(except full-face views)

Which means what you suggest (with a few mods) makes a great mid-treatment
records acquisition camera, and a great introduction to multimedia fun, with
less $$ outlay.

It used to be that there were very few digital cams that had a decent enough
lens to do ortho pics (100mm equiv), but lots of DV cameras did. Now there
are some exccellent choices out ther, that with few mods, will work.

I bought the SONY PC-100 because I wanted video and stills in one camera. It
has a megapixel still, that shoots through a fast Zeiss lens, and a flash
shoe and mating flash, that wih a #2 close-up, puts you far enough away from
the subject that there aren't any flash problems (unless you are doing model
pictures with a flash?). This makes for a simple off the shelf system that
also allows me to take videos of my kids and grandaughter.

If you don't need video, consider  the older olympus 200 or Nikon 950 or
Sony DSC D700L ... all of which are heavily discounted, but work well with
the close-up lens on (Olympus needs a special adaptor tube). The Sony needs
a special flash system unless you use the LED ringlite. The new generation
are even easier to use and better, and, surprisingly, not much more $$$.

darick


Date: Tue, 27 Jun 2000 23:43:08 -0700
From: druday@vsnl.com
To: orthod-l@usc.edu
Subject: Webshots Photo Album
Message-ID: <200006280643.XAA04493@p3.webshots.com>

Hi.

Have a look at these photos on the Webshots Community.  Point your browser to this link:

http://community.webshots.com/album/2562057lNFMIuRHwY

Cheers,
Dr.Uday
         
                   
_____________________________________
Put Incredible Photos On Your Desktop
FREE ~ http://www.webshots.com/go?now


Date: Wed, 28 Jun 2000 17:39:04 -0600
From: "Kim Jones" <kim@cyberport.net>
To: <orthod-L@usc.edu>
Subject: european orthodontics
Message-ID: <001c01bfe15a$0f68dce0$247aa8d0@default>
MIME-Version: 1.0
Content-Type: multipart/alternative;
        boundary="----=_NextPart_000_0015_01BFE127.C0D93DE0"

Hello from Montanan!  I am looking for a dentist/orthodontist that does European Orthodontics near me.  Can you help?  Kim Jones
kim@cyberport.net
Date: Thu, 29 Jun 2000 05:39:06 -0700 (PDT)
From: blair ADAMS <adams519@yahoo.com>
To: ORTHOD-L@USC.EDU
Subject: MOUNTED MODELS
Message-ID: <20000629123906.5529.qmail@web901.mail.yahoo.com>
MIME-Version: 1.0
Content-Type: text/plain; charset=iso-8859-1
Content-Transfer-Encoding: 8bit

This may seem a horrible, mercenary way of thinking;
when you routinely mount models it is easier & faster
than producing trimmed, soaped, polished "orthodontic"
models.
And fee guides allow a higher fee for mounted models
than for orthodontic models.
So they cost less for staff to produce & you get a
higher fee? Hmmmm... let me see.... tough decision.
And of course they do provide more information about
CR-CO. Didn't that mildly experienced Dr. Roth say
once-upon-a-time; "never believe what you see in the
mouth"?

Just a Thought
Blair Adams
Ottawa Canada

__________________________________________________
Do You Yahoo!?
Get Yahoo! Mail - Free email you can access from anywhere!
http://mail.yahoo.com/
                            ORTHOD-L Digest 709

Topics covered in this issue include:

  1) ESCO - The Electronic Study Club for Orthodontics
        by Joseph Zernik <orthodl@hsc.usc.edu>
  2) Re: ORTHOD-L digest 707
        by WRed852509@cs.com
  3) Re: ORTHOD-L digest 708
        by Denise Lawry <DeniseLawry@access.net.au>
  4) RE: european orthodontics
        by "MDLHome" <mdlively@gate.net>
  5) Re: european orthodontics
        by WRed852509@cs.com
  6) "european orthodontics"
        by weiland@email.kfunigraz.ac.at (Frank Weiland)
  7) Re: Scott Smoron's thoughts on buying a practice
        by "Robert Pickron" <pickron@speedfactory.net>
  8) RE: Mounting Cases
        by "Lester Kuperman" <lester@kupermanortho.com>
  9) Orthodontits in Buenos Aires
        by "Ana Nicolas" <anzanita@hotmail.com>
Date: Tue, 04 Jul 2000 14:58:16 -0700
From: Joseph Zernik <orthodl@hsc.usc.edu>
To: ORTHOD-L@usc.edu
Subject: ESCO - The Electronic Study Club for Orthodontics
Message-ID: <3.0.6.32.20000704145816.00829a80@hsc.usc.edu>
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"




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. 

* What information can you get on ESCO?

* How to subscribe to ESCO?

* How to change your address?

* How to post messages on ESCO?

For answers to these questions and more, please check our web site:
http://www-hsc.usc.edu/~jzernik/eclub.htm

Enjoy!

Sincerely,

Joseph H. Zernik, D.M.D. Ph.D.
Professor, Department of Orthodontics
University of Southern California
http://www-hsc.usc.edu/~jzernik/

16

Date: Sat, 1 Jul 2000 01:38:54 EDT
From: WRed852509@cs.com
To: orthod-l@usc.edu
Subject: Re: ORTHOD-L digest 707
Message-ID: <db.63db2cc.268eddee@cs.com>
MIME-Version: 1.0
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

Hi Denise,
I think we all face this type of problem.  Rather than try to solve the
dilemma yourself, it is probably time to contact your workman's comp carrier.
 You can do this to discuss the situation and they will give you advice and
probably suggest a clinical exam by one of their doctors.  You may be going
down the path of no return with this employee, so be careful what you say and
do.  You may also want to discuss the situation with your other employees to
determine their position on the issue.  Make sure that all your office
systems are in order: Osha, Wage and Labor, Sterilization, Duties performed
by office staff (especially BackOffice), and cash handling procedures.  It is
far better to be prepared and act, than unprepared and react.
Good Luck,
Ron Redmond
Date: Sun, 2 Jul 00 22:48:11 +1000
From: Denise Lawry <DeniseLawry@access.net.au>
To: <orthod-l@usc.edu>
Subject: Re: ORTHOD-L digest 708
Message-ID: <200007021245.e62Cja421416@zed.access.net.au>
Mime-Version: 1.0
Content-Type: text/plain; charset="US-ASCII"

Dear Colleagues,
My communication of 27th June regarding a dental assistant with supposed
work-related tendonitis of the right hand and thumb was half complete,
and I apologise for the unfinished letter. As mentioned, I have a
chairside assistant who is about to claim compensation for a work related
"overuse injury". Has anyone had a staff member with this problem, or is
anyone aware of any articles in the literature regarding this situation?
I intend to fight this as I do not believe the condition is work related.
Thank you for your assistance.
Denise Lawry
Melbourne, Australia



Date: Fri, 30 Jun 2000 23:42:12 -0400
From: "MDLHome" <mdlively@gate.net>
To: <orthod-l@usc.edu>
Subject: RE: european orthodontics
Message-ID: <NDBBLFFLDLHGHJECELLHCEAHCAAA.mdlively@gate.net>
MIME-Version: 1.0
Content-Type: multipart/alternative;
        boundary="----=_NextPart_000_0000_01BFE2EC.D0806D60"

Dear Kim:
 
When you say European Orthodontics, exactly what are you describing.  There is an ortho in my town that sells the parents on the "European Technique".  He advises them that it is used and Europe and his cutting edge.  He then delivers a bionator a few weeks later.

-----Original Message-----

From: owner-orthod-l@usc.edu [mailto:owner-orthod-l@usc.edu]On Behalf Of Kim Jones

Sent: Wednesday, June 28, 2000 7:39 PM

To: orthod-L@usc.edu

Subject: european orthodontics

Hello from Montanan!  I am looking for a dentist/orthodontist that does European Orthodontics near me.  Can you help?  Kim Jones

kim@cyberport.net

Date: Sat, 1 Jul 2000 01:47:26 EDT
From: WRed852509@cs.com
To: orthod-l@usc.edu
Subject: Re: european orthodontics
Message-ID: <c1.4aee3e1.268edfee@cs.com>
MIME-Version: 1.0
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

Hello Montanan,
We all do!  There was a difference in the "old" days, but today all
orthodontists use very similar techniques.
Good Luck,
Ron Redmond
Date: Tue, 4 Jul 2000 08:06:06 +0200 (MET DST)
From: weiland@email.kfunigraz.ac.at (Frank Weiland)
To: orthod-L@usc.edu
Cc: kim@cyberport.net
Subject: "european orthodontics"
Message-ID: <200007040606.IAA29495@tom.kfunigraz.ac.at>
Mime-Version: 1.0
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: 8bit

Dear Kim

Although I have been working as an orthodontist for the past 12 years in
Germany and Austria, I haven't got the faintest idea what  "EUROPEAN
ORTHODONTICS" is.

Kind regards

Frank Weiland DMD, PhD
Austria
Univ.-Doz. Dr. Frank Weiland
Klin.Abt. für Kieferorthopädie
Univ.Klinik für ZMK             Tel. +43 316 3852424
A-8036 GRAZ / LKH               Fax  +43 316 3854064
                               email weiland@email.kfunigraz.ac.at

Date: Sat, 1 Jul 2000 09:15:43 -0400
From: "Robert Pickron" <pickron@speedfactory.net>
To: <orthod-l@usc.edu>
Subject: Re: Scott Smoron's thoughts on buying a practice
Message-ID: <005d01bfe363$c7dbc700$0a00a8c0@pickron.net>
MIME-Version: 1.0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

  Mark,
You are the exception and not the rule, and you did not move to a
metropolitan area.  And you did not build out a new office to start.  The
silent majority out there are having a hard time getting started, not only
do they struggle in getting a good lease, getting a good buildout, and
marketing themselves, but they need mentoring.  They have no money and very
little experience.  Orthodontics is so good that you can fail and still
partially succeed.  That doesn't mean that you do as well.  MSO's and
especially OrthAlliance give the new graduate a wealth of resources that are
not available otherwise.  And OrthAlliance is an group of independent
orthodontists that have joined together to help each other grow, whatever
the goals of the individual orthodontist. Check out the differences.
Robert Pickron - Member of OrthoAlliance
----- Original Message -----
From: "MDLoffice" <mdlively@gate.net>
To: <orthod-l@usc.edu>
Sent: Monday, June 26, 2000 2:02 PM
Subject: Re: Scott Smoron's thoughts on buying a practice


> Dear Stan:
>
> Great piece.  I have been in practice now for 10 years and for the past
> 7 I have been in solo practice.  I bought an existing practice, will be
> making my last note payment next month and do not regret it.  I paid one
> years gross and it was worth it.  I started out with a great income from
> day 1, was my own boss, bought into an established referral pattern, the
> dentists in the area became familiar with my work immediately, I ran the
> show and use consultants as needed.
>
> I did better than the OCA salary from day one and most should be able to
> beat this if they are looking to buy a practice rather than going in as
> an associate.  I gave the original ortho 3 months to do aquatint me with
> all patients, treatment plans, intro to dentists and familiarize myself
> with remaining tx plans to remaining balances.  It worked out great and
> I was an immediate owner of my own business.
>
> I cannot imagine doing it any other way.  Starting from scratch has its
> advantages(not treating someone else's patients) and disadvantages
> (starving).  Going with OCA may work well for some but I cannot imagine
> that a soon to be graduate would not be smart enough to examine this
> from all sides.  The second year resident sounded more like a paid
> solicitor for OCA.  He was totally clueless and obviously frustrated.
>
> Do the math, you cannot lose paying someone one years gross if you
> simply buy out the practice from day one.  The banks will finance part
> of the purchase and the owner will usually finance the other half.
> Great deal and great income from the very start.
>
> Mark
>
> --
> Mark David Lively, DMD
> mdlively@gate.net
>
> Lively Orthodontics
> Stuart,  Florida
>
>
>

Date: Sat, 1 Jul 2000 16:00:31 -0500
From: "Lester Kuperman" <lester@kupermanortho.com>
To: <orthod-l@usc.edu>
Subject: RE: Mounting Cases
Message-ID: <NEBBKHNOILKKCNIEACFFOEJLDBAA.lester@kupermanortho.com>
MIME-Version: 1.0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

A little knowledge is dangerous!  Unfortunately, I know a little about a
lot.  Readers beware!

After 22 years of experience using a Quint laminagraph, I have read and
listened to various opinions questioning the validity of TMJ tomos.  My
experience with these films has been excellent especially when used and
interpreted correctly while realizing their limitations...as any other
diagnostic tool.   I've also taken numerous, but certainly not all,
occlusion and TMD courses over the years.  I am a proud owner of two
articulator systems----which adorn my lab shelving most of the time.  Please
don't take me lightly since I own 3 & 4 articulators of each system along
with the variators and other devices.  We do occasionally use mounted models
when deemed appropriate--such as open bites and surgical cases.

As a result of the above, I have more questions than answers.

The real question and dilemma is who can scientifically define and document
the TRUE CENTRIC RELATIONSHIP?  What is Centric Relation?  It was different
for the earlier gnathologists than most currently held beliefs.  Is it
possible that centric relation might be the wrong position for SOME finished
cases?  Perhaps, centric occlusion is best for that particular patient. Is
there true data that supports any of the myriad of mandibular manipulation
and mounting techniques?  Are there studies that demonstrate accurately and
without bias what the actual condyle position is for any given manipulation
technique?  How can the techniques all be different and correct at the same
time?  If one religiously mounts their cases, does that mean they are saying
a prayer that the condylar position is correct?  Has anyone ever verified
the condylar position radiographically for a their definition of centric
relation?  Or is this highly significant subject being addressed anecdotally
by our authorities and leaders?  (I suppose we could ask similar questions
about amalgam.)

What about growth?  What is the normal condyle-fossa relationship in a
growing child--or adolescent?  When is the joint fully formed?  What changes
in joint morphology occur with various treatment modalities?  Do we have the
mechanics to fully treat to our perceived mounted-models-treatment-plans in
a realistic fashion for all of our patients?

When models are mounted, how do we know where the condyle really
is???????????????   And if we do, then how do we accurately duplicate the
movements of this complex joint with flat articulator sufaces?  And where is
the disc especially in clicking patients?  And how do we compensate on our
mounted models for disc displacements, perforations, and adhesions?

I believe that I know  some of the answers to these questions but would
rather hear your responses.  If any of you would be kind enough to provide
me with valid references, I would be most appreciative.

Thank you,
Lester Kuperman
Fort Worth, TX

-----Original Message-----
From: Mark Cordato [mailto:markc@ix.net.au]
Sent: Monday, June 26, 2000 3:07 AM
To: orthod-l@usc.edu
Subject: Re: Mounting Cases


Dear James,

On 19 Jun 00, at 21:47, James M Faulkner wrote:

> Dear Club Members,
>
>   At the risk of being ostracized for ignorance, I have a basic
>   question to float around. Why would you routinely articulate your
>   study models? I know orthodontists that routinely mount all their
>   cases, but get a foggy answer why.  We know that occasionally there
>   is difference between CO and CR and know that this knowledge may
>   affect our treatment plan  But my question deals with all the other
>   times. For your information I am board certified and have been in
>   practice for 18 years. I am wondering if I am missing something.
>
> Cheerio
> Jim Faulkner
>  Kennebunkport, Maine  (home of the REAL PRESIDENTS- note the "s")
>

I know a few of the people here have been doing it for years. They
led me to start mounting models and I am thankful for their guidance.
Had I not been part of this group (ESCO) I think I would not have
changed.

Me, I've only been mounting models for a bit over a year.

The occlusion is (remarkably) more accurate regarding the overbite
and buccal relations. Models ground with a wax bite I now regard as
bordering on fictitious.

Plus it is (a little) cheaper and frees my staff up. It is easier for
the staff to get this right than model trimmer models.

You are proabably right, much of the time it makes little diference
but already I have a couple of patients where the diference from
mounting is significantly different to hand held models. I know I can
hear arguments already as to why it should make no difference. IMHO
it has made a difference.

In a decade or two I expect the publication standards for changes to
occlusion induced with orthodontics will need to be measured off
mounted models as hand held models will not have (it never has had)
adequate reliability and accuracy to measure for example the change
in molar relations in mm between pretreatment, deband and
posttreatment. This accuracy is required if a meaningful
interpretation of postreatment crowding, overbite and overjet changes
is desired.

So James, I am not saying you are wrong or your records are poor or
deficient just that for me I think there may be a better way.

Cheers,
Mark Cordato
Bathurst
markc@ix.net.au

Date: Sat, 01 Jul 2000 13:19:15 CEST
From: "Ana Nicolas" <anzanita@hotmail.com>
To: orthod-l@usc.edu
Subject: Orthodontits in Buenos Aires
Message-ID: <20000701111915.84268.qmail@hotmail.com>
Mime-Version: 1.0
Content-Type: text/plain; format=flowed

Hi!
My name is Ana and I'll stay in Buenos Aires taken part in a ortho
postgraduate intership at J.F. Kennedy University from August to October.
I'd like to meet orthodontists from Buenos Aires and to attend to their
practices if possible during this period in order to learn some technics
used in Argentina.

Best regards from Spain,
Ana.


________________________________________________________________________
Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com

                            ORTHOD-L Digest 710

Topics covered in this issue include:

  1) ESCO - The Electronic Study Club for Orthodontics
        by Joseph Zernik <orthodl@hsc.usc.edu>
  2) Re: Mso's and new grads
        by Mbellard@aol.com
  3) Starting from "scratch"
        by "Paul D. Zuelke" <zuelke@email.msn.com>
  4) Re: Mounted Models
        by Craig Andreiko <andreikoc@sprynet.com>
  5) Re: Mounting Cases
        by "Paul M. Thomas" <pm.thomas@gte.net>
  6) Re: workman's comp
        by Orthodmd@aol.com
  7) Nikon Coolpix 990
        by Brett Kerr <bkerr@uq.net.au>
Date: Fri, 07 Jul 2000 10:20:48 -0700
From: Joseph Zernik <orthodl@hsc.usc.edu>
To: ORTHOD-L@usc.edu
Subject: ESCO - The Electronic Study Club for Orthodontics
Message-ID: <3.0.6.32.20000707102048.0082b950@hsc.usc.edu>
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"




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. 

* What information can you get on ESCO?

* How to subscribe to ESCO?

* How to change your address?

* How to post messages on ESCO?

For answers to these questions and more, please check our web site:
http://www-hsc.usc.edu/~jzernik/eclub.htm

Enjoy!

Sincerely,

Joseph H. Zernik, D.M.D. Ph.D.
Professor, Department of Orthodontics
University of Southern California
http://www-hsc.usc.edu/~jzernik/

17




Date: Thu, 6 Jul 2000 22:09:06 EDT
From: Mbellard@aol.com
To: orthod-l@usc.edu
Subject: Re: Mso's and new grads
Message-ID: <38.83b8a98.269695c2@aol.com>
MIME-Version: 1.0
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

To Robert Pickron, OrthoAlliance member
 
Dear Robert,

I would like to make the following counterpoints to your ESCO post regarding
new graduates and mso's.  First, who ever said it was going to be easy
starting your own orthodontic practice? The best things in life never are. 
Certainly, as you say, there are challenges in getting a good lease, getting
a good buildout, and marketing your practice. And yes, new grads need
mentoring (I still do, too), but don't sell them short.  The point is that
new grads are equipped to handle these and other challenges, and will be
seasoned by the process.  I find the language you use, like other mso
supporters (mso members, of course), plays on the fears and insecurities of
residents.  Ortho residents are the best and brightest people in dentistry. I
trust that they will see through the mso sales rhetoric and resist the
temptation of an easy start, and instead holdout for the superior rewards
(financial and otherwise) that true private practice holds.  As for
mentoring, there are great consultants available who are very capable of
helping you get going in the right direction, and advising you along the way
to stay competitive in any market.  In short, you don't need to become
chained for life to an mso to achieve a successful practice.  Mso's are
looking for new grads to make money for them, and as I've said before, that's
not why I went to school.

Mark Bellard
Date: Wed, 5 Jul 2000 09:01:44 -0700
From: "Paul D. Zuelke" <zuelke@email.msn.com>
To: "ESCO" <Orthod-L@USC.edu>
Subject: Starting from "scratch"
Message-ID: <003501bfe69a$50bbcbe0$086fa8c0@potlnd1.or.home.com>
MIME-Version: 1.0
Content-Type: multipart/related;
        type="multipart/alternative";
        boundary="----=_NextPart_000_0031_01BFE65F.A433C100"

 

I am very much in line with Dr. Lively's comment regarding the choices available to recent graduates.  I spent ten years in banking and now 21 years as an orthodontic consultant.  Start-up money, and lots of it, is available to new orthodontists.  In fact, there are very few people that bankers would rather lend their money to and, from the lender's perspective, there are few better reasons to borrow money.  Start-up capital is not a problem.
 
It does take some courage, some self-confidence, and a willingness to be at risk, to start your own practice and/or to borrow money to build or purchase a practice.  However, the net income will be there, in time to pay the school loans, the bank loans, and with enough left over to take a decent salary.  Once those loans are paid.......  We have 500+ orthodontic clients, some are "old-timers" and others are recently out of school, but all started from "scratch."  None of them, not even one, would trade his or her experience.
 
As I wrote a couple of years ago, the MSO experience is right for some doctors, but it would be a serious mistake for a young graduate to believe that participating with an MSO is the only realistic choice he or she has.
 
Paul D. Zuelke

Date: Wed, 05 Jul 2000 08:40:47 -0700
From: Craig Andreiko <andreikoc@sprynet.com>
To: orthod-l@usc.edu
Subject: Re: Mounted Models
Message-ID: <396356FF.6EEB1986@sprynet.com>
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii; x-mac-type="54455854"; x-mac-creator="4D4F5353"
Content-Transfer-Encoding: 7bit

Hi,
    I guess the part I have trouble understanding is why articulated
models are more accurately related, upper to lower, than are ground.  It
seems to me that the bite registration is all that could be different.
If one uses the same bite registration technique then I can't see what
the difference would be.  That is unless, of course, the articulated
models are set up with protrusive and lateral check bites.  What is the
point of doing that for T1 ortho where you expect the occlusion to be
changing?  The whole mounting issue seems to me to be much more sensible
for pre-T2 so you can look for interferences and function.
Craig Andreiko

Date: Wed, 5 Jul 2000 12:36:03 -0400
From: "Paul M. Thomas" <pm.thomas@gte.net>
To: "Lester Kuperman" <lester@kupermanortho.com>, <orthod-l@usc.edu>
Subject: Re: Mounting Cases
Message-ID: <006601bfe69f$1c617200$41e42304@dsl.gtei.net>
MIME-Version: 1.0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

Nicely stated!  And it's gratifying to see the "indoctrination" from the
various courses didn't cloud your ability to ask the important questions.  I
sometimes think the cosmic significance of joint space and condylar position
is a discussion best held at the bar over adult beverages.  It seems like
you've found the path of reason despite having multiple articulator systems.
Was it Lysle Johnston who defined gnathology as "the study of how
articulators chew"?

Paul M. Thomas, DMD, MS
Adjunct Associate Professor
Department of Orthodontics and
Oral and Maxillofacial Surgery
University of North Carolina
Chapel Hill, NC

----- Original Message -----
From: Lester Kuperman <lester@kupermanortho.com>
To: <orthod-l@usc.edu>
Sent: Saturday, July 01, 2000 5:00 PM
Subject: RE: Mounting Cases


> A little knowledge is dangerous!  Unfortunately, I know a little about a
> lot.  Readers beware!
>
> After 22 years of experience using a Quint laminagraph, I have read and
> listened to various opinions questioning the validity of TMJ tomos.  My
> experience with these films has been excellent especially when used and
> interpreted correctly while realizing their limitations...as any other
> diagnostic tool.   I've also taken numerous, but certainly not all,
> occlusion and TMD courses over the years.  I am a proud owner of two
> articulator systems----which adorn my lab shelving most of the time.
Please
> don't take me lightly since I own 3 & 4 articulators of each system along
> with the variators and other devices.  We do occasionally use mounted
models
> when deemed appropriate--such as open bites and surgical cases.
>
> As a result of the above, I have more questions than answers.
>
> The real question and dilemma is who can scientifically define and
document
> the TRUE CENTRIC RELATIONSHIP?  What is Centric Relation?  It was
different
> for the earlier gnathologists than most currently held beliefs.  Is it
> possible that centric relation might be the wrong position for SOME
finished
> cases?  Perhaps, centric occlusion is best for that particular patient. Is
> there true data that supports any of the myriad of mandibular manipulation
> and mounting techniques?  Are there studies that demonstrate accurately
and
> without bias what the actual condyle position is for any given
manipulation
> technique?  How can the techniques all be different and correct at the
same
> time?  If one religiously mounts their cases, does that mean they are
saying
> a prayer that the condylar position is correct?  Has anyone ever verified
> the condylar position radiographically for a their definition of centric
> relation?  Or is this highly significant subject being addressed
anecdotally
> by our authorities and leaders?  (I suppose we could ask similar questions
> about amalgam.)
>
> What about growth?  What is the normal condyle-fossa relationship in a
> growing child--or adolescent?  When is the joint fully formed?  What
changes
> in joint morphology occur with various treatment modalities?  Do we have
the
> mechanics to fully treat to our perceived mounted-models-treatment-plans
in
> a realistic fashion for all of our patients?
>
> When models are mounted, how do we know where the condyle really
> is???????????????   And if we do, then how do we accurately duplicate the
> movements of this complex joint with flat articulator sufaces?  And where
is
> the disc especially in clicking patients?  And how do we compensate on our
> mounted models for disc displacements, perforations, and adhesions?
>
> I believe that I know  some of the answers to these questions but would
> rather hear your responses.  If any of you would be kind enough to provide
> me with valid references, I would be most appreciative.
>
> Thank you,
> Lester Kuperman
> Fort Worth, TX
>
> -----Original Message-----
> From: Mark Cordato [mailto:markc@ix.net.au]
> Sent: Monday, June 26, 2000 3:07 AM
> To: orthod-l@usc.edu
> Subject: Re: Mounting Cases
>
>
> Dear James,
>
> On 19 Jun 00, at 21:47, James M Faulkner wrote:
>
> > Dear Club Members,
> >
> >   At the risk of being ostracized for ignorance, I have a basic
> >   question to float around. Why would you routinely articulate your
> >   study models? I know orthodontists that routinely mount all their
> >   cases, but get a foggy answer why.  We know that occasionally there
> >   is difference between CO and CR and know that this knowledge may
> >   affect our treatment plan  But my question deals with all the other
> >   times. For your information I am board certified and have been in
> >   practice for 18 years. I am wondering if I am missing something.
> >
> > Cheerio
> > Jim Faulkner
> >  Kennebunkport, Maine  (home of the REAL PRESIDENTS- note the "s")
> >
>
> I know a few of the people here have been doing it for years. They
> led me to start mounting models and I am thankful for their guidance.
> Had I not been part of this group (ESCO) I think I would not have
> changed.
>
> Me, I've only been mounting models for a bit over a year.
>
> The occlusion is (remarkably) more accurate regarding the overbite
> and buccal relations. Models ground with a wax bite I now regard as
> bordering on fictitious.
>
> Plus it is (a little) cheaper and frees my staff up. It is easier for
> the staff to get this right than model trimmer models.
>
> You are proabably right, much of the time it makes little diference
> but already I have a couple of patients where the diference from
> mounting is significantly different to hand held models. I know I can
> hear arguments already as to why it should make no difference. IMHO
> it has made a difference.
>
> In a decade or two I expect the publication standards for changes to
> occlusion induced with orthodontics will need to be measured off
> mounted models as hand held models will not have (it never has had)
> adequate reliability and accuracy to measure for example the change
> in molar relations in mm between pretreatment, deband and
> posttreatment. This accuracy is required if a meaningful
> interpretation of postreatment crowding, overbite and overjet changes
> is desired.
>
> So James, I am not saying you are wrong or your records are poor or
> deficient just that for me I think there may be a better way.
>
> Cheers,
> Mark Cordato
> Bathurst
> markc@ix.net.au
>
>

Date: Wed, 5 Jul 2000 18:14:05 EDT
From: Orthodmd@aol.com
To: orthod-l@usc.edu
Subject: Re: workman's comp
Message-ID: <44.523d4c4.26950d2d@aol.com>
MIME-Version: 1.0
Content-Type: text/plain; charset="US-ASCII"
Content-Transfer-Encoding: 7bit

In a message dated 00-07-05 17:29:34 EDT, you write:

<< My communication of 27th June regarding a dental assistant with supposed
 work-related tendonitis of the right hand and thumb was half complete,
 and I apologise for the unfinished letter. As mentioned, I have a
 chairside assistant who is about to claim compensation for a work related
 "overuse injury". Has anyone had a staff member with this problem, or is
 anyone aware of any articles in the literature regarding this situation?
 I intend to fight this as I do not believe the condition is work related.
 Thank you for your assistance.
 Denise Lawry >>

Denise,

The advice I am going to give worked for me in the US.  Things (laws) may be
different in the land of Crocodile Dundee so check with your attorney or
check with your Workman's Comp carrier as suggested by Dr. Redmond.

I've had this happen to me twice in 20 years.  Once it was a front desk
person and then it was a clinical assistant.  I've always taken the approach
that staff are long term investments.  I've seen colleagues take a different
tack with staff and it tends to be more confrontational that way.

Assuming your staff are long term investments, you might start by asking your
Workman's Comp carrier for advice.  I did not do that.  I asked a PT I was
friendly with for her advice on the issue.  She told me that she wanted to
make a site visit and observe the front desk employee at work.  She felt that
she might be able to make some suggestions regarding work habits, work
posture, etc.  In fact, she made one site visit and suggested that the staff
person needed more support for her wrists and forearms while doing data
entry.  She recommended a chair with special forearm supports that would cost
around $800 (8 years ago).  I was delighted to have that info and doubly
delighted when she suggested that my Workman's Comp carrier might pay for the
chair as an "injury preventer."  That is exactly what happened.  The staff
person is still with me and while she does not do quite as much data entry as
she used to, she works with a computer 60% of her day with no recurrance of
the problem.

The other situation involved my lead chairside assistant.  She basically did
everything and was always willing to jump in and do more than her fair share
if someone was falling behind.  She started to complain that if she did
several debands in a day, her wrist would hurt afterwards.  She attributed it
to removing composite with a carbide tipped bond removing plier.  She felt
this repetitive motion was the cause of the problem.

Interestingly, her dad is a machinest and she and her dad are constantly
making things together.  She has made a custom canoe with dad as well as a
sea going kayak.  At the time she was experiencing problems in the office,
she was also doing a lot of custom basket making with a friend.  Obviously,
this is a person that likes to stay busy and use her hands as part of her
hobbies.

She and I talked it over.  It was clear to me that she was a career oriented
DA and she did not want to leave the office or be forced to leave.  We tried
to modify her duties so she did fewer debands in a day.  Her limit seemed to
be one or occasionally two.  She also came to realize that basket making was
not helping the situation so she stopped that on her own.  Again, she is
still with me after 5 plus years and no additional problems.  She is now
clinical supervisor.  And we no longer remove cement with a carbide tipped
plier.

My suggestion is to take people at face value.  When I teach on staff
management, I frequently use the expression, "Expect a lot.  You will rarely
be disappointed."  I believe that and it seems to be an attitude that works
for me.

Warmest regards

Charlie Ruff
Date: Thu, 06 Jul 2000 11:33:09 +1000
From: Brett Kerr <bkerr@uq.net.au>
To: "orthod-l@usc.edu" <orthod-l@usc.edu>
Subject: Nikon Coolpix 990
Message-ID: <3963E1D5.956E194E@uq.net.au>
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit

I have just bought a Nikon Coolpix 990 digital camera.  I am trying to
figure out how best to use it for intra-oral shots, but the learning
curve is steep!

Has anyone in the group any advice?  Either direct settings etc., or
info on guide books, web sites etc. would be welcomed.

TIA

Brett Kerr,
Brisbane,
Australia.
Embedded Content: 137874e0.jpg: 00000001,3a8ae7cb,00000000,00000000 Attachment Converted: "C:\Program Files\UICNSKit\Eudora\Attach\anabnr21.gif" Attachment Converted: "C:\Program Files\UICNSKit\Eudora\Attach\Nature Bkgrd1.jpg" ORTHOD-L Digest 711 Topics covered in this issue include: 1) ESCO - The Electronic Study Club for Orthodontics by Joseph Zernik 2) Nikon 990 by "Javier Ibañez Brambila" 3) Re: Nikon Coolpix 990 by M-C Conne Domon 4) Nikon Coolpix 990 or Olympus C 3030 by "Williams, Bryan" 5) Re: ORTHOD-L digest 710 Articulators again by DrDCarter@aol.com 6) Mounting Study Casts by Bob Frantz 7) Re: Mounted Models by "Mark Cordato" 8) Re: ORTHOD-L digest 708 by "Kevin C. Walde" 9) cement by Orthodmd@aol.com 10) orthododontist in Nottingham, UK by "yeeny huang" Date: Tue, 11 Jul 2000 15:09:20 -0700 From: Joseph Zernik To: ORTHOD-L@usc.edu Subject: ESCO - The Electronic Study Club for Orthodontics Message-ID: <3.0.6.32.20000711150920.00798240@hsc.usc.edu> Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" 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. * What information can you get on ESCO? * How to subscribe to ESCO? * How to change your address? * How to post messages on ESCO? For answers to these questions and more, please check our web site: http://www-hsc.usc.edu/~jzernik/eclub.htm Enjoy! Sincerely, Joseph H. Zernik, D.M.D. Ph.D. Professor, Department of Orthodontics University of Southern California http://www-hsc.usc.edu/~jzernik/ 18 Date: Sat, 08 Jul 2000 16:57:57 -0500 From: "Javier Ibañez Brambila" To: ORTHOD-L@USC.EDU Subject: Nikon 990 Message-ID: <20000708215757.MLA859.mta04@onebox.com> Content-Type: text/plain; charset=us-ascii Content-Transfer-Encoding: 7bit MIME-Version: 1.0 Nikon 990 is a very good digital camera to intra and extraoral photography, this is the settings that Rob, give me in DPR (http://www.dpreview.com/) for intraoral photos: Here are the manual settings you will need: 1) macro 2) white balance - flash 3) forced flash 4) aperature priority - adjust zoom so your f-stop is 9.9 for best depth of field 5) matrix metering 6) center weighted focusing. 7) flash output -0.7 ( I prefer -0.3) 8) You don't need a ring flash. The point flash built into the camera is excellent and provides aesthetic shadowing that a ring flash won't give. If you find the right cheek casting too much of a shadow, you can either pull the camera back a little bit or flip it upside down to get the point on the other side. 9) Normal distance from subject is about 8 inches. Purchase your left thumb on the camera (near the flash) and your pinky on the patient's cheek/chin. Have fun, Rob -- Dr. Javier Ibanez Brambila shark123@zdnetonebox.com - email ___________________________________________________________________ To get your own FREE ZDNet Onebox - FREE voicemail, email, and fax, all in one place - sign up today at http://www.zdnetonebox.com Date: Sun, 09 Jul 2000 19:54:48 +0200 From: M-C Conne Domon To: orthod-l@usc.edu Subject: Re: Nikon Coolpix 990 Message-ID: <3.0.5.32.20000709195448.007be100@mail.swissonline.ch> Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" At 11:33 06.07.00 +1000, you wrote: >I have just bought a Nikon Coolpix 990 digital camera. I am trying to >figure out how best to use it for the intra-oral shots, but the learning >curve is steep! > >Has anyone in the group any advice? Either direct settings etc., or >info on guide books, web sites etc. would be welcomed. Hello, I take all the intra-oral shots in a mirror with the flash and the macro setting. For the right side, I hold the camera upside down to have the flash in the mouth instead of the cheek's shadow. Only the front (smile) shot is taken without the flash. Since the sequence is always the same, I have built a macrocommand in Photoshop to process all the pictures at the same time with only one click of the mouse. Resizing them all, rotating and/or flipping when necessary ---------------------------------------------------------------------- Dr Marie-Claire CONNE DOMON e-mail: mcconne@swissonline.ch 69 rue du Rhone http://www.dentiste-geneve.ch/ CH-1207 Geneva tel ++41 22 735 28 35 fax ++41 22 735 76 85 Switzerland Date: Sun, 9 Jul 2000 21:30:26 -0700 From: "Williams, Bryan" To: "'orthod-l@usc.edu'" Subject: Nikon Coolpix 990 or Olympus C 3030 Message-ID: MIME-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Further to the digital camera question I am trying to decide between 2 good quality digital cameras- the Nikon Coolpix 990 and the Olympus C-3030. They are both 3.3 million pixel cameras and the prices are similar. My planned usage is for general photography (mostly home photography) with occasional use as a back up clinical camera. We recently purchased a Minolta RD 175 as our main digital clinic camera (just starting the learning process) but I anticipate that inevitably there will be some breakdowns and a backup may be needed. One obvious difference between the two cameras is the positioning of the flash relative to the lens. This seems like it would be significant when one is using the camera for close up applications. I am an absolute rookie in anything to do with digital photography and I'd deeply appreciate any feedback on these two cameras. Thanks Bryan Williams Children's Hospital - Seattle Date: Sat, 8 Jul 2000 08:29:16 EDT From: DrDCarter@aol.com To: orthod-l@usc.edu Subject: Re: ORTHOD-L digest 710 Articulators again Message-ID: MIME-Version: 1.0 Content-Type: text/plain; charset="US-ASCII" Content-Transfer-Encoding: 7bit Recent postings by Paul M. Thomas and Lester Kuperman and Craig Andreiko cannot be answered by writing as well as by experiencing the differences between model trimmer centric and articulator centric. All I can state is my own experience. I first went to a GP course on occlusion which opened my eyes to my own ortho problems, and realized that I knew a lot about alignment and zero about dynamic function. As I grew to learn articulators, I realized that while imperfect, they allow us to visualize a problem in three dimensions better than any other method. So I mount cases on a simple Whip Mix articulator (developed by Niles Guichet as a simple method of analyzing casase before mounting reconstruction problems on his "big box" Denar fully adjustable instrument). As Craig says, initial mounting doesn't require as much information about condylar inclination, etc., as that required to construct crowns or bridges. But it IS a three dimensional recording unlike hand held models. I was heartened a few years ago to hear Larry Andrews explain his disposable articulators as sufficient for ortho because we really only need to capture the terminal relation. Exactly. All the angles and curves are immaterial because we are going to move the teeth. But, we must know where we're heading. Without a map, it's just a guess. So while some are content to argue, others have found true utility in having a more accurate diagnostic tool which cuts our error rate immeasurably. Once one learns to mount cases, one realizes that the majority of class II cases have significant vertical interferences which can be seen and demonstrated and replicated and felt. As the mandibular cast is moved against the maxillary member, it is possible to see the condylar member separate from the eminence. Why bother? Because this is what occurs in all of our patients. They are not just a set of teeth. Articulators are simply a method of visualizing the problems of occlusion more fully. If one carries the disbelievers logic to conclusion, why make models at all. We have the teeth to view in vivo. And why record the positions now since we're going to move thenm anyway? I have been contemplating a one day hands-on course for orthodontists with assistants which would teach simple case mounting on an inexpensive Whip Mix articulator system (not because there aren't other good systems, because that's what I know). Is there any interest for such an endeavor? Dick Carter 3250 NW 185th Portland OR 97229-3404 USA DrDCarter@aol.com 503.690.0722 Date: Sat, 08 Jul 2000 21:28:23 -0700 From: Bob Frantz To: ORTHOD-L@USC.EDU Subject: Mounting Study Casts Message-ID: <3967FF66.C783A6F@best.com> MIME-Version: 1.0 Content-Type: text/plain; charset=iso-8859-1 Content-Transfer-Encoding: 8bit In response to questions from several individuals, I offer my response. I apologize for the length, but it seemed indicated. Why are articulated models more accurately related, upper to lower, than are ground models? It should be very clear to all that they are not more accurate. However, something should be said for the handles. As a method of evaluating the relationship between upper and lower casts, the articulator mounting has many advantages over the unrelated, ground casts. If the interocclusal record is removed, as must be done to evaluate tooth contact, then transverse discrepancies and relations are lost. If there is contact on only the posterior teeth, then evaluating that is difficult at best, while the models are positioned on the bench. Viewing the lingual relations in a more realistic vertical position is impossible unless there is some type of mechanism to relate the upper to the lower cast. In this case, if one subscribes to a seated condylar reference position, then utilizing a technique to capture the “hinge axis” is important. For this the hinge becomes an integral part of the evaluation. Bite registrations are the only difference. Quite true, the importance of the “bite registration” is important. However, one must be aware of the limitations of the centric bite of the day. Each technique is operator sensitive, and it is not a skill that one achieves without some practice. Reproducibility is difficult at best and requires skill and practice, mostly practice. Use of lateral and protrusive check bites. If one chooses an instrument which only follows straight lines, then these procedures will seem adequate. If the true border movement of the mandible is important for the success of the treatment, then these will not be sufficient, and at best could only give an indication of the functional movements which are being portrayed. Mounting at T2. Assuming this is at a time prior to appliance removal, this would have to be another ideal time to observe. If one could avoid problems by observing earlier, is there no value in that? Why would one wish to limit the information available? Indoctrination and clouding ones abilities. Indoctrination from various courses and abilities to ask questions. Does this suggest that those who find value in mounting cases have been indoctrinated and are only following the guru? Perhaps this represents utilization of the scientific method as originally proposed. Observation is a part of the scheme, is it not? Definition of Gnathology An operational definition of gnathology might be the measurement of how the tops of the teeth move across each other, and how to design a system which will allow movement without detrimental collision. It is obvious that articulators do not chew, and that most humans are not rigid structures that move in straight lines. The articulator is a tool, nothing more. Some find it useful, and after having it help to provide satisfactory results with our treatment, choose to use it as a measuring instrument. None of us, who follow a clinical path, want less than the best for our patients. These gnathologic concepts have helped refine that which we do on a daily basis. The fallacy of using tomographs as the basis for utilizing or not utilizing mounted study casts. Viewing a two dimensional representation of a thin slice of a structure gives credence to the concern the clinician has for the integrity of the structure, but beyond that, the relationship is less clear. In making the decision to mount casts or not, TMD may be a factor, but only one. The value of the technique does not rely solely on its ability to identify a “disease state”. Owning machines: The fact that several systems have been purchased over the years, could suggest several things. Different systems do some things better than others, and this could be a reason. Things have improved, and with time we learn and choose systems which serve us better. A better use for usable systems might be donation rather than adornment. Questions: What is Centric Relation and has it changed? It would appear that the meaning, and what that represents has not changed. The semantics have and the precise wording has been altered, but what is represented has not. The condyle has always been viewed as being most stable when it is positioned against the eminence with the disk interposed and from which position all movements of the mandible could be made. Centric Relation wrong for some finished cases. If there is no disk, if the morphology of the system will not allow this, then perhaps one could suggest that centric relation coincident with centric occlusion might not be the best for the patient. In the absence of pathology, that is, a healthy joint, it is difficult to understand how a position of stability would be detrimental. Is it better to learn to treat to the what if case, or to the healthy case? The answer would appear obvious. Mandibular manipulation and mounting techniques: If the reason for utilizing these techniques, is the achievement of a reference position, then utilization of observation, hypothesis formation, testing, and corroboration would appear to provide the necessary verification and data sought. It is suggested that if a reference position is located, then the method that is used to capture that relation does not matter. Perhaps the methods necessary to achieve this position need further refinement, but the repeatability of such a position in the hands of skilled clinicians suggest that it is possible. In other words, centric is centric is centric. Religion, Prayer and mounting cases: Methods are available to test the reliability and reproducibility of the techniques, and they have been published. With more sophisticated measuring tools, will these techniques be shown to be inaccurate? Almost certainly! Is one doing the same when no measurements are taken as compared to using a standardized approach? Again the answer appears obvious. Condylar position radiographically in centric relation: Why would one technique with as many inherent variations as tomography, be held as the gold standard for evaluation of a position over another with equally as many variables. Perhaps the ease with which one is obtainable, and the ability to visualize what appears to be a good representation has deceived us. It may be possible that both techniques offer advantages, and useful information. The future may provide better methods of obtaining the information with less effort, but until that occurs, testing one against another may obscure the value of both. Growth and the normal condyle-fossa relationship: Change and increase in size occur. Our patients generally grow larger. Yet, has anyone suggested that more basketball players could be produced if we held the surfaces of the knees apart? There does appear to be some semblance of order with regard to the workings of the parts. The “closed packed” joint appears to remain as that which has the best opportunity to function. Function is the operative term—movement. Centric or the seat Condylar reference position is just that, a place that can be returned to for evaluation. To interject these other questions, only clouds the issue—why mount casts. Mechanics available to treat to the plan: Assessment of this question requires the reference against which to judge. Unfortunately, unless the same records are taken prior to treatment and then after, and then compared, the answer will elude us. For some, there is sufficient evidence that mounting casts is one method of assessment. Again, observation is the key. Articulators duplicating movements: The gnathic system is not made up of flat surfaces, and to use a system which is unable to duplicate the movement one is interested it makes little sense. Does this mean that there is no valuable information available with such instrumentation. If the limitations are recognized and accepted, then much is to be gained. If one expects to hold a fully representational model of the skull in one’s hand, then disappointment awaits. TMD, discs, clicking: Do not all of these suggest pathology or at least alteration of structure? Should the clinician expect to be able to avoid taking these changes into account when treatment is contemplated? If in only one case, the use of a technique can more accurately represent the condition, is the effort wasted? If the technique has been thoroughly investigated and discarded as useless, then please disclose the reasoning. If on the other side, others find value, with little increase in risk for our patients, then what is to be gained by casting aspersions. Which leads to the final comment: Valid references: What constitutes references which are acceptable, and who deems them valid. Is the Scientific Method really defined by double blindedness. Observation and testing would still seem to be part of the scheme. The goal of the profession should be to improve, not tilt windmills. If a segment of a profession utilizes a technique, finds it useful and valuable, and produces results which corroborates their hypotheses, then isn’t it incumbent upon the profession to at least look over their shoulders and try and duplicate that which appears to be working? Thank you for your persistence. I speak only for myself, and my experiences. I have found this to be a valuable tool, and I believe it has made my practice better and my life easier. Robert Frantz, DDS Orthodontist Date: Sun, 9 Jul 2000 18:45:49 +1000 From: "Mark Cordato" To: orthod-l@usc.edu Subject: Re: Mounted Models Message-ID: <200007090845.SAA19325@mail.ix.net.au> MIME-Version: 1.0 Content-type: text/plain; charset=US-ASCII Content-transfer-encoding: 7BIT Dear Craig On 5 Jul 00, at 8:40, Craig Andreiko wrote: > Hi, > I guess the part I have trouble understanding is why articulated > models are more accurately related, upper to lower, than are ground. > It seems to me that the bite registration is all that could be > different. If one uses the same bite registration technique then I > can't see what the difference would be. That is unless, of course, > the articulated models are set up with protrusive and lateral check > bites. What is the point of doing that for T1 ortho where you expect > the occlusion to be changing? The whole mounting issue seems to me to > be much more sensible for pre-T2 so you can look for interferences and > function. Craig Andreiko In a previous posting I suggested that ground casts probably give much of the clinical information most of the time. You asked where differences between hand held and articulated models might be. IMHO if wax is being used for the bite registration and grinding then even the best lab will return the models with the bite a little different as the pressure and vibrations distort the wax. This would be why mounted casts would be more accurate. Other bite registration materials will be less susceptible to creep (I use silicon). I agree that I usually am going to control each and every erupted tooth in full banding so pretreatment interferences are invariably going to be moved so the pretreatment prositions are not as relevant but then again if you take your logic further, if we are going to move all the teeth then why bother with casts? I believe it is to see what we started with. Hand held models are a an unreliable means of determining pretreatment overbite especially in open bite and incomplete overbite cases. Your point about T1 and T2 is most reasonable but I aslo found that as my wax bites distorted they were more likely to return ground nearer to CO than CR and when held by hand they were also more likely to move towards CO with both giving a false view of the problem to be addressed. Maybe these problems were issues within my office alone (and every uni department I have ever seen which used wax bites) but these problems have been cured for me now that models are being mounted. But hand held models look and feel prettier. Please yourself and don't mount models, I see this as one of the smaller improvements I have made to the way I work in the last few years. I am sure I could return to hand held models if I had to but I would prefer I did not. Yours, Mark Cordato Bathurst markc@ix.net.au Date: Sat, 08 Jul 2000 15:54:02 -0500 From: "Kevin C. Walde" To: orthod-l@usc.edu Subject: Re: ORTHOD-L digest 708 Message-ID: <396794E6.9B8FD3B5@usmo.com> MIME-Version: 1.0 Content-Type: text/plain; charset=us-ascii; x-mac-type="54455854"; x-mac-creator="4D4F5353" Content-Transfer-Encoding: 7bit What is "European Orthodontics"? Is it synonymous with "Functional Orthodontics"? If that's what you're looking for it's simply a term used by the weekend hotel orthodontic lecturers (not to be confused with educators) to make their "students" somehow feel they are learning a superior form of orthodontics. Many European orthodontists are educated in the U.S., do they practice differently than we do? What you want is an AAO member and preferably one that is ABO certified (ABO certification won't guarantee a better practitioner but there is a certain amount of effort required to become certified). Mounting models? Cheaper, OK. Higher fee, all right... but providing more information about CR-CO? And "never believe what you see in the mouth."?! Do you mean to say that mounted study models with all of the inherent errors induced in the transfer process, distortion of impressions, etc., give you a better picture of the patient than a clinical exam? Just because someone teaches something doesn't mean it is so. Experience doesn't necessarily make someone correct. For thousands of years the Sun revolved around the Earth. If mounting models is cheaper and more profitable, I'm all for it. But if you are telling me that mounted models allow you to make a better diagnosis and, more importantly, get a better result, where's the evidence to support this? Happy Trails, Kevin Walde, Washington, MO (the Show-Me State) Date: Sun, 9 Jul 2000 09:58:25 EDT From: Orthodmd@aol.com To: orthod-l@usc.edu Subject: cement Message-ID: <25.8104781.2699df01@aol.com> MIME-Version: 1.0 Content-Type: text/plain; charset="US-ASCII" Content-Transfer-Encoding: 7bit I'm second guessing myself again on the proper kind of band cement to use. I use both Bandlok and Fuji I. I like Bandlok for ease of use and ease of removal. I like Fuji because bands never seem to come off prematurly. Any thoughts? Also, anyone using Eureka springs? Thoughts? Thanks Charlie Ruff Date: Sat, 08 Jul 2000 23:01:00 PDT From: "yeeny huang" To: orthod-l@usc.edu Subject: orthododontist in Nottingham, UK Message-ID: <20000709060100.7634.qmail@hotmail.com> Mime-Version: 1.0 Content-Type: text/plain; format=flowed Dear Colleagues, I have a patient who will be going to Nottingham, UK for further studies in September. Anyone out there know of an orthodontist in Nottingham, kindly contact me. Thanks! Dr. Yeeny Huang Kuala Lumpur, Malaysia ________________________________________________________________________ Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com ORTHOD-L Digest 712 Topics covered in this issue include: 1) ESCO - The Electronic Study Club for Orthodontics by Joseph Zernik 2) American Journal of Orthodontics and Dentofacial Orthopedics July 2000, Vol. 118, No. 1 by "Harcourt Health Sciences eTOC Service" 3) Re: ORTHOD-L digest 711 by "Rano Burton" 4) Re: cement by "Paul M. Thomas" 5) Re: cement by weiland@email.kfunigraz.ac.at (Frank Weiland) 6) Invisalign by Matasa@aol.com 7) Webshots Photo Album by druday@vsnl.com 8) APOLOGY by MDLoffice Date: Fri, 14 Jul 2000 11:59:32 -0700 From: Joseph Zernik To: ORTHOD-L@usc.edu Subject: ESCO - The Electronic Study Club for Orthodontics Message-ID: <3.0.6.32.20000714115932.007b17c0@hsc.usc.edu> Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" 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. * What information can you get on ESCO? * How to subscribe to ESCO? * How to change your address? * How to post messages on ESCO? For answers to these questions and more, please check our web site: http://www-hsc.usc.edu/~jzernik/eclub.htm Enjoy! Sincerely, Joseph H. Zernik, D.M.D. Ph.D. Professor, Department of Orthodontics University of Southern California http://www-hsc.usc.edu/~jzernik/ 19 Date: Thu, 13 Jul 2000 13:41:27 -0500 From: "Harcourt Health Sciences eTOC Service" To: ajodo_toc@mosby.com Subject: American Journal of Orthodontics and Dentofacial Orthopedics July 2000, Vol. 118, No. 1 Message-ID: <396E0D57.81DE5EB8@mosby.com> MIME-Version: 1.0 Content-Type: text/plain; charset=iso-8859-1 Content-Transfer-Encoding: 8bit American Journal of Orthodontics and Dentofacial Orthopedics Table of Contents for July 2000, Vol. 118, No. 1 http://www.mosby.com/ajodo -------------------------------------------------------------- Editorial >From case reports and conflicts of interst David L. Turpin http://www.mosby.com/scripts/om.dll/serve?article=aod11811 Policy on conflict of interest http://www.mosby.com/scripts/om.dll/serve?article=aod11813 Original Articles Quality evaluation of orthodontic information on the World Wide Web You-Ling Jiang, DDS, MS Wildwood, Mo http://www.mosby.com/scripts/om.dll/serve?article=a104492 Orthodontic dental visits during 1987 and 1996 Richard J. Manski, DDS, MBA, PhD, William M. Davidson, DDS, PhD, John F. Moeller, PhD Baltimore and Rockville, Md http://www.mosby.com/scripts/om.dll/serve?article=a103775 Orthodontics and the population with special needs H. Barry Waldman, BA, DDS, MPH, PhD, Steven P. Perlman, DDS, MScD, Mark Swerdloff, DDS Stony Brook, NY, and Boston, Mass http://www.mosby.com/scripts/om.dll/serve?article=a105236 Special Article Defining characteristics of financially successful orthodontists Matthew J. Coats, DDS, MS, Sorin R. Straja, PhD, Gary Wiser, DDS, MS, MBA, Hayley Heckman, Wilbert Saavedra, Orhan C. Tuncay, DMD Flower Mound, Tex, Columbia, Md, Perrineville, NJ, and Philadelphia, Pa http://www.mosby.com/scripts/om.dll/serve?article=a104818 Original Articles Posttreatment changes after successful correction of Class II malocclusions with the Twin Block appliance Christine M. Mills, DDS, MS, Kara J. McCulloch, DMD, MSD Vancouver, British Columbia, Canada http://www.mosby.com/scripts/om.dll/serve?article=a104902 Relapse in Angle Class II Division 1 malocclusion treated by tandem mechanics without extraction of permanent teeth: A retrospective analysis Javid Yavari, DMD, MS, Michael K. Shrout, DMD, Carl M. Russell, DMD, PhD, Andrew J. Haas, DDS, MS, Edward H. Hamilton, DDS Augusta, Ga, and Chicago, Ill http://www.mosby.com/scripts/om.dll/serve?article=a104409 Stability of anterior openbite correction with multiloop edgewise archwire therapy: A cephalometric follow-up study Young H. Kim, DMD, MS, Unae Kim Han, DMD, MPH, MS, Diana D. Lim, DMD, MSD, Ma. Laarni P. Serraon, DMD, MSD Weston, Mass http://www.mosby.com/scripts/om.dll/serve?article=a104830 Effective treatment plan for maxillary protraction: Is the bone age useful to determine the treatment plan? Naoto Suda, DDS, PhD, Masako Ishii-Suzuki, DDS, PhD, Ken Hirose, DDS, Shigetoshi Hiyama, DDS, PhD, Shoichi Suzuki, DDS, PhD, Takayuki Kuroda, DDS, PhD Tokyo, Japan http://www.mosby.com/scripts/om.dll/serve?article=a104491 Masticatory muscle activity in children and adults with different facial types Hiroshi M. Ueda, DDS, Keisuke Miyamoto, DDS, PhD, MD, Saifuddin, BDS, Yasuo Ishizuka, DDS, PhD, Kazuo Tanne, DDS, PhD Hiroshima, Japan http://www.mosby.com/scripts/om.dll/serve?article=a99142 Nasal impairment in prepubertal children Ulla Crouse, DDS, M. T. Laine-Alava, DDS, PhD, D. W. Warren, DDS, PhD Lexington, Ky, and Chapel Hill, NC http://www.mosby.com/scripts/om.dll/serve?article=a104952 Effect of methotrexate on the temporomandibular joint and facial morphology in juvenile rheumatoid arthritis patients Didem O. Ince, DDS, MS, PhD, Akgun Ince, MD, Terry L. Moore, MD St Louis, Mo http://www.mosby.com/scripts/om.dll/serve?article=a104953 Soft tissue cephalometric norms in Japanese adults Rafael E. Alcalde, DDS, PhD, Tokiari Jinno, DDS, DDSc, M. Gabriela Orsini, DDS, PhD, Akira Sasaki, DDS, PhD, Raymond M. Sugiyama, DDS, MS, Tomohiro Matsumura, DDS, PhD Seattle, Wash, Okayama, Japan, and Loma Linda, Calif http://www.mosby.com/scripts/om.dll/serve?article=a104411 Biological derivation of a range of cephalometric norms for children of African American descent (after Steiner) Arnett A. Anderson, DDS, MS, Angela C. Anderson, MD, Andrea C. Hornbuckle, MD, Kelvin Hornbuckle, MD Washington, DC, Providence, RI, and Cleveland, Ohio http://www.mosby.com/scripts/om.dll/serve?article=a103258 Clinician’S Corner Tying twin brackets Jorge Faber, DDS, MS Brasília, Brazil http://www.mosby.com/scripts/om.dll/serve?article=a104446 CDABO Case report Treatment of a Class I malocclusion with a carious mandibular incisor and no Bolton discrepancy Vincent O. Kokich, Jr, DMD, MSD Tacoma, Wash http://www.mosby.com/scripts/om.dll/serve?article=a108562 Continuing Education Questions and registration forms Zane Muhl, Editor http://www.mosby.com/scripts/om.dll/serve?article=aod1181114 Ortho Bytes Powering up your PowerPoint presentations Frederich J. Regennitter, DDS http://www.mosby.com/scripts/om.dll/serve?article=a108983 In Memoriam J. Edward Gilda, DDS, MS Robert E. Rosenblum, DMD, MS http://www.mosby.com/scripts/om.dll/serve?article=a108784 Department of Reviews and Abstracts Temporomandibular joint dysfunction: A practitioner’s guide Annika Isberg http://www.mosby.com/scripts/om.dll/serve?article=jod001181br Premolar autotransplantation in orthodontics treatment: A clinical and radiographic long-term study Hans Ulrik Paulsen http://www.mosby.com/scripts/om.dll/serve?article=jod001181bra Directory: AAO officers and organizations http://www.mosby.com/scripts/om.dll/serve?article=jod001181da Reader’s Services Editorial board http://www.mosby.com/scripts/om.dll/serve?article=jod001181eb Information for authors http://www.mosby.com/scripts/om.dll/serve?article=jod001181ia Information for readers http://www.mosby.com/scripts/om.dll/serve?article=jod001181ir Availability of journal back issues http://www.mosby.com/scripts/om.dll/serve?article=jod001181aj Bound volumes available to subscribers http://www.mosby.com/scripts/om.dll/serve?article=jod001181bv AAO meeting calendar http://www.mosby.com/scripts/om.dll/serve?article=jod001181mc Readers’ Forum Changing times Al A. Atta http://www.mosby.com/scripts/om.dll/serve?article=a108787 _______________________________________________________________________ Copyright (c) 2000 by Mosby, Inc. INFORMATION FOR READERS: To order a subscription call 1-800-453-4350 or visit us at http://www.mosby.com/scripts/om.dll/serve?db=home&id=od. TO REMOVE YOURSELF FROM THIS LIST: Go to http://www.mosby.com/scripts/om.dll/serve?action=etoc&id=od and enter your email address in the appropriate box. You can also unsubscribe by sending a message to majordomo@mosby.com with the words "unsubscribe ajodo_toc" as the body of the message. Date: Wed, 12 Jul 2000 08:12:10 EDT From: "Rano Burton" To: orthod-l@usc.edu Subject: Re: ORTHOD-L digest 711 Message-ID: <20000712121210.73704.qmail@hotmail.com> Mime-Version: 1.0 Content-Type: text/plain; format=flowed Further to our discussions about digital cameras. Has anyone tried the Dine Digital system? The Olympus C2500L was also recommended. Any thoughts TIA Rano ________________________________________________________________________ Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com Date: Wed, 12 Jul 2000 06:07:16 -0400 From: "Paul M. Thomas" To: , Subject: Re: cement Message-ID: <00c501bfebe8$f4cb08b0$c31e1918@paultower> MIME-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: 7bit I have had voids or washout occur under bands cemented with Fuji (or other traditional glass ionomers) without the band failing. The result was decalcification or decay. I'd prefer that the band fail and require recementation. The beauty of cleanup fair outweighs any inconvenience of recementation IMHO. -=Paul=- Paul M. Thomas ----- Original Message ----- From: To: Sent: Sunday, July 09, 2000 9:58 AM Subject: cement > I'm second guessing myself again on the proper kind of band cement to use. I > use both Bandlok and Fuji I. I like Bandlok for ease of use and ease of > removal. I like Fuji because bands never seem to come off prematurly. Any > thoughts? > > Also, anyone using Eureka springs? Thoughts? > > Thanks > > Charlie Ruff > Date: Fri, 14 Jul 2000 09:34:10 +0200 (MET DST) From: weiland@email.kfunigraz.ac.at (Frank Weiland) To: orthod-l@usc.edu Subject: Re: cement Message-ID: <200007140734.JAA22812@tom.kfunigraz.ac.at> Mime-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: 8bit Dear Charly Same experience: I humbly returned to Fuji. More mess, but hardly ever a loose band! Kind regards Frank Weiland, DMD, PHD Univ.-Doz. Dr. Frank Weiland Klin.Abt. für Kieferorthopädie Univ.Klinik für ZMK Tel. +43 316 3852424 A-8036 GRAZ / LKH Fax +43 316 3854064 email weiland@email.kfunigraz.ac.at Date: Wed, 12 Jul 2000 10:37:59 EDT From: Matasa@aol.com To: ORTHOD-L@usc.edu Subject: Invisalign Message-ID: MIME-Version: 1.0 Content-Type: text/plain; charset="US-ASCII" Content-Transfer-Encoding: 7bit Dear Dr. Zernik: I am reading with interest ESCO, and found that most clinicians underappreciate the Invisalign impact. I made an inquiry in the field, and my conclusions (grim for metalo-ortodontics) were presented in my newsletter, The Orthodontic Materials Insider, June 2000. I would like to send you, and to as many who are interested, a free copy of it. Please give me your mailing address so that I could send it to you. Sincerely, Prof. dr. Eng. Claude G. Matasa, Ortho-Cycle Co. Date: Thu, 13 Jul 2000 05:22:29 -0700 From: druday@vsnl.com To: orthod-l@usc.edu Subject: Webshots Photo Album Message-ID: <200007131222.FAA31694@p5.webshots.com> Hi. Have a look at these photos on the Webshots Community. Point your browser to this link: http://community.webshots.com/album/2948040miUupvdRmB Cheers, Dr.Uday _____________________________________ Put Incredible Photos On Your Desktop FREE ~ http://www.webshots.com/go?now Date: Thu, 13 Jul 2000 12:16:09 -0700 From: MDLoffice To: Electronic Study Club Subject: APOLOGY Message-ID: <396E1579.E52B0F55@gate.net> MIME-Version: 1.0 Content-Type: text/plain; charset=us-ascii Content-Transfer-Encoding: 7bit Dear Group: I just wanted to apologize to Scott Smoron, a recent graduate, for the remark made in a post last week in which I called him ignorant with respect to his business experience ( I left the business experience part out of the post). It was in response to a posting about OCA. He has advised me that no one that he has contacted felt that his post was pro-OCA and that most residents are very much aware of the pitfalls involving MSO's. He advised me that the only negative responses were knee-jerk responses from the "older orthos". He also advised me that he has successfully purchased a practice and is not going the way of the MSO. I was also very happy to hear this and advised him that if one is willing to roll up their sleeves and struggle for awhile, they will find it to be a worthwhile experience. Ortho is such a great career. He also advised me that the older orthos were responsible for the current state of affairs for not paying graduates what they deserve to be paid as associates and for not helping with the financing. Based on his comments he was speaking for most residents. I thought I might pass this along to those hoping to find the right person to take over their practice. If this is the state of mind of most residents then you might be working longer than you were hoping. I was also advised that insulting someone has no place in an intelligent conversation. I have to agree with this and so I do apologize for my rude remark. If I am a representative of the "establishment" I hope that I have not been an embarrassment to you and I also apologize to my colleagues for my remarks. With warmest personal regards, Mark Lively -- Mark David Lively, DMD mdlively@gate.net Lively Orthodontics Stuart, Florida ORTHOD-L Digest 713 Topics covered in this issue include: 1) ESCO - The Electronic Study Club for Orthodontics by Joseph Zernik 2) Re: Invisalign by "Paul M. Thomas" 3) Re: Nikon Coolpix 990 or Olympus C 3030 by WRed852509@cs.com 4) RE: Nikon Coolpix 990 or Olympus C 3030 by "JK - ORTHOworks" 5) Re: Eureka springs; was cement by "Jeff Genecov" Date: Mon, 17 Jul 2000 12:38:57 -0700 From: Joseph Zernik To: ORTHOD-L@usc.edu Subject: ESCO - The Electronic Study Club for Orthodontics Message-ID: <3.0.6.32.20000717123857.007b2100@hsc.usc.edu> Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" 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. * What information can you get on ESCO? * How to subscribe to ESCO? * How to change your address? * How to post messages on ESCO? For answers to these questions and more, please check our web site: http://www-hsc.usc.edu/~jzernik/eclub.htm Enjoy! Sincerely, Joseph H. Zernik, D.M.D. Ph.D. Professor, Department of Orthodontics University of Southern California http://www-hsc.usc.edu/~jzernik/ 20 Date: Mon, 17 Jul 2000 07:09:04 -0400 From: "Paul M. Thomas" To: , Subject: Re: Invisalign Message-ID: <003201bfefe4$db42e700$1e3079a5@paul600x> MIME-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: 7bit Dr. Matasa, I've watched the whole Invisalign thing with interest or perhaps I should say curiosity. Maybe it will have some impact, but I am not ready to run up the white flag. After 20 years I can still count the number of patients treated successfully with removable appliances on one hand. Patients will comply with something that doesn't impact appreciably on their lifestyle. They will wear a retainer at night.....sometimes. Few will wear something 24 hours per day, especially for the period of time to achieve the desired and detailed changes. Time, of course, will reveal the truth of this, but I think the metalo-orthodontists don' t have to panic just yet..... Paul M. Thomas, DMD, MS Adjunct Associate Professor Departments of Orthodontics and Oral and Maxillofacial Surgery UNC School of Dentistry Manning Drive Chapel Hill, North Carolina 27514 ----- Original Message ----- From: To: Sent: Wednesday, July 12, 2000 10:37 AM Subject: Invisalign > Dear Dr. Zernik: > I am reading with interest ESCO, and found that most clinicians > underappreciate the Invisalign impact. I made an inquiry in the field, and my > conclusions (grim for metalo-ortodontics) were presented in my newsletter, > The Orthodontic Materials Insider, June 2000. I would like to send you, and > to as many who are interested, a free copy of it. Please give me your mailing > address so that I could send it to you. Sincerely, Prof. dr. Eng. Claude G. > Matasa, Ortho-Cycle Co. > Date: Mon, 17 Jul 2000 03:00:09 EDT From: WRed852509@cs.com To: orthod-l@usc.edu Subject: Re: Nikon Coolpix 990 or Olympus C 3030 Message-ID: MIME-Version: 1.0 Content-Type: text/plain; charset="US-ASCII" Content-Transfer-Encoding: 7bit Hi Bryan, I am here in Seattle thru 7/19 aand would like to get together with you for a short period to explain the modifications of the Olympus digital camera for intraoral photos. I will be in my downtown Seattle office if you you like to call me (206.467.6877). I'm not sure where Children's Hospital is, but it can't be too far away from my office (700 5th Avenue, #1616, Seattle , WA 98104). I look forward to hearing from you. Rron Redmond DDS, MS Date: Tue, 11 Jul 2000 19:21:03 -0400 From: "JK - ORTHOworks" To: Subject: RE: Nikon Coolpix 990 or Olympus C 3030 Message-ID: MIME-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: 7bit For our practice we purchased the Olympus C3030... minimal learning curve, great reds/colour balance even under florescent lighting, no flash requirements, no post-picture manipulation ... and as an additional factor... great for home use. I followed the manual and recommendations of the Digital Dentist ... www.digident.com That said however... I purchased the camera from a store that allows 2 weeks of using a camera prior to purchasing... tried them all and for now settled on the Olympus. Good luck with your choice. JK... John Kalbfleisch VILLAGEortho.com -----Original Message----- From: owner-orthod-l@usc.edu [mailto:owner-orthod-l@usc.edu]On Behalf Of Williams, Bryan Sent: Monday, July 10, 2000 12:30 AM To: 'orthod-l@usc.edu' Subject: Nikon Coolpix 990 or Olympus C 3030 Further to the digital camera question I am trying to decide between 2 good quality digital cameras- the Nikon Coolpix 990 and the Olympus C-3030. They are both 3.3 million pixel cameras and the prices are similar. My planned usage is for general photography (mostly home photography) with occasional use as a back up clinical camera. We recently purchased a Minolta RD 175 as our main digital clinic camera (just starting the learning process) but I anticipate that inevitably there will be some breakdowns and a backup may be needed. One obvious difference between the two cameras is the positioning of the flash relative to the lens. This seems like it would be significant when one is using the camera for close up applications. I am an absolute rookie in anything to do with digital photography and I'd deeply appreciate any feedback on these two cameras. Thanks Bryan Williams Children's Hospital - Seattle Date: Sat, 15 Jul 2000 07:06:51 -0500 From: "Jeff Genecov" To: , Subject: Re: Eureka springs; was cement Message-ID: <006e01bfee55$38ac25a0$de1488cf@genecov> MIME-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: 7bit With regards to Charlie's question about Eureka Springs: Dors anyone know where they can be purchased? Jeff Genecov -----Original Message----- From: Paul M. Thomas To: Orthodmd@aol.com ; orthod-l@usc.edu Date: Wednesday, July 12, 2000 5:07 AM Subject: Re: cement >I have had voids or washout occur under bands cemented with Fuji (or other >traditional glass ionomers) without the band failing. The result was >decalcification or decay. I'd prefer that the band fail and require >recementation. The beauty of cleanup fair outweighs any inconvenience of >recementation IMHO. > > -=Paul=- > >Paul M. Thomas > > >----- Original Message ----- >From: >To: >Sent: Sunday, July 09, 2000 9:58 AM >Subject: cement > > >> I'm second guessing myself again on the proper kind of band cement to use. >I >> use both Bandlok and Fuji I. I like Bandlok for ease of use and ease of >> removal. I like Fuji because bands never seem to come off prematurly. >Any >> thoughts? >> >> Also, anyone using Eureka springs? Thoughts? >> >> Thanks >> >> Charlie Ruff >> > >
                            ORTHOD-L Digest 714

Topics covered in this issue include:

  1) ESCO - The Electronic Study Club for Orthodontics
        by Joseph Zernik <orthodl@hsc.usc.edu>
  2) Anterior extraction
        by iwire32@earthlink.net
  3) Gagger
        by "Ernest McCallum" <emccallum@emeraldis.com>
  4) Webshots Photo Album
        by druday@vsnl.com
  5) Eureka Spring
        by "Eugene Gottlieb" <egott@sedona.net>
  6) Info management of future
        by "Ron Parsons" <ronparsons@mindspring.com>
  7) Bimler courses
        by "Bimler" <101.238565@germanynet.de>
  8) Re: Nikon Coolpix 990 or Olympus C 3030
        by "Ernest McCallum" <emccallum@emeraldis.com>
  9) Re: DIGITAL CAMERAS
        by "Maurie Costello" <braces@costellodental.com.au>
 10) Other Desital Camera
        by "jun" <j-1@ijk.com>
 11) Sony digital cameras
        by "Robert Pickron" <pickron@speedfactory.net>
Date: Mon, 24 Jul 2000 08:28:04 -0700
From: Joseph Zernik <orthodl@hsc.usc.edu>
To: ORTHOD-L@usc.edu
Subject: ESCO - The Electronic Study Club for Orthodontics
Message-ID: <3.0.6.32.20000724082804.00845a80@hsc.usc.edu>
Mime-Version: 1.0
Content-Type: text/plain; charset="us-ascii"




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. 

* What information can you get on ESCO?

* How to subscribe to ESCO?

* How to change your address?

* How to post messages on ESCO?

For answers to these questions and more, please check our web site:
http://www-hsc.usc.edu/~jzernik/eclub.htm

Enjoy!

Sincerely,

Joseph H. Zernik, D.M.D. Ph.D.
Professor, Department of Orthodontics
University of Southern California
http://www-hsc.usc.edu/~jzernik/

21




Date: Mon, 24 Jul 2000 01:19:58 -0700
From: iwire32@earthlink.net
To: ESCO <orthod-l@usc.edu>
Subject: Anterior extraction
Message-ID: <397BFC2D.FA7274E8@earthlink.net>
MIME-Version: 1.0
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit

My experience with lower incisor extractions has been favorable using
immediate initiation of space closure following extraction and with
rapid closure.  I have been able to finish with a good amount of tissue
interproximally in what was the extraction site and the bone has looked
good radiographically.

But the current case in question has an almost full-size, erupted,
supernumerary, maxillary central incisor.  The tooth in the midline is
to be extracted because of its form and caries.  A consulting
periodontist has suggested that the bone be allowed to fully reorganize
before the adjacent teeth are moved into the extraction site.  I fear
that a long wait will result in loss of both alveolar height and
thickness and thereby cause a larger interproximal space in this
aesthetically critical area.

Any thoughts?  Please relate your practical experience (or reference to
any articles) as to the speed with which anterior extraction spaces can
or should be closed without causing problems to the periodontal
ligaments.

Art Kobal
Thousand Oaks

Date: Tue, 18 Jul 2000 16:03:59 -0400
From: "Ernest McCallum" <emccallum@emeraldis.com>
To: <orthod-l@usc.edu>
Subject: Gagger
Message-ID: <006301bff0f3$5188c420$624efea9@privateoffice>
MIME-Version: 1.0
Content-Type: multipart/alternative;
        boundary="----=_NextPart_000_0060_01BFF0D1.C8CBE520"

Hi all,
    I have a very nice, well adjusted, above average, twelve y.o. boy with a terrible gag reflex. We have gotten thru records and extractions but bonding has been very difficult. I have tried several different retractors trying to avoid placing anything on the roof or floor of the mouth (these areas seem to precip. an unwanted reflex). I am considering using a glass ionomer cement so moisture control will be easier. I was able to get brackets 3I3  and separators today without incidence (mom not feeding him prior to the appt is also a plus), next week is bands, then place lower bonds later. Any suggestions? drugs? hypnosis? Any and all recommendations welcome.
 
Ernest McCallum
Greenwood SC
 
Date: Fri, 21 Jul 2000 07:14:35 -0700
From: druday@vsnl.com
To: orthod-l@usc.edu
Subject: Webshots Photo Album
Message-ID: <200007211414.HAA32208@p2.webshots.com>

Hi.

Have a look at these photos on the Webshots Community.  Point your browser to this link:

http://community.webshots.com/album/3180035DuTnnFwJSe

Cheers,
Dr.Uday
         
                   
_____________________________________
Put Incredible Photos On Your Desktop
FREE ~ http://www.webshots.com/go?now


Date: Tue, 18 Jul 2000 12:31:27 -0700
From: "Eugene Gottlieb" <egott@sedona.net>
To: <orthod-l@usc.edu>
Subject: Eureka Spring
Message-ID: <001d01bff0ee$c6259e20$9139f5cc@egott.sedona.net2>
MIME-Version: 1.0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

Hi all!

For those interested in the Eureka Spring and its source, there was an
article entitled "The Eureka Spring" in the July 1997 issue of JCO, page
454.

The source of the spring is Eurika Spring Company, 1312 Garden St., San Luis
Obispo, CA 93401.

Gene Gottlieb

Date: Sat, 22 Jul 2000 09:52:33 -0400
From: "Ron Parsons" <ronparsons@mindspring.com>
To: "USC Orthodontic Study Club" <orthod-l@usc.edu>
Subject: Info management of future
Message-ID: <001801bff3e4$16994620$2fb3fea9@g48sy>
MIME-Version: 1.0
Content-Type: multipart/related;
        type="multipart/alternative";
        boundary="----=_NextPart_000_0014_01BFF3C2.8EB69A80"

Do you think information management in orthodontic offices will use devices like the one below?   Another innovation is in screen technology.  Check out www.trivium.com/news/crains_june2000.htm   Those interested in Trivium,  financially can contact Mr. David Kinsley at 1-914-767-0431.
 
Ron Parsons
Lawrenceville, GA
 
 
The Shape of PCs to Come?
Department: Technology & You
The new Qbe tablet computer from Aqcess Technologies (www.qbenet.com) may be a harbinger of shapes to come. The Qbe relies on data-entry technologies that aren't quite ready for prime time and is further handicapped by some poor design choices, but it is an interesting design pioneer.

The Qbe Cirrus that I tried is a box about 14 in. long, 10 in. wide, and 2 1/2 in. thick. The top is mostly covered by a 13.3-in. touch-sensitive display, and there's a built-in video camera at the top. The Qbe runs on a 400-MHZ Pentium II, features a 12-GB hard drive and 128 MB of RAM, and costs a steep $4,745. The less expensive Celeron-powered Genus model fetches $3,995. Both use Windows 98 and run standard PC software.

The Qbe is designed to be used on your lap or any horizontal surface. It stands up with a removable prop called a "porticle," which includes a full complement of parallel, serial, and other ports. With the prop and a keyboard and mouse attached, the Qbe is basically a variation on the desktop PC. Used as a tablet, however, it's something quite different from either a desktop or a notebook.

The problem is entering data. The Qbe offers three choices, none fully satisfactory. First, you can write on the screen with the pen, using ParaGraph's PenOffice software. Unfortunately, handwriting recognition doesn't work a lot better than it did in the days of Apple's much-ridiculed Newton. In the case of the Qbe, the accuracy problem is made worse by a noticeable delay before the writing actually appears on the screen. Having the option of a more accurate shorthand, like Palm's Graffiti, would be a big help.

The second method is to use the speech-recognition software included with the Qbe--Lernout & Hauspie's Voice Xpress. It does pretty well after you invest some time in training, but to get it to work I had to use a Telex digital headset to bypass the apparently defective audio system.

The final method is typing on a touch-sensitive keyboard that can pop up to cover the bottom quarter of the screen. The keys are big enough to hit with your fingers, and while touch typing is out of the question, the keyboard works well enough for limited amounts of data.

COOLER, CHEAPER. Beyond the data-entry problems, the Qbe has some design issues. At six pounds, it weighs heavy on your lap, especially since the Pentium heats the magnesium case up to an uncomfortable temperature. The Qbe can run on battery power, but only for about 90 minutes at a time, so you won't want to get very far from a power outlet. And this is a device that really wants a wireless connection to the Internet, since the tablet design is ideal for Web browsing.

Better, lighter, cooler, and cheaper tablets are on the way. Aqcess hopes to have a three-pound, $1,500 unit this fall. Later this summer, Qubit Technology plans to ship a much-delayed 2 1/2- pound Web-browsing tablet featuring a wireless link to the Internet.




 



 
Content-Type: application/octet-stream;
        name="display.cgi&DJL=0"

Content-Location: http://bwsub.pqarchiver.com/cgi-bin/display.cgi?F=http://pqacontent1:10001/cstore/Business_Week/Business_Week/Business_Week/2000/07/10/b3689086_1.GIF&H=pcs&id=3979a6d148380Mpqaweb1P11007&doc=document.html&ZZ=http://bwsub.pqarchiver.com/cgi-bin/display.cgi&DJL=0

Date: Fri, 21 Jul 2000 10:25:45 -0700
From: "Bimler" <101.238565@germanynet.de>
To: <orthod-l@usc.edu>, <laurent.gross@libertysurf.fr>
Subject: Bimler courses
Message-ID: <000d01bff338$c3aa4fa0$858abd97@dell-xps-d-300>
MIME-Version: 1.0
Content-Type: multipart/alternative;
        boundary="----=_NextPart_000_000A_01BFF2FE.080ABE40"

 
-
 
Dear Sirs:
 
Maybe the included information is of interest for someone in your department. Thank you for your cooperation!
 
"Bimler Courses"  (July 2000)
 
11/12 August: Wiesbaden, Germany ("Weinwoche")
September: Rio de Janeiro & Campinas, Brasil
October: Tokyo, Japan
13-19. November, La Habana, Cuba
November, Mexico City
 
March  2001: Tokyo, Japan
21-23 June, Buenos Aires, Argentina
4-6 July, Buenos Aires, Argentina
September, Tokyo, Japan
 
Info: bimler@germnaynet.de
Tel. +49(611)304027 Fax ~377889
 
Sincerely yours, Dr. Barbara Bimler.
Date: Tue, 18 Jul 2000 10:40:06 -0400
From: "Ernest McCallum" <emccallum@emeraldis.com>
To: <orthod-l@usc.edu>
Subject: Re: Nikon Coolpix 990 or Olympus C 3030
Message-ID: <003e01bff0c6$c5760460$624efea9@privateoffice>
MIME-Version: 1.0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

Hi all,

 Last year I purchased an Olympus D620l (1.4 mp) camera. I have been
extremely happy with this model. It is a SLR (thru lens focusing) camera,
reachargeable batteries, screw on macro lens with flash diffuser, and a
built in flash. Photos are very good even in the medium quality setting. I
know this is not a 2.4 mp but has it has served me well. I wonder why
Olympus has not made a high mp SLR camera? Or do they? Are the download
times with a high mp camera greater than the increase in picture quality?
Anyone have a comparison b/n quality in picture and download time. -- Does
it make a difference? I am downloading thru a floppy adapter -- which can be
slow. Is anyone using a built in drive that accepts the flash cards? Where
can you get one ? $$? Too many questions? All the best.

Ernest McCallum
Greenwood SC

Date: Thu, 20 Jul 2000 06:53:01 +1000
From: "Maurie Costello" <braces@costellodental.com.au>
To: <orthod-l@usc.edu>
Subject: Re: DIGITAL CAMERAS
Message-ID: <001101bff1c3$55163a20$7b2d8aca@n6r1g9>
MIME-Version: 1.0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

Hey Guys: Why all this talk about the CoolPix?

I did my homework over several months and last month took delivery of the
BEST digital clinical camera I have ever had, to replace my aging Fuji 220.

I bought a SONY DSD D770. It is a single-lens-reflex camera, auto or manual
focus, completely programable or manually selectable, came with a ring flash
which can be switched down to 1/16 power output for intraoral..in all...its
is supurb.

Unlike the Olympus 2500, the Sony can be used in EITHER viewfinder mode, or
on the screen mode...while composing. Has instant playback.

I purchased mine from Dolphin ...no financial interest.

Have a look at the Sony: you will be pleased with what you see.

Maurie Costello
Orthodontist
Australia

Date: Fri, 21 Jul 2000 12:17:28 +0900
From: "jun" <j-1@ijk.com>
To: <orthod-l@usc.edu>
Subject: Other Desital Camera
Message-ID: <005701bff2d1$4d941420$2d1cd9ca@compaq>
MIME-Version: 1.0
Content-Type: text/plain;
        charset="iso-8859-1"
Content-Transfer-Encoding: 7bit

Dear Member

I found Desital Camera for intro-Oral Photo.
It is Fuji Fine Pix 2900Z with Original Ring Leight.(about 1800$)

It can take a picture with X1/2-1 intra-oral photo.
I hope that I take intra-oral photo and facial photo(x1/10).

Please sent some information.

Jun Matsumura
Kanagawa Japan
j-1@ijk.com


  

Date: Sun, 23 Jul 2000 17:56:21 -0400
From: "Robert Pickron" <pickron@speedfactory.net>
To: <orthod-l@usc.edu>
Subject: Sony digital cameras
Message-ID: <002e01bff4f0$d937bba0$0a00a8c0@pickron.net>
MIME-Version: 1.0
Content-Type: multipart/alternative;
        boundary="----=_NextPart_000_002B_01BFF4CF.4F3452E0"

Anyone have experience with Sony cameras in the clinical area? 

                           
ORTHOD-L Digest 714

Topics covered in this issue include:

  1) ESCO - The Electronic Study Club for Orthodontics
        by Joseph Zernik
<orthodl@hsc.usc.edu>
  2) Anterior extraction
        by iwire32@earthlink.net
  3) Gagger
        by "Ernest McCallum"
<emccallum@emeraldis.com>
  4) Webshots Photo Album
        by druday@vsnl.com
  5) Eureka Spring
        by "Eugene Gottlieb"
<egott@sedona.net>
  6) Info management of future
        by "Ron Parsons"
<ronparsons@mindspring.com>
  7) Bimler courses
        by "Bimler"
<101.238565@germanynet.de>
  8) Re: Nikon Coolpix 990 or Olympus C 3030
        by "Ernest McCallum"
<emccallum@emeraldis.com>
  9) Re: DIGITAL CAMERAS
        by "Maurie Costello"
<braces@costellodental.com.au>
 10) Other Desital Camera
        by "jun"
<j-1@ijk.com>
 11) Sony digital cameras
        by "Robert Pickron"
<pickron@speedfactory.net>

Subject: ESCO - The Electronic Study Club for Orthodontics
Date: Mon, 24 Jul 2000 08:28:04 -0700
From: Joseph Zernik <orthodl@hsc.usc.edu>
To: ORTHOD-L@usc.edu

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.  

* What information can you get on ESCO?

* How to subscribe to ESCO?

* How to change your address?

* How to post messages on ESCO?

For answers to these questions and more, please check our web site: 
http://www-hsc.usc.edu/~jzernik/eclub.htm

Enjoy!

Sincerely,

Joseph H. Zernik, D.M.D. Ph.D. 
Professor, Department of Orthodontics
University of Southern California
http://www-hsc.usc.edu/~jzernik/

21

Subject: Anterior extraction
Date: Mon, 24 Jul 2000 01:19:58 -0700
From: iwire32@earthlink.net
To: ESCO <orthod-l@usc.edu>

My experience with lower incisor extractions has been favorable
using
immediate initiation of space closure following extraction and with
rapid closure.  I have been able to finish with a good amount of
tissue
interproximally in what was the extraction site and the bone has looked
good radiographically.

But the current case in question has an almost full-size, erupted,
supernumerary, maxillary central incisor.  The tooth in the midline
is
to be extracted because of its form and caries.  A consulting
periodontist has suggested that the bone be allowed to fully reorganize
before the adjacent teeth are moved into the extraction site.  I
fear
that a long wait will result in loss of both alveolar height and
thickness and thereby cause a larger interproximal space in this
aesthetically critical area.

Any thoughts?  Please relate your practical experience (or reference
to
any articles) as to the speed with which anterior extraction spaces can
or should be closed without causing problems to the periodontal
ligaments.

Art Kobal
Thousand Oaks

Subject: Gagger
Date: Tue, 18 Jul 2000 16:03:59 -0400
From: "Ernest McCallum" <emccallum@emeraldis.com>
To: <orthod-l@usc.edu>

Hi all,    I have a very nice, well adjusted, above average, twelve y.o. boy with a terrible gag reflex. We have gotten thru records and extractions but bonding has been very difficult. I have tried several different retractors trying to avoid placing anything on the roof or floor of the mouth (these areas seem to precip. an unwanted reflex). I am considering using a glass ionomer cement so moisture control will be easier. I was able to get brackets 3I3  and separators today without incidence (mom not feeding him prior to the appt is also a plus), next week is bands, then place lower bonds later. Any suggestions? drugs? hypnosis? Any and all recommendations welcome. Ernest McCallumGreenwood SC 

Subject: Webshots Photo Album
Date: Fri, 21 Jul 2000 07:14:35 -0700
From: druday@vsnl.com
To: orthod-l@usc.edu

Hi.

Have a look at these photos on the Webshots Community.  Point your
browser to this link:

http://community.webshots.com/album/3180035DuTnnFwJSe

Cheers,
Dr.Uday
          
                    
_____________________________________
Put Incredible Photos On Your Desktop
FREE ~
http://www.webshots.com/go?now

Subject: Eureka Spring
Date: Tue, 18 Jul 2000 12:31:27 -0700
From: "Eugene Gottlieb" <egott@sedona.net>
To: <orthod-l@usc.edu>

Hi all!

For those interested in the Eureka Spring and its source, there was an
article entitled "The Eureka Spring" in the July 1997 issue of
JCO, page
454.

The source of the spring is Eurika Spring Company, 1312 Garden St., San
Luis
Obispo, CA 93401.

Gene Gottlieb

Subject: Info management of future
Date: Sat, 22 Jul 2000 09:52:33 -0400
From: "Ron Parsons" <ronparsons@mindspring.com>
To: "USC Orthodontic Study Club" <orthod-l@usc.edu>

Do you think information management in orthodontic offices will use devices like the one below?   Another innovation is in screen technology.  Check out www.trivium.com/news/crains_june2000.htm   Those interested in Trivium,  financially can contact Mr. David Kinsley at 1-914-767-0431. Ron ParsonsLawrenceville, GA The Shape of PCs to Come?
Department: Technology & YouThe new Qbe tablet computer from Aqcess Technologies (www.qbenet.com) may be a harbinger of shapes to come. The Qbe relies on data-entry technologies that aren't quite ready for prime time and is further handicapped by some poor design choices, but it is an interesting design pioneer.

The Qbe Cirrus that I tried is a box about 14 in. long, 10 in. wide, and 2 1/2 in. thick. The top is mostly covered by a 13.3-in. touch-sensitive display, and there's a built-in video camera at the top. The Qbe runs on a 400-MHZ Pentium II, features a 12-GB hard drive and 128 MB of RAM, and costs a steep $4,745. The less expensive Celeron-powered Genus model fetches $3,995. Both use Windows 98 and run standard PC software.

The Qbe is designed to be used on your lap or any horizontal surface. It stands up with a removable prop called a "porticle," which includes a full complement of parallel, serial, and other ports. With the prop and a keyboard and mouse attached, the Qbe is basically a variation on the desktop PC. Used as a tablet, however, it's something quite different from either a desktop or a notebook.

The problem is entering data. The Qbe offers three choices, none fully satisfactory. First, you can write on the screen with the pen, using ParaGraph's PenOffice software. Unfortunately, handwriting recognition doesn't work a lot better than it did in the days of Apple's much-ridiculed Newton. In the case of the Qbe, the accuracy problem is made worse by a noticeable delay before the writing actually appears on the screen. Having the option of a more accurate shorthand, like Palm's Graffiti, would be a big help.

The second method is to use the speech-recognition software included with the Qbe--Lernout & Hauspie's Voice Xpress. It does pretty well after you invest some time in training, but to get it to work I had to use a Telex digital headset to bypass the apparently defective audio system.

The final method is typing on a touch-sensitive keyboard that can pop up to cover the bottom quarter of the screen. The keys are big enough to hit with your fingers, and while touch typing is out of the question, the keyboard works well enough for limited amounts of data.

COOLER, CHEAPER. Beyond the data-entry problems, the Qbe has some design issues. At six pounds, it weighs heavy on your lap, especially since the Pentium heats the magnesium case up to an uncomfortable temperature. The Qbe can run on battery power, but only for about 90 minutes at a time, so you won't want to get very far from a power outlet. And this is a device that really wants a wireless connection to the Internet, since the tablet design is ideal for Web browsing.

Better, lighter, cooler, and cheaper tablets are on the way. Aqcess hopes to have a three-pound, $1,500 unit this fall. Later this summer, Qubit Technology plans to ship a much-delayed 2 1/2- pound Web-browsing tablet featuring a wireless link to the Internet.
 



 
 
 
 

Subject: Bimler courses
Date: Fri, 21 Jul 2000 10:25:45 -0700
From: "Bimler" <101.238565@germanynet.de>
To: <orthod-l@usc.edu>, <laurent.gross@libertysurf.fr> - Dear Sirs: Maybe the included information is of interest for someone in your department. Thank you for your cooperation! "Bimler Courses"  (July 2000) 11/12 August: Wiesbaden, Germany ("Weinwoche")September: Rio de Janeiro & Campinas, BrasilOctober: Tokyo, Japan13-19. November, La Habana, CubaNovember, Mexico City March  2001: Tokyo, Japan21-23 June, Buenos Aires, Argentina4-6 July, Buenos Aires, ArgentinaSeptember, Tokyo, Japan Info: bimler@germnaynet.deTel. +49(611)304027 Fax ~377889 Sincerely yours, Dr. Barbara Bimler.

Subject: Re: Nikon Coolpix 990 or Olympus C 3030
Date: Tue, 18 Jul 2000 10:40:06 -0400
From: "Ernest McCallum" <emccallum@emeraldis.com>
To: <orthod-l@usc.edu>

Hi all,

 Last year I purchased an Olympus D620l (1.4 mp) camera. I have been
extremely happy with this model. It is a SLR (thru lens focusing) camera,
reachargeable batteries, screw on macro lens with flash diffuser, and a
built in flash. Photos are very good even in the medium quality setting. I
know this is not a 2.4 mp but has it has served me well. I wonder why
Olympus has not made a high mp SLR camera? Or do they? Are the download
times with a high mp camera greater than the increase in picture quality?
Anyone have a comparison b/n quality in picture and download time. -- Does
it make a difference? I am downloading thru a floppy adapter -- which can be
slow. Is anyone using a built in drive that accepts the flash cards? Where
can you get one ? $$? Too many questions? All the best.

Ernest McCallum
Greenwood SC

Subject: Re: DIGITAL CAMERAS
Date: Thu, 20 Jul 2000 06:53:01 +1000
From: "Maurie Costello" <braces@costellodental.com.au>
To: <orthod-l@usc.edu>

Hey Guys: Why all this talk about the CoolPix?

I did my homework over several months and last month took delivery of the
BEST digital clinical camera I have ever had, to replace my aging Fuji 220.

I bought a SONY DSD D770. It is a single-lens-reflex camera, auto or manual
focus, completely programable or manually selectable, came with a ring flash
which can be switched down to 1/16 power output for intraoral..in all...its
is supurb.

Unlike the Olympus 2500, the Sony can be used in EITHER viewfinder mode, or
on the screen mode...while composing. Has instant playback.

I purchased mine from Dolphin ...no financial interest.

Have a look at the Sony: you will be pleased with what you see.

Maurie Costello
Orthodontist
Australia

Subject: Other Desital Camera
Date: Fri, 21 Jul 2000 12:17:28 +0900
From: "jun" <j-1@ijk.com>
To: <orthod-l@usc.edu>

Dear Member

I found Desital Camera for intro-Oral Photo.
It is Fuji Fine Pix 2900Z with Original Ring Leight.(about 1800$)

It can take a picture with X1/2-1 intra-oral photo.
I hope that I take intra-oral photo and facial photo(x1/10).

Please sent some information.

Jun Matsumura
Kanagawa Japan
j-1@ijk.com 


   

Subject: Sony digital cameras
Date: Sun, 23 Jul 2000 17:56:21 -0400
From: "Robert Pickron" <pickron@speedfactory.net>
To: <orthod-l@usc.edu>

Anyone have experience with Sony cameras in the clinical area?