Doctors' preview program of the 103rd annual session, May 2-9, 2003

T h e H a w a i i a n

I s l a n d s

1 0 3 r d A n n u a l S e s s i o n

Meeting Dates: May 2-6, 2003 • Exhibit Dates: May 3-6, 2003

Neighbor Island Scientific Programs: May 7-9, 2003

Registration and Housing Opens September 3, 2002

President’s Welcome

The people who so long ago sailed their twin-hulled canoes across the trackless expanse of the Pacific Ocean and who discovered theparadise that is Hawaii have, since the dawn of memory, used this lyrical word to express their warm welcome to all who visit thesebeautiful islands. And so it is that I extend to all of you the spirit of Aloha, and, on behalf of the AAO and our colleagues who haveshaped this wonderful and distinctive meeting, I invite all of you to join us in the Hawaiian Islands for the 103rd Annual Session of theAmerican Association of Orthodontists. E Komo Mai (welcome)!

The first Hawaiians came from distant lands. They had embarked upon a voyage of discovery. Through their knowledge of the stars,thewinds, the ocean currents and the habits of the sea birds, they did, indeed, navigate their way into the future. In time, other people camefrom still other lands. They brought their knowledge, their unique cultures and their customs. In time, they all made their contributionsto the society and culture of these islands. With this 103rd AAO Annual Session we are bringing together orthodontists,our staffs, ourfamilies, our friends and our exhibitors from all around the world. We come together to study, to learn and to interact with our colleagues inour own voyage of discovery in order that we, too, may master the knowledge that will allow us to navigate our future.

In planning for this 103rd Annual Session we set out to develop a world-class educational and scientific program for our doctors andtheir staffs and also to ensure a culturally authentic Hawaiian experience for all attendees.

The promise that is the 103rd Annual Session exists because of the vision, the wisdom and the hard work of a team of dedicated AAOmembers headed by General Chair Dr. Arnold Hill. All are strong, remarkably capable and talented individuals who came together as ateam to develop a memorable program which offers excellence in clinical orthodontics and practice management along with someunique perspectives on balanced lifestyles, financial planning and life after active practice. Please join me in saluting and thanking Dr.Hill, along with Doctors’ Scientific Co-Chairs Dr. Robert Isaacson and Dr. Stephen Litton, Orthodontic Staff Program Co-Chairs Dr.John Kanyusik and Dr. Stephen Roehm, Doctors’ Roundtable Co-Chairs Dr. Michael Fuchs and Dr. Brent Larson and Orthodontic StaffRountable Co-Chairs Dr. Terry Guenthner and Dr. James Klarsch. Dr. Lili Horton, Local Arrangements Chair, has earned our specialthanks for her deep knowledge of the islands and for the magnificent array of entertainment, foods and experiences which she hasassembled for our many special events.

I want to also acknowledge and thank our AAO staff for their dedication and guidance. To Mr. Chris Vranas, Ms. Kitty Stephens,Ms. D. J. Haman and Ms. Pam Walterscheid: Thank you very much! We could not have done it without you!

Early in our planning for the 2003 Annual Session we recognized that Hawaii offers countless opportunities for our members and ourextended family. Therefore, for the first time, the Annual Session program has been structured to allow you to attend the educationalprograms and the exhibit hall during the morning hours, so that afternoons will be free for the special exploration and relaxationopportunities offered by Hawaii.

This Annual Session is unique in another significant way as well. For the first time in our history the schedule will be split into twosegments, utilizing five different venues. The first segment will take place May 3-6 in Honolulu on the island of Oahu, and will includeall of the familiar and traditional elements of the Annual Session. The second segment will be held May 7-9, when you will transfer toyour choice of one of four Neighbor Island venues—Hawaii (the Big Island) - Waikoloa; Maui - Kaanapali; Maui - Wailea; or Kauai -Poipu Beach. Each of these sites will offer three full mornings of both doctor and staff programming.

The Opening Ceremonies will be held on Saturday evening in Fort DeRussy Beach Park. Our keynote speaker will be Mr. NainoaThompson of the Polynesian Voyaging Society, and there will be a celebration of wonderful Polynesian entertainment. The ExcellenceIn Orthodontics Awards Luncheon will recognize notable individuals for their contributions to orthodontics and willbe highlighted by an extraordinary keynote speaker, U.S. Astronaut Dr. Jerry Linenger, whose talk entitled“Embracing Challenges: My 132 Days Off the Planet,” will fill us with wonder and inspiration. Attendees fromevery land are invited to spend an evening with us at the AAO’s Ho’olaule’a (celebration) Gala on the shore ofWaikiki, enjoying outstanding music and entertainment while dining on a fabulous menu, prepared by some ofHawaii’s most celebrated chefs.

All in all, the program, the venues and the memories will be brought together at this landmark 103rd AnnualSession. Make plans now for your Hawaiian Voyage of Discovery, and together we will Navigate the Future!

Mahalo,

James E. Gjerset, DDS, MSDPresident, American Association of Orthodontists

Aloha.!

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1 0 3 r d A n n u a l S e s s i o n1 0 3 r d A n n u a l S e s s i o n

7:30am-12:30pm Department Leaders Conference – Hilton Hawaiian Village

8:00am-12:00pm Constituent Caucuses – Hilton Hawaiian Village

8:00am-5:00pm ABO Phase II Exam – Sheraton Waikiki Hotel

Hawaii Convention Center

Hilton Hawaiian Village

7:30am-12:45pm

8:30am-12:00pm CDABO Lab Measurement Course

9:00am-11:00am First Session of the AAO House of Delegates

11:00am-12:00pm AAO Budget Review Meeting

Special Events

5:00pm-7:00pm Opening Ceremonies on Ft. DeRussy Beach – featuring N. Thompson and Hawaiian Entertainment

7:00pm-9:00pm AAO Alumni Receptions – Hilton Hawaiian Village and Sheraton Waikiki Hotels

Technology: R. Scholz, W. Thomas Jr., H. Nezu, W. Harrell, J. Grubb

Treatment Complications:D. Killiany, D. Knight, J. Lin,R. Behrents, P. Canal

Advances in Ortho.: D. Britto, J. Dahan, J. Eckhart, V. Kalra, G. Dominguez, G.Sameshima, R. Boyd, C. LeGoff, Ram Nanda, M. Lenza, E. Polk, C. DaSilveria, B. Ogaard

Ortho. Surgery: B. Melsen,R. Garcia, J. Casko, P. Thomas

Non-Compliant Appliances:M. Alpern, P. Amat, J. Bowman,H. Pancherz, S. Ruf

Appliances: D. Fillion, K.Hilliard, J. Sheridan, A. Lowe,AB Rabie

11:30am-1:30pm New & Younger Member Lunch and Learn

Friday& Saturday

The Humuhumunukunukuapuaà is a Hawaiian Triggerfish and gets its name from its triggerlike dorsal fins.

It is considered Hawaii's ‘unofficial’ State Fish.

Friday, May 2

7:30am-1:30pm Exhibit Hall

Saturday, May 3

Doctors’ Scientific Lectures

Doctors’ Scientific Lectures are restrictedin attendance to registered doctors, non-member doctors, and orthodontic studentsonly. Orthodontic staff, orthodontic staff/spouses, and family members will beadmitted on a space-available basis afterthe lecture has begun. Children are notallowed in the lecture halls at any time.

Electronic devices such as telephones,pagers, etc., are not allowed in the lecturesunless they are turned off or are on silent mode.

TECHNOLOGY

7:30am-12:45pmCE Credit Hours: 4.25

7:30am-8:20am

Digital Radiography: A $64,000Question

Robert P. Scholz, DDSByron, California, USA

Dr. Scholz maintains a part-time privateorthodontic practice. He is also anadjunct professor at the University ofNorth Carolina, Chapel Hill, and is editorof the AJO/DO’s technology section,Techno Bytes.

Many offices are considering switchingfrom film to one of the digital radiographicsystems but the decision can be a verycomplex one. The cost of one of the threeavailable direct systems can range from$35,000 to $75,000, while the imageacquisition speed for the four availableindirect systems ranges from 30 secondsto 4 1/2 minutes plus. This Power Pointpresentation will describe the criteria to be considered in selecting a system andwill outline the features, pros and cons ofthe seven systems available today. Don’tmake a $64,000 mistake!

8:25am-9:15am

A New Diagnosis and TreatmentPlanning Program Based on theSix Elements of OrofacialHarmony

*William W. Thomas Jr., DDS, MSPoway, California, USA

Dr. Thomas maintains a privateorthodontic practice and has taught withDr. Lawrence F. Andrews. His focus istreating patients exclusively using the SixElements of Orofacial Harmony.

Dr. Thomas will present a newcomputerized diagnostic software programbased on the Six Elements of OrofacialHarmony. Automatic calculation of intra-arch spacing/crowding requirements (ICD),precise prescription of individualizedstraight wire appliances, specific toothmovements, and force applications required,specific required jaw movements, and anew three-dimensional jaw classificationsystem will be discussed.

9:20am-10:10am

Interplay of Form and Functionin Zerobase Orthodontics byImplementing Technologies

Hiroshi Nezu, DDS, PhDKawasaki City, Kanagawa, Japan

Dr. Nezu is the past president of theBioprogressive Study Club of Japan andmaintains a private orthodontic practice.

This presentation will describe a Zerobaseorthodontic practice using the managementsystem approach. This approach allows astandardized flow of logic to individualizeon the basis of degree of difficulty. TheZerobase computer program will bedemonstrated. Rhinomanometry, s-EMG,and digital lip pressure gauge will enhancediagnostic and treatment capabilities. Thenewest and very exciting volumetric conebeam scan will be shown. This technologywill revolutionize dentistry as well asorthodontics.

10:10am-11:00am – Break for Exhibit Hall

11:00am-11:50am

In Search of Anatomic Truth –3-D Digital Patient Modelingand the Future of Orthodontics

*★William E. (Bill) Harrell Jr., DMDAlexander City, Alabama, USA

Dr. Harrell is chair of the board andfounder of Acuscape International, Inc. He is a past president of the AlabamaOrthodontic Association and is a memberof the AAO Council on InformationTechnology (COIT). He is a member of theTechnology Committee of the SouthernAssociation of Orthodontics and is anAAO representative to the ADA StandardsCommittee on Dental Informatics.

The goal of imaging has been to displaythe “anatomic truth” of patients, as theyexist in nature. Methodology will bediscussed on how software can usetraditional images of convenience inorthodontics and create a three-dimensionaldigital patient. The use of preciselycalibrated and digitized radiographic and optical images are merged throughadvanced computer algorithms to create a patient-specific, 3-D digital model ofpatient anatomy. Also, areas of scientificresearch utilizing this software will bediscussed, as well as clinical applications.

11:55am-12:45pm

Digital Technology and theOrthodontic Office

John E. Grubb, DDS, MSDChula Vista, California, USA

Dr. Grubb is an associate professor andco-director of the Dentofacial DeformitiesSection in the Department of Orthodonticsat the University of Southern California.He is also a director for the AmericanBoard of Orthodontics.

S a t u r d a y S e s s i o n s

* denotes financial and/or beneficial interest = simultaneous translation

S a t u r d a y , M a y 3


★ indicates the use of visually enhanced images

ORTHOGNATHIC SURGERY


7:30am-8:20am

Navigating ClinicalOrthodontics

Birte Melsen, DDS, Dr.Odont.Aarhus, Denmark

Dr. Melsen is professor and head of theDepartment of Orthodontics at AarhusUniversity.

8:25am-9:15am

Multidisciplinary AdultTreatment Planning:Orthodontic Approaches toTMJ Dysfunctions

Robert Garcia, DCD, DSO, DEOParis, France

Dr. Garcia is professor of orthodonticsand chair of the Orthodontic Departmentat the Paris 7 University. He is also thevice dean of the Paris Dental Faculty. Hemaintains a private orthodontic practiceand primarily focuses on the developmentof adult treatment with orthognathics andTMJ surgery.

In most TMJ dysfunction cases,differential diagnosis demands an adaptedand efficient treatment timing, especiallywhen articular surgery is obligatory. Inthese cases, the forward and downwardrepositioning of the mandible produces asevere change in the occlusion, usuallyresulting in incisal contact and varyingdegrees of posterior open bite. Thispresentation will outline the orthodontictreatment to correct the malocclusion, andat the same time, maintain the new discand condylar position.

9:20am-10:10am

To be announced


11:00am-11:50am

Differential Diagnosis andTreatment for Adult Patientswith Borderline and SevereSkeletal Discrepancies

John S. Casko, DDS, MS, PhDIowa City, Iowa, USA

Dr. Casko is professor and B.F. & HelenE. Dewel chair in clinical orthodontics atthe University of Iowa. He is a pastpresident of the American Board ofOrthodontics and is editor of PracticalReviews in Orthodontics.

11:55am-12:45pm

Complications and RevisionTreatment: What To Do WhenThings Go Wrong

Paul M. Thomas, DDS, MSDurham, North Carolina, USA

Dr. Thomas is an adjunct associateprofessor in the Departments ofOrthodontics and Oral and MaxillofacialSurgery at the University of NorthCarolina at Chapel Hill.

Orthodontic or surgical misadventure canlead to problems ranging from minorannoyance to total devastation. This lectureuses case analysis to explore a spectrum of complications and develop specialconsiderations in diagnosis and treatmentplanning. The limits of orthodonticsalvage and surgical revision are discussedin the context of case presentation. Thegoal of this exercise in retrospect is toavoid making the same mistake twice!

NON-COMPLIANTAPPLIANCES


7:30am-8:20am

Ortho-Evolution Including 4-DVTO and Direct-IndirectBracket Placement

*Michael C. Alpern, DDS, MSPort Charlotte, Florida, USA

Dr. Alpern serves as adjunct professor at the University of Louisville, andpreviously adjunct professor at MarquetteUniversity in the Graduate OrthodonticDepartment. He is well published andlectures nationally and internationally.

Orthodontics has evolved new knowledgeand technology. From diagnosis to retention,Fixed Functional Splint Technique resultsare to be presented. A new platformaddresses malocclusions and 4-D VTOinvolving aligning and chewing teeth prior to bracket placement. The resultingocclusion is esthetic and harmonious with condylar angles, distances, andmusculature. Direct-indirect bracketplacement results in esthetic, functionaltreatment visualized before and analyzedafter treatment. New pre-bonding enamelcleansing and placing a whitened shine on finished cases is discussed.

8:25am-9:15am

Contribution of a Functionaland Orthopedic Splint to theTreatment of Class IIMalocclusions

Philippe Amat, DDS, D.Orth.LeMans, France

Dr. Amat maintains a private orthodonticpractice and is a former assistant at theUniversity of Paris 5.

The use of a functional and orthopedicsplint makes it possible to effectively limitcertain disadvantages of the treatment ofClass II malocclusions in two phases.Being easy to wear, causing nodeterioration of phonation, inducing onlyweak dentoalveolar compensations andbeing of great help in the rehabilitation of orofacial functions, it provides a realimprovement in the therapeuticmanagement of Class II malocclusions.

9:20am-10:10am

Molar Distalization: BadEnglish-Good Practice

*S. Jay Bowman, DMD, MSDPortage, Michigan, USA

Dr. Bowman is an associate professor atSaint Louis University and the straightwireinstructor at the University of Michigan.He has been actively involved in researchregarding molar distalization with theDistal Jet and has followed 400 casestreated with this device.

Molar distalization is a reliable andeffective technique for Class II treatment.Specifically, the Distal Jet, a non-cooperation-dependent appliance, has beendemonstrated to be comparable in itseffects to other popular methods such asthe Pendulum and Jones jig. The finaltreatment results (i.e., facial esthetics andamount of mandibular growth) from molardistalization are also similar to thoseproduced by fixed functionals such as theHerbst. An evolving, evidence-basedapproach has been developed for molardistalization using the results from avariety of research reports. Appropriatetiming, force levels, anchorage

requirements, and post-distalizationmechanics will be addressed. In addition,new modifications of the Distal Jet,designed to improve its clinical utility,will be discussed.


11:00am-11:50am

Research Based Clinical Use ofthe Herbst Appliance

Hans Pancherz, DDS, Dr.Odont.Giessen, Germany

Dr. Pancherz is professor and chair of theOrthodontic Department at the Universityof Giessen. His primary focus is the long-term evaluation of orthodontic treatmentresults.

The Herbst appliance is one of the mostpopular devices used today for Class IIcorrection. Based on the results fromresearch activities at the University ofGiessen, the changes in the clinicalapplication of the Herbst appliance overthe years will be discussed. Emphasis will be palced on TMJ growth changescontributing to Class II correction comparing“high-angle” and “low-angle” subjects.

11:55am-12:45pm

Skeletal Adaptation with theHerbst Appliance – NewPossibilities for Adult Class IITreatment

Sabine Ruf, DDS, PhDBerne, Switzerland

Dr. Ruf is professor and head of theDepartment of Orthodontics at theUniversity of Berne. Her primary interestis dentofacial orthopedics and its effectson TMJ growth and function.

The scientific basis for adult Class IItreatment using the Herbst appliance willbe presented. Differences between adultHerbst treatment to adolescent Herbsttreatment and orthognathic surgery aregiven. Hypothetical adverse effects will bediscussed and a new concept of Class IItreatment will be proposed.

APPLIANCES


7:30am-8:20am

Lingual Orthodontics

Didier Fillion, DDSParis, France

Dr. Fillion maintains a lingual orthodonticprivate practice in Paris and London. Heis course director of the lingual orthodonticprogram at Rene’ Descartes Paris 5University and editor of the Journal ofLingual Orthodontics.

8:25am-9:15am

In-Office Fabrication ofOrthodontic Aligners: HilliardPrecision Thermopliers™ andNext Generation Aligner Design

*Keith Hilliard, DMDLakeland, Florida, USA

Dr. Hilliard maintains a privateorthodontic practice and holds severalorthodontic patents. He lectures andpublishes on in-office fabricatedorthodontic aligners.

Dr. Hilliard invented over sixteenorthodontic instruments and pliers. TheHilliard Precision thermopliers™ are a newcategory of orthodontic pliers (thermoformthermoplastic aligners). Design andadjustment of in-office fabricated alignersusing Thermopliers™ and Dr. Hilliard’snew invention that increases efficiency andextends adjustment intervals will bepresented. The adjustment of the Invisalign©

product with Thermopliers™ was publishedin an Invisalign© newsletter.



* denotes financial and/or beneficial interest




9:20am-10:10am

Updates on the Use of EssixPlastic Appliances to MoveTeeth

John J. Sheridan, DDS, MSDNew Orleans, Louisiana, USA

Dr. Sheridan is professor of orthodonticsat Louisiana State University. His focus isthe application of Essix technology andcomprehensive interproximal reduction.


11:00am-11:55am

Oral Appliances for theTreatment of Snoring andObstructive Sleep Apnea – The Orthodontist’s Role

*Alan A. Lowe, DMD, PhDVancouver, British Columbia, Canada

Dr. Lowe is professor and chair of theDivision of Orthodontics at the Universityof British Columbia. He has conductedresearch in the field of snoring andobstructive sleep apnea for the last 20years and is published extensively.

Oral appliances are indicated for use inpatients with primary snoring or mildobstructive sleep apnea (OSA) and inpatients with moderate to severe OSA whoare intolerant of or refuse nasal CPAP.Preliminary results from a four-yearmulticenter clinical trial, which comparesthe subjective and objective efficacy andside effects between an adjustable oralappliance and nasal CPAP, will bepresented. In addition, occlusal and TMJside effects after long-term wear of oralappliances will be discussed in detail witha particular emphasis on the role of theorthodontist in the management of snoringand sleep apnea.

11:55am-12:45pm

Functional Appliances forTreatment of Class II in Youngand Adult Patients

A-Bakr M. Rabie, DDS, MS, PhDHong Kong

Dr. Rabie is a clinical associate professorin the Department of Orthodontics anddirector of bone research at the Universityof Hong Kong.

The field of growth modifications hasbenefitted greatly from technologicaladvances that allowed us to examine tissueresponses to functional appliances on amolecular level. In this presentation, themanagement of Class II malocclusion ispresented step by step in both growing and non-growing adult patients. Anexplanation is given as to why some of our patients respond better than others tofunctional appliance therapy. A specialemphasis is given to the best way availableto maximize the growth potential of agiven patient.

TREATMENTCOMPLICATIONS


7:30am-8:20am

Apical Root Shortening – AComplication of OrthodonticTreatment

Dennis M. Killiany, DDS, MSSt. Louis, Missouri, USA

Dr. Killiany is an associate professor ingraduate orthodontics at Saint LouisUniversity. His focus is orthodonticresearch, concentrating on apical rootshortening.

8:25am-9:15am

Tooth Wear in Children andAdults with Orthodontic andRestorative Implications

★Douglas J. Knight, DDS, MSDTacoma, Washington, USA

Dr. Knight maintains a private orthodonticpractice and is an affiliate assistantprofessor in the Department of Orthodonticsat the University of Washington. He is alsoan affiliate member of the NorthwestComponent of The Angle Society and ispublished on diagnosis and managementof tooth wear.

Often parents are concerned that toothwear that exists in their child will getworse with age. Dr. Knight will discusswhether tooth wear in children iscorrelated with tooth wear in adults. When a patient exhibits significant incisaltooth wear, correct alignment of theincisors will create two restorativeoptions: adjust the incisal edges or restorethem. This presentation will discuss theparameters used to make that decision and the interdisciplinary coordination ofthat treatment.

9:20am-10:10am

Differential Diagnosis andManagement of AnteriorCrossbite

John Jin-Jong Lin, DDS, MSTaipei, Taiwan

Dr. Lin is a clinical associate professor inthe Department of Orthodontics at TaipeiMedical University, is a past president ofthe Taiwan Association of Orthodontists,and maintains a private orthodonticpractice.

Dr. Lin will try to dispel the myths ofClass III malocclusions by using plenty oflong-term follow-up cases, the value andlimitations of early treatment, and facemask therapy. Dr. Lin’s diagnosticregimen prevents over-treatment of pseudoClass III and mild Class III malocclusionsand gives an accurate assessment of theorthodontic limitations for skeletal ClassIII patients.


11:00am-11:55am

Orthodontic Complications:Causes and Consequences

★Rolf G. Behrents, DDS, MS, PhDDallas, Texas, USA

Dr. Behrents is professor and chair of theDepartment of Orthodontics at BaylorCollege of Dentistry.

To those outside orthodontics, the deliveryof treatment and the production of highquality results can appear to be a simpleendeavor. This appearance, however, doesnot reveal an accurate and completeperspective. While treatment might appearsimple, it is seldom easy and, oftentimes,complex This presentation will describecomplications produced before, during,and after treatment, the etiology of thesecomplications, and their consequences. In so doing, it is hoped that practitionersmight develop strategies to avoid somecomplications and appropriately manageothers.

11:55am-12:45pm

Transposition of Teeth:Theoretical Considerations andClinical Treatment

Pierre Canal, DDS, DSO, DEOParis, France

Dr. Canal is a professor at the University of Paris 7 and former chair of theorthodontic department. He is a memberof the French and European Societies anda member of The Angle Society of Europe.

Transposition is often defined as anuncommon dental phenomenon in whichtwo teeth in the dental arch exchange theirposition. Transposition occurs in less than0.5% of an orthodontic population. Aninterchange between maxillary caninesand first premolars is the most oftenreported transposition. In case of incompletetransposition, orthodontic treatment shouldaim to correct the transposed order. In caseof complete transposition, orthodontictreatment should generally not attempt tocorrect the transposed order.

ADVANCES INORTHODONTICS


7:30am-7:50am

Early Loading of OrthodonticImplants

Ajit Denis Britto, DDSRichmond, Virginia, USA

Dr. Britto is professor of orthodontics atVirginia Commonwealth University,School of Dentistry.

7:50am-8:10am

Simple Orthodontic Adjuncts toFacilitate Bite Correction

Jose S. Dahan, LDS, D. Ortho., MD, PhDBrussels, Belgium

Dr. Dahan is a professor at the Universityof Louvain. He is co-founder and a boardmember of the International Symposiumon Dentofacial Development and Function,the East West Orthodontic Club, and theEuropean Federation of Orthodontics.

Taking advantage of previouslyinvestigated interaction between oralperception and jaw positioning in maximalintercuspation, chair side fabricatedocclusal adjuncts will be presented.Versatile and discrete, these temporaryoverlays simultaneously enhanceperiodontal awareness and fix occlusion.Bite correction becomes more convenientand faster.

8:10am-8:30am

Treating Difficult Class IIProblems with the MARA

*★James E. Eckhart, DDSManhattan Beach, California, USA

Dr. Eckhart started developing the MARAafter using the Herbst appliance. Heworked with engineers and technical staff to bring MARA to its present state ofexcellence, reliability, and ease of use.

This presentation will focus on how to treatyounger children who are severe Class II’sand how to treat any severe Class II withthe MARA, using gradual advancement, andusing the newer jackscrew advancementarms. Some severe cases will be shown,and tips will be given to shorten treatmenttimes.

8:30am-8:50am

A Technique for SimultaneousIntrusion and Retraction of theSix Anterior Teeth

Valrun Kalra, DDS, MS, MDS, D.Orth.Salem, Ohio, USA

Dr. Kalra is a clinical associate professorin the Department of Orthodontics andDentofacial Orthopedics at the Universityof Pittsburgh. His primary focus is onappliance design and mechanics.







8:50am-9:10am

Dental Skeletal and TMJChanges Following FunctionalOrthopedic Treatment inAdolescents

Gladys Cristina Dominguez, DDS, MSc, PhDSao Paulo, Brazil

Dr. Dominguez is an assistant professor inthe Department of Orthodontics at theUniversity of Sao Paulo.

The aim of this prospective study was toquantify dental-skeletal and TMJ changesin adolescents with Angle Class IImalocclusion and mandiblar retrognatismby means of cephalometric radiographs,TMJ tomograms, and clinical andinstrumental (axiography) evaluation.Results showed that functional orthopedictreatment is effective in correcting thedental and skeletal malocclusion,enhancing antero-posterior mandibulargrowth, and improving TMJ function.Monitoring TMJ seems to be fundamentalin patients with mandibular retrognatism.

9:10am-9:30am

Characteristics of OrthodonticPatients with Severe RootResorption

Glenn T. Sameshima, DDS, PhDTorrance, California, USA

Dr. Sameshima is the graduate orthodonticclinic director at the University of SouthernCalifornia. He also maintains a privateorthodontic practice.

Severe apical root resorption fromorthodontic tooth movement is, fortunately,uncommon. A group of patients in whommore than a quarter of the root was lost inall four maxillary incisors was comparedwith a matched group in which mild or no resorption occurred. Diagnostic andtreatment factors that differentiate the twogroups will be discussed.

9:30am-9:50am – Break

9:50am-10:10am

Periodontal Outcomes on One-and Two-Stage OrthodonticTreatments

Robert L. Boyd, DDS, MEdSan Francisco, California, USA

Dr. Boyd is professor and chair of theDepartment of Orthodontics at theUniversity of the Pacific. He holds degreesin orthodontics and periodontics andmaintains a private orthodontic practice.His clinical research focus is theorthodontic-periodontic relationship.

10:10am-10:30am

Dento-Skeletal ChangesFollowing Treatment Using an Activator Combined withExtra-Oral Force

Catherine Le Goff, DDS, D.Orth.Montigny Le Bretonneux, France

Dr. Le Goff is a lecturer at the Universityof Paris 5. She conducted work for theCECSMO (Certificate d’Etudes CliniquesSpeciales Mention Orthodontie) with Dr. A. Lautrou.

Patients during growth with a Class II,division 1 malocclusion were selected forstudy. The skeletal and dento-alveolareffects during and after treatment using anactivator combined with extra-oral forcewere evaluated using the structuralsuperimposition cephalometric method,adapted for our investigation. The skeletaleffects are always more statisticallysignificant than the dento-alveolar changescontributing to overjet reduction andachievement of Class I molar. Theseeffects occurred predominantly as a result of the mandibular contribution. Two conclusions are being drawn:before therapy, no obstacle preventingmandibular growth should be present; and during therapy, the dento-alveolarmovements should always be controlled.These two conditions are contributing tooverjet reduction and avoiding a possiblesubsequent relapse.

10:30am-10:50am

Control of Vertical Height in theTreatment of High Angle Patients

Ram S. Nanda, DDS, MS, PhDOklahoma City, Oklahoma, USA

Dr. Nanda is an endowed professor andchair of the Department of Orthodonticsand Division of Developmental Dentistryat the University of Oklahoma. Hecontributes to orthodontics nationally and internationally.

During the treatment of high anglepatients, most orthodontic mechanics have an extrusive effect on the molars.This may cause the mandible to rotateposteriorly, resulting in steepening of themandibular plane and enhancement oflower anterior facial height. To avoid theseeffects, use of a vertical holding applianceon the maxillary arch and mandibularfixed lingual arch will be explained.

10:50am-11:10am

Nickel Hypersensitivity – How Clinically Relevant Is It?

Marcos A. Lenza, DDS, PhDGoiania Goias, Brazil

Doctors’ Scientific LecturesS a t u r d a y , M a y 3

11:10am-11:30am

A Diagnostic Evaluation ofHorizontal Skeletal DiscrepanciesUtililizing an AOBO and ANBDifficulty Index

C. Edwin Polk, DDS, MSDStillwater, Oklahoma, USA

Dr. Polk maintains a private orthodonticpractice after practicing in the U.S. AirForce in Germany. He is on the teachingstaff of the Charles H. Tweed Foundationand has served on the Board of Directors.

Neither AOBO (Wits appraisal), nor ANB,can stand alone in assessing horizontal jaw relationships. Therefore, AOBO andANB values of 1113 consecutively treated patients were combined to create a difficulty index of horizontal jawdiscrepancies and treatment predictability.This ANB and AOBO index measuresdifficulty and predicts success better thaneither one alone. The AOBO measurementis also valuable in determining thereliability of ANB by verification orcontradiction (normal or extremedifferences from ANB).

11:30am-11:50am

Facial Esthetics for the 21st

Century: Dental, Skeletal, andSoft Tissue Considerations

★ Adriana Costa Da Silveira, DDS, MS, PhDChicago, Illinois, USA

Dr. Da Silveira is a clinical assistantprofessor at the Department of Orthodonticsand the Department of Surgery at theUniversity of Illinois at Chicago. She isalso chief of orthodontics and director of research at The Craniofacial Center.

Present-day adult orthodontic patientsfrequently have esthetic expectationsbeyond the dentition. By addressing the whole face using a combination oforthodontic treatment and skeletal and soft tissue surgical interventions, thesepatients are able to achieve their goals.Computer technology in conjunction withpatient feedback can enable review ofpossible treatment options to accomplishthe desired outcome. Comprehensivedental and facial esthetic considerations,treatment planning, and adjunctive surgical procedures will be discussed in this presentation.

11:50am-12:10pm

Can White Spot LesionDevelopment Be Predicted andPrevented During OrthodonticTreatment? New Concepts andClinical Recommendations

Bjorn Ogaard, DDS, Dr.Odont.Oslo, Norway

Dr. Ogaard is professor and chair and the director of postgraduates in theDepartment of Orthodontics, Faculty ofDentistry, at the University of Oslo.

White spot lesion development inassociation with fixed orthodonticappliances is a serious adverse effect.Prevalence from 50-70% has been reported.Fluoride in different forms is the majorcaries preventative agent, although itspotential under severe cariogenicchallenges is overestimated. The pH is low in plaque underneath brackets andbands and the remineralizationphase ishampered. Good oral hygiene is essentialfor optimal cariostatic effect of fluoride.New advances in fluoride research haveshown that titanium fluoride, calciumfluoride or stannous fluoride induce acid resistant coatings on the enamelsurface of clinical significance fororthodontic patients.

Distance Learning ProgramThe AAO video tapes a portion of its Annual Session lectures for the Doctor’s and Orthodontic Staff ScientificPrograms. These lectures are being produced and made available to AAO members and their staff through easyonline access or on CD-ROM. Online education lectures are the cornerstone of the AAO Distance LearningProgram. Don’t be frustrated by conflicting lectures. Avoid excess note taking in the lecture hall. The Salzmannand Mershon Lectures as well as up to twenty total hours of lectures can be purchased in CD-ROM format orordered through the AAO member Web site. An order form will be included in The Bulletinfollowing theAnnual Session. For more information, visit the AAO Library Services Area in the Hawaii Convention Centerduring official Registration Hours beginning Friday, May 2.


= simultaneous translation★ indicates the use of visually enhanced images



Sheraton Waikiki Hotel

Hilton Hawaiian Village Hotel

7:30am-12:45pm

J. Mershon/J. SalzmannLecture: R. Isaacson, L. Sadowsky

Treatment Complications:H. Paulsen, L. Dermaut, D. Kennedy, M. Rosa, D. Pajoni

Voyage to the Future: E. Barlow

COI Risk ManagementSeminar

COOP Practice TransitionSeminar

TMD: K. Tanne, H. Mitani, C. Handelman, F. Cordray

Implants/Class II: L. Will, J. Sandler, F. Celenza, A. Horn, P. Sinha

Transverse/VerticalDimension: J. Mew, P. Lambrey-Obach, J. Vaden, T. Southard, M. Cozzani

10:30am-12:30pm AAO Marketing Seminar


8:00am-11:00am Table Clinic Display

8:00am-11:00am Reference Committee Hearings

1:00pm-3:00pm Excellence in Orthodontics Luncheon – featuring Jerry Linenger and AAO’s Awards Program

Sunday

“Hula is the language of the heart and therefore

the heartbeat of the Hawaiian people.”

~ David (Kâwika) Laàmea Kalâkaua,King of Hawaiì, 1874 to 1891

Sunday, May 4




John Valentine MershonMemorial Lecture

7:30am-9:00amCE Credit Hours: 1.5

Mrs. Harriet Worrall Mershon, the latewife of Dr. John V. Mershon, professor oforthodontics, University of Pennsylvania,established this lecture. Dr. Mershon wasthe originator of the removable lingualarch appliance and a pioneer in theapplication of biological principles inorthodontics. The lecture is administeredby the AAO.

7:30am-9:00am

Growth and Biomechanics -Who Gets the Credit?

Robert J. Isaacson, DDS, MSD, PhDEdina, Minnesota, USA

Dr. Isaacson isprofessor emeritusand has chairedorthodonticprograms at threeuniversities. Hecurrently servesas editor of The AngleOrthodontist,

and is a visiting professor at severaluniversities. He also works with thedevelopment of 3-D digital models.

Orthodontists know the importance ofgrowth in the treatment of patients. Theyabsorb legions of papers and lectures totry to sort out the best way to use growthin treatment. Orthodontic appliance

mechanics are rational and understandable,but considerable obfuscation is commonlyused to explain their actions. Thispresentation will show animations ofgrowth in action and animations of howappliances work. Finally, it will show bothprocesses interacting – the way treatmentsusually happen.

John Valentine Mershon Memorial Lecturers:

1960 C. Edward Martinek1961 Louis J. Baume1962 John R. Abel1963 Lester W. Burket1964 Harold Hillenbrand1965 Hamilton B. G. Robinson1966 Kaare Reitan1967 Kalevi Koskl1968 Donald H. Enlow1969 C. Jan Dryer1970 Edward V. Zegarelli1971 J. A. Salzmann1972 E. Storey1973 Frank G. Edwards1974 J. P. Moss1975 Alton W. Moore1976 Robert M. Ricketts1977 C. Philip Adams1978 B. Darryle Bowden1979 W. J. Tulley1980 I. Lawrence Kerr1981 Samuel Pruzansky1982 Paul W. Stockli

Ullrich Teuscher1983 Arthur A. Dugoni1984 James P. Moss1985 Jose S. Dahan1986 Charles J. Burstone1987 John T. Lindquist1988 Donald G. Woodside1989 T. M. Graber1990 Lysle E. Johnston Jr.1991 Lloyd E. Pearson1992 Robert L. Vanarsdall Jr.1993 Ane Ten Hoeve

Norman M. Cetlin1994 Ronald H. Roth1995 Jack G. Dale 1996 Anthony A. Gianelly1997 William R. Proffit1998 Bjorn A. Zachrisson1999 Robert L. Boyd2000 Harold C. Slavkin2001 Vincent G. Kokich2002 James A. McNamara

Jacob A. Salzmann Lecture

9:00am-10:30amCE Credit Hours: 1.5

The family of Jacob A. Salzmann and his late wife, Leah Wishoff Salzmann,established this lecture administered by the AAO Foundation.

9:00am-10:30am

Treatment with Conviction

P. Lionel Sadowsky, BDS, DMD, D.Ortho.,M.Dent.Birmingham, Alabama, USA

Dr. Sadowsky isprofessor andchair of theDepartment ofOrthodontics atthe University ofAlabama. He iseditor of thejournal “Seminarsin Orthodontics”

and has authored numerous scientificpapers and book chapters. He serves onthe editorial board of The AngleOrthodontist and is a reviewer of a numberof journals. In addition, he maintains apart-time intramural orthodontic practice.

The future of orthodontics is destined to bemore reliant on well-documented materialrather than on anecdotal reporting orunsubstantiated claims. This presentationwill describe findings derived from studiesdesigned to satisfy these demands. Formany years arch form has been a subjectof considerable contentious debate.Recently conducted studies will endeavorto answer many questions relating to thesubject by demonstrating the effects ofextraction and non-extraction orthodontictreatment on dental arch form and stability.Other studies will include the optimaltiming of orthodontic treatment proceduresand the appropriate application of selecteddiagnostic parameters in an endeavor toprovide guidelines and possible solutionsto some of our vexing clinical concerns.The future of orthodontics will be brighterif we incrementally continue to add to ourstockpile of knowledge and strive to baseour treatment on adequately documentedevidence.

S u n d a y S e s s i o n s

= simultaneous translation

S u n d a y , M a y 4


Jacob A. Salzmann Lecturers:

1986 Bjorn U. Zachrisson1987 Arthur A. Dugoni1988 T. M. Graber1989 Robert E. Moyers1990 Jean-Pierre Joho1991 William R. Proffit1992 Rolf Behrents1993 Sten Linder-Aronson

Donald G. Woodside1994 James A. McNamara1995 Per Rygh1996 Vincent G. Kokich1997 Lennart Weislander1998 Lysle E. Johnston Jr.1999 Donald R. Joondeph2000 Robert Vanarsdall Jr.2001 David M. Sarver2002 Robert M. Little


11:00am-12:30pm

Voyage to the Future

Edward D. Barlow Jr., MSSt. Joseph, Michigan, USA

No one is more passionate about, normore actively engaged in assisting peopleorganizations, small business, andprofessions in preparing for the world oftomorrow. Mr. Barlow’s insight andenergy offers a dynamic approach toanticipating and preparing for what isahead. His professional experienceincludes executive positions in healthcare,higher education, business, and amanagement-consulting firm. He nowlectures and conducts seminars, think-tanks, and strategic planning activities.

Participate in this dynamic presentation on the process of applying the influencesof a changing world. Learn the intricaciesinvolved with attracting and retainingemployees, developing and leveragingintellectual capital, knowledge management,and strategies to maintain an organizationalclimate for success. This presentation isdedicated to enhancing an understandingof the future and the influences that will affect personal, professional,organizational, and community settings.

TMD


7:30am-8:20am

An Integrated TherapeuticSystem for Patients withTemporomandibular JointDisorders (TMD)

Kazuo Tanne, DDS, PhDHiroshima, Japan

Dr. Tanne is professor and chair in theDepartment of Orthodontics andCraniofacial Development Biology atHiroshima University Graduate School ofBiomedical Sciences and the dean of thefaculty of dentistry. His primary interest isbiomechanical research.

There has been much controversy aboutthe effects of orthodontic approach on thetreatment of TMD. In this presentation,various etiologic factors are first discussedto explore the mechanisms of TMD.Differential diagnosis for TMD will thenbe explained with a newly developedintegrated therapeutic system for TMD.Finally, a significant role of the therapeuticsystem in TMD therapy will be examinedwith a reference to actual cases with TMJinternal derangement.

8:25am-9:15am

Recovery Growth of theMandibular Condyle AfterOrthopedic Force Application –Fact or Myth

Hideo Mitani, DDS, MS, PhDSendai, Japan

Dr. Mitani is professor and chair of theDepartment of Orthodontics at theGraduate School of Dental Sciences atTohoku University.

9:20am-10:10am

Condylar Resorption – TheOrthodontist’s Nightmare

Chester S. Handelman, DMDChicago, Illinois, USA

Dr. Handelman is clinical associateprofessor of orthodontics at the Universityof Illinois at Chicago, where he teaches a seminar on adult orthodontics andperiodontal health. He also maintains aprivate orthodontic practice.

Progressive condylar resorption isobserved mostly in adolescent and youngfemales. While its incidence is rare, theconsequences – development of a Class IIopen bite with deterioration of the profile– are serious. Orthognathic surgery mayinitiate the syndrome, and surgical correctionis often followed by relapse. Cases,documented with serial cephalometric x-rays and tomograms, will be presentedto demonstrate the life cycle of condylarresorption and the stability followingsurgical correction. Medical and legalissues will also be discussed.


11:00am-11:50am

The Importance of the SeatedCondylar Position inOrthodontic Correction

Frank E. Cordray, DDS, MSColumbus, Ohio, USA

Dr. Cordray is the technology committeechair for Roth-Williams International,an assistant clinical professor in theDepartment of Orthodontics at Ohio StateUniversity, and a guest lecturer atChildren’sNational Medical Center, andhe serves as a consultant for the AJO/DOand The Angle Orthodontist.

A key factor in delivering precisiontreatment is the ability to make a precise diagnosis. Articulator-mounteddiagnostic study models recorded from adeprogrammed patient and mounted in theseated condylar position are paramount tothe development of an accurate diagnosisand customized treatment plan utilizingpatient-specific treatment mechanics.

The objective of this clinically-orientedpresentation is to demonstrate how thisinformation can be readily integrated intoa busy practice.

11:55am-12:45pm

To be announced

IMPLANTS/CLASS IIMALOCCLUSIONS


7:30am-8:20am

Using Palatal Implants inDifficult Anchorage Cases

Leslie A. Will, DMD, MSDBoston, Massachusetts, USA

Dr. Will is head of orthodontics andgraduate program director at the HarvardSchool of Dental Medicine. Her researchinterests include normal and abnormalgrowth and development, the genetic basisfor craniofacial anomalies, and treatmentoutcomes.

Palatal implants are being used by someclinicians to provide anchorage indemanding clinical situations. The implantis inserted in a simple surgical procedureand osseointegrates like typical ridgeimplants. It is then attached to the teethvia bondable pads on a palatal arch. Withthe implant supporting anchor teeth, wholearches can be distalized, or anteriors canbe distalized in the absence of posteriorteeth. The research documenting theanchorage will be discussed and clinicalcases presented.

8:25am-9:15am

Palatal Implants versusHeadgear –Early Experiences ofan RCT

Jonathan Sandler, BDS, MSc, D.Orth.,M.Orth.Bakewell, Derbyshire, Great Britain

Dr. Sandler is a consultant orthodontistand postgraduate course coordinator atManchester University. He is also clinicaleditor of the Journal of Orthodontics anda member of The Angle Society of Europe.

An RCT involving 40 patients has been setup to compare the use of palatal implantsfor anchorage with conventional headgear.Early experiences of implant placementwill be detailed listing all possible areas ofdifficulty. The steep learning curve withappliance design and technique will alsobe described.

9:20am-10:10am

Implant Interactions inOrthodontics

Frank Celenza, DDSNew York, New York, USA

Dr. Celenza is certified in orthodontics and periodontics and maintains a privatepractice. He has authored numerouspublications and has been involved in post-graduate teaching for over 15 years.

The advent of successful and predictableimplant dentistry has had a pronouncedimpact on restorative dentistry, althoughthe same cannot be said for orthodontics.Dr. Celenza feels strongly that a new era isupon us and will illustrate the fascinatingability of implants to facilitate toothmovement. The development of implants,both in direct and indirect anchorage, willbe presented and delineated. Cases inwhich implants are used to facilitatetreatment by greater expediency, ease ofmanipulation, streamlined mechanotherapy,elimination of patient compliance andexpanding treatment possibilities will all be illustrated.


11:00am-11:50am

Class II Strategies: TreatmentTime and Protocols: FunctionalEdgewise and SurgicalProcedures

Andre J. Horn, DDS, MSMontfort L’Amaury, France

Dr. Horn is president of the FrenchOrthodontic Society and a past presidentof the Charles H. Tweed InternationalFoundation and the European College of Orthodontics.

All actual analysis is based on mandibulardeficits. This is a restrictive and evendangerous attitude. Our actual knowledgeon growth and development should give us more professional insight. Mandibularresponse is a parameter that should beseriously considered in our treatmentstrategy. The new edgewise concept is a professional tool that enhances vertical control. The improvement of theClass II face lies on the vertical control of the posterior teeth to promote acounterclockwise rotation of the mandibleand the advancement of the chin. Facialharmony depends on the “mandibularresponse” to the treatment. The maxillo-mandibular block should be consideredthree-dimensionally, as well as the actionsand interactions caused by mechanics. The future of our strategies should evolvearound global awareness and go beyondall sectarianism.

11:55am-12:45pm

Maxillary Molar Distalization in Non-Extraction Class IITreatment: Facts and Fiction

Pramod K. Sinha, DDS, MSSpokane, Washington, USA

Dr. Sinha maintains a private orthodonticpractice. He is a former faculty member atthe University of Oklahoma and SaintLouis University.

Numerous non-extraction Class IItechniques have been introduced recentlyto bypass patient compliance as a factorfor success. However, the need for patientcompliance cannot be eliminated tocomplete treatment. The purpose of thispresentation is to review literature andnon-extraction clinical techniques used to correct Class II malocclusions withemphasis on anchorage loss in differentareas, clinical techniques to completetreatment following distalization, and one year post-treatment stability of thecorrection.



S u n d a y , M a y 4


TRANSVERSE/VERTICALDIMENSION


7:30am-8:20am

Vertical Growth: PossibleCauses and Cures

John Mew, BDS, LDS, M.Orth.Heathfield, Sussex, United Kingdom

Dr. Mew is clinical director of the London School of Facial Orthotropics. He also maintains a private orthodonticpractice with interests in the etiology of malocclusion and the guidance of facial growth.

There is an increasing awareness that most intractable orthodontic problems are associated with vertical growth. Theetiological background to this will beconsidered and past cures discussed. Itwill be suggested that many of these cures,in fact, increase vertical growth, as doesmuch of current orthodontic treatment. It is unlikely that a cure for malocclusionwill be found until we can convert verticalgrowth to horizontal growth. Clinicalexamples of good and bad results will bepresented including consecutive casestudies and long-term twin studies.

8:25am-9:15am

Orthodontic Treatment of Open Bite Class II Patients inStraightwire Technique withExtractions of Second Bicuspids

Patricia Lambrey-Obach, DDS, D.Orth., PhDAuch, France

Dr. Lambrey-Obach maintains a privateorthodontic practice with Dr. GuyGarnault. She is an active member inseveral French scientific societies and amember of the European College ofOrthodontists, the Angle Society of Europe,and the European Orthodontic Society.

The aim of this study was to compare theskeletal and dento-alveolar effects of twogroups of 30 skeletal open bite Class II,

division 1 malocclusions treated with the straightwire technique in permanentdentition. The groups were a control groupwith extraction of the four first bicuspidsand an experimental group with extractionof the four second bicuspids. Eachpatient’s lateral cephalometric radiographswere analyzed at T1 before treatment,T2 after treatment, and T3 four years after treatment. The results of thisstatistical study (ANOVA) showed that the experimental group benefited by asignificant improvement of the skeletalopen bite leading to a reduction of theskeletal Class II.

9:20am-10:10am

The Vertical Dimension – Its “Highs” and Its “Lows”

James L. Vaden, DDS, MSMemphis, Tennessee, USA

Dr. Vaden is currently the chair of theorthodontic department at the Universityof Tennessee. He also maintains a privateorthodontic practice.

Historically, the vertical dimension has notbeen given a great amount of respect bythe specialty of orthodontics – possiblybecause it is so difficult to control duringactive mechanotherapy. The presentationwill focus on diagnostic and treatmentconsiderations for both the long anteriorfacial height and short anterior facialheight patient.


11:00am-11:50am

Management of TransverseProblems

Thomas E. Southard, DDS, MSIowa City, Iowa, USA

Dr. Southard is a professor and graduateprogram director of the Department ofOrthodontics at the University of Iowa.

Orthodontic treatment in the transversedimension can be challenging. Thepurpose of this presentation is to examineprinciples of diagnosis and treatment in

the transverse dimension as emphasized atthe University of Iowa. A range of cases,covering the spectrum of transversecontrol problems, will be discussed.

11:55am-12:45pm

Transverse Dimension andFrontal View: OrthodonticProcedures for an EstheticTreatment Plan

Mauro Cozzani, DMD, MScDLa Spezia, Italy

Dr. Cozzani maintains a privateorthodontic practice and is an adjunctprofessor and vice director of theDepartment of Orthodontics at Universitadi Ferrara. He is also a provisionalmember of The Angle Society of Europe.

The orthodontic treatment plan is mainlybased on lateral cephalograms andmandibular arches, while the frontal viewand the maxillary arches are considered of esthetic value. Few procedures allowmaxillary and mandibular arch expansionand a better spontaneous alignment ofmaxillary and mandibular incisors will bedescribed. Long-term outcomes will beshown and discussed.

TREATMENTCOMPLICATIONS


7:30am-8:20am

Twenty-Five Years of Experienceswith Autotransplantation ofTeeth in Orthodontic Treatment

Hans Ulrik Paulsen, DDS, Dr.Odont.Copenhagen, Denmark

Dr. Paulsen is a visiting professor at theKarolinska Institutet in Stockholm andwas associate professor of orthodontics atAarhus University. He also assisted theCopenhagen Business Consult inmanagement and collaboration.

Doctors’ Scientific LecturesS u n d a y , M a y 4

Tooth transplantation is a biologicalprocedure that may be integrated intreating of certain orthodontic problems –premolar aplasia and avulsed or malformedanterior teeth, which are common inyoung people. Using autotransplantation,it is possible to restore difficult problemsin the dental arches with vital teeth fromother regions of the same person andmove problems to regions where they areeasier to solve orthodontically. Clinicalexamples, timing of transplantation, softtissue healing and tooth eruption androtation will be discussed, based on alarger study sample. The presentation will also compare the outcome betweenautotransplantation of teeth with softtissues and the use of osseointegratedimplants.

8:25am-9:15am

Tooth Transplantation: AnExtra Dimension in Orthodontics

Luc R. Dermaut, DDS, PhDGent, Belgium

Dr. Dermaut is head of the Department ofOrthodontics at the University of Gent andhonorable secretary to the EuropeanOrthodontic Society.

Autogenous tooth transplantation inclinical orthodontics, introduced by someScandinavian orthodontists, has been usedin Europe for more than 35 years. In thispresentation, indications, contra-indications,

and failures of transplantation will bediscussed and illustrated by many clinicalexamples. Longitudinal follow-up aftertransplantation will be discussed as well.Finally, some findings of recent researchcarried out at our university dealing with cryopreservation of teeth beforetransplantation will be presented.

9:20am-10:10am

Missing Second Premolars – To Open or To Close the Space?

David Kennedy, BDS, MSDVancouver, British Columbia, Canada

Dr. Kennedy maintains a private orthodonticpractice. His primary focus is orthodonticsfor children.

Should we open or close spaces whensecond premolars are absent? What is the longevity of a retained second primary molar with no successor? What complications arise from leavingankylosed primary molars? What is theimpact upon facial profile, occlusion, andcost to the patient? Which maloccusionsare better treated by closing the space?When should intervention begin? Usingcase histories, treated in both the mixedand permanent dentition, this presentationwill answer these questions.


11:00am-11:50am

Missing Maxillary LateralIncisors; How to OptimizeSpace Closure TreatmentOutcomes

Marco Rosa, DDS, DMD, D.Orth.Trento, Italy

Dr. Rosa maintains a private orthodonticpractice and is a professor of orthodonticsat Parma University. He is an activemember of The Angle Society of Europeand focuses on esthetics and early treatment.

The main challenge in treating missingmaxillary lateral incisor cases isn’twhether to close or open spaces, but howto achieve best results with either solution.The advent of osseointegrated implantsdecreased the popularity of space closurealternatives, which is also given toinherent difficulties in obtaining anoptimal naturally looking result withcanines in the place of lateral incisors.This lecture provides implant alternativediscussions versus new suggestions toimprove outcomes in space closuretreatments, combining esthetic dentistry andcarefully detailed orthodontic procedures.

11:55am-12:45pm

Agenesis – Treatment Planning

Danielle Pajoni, DDSSaint Mande, France


= simultaneous translation


Monday

Did you know it takes a plant 18 months

to produce its first pineappleand 13-14 months for

its second fruit?




7:30am-12:45pm

Technology: T. Dischinger,A. Fontenelle, B. Hultgren,D. Hatcher, J. Mah

The Heritage Lecture: L. Johnston Jr.

Oral Research AbstractPresentations (listed in theOn-Site Program only)

Biology: A. Kuijpers-Jagtman,T. Takano-Yamamoto, J. Mao,P. Buschang, E. Yen

Estate Planning Seminar

Treatment Concepts:P. Planche, A. Decker, L. Carriere

Practice Management:T. Ziegler, R. Levin, T. Sellke,B. McFarlane, L. Melamed, W.Hamula

Treatment Results: M. Hans,H. Hatasaka, D. Musich, R. Lee, Rav. Nanda


6:45am-8:00am Doctors’ Roundtable Discussion Breakfast

10:00am-2:00pm Scientific Posterboard Exhibits

10:30am-2:30pm Hawaiian Cultural Extravaganza

7:00am-10:00am Doctor and Orthodontic Staff Team Breakfast

7:30am-12:30pm Constituent Caucuses

12:00pm-2:00pm Bonding: Women Orthodontist Luncheon

12:00pm-2:00pm CDABO Diplomate Luncheon

Special Event

7:00pm-9:30pm AAO’s Ho’olaule’a Gala Reception – Sheraton Hotels on Waikiki Beach

Monday, May 5

Doctors’ Roundtable Discussion Breakfast

6. Simplified Indirect BondingDr. H. Stuart McCrostieHornsby, NSW, Australia

7. Successful OrthodonticBonding to Porcelain, Goldand AmalgamDr. David T. ShenSan Francisco, CA, USA

APPLIANCE DESIGN ANDADJUSTMENT

8. Distal Jet: Push ‘Em BackClinical Mechanics*Dr. S. Jay BowmanPortage, MI, USA

9. Nickel-Titanium Tandem-Loop Palatal Expander andMolar Rotator*Dr. Wendell Victor ArndtOlathe, KS, USA

10. Twin Force Bite CorrectorDr. Maurice C. CorbettLaguna Woods, CA, USA

11. Speeding Up OrthodonticTreatments With TemporaryOcclusal ReshapingDr. Jose S. DahanBrussels, Belgium

12. Simultaneous Application ofInter and Intraarch Forcesfor Rapid Correction ofMalocclusionsDr. John DeVincenzoSan Luis Obispo, CA, USA

13. Rapid vs. Slow MaxillaryOrthopedic ExpansionProtocols: What’s theDifference and Does itMatter?Dr. E. Preston HicksLexington, KY, USA

Monday, May 5

6:45am-8:00amSheraton Waikiki Hotel

The Doctors’ Roundtable DiscussionBreakfast allows you to interact with avariety of orthodontists discussing thelatest developments in the specialty.Tables are limited in attendance to nine(9) persons each and are filled on a first-come, first-served basis. Please completethe Registration and Housing Form withyour table preferences. The cost of thisevent is $30, which includes a full, hotbreakfast.

ADULT THERAPY

1. Discovering the Speed®

SystemDr. Jeff BergerWindsor, ON, Canada

2. The Role of Orthodontics inInterdisciplinary TreatmentDr. Miguel HirschhautCaracas, Venezuela

3. Non-Surgical MandibularAdvancement; A LegitimatePostural CompromiseDr. Marcel KornBoston, MA, USA

APPLIANCE CONSTRUCTION

4. Bionator for Distalization:Saves Chairtime and TurnsExtraction into Non-Extraction TreatmentDr. Eberhard BirrAnsbach, Bavaria, Germany

5. A Cost Effective, ClinicallyEfficient AnteriorDeprogramming SplintDr. Richard F. CeenDallas, TX, USA

14. Non-Compliance Class IICorrection Using FixedClass II Correctors (BiteJumpers)Dr. Derek MahonyRandwick, NSW, Australia

15. Clinical Techniques to Help Manage the Herbstand MARA*Ms. Paula Allen-NobleMandeville, GA, USA

16. Rapid Correction ofUnilateral Class IIMalocclusion UtilizingInterarch CompressionSpringsDr. Don MillerPaso Robles, CA, USA

CASE-BASED LEARNING OFINVISALIGN

17. Interactive OrthodonticDiagnosis - IncorporatingTreatment with theInvisalign® ApplianceDr. Mark J. PerelmuterLouisville, KY, USA

CASE STUDIES

18. 35 Orthodontics FinishedCases with Swing LongTerm StabilityDr. Javier Roberto FrenckCordoba, Argentina

CLINICAL STAFF TRAINING

19. Academy of OrthodonticAssisting - Discover theMost Innovative andComplete Training Course*Dr. Doug DepewKennesaw, GA, USA


M o n d a y , M a y 5

27. Functional ApplianceTherapy: Why I FailedDr. Elias KatsavriasAthens, Greece

28. The Quadrilateral Analysis:A Logical Approach toDiagnosisDr. Chris PhilipNew York, NY, USA

29. A Diagnostic Evaluation of Horizontal SkeletalDiscrepancies Utilizing anAOBO+ANB Difficulty IndexDr. C. Edwin PolkStillwater, OK, USA

DISTRACTIONOSTEOGENESIS

30. Mandibular Widening byDistraction Osteogenesis*★Dr. John W. KingMidlothian, VA, USA

INTERNATIONAL ANDNATIONAL VOLUNTEEROPPORTUNITIES

31. Volunteer Opportunities inOrthodonticsDr. William M. DavidsonBaltimore, MD, USA

32. Give Yourself Peace of Mind,Be a Short Term DentalMissionary VolunteerDr. J. Franklin WhippsCentralia, IL, USA

INVENTORY

33. Inventory Embezzling:Could it be Happening inYour Office?*Mr. Jerry D. FoxNokomis, FL, USA

COMMUNICATIONS ANDMARKETING

20. How to Learn WhatReferring Offices Want and Expect*Ms. Cathy SundvallOviedo, FL, USA

COMPUTERS

21. Digital Superimposition ofBefore and After ModelsTreated with Invisalign®

*Dr. Ross J. MillerSanta Clara, CA, USA

DIAGNOSIS

22. True Horizontal: CommonSense DiagnosisDr. Alfredo AlvarezNecochea, Buenos Aires, Argentina

23. The Importance of theSeated Condylar Position inOrthodontic CorrectionDr. Frank E. CordrayColumbus, OH, USA

24. Virtual 3-D Set-Up: A NewDiagnostic ToolDr. Garino FrancescoTorino, Italy

25. Genetic Factors InfluencingExternal Apical RootResorption Associated withOrthodonticsDr. James K. HartsfieldIndianapolis, IN, USA

26. Early Detection andManagement of EruptionProblems with Emphasis onthe CuspidsDr. Brian R. JespersonBismarck, ND, USA

INVESTING

34. Asset Allocation - How toBuild a Diversified, Well-Balanced PortfolioDr. Neil GreenbergHamden, CT, USA

MIXED DENTITION

35. Bite Jumping Springs inPhase One Treatment*Dr. Duncan W. HigginsDelta, BC, Canada

36. Individualized EarlyTreatment Combining theBest of North American &European TechniquesDr. Albert H. OwenAustin, TX, USA

37. The Starnes Orthotic-A Three DimensionalRetention DeviceDr. Heidi StarnesNewport Beach, CA, USA

OFFICE DESIGN

38. Orthodontic Offices areUnique*Dr. Joseph RossMidlothian, TX, USA

ORTHOGNATHIC SURGERY

39. Management of FacialAsymmetry: Orthopedics orOrthognathic SurgeryDr. Smorntree VitepornBangkok, Thailand


Doctors’ Roundtable Discussion BreakfastM o n d a y , M a y 5

Doctor & Orthodontic Staff Team Breakfas

featuring Dr. Paul Homoly


44. 5 Steps to SuccessfulPractice Transition*Dr. Jerry R. ClarkGreensboro, NC, USA

45. Doctor Time Scheduling -Simplifying the Set-Up*Ms. Lynne C. FalesNokomis, FL, USA

46. New Partner? vs. MergingPracticesDr. James R. GreerLexington, KY, USA

47.When is FinancialIndependence Attainable?*Dr. Mart G. McClellanLake Forest, IL, USA

48. Training and RetainingQuality Employees*Ms. Lori Garland ParkerCamarillo, CA, USA

49. Utilization of a GeneralDentist in the Delivery ofTreatmentDr. Robert PickronNorcross, GA, USA

50. Making a Great LastImpressionDr. Frank K. YoritaGarden Grove, CA, USA

PRACTICE VALUATION &SALES

51.You’d Better TREAT YourPractice Like a BUSINESS...OTHERWISE - NO SALE!*Mr. William C. SuttonGreensboro, NC, USA

TMJ

52. Progressive CondylarResorption in Orthodontic and Post-OrthognathicSurgical PatientsDr. Chester S. HandelmanChicago, IL, USA

OTHER

40. The Role in Orthodontics ofObstructive Sleep ApneaSyndromeDr. Makoto KikuchiNarita, Chiba, Japan

PRACTICE MANAGEMENT

41. 10 Easy Internal andExternal MarketingPrograms to Help YourPractice Grow!Dr. Mark AxelrodePinole, CA, USA

42. ISO 9001: 2000 - QualitySystem Proving ContinuesProgress in OfficeManagementDr. Germain BeckerDudelange, Luxembourg

43. Through the Looking Glass*Ms. Debbie BestLivermore, CA, USA

Monday, May 5

Hilton Hawaiian VillageCourse Fee: $30 on a first-come,first-served basis

7:00am-10:00am

How To Be InterestingMemorable and Persuasive

The Critical Dialogues of OrthodonticCase Acceptance

FeaturingDr. Paul Homoly

Dr. Paul Homoly is a most engagingspeaker, and since retiring from hispractice in 1995, has focused his time on training, consulting, and coaching. Dr. Homoly is president of HomolyCommunication Institute, a resource fordental industry professionals. He providesseminars, workshops and consultations onthe topics of case acceptance, practicedevelopment, speaking, and practicemanagement. Dr. Homoly is an activeauthor contributing to dental journalsworldwide. He is a member of theNational Speakers Association and theNational Storytellers Association.

This breakfast session is for everyone whowants to be a more interesting, memorable,and persuasive communicator.

Dr. Homoly will demonstrate communicationtechniques that will earn your listener’sattention, create a personal connection withyour listeners, and move them to action.

Part of this interactive and entertainingpresentation will be the critical dialogue oforthodontic case acceptance from the initialphone call to patients saying “YES”.


Doctors’ Scientific LecturesM o n d a y , M a y 5



TECHNOLOGY


7:30am-8:20am

Computer Generated PreciseBracket Placement Based Upon3-D Technology UtilizingIndirect Bonding

Terry G. Dischinger, DDSLake Oswego, Oregon, USA

Dr. Dischinger maintains a privateorthodontic practice and is a leader inboth functional jaw orthopedics andorthodontic technology.

8:25am-9:15am

Robotized Bracket Placement:From Electronic Set-Up toPlaster Model

*Alain Fontenelle, DDS, MScBievres, France

Dr. Fontenelle taught as an assistantprofessor in Montreal and in Paris andmaintains a private orthodontic practice.He also speaks internationally.

A robot (Bracketron) automaticallyorientates the plaster model to prescribedtip and torque. It then places the bracketsto a prescribed height and buccal-lingualposition. A three-dimensional scan of thesame model is done and a virtual set-upperformed according to the treatment plan.A prescription is obtained from measurestaken on the electronic set-up andtransferred to the Bracketron software.The robot will bond the brackets on theplaster model as on the virtual set-up.

9:20am-10:10am

E-Modeling

*Bruce W. Hultgren, DDS, MSEden Prairie, Minnesota, USA

Dr. Hultgren maintains a privateorthodontic practice. He is also a founderof Iris Development, which is the developerof E-models.


11:00am-11:50am

3-D – A New Look

David C. Hatcher, DDS, MScSacramento, California, USA

Dr. Hatcher maintains a private oral andmaxillofacial radiologist practice and isactive in university-based research and thedevelopment of new imaging systems.

11:55am-12:45pm

3-D Visualization and TreatmentSimulation in Orthodontics

James Mah, DDS, MSc, DMScLos Angeles, California, USA

Dr. Mah is an assistant professor oforthodontics at the University of SouthernCalifornia. His research focus is on 3-Dtechnologies in orthodontics.

TREATMENT CONCEPTS &HERITAGE LECTURE


7:30am-8:20am

Therapeutical Class IIOcclusion After Extraction ofUpper Second Bicuspids

Pierre G. Planche, DDS, D.Orth.Paris, France

Dr. Planche maintains a privateorthodontic practice and is a member ofThe Angle Society of Europe, the FrenchOrthodontic Society, and the EuropeanOrthodontic Society.

In case of skeletal and dental Class II, therecourse to only one arch extraction (firstor second bicuspid extractions in themaxillary arch) is a therapeutic option of foreseeable compromises for someparticular areas. This pseudo-surgicalsolution is usually applied when thepossibility of skeletal gap correction bymandibular growth is exceeded. Removingthe second bicuspid offers many advantagesat the occlusal and esthetic level if thedental natural compensations are preservedor adapted.

8:25am-9:15am

Mandibular Asymmetries:Diagnostic, Treatment and Post-Treatment Stability

Alaine L. Decker, DDSVilliers Sur Orge, France

M o n d a y S e s s i o n s

9:20am-10:10am

A Different System to TreatClass II Non-Extraction:Simplicity for Elegance

Luis Carriere, DDS, MSDBarcelona, Spain

Dr. Carriere received the Joseph E.Johnson Award from the AAO in 1995,received the Milia D’Or Award for thebest CD-ROM of the year in professionaltraining, and is a member of the editorialboard of the Journal JADA, SpanishEdition.

To optimize the distalization of themaxillary posterior segments in thetreatment of Class II, division 1 and 2,non-extraction, the Inverse AnchorageTechnique describes a system that convertsit in a simple procedure. It features lowenergy with less teeth involvement withappliances; less treatment time; andobjectified treatment. This gives the authora path to the development of a newlydesigned distalization device, differentfrom previous systems. Clinical cases andvirtual reality will demonstrate theevolution of the final new design.


PRACTICE MANAGEMENT


7:30am-8:20am

Practice Transition: Appraisal,Associateship Employment,Purchase and Sale, TaxImplications and Financing

*Thomas F. Ziegler, DDS, MS, JDCincinnati, Ohio, USA

Dr. Ziegler is an attorney who has beenthe principal speaker for The Bottom Line,a 3M Unitek program for orthodonticresidents on the subject of orthodonticpractice appraisal, employment agreements,purchase of sale agreements, and deferredcompensation agreements. He also is apractice transition consultant.

Description of information required for anappraisal and an overview of how a dollaramount is arrived at will be discussed.Equally important as the purchase price is the tax allocation of the variouscomponents that make up the purchaseprice. A description of how that affects the buyer and seller will be presented. Anoverview of the associateship employmentagreement will also be presented as well

as an overview of the agreement forpurchase of sale. Financing the sale will be also be discussed.

8:25am-9:15am

10 Keys to Orthodontic PracticeSuccess

*Roger P. Levin, DDS, MBAOwings Mills, Maryland, USA

Dr. Levin is the founder and CEO of LevinGroup, a leading dental and specialtypractice management and marketingconsulting firm. Considered an expert on dental practice systems and success,Dr. Levin is dedicated to improving thelives of dentists and dental specialists.

A profitable, stress-free practice is everyorthodontist’s dream. Dr. Levin can helpturn those dreams into reality as headdresses the following 10 steps mostcrucial to the growth of your practice.They are: efficient scheduling; treatmentcoordinator and closing of patients;increasing referrals; practice financialmonitoring; adding new referring offices;patient financial arrangement; outrageouscustomer service; closing 98% of shoppers;controlling accounts receivable; andcompleting patients on time.

The Heritage Lecture is an honorarylecture sponsored by annual and/orperpetual donors. It is a method tomemorialize and honor persons who havecontributed to the rich heritage of theorthodontic specialty. The lecture featuresan aspect or issue of clinical, academic,or research interest that has roots in thehistory of orthodontics and is significantto current practice or the future directionof the specialty.

Angle Speaks! The Life andTimes of Edward H. Angle

Lysle E. Johnston Jr., DDS, PhDAnn Arbor, Michigan, USA

Dr. Johnston is Robert W. Browne Professorof Dentistry andchair of theDepartment ofOrthodontics andPediatric Dentistryat the University ofMichigan.

We all aredescended fromEdward Hartley

11:00am-12:30pm

THE HERITAGE LECTURE

Angle. He invented and shaped ourspecialty. He was a prolific letter writer,many of which survive to this day.Courtesy of Anna Hopkins, these lettersspeak to us across the centuries andpermit us to go beyond the dry, well-known details of his curriculum vitae. Inthis presentation, Dr. Johnston will letAngle tell us something of his life andtimes in his own words.

Past Lecturers:1998 T.M. Graber1999 T.M. Graber2000 William H. DeKock2001 Jack G. Dale2002 Ronald H. Roth






9:20am-10:10am

The Power of Vision

*Terry A. Sellke, DDS, MSGrayslake, Illinois, USA

Dr. Sellke maintains a private orthodonticpractice and teaches clinical orthodontics,practice management and professionalmarketing at the University of Illinois inthe Department of Orthodontics.

Have you ever found yourself goingthrough your career reacting to people orevents seemingly out of your control? Is“damage control” a way of life? Do youmake important office decisions based onfeelings instead of facts? Is there balancein your life? It doesn’t have to be thatway! This presentation is about creatingyour vision for your practice and life andthe rewards you will gain from living yourvision.” It will start you on a journey to afun, profitable, productive, and decidedlyless stressful future.


11:00am-11:45am

External Marketing inOrthodontics: The Best Bangfor the Least Bucks!

R. Bruce McFarlane, DMD, BScdWinnipeg, Manitoba, Canada

Dr. McFarlane maintains a privateorthodontic practice. He has a specialinterest in marketing and promotion andhas lectured in North America.

Beyond the confines of our offices, weneed to get our message “out there.” Massmedia advertising is not the way to go –image competing against Nike or Coca-Cola for a person’s attention. There arebetter ways to externally market ourservices – and they can be accomplishedtastefully, ethically, and cost-effectively.Dr. McFarlane will examine these avenuesin a lively, fast-paced, and entertainingpresentation.

11:45am-12:30pm

Abracadabra! An OrthodonticMagic Seminar

*Louis Melamed, BAMahtomedi, Minnesota, USA

Mr. Melamed is president and CEO ofDentallusions, Inc., a company specializingin creating custom magic tricks just for thedental professional. Over the past eightyears, Loudini has led a series of dentalmagic seminars in North America. Inaddition, he is president of Imagine This, abusiness committed to the development ofstrategic advertising, marketing and magicprograms for a variety of Fortune 500companies.

Laugh and learn as Mr. Melamed, aka TheGreat Loudini, delivers this fast-paced,entertaining presentation that teaches theorthodontic team not just magic tricks butdental-related magic tricks. All designedto increase patient compliance and reducepatient anxiety. You will learn impromptuchair-side magic tricks using everydayoffice props including retainer plastic,orthodontic wire, cotton rolls, rinse cups,and more. As a bonus, Loudini teachesyou how to make an orthodontic pliersdisappear right before your patient’s eyes!

12:30pm-1:00pm

Transitional Office Design:Attracting an Associate orBuyer for a Future Sale

*Warren Hamula, DDS, MSDColorado Springs, Colorado, USA

Dr. Hamula is a consultant to a privateorthodontic practice and has devoted histime to office design, publishing, andlecturing on orthodontic office design.

The unfavorable ratio of orthodonticgraduates compared to growing orthodonticretirees makes selling a practice difficult.In a highly competitive buyers market,merely having a high-income practicedoes not alone insure or attract buyers. A recent student/graduate student surveyindicates when comparing opportunities, iffavorable location and salary arrangementsare generally equal, quality and design of

the doctor’s facility is important to finalselection. A new office may be your firststep toward a successful transition/sale!

TREATMENT RESULTS

7:30am-12:45pmCE Credit Hours; 4.25

7:30am-8:20am

The Professional Orthodontist:To Be or Not To Be

Mark G. Hans, DDS, MSDCleveland, Ohio, USA

Dr. Hans is an associate professor andchair of the Department of Orthodonticsat Case Western Reserve University.

8:25am-9:15am

Seven Fundamentals toAchieving Consistently ClinicalResults

Harry H. Hatasaka, DDS, MSDPalo Alto, California, USA

Dr. Hatasaka practiced orthodontics for30 years. Since 1988, he has limited hispractice to TMD patients. In addition, heis a clinical instructor in the orthodonticdepartment at the University of the Pacific.

Organizations have established criteria forevaluating excellence of clinical results inorthodontics. The American Board ofOrthodontics and the Angle Society areconsidered by many to be the standards of excellence. Many international boardshave established requirements that rivalthe ABO and the Angle Society. It shouldbe the goal of orthodontists to attain thesestandards of excellence and on a consistentbasis. This lecture will examine sevenrequirements that are fundamental toobtaining clinical excellence.

9:20am-10:10am

Orthodontic Relapse: LessonsLearned from Patients Who areExamined for Re-Treatment

*David R. Musich, DDS, MSSchaumburg, Illinois, USA

Dr. Musich maintains a private orthodonticpractice and is currently serving asDirector of the Eastern Component of the Angle Society. In addition, he holdsprofessorships in the Department ofOrthodontics at the University ofPennsylvania and at the University ofIllinois. He publishes and lecturesextensively.

This presentation includes the results froma study of 100 consecutively examinedadult patients who presented fororthodontic re-treatment. Analysis of thestudy records for these patients was doneto determine what problems were notadequately addressed in their previousorthodontic treatment, which led them toseek re-treatment. Lessons learned includethree categories: significant differentialgrowth which led to Class II open bites orClass III-type problems, relapse of thelower anterior segment, and spacing of theupper central incisors and relapse of thelaterals. Analysis and implementation ofthe findings from this study can have asignificant impact on strategies for patientcare management.


11:00am-11:50am

A Three-Dimensional ClinicalTrial of Various FunctionalAppliances

Robert T. Lee, BDS, D.Orth., M.Ortho.London, England

Dr. Lee is head of the OrthodonticDepartment at the Royal London Hospitaland chair of the Orthodontic SpecialistAdvisory Committee (National TrainingCommittee) in the United Kingdom. Healso maintains a private orthodonticpractice.

Following a preliminary study prospectivelycomparing Bass, Bionator and Twin Blockappliances with a control, a matched trial of70 patients, half with a single advancementTwin Block appliance, and half with amodified Twin Block with gradual biteadvancement, were compared. Thepatients were evaluated for growth,cephalometric change, and soft tissuechange in three dimensions. A treatmentperiod of nine months was followed bythree months with all applianceswithdrawn. The results from both groupsare analyzed individually and statisticallyand the biological implications of theeffect of bite registration explored.

11:55am-12:45pm

Non-Extraction Treatment:Biomechanical Strategies

Ravindra Nanda, BDS, MDS, PhDFarmington, Connecticut, USA

Dr. Nanda is currently the UConnAssociation of Orthodontists chair and is professor and head of the Department of Orthodontics at the University ofConnecticut. His focus is biomechanics in clinical orthodontics.

This presentation will provide a systematicapproach for treatment planning andappliance selection for non-extractionClass II treatment. Both intra-arch andinter-arch mechanics to achieve treatmentgoals will be described. A biomechanicalcomparative assessment of some commonlyused non-extraction modalities will also be presented.

BIOLOGY


7:30am-8:20am

Facts and Myths About Forcesand Tooth Movement

Anne Marie Kuijpers-Jagtman, DDS, PhDNijmegen, The Netherlands

Dr. Kuijpers-Jagtman is professor andchair of the Department of Orthodonticsand Oral Biology at the University ofNijmegen. She also serves as the head ofthe Cleft Palate Craniofacial Unit of theUniversity Hospital. She is president-electof the European Orthodontic Society forthe year 2004-2005 and is a member ofThe Angle Society of Europe.

Orthodontic treatment is based on theprinciple that force application causes abiological response in the PDL andalveolar bone, which results in toothdisplacement. But the question of how tomove teeth most efficiently still has notbeen answered. On the contrary, the AAOinformed consent shows that potentialrisks of treatment are “biological processesbeyond the orthodontist’s control.” In thispresentation, what we know about therelation between force levels and toothmovement before concluding with clinicalrecommendations regarding forceapplication will be discussed.

8:25am-9:15am

Molecular and CellularMechanism of OrthodonticTooth Movement

Teruko Takano-Yamamoto, DDS, PhDOkayama City, Japan

Dr. Takano-Yamamoto is a professor in the Department of Orthodontics andDentofacial Orthopedics at OkayamaUniversity Graduate School of Medicineand Dentistry. His focus is applying newtechniques such as distractionosteogenesis and implant orthodontics.

The shape of bone changes correspondingto the physical circumstances such asmechanical stress will be discussed. Whena force is applied to a tooth in orthodontictreatment, alveolar bone formation andresorption occur predominantly on tensionand pressure sides of the root, respectively,and the tooth moves with an increase inalveolar bone remodeling. The recentfindings on the molecular and cellularmechanisms and the acceleration oforthodontic tooth movement by stimulatingbone metabolism will be described.






9:20am-10:10am

Biomechanical Modulation ofCraniofacial Growth:Conventional and Novel Stimuli

Jeremy Mao, DDS, MSD, PhDChicago, Illinois, USA

Dr. Mao is associate professor oforthodontics and bioengineering at theUniversity of Illinois at Chicago. Hisprimary academic and research interest is biomechanical modulation of bone and cartilage growth. He is currentlyinvestigating the application of novelbiomechanical stimuli in craniofacialorthopedics including orthodontics.

Forces can modulate bone and cartilagegrowth. All force properties including the magnitude and duration have beenexamined with the sole exception offrequency. Cyclic forces with sinusoidalwaveforms engineer not only acceleratedgrowth of sutures, but also thesphenoccipital synchondrosis. The greaterthe frequency, the greater the anabolicresponses, as exemplified by increasingbone and cartilage volume as well asgreater proliferation of sutural cells andchondrocytes. These findings may haveclinical implications.


11:00am-10:50am

Mandibular Expansion – Is ItStable and How Might It Relateto Growth?

Peter H. Buschang, MA, PhDDallas, Texas, USA

Dr. Buschang is professor of orthodonticsand director of orthodontic research atBaylor College of Dentistry. He is wellpublished on craniofacial growth anddevelopmental adaptations associatedwith treatments and oral-motor function.

Conventional wisdom dictates thatmandibular expansion procedures areinherently unstable. This notion ispartially based on the belief that themandibular apical base remains stableduring childhood and adolescence. Thispresentation will demonstrate that, like themaxillary base, the mandibular apical basewidens during growth. Based on three,recently completed, prospective follow-upstudies, it will be shown that lip bumpertherapy – performed in conjunction withmaxillary expansion, produces excellenttreatment results and better-than-expectedshort- and long-term postretention stability.

11:55am-12:45pm

The New Orthodontist:Biological Engineer orWirebender?

Edwin H.K. Yen, DDS, PhDVancouver, British Columbia, Canada

Dr. Yen is professor of orthodontics anddean of the faculty of dentistry at theUniversity of British Columbia. Hisresearch focus includes cellular responseof bone and soft connective tissues underorthodontic and orthopedic forces.

AAO Foundation Estate Planning SeminarM o n d a y , M a y 5

Monday, May 5


For doctors and spousesSponsored by the AAO Foundation

7:30am-12:30pm

The annual AAO Foundation EstatePlanning Seminar will be held onMonday, May 5, 2003, at the HawaiiConvention Center, with the followingtopics being addressed:

• Taxes and Estate Planning

• The State of the Economy and Some Observations on Its PossibleFuture Direction

• Asset Accumulation andConservation Techniques forOrthodontists

• Asset Preservation Strategies

Participants will receive handoutmaterials to assist them in reviewingtheir existing plans to understand themany considerations in establishing a new estate plan.


Tuesday

Hokuleà: Star of Joy, weighs8-tons and can carry a crew of

12-16 people. It was built to learn howtraditional Polynesian canoes performed on the open sea.




7:30am-12:45pm

Class III: A. Carano, T. Deguchi, K. Moriyama, K. Hanada, U. Hagg

Mechanics: S. Braun, C.Burstone, S. Kapila, B. Cudovic Craniofacial Concerns: B. Grayson, R. Tindlund, A. Figueroa, K. Yamaguchi

TMD: TM Graber, C. McNeill, P. Rudd, J. McNamara, J. Okeson

Appliances: J.P Ortial, M. Swartz, A. Sondhi, W. Wiltshire, R. Miller

Treatment Considerations:C. Evans, G. Skinazi, R. Greenfield, N. Sinohara, E. Rossouw, S. Adachi


8:00am-12:30pm Scientific Posterboard Exhibits

7:30am-12:30pm Second Session of the AAO House of Delegates

Tuesday, May 6

Doctors’ Scientific LecturesT u e s d a y , M a y 6



CLASS III MALOCCLUSION


7:30am-8:20am

Non-Compliance Orthodonticsand Orthopedics: Class III andOpen Bite InterceptiveStrategies

*Aldo Carano, D.Odont., MSc, D.Orth.Taranto, Italy

Dr. Carano maintains a private orthodonticpractice and is adjunct professor at theUniversity of Ferrara. For the past decade,his major field of interest has been thedevelopment of new treatment modalitiesthat do not require patient cooperation.

Class III and skeletal open biteinterceptive treatment frequently result incompromised results, due to poor patientcooperation. More effective results and ahigher success rate for Class III can beobtained with a fixed reverse labial bow,inserted into the extraoral tubes of uppermolar bands to create a guiding interferencewith the lower incisors on mandibularclosure. The non-compliance approach forskeletal open bite is based on two verticalmodules that intrude the molars andinduce a counter-clockwise rotation of the mandible.

8:25am-9:15am

Improving the Predictabilityand Efficiency of EarlyOrthodontic Treatment in Class III Patients

Toshio Deguchi, DDS, MSD, PhDShirjiri, Nagamo, Japan

Dr. Deguchi is a member of the Midwestcomponent of the Edward H. Angle Societyand an examiner for the EuropeanSpecialist License Examination fororthodontics in Hong Kong.

Treatment outcomes in orthodontics couldbe clinically predicted by the evidence-based data. There is still controversyregarding the effects of orthopedic forcesto the chin in growing patients with ClassIII facial abnormalities. Treatmentsincluding early treated face mask subjects,short- and long-term chincup subjects, andthe untreated Class III subjects werestudied. Quality of treatment results isdiscussed through showing various typesof Class III treated cases. If you don’tbelieve in the appliance, a patient won’twear it.

9:20am-10:10am

Agenesis, Transposition andImpaction of Teeth – ClinicalConsiderations in OrthodonticTreatment

Keiji Moriyama, DDS, PhDTokushima, Japan

Dr. Moriyama is professor and chair ofthe Department of Orthodontics at theUniversity of Tokushima. His primaryinterest is the molecular understandingand treatment of the disturbances ofgrowth and development in the dento-craniofacial structures.

Dental anomalies, such as agenesis,transposition and impaction of teeth,are relatively common complications thatmay involve significant challenges inorthodontic diagnosis and treatment. Withthese anomalies, each patient would needspecific considerations on where and howto move the individual teeth to provide asatisfactory esthetic result and a balanced

occlusion. This presentation willdemonstrate clinical traits of the patientsand discuss possibilities and limitations ofthe orthodontic intervention in these cases.


11:00am-11:50am

First and/or Second PhaseTreatment for the ReversedOcclusion

Kooji Hanada, DDS, PhDNiigata, Japan

Dr. Hanada is professor and chair of theDivision of Orthodontics at NiigataUniversity, Graduate School of Medicaland Dental Sciences. He is also a pastpresident of the Japanese OrthodonticSociety.

Standard edgewise appliance with ClassIII elastics is utilized for correction ofreversed occlusion in the first phase.Mesial movement of maxillary basal bone and distalization of mandible wereobserved after improvement of reversedocclusion with changes of the denturepattern. Extrusion of the upper first molarsand lower incisors were prevented. In a study, 128 out of 136 patients withreversed occlusion were improved in thefirst phase, and second phase treatmentwas not necessary for 22 patients.

T u e s d a y S e s s i o n s


11:55am-12:45pm

Skeletal Class III – Are ThereEvidenced-Based TreatmentConcepts?

★Urban Hagg, DDS, PhDHong Kong, China

Dr. Hagg is the chair professor andpostgraduate director of orthodontics andassociate dean at the Faculty of Dentistryat the University of Hong Kong. He andhis team have conducted studies on ClassIII patients, which are common in theirpatient cohort.

The options for patients with skeletalClass III malocclusions are: no immediatetreatment, growth modification, camouflagetreatment and combined orthodontic-surgical procedures. The opinionsexpressed in the orthodontic literature forhandling such cases vary from aggressiveto conservative approaches. Based on acritical evaluation of the current literature,including the research conducted by ourown group, the question will be raised –are there evidence-based options inhandling skeletal Class III?

TMD


7:30am-8:20am

Nobel Prize Research and ItsImpact on Growth Guidanceand TMJ Metabolism

T.M. Graber, DMD, MSD, PhD, DSc, D.Orth.Chicago, Illinois, USA

Dr. Graber is a professor of orthodonticsat the University of Illinois at Chicago,editor-in-chief of the World Journal ofOrthodontics, and is the recipient ofnumerous awards and multiple honorarydegrees.

Recent research will have a significantimpact on both growth guidance andtemporomandibular joint disturbancetherapy for the new millennium. Broadorthopedic implications are revolutionizingcorrection of multiple medical problems.Simple, non-invasive, non-iatrogenicprocedures have direct orthodontic anddentofacial orthopedic ramifications.Much of the current rationale is based onthe work of Ignaro and Furchgott, whoreceived the Noble Prize in 1998 for theirseminal research.

8:25am-9:15am

Troubleshooting Jaw ProblemsDuring Orthodontic Treatment

Charles McNeill, DDSSan Francisco, California, USA

Patricia A. Rudd, PTSan Francisco, California, USA

Dr. McNeill is a professor of clinicaldentistry and the director of the Center for Orofacial Pain at the University ofCalifornia. He is a past president of boththe American Academy of RestorativeDentistry and the American Academy ofOrofacial Pain. He is also past editor ofthe Journal of Orofacial Pain in additionto maintaining a private orofacial painpractice.

Ms. Rudd is assistant clinical professor in the Department of Oral MaxillofacialSurgery and is the supervisor of physicaltherapy clinical and educational servicesfor the Center for Orofacial Pain at theUniversity of California.

Diagnostic-specific management ofmusculoskeletal disorders affecting thejaw will be presented, including riskmanagement strategies before, during and after orthodontic treatment. Specialemphasis will be placed on the importanceof establishing and maintaining a healthy,functional equilibrium between the tissuesof the masticatory system when complexorthodontic procedures, including thoseinvolving orthognathic surgery, are being considered.

9:20am-10:10am

Temporomandibular JointAdaptation to FunctionalProtrusion

James A. McNamara, DDS, PhDAnn Arbor, Michigan, USA

Dr. McNamara is the Thomas M. andDoris Graber Endowed Professor ofDentistry in the Departments ofOrthodontics and Pediatric Dentistry. Heis also a research scientist at the Centerfor Human Growth and Development atthe University of Michigan and maintainsa private orthodontic practice.


11:00am-11:50am

TMD and Orthodontics: ShouldYou Care?

Jeffrey P. Okeson, DMDLexington, Kentucky, USA

Dr. Okeson is professor and director of theOrofacial Pain Center at the University ofKentucky. He also directs the OrofacialPain Masters Degree program.

It is important that the goals of orthodontictherapy include the development of asound relationship between the newocclusal position and the functionalposition of the temporomandibular joints.




It is assumed that achieving thisorthopedic stability minimizes risk factorsassociated with TMD, but is this conceptdata supported? This presentation willreview some functional considerations thatevery orthodontist should consider beforeand during treatment. Being able toidentify which TMD patients will benefitfrom orthodontic therapy is not onlyimportant, it is basic to maintaining asuccessful practice.

11:55am-12:45pm

To be announced

APPLIANCES


7:30am-8:20am

Modern Clinical Edgewise

Jean Pierre Ortial, DDSAntibes, France

Dr. Ortial is president of the French Boardof Orthodontics, co-editor of the Journalde l’Edgewise, and a board member of theEuropean College of Orthodontics.

The modern edgewise is founded on thedevelopment of diagnostic, strategic andtechnologic knowledge, acquired by thedevelopment of our clinical and scientificknowledge. This new clinical approachenables us to treat cases with an increasedeffectiveness associated with anincreasingly larger therapeutic safetyvariation. Various malocclusions and theirtreatment will be considered.

8:25am-9:15am

Titanium Arch Wires –Understanding Their Propertiesto Optimize Their Use

*Michael L. Swartz, DDSEncino, California, USA

Dr. Swartz is currently the director ofcontinuing education programs at Ormco.He also maintains a limited, intramuralpractice and lectures nationally andinternationally.

No two titanium wires are alike, and therecan be great clinical differences betweenthem. They can be highly efficient andwell worth any additional cost. They canalso be totally inefficient and a waste oftime and money. It has become essentialto understand some basic properties ofthese more exotic materials in order tomake an informed arch wire selection and to capitalize on the great potential ofthese alloys.

9:20am-10:10am

An Analysis of OrthodonticPrescriptions – Their Strengthsand Weaknesses

Anoop Sondhi, DDS, MSIndianapolis, Indiana, USA

Dr. Sondhi maintains a privateorthodontic practice with emphasis oninterceptive treatment in the managementof complex malocclusions and disorders ofthe temporomandibular articulation. He isa consultant to the AJO/DO as well as theJournal of Craniomandibular Disorders,Facial and Oral Pain.


11:00am-11:50am

New Advances in OrthodonticBonding and DecalcificationPrevention: State-of-the-Art

William A. Wiltshire, BChD,M.Dent, MChD, DScWinnipeg, Manitoba, Canada

Dr. Wiltshire is professor and head oforthodontics and program director at theUniversity of Manitoba and maintains apart time private orthodontic practice.

Despite modern orthodontic bondingmaterials having proven themselvesclinically, successful bonding to fluorosed and hypocalcified enamel and decalcification during orthodontictreatment remain very real clinicalproblems. This lecture will focus on recentadvances in orthodontic biomaterials inrelation to increased adhesivity in difficultbonding situations, bonding in wetenvironments, elimination of multi-stepprocedures, as well as the scope of newanticariogenic materials in orthodontics.

11:55am-12:45pm

Seven Steps to Highly EffectiveBonding

Robert A. Miller, DMDCulpeper, Virginia, USA

Dr. Miller maintains a private orthodonticpractice. He has assisted 3M Unitek in thedevelopment of adhesive systems that offerboth ease of use and a wide range ofapplications.

Most orthodontists would agree that thesingle best way to put a smile on yourstaff’s face is to reduce bond failure by 50%. Dr. Miller and his staff haveidentified seven areas of bonding that aredirectly related to bracket or band failure.These areas include simplified yettechnologically advanced adhesivesystems such as self etch primers and pre-coated brackets. A tracking system for determining bond failure rates will bediscussed so success can be monitored.Next generation adhesives and theiradvantages will also be discussed.

T u e s d a y , M a y 6



TREATMENTCONSIDERATIONS


7:30am-8:20am

Soft-Tissue Issues inSurgical/Non-Surgical Decisions

Carla A. Evans, DDS, DMScChicago, Illinois, USA

Dr. Evans is professor and head of theDepartment of Orthodontics at theUniversity of Illinois at Chicago. She isalso associate editor of the World Journalof Orthodontics.

Treatment of skeletal disharmonies is afour-dimensional geometry problem withthe fourth dimension being time. Choosingbetween masking procedures, growthmodification techniques, osteodistraction,and conventional orthognathic andcraniofacial operations requires a detailedanalysis of skeletal and nonskeletalfindings, including many soft tissue issues.Such soft tissue issues as desired andunwanted changes, growth status, patientand doctor expectations, and anatomiclimitations will influence the extent ofsurgical intervention and the ultimateoutcome.

8:25am-9:15am

The Profile of the Lips:One of the Key Factors in theOrthodontic Rationale

Georges L.S. Skinazi, DDS, DSOParis, France

Dr. Skinazi is professor at Paris 5University and maintains a privateorthodontic practice. He is a member ofseveral scientific societies in France,Europe, and America.

The lips are one of the key factors in anytype of orthodontic rationale. Dr. Skinaziwill review anatomy and physiology asrelated to the lips. A new Trapezoid chartis proposed and clinical examples willshow the power of orthodontic procedures.In addition, who touches the teeth shouldimmediately think of the lips.

9:20am-10:10am

First Molar (Cetlin) vs. LowerIncisor (Tweed) Position –Which is the Cornerstone ofLong-Term Stability?

*Raphael L. Greenfield, DDS, MScDBoca Raton, Florida, USA

Noriyuki Sinohara, DDSItami, Hyogo, Japan

Dr. Greenfield was a clinical instructor inorthodontics at Boston University and is areferee for the AJO/DO. He has treatedmore than 8,000 cases using his uniquenon-extraction approach and is theoriginator of five scientific patents and the GMD™ appliance.

Dr. Sinohara maintains a privateorthodontic practice and is an instructorat the Japanese Academy of Non-Extraction Orthodontics.

Dr. Greenfield has expanded Dr. NormanCetlin’s non-extraction philosophy todevelop his Coordinated Arch Development(CAD) technique. CAD is a combinedorthopedic/orthodontic approachemphasizing first molar position as the keyto long term stability. His presentation willfocus on why first molar position shouldnot be violated to satisfy lower incisorcephalometric “norms” (i.e., Tweedphilosophy), or mechanotherapy. Hiscriterion is based on uprighting posteriorsegments early in treatment tocomplement optimum function andmaintain the occlusal plane. His associate,Dr. Sinohara, will present several Asianpatients using the same approach.


11:00am-11:45am

Long-Term Changes inOrthodontics, the Treated orUntreated Subject, and Stability

P. Emile Rossouw, BChD, MChD, PhDDallas, Texas, USA

Dr. Rossouw is a professor and clinicaldirector at Baylor College of Dentistry.

Extraction of teeth as an aid to treatmentis one of the oldest and most controversialtopics in orthodontics. Contemporaryorthodontic philosophy makes itimperative to evaluate long-term changesbetween extraction, non-extraction anduntreated subjects in order to ensure thatclinical decision making is based on soundfact and to the benefit of the orthodonticsubject. This presentation will comparethese long-term differences.

11:55am-12:45pm

Consideration of the Condyleand Mandibular Position inDiagnosis and TreatmentPlanning

Satoshi Adachi, DDS, PhDMinoh, Osaka, Japan

Dr. Adachi maintains a privateorthodontic practice and is serving aspart-time faculty in the OrthodonticDepartment at the Graduate School ofDentistry at Osaka University.

It is of importance to reveal beforetreatment the displacement of the condylein the fossae in order to preventorthodontic treatment from any possiblefailure in the treatment outcome. The disc position and the bony condition ofcondyle that would affect the stability of the mandibular position should beconsidered as well. These factors thatcannot be disregarded in the diagnosis and orthodontic treatment planning will be discussed in this presentation.




MECHANICS


7:30am-8:20am

Various Orthopedic ForceSystems on “C” Axis

Stanley Braun, DDSIndianapolis, Indiana, USA

Dr. Braun maintains a private orthodonticpractice and is a professor of orthodonticsat Vanderbilt University Medical Centerand Saint Louis University Center ofAdvanced Dental Education.

8:25am-9:15am

Dento-Facial Esthetics Revisited:Facts, Fiction and Fads

Charles Burstone, DDS, MSFarmington, Connecticut, USA

Dr. Burstone has been a pioneer indeveloping soft-tissue analysis and inapplying facial esthetics and function totreatment planning.

Esthetics has always been a primary goalof orthodontic therapy. The contemporaryemphasis on facial appearance along withnew research from fields outside oforthodontics requires a reevaluation ofesthetic objectives. Both hard and softtissue cephalometric standards can lead usastray. The role of sexual enhancement,fertility, and facial form, the midlinefallacies of mid-saggital curves are a fewesthetic items to be discussed. Bilateralcorrespondence is more important thatbilateral symmetry. Is there a mathematicalbasis to beauty? What is the smile line, and, can it be misleading? Thispresentation will emphasize going beyondthree dimensions with a look at function,growth and aging of the soft tissues of the face.

9:20am-10:10am

Efficient Orthodontic TreatmentThrough SMART Mechanics

Sunil Kapila, DDS, MS, PhDSan Francisco, California, USA

Dr. Kapila is a professor of orthodonticsat the University of California,Department of Growth and Development.


11:00am-11:50am

Vertical Dimension andOrthodontic Treatment AfterExtraction of First Molars

Borco Cudovic, DDSKaiserslautern, Rheinland, Germany

Dr. Cudovic maintains a privateorthodontic practice and is a member ofThe Angle Society in Europe and otherlocal orthodontic societies.

The first permanent molars play a key rolein occlusion and development of the oro-facial system. Due to early eruption andcharacteristic morphology, these teeth arepredisposed to caries and, in severe cases,extraction. Resultant orthodontic spaceclosure is a challenge in the control ofmesial and distal tooth movement. Thispresentation will discuss and analyze themechanics and occlusal changes resultingin well-treated first molar cases.

11:55am-12:45pm

To be announced

CRANIOFACIAL CONCERNS


7:30am-8:20am

Presurgical Infant NasoalveolarMolding in Children Born withClefts of the Lip, Alveolus and Palate

Barry H. Grayson, DDSNew York, New York, USA

Dr. Grayson is an associate professor ofclinical surgery at the New York UniversityMedical Center Institute of ReconstructivePlastic Surgery and associate professor of orthodontics at New York UniversityCollege of Dentistry. He has had anacademic commitment to craniofacial andcleft orthodontic treatment and researchfor the past 25 years.

Nasoalveolar molding (NAM), a newinfant orthopedic technique, reduces theseverity of cleft lip/alveolus and nasaldeformity prior to the primary surgicalrepair. This is accomplished through the utilization of an intraoral moldingplate and a custom nasal stent. This new presurgical infant orthopedictreatment protocol, combined withgingivoperiosteoplasty, has beendemonstrated to reduce the number and cost of surgical interventions. Thepublished research supporting this workwill be presented.

T u e s d a y , M a y 6


Doctors’ Scientific LecturesT u e s d a y , M a y 6

8:25am-9:15am

Comprehensive Orthopedic/Orthodontic Treatment of CleftLip and Palate for 6-15 Year-Olds

Rolf S. Tindlund, DDS, PhDBergen, Norway

Dr. Tindlund is the director of BergenCleft Palate-Craniofacial Team and is anassociate professor at the Department ofOrthodontics and Facial Orthopedics atthe University of Bergen.

The role of the orthodontist in the CLPteam concerns us to register, recognize,prevent, and treat dentofacial deformities.The following will be discussed: superviseindividual jaw growth and development bystandardized records; interceptiveorthopedics; alignment of maxillaryincisors; decision on bone grafting toalveolar bony clefts; conventionalorthodontics in permanent dentition; and long-term follow-up studies untiladulthood.

9:20am-10:10am

Surgical/OrthodonticPreparation for the Cleft PatientRequiring Jaw SurgicalReconstruction

★Alvaro A. Figueroa, DDS, MSChicago, Illinois, USA

Dr. Figueroa is co-director of the RushCraniofacial Center and a consultant andattending orthodontist to the Departmentof Surgery, Division of Plastic Surgery,and Cleft Palate Clinic at Cook CountyHospital.

In this presentation, the orthodonticprocedures required for surgical skeletalrehabilitation of the cleft patient will bedescribed in a chronological manner.These include procedures in preparationfor secondary alveolar bone grafting andpre-maxillary repositioning in thetransitional dentition, preparation forconventional orthognathic surgery in thepermanent dentition, and orthodonticprocedures required for maxillaryadvancement utilizing distractionosteogenesis. The interaction betweenorthodontist and surgeon will be emphasized.


11:00am-11:50am

To be announced.

11:55am-12:45pm

Functional Association of theLips with Incisal Position andMasticatory Muscle

★Kazunori Yamaguchi, DDS, PhDKitakyushu, Fukuoka, Japan

Dr. Yamaguchi is professor and chair ofthe Department of Orthodontics at KyushuDental College.

Patients with Class II malocclusion and/oropen bite sometimes have difficultyclosing the lips. Lip sealing has a closerrelationship with soft tissue profilesinvolving incisal and mandibular positionsand with effectiveness of mastication.Therefore, the lip sealing function issignificant for stabilizing the occlusion. Inthe presentation, the lip sealing functionwill be discussed relating to the incisaland mandibular positions and chewingusing EMG activity of the lower lip andmasseter muscle.




Maui – Wailea Maui – Ka’anapali Hawai’i – Waikoloa Village Kaua’i – Po’ipu

Wednesday, May 7 – 7:30am-12:30pm H. Legan, W. Sutton T. Mulligan, P. Turley V. Kokich, R. Roblee G. Samson, D. Sarver

Thursday, May 8 – 7:30am-12:30pm V. Kokich, R. Roblee H. Legan, W. Sutton G. Samson, D. Sarver T. Mulligan, L. White

Friday, May 9 – 7:30am-12:30pm G. Samson, D. Sarver V. Kokich, R. Roblee T. Mulligan, L. White H. Legan, W. Sutton

Wednesday, Thursday & Friday

Humpback whalesswim over 3500 miles from

Alaska to Hawaii, where they spend their winters mating and bearing

their young. Mature adults can weigh up to 40 tons and grow to 40 ft. long.

Neighbor Island Program for doctors and orthodontic students only

Optional Neighbor Island Programming

The following four neighbor islandprograms are available to registereddoctors and orthodontic students only on a first-come, first-served basis. Only onelocation may be chosen. Please check theappropriate line for your program you willattend on the Registration and HousingForm. Remember to make appropriatehousing and airline arrangements on thisform prior to submission.

Note that the scientific program speakerswill be moving from location to locationso you may choose the program based on location, as opposed to programming. The Planning Committee has chosen the locations and speakers carefully tomaximize your experience at the Hawaiian Islands.

Continuing education hours certificateswill be distributed daily at the end of theprogram to attendees.

Wednesday, May 7

Doctors’ General Session


7:30am-9:45am

Treating Outside the Box:Distraction Osteogenesis andObstructive Sleep Apnea

Harry L. Legan, DDSFranklin, Tennessee, USA

Dr. Legan is currently professor anddirector of orthodontics at VanderbiltUniversity Medical Center. His focus isthe diagnosis and surgical-orthodontictreatment of dentofacial abnormalities.

In recent years, a significant percentage ofour orthodontic practice at VanderbiltUniversity Medical Center has includedpatients with obstructive sleep apnea andalso those patients requiring distractionosteogenesis. The purpose of this two-partlecture is to update the attendees in thesearenas and show ways to incorporate theminto an orthodontic practice. Cases will beused to illustrate the clinical application ofthe information presented.


10:15am-12:30pm

Why is My Practice NotGrowing Like the Others?

*William C. Sutton, BSGreensboro, North Carolina, USA

Mr. Sutton has been involved in theorthodontic industry for 30 years, withexpertise in private practice evaluation/valuation for transition and organizationalchanges, practice sales or partnershipchanges.

Orthodontic practices vary in physicalsize, financial gross and net revenues,profitability and growth rate. Mr. Sutton’s

experience in practice valuation,reorganization and sales, finds very littlerelationship between excellent growth andexcellence in orthodontics. A tragic fact!In his directed commentary, Mr. Suttonwill present his findings as to why somepractices survive and excel while themajority are “average,” struggle, andtransition at lower prices. The differencesare attention to people, detail, andcustomer service.

Thursday, May 8



7:30am-9:45am

Excellence in Finishing:Guidelines for Managing theDebilitated Adult Dentition

Vincent G. Kokich, DDS, MSDTacoma, Washington, USA

Dr. Kokich is a professor in the Departmentof Orthodontics at the University ofWashington and maintains a privateorthodontic practice. He lectures extensivelynationally and internationally and is apast president of the American Academyof Esthetic Dentistry and the AmericanBoard of Orthodontics. He is editor ofCase Reports for the AJO/DO, associateeditor of The Angle Orthodontist and ofPractical Reviews in Orthodontics, andserves on the board of several otherjournals.

In the past, orthodontists primarily treatedchildren and adolescents. Althoughorthodontic finishing in these patients isstill a challenge, it is always easier toachieve an excellent result in a patientwith all their natural teeth, no restorations,and a young resilient periodontium. Today,however, we are treating more adults.Although adults make great patients,they often have underlying periodontaldefects, worn/abraded teeth, broken down

MAUI – WAILEA

M a u i – W a i l e a



M a u i – W a i l e a

restorations, missing teeth, unevenspacing, and other periodontal andrestorative problems that compromise thelook of the well-finished result. Should weapply the same finishing guidelines orrules to both the dentulous adolescent andcompromised adult patient? Probably not.This presentation will identify thedifferences between the healthy dentulouspatient and periodontally and restorativelydebilitated adult patient and provide theattendee with a series of guidelines thatwill help to insure an excellent finishedorthodontic result.


10:15am-12:30pm

Empowering YourInterdisciplinary Team ThroughShared Digital Technology

Richard D. Roblee, DDS, MSFayetteville, Arkansas, USA

Dr. Roblee maintains a private orthodonticpractice with an emphasis on esthetic andinterdisciplinary therapy.

Considering the extensive treatmentoptions available today, interdisciplinarydentistry is undeniably the most ideal wayto help patients. However, the inherentcomplexities of organizing and maintaininginterdisciplinary teams and records aretypically time consuming, expensive, andfrustrating. This session will present anexciting and comprehensive approach to overcoming these barriers by integrating time-proven interdisciplinarymethodologies with widely availabledigital technologies and the power of theInternet. Designed for HIPAA compliance,this web-enabled team and study clubapproach can also optimize practiceproductivity, professional marketing, andempower doctor and patient decision-making in all dental settings.

Friday, May 9



7:30am-9:45am

Just a Moment! A Simple-Minded Approach toOrthodontics Most Complicated Concepts

Gerald S. Samson, DDSMarietta, Georgia, USA

Dr. Samson maintains an orthodontic anddentofacial orthopedic practice and isassociate professor and visiting lecturer at the University of Tennessee. He alsolectures at the University of Texas at San Antonio, the University of Alabama,University of California San Francisco,and at various universities in Australiaand New Zealand.

Confounded by mysterious biomechanicaltreatment responses, the seasonedclinician’s mind jettisons to the simplicityof future days and cooler evenings …retirements, the final liberation from abiomechanical career littered with overjetsthat refused to resolve, second molarpositions that defied correction,and overbites that clearly originated on another planet. It is possible tounderstand, enjoy, and actually beentertained by applied physics. For thispresentation, attention will be focused on a unique hands-on and simplifiedapproach to understanding appliedorthodontic physical science: moments,couples, moments of forces, moments ofcouples and their equilibrium. Attendeesare assured of a motivating, provocative,and entertaining experience!


10:15am-12:30pm

Current Concepts inOrthodontics and Esthetics

David M. Sarver, DMD, MSVestavia Hills, Alabama, USA

Dr. Sarver maintains a private orthodonticpractice and is an adjunct professor at theUniversity of North Carolina.

Appearance-driven treatment planning intoday’s contemporary orthodontic practicerequires systematic analysis of hard andsoft tissue relationships in all dimensions,including the fourth dimension – time.The smile is dynamic, not only in itspresentation but how it changes as wemature and age. In this presentation,current concepts in smile visualization and quantification will be presented withemphasis on both the art and science ofesthetic evaluation and treatment.

MAUI – WAILEA

Wednesday, May 7



7:30am-9:45am

Providing Solutions to CommonProblems

Tom Mulligan, DDS, MSDPhoenix, Arizona, USA

Dr. Mulligan published two books on“Common Sense Mechanics” andcontributed to Dr. Nanda’s book on“Biomechanics.” He is published inseveral journals nationally andinternationally and lectures extensively.

There are problems that all orthodontistsshare in common at one time or another.Often, the best solution is one that isinnovative in nature. Included areproblems involving instability, relapse,open bites, lack of compliance, transversechange, failure to recognize forces present,and unexpected tooth response as well asother frequently encountered problems ina daily orthodontic practice. Solutions tothese problems will be presented.


10:15am-12:30pm

The Orthodontist andDentoalveolar Trauma

Patrick K. Turley, DDS, MSD, MEdSanta Monica, California, USA

Dr. Turley is professor and director of the orthodontic/postgraduate residencyprogram at the University of California,Los Angeles. He also maintains a privateorthodontic practice.

Dentoalveolar trauma is a commonoccurrence in children with 1/3 to 1/2estimated to suffer such injuries duringtheir developmental years. Although theimmediate management of dental trauma

is not commonly discussed inorthodontics, the orthodontist is oftencalled upon to manage such injuries. Thislecture will discuss the common tissueresponses to luxation injuries as afoundation for planning treatment.Displacement injuries will be describedwith positioning and stabilizationtechniques illustrated with case reports.

Thursday, May 8



7:30am-9:45am




In recent years, a significant percentage of our orthodontic practice at VanderbiltUniversity Medical Center has includedpatients with obstructive sleep apnea andalso those patients requiring distractionosteogenesis. The purpose of this two-partlecture is to update the attendees in thesearenas and show ways to incorporate theminto an orthodontic practice. Cases will beused to illustrate the clinical application ofthe information presented.


10:15am-12:30pm



Mr. Sutton has been involved in theorthodontic industry for 30 years, withexpertise in private practice evaluation/valuation for transition and organizationalchanges, practice sales, or partnershipchanges.

Orthodontic practices vary in physicalsize, financial gross and net revenues,profitability and growth rate. Mr. Sutton’sexperience in practice valuation,reorganization and sales finds very littlerelationship between excellent growth andexcellence in orthodontics. A tragic fact!In his directed commentary, Mr. Suttonwill present his findings as to why somepractices survive and excel while themajority are “average,” struggle, andtransition at lower prices. The differencesare attention to people, detail, andcustomer service.

Friday, May 9



7:30am-9:45am



Dr. Kokich is a professor in the Departmentof Orthodontics at the University ofWashington and maintains a privateorthodontic practice. He lecturesextensively nationally and internationallyand is a past president of the AmericanAcademy of Esthetic Dentistry and theAmerican Board of Orthodontics. He iseditor of Case Reports for the AJO/DO,associate editor of The Angle Orthodontistand of Practical Reviews in Orthodontics,and serves on the board of several other journals.

In the past, orthodontists primarily treatedchildren and adolescents. Althoughorthodontic finishing in these patients is

MAUI – KA’ANAPALI


M a u i – K a ’ a n a p a l i


M a u i – K a ’ a n a p a l i & H a w a i ’ i – W a i k o l o a V i l l a g e

still a challenge, it is always easier toachieve an excellent result in a patientwith all their natural teeth, no restorations,and a young resilient periodontium. Today,however, we are treating more adults.Although adults make great patients,they often have underlying periodontaldefects, worn/abraded teeth, broken downrestorations, missing teeth, unevenspacing, and other periodontal andrestorative problems that compromise thelook of the well-finished result. Should we apply the same finishing guidelines orrules to both the dentulous adolescent andcompromised adult patient? Probably not.This presentation will identify thedifferences between the healthy dentulouspatient and periodontally and restorativelydebilitated adult patient, and provide theattendee with a series of guidelines thatwill help to insure an excellent finishedorthodontic result.


10:15am-12:30pm



Dr. Roblee maintains a privateorthodontic practice with an emphasis onesthetic and interdisciplinary therapy.

Considering the extensive treatmentoptions available today, interdisciplinarydentistry is undeniably the most ideal wayto help patients. However, the inherentcomplexities of organizing and maintaininginterdisciplinary teams and records aretypically time consuming, expensive, andfrustrating. This session will present anexciting and comprehensive approach toovercoming these barriers by integratingtime-proven interdisciplinary methodologieswith widely available digital technologiesand the power of the Internet. Designedfor HIPAA compliance, this web-enabledteam and study club approach can alsooptimize practice productivity, professionalmarketing, and empower doctor and patientdecision-making in all dental settings.

Wednesday, May 7



7:30am-9:45am



Dr. Kokich is a professor in the Departmentof Orthodontics at the University ofWashington and maintains a privateorthodontic practice. He lecturesextensively nationally and internationallyand is a past president of the AmericanAcademy of Esthetic Dentistry and theAmerican Board of Orthodontics. He iseditor of Case Reports for the AJO/DO,associate editor of The Angle Orthodontistand of Practical Reviews in Orthodontics,and serves on the board of several other journals.

In the past, orthodontists primarily treatedchildren and adolescents. Althoughorthodontic finishing in these patients isstill a challenge, it is always easier toachieve an excellent result in a patientwith all their natural teeth, no restorations,and a young resilient periodontium. Today,however, we are treating more adults.Although adults make great patients,they often have underlying periodontaldefects, worn/abraded teeth, broken down restorations, missing teeth, unevenspacing, and other periodontal andrestorative problems that compromise the look of the well-finished result. Shouldwe apply the same finishing guidelines orrules to both the dentulous adolescent andcompromised adult patient? Probably not.This presentation will identify thedifferences between the healthy dentulouspatient and periodontally and restorativelydebilitated adult patient, and provide theattendee with a series of guidelines thatwill help to insure an excellent finishedorthodontic result.


10:15am-12:30pm



Dr. Roblee maintains a private orthodonticpractice with an emphasis on esthetic andinterdisciplinary therapy.

Considering the extensive treatment optionsavailable today, interdisciplinary dentistry isundeniably the most ideal way to help patients.However, the inherent complexities oforganizingand maintaining interdisciplinaryteams and records are typically timeconsuming, expensive, and frustrating. This session will present an exciting andcomprehensive approach to overcomingthese barriers by integrating time-proveninterdisciplinary methodologies with widelyavailable digital technologies and the powerof the Internet. Designed for HIPAAcompliance, this web-enabled team and studyclub approach can also optimize practiceproductivity, professional marketing, andempower doctor and patient decision-makingin all dental settings.

Thursday, May 8



7:30am-9:45am

Just a Moment! A Simple-MindedApproach to Orthodontics MostComplicated Concepts


Dr. Samson maintains an orthodontic anddentofacial orthopedic practice and isassociate professor and visiting lecturer at the University of Tennessee. He alsolectures at the University of Texas at San Antonio, the University of Alabama,University of California San Francisco,and at various universities in Australia andNew Zealand.

MAUI – KA’ANAPALI HAWAI’I – WAIKOLOA VILLAGE

Confounded by mysterious biomechanicaltreatment responses, the seasonedclinician’s mind jettisons to the simplicityof future days and cooler evenings …retirements, the final liberation from abiomechanical career littered with overjetsthat refused to resolve, second molarpositions that defied correction, andoverbites that clearly originated on anotherplanet. It is possible to understand, enjoy,and actually be entertained by appliedphysics. For this presentation, attentionwill be focused on a unique hands-on andsimplified approach to understandingapplied orthodontic physical science:moments, couples, moments of forces,moments of couples and their equilibrium.Attendees are assured of a motivating,provocative, and entertaining experience!


10:15am-12:30pm




Appearance driven treatment planning intoday’s contemporary orthodontic practicerequires systematic analysis of hard andsoft tissue relationships in all dimensions,including the fourth dimension – time.The smile is dynamic, not only in itspresentation, but how it changes as wemature and age. In this presentation,current concepts in smile visualization and quantification will be presented withemphasis on both the art and science ofesthetic evaluation and treatment.

Friday, May 9



7:30am-9:45am



Dr. Mulligan published two books on“Common Sense Mechanics” andcontributed to Dr. Nanda’s book on“Biomechanics.” He is published in several journals nationally andinternationally and lectures extensively.

There are problems that all orthodontistsshare in common at one time or another.Often, the best solution is one that isinnovative in nature. Included areproblems involving instability, relapse,open bites, lack of compliance, transversechange, failure to recognize forces present,and unexpected tooth response as well asother frequently encountered problems ina daily orthodontic practice. Solutions tothese problems will be presented.


10:15am-12:30pm

The Newest and Best Conceptsin Orthodontic Diagnosis

Larry W. White, DDS, MSDDallas, Texas, USA

Dr. White maintains a private orthodonticpractice.

Heretofore, practically all of our diagnosticregimens have focused attention on correctplacement of the mandibular incisors withthe subsequent adaptation of the remainingteeth around them. The most recentstudies indicate that presumption is clearlywrong, and Dr. White will offer somepragmatic suggestions for overcoming therestrictionsimposed by earlier diagnosticprotocols.

HAWAI’I – WAIKOLOA VILLAGE

KAUA’I – PO’IPU

Wednesday, May 7



7:30am-9:45am

Just a Moment! A Simple-Minded Appr oach toOrthodontics Most ComplicatedConcepts


Dr. Samson maintains an orthodontic anddentofacial orthopedic practice and isassociate professor and visiting lecturer at the University of Tennessee. He alsolecturers at the University of Texas at San Antonio, the University of Alabama,University of California San Francisco,and at various universities in Australiaand New Zealand.

Confounded by mysterious biomechanicaltreatment responses, the seasonedclinician’s mind jettisons to the simplicityof future days and cooler evenings …retirements, the final liberation from abiomechanical career littered with overjets

that refused to resolve, second molarpositions that defied correction,and overbites that clearly originated on another planet. It is possible tounderstand, enjoy, and actually beentertained by applied physics. For thispresentation, attention will be focused on a unique hands-on and simplifiedapproach to understanding appliedorthodontic physical science: moments,couples, moments of forces, moments ofcouples and their equilibrium. Attendeesare assured of a motivating, provocative,and entertaining experience!


M a u i – K a ’ a n a p a l i & H a w a i ’ i – W a i k o l o a V i l l a g e



K a u a ’ i – P o ’ i p u


10:15am-12:30pm




Appearance-driven treatment planning intoday’s contemporary orthodontic practicerequires systematic analysis of hard andsoft tissue relationships in all dimensions,including the fourth dimension – time.The smile is dynamic, not only in itspresentation but how it changes as wemature and age. In this presentation,current concepts in smile visualization and quantification will be presented withemphasis on both the art and science ofesthetic evaluation and treatment.

Thursday, May 8



7:30am-9:45am



Dr. Mulligan published two books on“Common Sense Mechanics” andcontributed to Dr. Nanda’s on“Biomechanics.” He is published inseveral journals nationally andinternationally, and lectures extensively.

There are problems that all orthodontistsshare in common at one time or another.Often, the best solution is one that isinnovative in nature. Included areproblems involving instability, relapse,

open bites, lack of compliance, transversechange, failure to recognize forcespresent, and unexpected tooth response as well as other frequently encounteredproblems in a daily orthodontic practice.Solutions to these problems will bepresented.


10:15am-12:30pm

The Newest and Best Conceptsin Orthodontic Diagnosis

Larry W. White, DDS, MSDDallas, Texas, USA

Dr. White maintains a private orthodonticpractice.

Heretofore, practically all of ourdiagnostic regimens have focusedattention on correct placement of themandibular incisors with the subsequentadaptation of the remaining teeth aroundthem. The most recent studies indicate that presumption is clearly wrong, and Dr. White will offer some pragmaticsuggestions for overcoming the restrictionsimposed by earlier diagnostic protocols.

Friday, May 9



7:30am-9:45am




In recent years, a significant percentage ofour orthodontic practice at VanderbiltUniversity Medical Center has includedpatients with obstructive sleep apnea andalso those patients requiring distractionosteogenesis. The purpose of this two-partlecture is to update the attendees in thesearenas and show ways to incorporate theminto an orthodontic practice. Cases will beused to illustrate the clinical application ofthe information presented.


10:15am-12:30pm



Mr. Sutton has been involved in theorthodontic industry for 30 years,with expertise in private practiceevaluation/valuation for transition and organizational changes, practice sales, or partnership changes.

Orthodontic practices vary in physicalsize, financial gross and net revenues,profitability and growth rate. Mr. Sutton’sexperience in practice valuation,reorganization and sales finds very littlerelationship between excellent growth andexcellence in orthodontics. A tragic fact!In his directed commentary, Mr. Suttonwill present his findings as to why somepractices survive and excel while themajority are “average,” struggle, andtransition at lower prices. The differencesare attention to people, detail, andcustomer service.

KAUA’I – PO’IPU

Documents

Doctors' preview program of the 103rd annual session, May 2-9, 2003