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AAO constituent society presidents discuss current orthodontic issues
EDITORIAL
AA0 constituent society presidents discuss current orthodontic issues Part 1 In the final analysis, it is how we gicixg the best professional care in we mtr)mge o?lr i7ldividual practices, so&l and politicrrl pressures of the
individually meet the challenge of the world to our patients, and how that will determine what road the day will take us.
T
hose words were spoken by President Reed A, Holdaway in his address before the Rocky Mountain Society of Orthodontists last fall, and they represent somewhat similar expressions of professional responsibility that were made by the presidents of the seven other constituent societies of the American Association of Orthodontists. President James I>. Happle provided an example when he told the Great Lakes Society that one of dentistry’s greatest responsibilities is “to give the public what it has a right to expect: the best possible attention to its dental needs, with the patient secure in the knowledge that, whatever his special problem, the practitioner will be able to give him the best of care and attention.” This thought was echoed by President Warren G. Kennard when he told the Southwestern Society that “the welfare of the patient must be paramount and the procedures used in each individual office must conform to the prescribed laws for the ultimate benefit of our patients.” President Holdaway also had this to say in his perceptive analysis of the challenges facing not only orthodontics but all of medicine and dentistry as well : We few
are
of
inherent more
Among
nature
the
liberal
advocates
report
entitled
Hubert
J.
ideals
upon
Bell
problems
can
divide
it is my roughly
throughout
somewhat
responsibility
into
the
peculiar
to
those
country
the
rate
to
mention
problems and
of
those
growth
a
that
are
that
are
and
to
the
organization.
former
are with
of
the
“Orthodontics
be done
rapidly
that
unproven in
social
at all
levels
a
Changing must
adapt
allow
for
specialty
that has
will
structure
fluorished.
and
the
of government
or even
“orthodontics
in a manner the
growing
a bureaucracy
change-often
states which
and them
generally and
generally,
it must
many We
orthodontics in
size of this
people
but
with
briefly.
to local
present of
faced
them
disproven.
Society,”
In an
AA0
to
this
attitude
staffed
with
excellent
President-Elect changing
the
preservation
Change
is
one
society,
of the of
the
great great
315
3 16
Sm. J. Orthod. Mawh1973
Editorial necessities Most
of
of
tive
life;
the
us ought
in
to
Washington
“change
for
change’s dentistry,
organization, Dental but
the
Political it needs
who
will
to
we
cannot
stay
our
they
to degeneration
in the
our
senators
hear
only
from
in
our
Association.
way for
local
of
To
has
be
been
funds
thinking
than
to
help do.
of
the
of
people.
societies. that
of
effective,
As
our
the
organized.
as we
representaadvocates
voice
dental
road
extinction.”
and the
it as the
a different
(ADPAC)
and
with interpret
active
Dental
reasons
to
travel
Committee
more
to
If
it is easy
American
much
listen
elsewhere.
need
Action
leads
communicating
sake,”
we
of
to change
more
and
Individually, specialty
inability do
a
parent
American
It is functioning
support
and
elect
people
Other presidents also spoke of our responsibilities to the dental profession. An example is when President Kennard said: “We must be ethical at all times for the good of our parent organization, the American Dental Association, because wc are dentists first.” He also was concerned about orthodontics’ image when he said that “it was seven years ago that we started thinking in these terms and some of the members of our society have worked toward this goal, but the majority of LIS have not. We have, instead, gone our sweet little way-cementing bands, straightening teeth, and playing a little.” Similar words were spoken at the Southern Society by President-Elect Robert H. Gilbert-yes, the president-elect, since this year the Southern Society decided to have its annual “state of the union!’ address given by the presidentelect so that he could report on the goals he hoped to reach during his administration, which promises to be as successful as that of the retiring President .John ?;I. Faust. Dr. Gilbert spoke of ethics as well as of orthodontics’ image when he said: In the men
at
field a
patients.
of ethics,
minimum.
Professional
plane.
We
patients
need
and
we
This to
parents
should is
try
relations
and
properly
utilize
and
to keep
especially
with
true
the
our in
orthodontic the
transferring
criticism
the
image
Golden
of other
transferring
Rule
be
must in
professional of
our
orthodontic
on the
highest
transactions
with
orthodontists.
President-Elect Gilbert also joined other constituent society presidents in their concern over social trends in the professions. His specific statement included these observations : Third We
party
need
to
component
orthodontics set
up
societies
review
boards
quality
orthodontics
termine that alert
patients and
on
in third
party
top
an
sincere of
developing
into
a
committees
that
will
help
certain
also
affairs-making
orthodontist
is being
know
fast
review”
have
whether
is
“peer
as
performed.
efforts
what
they
the
situation
in are
the getting
rather
a
member
highly
to
guide
committee
should
quality
of
are
care
in professional
state
professional
the
public
evaluate being
service.
be dictated
issue. our
that
assure
This
than
important
that
and
provided We
deso
should
be
to by others,
In his address, Northeastern Society President Howard T. Oliver presented this unique and rather provocative variation from current thought on professional services and dental health plans: Although plan,
a
large
orthodontics percentage
must of
be included
in every
orthodontic
problems
comprehensive are
not
dental physically
health handi-
volume 63 Number3
Editorial
capping,
but
tually
still
health.
.for
of
professional
confreres
orthodontic
treatment
our Just
we
is a
how
not
have
the
taxpayer.
omitted
from
consider
this
may
save
profession
who
accused a
governmental
relative
of
personal it
merit
that
in these
malocclusions
is possible
wishes
to
go
of
some life
healthy. to
provide
for
those
will
be
entirely
from
have
the
tried
indignity out
from
gross
portion
medical
plans.
of
do
up
to
by
certain
our
economic
materialism
plastic
Perhaps
who
suffered
to point
everything
good
ac-
obser-
through
malocclusion us
of
malocclusion
deal
be considered
taxpayer
Meanwhile,
several point
the that
still
the
being
inhumanity.
than
observe
and
handicapping
is a good
handicapping
medical up
of
there
farther to
approach
ended
downright
no
physically
in the
and
look
that
treatment
real This
colleagues truths
need
much
a
percentage
I believe
vations, without
In Pacific dental public
there
affects
317
surgery
the
to
is being
taxpayers
should
to orthodontics.
his analysis of dental health plans, President Ted L. Harper told the Coast Society about. an AA0 House of Delegates discussion on whether prepayment contracts should include orthodontics in order to serve the adequately. He said: Everyone be
seemed
to
comprehensive,
routine
dental that
should
have
a
to
be
a good
attention
general
orthodontics,
kind
to
its
dontics,
but
patients
in obtaining
to handle
care Bear
does
able
to
that
care
needs
Several
a plan
normally the
which
on a voluntary
not
care,
it would
for
able
to of
include
would
make
the offer
invest-
program
does
dental
in that
example,
must
additional
a dental
for
delegates for
is a
include
it should
a contract
lesions,
to offer
comprehensive
orthodontic
care.
business
be able
in mind
orthodontic
not
included,
whether
If orthodontics
a small
but not
include
orthodontic
cases.
that
then
be
as to
to priorities-carious
most
plan,
would
which
their
in
is to
raised
include
it is possible
employees.
also
be given
priority
dental
of
to
should
valid,
if orthodontics
were
needed
higher
ment
that,
questions
services
thought program
agree
but
still
it easier
any
orthoassist
for
them
basis.
President Kennard urged that orthodontists keep informed when he said: “It is readily apparent that orthodontics will be involved in a greater degree in third party care programs in a number of areas-government, unions, commercial insurance, and others. These are areas in which every orthodontist should be knowledgeable. A constant flow of information appears in the AMERICAN .JOURNAL OF ORTHODOSTICS and in the Journal of the American Dental Associufion. All of us should keep informed on such matters that eventually will affect our individual practices. President Holdaway concurred when hc described the course that these plans very likely would take: I have service
been
plans
appliances. lowered more
The to
to
accordingly. More the
things
that
fees
stay
cases
regarding
told
is treating
range
within make
There
the from
is little,
than
this,
however,
are
good
to
doubt
delivery we
must
about
the
of
has
in my
quality mind
of orthodontic
the of
that care
of
orthodontic
foreign
health
with
removable
been
repeatedly
practitioner
takes
services
suffers
the a fight
in this
take every
individually
the
a year
is lowered
The
quality
cases
$75.00-which fee
income.
if any,
to change
in one
hund’red
As the
adequate
way
that
$50.00
budget.
the
orthodontist
to seven
from
the an
average five
is shaping
up
country.
opportunity service
to state in
America
318
Editorial today,
and
treat
each
that
of
this
dissatisfied
family
orthodontics
us
must
is true
in
will
than
strive
our
foment
is quelled
a
own more
by ten
little
harder
to
practices.
The
unrest
clamor
and
satisfied
but
be
sure
voice
of
for
quiet
in the
one
.
under
the
and
candidates
in
quirement
for
House the are
of
the
of
the
about
each
to
bership,
that
from
is a question
to
you about
it makes
particularly an
Committee
in the
all
to
the
when
about
his qualification more
the the
Society
at
we
we
considered to
information
give
to
implement
this
re-
in the
changes
this nine
oral
incoming
defeated certain
more
in
process.
We
members, can
be
one gained
system. to
suspect
that
a candidate
you
local the
his
level,
an and and
membership
So I implore which
first
you
a member
from
recommend
than for
to resisted
were
expanded
at the
responsibility
know,
be
him
states.
required
better
of
difficult
populous
have
present
you,
more
also
of the eight the new re-
membership
to
it reasonable little
are
for but
manner,
knows
it extremely
application, and
In this
under
of
know
we
committee
I think
Wisconsin
emphasize
you
Committee
this
than
As
or
families.
we
applicants,
Therefore,
society.
a moment,
that
anyway,
1971.
by-laws,
presentations
trained
Membership
candidate
committee
sign
in
and case
Society.
highly
component
To digress
of
Midwestern
recommending each
constitution
today’s
Delegates
duties
from
like
AA0
examinations
we
government-controlled
JIembership requirements arc of continuing concern in all constituent, societies. I’resiclent Allan C-i. Brodic, CJr., described quirements when he toltl the Midwestern Society :
interviews
cases
disgruntled
you have
Missouri, applicant last
of
for
name.
the
I should memIf there
if he is recommended to
be
to consider, to
the
so
informed, when
you
Membership
large.
President Oliver also stressetl the additional responsibility and “strain” on the Board of Censors of the Northeastern Society in having to examine mow than 100 new mcmbcrs this year. In his address to the Middle Atlantic Society, President S. .Jamcs Krygicr spoke enthusiastically of our “alert, young, energetic, ant1 well-inl’ormed colleagues” who are “trained and tuned to the computer age.” that an President-Elect (iilbcrt cmphasizcd that “we nerd to make certain equitable anal stanclardizetl procedure be follo~~l through in every state. rc’o one state should be more thorough or more difficult than another state. Perhaps W C should consider a brief annual workshop for the membership committees for the purpose of standarclizing csamination procedures. 1Ve want the associate applicant to be welcomed into the Societ>- in the smoothest and easiest manner possible.” Other issues discussetl h?- the presidents during the annual fall meetings of the eight AS0 constituent societies included undergraduate orthodontic cclucation, periodic examinations for license renewal, interprofessional cooperation, reasons and requirements for specialty practice, auxiliary assistance, and a sincere concern for the protection of the public in all professional practice. These issues mill be analyzed next month in Part II of this two-part editorial.
B.F.D.
AA0 constituent society presidents discuss current orthodontic issues Part 1 In the final analysis, it is how we gicixg the best professional care in we mtr)mge o?lr i7ldividual practices, so&l and politicrrl pressures of the
individually meet the challenge of the world to our patients, and how that will determine what road the day will take us.
T
hose words were spoken by President Reed A, Holdaway in his address before the Rocky Mountain Society of Orthodontists last fall, and they represent somewhat similar expressions of professional responsibility that were made by the presidents of the seven other constituent societies of the American Association of Orthodontists. President James I>. Happle provided an example when he told the Great Lakes Society that one of dentistry’s greatest responsibilities is “to give the public what it has a right to expect: the best possible attention to its dental needs, with the patient secure in the knowledge that, whatever his special problem, the practitioner will be able to give him the best of care and attention.” This thought was echoed by President Warren G. Kennard when he told the Southwestern Society that “the welfare of the patient must be paramount and the procedures used in each individual office must conform to the prescribed laws for the ultimate benefit of our patients.” President Holdaway also had this to say in his perceptive analysis of the challenges facing not only orthodontics but all of medicine and dentistry as well : We few
are
of
inherent more
Among
nature
the
liberal
advocates
report
entitled
Hubert
J.
ideals
upon
Bell
problems
can
divide
it is my roughly
throughout
somewhat
responsibility
into
the
peculiar
to
those
country
the
rate
to
mention
problems and
of
those
growth
a
that
are
that
are
and
to
the
organization.
former
are with
of
the
“Orthodontics
be done
rapidly
that
unproven in
social
at all
levels
a
Changing must
adapt
allow
for
specialty
that has
will
structure
fluorished.
and
the
of government
or even
“orthodontics
in a manner the
growing
a bureaucracy
change-often
states which
and them
generally and
generally,
it must
many We
orthodontics in
size of this
people
but
with
briefly.
to local
present of
faced
them
disproven.
Society,”
In an
AA0
to
this
attitude
staffed
with
excellent
President-Elect changing
the
preservation
Change
is
one
society,
of the of
the
great great
315
3 16
Sm. J. Orthod. Mawh1973
Editorial necessities Most
of
of
tive
life;
the
us ought
in
to
Washington
“change
for
change’s dentistry,
organization, Dental but
the
Political it needs
who
will
to
we
cannot
stay
our
they
to degeneration
in the
our
senators
hear
only
from
in
our
Association.
way for
local
of
To
has
be
been
funds
thinking
than
to
help do.
of
the
of
people.
societies. that
of
effective,
As
our
the
organized.
as we
representaadvocates
voice
dental
road
extinction.”
and the
it as the
a different
(ADPAC)
and
with interpret
active
Dental
reasons
to
travel
Committee
more
to
If
it is easy
American
much
listen
elsewhere.
need
Action
leads
communicating
sake,”
we
of
to change
more
and
Individually, specialty
inability do
a
parent
American
It is functioning
support
and
elect
people
Other presidents also spoke of our responsibilities to the dental profession. An example is when President Kennard said: “We must be ethical at all times for the good of our parent organization, the American Dental Association, because wc are dentists first.” He also was concerned about orthodontics’ image when he said that “it was seven years ago that we started thinking in these terms and some of the members of our society have worked toward this goal, but the majority of LIS have not. We have, instead, gone our sweet little way-cementing bands, straightening teeth, and playing a little.” Similar words were spoken at the Southern Society by President-Elect Robert H. Gilbert-yes, the president-elect, since this year the Southern Society decided to have its annual “state of the union!’ address given by the presidentelect so that he could report on the goals he hoped to reach during his administration, which promises to be as successful as that of the retiring President .John ?;I. Faust. Dr. Gilbert spoke of ethics as well as of orthodontics’ image when he said: In the men
at
field a
patients.
of ethics,
minimum.
Professional
plane.
We
patients
need
and
we
This to
parents
should is
try
relations
and
properly
utilize
and
to keep
especially
with
true
the
our in
orthodontic the
transferring
criticism
the
image
Golden
of other
transferring
Rule
be
must in
professional of
our
orthodontic
on the
highest
transactions
with
orthodontists.
President-Elect Gilbert also joined other constituent society presidents in their concern over social trends in the professions. His specific statement included these observations : Third We
party
need
to
component
orthodontics set
up
societies
review
boards
quality
orthodontics
termine that alert
patients and
on
in third
party
top
an
sincere of
developing
into
a
committees
that
will
help
certain
also
affairs-making
orthodontist
is being
know
fast
review”
have
whether
is
“peer
as
performed.
efforts
what
they
the
situation
in are
the getting
rather
a
member
highly
to
guide
committee
should
quality
of
are
care
in professional
state
professional
the
public
evaluate being
service.
be dictated
issue. our
that
assure
This
than
important
that
and
provided We
deso
should
be
to by others,
In his address, Northeastern Society President Howard T. Oliver presented this unique and rather provocative variation from current thought on professional services and dental health plans: Although plan,
a
large
orthodontics percentage
must of
be included
in every
orthodontic
problems
comprehensive are
not
dental physically
health handi-
volume 63 Number3
Editorial
capping,
but
tually
still
health.
.for
of
professional
confreres
orthodontic
treatment
our Just
we
is a
how
not
have
the
taxpayer.
omitted
from
consider
this
may
save
profession
who
accused a
governmental
relative
of
personal it
merit
that
in these
malocclusions
is possible
wishes
to
go
of
some life
healthy. to
provide
for
those
will
be
entirely
from
have
the
tried
indignity out
from
gross
portion
medical
plans.
of
do
up
to
by
certain
our
economic
materialism
plastic
Perhaps
who
suffered
to point
everything
good
ac-
obser-
through
malocclusion us
of
malocclusion
deal
be considered
taxpayer
Meanwhile,
several point
the that
still
the
being
inhumanity.
than
observe
and
handicapping
is a good
handicapping
medical up
of
there
farther to
approach
ended
downright
no
physically
in the
and
look
that
treatment
real This
colleagues truths
need
much
a
percentage
I believe
vations, without
In Pacific dental public
there
affects
317
surgery
the
to
is being
taxpayers
should
to orthodontics.
his analysis of dental health plans, President Ted L. Harper told the Coast Society about. an AA0 House of Delegates discussion on whether prepayment contracts should include orthodontics in order to serve the adequately. He said: Everyone be
seemed
to
comprehensive,
routine
dental that
should
have
a
to
be
a good
attention
general
orthodontics,
kind
to
its
dontics,
but
patients
in obtaining
to handle
care Bear
does
able
to
that
care
needs
Several
a plan
normally the
which
on a voluntary
not
care,
it would
for
able
to of
include
would
make
the offer
invest-
program
does
dental
in that
example,
must
additional
a dental
for
delegates for
is a
include
it should
a contract
lesions,
to offer
comprehensive
orthodontic
care.
business
be able
in mind
orthodontic
not
included,
whether
If orthodontics
a small
but not
include
orthodontic
cases.
that
then
be
as to
to priorities-carious
most
plan,
would
which
their
in
is to
raised
include
it is possible
employees.
also
be given
priority
dental
of
to
should
valid,
if orthodontics
were
needed
higher
ment
that,
questions
services
thought program
agree
but
still
it easier
any
orthoassist
for
them
basis.
President Kennard urged that orthodontists keep informed when he said: “It is readily apparent that orthodontics will be involved in a greater degree in third party care programs in a number of areas-government, unions, commercial insurance, and others. These are areas in which every orthodontist should be knowledgeable. A constant flow of information appears in the AMERICAN .JOURNAL OF ORTHODOSTICS and in the Journal of the American Dental Associufion. All of us should keep informed on such matters that eventually will affect our individual practices. President Holdaway concurred when hc described the course that these plans very likely would take: I have service
been
plans
appliances. lowered more
The to
to
accordingly. More the
things
that
fees
stay
cases
regarding
told
is treating
range
within make
There
the from
is little,
than
this,
however,
are
good
to
doubt
delivery we
must
about
the
of
has
in my
quality mind
of orthodontic
the of
that care
of
orthodontic
foreign
health
with
removable
been
repeatedly
practitioner
takes
services
suffers
the a fight
in this
take every
individually
the
a year
is lowered
The
quality
cases
$75.00-which fee
income.
if any,
to change
in one
hund’red
As the
adequate
way
that
$50.00
budget.
the
orthodontist
to seven
from
the an
average five
is shaping
up
country.
opportunity service
to state in
America
318
Editorial today,
and
treat
each
that
of
this
dissatisfied
family
orthodontics
us
must
is true
in
will
than
strive
our
foment
is quelled
a
own more
by ten
little
harder
to
practices.
The
unrest
clamor
and
satisfied
but
be
sure
voice
of
for
quiet
in the
one
.
under
the
and
candidates
in
quirement
for
House the are
of
the
of
the
about
each
to
bership,
that
from
is a question
to
you about
it makes
particularly an
Committee
in the
all
to
the
when
about
his qualification more
the the
Society
at
we
we
considered to
information
give
to
implement
this
re-
in the
changes
this nine
oral
incoming
defeated certain
more
in
process.
We
members, can
be
one gained
system. to
suspect
that
a candidate
you
local the
his
level,
an and and
membership
So I implore which
first
you
a member
from
recommend
than for
to resisted
were
expanded
at the
responsibility
know,
be
him
states.
required
better
of
difficult
populous
have
present
you,
more
also
of the eight the new re-
membership
to
it reasonable little
are
for but
manner,
knows
it extremely
application, and
In this
under
of
know
we
committee
I think
Wisconsin
emphasize
you
Committee
this
than
As
or
families.
we
applicants,
Therefore,
society.
a moment,
that
anyway,
1971.
by-laws,
presentations
trained
Membership
candidate
committee
sign
in
and case
Society.
highly
component
To digress
of
Midwestern
recommending each
constitution
today’s
Delegates
duties
from
like
AA0
examinations
we
government-controlled
JIembership requirements arc of continuing concern in all constituent, societies. I’resiclent Allan C-i. Brodic, CJr., described quirements when he toltl the Midwestern Society :
interviews
cases
disgruntled
you have
Missouri, applicant last
of
for
name.
the
I should memIf there
if he is recommended to
be
to consider, to
the
so
informed, when
you
Membership
large.
President Oliver also stressetl the additional responsibility and “strain” on the Board of Censors of the Northeastern Society in having to examine mow than 100 new mcmbcrs this year. In his address to the Middle Atlantic Society, President S. .Jamcs Krygicr spoke enthusiastically of our “alert, young, energetic, ant1 well-inl’ormed colleagues” who are “trained and tuned to the computer age.” that an President-Elect (iilbcrt cmphasizcd that “we nerd to make certain equitable anal stanclardizetl procedure be follo~~l through in every state. rc’o one state should be more thorough or more difficult than another state. Perhaps W C should consider a brief annual workshop for the membership committees for the purpose of standarclizing csamination procedures. 1Ve want the associate applicant to be welcomed into the Societ>- in the smoothest and easiest manner possible.” Other issues discussetl h?- the presidents during the annual fall meetings of the eight AS0 constituent societies included undergraduate orthodontic cclucation, periodic examinations for license renewal, interprofessional cooperation, reasons and requirements for specialty practice, auxiliary assistance, and a sincere concern for the protection of the public in all professional practice. These issues mill be analyzed next month in Part II of this two-part editorial.
B.F.D.