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Conference on definition and criteria of handicapping malocclusion
AMERICAN
ASSOCIATION
OF’ ORTHODONTISTS
Conference on definition and criteria of handicapping malocclusion THE American Association of Orthodontists aims to maintain orthodontic service at the highest level, whether provided in traditional private practice or under prepayment programs. The Association realizes that all dentists can provide orthodontic care under the specific regulations of the respective states in which they practice. Nevertheless, orthodontics is recognized by the American Dental Association as a special area of dental practice that requires additional educational and clinical training beyond that provided at present in the undergraduate dental curriculum. There are approximately 90,000,OOO children in the United States of whom, according to various epidemiologic surveys, at least 80,000,OOO have some form of malocclusion. Borgmann,” in Germany, had five orthodontists examine 505 children, each without knowledge of the findings of the rest. They found 25 per cent in urgent need of treatment because of danger to oral health, including function, premature loss of teeth, and periodontal disturbance. Ast, Carlos, and Cons’” found more than 14 per cent of children of high school age, the age with which we are concerned in the permanent dentition, to have severe malocclusion. On a national scale in the United States, this amounts to around 11,000,000 children. If we reduce this percentage by one half, we still have more than 5,500,OOO children with severe malocclusion. To treat even this reduced number of children would require 22,500 dentists especially trained in orthodontics beyond the undergraduate level. With the increasing provision of orthodontic treatment through dental prepayment and insurance programs, this presents a serious manpower problem in addition to an adequate orthodontic treatment problem. It is the desire of the American Association of Orthodontists to define handicapping malocclusion, to establish criteria for recognizing it, and to adapt an index for measuring it that can be replicated in the field and in local and national surveys by trained examiners. The information thus obtained will be made available to dentistry in general and to those who conduct prepayment and insurance programs. The goal to he achieved is the maximum reduction of *Borgmann, “*A&, D. Malocclusion
H.: B.,
ORTHODONTICS
Zahnarztl.
Welt.
Mitt.,
Carlos, J. P., and Cons, N. Among Senior High School 51: 437, 7965.
p. 587, 1954. C.: The Students
Prevalence and Characteristics in Upstate New York, Anf.
of’ J.
529
Bowyw, of t,h American of Orthodontists,
president Association giving ^_^..
lbartl of Directors, A.A.O. Frw~t rev. IP~! lo u!llr/ : i Iulwrt A. 1Ml. George S. Harris, Fredrick 1% TAman, Frank P. Bowycr, II. I,. Xhcl~au, SWIIWI I,. Hillyn, Dallas McCauley, Richard Lowy. Accond ww, Zeff fo right: Robert E. IIcr~~~cwy, B. F. Dowel, John W. Richmond, Earl E. Shcpartl, Charles R. Baker, C. S. Foster, William A. (:il)lin, Rolrert D. Splain. Third TOW, left to right: James E. Brophy, Peter IV. Herzog, \Villi:trn IT. Olivrr, l’a.ul V. R,eid, William R. Smith, II. I’. Muchnic, Ott I,. Voigi.
Presentation of bronze plaque commemorating founding of American Board of Orthodontics. The plaque, to be placed on the Stanley Hotel in Estes Park, Colorado, was presented by Frank P. Bowyer (right), president of the American Association of Orthodontists, and Alton W. Moore (left), president of the American Board of Orthodontics, to Aldo Battiste, president of the Rocky Mountain Society of Orthodontists, which group will place it on the Stanley Hotel in special ceremonies in August.
Milo Hellman Prize Essay Awards. Fort Wayne, Indiana, and R. Kent M. Posen, Armonk, Sew York.
Left Utley,
to right: Redwood
First City,
prize winners, Eugene Dellinger California. Honorable mention,
of Jack
532
Armwicm
Association
of
Orthodontists
Am. J. o,thoczontics July
19fiti
handicapping malocclusion in the child population 11y giving priorit,?: to thck children thus affected. A conference on the establishment of a definition and criteria for measuring handicapping malocclusion was held on April 22 prior to the sixty-second annual sessions of the American Association of Orthodontists in New ‘stork City. Those invited to attend included the following consultants: Coenraad 5’. A. Moorrees, Forsyth Dental Center, Boston, Mass.; David B. Ast, Director. Bureau of Dental Health, State of New York, Albany, N. Y.; James E. Carlos, Director, Epidemiology Residency Program, Department of Health, State of New York, Albany, N. Y.; Lawrence 13. Van Kirk, Dental Advisor Division of Healt,h Xxamination Statistics, United States Public Health Service, Washingt,on, I). C.; Albert Russell, epidemiologist, National Institute of Dental Research, Bethesda, Md.; Robert M. Grainger, Chairman, Division of Dental Research. Universit;: of Toronto, Toronto, Canada. The progress of t,he Council in establishing criteria for handicapping malocclusion was discussed and a basic design was adopted. The work is now being rontinued b.v correspondence. This effort of the Council on Orthodontic Health Service 01: thc& American Association of Orthodontists received the following endorsement from the Council on Dent,al Health of the American I)ental Association at its meeting, &farch 17to19,1966: The Council on Dental Health of the American Dental Association recognizes the need for a definition of handicapping malocclusion and believes that, logically, it should be developed by the American Association of Orthodontists. The Council commends the A.A.O. fol its efforts to develop such a definition and encourages the organization to proceed with the proposed studies. The Council will be pleased to reviebv progress report,s as well as the completed data and to make appropriate recommendations.
The definition, criteria, be held early this fall.
and index will receive final form at, a conference to J. -1. Salzmann, Chairman Council on Orthodontic Health Service American Association of Orthodontists
ASSOCIATION
OF’ ORTHODONTISTS
Conference on definition and criteria of handicapping malocclusion THE American Association of Orthodontists aims to maintain orthodontic service at the highest level, whether provided in traditional private practice or under prepayment programs. The Association realizes that all dentists can provide orthodontic care under the specific regulations of the respective states in which they practice. Nevertheless, orthodontics is recognized by the American Dental Association as a special area of dental practice that requires additional educational and clinical training beyond that provided at present in the undergraduate dental curriculum. There are approximately 90,000,OOO children in the United States of whom, according to various epidemiologic surveys, at least 80,000,OOO have some form of malocclusion. Borgmann,” in Germany, had five orthodontists examine 505 children, each without knowledge of the findings of the rest. They found 25 per cent in urgent need of treatment because of danger to oral health, including function, premature loss of teeth, and periodontal disturbance. Ast, Carlos, and Cons’” found more than 14 per cent of children of high school age, the age with which we are concerned in the permanent dentition, to have severe malocclusion. On a national scale in the United States, this amounts to around 11,000,000 children. If we reduce this percentage by one half, we still have more than 5,500,OOO children with severe malocclusion. To treat even this reduced number of children would require 22,500 dentists especially trained in orthodontics beyond the undergraduate level. With the increasing provision of orthodontic treatment through dental prepayment and insurance programs, this presents a serious manpower problem in addition to an adequate orthodontic treatment problem. It is the desire of the American Association of Orthodontists to define handicapping malocclusion, to establish criteria for recognizing it, and to adapt an index for measuring it that can be replicated in the field and in local and national surveys by trained examiners. The information thus obtained will be made available to dentistry in general and to those who conduct prepayment and insurance programs. The goal to he achieved is the maximum reduction of *Borgmann, “*A&, D. Malocclusion
H.: B.,
ORTHODONTICS
Zahnarztl.
Welt.
Mitt.,
Carlos, J. P., and Cons, N. Among Senior High School 51: 437, 7965.
p. 587, 1954. C.: The Students
Prevalence and Characteristics in Upstate New York, Anf.
of’ J.
529
Bowyw, of t,h American of Orthodontists,
president Association giving ^_^..
lbartl of Directors, A.A.O. Frw~t rev. IP~! lo u!llr/ : i Iulwrt A. 1Ml. George S. Harris, Fredrick 1% TAman, Frank P. Bowycr, II. I,. Xhcl~au, SWIIWI I,. Hillyn, Dallas McCauley, Richard Lowy. Accond ww, Zeff fo right: Robert E. IIcr~~~cwy, B. F. Dowel, John W. Richmond, Earl E. Shcpartl, Charles R. Baker, C. S. Foster, William A. (:il)lin, Rolrert D. Splain. Third TOW, left to right: James E. Brophy, Peter IV. Herzog, \Villi:trn IT. Olivrr, l’a.ul V. R,eid, William R. Smith, II. I’. Muchnic, Ott I,. Voigi.
Presentation of bronze plaque commemorating founding of American Board of Orthodontics. The plaque, to be placed on the Stanley Hotel in Estes Park, Colorado, was presented by Frank P. Bowyer (right), president of the American Association of Orthodontists, and Alton W. Moore (left), president of the American Board of Orthodontics, to Aldo Battiste, president of the Rocky Mountain Society of Orthodontists, which group will place it on the Stanley Hotel in special ceremonies in August.
Milo Hellman Prize Essay Awards. Fort Wayne, Indiana, and R. Kent M. Posen, Armonk, Sew York.
Left Utley,
to right: Redwood
First City,
prize winners, Eugene Dellinger California. Honorable mention,
of Jack
532
Armwicm
Association
of
Orthodontists
Am. J. o,thoczontics July
19fiti
handicapping malocclusion in the child population 11y giving priorit,?: to thck children thus affected. A conference on the establishment of a definition and criteria for measuring handicapping malocclusion was held on April 22 prior to the sixty-second annual sessions of the American Association of Orthodontists in New ‘stork City. Those invited to attend included the following consultants: Coenraad 5’. A. Moorrees, Forsyth Dental Center, Boston, Mass.; David B. Ast, Director. Bureau of Dental Health, State of New York, Albany, N. Y.; James E. Carlos, Director, Epidemiology Residency Program, Department of Health, State of New York, Albany, N. Y.; Lawrence 13. Van Kirk, Dental Advisor Division of Healt,h Xxamination Statistics, United States Public Health Service, Washingt,on, I). C.; Albert Russell, epidemiologist, National Institute of Dental Research, Bethesda, Md.; Robert M. Grainger, Chairman, Division of Dental Research. Universit;: of Toronto, Toronto, Canada. The progress of t,he Council in establishing criteria for handicapping malocclusion was discussed and a basic design was adopted. The work is now being rontinued b.v correspondence. This effort of the Council on Orthodontic Health Service 01: thc& American Association of Orthodontists received the following endorsement from the Council on Dent,al Health of the American I)ental Association at its meeting, &farch 17to19,1966: The Council on Dental Health of the American Dental Association recognizes the need for a definition of handicapping malocclusion and believes that, logically, it should be developed by the American Association of Orthodontists. The Council commends the A.A.O. fol its efforts to develop such a definition and encourages the organization to proceed with the proposed studies. The Council will be pleased to reviebv progress report,s as well as the completed data and to make appropriate recommendations.
The definition, criteria, be held early this fall.
and index will receive final form at, a conference to J. -1. Salzmann, Chairman Council on Orthodontic Health Service American Association of Orthodontists