A'meg ican Journal of ORTHODONTICS and DENTOFACIAL ORTHOPEDICS Official publication of the American Association of Orthodontists. its constituent societies, and the American Board of Orthodontics
NEWS, COMMENTS, AND SERVICE ANNOUNCEMENTS President-elect A. Robert Johnson's address "It was the best of times; it was the worst of times . . . . ", so began Charles Dickens in A Tale of Two Cities. That could well be true for the American Association of Orthodontists at the start of the last decade of this century as we face new opportunities, ongoing concerns, and begin a new era in the history of the Association. This is the first annual session of the American Association of Orthodontists in the Pacific Northwest and the first time for the House of Delegates to hear the remarks of the president-elect on Saturday, prior to its deliberations, instead of Wednesday, after his installation as President, and near the conclusion of the House deliberations. Next year, we shall return to St. Louis, the site of our first meeting in 1901 and the home of the American Association of Orthodontists and the American Board of Orthodontics, for our 1992 annual session. We have not held a meeting in St. Louis since 1967. The return to St. Louis will be, for the Association, the beginning of a new era in a new building with expanded space to better serve the membership and the increasing needs of the Association. Membership tours next May, during the 1992 annual session, will give everyone interested an opportunity to meet AAO staff in the new building. As we consider the new opportunities and face the ongoing concerns of the Association I am reminded of a portion of Stephen R. Covey's book, Tile Seven Habits of Highly Effective People, where he tells of an experience told by Frank Koch in Proceedings, the magazine of the Naval Institute. "Two battleships assigned to the training squadron had been at sea on maneuvers in heavy weather for several days. I was serving on the lead battleship and was on watch on the bridge as night fell. The visibility was poor with patchy fog, so the captain remained on the bridge keeping an eye on all activities. Shortly after dark, the lookout on the wing of the bridge reported, 'Light, bearing on the starboard bow.' 'Is it steady or moving astern?' the captain called out. Lookout replied, 'Steady, Captain,' which meant
we were on a dangerous collision course with that ship. The captain then called to the signalman, 'Signal that ship: We are on a collision course, advise you to change course 20 degrees.' Back came a signal, 'Advisable for you to change course 20 degrees.' The captain said, 'Send, I'm a captain, change course 20 degrees.' ' I ' m a seaman, second class,' came the reply. 'You had better change course 20 degrees.' By that time the captain was furious. He spat out, 'Send, I'm a battleship. Change course 20 degrees.' Back came the flashing light, ' l ' m a lighthouse.' We changed course." I can say, with surety, that I and the entire Board of Trustees are alert to the "opportunities" of the lighthouses and aware of the rocks and shoals "of concern" that surround them. What are some of the areas of opportunity and concern that we should address or continue to address?
Communications attd Credibility: The Association has made much progress in the last few years in the area of communications, both internal and within Dentistry in general. The AJOIDO, Tile Bulletin, Orthodontic Dialogue, Advance are but examples of journalistic improvements the Association has made for communication with the members of dentistry as a whole. The Board of Trustees and Central Office have used electronic mail for almost 4 years, and in the last year, several of the constituents have come on board. I would encourage the remaining constituents to implement an electronic mail system. I would also encourage the Association to place the Council Chairmen on electronic mail. In this way, we could improve speedy communication among the Central Office, the Board of Trustees (and its trustee liaisons to the Councils), the Council chairmen, and the constituent societies. The Association has just concluded the 1990 Membership Needs and Opinion Survey. There is much there for us to consider and use for future planning and recommendations. 17A
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The response level of the membership to the survey was very good in that there were more than 4000 questionnaires returned. We maintain a highly favorable image with the membership in that 87% responding said they were proud to be members of the Association. Of the responders 30% were under 40 years of age, and another 31% were under the age of 50. In this day and age when many younger people .are not joining their respective organizations, we can take heart in what appears to be a continued interest among younger orthodontists to join the American Association of Orthodontists. The six top reasons for maintaining membership were (1) education/continuing education, (2) promote/support the profession/organization, (3) meetings/conventions/conferences, (4) journal/AJO/AAO Jourual/AJODO, (5) networking/professional interaction, and (6) insurance programs. And, the" five best services provided by the Association were (1) Journal/AJO/AAO Joumal/AJODO, insurance programs, annual sessions/meetings/national meeting, (4) meetings/conventions/conference, and (5) education/continuing education. On the other hand, of concern was the fact that while 38% of the respondents attended the Washington, D.C., annual session and an average of about 36% attended each of the preceding three annual sessions, fully 29% of the responents attended none of the last four annual meetings. Even more discouraging was the fact that the attendance of the respondents at the constituent level had been about 44% for the each of the years of 1987-89, in 1990 it slipped to 35%. If education/continuing education and meetings/conventions/conferences have such a high priority, why is our meeting attendance at the level it is, and why do we have such a high percentage of members who seldom, if ever, attend the sessions? Also, only 47% feel they have a voice in developing policy and positions, and 31% feel an AAO member does not have an advantage over a nonmember. These responses indicate to me that there is a significant number of our members who do not fully understand the Association and how it works. I believe there is only one way for this group of members to learn and understand the workings and value of the AAO and for the Association to increase its credibility with these members, and that is by the active participation in the Association at both the national and constituent level. It would appear to this observer that the American Association of Orthodontists should take under consideration the institution of a requirement of membership similar to that of the American Academy of Periodontology, which requires its members to attend one na-
Orthod. Dentofac. Orthop. August 1991
tional session every 3 years to maintain membership in the Academy. We must be aware that collateral organizations are being formed by our members to perform many of the same functions that the American Association of Orthodontists is presently performing or addressing. While it is the right of our members to take such action, I would h a v e to ask if it is in the best interest of our members to follow such a course. It would.appear to cause a duplication of efforts and expenses, and fragment our membership at a time when there are so many important issues, within dentistry and coming from government with regard to public policy that will affect our members, that can most effectively be addressed by the Association if it is the one unifying voice of organized orthodontics. We, as an association, need to be inclusive of those members who, for whatever reason, have turned to other groups to provide functions or services for them for which they are not finding satisfaction from the AAO. We must continue to be an active and forwardlooking organization. Chuck Swindoll states it well in Strengthenhlg your grip. "In some ways people and organizations are alike. Both tend to lose vitality rather than gain it as time passes. Both also tend to give greater attention to what they were rather than what they are becoming. It's easier to look back into the past and smile on yesterday's accomplishments than it is to look ahead into the future and think about tomorrow's possibilities." To that end, I would draw your attention to the open forum that has been scheduled on Monday afternoon for new and younger members to hear of their concerns about the issues that face us all. This may very well become a regular part of future annual sessions. We need to continue to encourage and nurture the involvement of our younger members within the component and constituent organization. They are the vitality and future of the Association and the AAO needs, and will always need, a strong, willing, involved, and committed cadre of members of all age groups to keep the Association strong and the effective organization we all desire it to be.
Public and Professional Relations: We have done much to improve communication within the dental community, witness - - Advance, Chairside Instructor, Orthodontic Dialogue. We need now to consider improving communications with other health professionals with whom we have a natural commonalty of interests, i.e., pediatricians, family practitioners, ENT specialists, plastic surgeons, speech and hearing therapists, physical therapists, and school nurses. We need to look for opportunities to meet with,
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develop a rapport with, and interact with these disciplines at meetings, conferences, programs, and conventions in areas of mutual concern and interest.
Central Office: With the completion of the purchase of the new building to provide much needed additional space and the installation of the new computer and software, this coming year is obviously going to be a time of consolidation. We shall see modifications in many of the procedures at the office and improvements in the quality and accuracy of information that can be provided to the House, Board, and Councils. We shall b e able to more accurately determine the actual costs of all programs and activities of the Association. We should revisit our strategic plan to monitor current activities, and reassess future needs.
Advocacy Issues: The advocacy activities on behalf of our membership must continue to be a major function of the Association. We must continue to monitor all issues at the ADA of interest to orthodontics or the "specialties",
and all government and public policy activity as it affects the profession as we have in the past. Such government issues and organizations as: AIDS, Hepatitis, CDC, OSHA, EPA, Americans with Disabilities Act. The House shall be addressing the issue of parameters of care as a natural development and a result of the actions the American Dental Association at the 1990 Annual Session. I would urge you to give this issue your careful and thoughtful consideratioon. We do live in exciting and challenging times that require the collective talents of all, to move this Association forward. We must all work together the Board of Trustees, the House of Delegates, the various Councils, staff, and members, to address our concerns and seize our opportunities. I am honored to be able to address you today; I thank you for your time; I look forward to the next year with anticipation and enthusiasm. Thank you. This speech was given at the annual session of the American Association of OrthodontiSts in Seattle, Wash., May 1991.
Northweste n University Dental School celebrates its l OOth anniversary This year, one of the oldest and most prestigious private dental schools in the world, Northwestern University, celebrates its centennial. G.V. Black, often called the Father of Dentistry, was its Dean during its formative years and he gathered a faculty that was internationally known. While orthodontics was taught in the early years, it was not until 1923 that a graduate specialty program was established. This was one of the first to be formed in the United States, along with Pennsylvania and Michigan. Since its inception, the department has had only six chairmen: Charles Baker, 1923-1928; Abram Hoffman, 1928-1940; Harold Noyes, 1940-I946; John R. Thompson, 1946-1961; Harold T. Perry, 1961-1986; and David P. Forbes, 1987-present. Abram Hoffman was appointed to the first board of the American Board of Orthodontics in 1929. Over 492 orthodontists have graduated from the Northwestern orthodontic program. Other past and present departmental chairmen that graduated from Northwestern include:
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Columbia University Beijing University Medical School, China University of Chicago Thomas Graber Baylor University Robert Gaylord Joseph R. Jarabak Loyola University Loyola University James Jensen Donald Joondeph University of Washington Swee-Khiang Lee University of Singapore University of Detroit Richard Litt Washington University, St. Farhad Moshiri Louis University of Washington Richard Reidel Paul W. Stockli University of Zurich, Switzerland Sam Weinstein University of Nebraska George Wern Baylor University Robert Winders Marquette University Kourosh Zarrinnia Temple University Tom Zwemer Loma Linda University Robert Cederquist Min Kui Fu
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News, commetlts, and service announcements
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Abram Hoffman
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Harold T. Perry
A few of the other notable orthodontic graduates include: Orion Stuteville, Kaare Reitan, Sheldon Rosenstein, Robert Freeman, Lee Graber, Melvin Mayerson, Bailey Jacobson, Hugh Sims, Virginia Diewert, William Ford, William Spence, Mark Roberts, E. L. Malkin, Frank Furlong, Robert Hicks, Sam Winestein, and Albert Reinstein. Originally, students enrolled o n a part-time basis. Later, students enrolled full time for 9 months. In 1945, it was increased to 12 months. In 1961, it expanded to 6 quarters, in 1973 to 7 quarters, and in 1983 to 8 quarters, its current length.
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Harold J. Noyes
John R. Thompson
Since its beginning, the philosophy of the program has been to provide its residents with the broadest possible clinical experience. Multiple techniques have always been taught. For this reason, the clinic includes a large faculty that uses a variety of clinical approaches. In addition to its broad clinical base, the department has had a strong research program in areas of temporomandibular joint dysfunction, cleft lip and palate therapy, orthognathic surgery, and growth and development.
Thomas M. Graber 9"eceives honora 'y doctorate f 'om Washington University Thomas M. Graber, Editor-in-Chief of the AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTttOPEDICS, renowned researcher, teacher, writer, and clinician, received an honorary Doctor of Science degree from Washington University in St. Louis during commencement exercises on May 17, 1991. Commenting on the honor, Dr. Graber said, "If any of us shine at all, we shine by reflected light from our teachers and colleagues. I have been very fortunate to have many outstanding, dedicated, and devoted friends and associates."
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In the course of an illustrious career, Dr. Graber has authored more than 15 books and 750 articles and reviews in eight different languages. Many of these books serve as standard orthodontic texts around the world. After graduating from Washington University School of Dental Medicine in 1940, he went on to earn a Master's degree in orthodontics from Northwestern University Dental School in 1946 and a doctorate in anatomy from Northwestern University Medical School in 1950. He cofounded the Kenilworth Dental Research Foundation in 1964 and serves as director.
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Chancellor John Danforth (right), assisted by Lee Friedman, presenting T.M. Graber with an honorary Doctor of Science degree.
Dr. Graber embarked on his distinguished academic career in 1946, when he began teaching orthodontics at Northwestern; he cofounded the Cleft Lip and Palate Institute at the University in 1947, and served as director of research for 10 years. From 1958 to 1967, he held the post of special lecturer at the University of Michigan Dental School. In 1967 Dr. Graber took his talents to the Uni~,ersity of Chicago, where he taught in the departments of biologic sciences, anatomy, pediatrics, and anthropology. He also founded the orthodontics section of the university's Pritzker School of Medicine, and served as chairman of the department and professor until he left in 1982. The honorary doctorate is the first and only one Washington University has awarded to a dentist in 125 years. Indeed, Dr. Graber's career resounds with accolades, as many as the profession has to offer. In 1970 he was presented with the AAO Distinguished Service Award, and in I975 he was chosen to receive the coveted Ketcham Award. Dr. Graber received the Northwestern General Alumni Merit Award in 1977 and the
Washington University Alumnus of the Year award in 1980. Most recently, in October 1989, the University of Goteborg in Sweden conferred an honorary Doctor of Odontology degree on him. Not a year goes by that Dr. Graber is not lecturing in Europe, Asia, Australia, Africa, or South America. Through the years, Dr. Graber has maintained an orthodontic practice and done pioneering research, which he continues today in his work with the mysteries of the TMJ and the potential for using magnets to move teeth. He is a tireless compaigner for the present and future vitality of the specialty and a sought-after speaker. A testimony to his enormous energy, Dr. Graber is also a devoted husband, father of 5, grandfather of 13, and a friend and inspiration to colleagues worldwide.
--Catherhze Lynne Miles
71st annual meeting of the Rocky Mountain Society Planning has been completed for the Oct. 13-16, 1991, Annual Meeting of the RMSO at the magnificent Hyatt Regency Beaver Creek, nestled in the Colorado high country at Vail. The theme of the meeting is "Orthodontics in a Changing World" and will feature the following speak-
ers: Richard Hoeri, keynote speaker, on "Healthcare Changes Coming in the 90's". He will also present seminars on "Strategic Planning for the 90's." Charles J. Barstone will speak On High Tech--"Latest Advances in Wire Technology," "Orthodontics Beyond Straight Wire," and "3D Analysis of Soft Tissue Pro-
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file." Larry White will speak On Motivation--"Improving Patient Compliance," and "Increasing Staff Skill." Charles S. Green will speak On Controversies-"Does Orthodontic Treatment Prevent, Cause or Cure TM Disorders?" Donald E. Machen will speak On Risk Management--"How to Make Your Written Communications Legally Sound." Special features of the meeting will include an allday program for orthodontic staff, 25 lunch-and-learn roundtable discussions, a special reception honoring
staff, a gourmet cooking class, and golf and tennis tournaments. The program will be capped by a panel discussion on the meeting them led by Donald Machen, with Larry White, Gene Gottlieb, Charles Burstone, and Charles Greene. Come to RMSO meeting to enjoy the golden aspen and have a "peak experience." For information contact: Ms. Dorothy Weber, RMSO Meeting Planner, 2108 S. Telluride Ct., Aurora, CO 80013, or telephone (303) 751-3785.
NASSO meeting to be held in Be~nuda The North American Society for the Study of Orthodontics (formerly the North American Begg Society) will hold a world congress April 13-16, 1992, at the Hamilton Princess Hotel in Bermuda. An excellent scientific program is planned.
For further information, contact Robert F. Rozene, DMD, president, 297 Winter St., Hyannis, MA 02601.
Second International Orthodontic Symposium to be held in Athens, Greece Professor Anna Xeniotou-Voutsina will preside over the Second "International Orthodontic Symposium that will be held in Athens, Greece, Nov. 30 through Dec. 1, 1991. The topic of the Symposium will be "Functional Appliances and Dentofacial Orthopedics." The
speakers include Drs. McNamara, Petrovic, Bimler, Carlson, Gaspard, Orton, Simoes, and Stutzman. For more information and details for the Symposium, please contact the Greek Orthodontic Society, 18-20 Navarinou St., GR-106 80 Athens, Greece.
University of Minnesota announces $1 million 3M grant to fund new Biomaterials Center at the School of Dentistry The University of Minnesota annouced today that it is forming the Minnesota Dental Research Center for Biomaterials and Biomechanics (Biomaterials Center) at the School of Dentistry's Department of Oral Science. As the founding industrial partner, 3M has committed $1 million over 5 years to fund the Center. The focus of the Biomaterials Center is the development of new technologies (materials and methods) in the field of dentistry. The Center is based on the belief that people with development and materials skills, working with people having lab and clinical skills, yield better materials and methods that can be delivered faster to the public than if these groups worked independently. "3M and the University each bring different, but complementary, skills to the Biomaterials Center," said
William H. Douglas, DDS, professor of Oral Science and Academic Codirector for the Center. "The Center's research culture will allow it freedom to investigate technologies, which are profoundly different from today's core dental industry techniques. Product development will be much less the issue, with more thought directed toward technologies form which products and services emerge." The School of Dentistry's Department of Oral Science and the 3M Dental Products Division are both world-renowned in the field of dentistry. Both institutions have made international contributions in technologies and products for more than 25 years, and the two have a history of cooperative collaboration that spans more than a decade.
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"3M is pleased to be a founding member of the Biomaterials Center--a model public/private partnership," said Richard P. Fields, division scientist, Dental Operatory Lab, 3M Dental Products Division and Industrial Codirector for the Center. "The introduction of new dental materials is a slow, exacting process, and testing in an environment such as the Center is critical to its success. We believe that the public, as well as the dental profession, will benefit from this parthership through improvement treatment capabilities and products brought forth faster and less expensively," he added. Another important component of the Biomaterials Center is the outstanding educational opportunity it provides dental students and professionals. According to
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Dr. Douglas, international scholars on sabbatical leaves will participate in high caliber research pr0gramsand receive funding for their efforts. The Center's research programs also will benefit people seeking advanced dental degrees at the University. As academic Cofounder of the Center, the University will provide its dental evaluative expertise in terms of personnel, equipment, and space. The University's 3M-endowed Harvey L. Anderson Chair in Dental Materials will become part of the Center. 3M and the University together will select and administer the day-to-day research programs within the Center. Other institutions may become Biomaterials Center members and may designate their funds in support of specific project research if desired.
Marvin Goldstein receives USO community segwice award At a recent presentation of the community service awards in Atlanta, Marvin Goldstein was recognized with a special award for his 40 years of service to the United Service Organizations (USO). Dr. Goldstein's
generosity and dedication are well-known to all members of the Southern Association of Orthodontists as well as to the AAO. He continues to devote much of his energies to many community servlces.
Diagnostic x-ray film safe, says A M A Diagnostic x-ray films do not appear to be major causes of leukemia and other cancers, according to a study published in the March 13 Jottrnal of the American Medical Association. The authors studied exposure to diagnostic x-ray films and the relative risks of leukemia, non-Hodgkin's lymphoma (NHL), and multiple myeloma. They abstracted more than 25,000 x-ray procedures from medical records of adult patients. The study had 565 patients with leukemia, 318 patients with NHL, and 208 patients with multiple myeloma. These were matched to 1390 control patients. "X-ray exposure was not associated with chronic lymphocytic leukemia, one of the few malignant con-
ditions never linked to radiation," they write. "For all other forms of leukemia combined (358 patients), there was a slight elevation of risk but no evidence of doseresponse relationship when X-ray procedures near the time of diagnosis were excluded." The authors caution that the potential hazards from radiologic examinations should be weighed against the medical benefits. They wrote that nearly 90% of the total collective dose to the population from man-made sources comes from diagnostic x-ray films. They encourage the judicious use of radiologic examinations and the elimination of nonproductive procedures.
Facial microsomia: Long-te vn results of early and late treatment concepts Under the auspices of the European Association for Cranio-Maxiilo-Facial Surgery, a symposium on facial microsomia will be held in Bruges, Belgium, on Saturday, Sept. 7, 1991. Invited speakers are Drs. Kaban,
Sailer, Teuscher, Vargervik, and Zonneveld. For more information, write Facial Microsomia, MKA Chir, AZ St. Jan, Ruddershove 10, B-8000 BRUGGE, or call + 32(0)50 45 22 60