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NEWSLETTER - New Zealand Association of Orthodontists

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INSIDE THIS ISSUE<br />

• Editorial<br />

• The Riccarton Retort<br />

• APOS Congress report<br />

• Capetown Conference notice<br />

• NZAO Clinical Day Notice 2009<br />

• General Notices<br />

• Positions Vacent<br />

• NZAO Transfer Formula<br />

• S2009 Notice<br />

• How would you treat this?<br />

• The Gastronomy Page<br />

• Calendar <strong>of</strong> Events<br />

• Office Bearers 2009<br />

The quarterly NZAO <strong>New</strong>sletter is a channel <strong>of</strong> communication<br />

for members <strong>of</strong> the <strong>New</strong> <strong>Zealand</strong> <strong>Association</strong> <strong>of</strong> <strong>Orthodontists</strong>.<br />

Opinions expressed are not necessarily those <strong>of</strong> the<br />

<strong>New</strong> <strong>Zealand</strong> <strong>Association</strong> <strong>of</strong> <strong>Orthodontists</strong>.<br />

Notes for Contributors<br />

The NZAO <strong>New</strong>sletter welcomes original articles, personal<br />

comment and news items. Text should be e-mailed to the<br />

Editor at david.healey@dent.otago.ac.nz as an attachment.<br />

Photographs may also be e-mailed as attachments in JPEG<br />

format. The Editor reserves the right <strong>of</strong> refusal and the right<br />

to edit articles. Sincere thanks to Peter Fowler, Winifred<br />

Harding, Matt Barker and to our sponsors for their contribution<br />

to this issue.<br />

Next issue close <strong>of</strong>f date is 12th June 2009.<br />

<strong>NEWSLETTER</strong><br />

Vol. 23 | No. 1 | March 2009<br />

EDITORIAL<br />

A RAINBOW OF ExPRESSION<br />

I recently enjoyed reading a guest Editorial in the<br />

Angle Orthodontist by none other than Martin<br />

Kean (ably assisted no doubt by an Ackerman and<br />

Vig) which focused on orthodontists and societies<br />

view <strong>of</strong> malocclusion and how this had changed in<br />

the past 60 years. The relationship between ‘need’<br />

for treatment and ‘desire’ for treatment appears to<br />

have been a movable feast over this period moderated<br />

by how we choose to describe malocclusion in<br />

terms ranging from normal variability to dysplasia<br />

and on to malformation. I found it interesting<br />

how the use <strong>of</strong> these terms colours our context,<br />

and no doubt the patients understanding <strong>of</strong> their<br />

‘condition.’ The NHS’s acceptance <strong>of</strong> cover for orthodontic treatment was based on a<br />

linkage with disability (as Martin points out the ‘medicalisation’ <strong>of</strong> terms contributed<br />

to the ethos <strong>of</strong> the times). The change to a more modern approach and the acceptance<br />

that orthodontics has more to do with ‘appearance enhancement’ has marked a change<br />

in the NHS’s view towards orthodontics. If one is no longer disabled with a malocclusion<br />

then how could they justify national coverage and compete with the likes <strong>of</strong><br />

cancer funding? The answer in the UK has been to only treat the more severe cases<br />

based upon ‘demonstrable need.’ This is gauged by the IOTN. To me this is a little<br />

like the <strong>New</strong> <strong>Zealand</strong> Police’s insistence that all road crashes are in someway related<br />

to speed. Being able to point to one aetiological factor that one can easily measure is<br />

more about identifying that there is something they can control rather than reflecting<br />

reality. Patently, like road accidents, the impact <strong>of</strong> malocclusion is multi-factorial in<br />

nature. At least with the IOTN, appearance is taken into consideration with the Aesthetic<br />

Component, but it still remains the job <strong>of</strong> the orthodontist to assess this, not the<br />

patient themselves. Somewhere in all <strong>of</strong> this it seems to have been forgotten that it is<br />

psycho-social reasons that drive the need for orthodontic intervention. Some children<br />

with more serious malocclusions may get far less benefit from treatment that those<br />

whose personality types cause them to focus more on their own aesthetic shortcomings.<br />

As Martin puts it ‘<strong>Orthodontists</strong> have the opportunity provided by a society sensitized to<br />

appearance to gradually broaden their role beyond the restricted confines <strong>of</strong> the mouth and<br />

occlusion............a lack <strong>of</strong> balance and symmetry in tooth position and occlusion—society<br />

regards it as having wider significance in terms <strong>of</strong> its effect on the way in which an individual<br />

sees himself or herself, and on how others might perceive that individual. .... If treatment<br />

<strong>of</strong> malocclusion contributes positively to a sense <strong>of</strong> wellbeing and improved quality <strong>of</strong><br />

life for patients, then orthodontic care is a useful and valuable service in the widest sense.<br />

NZAO <strong>New</strong>sletter Volume 23 Number 1, March 2009


We would do well to remember this, for in the<br />

world that we live in surely there can be few more<br />

important goals than personal improvement.<br />

The current debate on alcohol in dental mouth rinses<br />

sent me scurrying into the bathroom to have a look at the<br />

concentrations <strong>of</strong> the products available in my household.<br />

The result was nil for the one recommended for my kids<br />

(Listerine Smart Rinse) and a heady 22% for the Listerine<br />

Teeth Defence used twice daily by the writer. Fortunately<br />

I could easily find this out as the figures were on the bottle,<br />

the same cannot be said for Colgate. The bottle <strong>of</strong> Colgate<br />

Plax Overnight also found in the bathroom cupboard<br />

states ‘alcohol’ and gives an Australian free call number,<br />

to which no individual seemed inclined to answer (probably<br />

aware that some heavy questioning was coming their<br />

way). Further investigation on their web site provides no<br />

clearer picture, as they fail to provide this information.<br />

The debate which has seen high pr<strong>of</strong>ile responses in<br />

numerous publications, centres on 2 recent studies<br />

which appear (on the surface <strong>of</strong> it) to purport a causal<br />

relationship between alcohol containing mouth rinses<br />

and oral cancer. The association between smoking,<br />

periodontal disease, alcohol and cancer is well established,<br />

and has been reaffirmed in a number <strong>of</strong> studies.<br />

However these more recent studies show causal<br />

relationships between cancer and daily mouthwash<br />

use, independent <strong>of</strong> periodontal disease and smoking.<br />

I was somewhat reassured when Pr<strong>of</strong>. Laurie Walsh<br />

rushed a response out criticizing the study design <strong>of</strong><br />

these two publications and referring to them as ”Casual<br />

Opinions.” I’m sure this would be disappointing<br />

reading for the 17 authors <strong>of</strong> one <strong>of</strong> these studies<br />

many <strong>of</strong> whom work in epidemiology. Indeed they<br />

read that ‘from the 1995 to 2003 systematic reviews<br />

there would now appear to be sufficient evidence to once<br />

and for all reject the proposition that alcohol containing<br />

mouth rinses can play any role in the development<br />

<strong>of</strong> oral cancer.’ Strong words, and some reassurance for<br />

someone who occasionally embalms his oral cavity in up<br />

to 65% alcohol in the guise <strong>of</strong> a single-malt. Determined<br />

as Pr<strong>of</strong>. Walsh’s interpretations are, I think I’ll keep an<br />

eye on the mouth rinses and perhaps choose alcoholfree<br />

next time and let the epidemiologists continue to<br />

battle it out, without me making an input to their statistics<br />

(other than by recreational use, you understand).<br />

David L. Healey<br />

1. Kean MR, Ackerman JL, Vig PS (2009): Malocclusion:<br />

Beyond the Wendell L. Wylie Legacy.<br />

Angle Orthodontist, 79 (1):200-201.<br />

2. McCullough MJ, Farah CS (2008): The role <strong>of</strong><br />

alcohol in oral carcinogenesis with particular reference<br />

to alcohol-containing mouthwashes. Australian<br />

Dental Journal, 53: 302-305.<br />

3.<br />

Guha N, B<strong>of</strong>fetta P, Wu¨nsch Filho V et al.<br />

(2007): Oral Health and Risk <strong>of</strong> Squamous Cell<br />

Carcinoma <strong>of</strong> the Head and Neck and Esophagus:<br />

Results <strong>of</strong> Two Multi-centre Case-Control Studies.<br />

American Journal <strong>of</strong> Epidemiology, Vol. 166 No.<br />

10: 1159-1173.<br />

Walsh LJ (2009):<br />

4. Are alcohol-containing dental<br />

mouthwashes safe? A critical look at the evidence.<br />

NZDA <strong>New</strong>s, 143 March: 18-20.<br />

NZAO <strong>New</strong>sletter Volume 23 Number 1, March 2009


THR RICCARTON RETORT<br />

OUR PRESIDENTS FIRST REPORT FOR THE yEAR<br />

Since the<br />

D e c e m b e r<br />

n e w s l e t t e r<br />

certain events<br />

and items have<br />

c o n t i n u e d<br />

to cross the<br />

C o m m i t t e e’s<br />

d e s k s / l a p<br />

tops and to<br />

keep everyone<br />

informed a<br />

summary <strong>of</strong><br />

some these are<br />

listed below.<br />

Please feel free<br />

to contact me<br />

directly if you<br />

wish to find out more on any <strong>of</strong> these issues. My thanks go<br />

to the members <strong>of</strong> the Committee and those other members<br />

who continue to <strong>of</strong>fer their assistance and expertise to<br />

ensure the best interests <strong>of</strong> the NZAO are maintained.<br />

Governance: Notice has been issued for the Special<br />

General Meeting on the 17 th April following the NZAO<br />

Clinical Day at the NZDA House, Ellerslie, Auckland.<br />

Feed back from the membership email survey has been<br />

helpful to the governance working party in preparing<br />

for this SGM. There are still some unresolved issues<br />

including the review <strong>of</strong> the ERDG rules and objectives.<br />

Recommendations from the ERDG will be placed before<br />

the membership at the October 2009 AGM being held in<br />

Wellington, but will be open for discussion at the SGM.<br />

NZAO Clinical Day: Currently there over 50 registrations<br />

for the clinical day which is also being supported by the<br />

presence <strong>of</strong> the six <strong>of</strong> the seven trade companies that<br />

have committed funding to the FORENZAO (A B<br />

Orthodontics, Arthur Hall, Invisalign, Practice Works,<br />

Ormco, TP, Unitek). The speakers program is full <strong>of</strong><br />

varied and stimulating topics being given by talented<br />

and respected presenters. This should be a great day.<br />

Details for those who wish to register late are to be<br />

found elsewhere in this newsletter. Any pr<strong>of</strong>it from<br />

this meeting will be passed onto the FORENZAO.<br />

Dental Council <strong>of</strong> <strong>New</strong> <strong>Zealand</strong>: Since the last newsletter<br />

we have not received satisfactory feedback from the<br />

DCNZ on the status <strong>of</strong> the NZAO Orthodontic Auxiliary<br />

Training Program. The DCNZ has been in procession <strong>of</strong><br />

the Program since September 2008. (7 months) Since that<br />

date both Winifred Harding and myself have been fielding<br />

calls from anxious members and their staff as to where<br />

they stand with registration as an Orthodontic Auxiliary.<br />

Numerous enquiries to the DCNZ have revealed many<br />

conflicting and at times incorrect information being<br />

given by the staff <strong>of</strong> the DCNZ. A formal letter was<br />

sent to the DCNZ requesting feedback on the status<br />

<strong>of</strong> the NZAO Orthodontic Auxiliary Training Program<br />

and likely time line for Council approval and this<br />

remains essentially unanswered. The information that<br />

we have received indicates that two assessors have been<br />

appointed and a third will “hopefully” be appointed by<br />

the end <strong>of</strong> March and no time line <strong>of</strong> the process after<br />

that appointment can be given by the DCNZ. It appears<br />

that orthodontic auxiliaries are forgotten and poorly<br />

understood group within the governance <strong>of</strong> the DCNZ.<br />

Other matters currently “sitting” with the DCNZ<br />

which we are waiting for feedback include;<br />

The format and wording <strong>of</strong> the<br />

“working relationship” documentation<br />

between Orthodontic Auxiliaries and<br />

<strong>Orthodontists</strong>. This working agreement<br />

is at the insistence <strong>of</strong> the DCNZ.<br />

An undertaking by the DCNZ that any<br />

orthodontist who is has completed the<br />

NZAO Practice Accreditation Program and<br />

maintains the accreditation would be exempt<br />

from any random DCNZ practice audit<br />

A reply to the NZAO submission on the<br />

Orthodontic Auxiliary CDP category status or<br />

points system for various activities. The DCNZ<br />

has declined the NZAO recommendation that<br />

the Orthodontic Auxiliaries be on a 4 year<br />

CDP cycle, which would have coordinated<br />

their CPD with their employer <strong>Orthodontists</strong>,<br />

and have lumped them in with Therapists and<br />

Hygienists by committing them to a 2 year cycle.<br />

The DCNZ has suffered from several key staff changes<br />

recently, but its inability to respond to matters <strong>of</strong><br />

importance to the NZAO is extremely frustrating.<br />

In an attempt to extract some common sense and<br />

meaningful feed back from the DCNZ a face to<br />

face meeting with the DCNZ has been arranged in<br />

early April. It was also disappointing to note that the<br />

NZAO being referred to as the NZOA in the recent<br />

DCNZ Application for Annual Practising Certificate.<br />

Wellington Meeting: The ERDG under the chairman <strong>of</strong><br />

NZAO <strong>New</strong>sletter Volume 23 Number 1, March 2009


Kieran O’Neill have been working hard with the Symposium<br />

and Practice Managers course. The format has altered to address<br />

feedback from the Queenstown Symposium and we have two<br />

invited guests from Hong Kong (Pr<strong>of</strong>essors Coleman McGrath<br />

and Urban Hagg) to keep us focused on the topic <strong>of</strong> quality <strong>of</strong><br />

life in orthodontics. Details are else-where in the newsletter.<br />

Tickets to the WOW are in hot demand and the 100 allocated<br />

seats have nearly sold out. Please contact Wayne Dalley directly<br />

if you wish to secure a ticket to this extraordinary event.<br />

Royal Australasian College <strong>of</strong> Dental Surgeons: Following<br />

a review <strong>of</strong> dental specialist involvement within the RACDS<br />

a new pathway to obtaining a Fellowship in a dental<br />

speciality with the college has been created. This involved<br />

the introduction <strong>of</strong> a Membership which then leads to a<br />

Fellowship. (see www.racds.org for details). Since that review<br />

over 250 specialists have been granted Memberships, with<br />

over 125 obtaining their Membership in Orthodontics. In late<br />

November 19 candidates successfully passed their MRACDS<br />

(Orth) examinations (all the Australasian orthodontic<br />

training universities participated, including Otago).<br />

Resignations: The ERDG have notified the NZAO Committee<br />

that they received the resignation <strong>of</strong> Dr. Sax Dearing from the<br />

ERDG. Sax has been an invaluable member <strong>of</strong> the ERDG for<br />

a considerable period and his input, knowledge and driving<br />

force has been made the ERDG a valuable group within the<br />

NZAO from which we have all benefited and we thank him<br />

for all his commitment and efforts. The Recertification and<br />

CPD sub committee has also notified the NZAO Committee<br />

that Dr Phil Sanford, Chairman, has notified his intention to<br />

resign. Phil has steered this sub committee since its inception,<br />

which included establishing the NZAO as one <strong>of</strong> only two<br />

DCNZ approved CDP Providers. Now that first dentist/<br />

specialist CPD cycle has recently been completed he wishes<br />

to step down. We are all thankful for the contributions both<br />

Phil and Sax have made to these respective committees.<br />

Insurance funding for orthognathic surgery: The NZAO<br />

has recently been formally notified by Southern Cross that<br />

they have effectively ceased all funding for orthognathic<br />

surgery claims. This decision was made despite submissions<br />

from the Oral and Maxill<strong>of</strong>acial Surgeons and a face<br />

to face meeting <strong>of</strong> some Auckland based orthodontists<br />

with Peter Cooke, Medical Director, Southern Cross.<br />

Since notification from Southern Cross, another face to<br />

face meeting has been arranged by the same group <strong>of</strong><br />

orthodontists with Peter Tyan, Chief Executive, Southern<br />

Cross in an attempt to persuade them to reverse their decision.<br />

Minimal Capital Reserve: Last year the ASO undertook<br />

a strategic review. One <strong>of</strong> the recommendations from this<br />

process was to establish a minimal capital reserve (MCR).<br />

After considering this concept and following contact with<br />

the former ASO Treasurer (Dr Colin Nelson) the NZAO<br />

Committee has agreed to a recommendation from Dr Matt<br />

Barker (NZAO Treasurer) to establish a MCR <strong>of</strong> $30,000.<br />

This money will be placed on term deposit and represents<br />

approximately one years worth <strong>of</strong> membership subscriptions.<br />

Finally: I would like to thank Dr. Winifred Harding<br />

for representing the NZAO at a recent Asian Pacific<br />

Orthodontic Society (APOS) meeting held in the<br />

Philippines. This organisation has been struggling to find<br />

it’s feet as it continues to evolve and the meeting was to<br />

vote on a founding constitution. Details are to follow.<br />

Winifred has taken on the responsibility for organising the<br />

APOS 7 th Congress within the World Village Day, World<br />

Federation <strong>of</strong> <strong>Orthodontists</strong> meeting in Sydney, Feb 2010.<br />

Peter Fowler<br />

NZAO <strong>New</strong>sletter Volume 23 Number 1, March 2009


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NZAO <strong>New</strong>sletter Volume 23 Number 1, March 2009


ASIAN AND PACIFIC ORTHODONTIC SOCIETy<br />

(APOS) CONGRESS<br />

Although the<br />

first Asian and<br />

Pacific Orthodontic<br />

Congress (APOC)<br />

was held in 1991,<br />

the APOS wasn’t<br />

formalised until 2001,<br />

and <strong>New</strong> <strong>Zealand</strong><br />

joined in 2004. It is<br />

a loose association<br />

<strong>of</strong> Societies/<br />

<strong>Association</strong>s in<br />

the Asia and Pacific<br />

region, and representatives from each member<br />

Society/<strong>Association</strong> meet each year. It is currently<br />

made up <strong>of</strong> the following Society/<strong>Association</strong>s<br />

and their Executive Committee representatives:<br />

the <strong>Association</strong> <strong>of</strong> <strong>Orthodontists</strong> Singapore<br />

(Dr Kai Woh Loh), <strong>Association</strong> <strong>of</strong> Philippine<br />

<strong>Orthodontists</strong> (Dr Crissie Santayana (Secretary<br />

General)), Australian Society <strong>of</strong> <strong>Orthodontists</strong> (Dr<br />

Shane Fryer), Bangladesh Orthodontic Society<br />

(Dr Mostaque H. Sattar), Chinese Orthodontic<br />

Society (Dr Tian-Min xu), Hongkong Society<br />

Of <strong>Orthodontists</strong> Limited (Dr Alexander Tang),<br />

Indian Orthodontic Society (Dr Om Kharbanda),<br />

Indonesian <strong>Association</strong> <strong>of</strong> <strong>Orthodontists</strong> (Dr<br />

Halim Himawan), Japan Orthodontic Society (Dr<br />

Kazuo Tanne), Korean <strong>Association</strong> <strong>of</strong><br />

<strong>Orthodontists</strong> (Dr Dong Hwa Chung),<br />

Macau <strong>Association</strong> <strong>of</strong> <strong>Orthodontists</strong><br />

(Dr Wei Lin), Malaysian <strong>Association</strong><br />

<strong>of</strong> <strong>Orthodontists</strong> (Dr Akbar Sham<br />

Hussin), <strong>New</strong> <strong>Zealand</strong> <strong>Association</strong><br />

<strong>of</strong> <strong>Orthodontists</strong>, (Dr Winifred<br />

Harding), Pakistan <strong>Association</strong> <strong>of</strong><br />

<strong>Orthodontists</strong> (Dr. Mubassar Fida),<br />

and Thai <strong>Association</strong> <strong>of</strong> <strong>Orthodontists</strong><br />

(Dr Tanan Jaruprakorn).<br />

Dr Somchai Satravaha from Thailand<br />

is the President and Dr Urban Hagg<br />

from Hong Kong, the Vice President.<br />

Dr Ian Watson from Australia was the<br />

Secretary General from September<br />

2005 to 2007 and in 2006 he proposed a<br />

Constitution that would enable the APOS to<br />

register and become a legally recognised entity,<br />

able to fulfil its purpose “to assist Affiliated<br />

Societies / <strong>Association</strong>s to promote excellence<br />

in orthodontics through education and research<br />

in the Asian Pacific region”. To date, the yearly<br />

meeting <strong>of</strong> the Executive Committee and the<br />

APOC’s have been the only ‘activities’, and the<br />

Society/<strong>Association</strong> running the APOC (or the<br />

APOC Chair) has been responsible for any losses<br />

and the recipient <strong>of</strong> any pr<strong>of</strong>its.<br />

In 2006 the APOS voted to have its 7 th Congress<br />

(APOC) as part <strong>of</strong> the 7 th IOC in Sydney,<br />

February 2010, as a ‘Village Day’. I attended<br />

my first APOS meeting representing the NZAO<br />

in Bangkok in March 2008, after which the<br />

ASO asked me to be the Chair <strong>of</strong> that Village<br />

Day and I have recently been to Boracay in the<br />

Philippines for another Executive Committee<br />

meeting. Progress is slow, and although a<br />

Constitution has now been passed (5 th March<br />

2009), registration <strong>of</strong> the APOS has not been<br />

actioned, so there is still no financial basis<br />

nor accounting system that would enable the<br />

APOS to function according to its purpose, “to<br />

disseminate scientific and artistic information<br />

relating to orthodontics”.<br />

NZAO <strong>New</strong>sletter Volume 23 Number 1, March 2009<br />

!


There was an <strong>Association</strong> <strong>of</strong> Philippine<br />

<strong>Orthodontists</strong> regional meeting in Boracay.<br />

The hospitality was very generous, the setting<br />

was stunning, the swimming was fantastic, but<br />

the politics was at times, baffling. There seems<br />

to be a reluctance to make decisions and to be<br />

accountable, much patience is required. I would<br />

like to thank Shane Fryer, the ASO and the<br />

SIOCC for their support.<br />

Winifred Harding<br />

NZAO <strong>New</strong>sletter Volume 23 Number 1, March 2009<br />

!


CONFERENCE NOTICE<br />

NZAO <strong>New</strong>sletter Volume 23 Number 1, March 2009


NZAO CLINICAL DAy- AUCKLAND<br />

What do you do when…….?<br />

Come and be challenged on matters that relate<br />

to clinical judgement at the<br />

NZAO CLINICAL DAY MEETING<br />

Friday 17 th April 2009<br />

NZDA House 1/195 Main Highway, Ellerslie, Auckland<br />

.<br />

Four invited speakers will give presentations that are related directly to<br />

clinical practise, some information given will relate to everyday clinical<br />

events while others will focus on the clinical situations where lateral<br />

thinking is required.<br />

In addition, three post graduate speakers will present their research<br />

findings.<br />

The day will conclude with a brief NZAO Special General Meeting<br />

There will be an optional dinner organised for those staying in Auckland on<br />

the Friday night<br />

NZDA House is located within a<br />

complex <strong>of</strong> buildings on the south<br />

side <strong>of</strong> the Main Highway street,<br />

accessed from the Ellerslie-<br />

Panmure Highway, exit the<br />

Southern Highway at the Penrose<br />

Junction. Car parking can be<br />

located in the adjacent sports area<br />

and surrounding streets.<br />

NZAO <strong>New</strong>sletter Volume 23 Number 1, March 2009


NZAO CLINICAL DAy- AUCKLAND<br />

Meeting contents<br />

Dr Peter Miles – Orthodontist (Queensland)<br />

BDSc (Queensland), MDS (Pittsburgh)<br />

� Retention and stability- where are we at now?<br />

� Self ligating and treatment efficiency<br />

� Bonding with discipline, direct and indirect bonding<br />

Dr Tony Weir – Orthodontist (Queensland)<br />

BDSc (Queensland), MDS (Adelaide)<br />

� The principles <strong>of</strong> clinical management <strong>of</strong> the Invisalign Appliance<br />

- where it may perform particularly well and where the clinical<br />

limitations <strong>of</strong> the appliance contra indicates the use <strong>of</strong> this<br />

appliance<br />

Dr Mark Ewing – Orthodontist (Hamilton)<br />

BDS (Otago) Cert Orth Eastman Dental Center<br />

� Temporary anchorage devices-use and abuse, a personal<br />

perspective<br />

Dr Stephen Manning – Endodontist (Christchurch)<br />

BDS (Otago) MDSc (Melbourne) FRACDS<br />

� Orthodontic management protocols for traumatised teeth,<br />

including the new protocol for “decoronation”<br />

� Implant considerations for missing lateral incisors, an<br />

endodontist’s view point<br />

Meeting logistics<br />

� Registration from 8.00am<br />

� Lectures commencing at 8.30am – all lectures attract CPD points<br />

� Lunch included<br />

� Concluding at 5.00pm with a short Special General Meeting<br />

commencing at 5.15pm (details to follow)<br />

� Registration fee $340 inc GST<br />

� Accommodation: Novotel Hotel, 116 Greenlane Road, Ellerslie<br />

09 529 9090 or email: h3060-re02@accor.com and quote “NZAO”<br />

special rates (Superior King or Double/Double Guest Room $149.00)<br />

� An open invitation to dinner with the guest speakers on Friday night<br />

(details to follow)<br />

NZAO <strong>New</strong>sletter Volume 23 Number 1, March 2009


NZAO CLINICAL DAy- AUCKLAND<br />

Registration 8-8.30am<br />

Welcome and introductions: David Crum/Peter Fowler<br />

NZAO Clinical Day<br />

Speakers program<br />

April 17 th Friday<br />

NZDA House, Ellerslie, Auckland<br />

8.30-9.30 Dr Peter Miles : Retention Protocols- an update <strong>of</strong> current thinking<br />

9.30-9.45 Dr Betty Keng : Rate <strong>of</strong> space closure using NiTi T-loop: A prospective RCT<br />

9.45- 10.30 Dr Peter Miles : Self Ligating – where are we at?<br />

10.30- 11.00 Tea break and trades<br />

11.30- 12.30 Dr Tony Weir : The principles <strong>of</strong> clinical management <strong>of</strong> the Invisalign Appliance<br />

- where it may perform particularly well and where the clinical limitations <strong>of</strong> the appliance contra<br />

indicates the use <strong>of</strong> this appliance<br />

12.30-12.45 Dr Kieran Soma : <strong>Orthodontists</strong> & Orthodontics - A Qualitative Investigation<br />

12.45- 1.30 Lunch and trades<br />

1.30-2.15 Dr Mark Ewing : Temporary anchorage devices - use and abuse, a personal perspective<br />

2.15- 2.30 Dr Nitin Raniga: Intraoral Pressures and Tongue Dynamics during Swallowing<br />

2.30-3.30 Dr Peter Miles : Bonding with discipline , Direct or Indirect?<br />

3.30-4.00 Tea break and trades<br />

4.00- 5.00 Dr Stephen Manning : Orthodontic management protocols for traumatised teeth, including<br />

“decoronation” and implant considerations for damaged laterals, what is an endodontists view point?<br />

5.00 -5.15 Tea break<br />

5.15 Special General Meeting:<br />

NZAO <strong>New</strong>sletter Volume 23 Number 1, March 2009


NZAO CLINICAL DAy- AUCKLAND<br />

NZAO CLINICAL MEETING<br />

17 th April 2009, NZDA House, Ellerslie, Auckland<br />

Registration Form<br />

PLEASE PRINT THIS FORM, complete and FAX TO 03 3482857<br />

Once completed this form becomes a tax invoice GST No. 49 542 739<br />

Surname:_______________________________________________<br />

First Name:______________________________________________<br />

Practice Address:_________________________________________<br />

_______________________________________________________<br />

_______________________________________________________<br />

Contact phone number:<br />

_______________________________________________________<br />

_______________________________________________________<br />

Email address:<br />

_______________________________________________________<br />

Payment details: $340.00 (Inc GST)<br />

Visa / Mastercard (please circle)<br />

Name on Card:__________________________________________<br />

Card Number:___________________________________________<br />

Exp date:_______________________________________________<br />

Signature:______________________________________________<br />

PLEASE PRINT THIS FORM, complete and FAX TO 03 3482857<br />

NZAO <strong>New</strong>sletter Volume 23 Number 1, March 2009


GENERAL NOTICES<br />

LOCuM ORTHODONTIST AVAILABLE<br />

Locum Orthodontist available at short notice. Experienced in a number <strong>of</strong> techniques and with<br />

different case loads, negotiable rates, good academic background.<br />

Contact David Healey on (03) 4546774 or davidandsuz@xtra.co.nz<br />

ORTHODONTIC/ DENTAL ASSISTANT AVAILABLE<br />

I am an orthodontic/ dental assistant wanting to immigrate from the UK, seeking employment.<br />

I qualified in South Africa, 10+ experience (7 years in orthodontics).<br />

I am an enthusiastic, hard working team player with good communication skills.<br />

Please contact me at nicoletterussell@gmail.com or on +44 2392 614 502.<br />

NZAO <strong>New</strong>sletter Volume 23 Number 1, March 2009


POSITION VACANT<br />

Orthodontist<br />

Coastal Orthodontics<br />

Gold Coast - Australia<br />

An associate position is available within our modern, high growth and<br />

progressive orthodontic practice on the southern end <strong>of</strong> the Gold Coast. We operate out <strong>of</strong> two locations<br />

at Tweed Heads (6 chairs) and Burleigh Waters (3 chairs) and are supported by an enthusiastic auxiliary<br />

team, including four dental hygienists.<br />

Our emphasis is on excellence in patient care and the successful applicant needs exceptional people<br />

management and communication skills and have a commitment and enthusiasm to quality patient care.<br />

The practice uses modern treatment edgewise mechanics and management systems.<br />

Salary and/or commission by negotiation.<br />

For a position within an dedicated orthodontic team please contact Dr. Stephen Herriott after hours on<br />

61 7 5513 1084 or email coastalortho@hotmail.com<br />

NZAO <strong>New</strong>sletter Volume 23 Number 1, March 2009


NZAO TRANSFER FORMULA<br />

The transfer formula was passed at the 1998 NZAO AGM and has been published in<br />

many newsletters since it has been updated here with 2009 amounts.<br />

At the 1998 Annual General meeting, members <strong>of</strong> the <strong>New</strong> <strong>Zealand</strong> <strong>Association</strong> <strong>of</strong> <strong>Orthodontists</strong><br />

passed the following formula as an appropriate method <strong>of</strong> calculation <strong>of</strong> the<br />

proportion <strong>of</strong> fee to charge transfers away from your practice during active treatment.<br />

Appliance placement 27% <strong>of</strong> treatment fee<br />

Active treatment 60% <strong>of</strong> treatment fee per month divided by a<br />

realistic estimation <strong>of</strong> the treatment time in months<br />

Appliance removal and retainers 13% <strong>of</strong> treatment fee<br />

As an example:<br />

Total treatment fee $6000. Patient is transferring after 14 months <strong>of</strong> treatment and the<br />

treatment is expected to take 24 months. Fee for treatment undertaken during the 14<br />

months would be:<br />

Appliance placement 27% <strong>of</strong> $6000 $1620<br />

Active treatment 60% <strong>of</strong> $6000 x14 divided by 24 $2100<br />

Total owing at transfer $3720<br />

The Fair Trading Act disallows the existence <strong>of</strong> a national fee scale. Therefore, the<br />

receiving orthodontist is not constrained by the original quote and the patient must<br />

renegotiate fees for the completion <strong>of</strong> treatment.<br />

NZAO <strong>New</strong>sletter Volume 23 Number 1, March 2009


<strong>New</strong> <strong>Zealand</strong><br />

<strong>Association</strong> <strong>of</strong><br />

<strong>Orthodontists</strong><br />

Education, Research<br />

& Development<br />

Group<br />

presents… SYMPOSIUM 2009<br />

QUALITY OF LIFE AND ORTHODONTICS:<br />

A Challenge to Traditional Concepts<br />

DATE<br />

Friday 2 October – Saturday 3 October 2009<br />

VENuE<br />

Duxton Hotel, 170 Wakefield Quay, Wellington<br />

PLuS<br />

Human Resources Course: Open to <strong>Orthodontists</strong><br />

and Practice Managers.<br />

Wednesday 30 Sept – Thursday 1 October 2009<br />

To coincide with The World <strong>of</strong><br />

Wearable Arts (WOW) week in<br />

Wellington<br />

www.world<strong>of</strong>wearableart.com<br />

Contact:<br />

Kieran O’Neill<br />

1 Herbert Street<br />

Invercargill 9810, <strong>New</strong> <strong>Zealand</strong><br />

Phone: 03 218 4799<br />

kierano@oneillortho.co.nz<br />

NZAO <strong>New</strong>sletter Volume 23 Number 1, March 2009


Freephone/fax: 0800 220 875 Email: info@arthurhall.co.nz<br />

ARTHUR HALL ORTHODONTICS<br />

Unique Interactive technology enables you to maintain<br />

precise control during each phase <strong>of</strong> treatment.<br />

PASSIVE<br />

Passive function is achieved with<br />

round nickel titanium wires which<br />

slide freely for efficient leveling and<br />

alignment.<br />

EXPRESSIVE<br />

Expressive function is where control<br />

is realised and free sliding is<br />

maintained. This is created with the<br />

light seating <strong>of</strong> a working wire into<br />

the base <strong>of</strong> the slot so programming<br />

may be expressed and rotations<br />

corrected.<br />

Arthur Hall<br />

ORTHODONTICS<br />

NEW ZEALAND Ltd<br />

ACTIVE<br />

Active function with full control is<br />

provided by the introduction <strong>of</strong> a<br />

full-sized wire, enabling full<br />

expression <strong>of</strong> the bracket’s torque<br />

and achievement <strong>of</strong> the desired<br />

result.<br />

NZAO <strong>New</strong>sletter Volume 23 Number 1, March 2009


HOW WOULD yOU TREAT THIS?<br />

19 year old male,<br />

10mm overbite, 7mm overjet, Crossbites on 17, 16, 15,<br />

retained roots 75, 85,<br />

retained 55, 54, 64,<br />

Unerupted 15, 14, 13, 23, 24, 25, 38, 43, 48,<br />

Possible ectopic 13,<br />

NB no teeth have been lost in the last 4 years.<br />

Is there enough for a positive diagnosis for a failure <strong>of</strong> eruption syndrome?<br />

Answers please to david.healey@stonebow.otago.ac.nz<br />

Case courtesy <strong>of</strong> Matt Barker.<br />

NZAO <strong>New</strong>sletter Volume 23 Number 1, March 2009


THE GASTRONOMy PAGE<br />

ARDBEG uIGEADAIL<br />

Bottled at cask strength. A marriage <strong>of</strong> Ardbeg from bourbon barrel and sherry butt which<br />

gives a sweet and smokey finish to this malt. ‘A smokey fruit pudding’. This is a big hitter.<br />

Uigeadail is the loch from which all Ardbeg water flows.<br />

• 54.2% alcohol<br />

• Cost: $150.00<br />

Adelphi Breath <strong>of</strong> Speyside 1991, 16year old<br />

My current favourite dram. From a “secret” distillery in Speyside. Deep amber in colour with<br />

the nose <strong>of</strong> chocolate oranges and a well caramelled palate. Very limited availability. Only 577<br />

bottles worldwide.<br />

• 60% alcohol.<br />

• Cost: $165.00<br />

Glenmorangie Signet<br />

Something very special here very rich and chocolatey. There’s a lot going on in the glass.<br />

To be sipped and savoured.<br />

• 46% alcohol<br />

• Cost: $305.00<br />

WHISky<br />

A departure from the usual wine selection for this issue. Last month I attended<br />

Dramfest 2009 at the Christchurch Convention Centre. A celebration <strong>of</strong> all<br />

things Whisky organised by Whisky Galore and The Whisky Guild. It was<br />

very well attended both by Distilleries and those who love their product. The<br />

event attracted some <strong>of</strong> the leading lights <strong>of</strong> the whisky world to come and talk<br />

about their industry. I attended 3 Whisky Masterclasses and learnt plenty about<br />

the history, tasting and appreciating the amber liquid. One problem I have<br />

encountered when introducing new whiskies to friends is their limited experience <strong>of</strong> what can appear to be a harsh<br />

uni-dimensional product, whereas nothing is further than the truth and whisky varies hugely from something akin<br />

to a light sauterne wine to the full phenolic medicinals <strong>of</strong> the Laphroaig distillery. Embarking on a voyage <strong>of</strong> whisky<br />

education can add an extra dimension to your after-dinner experience. These whiskies are available from Whisky<br />

Galore in Christchurch.<br />

NZAO <strong>New</strong>sletter Volume 23 Number 1, March 2009


CALENDAR OF EVENTS<br />

The list below includes NZAO events and also those <strong>of</strong> other <strong>Association</strong>s and Societies that have <strong>of</strong>ficially notified<br />

NZAO <strong>of</strong> conferences and meetings. For a far more comprehensive database <strong>of</strong> international orthodontic events visit<br />

the WFO website at www.wfo.org<br />

2009<br />

17-18 April<br />

24-25 April<br />

25-27 April<br />

• 1-5 May<br />

5-6 May<br />

• 6-11 May<br />

NZAO Clinical Day Plus AGM<br />

NZDA Building- Ellerslie Auckland<br />

www.orthodontists.org.nz<br />

British Orthodontic Society / Orthodontic Society <strong>of</strong> Ireland Joint Spring Meeting<br />

2009<br />

24-25 April 2009 Dublin Ireland<br />

www.bos.org.uk/meetings/springmeeting2009/<br />

15th Malaysian <strong>Association</strong> <strong>of</strong> <strong>Orthodontists</strong> Scientific Congress & Trade<br />

Exhibition<br />

Venue: Berjaya Times Square Hotel & Convention Centre, Kuala Lumpur<br />

Speakers:<br />

Dr Vittorio Cacciafesta (Italy)<br />

Labial & Lingual Self-Ligating Appliances<br />

Dr Colin Twelftree (Australia)<br />

Functional Applances, Extraction <strong>of</strong> 7s<br />

Dr Chris Chang (Taiwan)<br />

Orthodontic Implants<br />

Dr Jung Kook Kim (Korea)<br />

Microimplants<br />

Website: www.mao.org.my<br />

American <strong>Association</strong> <strong>of</strong> <strong>Orthodontists</strong> Convention<br />

109 th AAO Annual Session<br />

Boston Convention Center<br />

Boston, Massachusetts, USA<br />

www.aaomembers.org<br />

2009 ACLAPA Meeting in conjunction with the College <strong>of</strong> Surgeons Meeting<br />

Brisbane Convention and Exhibition Centre.<br />

The theme for the Meeting will be “Controversies in Cleft Management”.<br />

Contact [hughmccallum@bigpond.com<br />

31st Asia Pacific Dental Congress 6-11 May 2009 Hong Kong Convention and<br />

Exhibition Centre Hong Kong, China<br />

Emerging Trends and Practices <strong>of</strong> Dentistry– Managing the Next Wave<br />

www.apdc2009.org/<br />

NZAO <strong>New</strong>sletter Volume 23 Number 1, March 2009


• 3 June<br />

• 9-14 June<br />

• 6-8 August<br />

• 13 August<br />

31 August,<br />

1-2 September<br />

CALENDAR OF EVENTS<br />

13-16 September<br />

2-3 October<br />

Ormco Sybrondental Dr Jim Hilgers -Advanced Orthodontic Treatment Options<br />

Vector TAS and Insignia, Heritage Hotel Christchurch<br />

Contact mark.scanlan@sybrondental.com<br />

European Orthodontic Society<br />

85th Congress<br />

Helsinki, Finland<br />

www.eos2009.fi<br />

4th Bali Orthodontic Conference and Exhibition<br />

Discovery Kartika Plaza Hotel, Kuta, Bali<br />

www.ikorti-iao.org<br />

Ormco Sybrondental Dr David Burnie -<br />

Self Ligation – Rethinking how we practice Orthodontics<br />

Duxton Hotel, Auckland.<br />

Contact mark.scanlan@sybrondental.com<br />

SASO (South African Society <strong>of</strong> <strong>Orthodontists</strong>) Congress 2009<br />

Venue: Cape Town Convention Centre, Cape Town, South Africa<br />

Speaker(s): Dr David Sarver, Pr<strong>of</strong>essors Lionel Sadowsky and Brian Preston<br />

Contact details: SASO Website www.saso.co.za<br />

British Orthodontic Conference 2009 13-16 September 2009<br />

Edinburgh United Kingdom<br />

www.bos.org.uk/meetings/boc2009.htm<br />

ERDG meeting “Quality <strong>of</strong> life: A challenge to traditional concepts”<br />

Duxton Hotel, Wellington<br />

To coincide with The World <strong>of</strong> Wearable Arts (WOW) week in<br />

Wellington www.world<strong>of</strong>wearableart.com<br />

Contact: Kieran O’Neill 1 Herbert Street, Invercargill, 9810, <strong>New</strong> <strong>Zealand</strong><br />

Phone: 03 218 4799 kierano@oneillortho.co.nz<br />

NZAO <strong>New</strong>sletter Volume 23 Number 1, March 2009


2010<br />

CALENDAR OF EVENTS<br />

• 6-9 February<br />

7th International Orthodontic Congress and 4th Meeting <strong>of</strong> the World Federation <strong>of</strong><br />

<strong>Orthodontists</strong><br />

Sydney, Australia<br />

www.wfosydney.com<br />

NZAO <strong>New</strong>sletter Volume 23 Number 1, March 2009


COMMITTEES OF THE NZAO<br />

OFFICE BEARERS, COMMITTEES AND SUBCOMMITTEES <strong>of</strong> the NZAO 2008 - 2009<br />

(as stated in the NZAO newsletter)<br />

NZAO COMMITTEE<br />

STANDING COMMITTEES OF THE NZAO<br />

PRESIDENT Dr Peter Fowler<br />

PAST PRESIDENT Dr Winifred Harding<br />

VICE PRESIDENT Dr John Muir<br />

SECRETARY Dr Catherine Porter<br />

TREASURER Dr Matt Barker<br />

COUNCILLOR Dr Mark Johnson<br />

COUNCILLOR Dr Matt Williams<br />

EDITOR Dr David Healey<br />

ERDG: Kieran O'Neill (chair), Wayne Dalley, David Healey<br />

(Dental School Representative), Mark Pinkerton, Andrew Marriott,<br />

Peter Fowler<br />

Practice Accreditation Committee: Wayne Dalley (Facilitator),<br />

Phil Sanford, Mark Savage, Rachel Moore, Russell Lovatt,<br />

Mike Taylor, Robert Max, Mark Beresford, Peter Fowler, Ivan de<br />

Spa, Peter Barwick, Bob Stallworthy, Matt Williams, Andrew Lush,<br />

Andrew Marriott.<br />

SUBCOMMITTEES OF THE NZAO COMMITTEE<br />

ACC Subcommittee: Peter Gilbert (Chair), Judith Hey.<br />

Conference Subcommittee: Peter Fowler (Chair), Andrew Marriott.<br />

Continuing Orthodontic Education for Non-<strong>Orthodontists</strong>:<br />

Andrew Quick (Chair), Randal McAlister, Matt Williams.<br />

HPCAA: Wayne Dalley, Judith Hey.<br />

Webmaster: Phil Murfitt.<br />

Mentoring: Karen Brook (Chair), Winifred Harding, Matt Barker.<br />

Resources (pamphlets and articles): Mark Kum (Chair), Derek Barwood, Paul Crowther<br />

APC's and CPD (Continuing Pr<strong>of</strong>essional Development):<br />

Phil Sandford (Chair), Mark Savage, Andrew Quick, Wayne Dalley,<br />

Judith Hey.<br />

NZAO <strong>New</strong>sletter Volume 23 Number 1, March 2009

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