D AILY A T T H E A A O! ORTHO TRIBUNE The World’s Orthodontic Newspaper · U.S. Edition MONDAY, MAY 7, 2018 — Vol. 9, No. 3 www.dental-tribune.com SCENES FROM THE AAO Go fet a hands-on demonstration, check out alifner earrinfs and visit your favorite exhibitors. ” pafes 4 & 6 SLEEP AND YOUR PATIENTS HOW SECURE IS YOUR PRACTICE? The symptoms of sleep disordered breathinf and their connection to orthodontics. ” pafe 12 Tips on dealinf with data breaches, fines and ransomware that can brinf down your practice. ” pafe 14 A capital destination! By Fred Michmershuizen, Ortho Tribune Staff T he theme for AAO’s 2018 Annual Session is “A Capital Destination, A Monumental Experience,” and judging by the enthusiasm shown among attendees here at the Wal- ter E. Washington Convention Center in Washington, D.C, the event is living up to expectations. Orthodontic professionals have gathered from around the country and even from overseas to partake in an abundance of educational opportunities and to see the very latest products and technology. In the exhibit hall, many companies are launching new products or announc- ing updates to existing systems. Henry Schein Orthodontics (booth No. 1401) is introducing its proprietary SLX Clear Aligner System, a complete solution that incorporates Sagittal First/ Motion 3D technology. According to HSO’s lead clinical advisor, Dr. Dave Pa- ” See DESTINATION, page 3 These orthodontists traveled to Washington, D.C., all the way from Argentina to partake in the many offerings here at AAO’s 2018 Annual Session. From left: Elsa Czerczuk, Alejandra Fauve, Roxana Baciliev and Monica Diaz. Photo/Fred Michmershuizen, Ortho Tribune Staff Orthodontic professionals attend a presentation by Dr. Lou Chmura on Sunday morning at OrthoFi (booth No. 941), one of many companies offering educational opportunities in the exhibit hall. Photo/Courtesy of OrthoFi So much to learn in D.C. By Fred Michmershuizen, Ortho Tribune Staff Here at AAO’s 2018 Annual Session, there are plenty of educational oppor- tunities. By offering a wide range of sci- entific lectures featuring many of the specialty’s most distinguished speakers, meeting organizers have put together a program that is sure to be of benefit to any orthodontic professional. Topics in the lecture halls include facial esthetics, early treatment, sleep apnea, aligner therapy, accelerated tooth move- ment, biomaterials, lingual appliances, craniofacial morphology and retention. Classrooms are not the only place where meeting attendees can learn. Many companies, including Ormco (booth No. 1017), Henry Schein Orthodontics (booth No. 1401) and many others are offering lectures by thought leaders all during the meeting in the exhibit hall.
4 S C R A PB O OK Ortho Tribune U.S. Edition | May 7, 2018 Scenes from Sunday The gang at American Orthodontists (booth No. 1319). From left: Brenda Page, Alisa Kemmerer and Mark James of G&H Orthodontics (booth No. 1521). Art Micheli of iCat (booth No. 1221). The team members at Cloud 9 ortho (booth No. 2533) have plenty to smile about. Erica McKinny of Specialty Appliances (booth No. 511) shows off some earrings made of clear aligners. Photographs courtesy of the companies depicted Carlos Nunez, left, of Invisalign iTero (booth No. 501) offers hands-on instruction to a meeting attendee during a one-on-one presentation. Michael Liebrock, left, and Tom Fraser of Rocky Mountain Orthodontics (booth No. 733).
6 S C R A PB O OK Ortho Tribune U.S. Edition | May 7, 2018 From left: Luke Lumpkin, Mike Mattscheck, Joanne Padula and Bryan Epstein of OrthoAccel Technologies (booth No. 1033). Sourena Ghandehari, left, and Steve Bigelow of Dentaurum USA (booth No. 411). Orthodontic professionals visit the AAO exhibit hall Sunday morning. Dr. Neil Warshawsky and Dr. Adam Schulhof at the 3M booth, No. 419. During the weekend, both doctors presented on ‘A New Addition to the Clarity Esthetic Portfolio, Providing Doctors Control, Choice and Flexibility’ at the Leaning Lab inside the 3M booth. Warshawsky is the founder and owner of Get It Straight Orthodontics, a leading-edge orthodontic practice in the Chicago area, while Schulhof is a board-certified orthodontic specialist who runs a state-of-the-art private practice, The Schulhof Center, with locations in New Jersey and New York. AD
10 PRODUC T S C R A PB O OK Ortho Tribune U.S. Edition | May 7, 2018 AAO product scrapbook Here is a look at some of the products you’ll want to check out in the exhibit hall OrthoEssentials pliers OrthoEssentials manufactures its own pliers in New Jersey. Highly manufactured anti-corrosive tips made from FMC-125V with box-joint construction. Lifetime warranty on the forgings. OrthoEssentials, booth No. 510 Photos/Provided by Alifn Technolofy iTero Element 2 and iTero Element Flex Align Technology introduced two new iTero Element® scanners here at the 118th American Association of Orthodontists Annual Session, booth No. 501. The expansion of the iTero Element scanner portfolio builds on the existing high-precision, full-color imaging and fast scan times of the current iTero Element scanner. The iTero Element 2 scanner (above right) is equipped with next-generation computing power that enables 2X faster start-ups and 25 percent faster scan processing time, as compared to the current iTero Element. The iTero Element 2 provides improved screen resolution while minimizing scanner footprint because of its slim 21.5-inch monitor and 16:9 widescreen viewing format. The integrated lithium-ion battery provides easy mobility from operatory to operatory without the need to plug in for power or reboot. The iTero Element Flex (above left) wand-only configuration is a portable scanner for easy transport from office to office, allowing doctors to leverage the power of chairside visualization coupled with iTero scanning precision in any location. It’s perfect for practices with multiple locations who need a scanner that is convenient and easy to transport. Working seamlessly with compatible laptops, practitioners can now scan anywhere, even in the smallest of operatories. The iTero Element Flex includes a convenient, custom-designed carrying case. Align Technology, booth No. 501 Breeze OrthoBanc’s new point-of-sale solution, PayWithBreeze, is a simple interface that is focused on the features you use every day. OrthoBanc offers a range of Ingenico terminals at affordable prices, all certified to be Payment Card Industry (PCI) compliant. PayWithBreeze is now integrated with Dolphin Management. OrthoBanc, booth No. 2015 Photo/Provided by Honeysuckle Creations Photo/Provided by OrthoEssentials Tooth Fairy Socks Limited-edition, embroidered, Peruvian pima cotton socks in mid-calf style. Both men’s and women’s sizes. Finely crafted to make your feet smile! Honeysuckle Creations, booth No. 1510 Photo/Provided by OrthoBanc
12 E X H I BI TOR S Ortho Tribune U.S. Edition | May 7, 2018 Understanding the symptoms of sleep disordered breathing and the connection to orthodontics By Ortho-Tain Staff What is Open Airway Orthodontics™ and how does it impact Phase 1 Plus™ Treatment? The connection between orthodontic conditions, habits and sleep disordered breathing (SDB) is well estab- lished, but most doctors have not been formally educated on the subject. SDB and airway health are closely related to a child’s overall systemic health. Understanding the orthodontic condi- tions and how these conditions translate into sleep disordered breathing issues is essential. • Mandibular retrusion: Increases ver- tical facial growth, lowers tongue and narrows palate. • Mandibular vertical growth: Lowers tongue and narrows palate, encourages mouth breathing. • Nighttime mouth breathing: Allows tongue to close oropharynx and to nar- row upper arch, restricts nasal airway, lowers oxygenation or blood. • Daytime mouth breathing: Intensi- fies habits, allows tongue to close oro- pharynx and to narrow upper arch, re- stricts nasal airway, lowers oxygenation or blood. • Overjet: Influences position of man- dible and oropharyngeal restriction by tongue. • Overbite: Tends to restrict forward movement of mandible and tongue. • TMJ: Posterior-superior displacement — superior displacement increases re- truded tongue position and obstruction of oropharynx. TMD has less growth of mandible and face, increases oropha- ryngeal restriction. • Crowding: Crowded teeth have narrow- er arches and can restrict nasal airflow. • Eruption Guidance®: Encourages up- per anterior and posterior arch widths, increasing the width by 5 mm and 4 mm (upper and lower). • Bruxism: Related to active leg move- ment in abnormal sleep, justifies to cor- rect sleep problems to correct harmful grinding. • Cross-Bite: Functional cross-bite has a narrow palate and decreases normal nasal airflow. • Lingually inclined upper incisors: Re- stricts mandibular forward growth and increases oropharyngeal constriction. • Thumb sucking: Causes narrow palate and restricts nasal airflow. Also restricts natural mandibular advancement. The HealthyStart sleep questionnaire. Photo/Provided by Ortho-Tain • Abnormal swallowing: Narrows pal- ate. • Abnormal tongue position: Narrows palate and encourages mouth breathing. • Open-bite: Encourages abnormal swal- lowing and abnormal tongue position. • Mid-face retrognathism: Discourages nasal breathing. • Speech problems: Lisp indicative of improper tongue function and often has open-bite with narrow palate. • Snoring: Indicative of mandibular re- trusion and nighttime mouth breathing. • Class ll molar relation: Has mandible in retruded position. • Prolonged nipple bottle and pacifier Here in Washington, D.C. For more information on HealthyStart, stop by the Ortho-Tain booth, No. 3111, or go online to Open AirwayOrthodontics.com or Thehealthystart.com. use: Encourages oral habits to narrow the palate and abnormal swallowing. • Posterior lateral tongue thrust: Deep- ens bite with retrusive mandible. HealthyStart® treatment provides Open Airway Orthodontics by identify- ing airway issues, addressing improper growth and development and treating orthodontic conditions associated with sleep difficulties. Treatment protocol in- cludes a series of usually no more than three removable appliances generally worn at night, which gently expand the arches, eliminate habits, open the air- way, align the teeth and correct maloc- clusions. Sleep questionnaires are avail- able to further evaluate the patient’s outward symptoms of sleep disordered breathing. Stop by the HealthyStart/Ortho-Tain® booth, No. 311, for further information and to participate in presentations given on the Ultimate Phase 1 Plus treatment. Take advantage of HealthyStart’s event special, which includes two complimen- tary treatment systems.
14 E X H I BI TOR S Ortho Tribune U.S. Edition | May 7, 2018 Data breach! Ransomware! And fines! The crucial need for secure communication By /r. Mark Sanchez, founder/chief developer of topsOrtho Here in Washington, D.C. To learn more about topsOrtho, stop by the booth, No. 1933. Communication is one of the most im- portant aspects of an orthodontic prac- tice. It’s absolutely mandatory for effi- cient dialogue, time management and organizing infrastructure. Communica- tion relays vital information, scheduling resolution and offers a dialogue between team members that can keep a practice running smoothly. One of the first communication mech- anisms was the postal service. This ex- panded to the telegraph and eventually the telephone. Then we saw the intro- duction of faxes and emails, followed by texts and instant messaging. As business communication evolved, there was a need for both security and a standard for all. The Health Insurance Por- tability and Accountability Act — HIPAA — is a set of regulations that became law AD in 1996. Its purpose is to help people carry health insurance from one company to the next, as well as streamline the move- ment of medical records from one health- care institution to another. In addition, HIPAA created a system to recognize and enforce the rights of patients to protect the privacy of their medical records. HIPAA was constructed in the early 1990s when it first became apparent that the medical-care industry would be- come more efficient by computerizing medical records. Plus, the health-care in- dustry needed new standards regarding the management of crucial data. Compa- nies that deal with protected health in- formation must have physical, network and process security measures in place and follow them to ensure compliance. Digital technology revolutionized our profession. The ability to instantly share records, charts, images and messaging has transformed it. The act of exchang- ing information between a practice and its patients as well as between practice staff must be HIPAA-compliant. Emails and text messaging can be subject to data compromise. With the possibility of fines, a data breach that violates HIPAA compliance can be financially devastating. Secure communication should be a high prior- ity for every orthodontic practice. When we were developing tops- Express™ for topsOrtho™ practice man- agement software, we wanted to create the ultimate digital communication service, fully capable of every commu- nication need. topsExpress contains sophisticated, built-in SMS appoint- ment reminders and secure, encrypted, HIPAA-compliant email. It incorporates direct, one-to-one SMS messaging that originates from the primary practice telephone number, not from staff’s per- sonal cell phones. One final thought about secure com- munication is the challenges of a ran- somware attack. The city of Atlanta was hit by ransomware with the city’s gov- ernment services and internal commu- nication data locked away. The bad ac- tors taking the info hostage demanded a ransom of $51,000. Opening an email and clicking on an unknown link can trigger ransomware. Some ransomware comes from what appears to be a compa- ny you work with, such as a bank. When you are asked for a password or credit card, that is likely “phishing.” Don’t open it! Call and confirm or go directly to the company’s website and search for the de- partment reaching out to you. We hope this information conveys the importance of secure communication and helps your practice avoid any data breach.