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Alas Presentation of an essay in Boston at the 109th International meeting of the American Association of Orthodontists was not meant to be. But the groundwork for presentation of an essay in Washington, DC has been established.
Instead of an essay I will present an 15 minutes Oral Research paper on Orthodontic Jaw Wiring if my application is selected for presentation. Read the application title and abstract below.
Ted
Rothstein, DDS, PhD
Brooklyn, NY
Oral research (If rejected only a Table Clinic)
No financial interest
Safety effectiveness problems and benefits of Orthodontic Jaw Wiring for weight control: a new service
We are the caretakers of the mouth and empowered with skills and mechano-therapy to provide services to the overweight. It is our obligation and responsibility as part of a health-care team to provide our expertise to the overweight heading towards obesity and those who have reached that state. Would-be Jaw Wiring providers are responsible for the maintenance of the health of the TMJ, dentition and gingiva during the time the patient is wired, but not responsible for the patient’s weight loss. If members of our profession step forward and recognize their right and responsibility to care for selected patients who meet the criteria of being overweight or obese, (based on the diagnosis of the patient’s physician), the leaders of the AAO and ADA will be obliged to clearly define the dental professional’s role in providing this service, just as they did when problems of snoring and sleep apnea first came to the attention of dental professionals.
IMAGES
Fig 1b. Right photograph: Jaws are methodically wired apart (not obvious in this photo) to allow 2.5-3-5mm or more of mandibular movement in all excursions.
[Entire Directory for Orthodontic Jaw wiring]
OJW Side View: Note teeth are apart
OJW: Front View
Case example: August 8, 2007, the case of MM: BMI 36; attended by an adult thumb sucking habit of 33 years. Note: Both right and left sides are wire to create an equally balanced feeling. When a patient is wired correctly the upper and lower teeth do not touch. This position is named Rothstein’s OJW position of physiologic rest. Here I have used .012” dead-soft stainless steel wire to suspend the lower jaw from the upper jaw allowing the lower jaw to move 2.0. 3.5 mm in all directions (extendable to 4.0 mm for patient comfort on demand). Note also the use of clear attachments on the upper canines for cosmetic enhancement.