Abstract
AN increasing number of prepaid dental programs now include orthodontic treatment of all types of malocclusion. The increase is evident despite the reluctance of those who conduct prepaid programs to include orthodontic care in their coverage because they feel that there is a lack of actuarial guidance on this service. Since it is concerned with the maintenance of the highest standards of orthodontic health service, the American Association of Orthodontists instructed its Council on Orthodontic Health Service to establish a definition and criteria on which a weighted index could be constructed for an objective epidemiologic study of handicapping malocclusion and handicapping dentofacial deformity as a prerequisite for determining manpower needs to meet the demands for service at present and in the immediate future. The following letter was sent on Nov. 15, 1965, by the chairman of the Council to the A. A. 0. Board of Directors, teachers of orthodontics on dental faculty staffs, and public health personnel:
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