Don?t fool yourself concerning the academics/caseloads at OEC versus other programs. It's hard to evaluate even well established programs on criteria that you listed (ie, cleft lip/cleft palate, implant assisted ortho, orthagnathic cases, dealing with impactions, mounting cases with face bows and in CR, conducting research, etc ). You may be surprised how many/few orthognathic cases some residents actually will see through completion or how many cases are mounted, etc. Considering that the livelihood of OEC is on the line you can bet Lazzara is going to get his residents trained and board eligible by the time they finish their programs, barring accreditaion issues. He?s got pockets so deep that he could provide more than enough free ortho to get patients into these programs if it came down to it. Right now, OEC has the potential to control 40+ of about the 250 new orthodontic graduates every year. In a decade or two, Lazzara has the potential to own a large share of the ortho maket, more than Coast, Heartland, Western dental combined. OEC essentially has control of the faucet of new orthodontic graduates annually.