Howard sat down in Kofu, Yamanashi, Japan with orthodontist Dr. Miho Imamura DDS, PhD who learned to speak English in Iowa where she traveled to and from Des Moines from 1985 to 2010 to study American dentistry and CWF - Community Water Fluoridation. Currently the only two cites in Japan that use CWF are Niigata and Kyoto.
 
Dr. Miho Imamura teaches orthodontics in Tokyo 10 times per year to both orthodontist and general dentists. She says the orthodontists don't like it when she teaches general dentists orthodontics but she says general dentists need to know and understand orthodontics.
 
Dr. Miho Imamura teaches myofunctional therapy four times per year in Tokyo to both orthodontists and general dentists. Her mentor in myofunctional was Bill Zickefoose in Iowa who passed away in 2015. Her other mentor is Dr Toshihide Ohno in Yokohama, Japan which is a suburb of Tokyo.
 
Dr. Miho Imamura DDS, PhD has a teaching institute named MIHO which is her name and is used as an acronym: Motivated International Health Organization.
 
www.mihokyoseishika.net