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390 F. Supp. 3d 892
E.D. Ill.
2019
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Background

  • Plaintiffs (International Congress of Oral Implantologists and U.S. Board of Implantology) allege defendants (Academy; American Board of Dental Specialties; American Board of Oral Implantology; and individual officers) conspired to block plaintiffs from obtaining recognition as an oral‑implantology specialty certifier and thereby preserved the defendant Board of Oral Implantology's monopoly.
  • Plaintiffs submitted an application to the American Board of Dental Specialties (ABDS) in early 2018; ABDS returned the filing fee and said applications were suspended pending an application-form update; revised form imposed timing and procedural limits that delayed consideration. Plaintiffs contend the return was a constructive denial and anticompetitive.
  • Plaintiffs allege defendants engaged in lobbying, litigation, public disparagement of plaintiffs’ credentials, used shared office space/overlapping leadership, and otherwise acted to maintain defendant board’s market position.
  • Plaintiffs define two relevant markets: (1) certifying dentists as oral implantology specialists and (2) related professional services tied to such certifications (CME, journals, conferences). Plaintiffs allege U.S. geographic market and no reasonable substitutes.
  • Procedurally: defendants moved to dismiss under Rule 12(b)(6). Court accepts factual allegations but requires plausibility under Iqbal/Twombly and analyzes ripeness, §1 and §2 Sherman Act claims, and an Illinois Uniform Deceptive Trade Practices Act (UDTPA) claim.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Ripeness Return of application and multi‑year delay constituted present harm; claim ripe. Returning the application was not a denial; claims speculative until final denial. Ripeness: claim is ripe — returning the application and delay constituted present harm.
§1 Sherman Act (conspiracy) Defendants formed a front ABDS and coordinated lobbying, statements, and procedural changes to block entry — parallel conduct and overlapping leadership show agreement. Entities were distinct; conduct was unilateral, protected lobbying/litigation, and insufficient circumstantial evidence of an agreement (Copperweld defense for affiliated actors). §1 dismissed — complaint fails to plausibly allege an agreement restraining trade; allegations show unilateral/independent actions, protected activity, or ordinary competitive conduct.
§2 Sherman Act (monopolization) AB Oral Implantology has monopoly power; defendants willfully maintained monopoly via ABDS approval power and exclusionary conduct causing anticompetitive injury. Plaintiffs can offer a competing certification; defendants lack means to control market output; statements and refusal to deal are lawful; no anticompetitive conduct alleged. §2 dismissed — plaintiffs fail to plausibly allege monopoly power in the properly defined product market or willful exclusionary conduct; derivative market claim also inadequate.
Illinois UDTPA (disparagement) Defendants made false/misleading factual statements disparaging plaintiffs (e.g., newsletters, comments to institute graduates). Statements were opinion/commercial speech; plaintiffs fail to plead particularized misrepresentations that occurred primarily and substantially in Illinois. UDTPA claim dismissed for failure to plead with Rule 9(b) particularity and failure to allege the statements occurred primarily and substantially in Illinois.

Key Cases Cited

  • Ashcroft v. Iqbal, 556 U.S. 662 (pleading standard; legal conclusions not accepted)
  • Bell Atlantic Corp. v. Twombly, 550 U.S. 544 (pleading standard for antitrust conspiracies)
  • Copperweld Corp. v. Indep. Tube Corp., 467 U.S. 752 (single‑entity/Copperweld doctrine bars §1 claim when unity of interest exists)
  • Am. Needle, Inc. v. Nat'l Football League, 560 U.S. 183 (distinguishing independent actors from single entity in §1 context)
  • United States v. Grinnell Corp., 384 U.S. 563 (elements of monopolization under §2)
  • Comcast Corp. v. Behrend, 569 U.S. 27 (private antitrust plaintiff must show antitrust injury and appropriate damages model)
  • E. R. R. Presidents Conference v. Noerr Motor Freight, 365 U.S. 127 (Noerr‑Pennington doctrine protecting petitioning activity)
  • Lawline v. Am. Bar Ass'n, 956 F.2d 1378 (trade‑association endorsements and limits on antitrust liability for evaluative certifications)
  • Schachar v. Am. Acad. of Ophthalmology, 870 F.2d 397 (association evaluations and antitrust restraint analysis)
  • Sanderson v. Culligan Int'l Co., 415 F.3d 620 (commercial speech and false statements not ordinarily antitrust violations)
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Case Details

Case Name: U.S. Bd. of Oral Implantology v. Am. Bd. of Dental Specialties
Court Name: District Court, E.D. Illinois
Date Published: May 30, 2019
Citations: 390 F. Supp. 3d 892; No. 18 CV 6520
Docket Number: No. 18 CV 6520
Court Abbreviation: E.D. Ill.
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