Filed pursuant to Rule 424(b)(5)
                                                      Registration No. 333-67054


                             FIRST SUPPLEMENT TO THE
                        PROSPECTUS DATED OCTOBER 26, 2001

                     [ORTHODONTIC CENTERS OF AMERICA LOGO]

                             SHARES OF COMMON STOCK

                                   ----------


         This supplement to our prospectus dated October 26, 2001 supplements
some of the information contained in that prospectus.

         The information in this supplement supersedes any inconsistent
information contained in the prospectus. Each investor should study carefully
the information in the entire prospectus and this supplement in evaluating the
merits of an investment in our common stock or participation in the incentive
programs.

                                   ----------

         BEFORE INVESTING IN SHARES OF OUR COMMON STOCK, YOU SHOULD CAREFULLY
CONSIDER THE RISK FACTORS DESCRIBED IN THE SECTION OF THE PROSPECTUS CAPTIONED
"RISK FACTORS," WHICH BEGINS ON PAGE 6 OF THE PROSPECTUS.

         NEITHER THE SECURITIES AND EXCHANGE COMMISSION NOR ANY STATE SECURITIES
COMMISSION HAS APPROVED OR DISAPPROVED THE SECURITIES TO BE ISSUED UNDER THIS
PROSPECTUS OR DETERMINED IF THIS PROSPECTUS IS ACCURATE OR ADEQUATE. ANY
REPRESENTATION TO THE CONTRARY IS A CRIMINAL OFFENSE.

         THIS PROSPECTUS IS NOT AN OFFER TO SELL OR A SOLICITATION OF AN OFFER
TO PURCHASE ANY SECURITIES OTHER THAN SHARES OF OUR COMMON STOCK TO WHICH IT
RELATES OR AN OFFER TO ANY PERSON IN ANY JURISDICTION WHERE SUCH OFFER OR
SOLICITATION IS NOT AUTHORIZED OR IN WHICH THE PERSON MAKING SUCH OFFER IS NOT
QUALIFIED TO DO SO OR TO ANY PERSON TO WHOM IT IS UNLAWFUL TO MAKE SUCH AN
OFFER.



              The date of this First Supplement is August 26, 2002.






                       AMENDMENT TO TARGET STOCK PROGRAM,
                   ORTHALLIANCE STOCKHOLDER VALUE PROGRAM AND
                               STOCK POOL PROGRAM

Target Stock Program

         We have amended our Target Stock Program to provide that, if, by
October 1, 2002, a participant in the Target Stock Program executes and
delivers, along with his or her professional corporation, either (1) an
additional amendment to the participant's employment agreement and an additional
amendment to the participant's service, management service or consulting
agreement with OrthAlliance, Inc. or its subsidiary, with each additional
amendment to be in the form and substance specified by us, or (2) a new business
services agreement with OrthAlliance based on our general form of that
agreement, then the dates on which shares of our common stock may be issued to
that participant under the Target Stock Program would be accelerated by one
year.

         Accordingly, the shares would be issued to the participant under the
Target Stock Program following each of the fourth, fifth, sixth and seventh
anniversaries of the effective date of our merger with OrthAlliance, Inc. on
November 9, 2001, rather than the fifth, sixth, seventh and eighth anniversaries
of the merger, if certain conditions are met and satisfied.

         A copy of the amendment to our Target Stock Program is attached as
Annex A.

OrthAlliance Stockholder Value Program

         We have also amended our OrthAlliance Stockholder Value Program to
provide for two changes. If, by October 1, 2002, a participant in the
OrthAlliance Stockholder Value Program executes and delivers, along with his or
her professional corporation, either (1) the additional amendment to the
participant's employment agreement and the additional amendment to the
participant's service, management service or consulting agreement with
OrthAlliance or its subsidiary (as discussed above), with each additional
amendment to be in the form and substance specified by us, or (2) a new business
services agreement with OrthAlliance based on our general form of that
agreement, then:

         o        The dates on which shares of our common stock may be issued to
                  the participant under the OrthAlliance Stockholder Value
                  Program would be accelerated by one year. Accordingly, the
                  shares would be issued to the participant under the
                  OrthAlliance Stockholder Value Program following each of the
                  first, second, third and fourth anniversaries of the effective
                  date of our merger with OrthAlliance on November 9, 2001,
                  rather than the second, third, fourth and fifth anniversaries
                  of the merger, if certain conditions are met and satisfied;
                  and

         o        The participant may, during the 30 calendar days ending on and
                  including the first anniversary of the effective date of our
                  merger with OrthAlliance, elect to receive a promissory note
                  in lieu of all shares of our common stock that the participant
                  may otherwise be issued under the OrthAlliance Stockholder
                  Value Program.

         A copy of the amendment to our OrthAlliance Stockholder Value Program
is attached as Annex B.

Stock Pool Program

         We have also amended our Stock Pool Program to provide that if, by
October 1, 2002, a participant in the Stock Pool Program executes and delivers,
along with his or her professional corporation, either (1) the additional
amendment to the participant's employment agreement and the additional amendment
to the participant's service, management service or consulting agreement



                                       2



with OrthAlliance or its subsidiary (as discussed above), with each additional
amendment to be in the form and substance specified by us, or (2) a new business
services agreement with OrthAlliance based on our general form of that
agreement, then the participant may, during the 30 calendar days ending on and
including the first anniversary of the effective date of our merger with
OrthAlliance on November 9, 2001, elect to receive a promissory note in lieu of
all shares of our common stock that the participant may otherwise be issued
under the OrthAlliance Stock Pool Program.

    A copy of the amendment to our Stock Pool Program is attached as Annex C.



                                       3




                                                                         ANNEX A

                                  AMENDMENT TO
                      ORTHODONTIC CENTERS OF AMERICA, INC.
                              TARGET STOCK PROGRAM

                                    PREAMBLE

         WHEREAS, on November 9, 2001, a subsidiary of Orthodontic Centers of
America, Inc., a Delaware corporation ("OCA"), merged with and into
OrthAlliance, Inc., a Delaware corporation ("OrthAlliance"), and OrthAlliance
thereby became a wholly-owned subsidiary of OCA (the "Merger");

         WHEREAS, OCA established the Orthodontic Centers of America, Inc.
Target Stock Program (the "Program") through which OCA may grant shares of its
common stock, $.01 par value per share ("OCA Common Stock"), to certain eligible
individuals (each such eligible individual, a "Participant") who are
OrthAlliance Affiliated Practitioners and who timely executed and delivered an
Amendment to OrthAlliance Service/Consulting Agreement and Amendment to
Employment Agreement and/or OCA Business Services Agreement, subject to the
terms described therein;

         WHEREAS, all capitalized terms not defined herein shall have the
meaning ascribed to such terms in the Program; and

         WHEREAS, OCA desires to amend the terms of the Program as set forth
herein (the "Amendment");

         NOW, THEREFORE, OCA hereby amends the Program as follows:

         1. Amendment to Timing and Conditions of Grants. Section 2.5 of the
Program is hereby amended by inserting the following text following subsection
(b) thereof:

                  "(c) With respect to each Participant who, along with his or
         her respective OrthAlliance Affiliated PC, executes and delivers to OCA
         by October 1, 2002 his or her respective Additional Amendments (as
         defined below) or Business Services Agreement (as defined below), the
         following shall apply, and the provisions of Subsections 2.5(a) and (b)
         shall not apply:

                           (i) One-fourth of the total number of shares of OCA
                  Common Stock (rounded to the nearest whole number) to be
                  issued to such Participant under the Program will be issued to
                  such Participant following each of the fourth, fifth, sixth
                  and seventh anniversaries of the effective date of the Merger
                  if, subject to all of the other conditions set forth in the
                  Program, the 90% Minimum Target (as defined in Subsection
                  2.5(a)) is achieved by such Participant and/or his or her
                  OrthAlliance Affiliated PC during and with respect to the 12
                  calendar months immediately preceding that particular
                  anniversary;

                           (ii) However, if the 90% Minimum Target is not
                  achieved by such Participant and/or his or her OrthAlliance
                  Affiliated PC in the 12 calendar month period immediately
                  preceding the fourth, fifth or sixth anniversary of the
                  effective date of the Merger (each, an "Amended Earlier
                  Period"), but is achieved during the 12 calendar month period
                  immediately preceding the fifth, sixth or seventh, as
                  applicable, anniversary of the effective date of the Merger
                  (each, an "Amended Later Period"), then, subject to all of the
                  other conditions set forth in the Program, the installment of
                  shares of OCA Common Stock issuable with respect to such
                  Amended Earlier Period will be issued following such Amended
                  Later Period.



                                      A-1




                           (iii) "Additional Amendments" means (1) a written
                  amendment to the OrthAlliance Affiliated Practitioner's
                  respective Employment Agreement, in form and substance
                  specified by and satisfactory to OCA and its counsel, which
                  amendment shall be in full force and effect, and (2) a written
                  amendment to the OrthAlliance Affiliated Practitioner's and/or
                  his or her OrthAlliance Affiliated PC's applicable
                  OrthAlliance Service/Consulting Agreement, in form and
                  substance specified by and satisfactory to OCA and its
                  counsel, which amendment shall be in full force and effect.

                           (iv) "Business Services Agreement" means a written
                  long-term business services agreement among the OrthAlliance
                  Affiliated Practitioner, his or her respective OrthAlliance
                  Affiliated PC and OrthAlliance (or other subsidiary of OCA),
                  in form and substance specified by and satisfactory to OCA and
                  its counsel and based on OCA's form of such agreement
                  (including, without limitation, the service fee, restrictive
                  covenant and termination provisions thereof), which agreement
                  shall be in full force and effect, and pursuant to which OCA,
                  OrthAlliance or other subsidiary of OCA would provide business
                  management or consulting services for such OrthAlliance
                  Affiliated Practitioner's and OrthAlliance Affiliated PC's
                  orthodontic or pediatric dental practice in exchange for a
                  monthly consulting or service fee."

         2. No Other Changes. Except as set forth in this Amendment, the terms
and conditions of the Program shall remain in place and shall not be altered or
amended, except by any further amendment to the Program made in accordance with
the terms of Program.

         3. Rules of Construction. Headings are given to the sections of this
Amendment solely as a convenience to facilitate reference. The masculine gender
when used herein refers to both masculine and feminine. The reference to any
statute, regulation or other provision of law shall be construed to refer to any
amendment to or successor of such provision of law.

         4. Governing Law. The internal laws of the State of Louisiana (without
regard to the choice of law provisions of Louisiana) shall apply to all matters
arising under this Amendment, to the extent that federal law does not apply.



                                      A-2





         IN WITNESS WHEREOF, the undersigned officer has executed this document
effective as of August 26, 2002.

                                    ORTHODONTIC CENTERS OF AMERICA, INC.



                                    By: /s/ Bartholomew F. Palmisano, Sr.
                                        ----------------------------------------
                                        Bartholomew F. Palmisano, Sr.
                                        Chairman of the Board, President
                                           and Chief Executive Officer



                                      A-3




                                                                         ANNEX B

                                  AMENDMENT TO
                      ORTHODONTIC CENTERS OF AMERICA, INC.
                     ORTHALLIANCE STOCKHOLDER VALUE PROGRAM

                                    PREAMBLE

         WHEREAS, on November 9, 2001, a subsidiary of Orthodontic Centers of
America, Inc., a Delaware corporation ("OCA"), merged with and into
OrthAlliance, Inc., a Delaware corporation ("OrthAlliance"), and OrthAlliance
thereby became a wholly-owned subsidiary of OCA (the "Merger");

         WHEREAS, OCA established the Orthodontic Centers of America, Inc.
OrthAlliance Stockholder Value Program (the "Program") through which OCA may
grant shares of its common stock, $.01 par value per share ("OCA Common Stock"),
to certain eligible individuals (each such eligible individual, a "Participant")
who are OrthAlliance Stock Recipients and who (i) executed and delivered an
Addendum to OrthAlliance Service/Consulting Agreement by no later than December
31, 2001, or (ii) executed and delivered the Amendments and/or an OCA Business
Services Agreement by September 30, 2001, subject in each case to the terms
described therein;

         WHEREAS, all capitalized terms not defined herein shall have the
meaning ascribed to such terms in the Program; and

         WHEREAS, OCA desires to amend the terms of the Program as set forth
herein (the "Amendment");

         NOW, THEREFORE, OCA hereby amends the Program as follows:

         1. Amendment to Timing and Conditions of Grants. Section 2.2 of the
Program is hereby amended by inserting the following text following subsection
(d) thereof:

                  "(e) With respect to each Participant who, along with his or
         her respective PC, executes and delivers to OCA by October 1, 2002 his
         or her respective Additional Amendments (as defined below) or Business
         Services Agreement (as defined below), the following provisions shall
         apply and the provisions in the first paragraph of Section 2.2 (that
         is, the prefatory language in such section) and Subsection 2.2(a) of
         the Program shall not apply:

                           (i) The shares of OCA Common Stock awarded under the
                  Program shall be issuable to such Participant in four annual
                  installments, as follows. For each such Participant,
                  one-fourth of the total number of shares of OCA Common Stock
                  (rounded to the nearest whole number) to be issued to such
                  Participant under the Program will be issued to such
                  Participant following each of the first, second, third and
                  fourth anniversaries of the effective date of the Merger if,
                  subject to all of the other conditions set forth in the
                  Program, the 90% Minimum Target (as defined in Subsection
                  2.2(a)) is achieved by such Participant and/or his or her
                  OrthAlliance Affiliated PC; however, if the 90% Minimum Target
                  is not achieved in the 12 calendar month period immediately
                  preceding the first, second or third anniversary of the
                  effective date of the Merger (each, an "Amended Earlier
                  Period") but is achieved during the 12 calendar month period
                  immediately preceding the second, third or fourth, as
                  applicable, anniversary of the effective date of the Merger
                  (each, an "Amended Later Period"), then, subject to all of the
                  other conditions set forth in



                                      B-1



                  the Program, the installment of shares of OCA Common Stock
                  issuable with respect to such Amended Earlier Period will be
                  issued following such Amended Later Period.

                           (ii) "Additional Amendments" means (1) a written
                  amendment to the OrthAlliance Affiliated Practitioner's
                  respective Employment Agreement, in form and substance
                  specified by and satisfactory to OCA and its counsel, which
                  amendment shall be in full force and effect, and (2) a written
                  amendment to the OrthAlliance Affiliated Practitioner's and/or
                  his or her OrthAlliance Affiliated PC's applicable
                  OrthAlliance Service/Consulting Agreement, in form and
                  substance specified by and satisfactory to OCA and its
                  counsel, which amendment shall be in full force and effect.

                           (iii) "Business Services Agreement" means a written
                  long-term business services agreement among the OrthAlliance
                  Affiliated Practitioner, his or her respective OrthAlliance
                  Affiliated PC and OrthAlliance (or other subsidiary of OCA),
                  in form and substance specified by and satisfactory to OCA and
                  its counsel and based on OCA's form of such agreement
                  (including, without limitation, the service fee, restrictive
                  covenant and termination provisions thereof), which agreement
                  shall be in full force and effect, and pursuant to which OCA,
                  OrthAlliance or other subsidiary of OCA would provide business
                  management or consulting services for such OrthAlliance
                  Affiliated Practitioner's and OrthAlliance Affiliated PC's
                  orthodontic or pediatric dental practice in exchange for a
                  monthly consulting or service fee."

         2. Amendment to Provide for Participant's Election to Receive
Promissory Note in Lieu of Shares. Article II of the Program is amended by
inserting the following text following Section 2.3 thereof:

         "2.4 Certain Participants May Elect to Receive Promissory Note in Lieu
of Shares.

                  (a) Promissory Note. With respect to each Participant who,
         along with his or her respective OrthAlliance Affiliated PC, (1)
         executes and delivers to OCA by October 1, 2002 his or her respective
         Additional Amendments (as defined above) or Business Services Agreement
         (as defined above) and (2) meets and satisfies all of the other
         conditions set forth in the Program, such Participant may make a
         one-time, permanent election (as provided below) during the 30 calendar
         days ending on and including the first anniversary of the effective
         date of the Merger as to all shares of OCA Common Stock that the
         Participant may be issued under the Program, to receive, in lieu and
         full substitution of any and all shares of OCA Common Stock that would
         otherwise be issued to such Participant pursuant to Sections 2.1 and
         2.2 of the Program, a non-transferable, non-negotiable promissory note
         from OCA or a subsidiary thereof selected by OCA in the form and
         substance specified by and satisfactory to OCA and its counsel
         ("Promissory Note"), in an original principal amount equal to the
         product of:

                           (x)      the Applicable Stock Price (as defined
                                    below),

                           TIMES

                           (y)      the total, maximum number of shares of OCA
                                    Common Stock that would otherwise be issued
                                    to such Participant pursuant to Section 2.1
                                    of the Program (notwithstanding the vesting
                                    conditions set forth in Section 2.2).



                                       B-2






         For purposes of the Program:

                  o   Applicable Stock Price" means: (A) the sum of (x) $1.00,
                      plus (y) the greater of $26.00 or the 10-Day Average
                      Closing Price, for each Participant who executes and
                      delivers to OCA his or her Additional Amendments or
                      Business Services Agreement, by no later than 5:00 p.m.
                      (Central Time) on October 1, 2002, and (B) the greater of
                      $26.00 or the 10-Day Average Closing Price, for each of
                      the other Participants.

                  o   "10-Day Average Closing Price" means the average closing
                      price per share of OCA Common Stock reported on the New
                      York Stock Exchange during the 10 trading day period
                      immediately following the date on which the Participant
                      executes and delivers to OCA his or her Additional
                      Amendments or Business Services Agreement.

                  (b) Other Terms of Promissory Note. Principal amounts owing
         under the Promissory Note will bear interest from the first anniversary
         of the effective date of the Merger (except as provided in Subsection
         2.4(d) hereof) at a rate equal to the prime rate on the first
         anniversary date of the Merger (as reported in the Wall Street Journal
         or comparable reporting service selected by OCA) plus 1.5% per annum.
         OCA may prepay all or part of the amounts owing under the Promissory
         Note at any time in its discretion without penalty. The Promissory Note
         will be non-transferable and non-negotiable.

                  (c) Election. A Participant may make such election to receive
         a Promissory Note in lieu of all shares of OCA Common Stock to be
         issued to such Participant under the Program only by giving written
         notice of such election to the Chief Executive Officer of OCA during
         the 30 calendar days ending on and including the first anniversary of
         the effective date of the Merger. Once such an election has been made,
         it may not be withdrawn, and such an election may not be made before or
         following such 30-day period, and may not be made during the 30 days
         ending on any other anniversary of the effective date of the Merger. If
         such Participant makes such an election, in accordance with such notice
         and timing requirements, such Participant will be issued a Promissory
         Note in an original principal amount computed as provided above, in
         complete substitution and replacement of all shares of OCA Common Stock
         to be issued to such Participant pursuant to Sections 2.1 and 2.2 of
         the Program, and such shares will not be issued to such Participant.

                  (d) Manner of Payment. Principal and accrued interest payable
         under such Promissory Note will be payable in up to four installments,
         subject to all of the other conditions set forth in the Program, as
         follows:

                           (i) the first installment will consist of principal
                  only (with respect to which no interest shall accrue), in an
                  amount equal to 25% of the original principal amount of the
                  Promissory Note, and will be payable, subject to all of the
                  other conditions set forth in the Program, within 15 business
                  days following the first anniversary of the effective date of
                  the Merger; and

                           (ii) the second, third and fourth installments will
                  each consist of principal and accrued interest, in an amount
                  equal to 25% of the original principal amount of the
                  Promissory Note and interest accrued on that payment of 25% of
                  the original principal amount since the first anniversary of
                  the effective date of the Merger, and will be payable, subject
                  to all of the other conditions set forth in the



                                      B-3



                  Program, within 15 business days following the second, third
                  and fourth anniversaries of the effective date of the Merger,
                  respectively.

         Each such installment will be payable if, and only if, each of the
         conditions set forth in the Program are met and satisfied through and
         as of such date and the amount of service, management service or
         consulting fees (excluding any amounts reimbursed, paid, earned or
         accrued with respect to center expenses, operating and non-operating
         expenses incurred in the operation of the applicable practice or other
         expenses) actually paid to OCA, OrthAlliance or their subsidiaries by
         the Participant and/or the PC owned by and employing such Participant
         pursuant to the applicable OrthAlliance Service/Consulting Agreement or
         Business Services Agreement during and with respect to the 12 calendar
         months immediately preceding the particular anniversary of the
         effective date of the Merger relating to that installment is at least
         equal to the 90% Minimum Target, and the other conditions set forth in
         Section 2.2 are met and satisfied as of such date. However, if the 90%
         Minimum Target is not achieved in an Amended Earlier Period (in which
         case the installment of principal and accrued interest relating to that
         Amended Earlier Period shall cease to accrue interest as of the
         anniversary of the effective date of the Merger relating to such
         Amended Earlier Period), but is achieved during an Amended Later
         Period, and the other conditions set forth in Section 2.2 are met and
         satisfied as of such date, then the installment payable with respect to
         such Amended Earlier Period will be paid, subject to all of the other
         conditions set forth in the Program, following such Amended Later
         Period in the same amount of principal and accrued interest that would
         have been paid following the Amended Earlier Period (with no interest
         accruing thereon from the anniversary of the effective date of the
         Merger relating to such Amended Earlier Period)."

         3. No Other Changes. Except as set forth in this Amendment, the terms
and conditions of the Program shall remain in place and shall not be altered or
amended, except by any further amendment to the Program made in accordance with
the terms of Program.

         4. Rules of Construction. Headings are given to the articles and
sections of the Amendment solely as a convenience to facilitate reference. The
masculine gender when used herein refers to both masculine and feminine. The
reference to any statute, regulation or other provision of law shall be
construed to refer to any amendment to or successor of such provision of law.

         5. Governing Law. The internal laws of the State of Louisiana (without
regard to the choice of law provisions of Louisiana) shall apply to all matters
arising under the Amendment, to the extent that federal law does not apply.



                                      B-4





         IN WITNESS WHEREOF, the undersigned officer has executed this document
effective as of August 26, 2002.


                                    ORTHODONTIC CENTERS OF AMERICA, INC.



                                    By: /s/ Bartholomew F. Palmisano, Sr.
                                        ----------------------------------------
                                        Bartholomew F. Palmisano, Sr.
                                        Chairman of the Board, President
                                             and Chief Executive Officer



                                      B-5




                                                                         ANNEX C

                                  AMENDMENT TO
                      ORTHODONTIC CENTERS OF AMERICA, INC.
                               STOCK POOL PROGRAM

                                    PREAMBLE

         WHEREAS, on November 9, 2001, a subsidiary of Orthodontic Centers of
America, Inc., a Delaware corporation ("OCA"), merged with and into
OrthAlliance, Inc., a Delaware corporation ("OrthAlliance"), and OrthAlliance
thereby became a wholly-owned subsidiary of OCA (the "Merger");

         WHEREAS, OCA established the Orthodontic Centers of America, Inc. Stock
Pool Program (the "Program") through which OCA may grant shares of its common
stock, $.01 par value per share ("OCA Common Stock"), to certain eligible
individuals (each such eligible individual, a "Participant") who are
OrthAlliance Stock Recipients and who (i) executed and delivered an Addendum to
OrthAlliance Service/Consulting Agreement by no later than December 31, 2001, or
(ii) executed and delivered the Amendments and/or an OCA Business Services
Agreement by September 30, 2001, subject in each case to the terms described
therein;

         WHEREAS, all capitalized terms not defined herein shall have the
meaning ascribed to such terms in the Program; and

         WHEREAS, OCA desires to amend the terms of the Program as set forth
herein (the "Amendment");

         NOW, THEREFORE, OCA hereby amends the Program as follows:

         1. Amendment to Provide for Participant's Election to Receive
Promissory Note in Lieu of Shares. Article II of the Program is hereby amended
by inserting the following text following Section 2.6 hereof:

         "2.7 Certain Participants May Elect to Receive Promissory Note in Lieu
of Shares.

                  (a) Promissory Note. With respect to each Participant who,
         along with his or her respective OrthAlliance Affiliated PC, (1)
         executes and delivers to OCA by October 1, 2002 his or her respective
         Additional Amendments (as defined below) or Business Services Agreement
         (as defined below) and (2) meets and satisfies all of the other
         conditions set forth in the Program, such Participant may make a
         one-time, permanent election (as provided below) during the 30 calendar
         days ending on and including the first anniversary of the effective
         date of the Merger as to all shares of OCA Common Stock that the
         Participant may be issued under the Program, to receive, in lieu and
         full substitution of any and all shares of OCA Common Stock that would
         otherwise be issued to such Participant pursuant to Sections 2.1 and
         2.2 of the Program, a non-transferable, non-negotiable promissory note
         from OCA or a subsidiary thereof selected by OCA in the form and
         substance specified by and satisfactory to OCA and its counsel
         ("Promissory Note"), in an original principal amount equal to the
         product of:



                                      C-1




                           (x)      the Applicable Stock Price (as defined
                                    below),

                           TIMES

                           (y)      the total, maximum number of shares of OCA
                                    Common Stock that would otherwise be issued
                                    to such Participant pursuant to Sections 2.1
                                    and 2.2 of the Program (notwithstanding the
                                    vesting conditions set forth in Section
                                    2.5).

         For purposes of the Program:

                  o        "Additional Amendments" means (1) a written amendment
                           to the OrthAlliance Affiliated Practitioner's
                           respective Employment Agreement, in form and
                           substance specified by and satisfactory to OCA and
                           its counsel, which amendment shall be in full force
                           and effect, and (2) a written amendment to the
                           OrthAlliance Affiliated Practitioner's and/or his or
                           her OrthAlliance Affiliated PC's applicable
                           OrthAlliance Service/Consulting Agreement, in form
                           and substance specified by and satisfactory to OCA
                           and its counsel, which amendment shall be in full
                           force and effect.

                  o        "Business Services Agreement" means a written
                           long-term business services agreement among the
                           OrthAlliance Affiliated Practitioner, his or her
                           respective OrthAlliance Affiliated PC and
                           OrthAlliance (or other subsidiary of OCA), in form
                           and substance specified by and satisfactory to OCA
                           and its counsel and based on OCA's form of such
                           agreement (including, without limitation, the service
                           fee, restrictive covenant and termination provisions
                           thereof), which agreement shall be in full force and
                           effect, and pursuant to which OCA, OrthAlliance or
                           other subsidiary of OCA would provide business
                           management or consulting services for such
                           OrthAlliance Affiliated Practitioner's and
                           OrthAlliance Affiliated PC's orthodontic or pediatric
                           dental practice in exchange for a monthly consulting
                           or service fee.

                  o        "Applicable Stock Price" means: (A) the sum of (x)
                           $1.00, plus (y) the greater of $26.00 or the 10-Day
                           Average Closing Price, for each Participant who
                           executes and delivers to OCA his or her Additional
                           Amendments (as defined above) or Business Services
                           Agreement (as defined above), by no later than 5:00
                           p.m. (Central Time) on October 1, 2002, and (B) the
                           greater of $26.00 or the 10-Day Average Closing
                           Price, for each of the other Participants.

                  o        "10-Day Average Closing Price" means the average
                           closing price per share of OCA Common Stock reported
                           on the New York Stock Exchange during the 10 trading
                           day period immediately following the date on which
                           the Participant executes and delivers to OCA his or
                           her Additional Amendments (as defined above) or
                           Business Services Agreement (as defined above).

                  (b) Other Terms of Promissory Note. Principal amounts owing
         under the Promissory Note will bear interest from the first anniversary
         of the effective date of the Merger (except as provided in Subsection
         2.3(d) hereof) at a rate equal to the prime rate on the first
         anniversary of the effective date of the Merger (as reported in the
         Wall Street Journal or comparable reporting service selected by OCA)
         plus 1.5% per annum. OCA may prepay all or part of the amounts owing
         under the Promissory Note at any time in its discretion without
         penalty. The Promissory Note will be non-transferable and
         non-negotiable.



                                      C-2




                  (c) Election. A Participant may make such election to receive
         a Promissory Note in lieu of all shares of OCA Common Stock to be
         issued to such Participant under the Program only by giving written
         notice of such election to the Chief Executive Officer of OCA during
         the 30 calendar days ending on and including the first anniversary of
         the effective date of the Merger. Once such an election has been made,
         it may not be withdrawn, and such an election may not be made before or
         following such 30-day period, and may not be made during the 30 days
         ending on any other anniversary of the effective date of the Merger. If
         such Participant makes such an election, in accordance with such notice
         and timing requirements, such Participant will be issued a Promissory
         Note in an original principal amount computed as provided above, in
         complete substitution and replacement of all shares of OCA Common Stock
         to be issued to such Participant pursuant to Sections 2.1 and 2.2 of
         the Program, and such shares will not be issued to such Participant.

                  (d) Manner of Payment. Principal and accrued interest payable
         under such Promissory Note will be payable in up to three installments,
         subject to all of the other conditions set forth in the Program, as
         follows:

                           (i) the first installment will consist of principal
                  only (with respect to which no interest shall accrue), in an
                  amount equal to one third of the original principal amount of
                  the Promissory Note, and will be payable, subject to all of
                  the other conditions set forth in the Program, within 15
                  business days following the first anniversary of the effective
                  date of the Merger; and

                           (ii) the second and third installments will each
                  consist of principal and accrued interest, in an amount equal
                  to one third of the original principal amount of the
                  Promissory Note and interest accrued on that payment of one
                  third of the original principal amount since the first
                  anniversary of the effective date of the Merger, and will be
                  payable, subject to all of the other conditions set forth in
                  the Program, within 15 business days following the second and
                  third anniversaries of the effective date of the Merger,
                  respectively.

         Each such installment will be payable if, and only if, each of the
         conditions set forth in the Program are met and satisfied through and
         as of such date and the amount of service, management service or
         consulting fees (excluding any amounts reimbursed, paid, earned or
         accrued with respect to center expenses, operating and non-operating
         expenses incurred in the operation of the applicable practice or other
         expenses) actually paid to OCA, OrthAlliance or their subsidiaries by
         the Participant and/or the PC owned by and employing such Participant
         pursuant to the applicable OrthAlliance Service/Consulting Agreement or
         Business Services Agreement during and with respect to the 12 calendar
         months immediately preceding the particular anniversary of the
         effective date of the Merger relating to that installment is at least
         equal to the 90% Minimum Target, and the other conditions set forth in
         Section 2.2 are met and satisfied as of such date. However, if the 90%
         Minimum Target is not achieved in an Amended Earlier Period (in which
         case the installment of principal and accrued interest relating to that
         Amended Earlier Period shall cease to accrue interest as of the
         anniversary of the effective date of the Merger relating to such
         Amended Earlier Period), but is achieved during an Amended Later
         Period, and the other conditions set forth in Section 2.2 are met and
         satisfied as of such date, then the installment payable with respect to
         such Amended Earlier Period will be paid, subject to all of the other
         conditions set forth in the Program, following such Amended Later
         Period in the same amount of principal and accrued interest that would
         have been paid following the Amended Earlier Period (with no interest
         accruing thereon from the anniversary of the effective date of the
         Merger relating to such Amended Earlier Period)."



                                      C-3




         2. No Other Changes. Except as set forth in this Amendment, the terms
and conditions of the Program shall remain in place and shall not be altered or
amended, except by any further amendment to the Program made in accordance with
the terms of Program.

         3. Rules of Construction. Headings are given to the articles and
sections of the Amendment solely as a convenience to facilitate reference. The
masculine gender when used herein refers to both masculine and feminine. The
reference to any statute, regulation or other provision of law shall be
construed to refer to any amendment to or successor of such provision of law.

         4. Governing Law. The internal laws of the State of Louisiana (without
regard to the choice of law provisions of Louisiana) shall apply to all matters
arising under the Amendment, to the extent that federal law does not apply.



                                      C-4





         IN WITNESS WHEREOF, the undersigned officer has executed this document
effective as of August 26, 2002.


                                      ORTHODONTIC CENTERS OF AMERICA, INC.



                                      By: /s/  Bartholomew F. Palmisano Sr.
                                         ---------------------------------------
                                          Bartholomew F. Palmisano, Sr.
                                          Chairman of the Board, President
                                               and Chief Executive Officer



                                       C-5