Washington Academy of General Dentistry 2015 Spring Newsletter

Advancing Excellence in Dentistry Newsletter

Issue 34 | April 2015

Blogging for SEO... Blogging for Business [pg 14] Bridging the Gap: Seattle’s Union Gospel Mission [pg 16] 13th Annual William Howard Memorial Lecture [pg 19]

What’s in this Issue

Upcoming Events .................................................................................................................. 3 WAGD Leadership Roster 2015-2016 ........................................................................... 4-5 Having the Disability Insurance You Need ...................................................................... 9 Infant Frenectomy with 10,600nm Dental Co2 Laser ............................................ 10-12 Blogging for SEO...Blogging for Business .................................................................... 14 Orthodontics is LUCKY! ................................................................................................... 15 Bridging the Gap: Seattle’s Union Gospel Mission .....................................................16 AGD Releases Book to Help Dental Students and Recent Graduates.....................17 AGD Member Savings & Offers .................................................................................... 18 13th Annual William Howard Memorial Lecture ........................................................19 Pathway to Fellowship 2015-2016 ............................................................................... 21 Membership Application ................................................................................................22 MasterTrack Program ..................................................................................................... 23

Check us out on Facebook, Twitter & Linkedin!

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Upcoming Events Washington AGD MasterTrack Sessions: Thursday-Sunday, September 17-20, 2015 @ SeaTac Office Center, Seattle, WA “Practice Management, Fixed Pros, Occlusion, & Case Presentations” Thursday-Sunday, November 5-8, 2015 @ SeaTac Office Center, Seattle, WA “Endo, Orofacial Pain, Perio, & Case Presentations” Thursday-Sunday, January 21-24, 2016 @ SeaTac Office Center, Seattle, WA “Removable Pros, Implants, Special Patient Care, & Case Presentations” Thursday-Sunday, April 21-24, 2016 @ SeaTac Office Center, Seattle, WA “Pedo, Oral Surgery, Esthetics, & Case Presentations”

Washington AGD FellowTrack Sessions: Saturday & Sunday, September 19 & 20, 2015 @ SeaTac Office Center, Seattle, WA - “Risk Management” Saturday & Sunday, November 7 & 8, 2015 @ SeaTac Office Center, Seattle, WA - “Pain & Dry Needling” Saturday & Sunday, January 23 & 24, 2016 @ SeaTac Office Center, Seattle, WA - “Implants” Saturday & Sunday, April 23 & 24, 2016 @ SeaTac Office Center, Seattle, WA - “Endodontics”

Other Courses: Friday, May 8, 2015 @ SeaTac Marriot Hotel, SeaTac, WA “13th Annual William Howard Memorial Lecture” Speaker: Dr. John Kois Thursday-Sunday, June 18-21, 2015 @ Moscone West Convention Center, San Francisco, CA “AGD 2015 San Francisco - A Golden Opportunity” Keynote Speaker: Terry Jones Saturday, October 3, 2015 @ Sheraton Portland Airport Hotel, Portland, OR “Digital Dentistry Symposium, Exhibition, and Reception”

For more information visit:

www.washingtonagd.org/events

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Washington AGD Leadership Roster 2015-2016

WAGD President 2013-2015 2015 AGD Delegate WAGD CDE Committee Steven L. Thomas, DMD, MAGD

WAGD Editor 2013-2016 2015 AGD Alternate Delegate Brady Bates, DDS

WAGD Past President 2013-2015 2015 AGD Alternate Delegate James O. Cunnington, DDS, FAGD

WAGD Treasurer 2013-2016 Joseph F. Sepe, DDS, FAGD

AGD Past President 2014-2015

Region 11 AGD Executive Director

WAGD CE Chairperson 2015 AGD Delegate

Valerie Bartoli, ED, CDA

Mastertrack Program Coordinator

WAGD President-Elect 2013-2015

2015 AGD Delegate WAGD CDE Webmaster WAGD CDE Orthodontic Program Coordinator Puneet S. Aulakh, DDS, FAGD

WAGD Executive Director

At Large Board Member Sept 2014-2016

Gary E. Heyamoto, DDS, MAGD

At Large Board Member September 2013-2015 C/O Membership Chairperson

Himanshu Nigam. DMD

WAGD Dental Care & PIO Chairperson At Large Board Member September 2013-2016 Carl W. Youngquist, DDS, FAGD

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WAGD CDE Comittee 2015 AGD Delegate At Large Board Member September 2013-2017 WAGD Implant Program Coordinator Teresa K. Kang, DDS

WAGD PACE Program Approval Representative Membership Chair & At Large Board Member Sept 2014-2017 Linda J. Edgar, DDS, MEd, MAGD

At Large Board Member September 2014-2016 Dat P. Glap, DMD

WAGD UW Dental School Advisor Chairperson At Large Board Member Sept 2014-2017 Ernesto Ricardo Schwedhelm, DDS

Not Pictured

Guy M. Hanson, DDS, MBA, MAGD - Region 11 AGD Trustee Bryan C. Edgar, DDS, MAGD - WAGD Legislative Chairperson, 2015 AGD Delegate Tar C. Aw, DDS - WAGD UW Dental School Advisor At Large Board Member, September 2013-2015 Ravi S. Sinha, DDS - Region 11 AGD Regional Director

WAGD-UW Dental Student Representatives

Jaclyn Hakes Class of 2015

Landon King Class of 2015

Nicole Voeller Class of 2016

Not Pictured Meg Hurd Class of 2017

Rochell Burke Class of 2017

Kooroush Mansourzadeh - Class of 2016

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Thank you to our sponsors contributions!

Thank you to our 2015 Sponsors Contributions!

The generosity of our sponsors help to support our educational programs and keeps the tuition cost down for attendees. Please show your thanks for their support by shopping at their booths & using them as resources throughout the year!

George & Kay Constantine Nancy Tom Rod Johnston

Laura Long

Korey Korfiatis & Jeff Weber

Tom Meintz

Roland Bonser Alexandra Iosif

Matt French

Mark Battiato

Shannon Gunderson

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Bob Lathrop, CDT

Featuring Keynote Speaker Terry Jones Technology plays a vital role in your everyday life. Don’t miss the opening keynote address by Terry Jones, founder of Travelocity.com and co-founder of Kayak.com. His insights and real-world experience in innovation and building digital relationships will impact you and your practice.

Colgate is the Presenting Sponsor of the keynote speaker.

AGD Lead Corporate Sponsor

ee Registration is fr nts! for dental stude

Approved PACE Program Provider FAGD/MAGD Credit Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement.

6/1/2014 to 5/31/2018.

Provider ID: 216217

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Why should you attend AGD 2015? Take it from some of the world-renowned speakers who are scheduled to present:

The Academy of General Dentistry (AGD) is proud to present its next annual meeting, AGD 2015 in San Francisco, June 18 to 21!

AGD 2015 promises to be a golden opportunity for personal and professional development that will help you distinguish yourself among your peers and demonstrate your commitment to your patients.

At the annual meeting, you will: • Hear from world-renowned speakers and industry leaders as they discuss the hottest topics in dentistry • Learn advanced techniques and treatments from leading clinicians in a multitude of disciplines • Experience the latest innovations in dental equipment, materials, products, and services in the exhibit hall • Network with your colleagues during a number of exciting social events And what better place to experience all that AGD 2015 has to offer than in the lively, culturally rich city of San Francisco? Just like dentistry, the city is always evolving and full of possibilities.

Don’t miss this opportunity to be captivated and enlightened by today’s thought leaders. Mark your calendars now to attend AGD 2015, and be sure to check www.agd2015.org for the latest updates.

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“Being a GP is one of the toughest roles in dentistry. We have to be proficient at and knowledgeable in every area of dentistry, whether our goal is to offer these services to our patients or partner successfully with specialists. No other meeting or organization understands and supports this better than the AGD.” —Lee Ann Brady, DMD “From all I have seen, experienced, and read about people who rise to the top of their field, it is the relentless pursuit of personal and professional development that sets us all apart from the pack.”

—Uche P. Odiatu, DMD

“Every motivated dentist wants to provide the highest level of care for his or her patients. Only by keeping an open mind and learning new aspects of the art and science of dentistry is this possible.

AGD 2015 will provide many opportunities to do this.”

—Gregory L. Psaltis, DDS “AGD 2015 is a can’t-miss for the discerning general dentist who values evidence-based continuing dental education. The numerous subject areas encompassing all aspects of dental practice will be provided by respected clinician-scientists from around the world.”

—Henry A. Gremillion, DDS, MAGD

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Having the Disability Insurance You Need at the Right Coverage Amount Although Disability Insurance does not seem like a necessary expense compared to the mortgage on your home or your electric bill, it is still crucial to have disability insurance in force and in step with your needs. Disability protects your family and you if the worst should happen, but if you do not have policies that cover both personal and professional expenses and are at the needed coverage amounts, the gaps in coverage may cost you.

The best way to protect yourself, your family, and your practice is to make sure your insurance policies have the full protection you need. Ask yourself: how much money do I need on a monthly basis to pay all my personal expenses and for my practice to run effectively? If the amount you need is less than what you currently have in monthly benefit on your disability coverage or if you are not covered at all, then you will want to consider increasing your existing coverage and/or obtaining other types of disability coverage.

Below are some important types of disability policies and how they protect you. Although each type provides coverage for a different aspect of your life, the benefits on each policy are triggered by you no longer being able to perform the duties of your profession. Having multiple policies at the correct coverage amounts ensure that every part of your life will be protected.

Personal Disability Personal Disability is the most common type of disability coverage. Benefits from a Personal Disability policy are meant as personal income replacement to cover your loss of earned income if you become disabled. This coverage would be used to pay your home mortgage, water and electric bills, car payment, groceries, gas, children’s tuition: anything that your paycheck covers for your family. Without Personal Disability, all your monthly expenses would have to be paid from your savings.

Overhead Expense.

Business Overhead Expense is specific to covering your

business expenses if you become disabled. This coverage allows your business to continue to run while you are recovering from a disability or in the process of selling your practice. Expenses that are covered by this policy include: rent, staff salaries, electricity, dental supplies, janitorial and maintenance work, etc. Without Overhead Expense coverage, you may not be able to keep your business running while you are recovering from a disability.

Business Loan Protection.

Business Loan Protection (also called Business Reducing Term coverage), specifically covers your mortgage or equipment loan payments to the bank if you become disabled. A practice loan is thousands of dollars per month, and without Business Loan Protection, you would be paying for your loan out of your pocket.

Although savings may cover the costs in one aspect of your life, it is unlikely that you would have enough funds to cover your personal and business expenses indefinitely.

Washington Dentists’ Insurance Agency encourages dentists to acquire different types of disability insurance to ensure that all personal and professional expenses will be covered for the well being of themselves and their families.

If you would like to review your current Disability Insurance or get quotes for additional coverage, please contact WDIA at 1-800-282-9342 or info@wdiains.com.

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Infant Frenectomy with 10,600nm Dental Co2 Laser Martin Kaplan, DMD Alison K. Hzelbaker, PhD, IBCLC, FILCA, CST, RCST Peter Vitruk, PhD, MinstP, CPhys

The waxing and waning of opinion about the impact lip-tie and tongue-tie have on infants’ breastfeeding and speech — and even the condition’s actual existence — remains the foundation of the passionate dialectic that influences today’s opinions on the subject. Modern literature on frenectomy1-3 indicates that there is no legitimate reason to withhold treatment of tongue-tie in an infant, child, or adult. The resistance to performing such a simple surgical procedure as frenectomy boggles the mind when so much research demonstrates its effectiveness and safety.

Multidisciplinary efforts1 to end the perpetuation of tonguetie myths generated throughout time have helped change the global dialogue from one of intense criticism of treatment for tongue-tie to one of grudging acknowledgment that tongue-tie has a negative impact on breastfeeding and should be managed and treated for optimal clinical results.

Breastfeeding problems associated with infants’ tongue and lip ties manifest themselves through infants’ failure to thrive and include, but are not limited to: inability for baby’s lips, mouth and tongue to properly latch on mother’s breast; inability to stimulate milk production through vigorous nursing, resulting in low milk supply; improper tongue mobility may prevent babies from clearing milk from their mouth; painful nursing, colic, reflux, speech difficulties; sleep deprivation for mother and infant due to frequent feedings; etc. Together with lactation consultants, oral surgeons and dentists have a role in both squelching the myths about liptie and tongue-tie’s existence but also about the safety and efficacy of proper diagnosis1,2 (see Figure 1) and timely treatment using the best modern methods and tools, Figure 1. Lingual frenum assessment by Alison K. such as soft tissue Hazelbaker, PhD in progress. dental lasers.3

ORAL SOFT TISSUE LASER SURGERY The 10,600nm CO2 laser is a “What You See Is What You Get” surgical soft tissue cutting laser with minimal collateral thermal effects3,4 that are sufficient for sealing blood vessels, lymphatics, and nerve endings; the surface bacteria are efficiently destroyed on incision/ablation margins.

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CO2 Laser Photo-Thermal Ablation and Coagulation.

The soft tissue photo-thermal ablation is a process of vaporization of intra- and extra-cellular water near the surface where the laser beam intensity is at its maximum (Figure 2). For a fixed laser beam diameter (or spot size), the volume of the tissue exposed to laser beam is proportional to the optical penetration depth. The 10,600nm CO2 laser is highly energy efficient at ablating the soft tissue photothermally with very low ablation threshold intensities due to extremely small volume of irradiated tissue because

Figure 2. Simplified graphical representation of laser beam intensity attenuated inside the soft tissue.

of extremely short absorption depth around 15 µm.4 Immediately below the ablation zone, the coagulation zone is located (Figure 2). Coagulation occurs as a denaturation of soft tissue proteins that occurs in 60-100°C temperature range leading to a significant reduction in bleeding (and oozing of lymphatic liquids) on the margins of ablated tissue.

For CO2 laser, its excellent coagulation efficiency is due to the close match between the photo-thermal coagulation depth of approximately 50 µm,4 and oral soft tissue blood capillary diameters of approximately 20-40 µm.5

Thermal Relaxation Time and Controlling Thermal Effects. The rate of how fast the irradiated tissue diffuses the heat away is defined by Thermal Relaxation Time TR, which equals approximately 1.5 msec for 75% water rich soft tissue irradiated by 10,600 nm CO2 laser. Practical implications of Thermal Relaxation Time concept are simple and yet very powerful for appropriate application of laser energy. The most efficient heating of the irradiated tissue takes place when laser pulse energy is high and its duration is much shorter than TR. The most efficient cooling of the tissue adjacent to the ablated zone takes place if time duration between laser pulses is much greater than TR. Such

ARTICLES laser pulsing is referred to as SuperPulse and is a must-have feature of any state-of-the-art soft tissue surgical CO2 laser that minimizes the depth of coagulation.4

Laser Beam Spot Size. Just like the sharpness of the steel blade defines the quality and the ease of the cut, the size of the laser beam focal spot defines the quality of the laser cut. The smaller (or sharper) the focal spot of the beam, the narrower and the deeper the incision. Just like a dull blade cannot produce a quality incision, an oversized laser beam spot cannot produce a precise and narrow incision.

For a rapid switch from cutting to just photo-coagulation, the laser beam can be defocused either by selecting a larger spot size, or by simply moving the handpiece away from the tissue by approximately 10 mm (for LightScalpel tipless laser handpieces6), and “painting” the “bleeder” for enhanced hemostasis – see Figure 3.

was used at 2 watts SuperPulse repeat pulse F1-6 setting.

The surgery was performed utilizing a 0.25 mm tipless angled handpiece5 (shown in Figures 3 and 5) pointed Figure 5a. Lip-Tie Release – Surgery in Progress.

Note excellent hemostasis. perpendicular to the target tissue.

The depth of ablation did not exceed a fraction of a millimeter per pass (see Figure 4), thus minimizing the risk of collateral 5b. Tongue-Tie Release – Surgery in damage while Figure Progress. Note excellent hemostasis. requiring multiple passes for the desired tissue removal depth.

Surgical Procedure. The patient was positioned in the dental Figure 3. Laser-tissue interaction with focused (250 µm spot size) and defocused (500-800 µm spot size) laser beam. The handpiece is pen-sized, autoclavable and uses no disposables.

Laser Power Density and Depth of Ablation.

For a laser scalpel, the power density of the focused laser beam is equivalent to the mechanical pressure that is applied to a cold steel blade: the greater the laser fluence7 (i.e. greater power density and slower handspeed), the greater the depth and the rate of soft tissue removal – see Figure 4.

Infant Frenectomy Case Study Patient.

A 2 week old male was referred to Martin Kaplan, DMD, for failure to thrive. Thorough intraoral examination and functional assesment1,2 were performed along with the interview with the mother. Figure 6a shows the triple thick fibrous maxillary labial frenum; and Figure 7a demonstrates restrictive submucosal lingual frenum. It was determined that the infant required both labial and lingual frenectomy.

Laser and Figure 4. Ablation Depth in water rich soft tissue with LightScalpel’ tipless dental handpiece with 2 Watt Repeat F1-6 (20 Hz, 30 msec) SuperPulse (150 Hz, 13 mJoule) mode.

equipment settings.

LightScalpel CO2 laser LS-2010 (Woodinville, WA)

chair with a special headrest and disposable adhesive safety goggles were applied. First, maxillary labial frenum revision was performed. The frenum was visualized and tension was applied to it by pulling the lip upward (traction tension helps laser ablation). Tissue fibers were “erased” in a rapid zigzaging motion until the junction of the frenum with the labial mucosa was reached. Then the same process continued from the starting point downward to the base of the frenum attachment. The surgical area was periodically wiped with a small gauze pad in order to eliminate any traces of organic ashes from laser plume. Procedure took approximately 30 seconds of laser on time. At the end of the procedure, the lip was pulled upward to check that the motion was not restrained. Hemostasis was excellent (see Figure 6b). No sutures were needed. The post-operative photo (Figure 6b) shows the immediate improvement in the patient’s ability to flange the upper lip and the disappearance of the crestal gingiva blanching (compare with Figure 6a).

Second, the lingual frenum revision was performed. The tongue was lifted with a cotton swab. In order to create tension, the surgeon wore a sterile fabric “sleeve” on the index finger to slightly push on the tongue and keep it in place (as seen in Figure 5b). The assistant slightly pushed on the lower lip to prevent the mouth from closing. Superficial tissue ablation started approximately 4-5 mm above the salivary glands ducts in short horizontal back and forth strokes. The tissue response easily “opened up”, noticeably releasing tension. The surgeon ablated the remaining fibers, taking caution to avoid the salivary ducts. Immediately post-operative photo (Figure 7b) shows complete lack of hemorrhage and the increased range of the tongue ...continued on page 12 washingtonAGD.org

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motion. The procedure took approximately 5 seconds of laser on time. No sutures were placed.

Post-Operative Instructions and Follow-up Exam.

Patient was released with detailed instructions to the mother on how to do stretch exercises for both the tongue and the lip. Patient was able Figure 6a. Triple labial frenum – preto feed immediately after operative view. the surgery and the mother reported improvement in the effectiveness of feeding as well as noticeable relief in breast pain. Patient was seen at 7 days (Figures 6c, 7c and 7d); healing was uneventful: Figure 7d clearly demonstrates the good lift, spread and cupping of the tongue. Baby’s latch-on and sucking ability had improved and in 7 days following the surgery he gained 13 oz.

Authors greatly appreciate the support and contribution from Anna Glazkova, PhD, in preparing this material for publication.

1. Hazelbaker AK. Tongue-tie: morphogenesis, impact, assessment and treatment.

Once properly diagnosed, infant lip-ties and tongue-ties can be safely and efficiently released with the soft tissue 10,600nm CO2 laser with predictable and repeatable tissue response, fast ablation and instant hemostasis. The extremely precise cutting, minimal collateral damage, clear and bloodless operating field and, reportedly, relatively minimal postoperative pain make the CO2 laser the tool of choice for infant frenectomy. CO2 laser oral surgery also features less wound contraction and reduced scarring in comparison with scalpel incisions.

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Acknowledgments.

REFERENCES

Summary

Figure 7a. Submucosal lingual frenum – pre-operative view.

Figure 6b. Immediately post-operative Figure 6c. 7 days after the surgery.

Good, uneventful tissue healing. The view. Note excellent hemostasis. surgical site is covered by a layer of coagulum.

Figure 7b. Immediately post-operative view. No hemorrhage occurred. Note the increased range of motion of the tongue.

Columbus, OH: Aidan and Eva Press; 2010.

2. www.alisonhazelbaker.com/ 3. Convissar RA. Principles and Practice of Laser Dentistry. St. Louis, MO: Mosby Elsevier 2011.

4. Vitruk P. Oral Soft Tissue Laser Ablative & Coagulative Efficiencies Spectra.

Implant Practice US, Nov. 2014.

5. Yoshida S, Noguchi K, Imura K, Miwa Y, Sunohara M, Sato I. A morphological study of the blood vessels asso-ciated with periodontal probing depth in human gingival tissue. Okajimas Folia Anat Jpn. 2011;88(3):103-9.

6. www.lightscalpel.com 7. Vogel A, Venugopalan V. Mechanisms of pulsed laser ablation of biological tissues. Chem Rev. 2003;103(2):577-644

Figure 7c. 7 days after the surgery.

Figure 7d. 7 days post-operatively – note the good spread, lift and cupping of the tongue.

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Blogging for SEO... Blogging for Business Korey Korfiatis, CEO LegworkPRM interested as well.

Additionally, search engines will see a new blog entry as a new web page and search engines like pages, and more pages. The higher the page count, the higher your ranking.

However, you can’t toss up any old blog. It needs to be a high-quality blog that is educational, answers a question, or is otherwise useful to your patients – and prospective patients. A blog about your recently redecorated waiting room is not going drive traffic to your virtual - or real – door, and it certainly won’t get you a high ranking.

Which brings us to another point – keywords. Sprinkling words and phrases in your blog that people are frequently using in their searches will help you be found in the high ranks. But pepper carefully. Polluting your blog with keywords will put you in the penalty box with Google. “Stuffing” will actually win you a lower SEO ranking, and the blog won’t read smoothly when overrun with key wording.

Blogging. Everybody’s doing it. Yawn, right? And who has the time? Well, it can be time well spent. Blogging is not just for those with an opinion and nowhere to go with it.

It’s a business tool, a way to bring people to your website and your practice. It’s true. You may think, I have a website, my patients know I’m “out there”. Right. But what about generating new business? What about keeping your current patients interested and sharing an informative blog with friends and family…who could become patients. Blogging is important to growing your practice, and here’s why:

Companies have found that blogging has generated 55% more traffic to their website. And getting people to your website helps get people to your practice. Perhaps it’s time to consider blogging for business.

Here are some tips for excellent SEO through blogging:

Write for what people are searching Know what keywords people are using in their searches and use those in your blog. To find what the most popular search terms are your business take a look at: http://www.google. com/trends/

Know where to use keywords

Simply put: Blogging makes you easier to find for potential patients. How? SEO (search engine optimization). When someone searches on Google for information, the first ten results are the ten highest ranked websites according to Google…and so on down the list.

Headlines are an important place to use keywords for SEO. Search engines read the headline first, just as you do. Give them what they’re looking for. They see a headline as a new page and new pages are up for ranking. Also, scatter keywords appropriately throughout the body of the blog.

The ranking system involves keywords people use to search (e.g. dental implants, dentures, painless anesthesia, etc.), links to other sites in your content, the number of pages on your site, and how often your content is renewed. Blogging puts all of these SEO factors to work for you, keeping your website ranked high in search returns.

Know how to use keywords

Much of the content on your website is static. It’s pertinent information that doesn’t need to change often, so it’s not being rejuvenated for search engines or patients. But blogging keeps people interested with fresh, stimulating content to read and share, and it keeps search engines

Blog for Quality

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Just as lesser keyword density will keep you ranked lower so will overkill. You don’t get a prize from Google for the most keywords. Cramming your blog with keywords will only put you lower in the ranking. Besides the content not having a natural flow, it will be obvious to a reader what you’re up to.

You want your blogs to be informative and showcase your expertise in your field. Fluffy blogs won’t rank high on anyone’s radar.

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Orthodontics is LUCKY! James Cunnington DDS, FAGD “Luck” is when preparation meets opportunity. Orthodontics is so easy, straightforward, obvious, reversible, enjoyable, delegate-able, etc. that it is one of the luckiest things you can do to invigorate your practice. Such as: You can expand the narrow plate of a fifty year old to untrap the tongue and thus reduce the severity of her sleep apnea. That will take a few months. Then the ortho along with fabricating a mandibular advancement appliance might eliminate the need for a CPAP. She would love that!

Or, align the veneer case to the ideal position so your preps are thinner, stronger, and more esthetic. You might be able to do the ortho with some bleaching and not need veneers at all. The patient might accept the ortho option, and not the veneers.

Or perhaps, open the bite of the severely collapsed arch of a seventy year old, thus significantly reduce his TMD symptoms.

How about placing a small bone screw (TAD) in the palate to intrude a hyper erupted #14 before restoring the implant of #19. It’ll take about 3 months – the same time it takes for the implant to integrate! Or you could slide 17 & 18 into 18 & 19’s position and eliminate the need for an implant altogether!!

That may take about a year.

For too long I’ve viewed teeth as somehow being like “gems in granite”. Now I see them as “boats on the tide.” I see that

orthodontics is an essential component to making restorative care easier, simpler, and more predictively successful. We all have MANY patients who are inherently reluctant to even consider an ortho referral who would gladly embrace treatment if we did it in our offices. So – do it! It’s just too freakin easy.

I’ve just finished the Washington AGD & Dr. Binh Tran’s one year orthodontic course. That’s one day a month – again, easy. How many times have you slogged through a multi-hour lecture that contained a little bit of significant content? Not so with Dr. Tran.

His didactic component is dense with relative content, and the class size is small enough that an interactive dialogue is a natural part of the experience.

Then in the clinical portion, you treat your patients and help your fellow students with theirs.

You learn a ton of information in a short amount of time. The class has more than enough patients needing treatment.

But you could bring patients from your practice, give them a substantial discount, and that would cover the cost of the James Cunninton DDS, FAGD course. Now it’s free. Everyone wins, and your practice is more vital and healthy as a result.

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Bridging the Gap: Seattle’s Union Gospel Mission

Seattle is one of the most affluent cities in the United States but hosts thousands of families without access to life-saving dental work. The high cost of healthcare prevents many families, including those with disabilities, and the elderly, from receiving good dental care.

Seattle’s Union Gospel Mission opened their first dental clinic in the Pioneer Square neighborhood of downtown Seattle over 20 years ago to provide free or low cost dental services to adults, many of them homeless. Volunteer dentists, hygienists, and students joined forces to improve the health of the most vulnerable in our community.

But the need for quality dental care has risen dramatically and so the Mission is pleased to announce the opening of a 2nd Dental Clinic in North Seattle this Spring. Men, women and NOW children staying in local shelters will be eligible to receive free dental care. Those with low-income verification will be welcomed as well.

The Northgate Dental Clinic will be hosting the Mission’s first on-site Denture lab capable of fabricating dentures,

partials, relines and repairs. In addition to scheduled patients, we will treat emergency walk-ins with pain relief for infections, onsite antibiotics, and some oral surgery with local anesthetic. Both clinics will be non-narcotic.

Setting up a new clinic of this caliber often costs hundreds of thousands of dollars. However, through the generosity of the dental community clinic office space, furniture and some equipment has already been donated.

Landlord and friend of the Mission, Dr. Kurt Douglass, generously provided the clinic space at only $1 a year including water and sewer - for three years! Long-time Mission supporter Dr. James Zimmerman donated preowned denture manufacturing equipment.

One of the most exciting features will be offering paperless patient records and digital imaging for both Mission Clinics.

We see this as a huge benefit to our volunteer dentists and students. They will have access to the most current technology for our fast growing dental service.

Clinic start-up costs include: Dental and lab supplies $33,400; IT System Supplies and modification $37,400.00; part time Dental Assistant and Certified Lab Tech annual salaries of $35,200.

In addition to the donated space, we have received a $50,000.00 anonymous matching gift! Please consider donating to our efforts. Any donation will provide the much needed supplies and equipment that will bring hope and a smile to someone in need. For further information contact Juanita Banks, Director of UGM Dental Services at 206-6217695 or jbanks@ugm.org.

Remember you can become a volunteer dentist once a month to help those in greatest need!!

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ARTICLES

AGD Releases Book to Help Dental Students and Recent Graduates Lauren Henderson CHICAGO (March 2, 2015)—With dental school graduations just around the corner, the Academy of General Dentistry (AGD) is introducing the second edition of “You’ve Graduated, Now What? A Guide to Navigating Those First Years in the Dental Profession.”

“The health care landscape continues to change dramatically, creating more options for dentists than ever before. But the more possibilities there are, the more you need to think about your immediate next steps, as well as your broader plan for the future,” says AGD President W. Carter Brown, DMD, FAGD. The book’s newest edition, available online, includes information on:

• •

Goal setting Career options, including associateships and practice ownership

• • • •

Marketing Financial planning Continuing education Organized dentistry, and more!

Readers even will find essential patient and practice management forms in the book’s Resource Library. This library will be updated with new forms every month.

“This book offers recent graduates and new dentists the information they need to know to guide them through all of their career opportunities, challenges, and transitions,” says Dr. Brown. “The AGD is proud to offer this important resource to its student members.”

Online access to this second edition is free to AGD members.

AGD student membership is only $17 per year. Join the AGD to access the book and all of the great benefits of AGD membership!

Oregon AGD Presents:

DIGITAL DENTISTRY SYMPOSIUM, EXHIBITION, AND RECEPTION Date: Saturday, October 3, 2015 Time: 8:00 AM – 6:30 PM Location: Sheraton Portland Airport Hotel For more information visit www.oragd.org or call 503-228-6266

GET AHEAD OF THE CURVE! This event’s speakers and exhibitors will ensure that you know where dentistry is headed!

The symposium agenda will provide an overview of digital restorative dentistry technologies and the event will include an exhibitor’s hall that will allow you to make informed decisions about the best approach for your practice.

SPECIFIC TOPICS WILL INCLUDE: • Conventional versus Digital Prosthodontics • Digital Technology: How to Get Started!

• Cad-Cam: The Ups and Downs of In-Office Systems • Guided Surgery and Implant Treatment Planning • Structuring a Fully Digital Workflow • Integration: You, Digital Information and Your Lab

washingtonAGD.org Dr. Lyndon Cooper

Dr. Marcus Abboud

Dr. Aaron Tinkle

Dr. Michael DiTolla

Dr. Doug Chenin

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Dr. Siamak Abai

For more information, visit www.agd.org/savings.

AGD Marketplace & Career Center

Toll-Free Number

Website

Member Discount

888.243.3368, ex. 4348

www.agd.org/marketplace

20 Percent Off Job/Equipment/Sale Postings

800.289.9293

www.apmr.com/partners-promos

Waived Assay Fee and Free Shipping

877.938.9034

www.bqe-usa.com/agd

25 Percent Off

866.396.0886

www.bhg-inc.com/agd

Competitive Rates, Dedicated Team

U.S.: 877.960.3233 Canada: 818.284.6244

www.bitedowndeals.com/agd

Extra 5 Percent Off With Discount Code AGD14

New Customers: 866.247.0062 Current Customers: 800.859.9975

www.carecredit.com

$25 Enrollment Fee—A $175 Savings

888.778.3981

2014 New Grads and Residents: www.agd.org/NewGrad

New Grads and Residents Entering First Year of Practice: Free AGD Members: 10 Percent Off AGD Fellows: 15 Percent Off AGD Masters: 20 Percent Off

The place where dental connections are made.

Other AGD Members: www.dentists-advantage.com

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Health Insurance: 866.860.1990 Other Insurance: 877.280.6487

www.myagdinsurance.com

Varied Discount (Group Rate and State Fees)

844.862.4854

www.libertymutual.com/agd

Client Code: 8744 Varied Discount (Group and State Fees)

888.608.4655

www.sikkasoft.com

25 Percent Off

888.932.5560

www.theonlinepractice.com/ agdwebsites.html

40 Percent Off Website Services 25 Percent Off Social Media/Online Visibility Services

855.946.6600

www.virginhotels.com

Promo/Corporate Code: AGD Chamber King accommodations: $199 through March 31; $215 April 1 through Dec. 31; 20 percent off published suite rates; 10 percent off spa services

ZOLL: 800.242.9150, ex. 9643

ZOLL: www.zoll.com

En-Pro: 866.352.5433

En-Pro: www.pluslearning.com

AED Plus and pulse oximeter for only $1,495—45 percent off the retail price Up to10 Percent Off CPR Training

Subject to terms and conditions. The AGD Member Savings & Offers program is subject to change without notice.

CONTINUING EDUCATION

DR. JOHN KOIS: A Systematic Approach for Treatment Planning: Maximizing Successful Outcomes Friday, May 8, 2015 8:30 – 4:30 Credits: 7

SeaTac Marriott Hotel 3201 S 176th Street, SeaTac, WA 98188

The fundamental rationale for a comprehensive treatment approach is a long-term strategy for dental health commensurate with an enhanced level of wellness for our patients. Understanding parameters of disease expression is sometimes confused because of misguided sciences or parameters that have led to patient adaptation. Formulating specific treatment needs based on an individual’s risk assessment has created new challenges for both the dentist and the patient. Until we have more objective data with better metrics, much of our clinical decision-making will remain emotionally driven and empirical. This reliance, in turn, will make us more vulnerable to moral and ethical deliberations that are often confused with our inability to make a proper diagnosis. This program will reduce the confusion that has been created in our profession.

Before 05/01/2015

After 05/01/2015

Dentist

$245

$270

Retired and Dental Staff

$160

$185

Type

About our Presenter Dr. John Kois received his DMD from the University of Pennsylvania, School of Dental Medicine and Certificate in Periodontal Prosthodontics with a MSD degree from the University of Washington, School of Dentistry. He maintains a private practice limited to prosthodontics in Tacoma and Seattle and is an affiliate professor in the Graduate Restorative Program at the University of Washington. Dr. Kois continues to lecture nationally and internationally, is a reviewer for many journals and is the co-Editor in Chief for The Compendium of Continuing Education in Dentistry. Dr. Kois is the recipient of the 2002 Saul Schluger Memorial Award for Clinical Excellence in Diagnosis and Treatment Planning and received a Lifetime Achievement Award from both the World Congress of Minimally Invasive Dentistry and the American Academy of Cosmetic Dentistry. Additionally, he is the recipient of the 2014 Dr. Thaddeus V. Weclew Award, which is presented annually to a dedicated educator who embodies the spirit of comprehensive dental care. He is the past president of both the American Academy of Restorative Dentistry and American Academy of Esthetic Dentistry, and a member of numerous other professional organizations. In addition, he continues to work with restorative dentists at the Kois Center, a didactic and clinical teaching program .

13TH Annual William Howard Memorial Lecture

1111 Harvard Avenue Seattle, WA 98122 206.448.6620 FAX 206.443.9308

washingtonAGD.org

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REGISTRATION FORM Friday, May 8, 2015

Systematic Approach for Treatment Planning: Maximizing Successful Outcomes Speaker: John Kois, DMD, MSD Credit Hours: 7 Times: 8:30am - 4:30pm th Location: SeaTac Marriott Hotel, 3201 South 176 Street, SeaTac, WA 98188

ATTENDEE NAME

POSITION IN DENTAL OFFICE

PREFERRED MAILING ADDRESS

[ ] WORK

[ ] HOME

CITY

STATE

ZIP

DAYTIME TELEPHONE NUMBER

FAX

EMAIL *Email address required for confirmation and receipt

ADDITIONAL ATTENDEES NAME

POSITION IN DENTAL OFFICE

NAME

POSITION IN DENTAL OFFICE

DIETARY RESTRICTIONS: [ ] Vegetarian

[ ] Vegan

Other:

METHOD OF PAYMENT PRICE: On or before May 1, 2015 [ ] DENTIST $245 [ ] RETIRED DENTIST/STAFF $160 After May 1, 2015 [ ] DENTIST $270 [ ] RETIRED DENTIST/STAFF $185 Dentist(s):

X $245 =

$

Retired Dentist/Staff:

X $160 =

$

TOTAL DUE:

$

CARD ACCOUNT NUMBER

[ ] VISA [ ] MasterCard [ ] Check enclosed (Checks should be made out to Seattle-King County Dental Society)

EXPIRATION DATE

CVC CODE

FULL NAME (AS IT APPEARS ON CARD) CARDHOLDERS SIGNATURE

Please send this form to: Seattle-King County Dental Society 1111 Harvard Avenue Seattle, WA 98122

Or fax to: Seattle-King County Dental Society 206.443.9308

Please note that confirmation emails will be sent to you one week before the course.

Receipts available upon request.

Questions? Call SKCDS 206.448.6620.

CANCELLATION AND REFUND POLICIES Refunds, minus a $40 processing fee, will be awarded up until five business days before the course. After five business days, no refunds will be awarded.

20 WAGD Newsletter | April 2015

13th Annual William Howard Memorial Lecture

FOR STAFF USE ONLY Payment processed ______  Aptify Entered ___________ 

CONTINUING EDUCATION

Pathway to Fellowship 2015-2016 Advancing Excellence in Dentistry

Course Schedule: September 19 & 20, 2015 Risk Management November 7 & 8, 2015 Orofacial Pain & Dry Needling January 23 & 24, 2016 Implants

Pathway to Fellowship is a interdisciplinary hands-on education targeted towards new dentists looking for a perfect opportunity to educate themselves and start their progress toward the Fellowship in the AGD. This quality CE program offers opportunities to interact and learn from our seasoned MasterTrack Study Club. Program topics are carefully selected to fit the interests of the progressive dentist and the fast changing dental landscape.

Fellowship Program The Fellowship program will meet four times a year on Saturday & Sunday starting September 2015 each session will offer 12+ credits and as a added bonus each session runs concurrently with our Washington AGD MasterTrack program.

This gives participants of our Fellowship program the opportunity to collaborate with seasoned dentists that are earning their way to Mastership with the AGD during lunch breaks and case reviews on Sun-days!

These presentations are done by the MasterTrack dentists and are open for group discussion on how they treatment plan and what they are doing progressively through out the treatment. Our Masters always look forward to our Sunday presentations to discuss with each other their success and failures.

Register Today!

This program is limited to the first 30 applicants who contract for the 2015-2016 sessions!

April 23 & 24, 2016 Endodontics

Location: SeaTac Office Center South Tower, Suite 1006A 18000 Pacific Highway South Seattle, WA 98818

Tuition: Each session will offer 12+ credits in both lecture & handson. Saturday educational session will run from 9:00 AM-5:00 PM and Sunday 8:00 AM-1:00 PM. * Due to the nature of this course, no refunds of the yearly tuition will be given. Organizers will not be liable for any expenses incurred by the participant due to missed sessions.

AGD Member Dentist: $2000 (Includes parking, breakfast, lunch and hands-on materials for each session) Non-AGD Member Dentist: $3500 (Includes parking, breakfast, lunch and hands-on materials for each session)

Register Online:

www.Washingtonagd.org or call: 253-306-0730

*Washington AGD Approved PACE Program Provider #219331 FAGD/MAGD Credit Approval does not imply acceptance by a state or provincial board of dentistry, AGD or WAGD endorsement.

Washington AGD PACE Provider (6/1/2014-5/31/2018).

washingtonAGD.org

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Promotional code:______________________

2015 AGD & Washington AGD Membership Application

Referral Information

For more information: Join online at www.agd.org.

Call us at 888.243.3368 or 312.440.4300.

Member’s name

If you were referred to the AGD by a current member, please note his or her information below:

City, state/province, or U.S. Federal Services branch

Member Information

First name

MI

Last name

Designation (e.g. DDS, DMD, BDS)

Date of birth (mm/dd/yyyy) Required for access to the members-only sections of the AGD website

Do you currently hold a valid U.S./Canadian dental license? q No q Yes: _______________________________________________________________________________________________________ License number State/province Date renewed (mm/yyyy) Type of membership: (Check one.) q Active general dentist q Associate (dental specialist) q Resident q Dental student q Affiliate If you are not in general practice, please indicate your specialty: _______________________________ Current dental practice environment: (Check one.) q Solo q Associateship q Group practice q Hospital q Resident q Corporate q Other____________________________ q Faculty _________________________________________________________________ Please indicate institution

q Federal Services ___________________________________________________________________ Please indicate branch

If you are a member of the Canadian Forces Dental Service, please indicate your preferred constituent: q U.S. military counterpart q Local Canadian constituent

Contact Information

Preferred billing/mailing address: q Business q Home Preferred method of contact: q Email q Mail q Phone

Your AGD constituent is determined by your business address, unless one is not available.

Business address

City

Name of business (If applicable)

State/province

ZIP/postal code

Phone

Fax

ZIP/postal code

Home address

City

State/province

Phone

Primary email

Website address

Educational Information

Are you a graduate of an accredited* U.S./Canadian dental school? q Yes q No q Currently enrolled

Dental school

State/province

Country

Date of graduation (mm/yyyy)

Are you a graduate of (or resident in) an accredited** U.S. or Canadian postdoctoral program? q Yes q No q Currently enrolled Type: q AEGD q GPR q Other________________________ __________________________________________________________________________________________________________________________________________________________________________ Postdoctoral institution State/province Country Start date (mm/dd/yyyy) End date (mm/dd/yyyy)

Optional Information

*Official accreditation is given by CODA in the U.S. and CDAC for all Canadian provinces.

Gender q Male q Female Ethnicity q American Indian q Asian

q African-American q Hispanic q Caucasian q Other

I am interested in participating in the AGD Mentor Program as a: q Mentor q Mentee

2015 AGD Headquarters Dues

2015 Washington AGD Constituent Dues

Please check membership type applying for: q q q q q q q q q

Active General Dentist ..........$380 Associate (Specialist) .............$380 Affiliate..................................$190 Resident ..................................$76 2014 Graduate ........................$76 2013 Graduate ......................$152 2012 Graduate ......................$228 2011 Graduate ......................$304 Dental Student ........................$17

Active General Dentist .................$95 Associate......................................$95 Affiliate ..........................................$0 2014 Graduate/ Current Resident ..........................$25 2013 Graduate ............................$95 2012 Graduate ............................$95 2011 Graduate ............................$95 Dental Student ..............................$0

AGD Headquarters Dues: (See above rates) .........................

___________

Washington Constituent Dues: (See above rates) .................

___________

Total Amount Enclosed: .....................................................

___________

Individuals joining July 1 to Sept. 30, 2015, pay half the annual headquarters membership dues (does not apply to student, resident, first-year graduate, or affiliate members). Individuals joining Oct. 1 to Dec. 31, 2014, enjoy membership through the end of 2015. Paid dues will be applied to the upcoming year.

**Accredited dental residencies qualify for the resident membership rate.

Official proof of enrollment must be provided to AGD.

AGD Privacy Information The AGD has systems and procedures in place to protect your privacy in relation to the handling of your personal information. The AGD does not collect personal information unless it is necessary to perform one or more of its functions and activities. On occasion, the AGD may collect personal information, but only with your consent or when required to by law. For more information, please visit www.agd.org or contact the AGD Membership Services Center at 888.243.3368.

Payment q Check (enclosed) q Visa q MasterCard

q American Express

Note: Payments for Canadian members can only be accepted via Visa, MasterCard, or check.

____/_________ ___________________________________

Expiration date (mm/yyyy) Please print name as it appears on the card.

I hereby certify that all of the above information is correct, and that by signing this application agree to all terms of membership including completion of 75 hours of continuing education every three years for active general dentist and associate members.

Signature

Date

Per the U.S. Revenue Reconciliation Act of 1993, 1.2 percent of membership dues payment is allocable to the AGD’s lobbying activities and is not deductible as a business expense. Please consult with your financial adviser for detailed information.

Return this application with your payment to: Academy of General Dentistry, 560 W. Lake St., Sixth Floor, Chicago, IL 60661-6600.

Dues rates effective through Sept. 30, 2015. Contact the AGD or visit www.agd.org for updated rates.

If paying by credit card, fax to 312.335.3443.

CONTINUING EDUCATION

2015-2016 MasterTrack Program The Washington AGD is offering a hands-on program that showcases courses in at least 16 different disciplines.

Location: SeaTac Office Center South Tower, Suite 1006A 18000 Pacific Highway South Seattle, WA 98818

Dates: September 17-20, 2015 November 5-8, 2015 January 21-24, 2016 April 21-24, 2016

How it Works

Testimonials

Four Sessions per Year in September, November, January & April.

My involvement with the Washington AGD MasterTrack has truly exceeded my expectations. The track combines such a wealth of invaluable dental knowledge with a fun and supportive group of colleagues. There is not a more economical way to continue your clinical, practice management & professional learning. Whether you choose to pursue your mastership designation with the AGD or not , the mastership group is a tremendous opportunity not to be missed.”

Time: Always Thursday thru Saturday 8:00am-5:00pm & Sunday 8:00am12:00. Includes light breakfast, lunches and all materials.

Tuition: Per year $5500 for AGD Members. $6000 for non-AGD members.

Payment plans are available.

Washington AGD will be accepting the first 30 applicants who contract for the year. There will be four sessions per year, each consisting of a 28+credit (Lecture & Participation) September Session: Practice Management, Fixed Pros, Occlusion & Case Presentations November Session: Endo, Orofacial Pain, Perio & Case Presentations January Session: Removable Pros, Implants, Special Patient Care & Case Presentations

Lisa L. Buttaro, DDS, MAGD

April Session: Pedo, Oral Surgery, Esthetics & Case Presentations

“The WAGD MasterTrack has been a fantastic schedule of lectures and participation courses that have helped me move towards my Masters in the AGD. Without the Mastertrack it would have taken me years and thousands of dollars more to reach this milestone.”

Thank you for your interest in the Washington AGD Program! We are dedicated to providing you with a first-class continuing dental education in a setting that is friendly, warm, and supportive. Washington AGD has a long tradition of training dentists who go on to achieve their Fellowship, Mastership, and Life Long Learning Awards with the Academy of General Dentistry.

Tim Hess, DDS, MAGD “This program is on the cutting edge of modern day dentistry. There is no group ahead of this group in terms of content and commitment to dentistry.”

John Ludu, DDS

Should you have questions, please do not hesitate to contact us by email, phone or in person at one of our sessions. We hope you will find your time with us is only the start of your learning experience and as well as the beginning of many life-long friendships.

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“

For those dentists seeking a well-balanced, hands-on interdisciplinary education, this study club program will answer that call! *For those dentists seeking Fellowship in the AGD, this program contains all of the requirements to reach this goal. *For those seeking Mastership in the AGD, this program over 5 years contains all of the requirements to achieve Mastership.

With warm regards, Gary Heyamoto, DDS, MAGD, CDE Program Director

REGISTER ONLINE: WWW.WASHINGTONAGD.ORG OR CALL: 253-306-0730 washingtonAGD.org

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Constituent of the Academy of General Dentistry Valerie A. Bartoli, Executive Director 900 Meridian E. Suite #19-361 | Milton, WA 98354

Pre-Sorted Standard U S Postage PAID Wenatchee, WA 98801 Permit #241

Washington AGD Mission: “The Washington AGD provides its membership professional development through quality education for comprehensive patient care.�

www.washingtonAGD.org

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