Washington Academy of General Dentistry 2014 Spring Newsletter by Legwork

Advancing Excellence in Dentistry N E WS L E T T E R

New Year, New Opportunities

Issue 30 | March 2014

Art & Science of Scheduling [pg 12] Know Your Numbers [pg 14-15] Dental Wealth [pg 16-17] What They Donâ&#x20AC;&#x2122;t Teach You in Dental School [pg 18]

It’s a New Year! by Dr. Steven L. Thomas, DMD, MAGD

As the new President of the Washington Academy of General Dentistry I thought I’d take this chance to introduce myself and to share some exciting initiatives the officers and I are putting into place.

WA. In October of 2012 Dr. Brad Larreau and I joined our practices and became partners. We love really getting to know our patients, and consider ourselves very much a part of the local community.

First, here’s a little about my background. Early on, I knew dentistry was the field for me. My dad is a dentist. He gave me the opportunity to assist him, and see first hand how dentistry helps people. In fact, here is one of my favorite stories.

Having been around dentistry for so long, I’ve seen a tremendous amount of growth and change in dental technologies and procedures. Naturally, I’ve developed a passion for bringing the latest technology, education and procedures to dentists in our state.

Way back, when I was assisting my dad, a patient came in with a broken tooth. She had to give a public presentation that afternoon and was very upset. My dad was able to make a quick flipper to fill the gap. Now, as dentists, we like to see perfection. This flipper was kind of so, so. But when that patient looked at herself in the mirror she started crying. She was so relieved and happy that she could go on and do her job that day. Moments like that, opportunities to make a real difference in people’s lives by helping them with their smile, keep me excited about dentistry. After growing up around dentistry, I did my undergraduate work at the University of Washington, and attended the University of Pittsburgh School of Dental Medicine. I had a military scholarship; so I did my first year completing an Advanced Education in General Dentistry in San Diego. Next I was stationed in North Carolina for two years. I went back to San Diego for my final two years of service. Returning home, I spent two years as an Associate Dentist in Federal Way, WA. Four years ago, I bought my practice in Arlington, 2

WAGD Newsletter | March 2014

As a member of the Continuing Education committee, it’s my privilege to help facilitate this kind of advancement. I want to thank Gary Heyamoto, DDS, MAGD, LLSR who heads up the committee. He is a great leader. And he’s great at finding the latest resources to bring to Washington State dentists. It’s an exciting time to be president of the WAGD. All of the officers including the past president and president elect are working closely with our Executive Director, Valerie Bartoli, CDA, DE to improve the efficiency of our organization. We have partnered with Korey Korfiatis, CEO of Legwork who has some terrific tools that will help us build momentum and take WAGD to the next level so we can serve dentists even better than ever. If any of our members have questions, I’d encourage you to look to Valerie, she’s a great person to work with and a key resource. The year ahead is full of excitement, education and advancement for us all. I am looking forward to working with you all as your president.

What’s in this Issue It’s A New Year....................................2 A Message from your Executive Director ................................................3 WAGD Leadership Roster 2014-2015 ........................................4-5 Upcoming Events ...............................6 Program Approval for CE ..................7 Rethink. Refresh. Renew ...................8 Oral Cancer Foundation Walk/Run for Awareness ....................................9 Differential Diagnosis for Myofascial Pain Course .......................................10 An Evening to Conquer Oral Cancer .......................................11 UWSOD Winter Gala .......................12 The Art and Science of Scheduling .........................................12 Myofascial Pain Syndrome for the General Dentist ................................13 Knowing Your Numbers...............14-15 Dental Wealth ..............................16-17 What they do not teach you in Dental School ...................................18 Volunteer for Massive Free Health Clinic ...................................................19 Dental Action Day ............................20 “Live Patient” Orthodontic Program .............................................21 Membership Application ................22 2014-2015 Master Track Program..............................................23

Meet Your Editor Dr. Brady Bates Dr. S. Brady Bates was born and raised in Spokane, Washington. He is a graduate of Washington State University (2006), and University of Washington School of Dentistry (2012). After graduation, Dr. Bates furthered his education by completing a 1-year Advanced Education in General Dentistry with Idaho State University in Pocatello. Currently, Dr. Bates and his father Steven L. Bates, who graduated from University of Washington School of Dentistry in 1975, opened a start-up practice on Spokaneâ&#x20AC;&#x2122;s South Hill in August of 2013. Dr. Bates is passionate about dentistry and finding ways to improve access to care for all those who are in need. As a student deeply involved with research, he published an article in the Journal of Public Health dentistry that investigated the use of technology to disseminate an important oral health message. Dr. Bates also spent four years as a student member involved with the Washington Academy of General Dentistry and now serves as an officer on the board as editor. He strives to continually improve the practice of dentistry and patient care. Brady and his wife Bethanie have two young daughters. They find enjoyment in outdoor activities, spending time with family, and serving in their church and community.

Thank you for your membership! A message from your Executive Director The Washington AGD has produced complimentary membership classes and Discounted courses for members of the Washington Academy of General Dentistry (AGD). As a member, you will notice incredible benefits offered to our AGD members both by Washington AGD and our sponsors! We are working on adding more FREE membership courses and discounted courses every day to better serve our membership. If you have a speaker or course suggestion you would like to see added to our yearly calendar, please do contact me. We are always working on ways to better serve our members. For our Non-AGD members, membership with the AGD is only $470 per year for Washington AGD members, which is only a fraction of the cost of the member benefits that you will receive. If you are an AGD member, we thank you for renewing and if not we ask you to join today!!!

Feel free to call me! I am here for our members, not a machine or answering service!

Valerie Bartoli,

Washington AGD Executive Director

Phone: 253-306-0730

Check us out on Facebook, Twitter & Linkedin!

Email: valbartoli@comcast.net

Website: www.washingtonagd.org

washingtonAGD.org

Washington AGD Leadership Roster 2014-2015

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

WAGD Editor 2013-2016 Brady Bates, DDS

WAGD President-Elect 2013-2015

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

WAGD Executive Director

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

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

Region 11 AGD Trustee June 2014

Region 11 AGD Regional Director June 2014 Guy M. Hanson, DDS, MBA, MAGD

Region 11 AGD Executive Director

WAGD CE Chairperson

Valerie Bartoli, ED, CDA

Mastertrack Program Coordinator

Gary E. Heyamoto, DDS, MAGD

AGD President 2013-2014 WAGD PACE Program Approval Representative Linda J. Edgar, DDS, MEd, MAGD

WAGD Newsletter | March 2014

WAGD Legislative Chairperson at Large Board Member September 2010-2014 Bryan C. Edgar, DDS, MAGD

WAGD Membership Chairperson at Large Board Member September 2011-2015 Kishore Shetty, DDS, MAGD

At Large Board Member September 2013-2016 Scott A. Martin, DDS, FAGD

At Large Board Member September 2013-2016 C/O Membership Chairperson

Himanshu Nigam. DMD

At Large Board Member September 2013-2014 David A. Keller, DDS, MAGD, ABGD

WAGD Dental Care & PIO Chairperson At Large Board Member September 2013-2015 Carl W. Youngquist, DDS, FAGD

At Large Board Member September 2013-2015 Dat P. Glap, DMD

WAGD UW Dental School Advisor Chairperson Ernesto Ricardo Schwedhelm, DDS

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

WAGD UW Dental School Advisor At Large Board Member September 2013-2015 Tar C. Aw, DDS

WAGD-UW Dental Student Representatives

Allen J. Tucker Class of 2014

Eric W. Olendorf Class of 2014

Jaclyn Hakes Class of 2015

Landon King Class of 2015

Nicole Voeller Class of 2016

Kooroush Mansourzadeh Class of 2016

Meg Hurd Class of 2017

Rochell Burke Class of 2017 washingtonAGD.org

Upcoming Events Washington AGD Board Meetings:

Friday, April 25, 2014 @ Cedarbrook Lodge Friday, September 19, 2014 (Annual Meeting & Elections) Location: TBA Friday, November 7, 2014 Location: TBA

Washington AGD MasterTrack Sessions:

TODAY

Thursday-Sunday, April 24-27, 2014 @ Cedarbrook Lodge Thursday-Sunday, September 18-21, 2014 Location: TBA Thursday-Sunday, November 6-9, 2014 Location: TBA

Washington AGD FellowTrack Sessions:

Saturday & Sunday, September 20 & 21, 2014 Location: TBA Saturday & Sunday, November 8 & 9, 2014 Location: TBA

Washington AGD Complimentary Membership Courses: Thursday, April 24, 2014 @ Cedarbrook Lodge Thursday, September 18, 2014 Location: TBA Thursday, November 6, 2014 Location: TBA

Washington AGD 12th Annual William Howard Memorial Lecture:

Friday, May 16, 2014 @ Cedarbrook Lodge, “One-Day Dental MBA Clinical Course” Speaker: Howard Farran, DDS, MBA

Washington AGD & Hiossen “Live Patient” Implant Course:

April 25-27, May 2 (Live Surgery), 3, 2014 Location: Hiossen, Speaker: Jeffrey Rogers, DDS, PS June 20-22, 27 (Live Surgery), 28, 2014 Location: Hiossen Speaker: Jeffrey Rogers, DDS, PS

Washington AGD Orthodontic Session:

Friday & Saturday, April 4 & 5, 2014 @ Dr. Binh Tran’s Office Friday & Saturday, May 16 & 17, 2014 @ Dr. Binh Tran’s Office Friday & Saturday, June 6 & 7, 2014 @ Dr. Binh Tran’s Office Friday & Saturday, July 11 & 12, 2014 @ Dr. Binh Tran’s Office Friday & Saturday, August 1 & 2, 2014 @ Dr. Binh Tran’s Office Friday & Saturday, September 5 & 6, 2014 @ Dr. Binh Tran’s Office Friday & Saturday, October 10 & 11, 2014 @ Dr. Binh Tran’s Office Friday & Saturday, November 7 & 8, 2014 @ Dr. Binh Tran’s Office Friday & Saturday, December 5 & 6, 2014 @ Dr. Binh Tran’s Office

For more information visit www.washingtonagd.org/events

Washington AGD Advanced Orthodontic Session:

Friday & Saturday, May 23 & 24, 2014 @ Dr. Binh Tran’s Office Friday & Saturday, July 18 & 19, 2014 @ Dr. Binh Tran’s Office Friday & Saturday, September 12 & 13, 2014 @ Dr. Binh Tran’s Office Friday & Saturday, November 14 & 15, 2014 @ Dr. Binh Tran’s Office

Washington AGD “Evening to Conquer Oral Cancer” Masquerade Gala, Auction & Dinner Friday, October 3, 2014 @ Bellevue Harbor Club, Bellevue, WA

Oral Cancer 5K Awareness Walk & Oral Cancer Screening

Saturday, October 11, 2014 @ Magunson Park, Seattle, WA, Join TEAM WAGD for this fun 5K event!

Visit the Washington AGD Booth at the Pacific Northwest Dental Conference, June 12 & 13, 2014 Academy of General Dentistry Annual Meeting, June 26-29, 2014, Detroit, MI Remote Area Medical, Community Outreach Event, Seattle, WA, October 23-26, 2014

WAGD Newsletter | March 2014

Program Approval for Continuing Education (PACE) AGD Credit for Study Clubs, existing or new, Dr. Linda Edgar wants to hear from You. Each year, thousands of continuing education courses are presented by hundreds of program providersâ&#x20AC;&#x201D;dental schools, dental societies, and companies that specialize in course presentations. Most provide dentists with valuable information that can be successfully integrated into the dental practice. The Academy of General Dentistry (AGD) Program Approval for Continuing Education (PACE) was created to assist members of the AGD and the dental profession in identifying and participating in quality continuing dental education. PACE is an evaluation of the educational processes used in designing, planning, and implementing continuing education. Approval by the AGD does not imply endorsement of course content, products or therapies presented, nor does this approval imply that a state or provincial board of dentistry will accept courses for re-licensure. Approved program providers are expected to comply with all relevant state and federal laws. Continuing education offered by approved program providers will be accepted by the Academy for Fellowship/Mastership credit. PACE reviews and approves program providers, not individual speakers or specific courses content. The applicant may be a major unit or department within an institution. To be eligible for Program Approval for Continuing Education the following criteria must be met: 1. The program provider must have been offered a planned program of continuing dental education activities for at least 12 months. 2. The program provider must ensure that all courses offered have a sound scientific basis in order to adequately protect the public. PACE reserves the right to require acceptable substantiation from providers that their courses have a sound scientific basis, proven efficacy, and ensure public safety. 3. The program provider must ensure that the educational methods and the facilities selected are appropriate to accomplishing the stated objectives of each activity. 4. You MUST NOT be representing a company. 5. You cannot provide these courses out of the state of Washington

Contact Dr. Linda Edgar to request a PACE application form. Email drlinda@edgardentistry.com or by phone 253-838-9333. There is an application fee $175 for AGD member, $550 for Non-AGD member. Please make checks out to the WAGD. If you are a specialist, it is not required but it is appreciated if you support the AGD by joining as an Associate member. A membership application will be sent with your PACE Approval Application. If a program provider offers courses or programs in more than one state/province, draws a significant amount of participants from more than one state/province or offers self-instruction programs that provider must apply for national approval. Washington AGD PACE Chairperson Linda Edgar, DDS, MAGD Email-drlinda@edgardentistry.com 1911 SW Campus Drive, Federal Way, WA The Academy of General Dentistry does not endorse any course content, products, processes, services or therapies presented by AGD PACEapproved providers. The views and opinions of program providers expressed during education programs do not necessarily state or reflect those of the AGD. AGD PACE-approval may not be used for product or program endorsement purposes; nor does it imply acceptance by a state or provincial board of dentistry; nor does it imply accreditation of a program. If you have questions, you may email PACE@agd.org. Or call AGD headquarters 1-888-243-3368.

washingtonAGD.org

EVENTS

Rethink. Refresh. Renew. Rethink, refresh, and renew the vitality of your practice and your passion for your profession. As dentistry continues to evolve rapidly, practitioners are facing new challenges, including stricter health care regulations, alternative dental practice models, and burdensome student loan debt. In order to thrive professionally, dentists must continue to adapt to these challenges, and the AGD can help them along the way. You’re invited to rethink, refresh, and renew the vitality of your practice and your passion for your profession during the AGD 2014 Annual Meeting & Exhibits, June 26 to 29, 2014, in Detroit, “America’s great comeback city.” With a comprehensive lineup of speakers, courses, events, and exhibits, this year’s meeting promises to be a turning point in the way you practice dentistry.

Innovative learning. Take lecture and participation courses on the hottest topics in continuing education (CE), presented by some of the industry’s foremost speakers, including John C. Kois, DMD, MSD; Carl E. Misch, DDS, MDS, PhD (hc); and Ronald D. Jackson, DDS, FACD, FAGD, FAACD. After three days of learning, head home with the skills and knowledge you need to advance your practice and your career.

Professional distinction. Demonstrate your commitment to lifelong learning

Advanced registration rates end May 2, 2014

and quality patient care by attending educational sessions and earning CE credit toward AGD Fellowship and Mastership. Pursuing Fellowship? Register for the two-day Fellowship Review Course presented by speakers from AGD Region 17, and then sit for the AGD Fellowship Exam to eliminate another award requirement! Gain additional motivation by attending the 2014 Convocation Ceremony, and continue celebrating our new awardees during the President’s Celebration to Honor Fellows and Masters, featuring an elegant dinner and dancing to Motown music.

Practice advancement. Take your office to the next level by visiting the exhibit hall, where hundreds of exhibitors will showcase the latest innovations in dental equipment, materials, products, and services. Attend the Welcome and Networking receptions to gain ideas and advice from other attendees, and to show appreciation for the exhibitors who support your profession.

Personal inspiration.

During your downtime, draw inspiration for change from your surroundings. Detroit’s revitalized downtown area offers unique dining and entertainment in and around the AGD Headquarters Hotel, the Detroit Marriott at the Renaissance Center—itself a local icon redefined. Explore more cultural transformations by visiting local attractions like the prestigious Detroit Institute of Arts, the world-renowned Henry Ford Museum, and the beautiful Detroit International RiverWalk. For more ideas on how to spend your time before, during, and after the meeting, go to www.visitdetroit.com/agd2014. And don’t forget your passport—Canada is just across the river!

For more information, or to register, visit www.agd.org/detroit2014. 8

WAGD Newsletter | March 2014

EVENTS

Oral Cancer Foundation Walk/Run for Awareness

Please join us Saturday, October 11, 2014 for the

3rd Annual Oral Cancer Foundation

Walk/Run for Awareness of Seattle at

Magnuson Park.

Walkers - $25 pre-registration online or $30 day of event Runners - $30 pre-registration online or $35 day of event Children age 6 to 10 - $10; children under 5 are free Oral Cancer Survivors and patients are free.

Start your own fundraising page or create a team. The person who raises the most money over $2,000 on their personal fundraising page will win an iPad Air.

For more information or to register, please visit http://donate.oralcare.org/events/seattle2014

washingtonAGD.org

EVENTS

Differential Diagnosis for Myofascial Pain for the General Dentist! Free Membership Course for Members of the WAGD

Thursday, April 24, 2014 Speaker: Laurie Connolly Subject Code: 180 Credit Hours: 2.5 hours (Lecture) Time: Dinner 6:00 PM Course: 6:30 PM-9:00 PM Tuition: FREE for Washington AGD Members & Non-AGD Members $199 Location: Cedarbrook Lodge, SeaTac, WA

Course Synopsis: Myofascial pain (MPD) is a neuromuscular dysfunction of muscles characterized by the presence of active trigger points. Trigger points develop in muscles from trauma or over-exertion of the muscle. Any muscle can develop trigger points and each muscle has its own unique pain referral pattern. Successful treatment involves inactivating the trigger points, correcting biomechanical dysfunctions, restoring normal movement patterns and identifying and eliminating perpetuating factors. This course will assist the general dentist in providing a differential diagnosis for tooth, face and jaw pain complaints without evidence of dental pathology. After completing this course the clinician will: 1. Be able to accurately define Myofascial Pain. 2. Understand the pathophysiology and etiology of trigger points. 3. Recognize specific symptoms and pain referral pattern for the masticatory muscles. 4. Be able to confidently palpation muscles to make an accurate diagnosis of MPD. 5. Be able to implement 2 basic treatment techniques, Spray and Stretch and Compression Release. 6. Provide patient with appropriate information for self treatment.

Laurie Connolly is a licensed occupational therapist who graduated from University of Alberta in 1983. She practiced traditional occupational therapy from 1983 to 1998 in a variety of settings including home health, skilled nursing facilities and school districts. Beginning in 1998, she started studying Myofascial Release with John Barnes, PT. In 2001, after completing all 14 courses with him, she became the first instructor for Myofascial Release from Washington State. She began studying Craniosacral Therapy with the Upledger Institute in 2000 and is now an advanced practitioner in this modality.

Registration is Open: www.washingtonagd.org

WAGD Newsletter | March 2014

EVENTS

â&#x20AC;&#x153;An Evening to Conquer Oral Cancerâ&#x20AC;? Masquerade Gala/Dinner & Live Auction Friday, October 3, 2014 at the

Bellevue Harbor Club, Bellevue, WA

Champagne/Wine Welcome & Networking Reception 5:30 PM-6:30 PM Live Music, Dinner & Auction 6:30 PM-10:00 PM. Individual Tickets $125 Proceeds to benefit the Oral Cancer Foundation Emceed by Meeghan Black, Evening Magazine, King 5 News

The Washington AGD wishes to bring awareness to this deadly disease and help to save lives! The success of this event relies heavily on your support and generosity. Please give generously and assist a first class research into action that will truly make a difference in the prognosis of Oral Cancer.

The Oral Cancer Foundation is a Non-Profit 501(c)3 organization. Tax Id# 33-0969026 Washington AGD Washington State Charities #28403 *Tickets may be state tax deductible. * Check with your tax advisor washingtonAGD.org

EVENTS

Class of 2015 UWSOD Winter Gala On Saturday, February 1st on top of the Columbia Tower in Downtown Seattle, over 400 Pre-doctoral students, residents, and faculty all gathered together for the University of Washington School of Dentistry’s annual Gala. This years Gala was put on by the class of 2015 in conjunction with the Washington Academy of General Dentistry (WAGD). The Gala was 76 floors above the city and the students were able to get dressed up and enjoy a night out with their classmates and enjoy a Gala full of beverages, food, free gift bags, a live DJ, a photo booth, and a silent auction. Not only did the students and faculty members in attendance enjoy a night full of laughter and socializing, but they also contributed to a great cause, due to the fact that all ticket proceeds and donations supported the Class of 2015 by helping further fund dental education resources and outreach opportunities that are located in the Pacific Northwest. I was able to ask the Class of 2015 President, David Ludwig, on his opinion of the success of the Gala to which he responded: “The 2015 UW School of Dentistry

Winter Gala was an unprecedented evening that brought together students, residents, faculty, and dental professionals. With the support of the Washington AGD and other donors, over 400 attendees raised almost $8,000 for local outreach programs and scholarships.” As you can see, all the donors for the Gala, including the WAGD, helped contribute to a great cause for everyone in attendance. Overall, the Gala was a booming success; with many students telling myself and other students how impressed they were with the work and planning that went into the event. Many students were extremely grateful to the WAGD for donating to the cause and helping to fund such an exciting event. I’m sure I speak for everyone when I say the night was a resounding success. Written by Landon King DDS Candidate Class of 2015 UW School of Dentistry

The Art and Science of Scheduling On a daily basis so many aspects of the “stress level” can be controlled or achieved through effective scheduling. Improving the workplace environment for you, every member of your team, and your patients ultimately adds up to maintaining quality patient care and the ability to deliver great customer service. Key points in this strategy include definition of where the doctor or doctors are in the schedule at all times. Working within the Delegation of Duties of your Dental Practice Act to allow every member of the team to perform what they can within the law. Team members who know they are contributing at the highest level are naturally happier. Make sure you’re employing the technology in which you’ve invested at the utmost degree. Clinical efficiency that equates to total doctor time required 12

WAGD Newsletter | March 2014

in the procedure = fee = goal. Understanding the importance and value of the hygiene exam and not just considering this an interruption. Identifying procedures that cannot be interrupted with exams or emergency patients. Reality that no one doctor can be in two places at the same time. The stress put on the doctor with the constant feeling of being behind is something that can be overcome and controlled.

Define, develop, and systemize protocols that every member of the team can implement. My partner, Brian Bray, continually reminds me all business owners have three things; Time, Talent and Money. Time and talent have everything to do with effective scheduling. Otherwise it is costing you in profitability. At the end of the day, effective scheduling creates a smoothly operating, efficient and profitable practice.

Know your numbers. You cannot know your business if you do not know your numbers. Build your daily practice around your own statistics, not an industry model. Go out in the schedule and block out new patient time allotments and hygiene therapudic time. Your practice is unique. Make it uniquely successful.

About Brenda Brewer

Communication is the key to success in every professional team.

Brenda Brewer is a business coach with the DDS Advisors group. Contact her at myddsadvisors.com

ARTICLES

Myofascial Pain Syndrome for the General Dentist Why do general dentists need to know about myofascial pain? A patient presenting with chronic oro-facial or tooth pain can be a confusing and difficult problem, particularly if there is no evident dental pathology or if the pain persists a following corrective procedure and is resistant to analgesics, anti-inflammatories or muscle relaxants. The list of potential differential diagnoses is long and complex. Fortunately, there is one possibility that is relatively common and amenable to treatment when diagnosed correctly. This condition can be identified clinically without invasive and expensive diagnostic tests and should be considered early in the process and ruled out before more invasive and expensive procedures are ordered. It does require a proficient clinician to recognize and test for it. The condition is called Myofascial Pain Syndrome. In the dental field it is known as MMPS - Masticatory Myofascial Pain Syndrome or MPD Myofascial Pain Dysfunction syndrome. Myofascial pain is a myalgic, non-articular, noninflammatory, musculoskeletal disorder characterized by the development of active myofascial trigger points. An active trigger point is defined as â&#x20AC;&#x153;a hyper-irritable nodule located within a taut band of skeletal muscle.â&#x20AC;? The accurate palpation of the taut band and the trigger point are critical for the diagnosis. Gentle, sustained pressure on the node will often provoke the patientâ&#x20AC;&#x2122;s symptoms, confirming the diagnosis. Active trigger points are exquisitely tender to palpation but they also refer pain in predictable, recognizable patterns to other tissues, in the case of masticatory trigger points to the teeth and gums. The pain is usually felt as a deep aching and can be moderate to severe. It can be constant or intermittent, exacerbated by activities like chewing, talking, yawning or oral hygiene activities. Trigger points are activated in muscles from repetitive strain, poor posture and local trauma such as overstretching during dental procedures. Active myofascial trigger points can be easily treated in the clinic. The most effective and least invasive techniques are direct, sustained pressure on the trigger point and a spray and stretch technique using commercial spray or ice. With additional training, trigger point injection and

dry needling are very effective, minimally invasive and cost effective. Early recognition and treatment of this condition can save patients months or years of pain and frustration and thousands of dollars on testing and unnecessary procedures.

Lateral Pterygoid

Digastrics

Medial Pterygoid

Temporalis

Masseters

About Laurie Connoly I am an Occupational Therapist OTR and a CMTPT, Certified Myofascial Trigger Point therapist. I studied myofascial pain and trigger points at the Janet Travell Seminars in 2004 - 2005 and became certified in 2007. I own an outpatient clinic, Therapy Works and have been treating patients with Myofascial pain and specifically TMD and oro-facial pain for16 years. For the last 7 years I have been teaching seminars on MPS and TMD.

washingtonAGD.org

ARTICLES

Knowing Your Numbers by Julie Doge

needed help with marketing! If you want to know what is going on in your practice and manage it effectively, you have to know the numbers. You may know that you have a problem but you don’t know the cause without consulting the numbers. Now there are a lot of numbers in your practice, all of them informative but six of them are key and need to be monitored consistently.

These are the numbers you need to watch each month: In the movie “Erin Brockovich” there is a scene where Erin meets her neighbor, George, and he asks for her number. She responds by asking which number he wants. George: How many numbers you got? Erin Brockovich: Oh, I got numbers comin’ outta my ears. For instance: ten. George: Ten? Erin Brockovich: Yeah. That’s how many months old my baby girl is. George: You got a little girl? Erin Brockovich: Yeah. Yeah, sexy, huh? How ‘bout this for a number? Six. That’s how old my other daughter is, eight is the age of my son, two is how many times I’ve been married - and divorced; sixteen is the number of dollars I have in my bank account. 850-3943. That’s my phone number, and with all the numbers I gave you, I’m guessing zero is the number of times you’re gonna call it. She gave him six numbers (not including the zero, which was 14

WAGD Newsletter | March 2014

speculative and as it turned out…. wrong!). Those six numbers perfectly summed up the state of her life at that time. I loved that scene! I loved it not just for the great acting but for the brilliant way it showed how numbers themselves tell a story. Numbers are the undisputable truth and although they don’t predict the future they provide us with an incredible insight into the present. They are the quantifiers of success and failure and without them management could not exist. I had a doctor call me once and say that he needed help because his patients weren’t accepting treatment and his production had dropped. After reviewing his numbers I found that his case acceptance was excellent but his new p a t i e n t n u m b e r s were down. He did need to address his drop in production but he didn’t need help with case presentation……. he

Active Patient Count- This is the most crucial number in your practice. Put into context it tells you how much revenue you can expect, when and if to add an associate and how many hygienists you need. ALWAYS KNOW THIS NUMBER! You should be able to generate $1000 per year for each active patient. So 1200 active patients gives you the potential of producing $1.2M per year It takes 300 patients for each day per week that you work…so you would need to work 4 days per week to serve the active patient base adequately. It takes 225 patients for each day of hygiene per week… so you would need a hygienist 4.4 days per week (four 9 hour days or an extra hygiene day every other week). For an active patient count, I use the standard of anyone seen within

ARTICLES the past 24 months. Be careful of using computer reports to determine your active patients, unless you know what criteria are used to formulate it. Many software programs will simply give you any patient that has ever been entered into your system that hasn’t been inactivated and your numbers can be wildly inaccurate! Quite often you can call your software support and they can walk you through generating a report with specific parameters or at least let you know if it can’t be done. If you have physical charts, count the charts with this year’s and last year’s date stickers. If you haven’t been using stickers, count all of the charts and then randomly check 100 charts for the last date the patient was seen, keeping track of the number that were in during the past 24 months. Use that number as a percentage to multiply times the total number of charts. Once you have your number, each month you need to add your new patients and subtract the patients leaving your practice to know your net gain or loss.

New Patients-

This number is of course very different for an established practice than it is for a start-up or a practice that serves a transient patient base, like military or college students. Knowing your active patient count and your monthly net gain or loss will help you determine how many new patients you need each month. Because no business is static, your practice is either shrinking or growing and unless you have the unusual circumstance of wanting to shrink your practice, you need to opt for growth. If your active patient base is

adequate to support your production goal, I have found that 1 new patient per day is ideal and provides for slow but steady growth. More than 2 new patients per day will usually cut into your daily production significantly and will increase your active patient count enough that you will need to increase hygiene and doctor days … which is great, if that’s your objective.

Along with the new patient numbers, you need to know where they came from. Be sure to track the referral source for each new patient and use it to manage your marketing dollars. Put your money where it is effective and gets a good return.

Collection- Should be 98-100% of your adjusted production …… Period. The percentage may vary month to month if your production varies and collection generally lags a month behind production but a 3 month running average should give you an accurate percentage. Overhead- Oh I wish I could say 50% ! I know there are still some consultants out there that say that’s the number you should shoot for but I just don’t see it in solo, general practices in Washington. In practices that I consider well managed and keeping up with current technology and equipment, the overhead runs 60% for practices in rural areas and 70% in the greater Seattle/Tacoma area. Nothing matters more than the bottom line and it is as much affected by your outflow as your income. It is imperative that you keep a close eye on your expenses and review your P&L each month. Be sure to run the report with your expenses shown as a percentage of income so you have the detail you need to interpret it.

Production- Knowing your active patient count, you know what your practice is capable of producing. You should have an annual production goal that you reduce to a daily number. When you look at your monthly production report, be sure to break it down into a daily average so you know if you are at goal. Adjustments- This number has certainly gone up over the past few years but watch to make sure it is consistent. It is also an important number to know when setting your production goals as you need to know how much “extra” you need to produce, to reach your desired revenue. washingtonAGD.org

ARTICLES

Dental Wealth Income Taxes Are Your Largest Expense Most

of my dentist clients and their

strive to create an income that will provide them financial security. Beyond income there is “quality of life” which is greatly enhanced through the “knowing” of financial security. However, income alone does not by itself create financial security or quality of life. Rather, it is how you deploy and manage excess income that can create wealth, security and add to the non-financial qualities of life. families

For most dentists, income and related taxes are the single biggest expense in your life. And the stakes just got much higher with

the new taxes and rates that were implemented in 2013. In fact, as of this writing, most dentists are unaware of what the 2013 tax increase will cost them – as the pain will not actually occur until 2013 returns are prepared and filed in March and April.

IF YOU DON’T GET TO KEEP IT DID YOU REALLY EARN IT? So what does the government have in mind for us? Well, effective 16

WAGD Newsletter | March 2014

in 2013, the following changes have occurred: 1. Increased top tax bracket. Starting in 2013, if your Modified Adjusted Gross Income (MAGI) exceeds $450,000 on a joint filing or $400,000 single, you “stated” marginal tax bracket is 39.6% versus 35% in 2012. 2. Phase-out of itemized deductions and personal exemptions. These phase-outs act like a stealth tax of about 2% combined. If your MAGI exceeds $300,000 on a joint filing or $250,000 single, the government starts to take away (phase-out) your itemized deductions and personal exemption deduction. 3. We now have a new 3.8% Medicare tax on net investment income. This provision kicks in at $250,000 on a joint filing and $200,000 on a single return. The tax applies only to income above these amounts and only to the extent of Net Investment Income (NII). NII general includes interest, dividends, rents, royalties, passive activity income and most capital gains. Items that are exempt include any earned income, tax exempt items such as certain municipal bond interest, exclusion on sale of principal residence, social security benefits and payments from qualified retirement plans such as pensions, 401k’s, and IRA’s. Of particular note

is the exclusion of S Corporation income from active businesses (like your practice). Also excludable is certain rental income associated with your practice if the proper elections have been made and generally, the capital gain on the sale of your practice as long as you do not operate as a C Corporation. 4. In addition to the 3.8% tax noted above, capital gains now have a 20% versus 15% rate for those with MAGI above $450,000 on a joint filing and $400,000 single. The possible capital gains rates we now have are 0%, 15%, 18.8%, 20% and 23.8%. Actual rates will be a bit higher if the Phase-outs mentioned above apply. Significant planning is appropriate for any anticipated large capital gain – especially a practice sale. 5. We also have in effect an additional .9% Medicare tax on salaries or self-employment earnings that exceed $250,000 joint and $200,000 single. Combined with the “regular” Medicare tax on salaries of 2.9% - it matches the 3.8% on unearned income noted just above.

SO WHAT IS A DENTIST TO DO? Well, proactive tax planning has just become much more valuable. There are strategies and tactics that can be applied to help reduce the bite from each of these new taxes – but it takes advance planning. In coming articles we will cover a number of strategies, including: • Optimizing your tax deductible retirement plan contributions • Utilizing an S Corporation to

ARTICLES

minimize FICA taxes and avoid the Net Investment Income Tax now and upon sale • Grouping Elections – to avoid Net Investment Income on certain rental properties and certain other activities • Cost Segregation – current and retroactive • Optimizing deductions for money you already spend – meals, entertainment and travel • Effective Tax Management of

your investment portfolio • When and how to convert to Roth IRA’s and When not to

information to such an esteemed body as is the Washington Academy of General Dentists.

• Indirect or “back door” Roth IRA contributions • Documenting your tax deductible practice and personal expenses • Timing and other Tax Issue related to Sale of your Practice

CONCLUSION: These and other strategies should help to get us started down the path toward proactive tax planning for our practice, personal and investment portfolio and we are looking forward to providing you these future articles and are most humble and appreciative to be able to present this

Sam Martin is a CPA, CFP® and holds a Masters in Federal Income Tax. Sam is the Director of Personal Wealth Management and Advanced Tax Strategies at the Kirkland based Dental Group Companies including Martin Boyle PLLC (dental CPA’s) DG Advisors (Proactive Tax and Profitability Solutions) and Dental Wealth Advisors – a Registered Investment Advisory. Sam can be reached at 425-216-1612 or mail@ cpa4dds.com.

Washington AGD Membership Benefits Academy members enjoy access to a variety of benefits ranging from the intangible such as shared experiences and camaraderie to more tangible such as continuing education and important services that can assist you and your practice in concrete ways. Some of these services will be valuable to you now, others will be useful at various times throughout your career. The Academy works to provide professional and personal services that will help you build your practice, save money, protect your investment and increase your convenience. For a list of current programs we offer please visit this section of the AGD web site for additional information.

Register today at washingtonagd.org/membership-overview or fill out the membership application on page 22. washingtonAGD.org

ARTICLES

At Last. Your Practice Can Pay You What You’re Worth What they do not teach in dental school. Consider for a moment if more dentists were as good at building value into their practice brands as they are with their clinical skills. What would the industry look like? I would argue, no I would guarantee, that it would look something like this: 1. Patients would begin to more clearly see the value of dentistry, start to see elective procedures as more valuable than a summer trip to Disneyland. 2. Dentistry would shift from the “need” or “necessary evil” category in the patients’ minds to that of “want.” You invested years in learning to perform precision medical procedures in the compact spaces and intimate spaces of patient’s mouths. You know from experience that your skills, knowledge and perfectionism can make big differences to patient’s oral health and self-confidence. In all that education, the class you were not offered was How To Build and Run a Practice that Pays What You are Worth. Here’s a broad outline of the course content. What does shopping for a dentist have to do with shopping for clothing? As it happens, quite a lot. We all know the difference between Nordstrom and Target. Both companies sell, among other things, clothes. Each of these brands makes it clear to us, as consumers, what the benefits of shopping at each are. We don’t go to Nordstrom for a $10 T-shirt. We don’t go to Target and expect a sales person to help us get fitted for a suit. What dental school does not teach you is how patients shop for dental care based on how they perceive

WAGD Newsletter | March 2014

your brand. So, you wind up with a powerful toolbox and a paycheck that pales in comparison. In fact, I would argue that the dental industry as a whole has not focused on making it clear to consumers that dentistry is not all the same. Patients in their effort to shop for dental care wind up looking to their insurance providers, recommendations from friends and family or online research. What they most commonly find is that dental practices are interchangeable. That dentists all make the same generic promises and provide the same services. So, you might ask, what is the problem with that? Most patients come to us as a result of a referral from our good patients or from their insurance anyway. Right? Imagine for a moment how the face of dentistry would change if the industry started working together to change its overall brand perception and stopped leaving it to the insurance companies and online patient reviews to decide their fate.

3. Patients would finally realize that their gym membership and their dental health were equally important when it comes to their heart health. 4. Insurance companies would continue to reduce payouts. And dentists would not care because patients would seek regardless of their insurance coverage. 5. Dentists could afford to spend more time with each patient. It’s time to use your considerable knowledge and experience to clearly differentiate your practice. Sure would be nice to ace this class, the one that allows you to put all that time, effort and investment in dental school to the best possible use.

written by Korey Korfiatis

VOLUNTEERISM

Volunteers Needed for a Massive Free Health Clinic at Seattle Center Save the Dates: October 23 & 26, 2014 Washington Academy of General Dentistry is joining with more than 25 other organizations from around the State of Washington to host a massive free health clinic to treat underserved and vulnerable populations, as well as connect them to area resources that can enable continuity of care. In partnership with the non-profit, humanitarian organization Remote Area Medical (RAM), and under the guidance of local colleagues Dr. Jeffrey Parrish, Dr. Michael Karr and Dr. Carl Youngquist, the clinic aims to fully-staff 60 dental operatories per day. Although this is the first time RAM has been invited to our state, they are not new to operating large-scale, volunteer-driven clinics. RAM was founded in 1985 and initially focused on providing healthcare access to people in remote areas of the world such as Haiti and Guyana. In 1992, they were invited to hold a clinic in Appalachia and from there other rural and urban areas began requesting their support. RAM has since held over 700 clinics in the United States and served over 500,000 patients. A clinic such as this is a true collaboration between RAM and a Host Community. RAM provides a tremendous amount of infrastructure, especially in

dental and vision areas. Then they follow the lead of the local professionals, selected by the Host Community, who determine most of the healthcare offerings and protocols, as well as manage the on-site delivery of care. Add to that the generosity and dedication of over 300 dental, vision, medical and support volunteers each day, and a clinic can make an incredible contribution to the lives of many people in need, as well as to our community. We encourage you to be a part of the October clinic! RAM provides everything the volunteer dental professional needs including the dental equipment, tools, medicines, and chairs. We’ll also provide meals and parking. All you do is show up and help and we take care of the rest. The clinic needs Dentists, Oral Surgeons, Hygienists, Dental Assistants and Dental X-Ray Techs, so feel free to bring your staff. Volunteer for one day or all four, we’d greatly appreciate your participation! Online registration will begin in early May. Please save the dates now and look for communication from WAGD as soon as registration is open. Don’t forget to encourage other dental colleagues to join you.

For more information visit www.seattlecenter.org/RAM

VOLUNTEERISM

Dental Action Day almost 400 Dental Students, Dentists, and other representatives gathered at the State Capitol in Olympia for Dental Action Day. It was such a rare and exciting experience to be a part of, as well as witness, such a unified group of student doctors and Dentists coming together for the common goal of having “One-Voice” and positively impacting our profession as well as our patients.

fact that right now there are not enough spots available for the amount of students who want to pursue them.” Although this was a large topic being discussed, it was just one of many issues that were being simultaneously discussed at Dental Action Day, with a range of topics being covered from Dental Hygiene Boards all the way to Dental Licensure Grace Periods. I must state though, that although there were many issues at hand on this day to be discussed, all of them were given much detail and had so many passionate individuals speaking on behalf of them, which truly was a great thing to be a part of.

All of the members in attendance made the trip to Olympia in order for us all to meet and speak to our local Washington State Representatives about so many issues and challenges affecting the dental community at this present moment as well as be able to discuss future issues and complications that may arise. For example, one of the main issues that were addressed was the notion for our government to support more Local Residency Programs and Professional Loan Repayment Programs instead of an alternative approach such as Dental Therapists.

Although many individuals might agree or disagree with any of the stances that the Washington State Dental Association took on any issues, I think we can all agree on the fact that this was a very special and unique experience to see so many passionate professionals come together for one common goal in mind. I was fortunate to attend the Dental Action Day this year as well as the previous year; however, I must say that this year was such a unique year due to such a large turnout of students and Dentists who all came together to support their beliefs and goals for the dental profession as well as for all our future patients.

On Friday January 31st, 2014,

After speaking with so many students on this issue and being able to hear their thoughts and ideas, I got the overwhelming feeling that most Dental Students wanted extra Post-Doctoral training after they graduated dental school in order to help them provide better services to their future patients. I was also able to follow up this issue with the Class of 2015 President David Ludwig in which he stated the following: “Right now the WSDA supports more dental residency programs due to the

Written by Landon King DDS Candidate Class of 2015 UW School of Dentistry

WAGD Newsletter | March 2014

CONTINUING EDUCATION

“Live Patient” Orthodontic Program

Dentists will be provided “live” patients from initial consultation to final retainer delivery Dates:

Location:

April 4 & 5, 2014 May 16 & 17, 2014 June 6 & 7, 2014 July 11 & 12, 2014 August 1 & 2, 2014 September 5 & 6, 2014 October 10 & 11, 2014 November 7 & 8, 2014 December 5 & 6 with Christmas Party, 2014 January 9 & 10, 2015 February 6 & , 2015 March 6 & 7, 2015

Dr. Binh Tran’s office 1014 S. 320th St. Federal Way, WA

Course tuition: $10,000 for 12 sessions AGD Member Dentist $2,000 for 12 sessions for CDA with AGD Member Dentists $12,000 for 12 sessions for Non-AGD Member Dentist $4000 for 12 sessions for CDA with Non-AGD Member Dentists When registering, enjoy No Payments and No Interest if paid in full in 6 months on Bill Me Later

Fridays are lectures and Saturdays are patient treatment. Credit Hours: 12 per session.

purchases of $99 or more. This option is available upon checkout through our Paypal service.

Course Content/Objectives:

Testimonials

•

Initial orthodontic examination and comprehensive treatment plan.

•

Orthodontic records and management system

Dr. Binh Tran has been an exceptional instructor.He teaches, motivates and inspires us to achievegoal – and students and dentistry. He is the only instructor that I know who is available to answer our questions and guide us throughout the course. This Washington AGD sponsored course is highly recommended because we learn and treat real patients, which provides us with the confidence to take on ortho cases in our practices.In addition we have his support outside the class that helped me add over20ortho cases in the last eight months since I started Dr. Tran’s course.have driven every month from Portland and stayed in hotels just to take this course, and it is the best investment I’ve ever made in my dental education. The class is so much fun that I have not skipped a single session.”

•

Photography and Case presentation

•

Orthodontic Office and Financial management system

•

Ceph Analysis and FACE principles

•

Orthodontics Principles and Mechanics for Angle class 1,2, and 3

•

Clinical Orthodontic practice: from banding to debanding.

•

Orthodontic supplies ordering and managing inventory

•

Post treatment retention and monitor

•

Surgical and TAD in Orthodontic.

•

Pediatric to Geriatric orthodontics.

•

A training manuals are in digital format/Flash Driverelated reference papers is included.

•

Attendee will be trained in how to start orthodontic service in their

•

Attendee will treat and present a minimum of two of Dr. Tran patients.

•

Attendee is requested to start treatment in their own office and present those cases.

•

Monthly quiz and a final exam will be given to confirm learned concepts

•

Final Plaque and Certificate presentation with Diner (spouse invited)

“

Ravi Sinha, DDS “Washing ton AGD Ortho course led by Dr. Binh Tran is one of the best courses I have ever taken. I can’t say enough about the way Dr. Tran has organized the course to provide a comprehensive program. His knowledge and skill is vast, and his way of making sure you totally understand is great. I highly recommend Dr. Tran and this Washington AGD program.” Rose Bailey, DDS

office.

Course Goals: At the completion of this course, attendees will be able to confidently identify orthodontic problems and provide treatment solutions in their own office.This course will provide additional office income while enhancing all other treatment results that the doctor is providing.

Course requirement: Attendance, Office capacity, patients’ availability, supporting staff. The doctor is encouraged to select one CDA from the office to attend a staff training course if possible. However, past doctors have trained their own staff to provide care. *As

Non-Profit

entity,

Washington AGD

does not endorse, partner or solely support companies,

products or speakers, but rather recognizes speakers, products and sponsors for their their services to our

Washington AGD

educational programs.

The

views and opinions of the speaker expressed during

the educational prorgram, do not necessarily state or reflect those of the

Washington AGD.

“

Promotional code:_______________________

2014 Academy of General Dentistry

Referral Information

For more information: Join online at www.agd.org. Call us toll-free at 888.AGD.DENT (888.243.3368).

Member’s name

Membership Application

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

City, state/province, or Federal Services branch

Member Information

First name

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 Yes: _______________________________________________________________________________________________________ License number State/province Date renewed (mm/yyyy)

q No

Type of membership (See back page for definitions.): (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

Your AGD constituent (local chapter) is determined by your business address, unless one is not available.

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

Business address

State/province

ZIP/postal code

Phone

Fax

ZIP/postal code

City

Name of business (If applicable)

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

City

State/province

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 ____________________________________________________________________________________________________________________________________ Post-doctoral institution State Start date (mm/dd/yyyy) End date (mm/dd/yyyy)

*See back of form. For information on qualifying for the residency dues discount, please refer to the description on the back.

Optional Information

Stay Social With the AGD!

Gender q Male q Female

Search “Academy of General Dentistry” to connect with us on:

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

Dues Information

Payment

Please check membership type applying for:

U.S.

Canada

Puerto Rico

q Active General (in Canadian dollars) Dentist ..................... $375 ..................$335 ................ $314 q Associate ..................... 375 ....................335 .................. 314 q Affiliate ....................... 188 ....................168 .................. 157 q Resident ....................... 75 ......................67 .................... 63 q 2013 Graduate ............. 75 ......................67 .................... 63 q 2012 Graduate ........... 150 ....................134 .................. 126 q 2011 Graduate ........... 225 ....................201 .................. 188 q 2010 Graduate ........... 300 ....................268 .................. 251 q Dental Student .............. 17 ......................17 .................... 17

q Check (enclosed) q Visa q MasterCard

q American Express

q Diners Club

q Discover

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.

1. AGD Headquarters Dues: ............................. _________ 2. AGD Constituent Dues: ............................... _________ Please refer to back side for constituent dues.

Signature

Date

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

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, 2014.

If paying by credit card, fax to 312.335.3443.

CONTINUING EDUCATION

2014-2015 MasterTrack Program The Washington AGD is offering a hands-on program that showcases courses in at least 16 different disciplines. 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.

Location: Cedarbrook Lodge 36th Avenue S. Seattle, WA

Dates: September 18-21, 2014 November 6-9, 2014 January 22-25, 2015 April 23-26, 2015

How it Works

“

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

Testimonials

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.” Lisa L. Buttaro, DDS, MAGD

“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.” 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.”

Time: Always Thursday thru Saturday 8:00am-5:00pm & Sunday 8:00am12:00. Includes Light Breakfast, Lunches and all Materials. Tuition: per year $5000 for AGD Members. $5500 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, Oral Med/Oral Diagnosis, Perio & Case Presentations November Session: Endo, Fixed Prosthodontics, Removable Prosthodontics & Case Presentations January Session: Orthodontics, Occlusion, Basic Sciences & Case Presentations April Session: Pedo, Oral Surgery, Esthetics & Case Presentations Thank you for your interest to 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. 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.

“

John Ludu, DDS

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

Constituent of the Academy of General Dentistry Valerie A. Bartoli, Executive Director 900 Meridian E. Suite #19-361 | Milton, WA 98354 p (253) 306-0703 | f (253) 891-4053

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Mission: â&#x20AC;&#x153;The WAGD provides its membership professional development through quality education for comprehensive patient care.â&#x20AC;?

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