Articulator Volume 20, Issue 3 by Metro Denver Dental Society

ARTICULATOR MDDS

Connections for Metro Denverâ&#x20AC;&#x2122;s Dental Profession

RMDC16 EDITION MDDS IS READY, ARE YOU? REGISTER TODAY!

RMDC EDITION 2015 Volume 20, Issue 3

Tip of the Spear Education at a Ridiculously Competitive Price and It's Local! 4 RMDC 2016: Why You Should Attend 6 Google Juice for Dentists 10 Sunny Side Up! 5 Rays to Get Happier! 14 Are You a Dental Superstar? 16 10-Step Recipe to Improve Success In A Dental Partnership 18 Real World Dentistry 2016 24 Managing Difficult Patients...Before They Manage You! 30

NEXT LEVEL EDUCATION

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JAN 21-23, 2016 CHECK OUT OUR EXCITING LINE-UP! Dr. Gordon Christensen Dr. Harold Crossley Dr. Gary DeWood with Spear Education Dr. Larry Emmott Dr. Alex Fleury

Dr. David Garber Dr. Ronald Goldstein Dr. Parag Kachalia Dr. Brian Novy Dr. Nader Sharifi And many more!

Photo by: Scott Dressler-Martin and VISIT DENVER

For more information visit rmdconline.com

LOOK FOR HANDS-ON COURSES DURING THE RMDC AT THE MOUNTAIN WEST DENTAL INSTITUTE! Visit mwdi.org to learn more about the Mountain West Dental Institute!

Spear online CE for the entire staff brought to you by MDDS!

SPEAR ONLINE EDUCATION WILL TRANSFORM THE WAY YOU PRACTICE DENTISTRY. Course Library

Hundreds of CE-eligible lessons spanning Occlusion, Esthetics, Restorative, Practice Management and more Staff Training CE-eligible resources to empower your staff with new skills they can use right away Case Assistant Searchable, symptom-specific advice for planning treatment of challenging cases

Exclusive $800 savings for MDDS members and associate members. EXCLUSIVE RATE: $1,195 (Regular price: $1,995)

To take advantage of this limited-time offer – or to learn more, contact us at 855.625.2333 or digital@speareducation.com

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Spear TALK Post a question; you’re connected to a forum of peers who have answers

ARTICULATOR MDDS

Connections for Metro Denver’s Dental Profession

Volume 20, Issue 3

MDDS Articulator Editor Brandon Hall, DDS Associate Editor Jeremy Kott, DDS

Creative Manager & Managing Editor CT Nelson Director of Marketing & Communications Cara Stan MDDS Executive Committee President Ian Paisley, DDS President-Elect Sheldon Newman, DDS Treasurer Nicholas Chiovitti, DDS Secretary Brian Gurinsky, DDS Executive Director Elizabeth Price, MBA, CDE, CAE Printing Dilley Printing The Articulator is published bi-monthly by the Metropolitan Denver Dental Society and distributed to MDDS members as a direct benefit of membership. Editorial Policy All statements of opinion and of supposed fact are published under the authority of the authors, including editorials, letters and book reviews. They are not to be accepted as the views and/or opinions of the MDDS. The Articulator encourages letters to the editor, but reserves the right to edit and publish under the discretion of the editor. Advertising Policy MDDS reserves the right, in its sole discretion, to accept or reject advertising in its publications for any reasons including, but not limited to, materials which are offensive, defamatory or contrary to the best interests of MDDS. Advertiser represents and warrants the advertising is original; it does not infringe the copyright, trademark, service mark or proprietary rights of any other person; it does not invade the privacy rights of any person; and it is free from any libel, libelous or defamatory material. Advertiser agrees to indemnify and hold MDDS harmless from and against any breach of this warranty as well as any damages, expenses or costs (including attorney’s fees) arising from any claims of third parties.

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RMDC EDITION 2015

Inside This Issue:

RMDC Chairman Letter....................4

The Compromised Tooth: Risk Assessment Criteria for Tooth Preservation.............22

Member Matters...............................5 Real World Dentistry 2016..................24 RMDC 2016: Why You Should Attend....6 5 Ways to Sharpen Your Noggin..... 26 The Illusion of Control .......................8 Managing Difficult Patients...Before They Google Juice for Dentists..................... 10

Manage You!......................................30

RMDC Affiliated Groups................... 13

It's Not Too Early For Leadership Skills..35

Sunny Side Up! 5 Rays to Get Happier!..14

Event Calendar.............................. 36

Are You a Dental Superstar?..............16

Learn About Volunteering

10-Step Recipe to Improve Success In A Dental Partnership......................18

for Colorado DDS...............................37 Classifieds...................................... 39

THANKS TO OUR 2016 RMDC SPONSORS:

Drs. Barr and Whalen Westminster, CO www.ddschild.com

Inquiries may be addressed to: Metropolitan Denver Dental Society 925 Lincoln Street, Unit B Denver, CO 80203 Phone: (303) 488-9700 Fax: (303) 488-0177 mddsdentist.com ©2011 Metropolitan Denver Dental Society

Member Publication

CRANIOFACIAL PAIN CENTER OF CO CHASE A. BENNETT, DDS

RMDC CHAIRMAN LETTER

TIP OF THE SPEAR EDUCATION AT A RIDICULOUSLY COMPETITIVE PRICE AND IT’S LOCAL! By Eric Rossow, DDS

et you and your team seats reserved for for one of the most elite dental education weekends in the West. The Rocky Mountain Dental Convention (RMDC) opens its doors again on January 21 -23, 2016. Over 40 of your MDDS colleagues have worked tirelessly with the MDDS staff to create the largest RMDC to date. The renowned speaker compilation, enlarged and extended Expo Hall and unmatched parties and galas will leave you with no regrets. Your registration kit should have arrived in the mail by now so you must be excited! Plan now to closing your office so you and your team can partake in educating yourselves for your patients. At a cost of under $100 for staff and between $0 and $300 for dentists, there can be no excuse not to attend. The festivities begin with the Opening Session at 8:00am on Thursday, January 21 in the Four Seasons Ballroom at the Colorado Convention Center. Our Keynote Speaker, Mr. Ron Culberson, who was highly received by the orthodontic specialists at last year’s convention, will open with “Live Up to Your Eulogy: Making the Most of Your Life, Work and Your Relationships.” He is a speaker, humorist and author of three books who rose from a social worker in hospice to a “hall of fame” speaker. He should be quite inspirational.

The Expo Hall looks to be the most comprehensive ensemble the RMDC has had. The exop hours as well as the course breaks have been extended to give you more time to shop the hall. Look for the newly added “snack times” The Expo Hall Receptions are BOTH Thursday and Friday during the afternoon from 4:00pm to 6:00pm with complimentary beer, wine and soda while supplies last. Purchase in the Expo Hall to be entered into prize drawings for an Xbox One Forza 6 Edition, a TV, a iwatch. The RMDC vendors are outstanding, they support us all year so go big, be strong!

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Now, is there time to socialize in between all of this learning and purchasing? Why, of course! Besides the receptions in the Expo Hall, Dr. Ian Paisley, MDDS President, invites you to the MDDS Awards Gala & Presidents Dinner. For only $80, join him Thursday night at the Four Square Ballroom in the fun and exciting Curtis Hotel from 6:30pm to 10:00pm. Presenting will be Dr. Paisley and my dear friend, Dr. David White, President Elect of the Nevada Dental Association. The post awards reception is open to all from 9:00 to 10:00pm at no charge and is come-as-you-are so CDA New Dentist Reception attendees please come up the stairs from your event at the Corner Office. Bring friends and join the libation exchange as Dr. Paisley puts on an extravaganza for the ages.

"... it will be the largest RMDC to date! The renowned speaker compilation, enlarged and extended Expo Hall and unmatched parties and galas will leave you with no regrets. "

Next, get with the program by attending CE that includes lectures by the revered Dr. Gordon Christensen, the infamous Drs. Ronald Goldstein and David Garber, Dr. Harold Crossley, Dr. Jeffrey Rouse, and, from Spear Education, Dr. Gary DeWood. Also, read your registration kit or go to mddsdentist.com and be proactive at guiding your staff on which great lectures to attend. Some of the notable speakers are: Dr. Brian Novy, Ms. Tricia Osuna, Mr. Kevin Henry, Dr. Sarah Conroy, Dr. Rhonda Savage, Dr. Uche Odiatu, the Maddow brothers and Mr. Bruce Christopher. Our program includes hands-on education not available at most conventions but offered due to the availability of the Mountain West Dental Institute (MWDI) located a short shuttle ride away at 925 Lincoln Street.

All course and exhibitor information can be accessed for your perusal on the RMDC mobile app, sponsored by Biolase, available on your iPad, iPhone or Android or at mddsdentist.com. There will also free Wi-Fi courtsey of the Metro Denver Dental Society. Tote bags, sponsored by the Colorado Dental Association (CDA), are available to gather your loot and shuttle buses will travel between hotels throughout the show.

Friday will also provide you the opportunity to catch up with old friends and undoubtedly make new ones. The Expo Hall Reception is after class from 4:00pm to 6:00pm and, without a minute wasted, is followed by the Friday Night Party, sponsored by Henry Schein and Children’s Dentistry, beginning at 6:00pm in the Capitol Ballroom of the Hyatt Regency (right across the street from the Convention Center). There will be two drink tickets provided to the first 500 fun people in line and entertainment is provided by DVDJ G-Funk. The After Party is from 9:00pm to 2:00am at Tryst Lounge located at 1318 15th Street. I look forward to seeing you all there. We are fortunate to have a regional meeting of this magnitude in our backyard and I am honored to be your 2016 RMDC Chairman. I want to thank our MDDS Executive Director, Elizabeth Price, the Director of Convention & Events, Shelly Fava, and the fabulous team at MDDS for their work putting this convention of national magnitude together. Our dentist members, their volunteerism and their commitment to a belief in continuing education is to be commended. We owe it to our teams and our patients to learn and better ourselves and these great people, who I was able to work alongside the past many years, have made it easy for us. So I hope you plan ahead, enjoy the networking, purchase goodies and learn for your patients. See you in January! Eric Rossow, DDS 2016 RMDC Chairman

Articulator

RMDC Issue

MEMBER MATTERS

MDDS Student Event 9-25-15

Dr. Sheldon Newman engages CU dental students during event at Lowry Tavern.

New Members, Welcome!

Dr. Grace Rudersdorf, Kelly Santarelli, Katie McCullough and Dr. Ken Burson spend time networking.

CU Pre-Dental Day10-3-15

Dr. Fernando Astorga, CU faculty member, guides a prospective dental student through a mock filling.

Current CU dental student mentors a prospective new student.

Making Strides Against Breast Cancer Walk 10-11-15

Dr. Lindsay R. DeGuilio Dr. Raquia D. Densor Dr. Alyssa M. Ellsworth Dr. James C. Fischer Dr. Alison E. Grover Dr. Tom Gutberg Dr. Bianca Hillers Dr. Allison L. Hochwald Dr. Ryan M. Jenkins Dr. Jeff Johnston Dr. Lauren W. Kight Dr. Kimberly Koike Dr. Benjamin Lee Dr. Rajvinder K. Marwah Dr. Jessica L. Mervau Dr. Joseph O'Leary Dr. Erik A Palmberg Dr. Heath J. Parry Dr. Dominic E. Philpott Dr. Jonathan M. Plaza Dr. Stephanie Rounds Dr .Tamara Tobey Dr. Jeffrey A. Varner Dr. John L. Weber Dr. Joshua Wyte Dr. Robin S. Yamaguma Dr. Zachary A. Young Dr. Neil G. Zimmet Dr. Vina Z. Zinn

MDDS members and staff line up at the start of the American Cancer Society's Making Strides Against??? Breast Cancer 5k.

MDDS @ the ADA Annual Meeting, Washington, DC 11-7-15

MDDS staff promote RMDC and MWDI during ADAâ&#x20AC;&#x2122;s Annual Meeting.

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Congratulations to MDDS Executive Director, Elizabeth Price, for her induction as an Honorary Fellow of the American College of Dentists.

Articulator

Congratulations to MDDS past president, Dr. Diane Fuller, for her Fellowship in the American College of Dentists.

RMDC Issue

REFLECTIONS RMDC 2016: WHY YOU SHOULD ATTEND By Brandon Hall, DDS, Editor

remember my first ever dental convention. It was winter of 2007 and I had just graduated dental school the summer prior. I was practicing in my first job out of dental school as an associate in a Chicago suburb. While I knew it wasn’t going to be a long-term position, practicing there allowed me to experience the excitement and opportunities that a dental meeting can offer.

experience to what I was looking for. That’s the beauty of it. You may ask yourself, “what does RMDC offer that makes it worth my time?” Well, you can bring your team. There’s tons of great classes offered for assistants, hygienists and front office team members. Not only that but getting away from the office allows you to bond and have some social interaction outside of the normal daily routine. How about the fantastic speakers such as Dr. Gordon Christensen, Dr. Ronald Goldstein and even MDDS Board members, like Dr. Brian Gurinsky. Attendance and participation in the exhibit hall is very important as well. Come support your dental companies. They put a lot of effort and hard work into making RMDC a great meeting, so let’s help them out as much as we can. Perhaps you’ve been wanting to try a CAD/CAM digital system or maybe look at a new dental chair. They are all there for you to explore.

"As I look back at my short dental career of 10 years, I see how RMDC has benefitted me every step of the way."

Walking onto the hall of the Chicago Mid-Winter Meeting was aweinspiring. It was my first time at McCormick Place Convention Hall and it set the tone for my future attendance at regional dental meetings, including the RMDC. At that time, I had little experience (clinically and educationally) as a wet-fingered dentist. However, it was at these conventions that I was able to network with supply reps and fellow colleagues, see classmates from dental school and dream about the products or equipment I could possibly use in the future in my own practice. Not only that, but to have top-notch speakers offered education that normally you’d have to pay several thousands of dollars to get, what a huge benefit. It was exciting to see the dental community come together in one place to offer such fantastic education, networking and camaraderie.

Fast forward nine years the 2016 RMDC. This will be my eighth consecutive RMDC. As I look back at my short dental career of 10 years, I see how RMDC has benefitted me every step of the way. From simple things like running into dental friends I don’t see often and catching up, to taking a three-day Dawson class that helped inspire me to open up my own practice. I was able to tailor my RMDC

Last but not least, there’s the networking. As dentists, we often lead isolated professional lives and RMDC allows us to gather, share insights and experiences to come together as a profession. You’ll get to meet old and, perhaps, some new people. Maybe you are an associate looking for a practice opportunity to buy or you are retiring and looking for the right person to take over your practice, or anywhere in between. There are dentists of all ages in all career forms at RMDC to meet and converse with. As many of you know, the ADA meeting is in October 2016 here in Denver. There will be a lot of momentum leading into that. Having a great RMDC in 2016 will propel us into, perhaps, the most important year we’ve ever had for this dental community and our organized dentistry. So please register for RMDC, bring your team and we’ll see you there!

RMDC SPEAKER

THE ILLUSION OF CONTROL By Ron Culberson, MSW, CSP, CPAE

o you ever feel out of control? Do you ever feel that when you’re in control, you’re really not?

Last year, I took a tumble on my motorcycle. I use the word “tumble” because it sounds less threatening than wrecked, crashed or wrapped around a tree. But perhaps that’s just my way of ignoring that I wrecked or crashed... near a tree.

It’s the second motorcycle accident I’ve had. The first occurred in 2009 when the uninsured driver of a pickup truck pulled in front of me. I avoided the truck but not the gravel on the side of the road. The bike was totaled and I got 10 stitches in my chin, but in the big scheme of things, it was a minor accident. And I did not require any dental work, by the way.

In retrospect, I see that I may have been operating under the illusion of control. Similar to a magician’s use of sleight of hand, the illusion of control relies on sleight of mind. My second motorcycle accident occurred over the summer. It was Father’s Day and I had just left the Blue Ridge Parkway for some fantastically twisty roads near my home. It was a beautiful day and I remember thinking how lucky I was that I now live in one of the best motorcycle riding areas in the country. Unfortunately, that was the last thing I remember. Apparently, about 5:00pm, I was found standing in a ditch next to my upright motorcycle. The passerby said that when he asked me what happened, I didn’t make much sense. A number of family members and friends have pointed out that in my case, that’s not conclusive evidence that something is wrong. The nice man loaded me into his car and took me to a nearby general store where he placed me in a rocking chair while he called the rescue squad. For the record,

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The EMT’s arrived and checked me out. I had serious road rash on my arms and legs and was unable to retain new information for more than about two seconds. Yet, I refused to be transported to the hospital. I was, however, able to retrieve the phone numbers for my wife and sister from my iPhone so the EMT’s called on them for backup. And that is why Apple is the richest company in the world. I couldn’t remember my name, but I could work my iPhone.

"We have choices every day that can lead to good outcomes. But we just don’t have control over everything. "

So, I got back on the horse and felt relatively comfortable riding again. Since I knew how the accident happened, I felt sure I could pay closer attention in the future and avoid idiots like the uninsured truck driver.

a rocking chair is therapeutic on many levels. It’s called the Cracker Barrel Effect.

About an hour later, my wife and sister showed up. The EMT’s asked my wife is she thought I was acting normal. She said, “No.” It’s reassuring that my wife had the ability to discern my truly abnormal abnormal behavior from my typically normal abnormal behavior. My wife told me that in addition to short-term memory loss, I was repeating the same three questions over and over. I asked,

“What happened?” “How is my bike?” “Do I have any speaking engagements coming up?” Clearly, when everything else was knocked out of my head, these were the three priorities that remained — to know what happened, to know how bad it was and to know if it would affect my livelihood as a relatively good looking professional speaker. The immediate seriousness of my head injury (later determined to be a concussion) and significant loss of skin on my elbows and knees were of no concern to me. Again, I suggest, that I held tight to my illusion and believed that if I just knew what happened, I would be able to control not only the situation, but also the outcome. Today, I have no recollection of my accident. There is a five-hour gap in my memory and I am unable to piece together what happened. Losing that memory is not only frustrating, it feels like I lost control before, during and after the accident. Clearly, my mind had a mind of its own.

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RMDC Issue

But upon further reflection, I wonder if I was ever really in control to begin with. The more I think about it, the more I realize how much of our lives is out of our control. For instance, I can’t control my health. I can’t control what my children do. I can’t control whether my wife loves me. And I certainly can’t control whether an uninsured man in a pickup truck is going to pull in front of me. So, do I have any control over my future? Do you? As a motivational-inspirational-humorvational speaker, it’s hard for me to consider that I can’t control my future. My business and the personal development industry is based on believing that we are in control. In fact, we live in a society obsessed with having control. We believe that if we know why someone is murdered, then we can avoid a similar fate. We believe that if we know why someone got divorced, we can avoid a strained marriage. And we believe that if we know how to erase our wrinkles, we can avoid getting older. But I believe these beliefs are just illusions of control. So, how are we supposed to function if we really don’t have control? Are we supposed to give up and just let the world happen to us? I don’t think so. I believe we do have control over some things. For instance, I have control over what I eat and how often I exercise. I have control over how I express love and discipline CO-OCT-2015.pdf 1 11/2/15 to my children. I have control over how I treat my7:00 wife.AM

I’m a recreational flosser even though my dentist has told me for years to floss every day. He can control what he tells me, but not what I do. It’s maddening, I know. We have choices every day that can lead to good outcomes. But we just don’t have control over everything. So, every day, we must do what we can to have an impact on those things we can control. But, at the same time, we must be content with what is out of our control. Trying to control the uncontrollable is ineffective and leads to frustration and stress. And eventually, the illusion will come crashing down — just like I did on that fantastically twisty road a few months ago. Most people who know about my accident think I should sell the bike. If I decide to keep it, I am probably just holding on to a sense of control that may not actually exist. If I sell it though, I’m admitting that I don’t really have control and that feels even worse. And if I keep it in the garage but never ride it, I could still wear my leather jacket and claim that I’m the proud owner of a Harley Davidson motorcycle. But, without the wind in my hair and the bugs in my teeth, it’s just not the same. The bottom line is this. It’s disheartening to find out we don’t have as much control as we thought. On the other hand, if we realize we never had it to begin with, and we can accept that reality, maybe we didn’t lose as much as we thought. Abou Ron Culberson Ron Culberson is a former hospice social worker, middle manager, and senior leader. As a speaker, humorist, and author of "Do it Well. Make it Fun.The Key to Success in Life, Death, and Almost Everything in Between", his mission is to change the workplace culture so that organizations are more productive and staff are more content.

BOOTH #361

CMY

figure 2

RMDC SPEAKER

JUICE FOR DENTISTS By Larry Emmott, DDS

pen Google and type in the keyword dentist. What do you see? If you are in a large city like Denver, you won’t see many actual dentists ,listed in the page one results, “above the fold.” “Above the fold” refers to what a user generally sees with no scrolling. If you scroll down a bit you will see something similar to this screen shot. Virtually nobody looks at results on page two. Page one Google results for “dentist” generally fall into four categories displayed in five sections. The category that used to be important and the one that businesses fight over is the so-called “organic” results. Organic results have been relegated to the bottom left of the page and will likely be between 15% and 20% of the total display area. It is 19% in our example. Notice the organic results shown do not include any actual dental office web pages. They are Wikipedia, the ADA, Yelp and a Top Dentists page. If you

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scroll far enough eventually you will see an actual dental office close to the bottom. At the top and down the right hand side are paid PPC (Pay Per Click) ad results. These take up 40-55% of the page. In our example they are 13% plus 30% for 43%. The third category is information. This is the upper right section which includes a description of dentistry as a profession is 16%. The final category is Google for Business results. These are displayed on the map and the section with review stars and directions right in the middle of the page. In the example, this is 22% of the page. Getting your practice on the first page of Google is completely different now than it was a few years ago. SEO (Search Engine Optimization) is the art and science of figuring out the secret Google algorithm that determines organic page-rank based on search terms and then building that secret sauce into your website. There are five problems

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RMDC Issue

with this: 1. No one really knows the Google secret sauce. 2. The secret sauce changes constantly. 3. In a city like Denver several thousand dentists are vying for the front page and only a handful will make it. 4. Major websites with a significant online presence like Wikipedia or Yelp will always outrank a local dentist. 5. Most people (almost 70%) looking for a dentist do not type in a generic keyword like “dentist.” They seek a personal referral just as they have in the past and then type in the dentist’s name. What happens when you Google your name? What should show up is a box to the right of the organic results that lists your name, phone number, address with a link for directions and office hours topped by an attractive photo. You may also have some users reviews listed toward the bottom.

"As a small business owner you can claim and create a Google Business page for free, all you need to get started is a Google account of some kind such as a Gmail account."

Generating Google reviews is not easy. There is no service that can generate or aggregate reviews and get them published on Google. That has not always been the case. In the past Google would accept third party reviews but has not done so for several years. Like other review sites Google has established guidelines and hidden algorithms to detect and eliminate what they perceive to be suspicious reviews. In order to write a Google review the patient must login with a valid Google account, such as Gmail. A login from the dental office is suspect and may be rejected. It is better if the reviewer logs in from a different location. If a business suddenly gets dozens of reviews after years of getting none that is suspect and the reviews may be discounted. The good news is that you do not need multiple reviews coming in every day. If you have five or six reviews and get a new one every few months, that is good enough. The only way to generate reviews is to ask and be patient. The future is coming and it will be amazing! About Larry Emmott, DDS Dr. Larry Emmott has written three books on using technology in the dental office and is a featured contributor to the new ADA book, “Expert Business Strategies. ” He has been a pioneer in online publishing with his blog Emmott onTechnology.com and has been recognized as one of the top 10 dentists in social media.

This box has everything a patient needs to contact you for an appointment and it is generated by Google for Business. What used to be Google+ Business. The top organic result on the left hand side should be your practice website. As a small business owner you can claim and create a Google Business page for free, all you need to get started is a Google account of some kind such as a Gmail account. Once you have claimed the page and Google has verified that you are the business owner, you can add content. This should include office hours, a statement of purpose, photos or even videos and links to your office website. Once you have set up the business page there are two things you need to do to make it even more effective. Connect the page to Google maps and generate user reviews. User reviews have become incredibly powerful. Seventy percent of people state that online reviews are as important as the dentist’s credentials when making a decision to choose a dentist. People view online reviews as a kind of third party recommendation much like an actual personal referral from a friend.

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Articulator

RMDC Issue

New Graduate 1st Year Rate

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RMDC INFORMATION

RMDC AFFILATED GROUPS Christian Dental Society

Global Dental Relief

Colorado Coalition for the Homeless

Kids In Need of Dentistry (KIND)

Colorado Dental Hygienists' Association

Mission Medical Center

Colorado Department of Public Health & Environment

The Oral Health Foundation

Colorado Firefighter Calendar

Renewable Energy Demonstration Center

Colorado Orthodontic Foundation

Scleroderma Foundation Rocky Mountain Chapter

Peer Assistance Services Inc.

COMOM

University of Colorado School of Dental Medicine

Dental Lifeline Network - Colorado Denver Health Denver Indian Health & Family Services, Inc.

American Dental Association

Denver Rescue Mission Clinic

Colorado Dental Association Metropolitan Denver Dental Society

CONNECT

BENEFITING

(across from the Convention Center)

Featuring

DVDJ G Funk

Friday, January 22 - 6:00pm-8:30pm

SPONSORS:

RMDCFRIDAY NIGHTPARTY Capitol Ballroom at the Hyatt Regency

HOSTED BY

FRIDAY NIGHTAFTERPARTY

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at TRYST Lounge

Articulator 1318 15th Street 9:00pm-2:00am

RMDCONLINE.COM

RMDC Issue

RMDC SPEAKER

SUNNY SIDE UP! 5 RAYS TO GET HAPPIER! By Judy Kay Mausolf

o get up each morning with the resolve to be happy...is to set our own conditions to the events of each day. To do this is to condition circumstances instead of being conditioned by them." ~ Ralph Waldo Emerson

Have you ever thought, "I was in great mood until blank happened?" When we allow blank (whatever blank is at the moment) to affect how we feel we are in essence relinquishing our power and allowing circumstances to control our emotions. If we allow our circumstances to control our emotions, we become a victim of our circumstances. The truth is; circumstances don't dictate how we feel; we do! It is always our choice! We can choose to be happy and impact others in a positive manner regardless of the circumstances. There are plenty of reasons to get happy! Harvard research supports that if we just get happy we will be more: • • • • •

Successful Intelligent Creative Productive Healthier

I teach my audiences and clients how to rise above difficult or negative circumstances. Here are 5 Rays to live life sunny side up! Ray 1 - Entitlement Expectations This is where we often lose our positive mood...we judge our circumstances based on our expectations. I call this judgment "Entitlement Expectations." What I mean by "Entitlement Expectations" is that we expect a certain relationship, event, thing or outcome. When our expectations aren't met we judge our life as less than and get frustrated, angry or disappointed. Haven't we all thought; this should have happened, or I deserved this or I expected that. These are examples of "Entitlement Expectations." To avoid "Entitlement Expectations" it is necessary to embrace the following concepts: • • • • •

Life is uncertain! Life is unexpected! Life is temporary and can change in a moment! Life and people don’t owe us anything! There are always positives even in hard or difficult situations!

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When we embrace these concepts we learn to stop judging our circumstances regardless of what they are! We learn to appreciate who we are, what we have and what is…regardless of what happened or what isn’t. Ray 2 - SPF SPF is an acronym for "Super Positive Focus!" Yes, I will confess I am an acronym addict! Regardless of what the circumstances are there is always positive somewhere even in the most negative of situations! You just need to look for it. Developing a "Super Positive Focus" means you look for and focus on the positive even in the darkest of situations. Think about all the tragedies from the storms. One huge positive was all the people helping each other to overcome and survive. You can develop your SPF by forming a habit of identifying what's positive in every situation. The minute you feel yourself slipping into the negative mode immediately stop yourself. Instead, identify three positive things and give thanks and praise. I always have three things in my pocket just for difficult times: my health, husband Steve, dog Zoe and my career. Okay so that is four. I had a hard time stopping there. Just thinking about them makes me feel very blessed and happy. Practice identifying three positive things in every situation and your SPF will grow! Ray 3 - Labeling Words that label have tremendous impact on our attitude and how we feel. We have to be careful about how we label the relationships, events and outcomes we have in life. If we label something as bad or negative it becomes our belief and we manifest feelings and emotions that support that label. I find replacing the labeling words with the word interesting, which is neutral, takes away the negative power. Our beliefs of positive and negative are based on our past experiences. If we do something and we have what we believe to be a negative outcome we will label it as negative. Yet we may have an entirely different outcome if we attempted to do it again. For example, I went on a hot air balloon ride over Napa Valley for my 50th birthday (just a few short years ago). It was serene and wonderful. I am afraid of heights and I would do it again in a heartbeat. I would label it as a very positive experience. However, the following day the winds came up unexpectedly and the balloons had a difficult time landing. I may have labeled it as negative had I gone on that day and most likely would never consider going again. The great news is we can change our belief from negative to positive when we add new experiences that are positive. Truthfully, how can we label something as good or bad if we don't know the end? None of us have a crystal ball. So how do we really know if something is good or bad? There have been many things in my life that at the time seemed interesting that actually turned out generating a very positive outcome. Haven't we all thought

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or said this is going to be bad at one time or another and yet it turned out to be one the best things to happen to us.? Ray 4 - Mindful Talk "Words and thoughts have their own energy, including self-talk. Everything you think and say affects the way you feel." It is imperative that we are mindful of our self-talk if we want to live life sunny side up! The majority of self-talk takes place so quickly and automatically that we don't even notice we are doing it. Even if you don't really listen to your chatter, your subconscious mind is listening. The subconscious mind just accepts everything you tell it, and responds accordingly. Some examples of negative self-talk are: • • • • •

Worry - Fear of what if. Perfectionism - Not good enough or should haves! Self-Criticism - Compares you to others, with you being the loser. Self-Doubt - Lack of confidence that you can do or achieve your dreams. Being a Victim - You have no control over your circumstances, and you and your life are bad luck!

"If we allow our circumstances to control our emotions we become a victim of our circumstances. The truth is; circumstances don't dictate how we feel; we do! "

(body patterns) to change our psychology. Body patterns are the repeated actions our body reflects when we feel certain emotions. They are how our body speaks to us and therefore have a direct connection to our mood. Some examples of negative body patterns that make us feel stressed are rubbing temples, wringing our hands or a hunched over closed position. Whereas smiling, laughing or a victory pose are positive body patterns that help us feel happier. Do you remember when you were a little kid and you did something you thought was special? You might have raised your hands high into the air and shouted, "ta-dah!" Raising your hands high into the air is the victory pose and your body recognizes it as very positive and celebratory. If we want to change our mood to be happier all we have to do is celebrate by changing our body pattern. Here is your practice run through: smile big, raise your hands up in the air and shout "Ta-Dah" for all that is good and you are grateful for in your life! So do a Ta-Dah today and live sunny side up! Visit Judy Kay Mausolf’s website at PracticeSolutionsInc.net to learn more about how she can help you and your team create a happier, healthier and higher performing work environment. About Ms. Judy Kay Mausolf Ms. Judy Mausolf is a dental practice management coach, speaker and author with expertise in helping others get happier and more successful. She is Past President of the National Speakers Association Minnesota Chapter, a member of the National Speakers Association, Academy of Dental Management Consultants and Director of Sponsoring Partners for the Speaking Consulting Network.

THE TM

The awesome news is we can hard wire our brain to start thinking more positively! When we have mindful talk and actively choose where to focus our thoughts and repeatedly apply it to a wholesome and constructive thought we overcome and eliminate the negative deceptive self-talk! Ray 5 - Celebration "Celebrate even the little things in life to keep the joy in your life! " It's important to celebrate life, even the little things in life. We take things so seriously, we get so busy and we don't allow time to celebrate. If we don't make time to celebrate, we will lose our joy for life. I have seen many that have. Being present is the first step in celebration! It is important to filter out all the noise from worry and fear and focus on what is actually happening in the present moment. It is only when we are present in the moment that we become aware of all the little things in the moment worth celebrating. The next step is to lighten up and have a little fun! Seriously, it's time we stop taking our self so seriously and acting so important. We are but a speck on this planet. Yes, I know we are all so, so busy doing whatever it is we are doing that is so important for the rest of the world to continue to exist. I think the planet will survive if we take a moment now and again to act silly and have a little fun! If we are stressed and don't feel like celebrating; we can change our physiology

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ARE YOU A DENTAL SUPERSTAR?

By Richard Madow, DDS, and David Madow, DDS

he days of dental people

local” when it comes to banking, shopping, hairstylists

so each patient feels like he or she is the most important

being introverted nerds

and all the other chores we need to do. Introduce yourself

one in our practice. Make sure you take them back on

who frightened people,

and invite people in these businesses to your practice. Do

time for their appointment. Be 100% sure patients are

hurt them and then sent a

whatever it takes so that people consider your practice to

comfortable during procedures. Don’t appear to be

be "the go-to" dental office in your community.

rushed. Call your patients in the evening to see how they

bill are fortunately long over.

These days, we are friendly, devoted health professionals with upbeat attitudes who improve our patient’s health

You can't be a dental superstar and be doing only

and their lives! How do we let people know? You have to

"cleanings, crowns and fillings" just like you were 20 years

be a dental superstar! What do the real rock stars do? They test limits. They do the unexpected. They get noticed. So do the dental superstars. But how do you become one? How do you rock your practice to the top? Dental superstars are media-savvy Rock stars have publicity agents and record labels pitching them 24/7. And while we may not have that in dentistry, it’s pretty easy to get noticed by the media. Local TV stations and newspapers are always looking for interesting stories. Be the one to get them excited about dental health! Do a charity event like “Dentistry From

"Rock stars have publicity agents and record labels pitching them 24/7. And whileFigure we1 may not have that in dentistry, it’s pretty easy to get noticed by the media." ago. People want a variety of sophisticated procedures, and they want them from you. Sedation, implants, Invisalign, Six Month Smiles, laser periodontal therapy - it's all within your reach.

are doing. It’s not one big thing, but a hundred little ones that differentiate your practice from the rest. Dental superstars give the people what they want Rock stars know that if they want to play every song from their new album in concert, they also have to play the hits. James Taylor may be sick of playing "Fire and Rain," but you better believe he delivers a beautiful version of it every time he hits the stage. The real dental superstars know you gotta give the people what they want. Don't make it difficult to become a patient in your practice. Block time in your schedule for new patients and emergencies. Don't have rules and policies (e.g. “no cleanings on the first visit”) that make it tough for patients. Work with them and with their stubborn and stingy insurance companies. Be flexible and understanding. Putting up barriers and hoops is the

The Heart” and you’ll be swamped by reporters.

Dental superstars are accessible

fastest way not to be a dental superstar.

Social media has made great publicity within everyone’s

Everyone wants a picture with a rock star. Dental

There are millions of great musicians who languish in

reach. Write blogs, make your presence known on

superstars do the next best thing. Make sure that

obscurity, and there are tons of clinically excellent dentists

health-related sites, accumulate Facebook likes and

everyone you come in contact with gets one of your

whose practices are underperforming. Let’s make this the

constantly feed valuable information (not blatant ads) to

business cards. This goes for doctors and team members.

year you truly become a dental superstar and “Rock Your

your patients and potential patients. The list is practically

The more creative, the better. And don't forget to carry a

Practice To The Top!”

endless.

Sharpie too. (Example: If you received great service at a

Dental superstars are known in the community

restaurant, write “Thanks for the great service” on your

About the Authors

business card and hand it to the manager. Let them know

Drs. Richard and David Madow founded The Madow

Rock stars are known to everyone. They get out there.

that you offer the same kind of excellence at your dental

Brothers in 1989 with the goal of helping their fellow

It's why everyone has heard of Justin Bieber and fantastic

practice.

dentists achieve success and happiness in their practices.

bands like Dawes languish in obscurity. So get out there. Have a team meeting at a busy local restaurant with the whole team wearing their sharplooking uniforms. Do community events. Sponsor a team. Help out during drives. Have a huge sign. Do dental health presentations at a local elementary school. Make sure that the doctor and team members “think

Dental superstars change with the times

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Dental superstars make it memorable

Known for their hilarious, spontaneous style and content packed programs, they have taught over 10,000 dentists

Rock stars know that even though their concerts may

and team members how to enjoy their careers, super

be "just another town along the road," to the fans it is an

charge their practices, create their own personal success

important evening they may never forget.

and have more fun than ever

So even though our patients may be "just another mouth," dental superstars do all of the little things right

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RMDC Issue

RMDC SPEAKER

10-STEP RECIPE TO IMPROVE SUCCESS IN A DENTAL PARTNERSHIP By Charles Loretto, President of National Dental Placements

ll great meals require a recipe and ingredients that make it perfect. Creating a great dental partnership is no different. Using more than two decades of experience managing and observing these transitions, I have created a great recipe. Here are the 10 ingredients you need either as the established doctor or as an associate joining an established practice: 1) The established doctor must have a general DENTAL PRACTICE THAT CAN SUPPORT THE ASSOCIATE. Follow the checklist to see if you have all your areas covered. • Collections of at least $900,000 • 25+ new patients a month • 1500+ active patients • Minimum of 5 treatment rooms • A professional looking consult room for new patients and large case presentations • Overhead that is 60% or less • Marketing to a new patient base that the established doctor is not seeing • Most importantly, the financial condition of the seller must be solid and in order 2) The established doctor should have a TRANSITION CONSULTING TEAM for coaching throughout the process. With the team’s help, clear collection goals for the practice and timelines for the valuation and partnership are set. The team will advise him or her on the practice’s financials so that everyone is clear on what it will take for the transition to have the best chance of success. The established doctor must be willing to commit to the plan so that the staff can follow through. Bringing on a new doctor can be very rewarding; it can also be complicated. The staff must be motivated to support the process. 3) The WEBSITE should be updated with the associate/new partner’s information. Use this as a way to announce the new doctor’s arrival and introduce him or her to your current practice and community. Be sure

to position the new doctor as equally important so that your audience is comfortable being seen by either of you. If the “About Us” section is 90% about the senior doctor and you have to scroll to the bottom to see the associate’s tiny bio, ask yourself, “Would I want to be seen by this associate?” Take this one step further; put the associate first on the website before the established doctor. 4) Next is one of the most important ingredients…the PHONE. Think of it like making chicken parmesan. If there’s no chicken, you won’t have a complete meal. The 30 to 40 new patients calling each month for an appointment need to be directed to the new associate 70% of the time. This requires that the front desk is trained and coached to do this by the established doctor or by a consultant. For example, if the front desk greets callers with, “Dr. Jones and Associates,” it’s hard to sell the patients on seeing the associate. If the phone is answered, “Dental Office of Dr. Jones and Dr. Smith,” then it’s more likely that Dr. Smith, the associate, will be seen as one of two great options. The front desk will play a significant role in promoting the associate by showing their enthusiasm about the great new addition to the team. 5) SIGNAGE SHOULD MAKE A BOLD STATEMENT about your new associate. When patients see your signs and other marketing materials, “Dr. Smith” should be as visible as “Dr. Jones.” If visuals like the size of the font or the picture used on the website appear less prominent than that of the established doctor, you’re signaling that the established doctor is more important and patients will still prefer seeing him or her. 6) Another ingredient to this recipe is the INTRODUCTION OF THE DOCTOR. The ideal introduction is for the senior doctor to introduce the associate as a partner. Yes, as a partner. You don’t have to be a partner in terms of the legal business structure to do this, but you are committing to the community that he or she will be your legal partner. Use any language you feel comfortable with, but the key is to help the patient to see that the new doctor is a valuable asset to the practice. Using this language during the handoff or through an introduction is a critical piece to transition the associate. Put this doctor on a high pedestal and your patients will convert to their side of the practice.

Continued on pg. 21

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Metro Denver Dental Society’s Awards Gala and President’s Dinner The Curtis Hotel Four Square Ballroom Thursday, January 21, 2016 6:30pm – 10:00pm Fee: $80/person

Join us in honoring MDDS President, Dr. Ian Paisley, at this premier RMDC social event. Attendees will be treated to live music, a reception, dinner and society awards ceremony.

Thanks to our generous sponsors: Benco Dental, BVB General Contractors, Carestream Dental, Burkhart Dental, Commerce Bank, Fortune Management, Joe Architect, Peebles Prosthetics, Summit Wealth Group, Weddle Orthodontics

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Visit us at the

It’s more than just a job. We know your practice isn’t just a job. To you, it’s a place where commitment, hard work and dedication bond people together. Naturally, you want to see it pass into good hands. We know all about appraisals, practice sales, and everything that might help us ensure that your practice transitions smoothly into the right hands.

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Continued from pg. 18

7) Don’t forget to MARKET THE PRACTICE, specifically the new doctor. There are two types of practices that need great marketing: general practices (GP) and orthodontic practices. Make sure the website is up-to-date and user-friendly. We also recommend hiring an SEO specialist to get involved if your practice does not rank on the first page of a Google search for your practice name or the search terms associated with finding a practice like yours in your area. Direct mail can be an effective tool, especially in new, fast growing areas. However, do your research before launching this kind of campaign. The bottom line is that the community in which you operate needs to know about you.

in writing and then send them to the established doctor to confirm the goals. From there, the senior doctor can share the notes with the staff at the team meeting, recapping the previous month, as well as the changes that both partners have agreed to implement.

8) WHAT DO YOU DO WITH THOSE NEW PATIENTS? First, this requires the front desk to be formally trained by the established doctor or a transition consultant on how to keep the associate’s schedule full. Keeping the associate busy allows the established doctor to spend more quality time with new and existing patients. This process will help grow the practice.

About Mr. Charles Loretto Charles Loretto is founder and president of National Dental Placements (NDP) and Director of New Clients Services at Cain, Watters & Associates, PLLC in Plano, TX. Charles spoke at the 2015 RMDC and his room was full, so he was invited back to hopefully fill up the rooms again. His lectures this year are “Critical Reasons for Owning a Dental Practice”—audience: dental students and associates; “Financial Decisions You Must Get Right”—audience: you own a dental practice and want a second opinion on your financial decisions.

“Just like a chef who has crafted a perfect dish, bringing an associate/partner into your business can be one of the most rewarding things you do in your career.”

9) SETTING THE FINANCIAL GOALS for the established doctor, the new doctor and the practice is very important. To meet these goals, all parties, including staff, need to be aware of what the individual production goals are for the new doctor. Overall, the practice’s collections need to increase so that bringing on a new doctor doesn’t become a liability. Typically, the senior doctor’s collections take a modest dip (primarily due to the cut back in hours), but increases in hygiene and from the associate doctor raise the overall collections of the practice. Use financial analysis statements and project the growth of the practice. Additionally, you should monitor and adjust the numbers monthly to make sure the practice is staying on track. The overall practice value can sometimes be set ahead, but typically the valuation is done after the associate is in the practice so we can be sure we are moving in the right direction for the transition. 10) At the beginning of each month, BOTH DOCTORS NEED TO DISCUSS THE PREVIOUS MONTH’S COLLECTIONS. During this time, evaluate areas that worked really well and identify areas that need improvement. What adjustments can be made from each party (senior doctor, new doctor and staff) to improve the practice the following month? The associate doctor should capture these changes

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Just like a chef who has crafted a perfect dish, bringing an associate/ partner into your business can be one of the most rewarding things you do in your career. In both cases, training and preparation is essential, and what you put in determines what you get out. Make sure you have the recipe and the best ingredients for a successful practice transition.

DOES YOUR PERSONAL DISABILITY POLICY: • Cover you in your “own occupation” even if you choose to work in another after a disability? • Separately cover your student loan payments? • Cover you fully for “mental/nervous” claims? • Protect your retirement plan contributions? Be sure to know. Find out how yours compares. For Dentists and Specialists, the best value is the strongest policy. Contact David Richards, Disability Income Specialist for the dental profession since 1993 at 303.714.5875 and visit the website

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RMDC Issue

Walt’s

RMDC SPEAKER

THE COMPROMISED TOOTH: RISK ASSESSMENT CRITERIA FOR TOOTH PRESERVATION By Alan Atlas, DMD & Samuel Kratchman, DMD

he successful restoration of the endodontically treated tooth continues to be one of the most challenging procedures in dentistry. This is largely due to the complexity of the clinical techniques

and controversial selection of treatment options that exist. An extensive amount of scientific evidence deals with one or more of the components in this multi-

The clinician must also assess the pulpal and periodontal conditions as well

faceted procedure with risk factors affecting outcomes

as treatment management circumstances to determine if bone quality and

not consistent in most clinical trials.

quantity are adequate or are adjunctive procedures such as grafting and bone augmentation, or sinus lift procedures needed post extraction, which

Risk Assessment of the Carious Tooth

therefore may preclude favorable outcomes for dental implants and instead

After excavation of all carious dentin and enamel, the

favor tooth preservation.

tooth is significantly compromised due to the loss of structural integrity. The first critical treatment planning question then becomes an evaluation

Other factors affecting decision making processes include the age and

of the amount of healthy tooth structure that remains and whether there

gender of the patient, the intended tooth function, occlusal scheme, para-

is enough to support the foundational core for the eventual coronal restoration (Figure 1). Is the tooth salvageable or should an extraction be considered with an implant, fixed partial denture or removable partial denture being offered to the patient? Since dental implants have significant scientific evidence suggesting favorable results, perhaps the clinician is less comfortable with the long-term outcomes of restoring the compromised tooth. Setzer and Kim compared the long-term survival of implants 1

and endodontically treated teeth and concluded that both treatment modalities can assist the clinician with integrating the correct function, comfort,and esthetics based on the patient health risk assessment.

â&#x20AC;&#x153;The successful restoration of the endodontically treated tooth continues to be one of the most challenging procedures in dentistry. This is largely due to the complexity of the clinical techniques and controversial selection of treatment options that exist.â&#x20AC;?

function and the remaining tooth structure. For proper treatment planning to occur at the outset, the restorative dentist or endodontist (if the patient is referred to the specialist) must carefully assess the quality and quantity of the available tooth structure and incorporate all risk assessment variables to envision the final restoration prior to commencement of the endodontic procedure. With all other patient factors being acceptable, the decision to retain and restore a severely damaged tooth is ultimately based on the ability to preserve intact coronal and radicular tooth structure and to maintain adequate cervical tissue to provide a ferrule effect that is critical for optimization of the

biomechanical behavior of the restored tooth. In evaluating the systemic and oral condition of the patient, the clinician must decide if smoking, diabetes, bisphosphonates, systemic steroid

The ferrule effect, first proposed by Rosen3 in 1961, suggested using a

therapy, radiation therapy, hypertension, poly-pharmacy, high caries index

360 degree metal collar of the crown surrounding the parallel walls of the

or xerostomia may affect the long-term outcomes for either option based on

dentin extending beyond the gingival margin and coronally to the shoulder

the scientific evidence. Chrcanovic et al concluded in a recent systematic

of the preparation. The net results are bracing of the crown over the tooth

review and meta-analysis, that smoking is a factor that has potential to

structureâ&#x20AC;&#x2122;s increased resistance form, a reduction of internal tooth stresses

negatively affect healing and outcomes of implant treatment.

and a protective effect against fracture. The evidence of the optimum

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RMDC Issue

definitive conclusions. It should also be noted that there is conflicting and controversial literature due to different methodologies and study designs in all aspects of the restoration of the endodontically treated tooth. The ferrule effect is only part of the complex equation for success, with the choice of the post and core system, cement luting agent and final crown substrate also being significant. However, it’s imperative the endodontically treated tooth be prepared by the clinician for the final restoration crown to strengthen and reinforce the post and core foundation and not prepared for the post and core foundation to strengthen and support the tooth and crown. Of equal importance is the communication between the restoring dentist and the various specialists that may be called upon when treating particular cases, and always; the final treatment decision should be in the best interest

Figure 1

of the patient. REFERENCES: 1. Setzer F C, Kim S. Comparison of long term survival of dental implants and endodontically treated teeth. J Dent Res. 2014 Jan;93(1):19-26. 2. Chrcanovic B R, Albrektsson T, Wennerberg A. Smoking and dental implants: A systematic review and meta-analysis. J Dent. 2015 May;43(5):487-98 3. Rosen H. Operative procedure in mutilated endodontically treated teeth. J Prosthet Dent 1961;11:973–86. 4. Barkhordar R A, Radke R, Abbasi J. Effect of metal collars on resistance of endodontically treated teeth to root fracture. J Prosthet Dent 1989; 61: 676-678 5. Sorensen JA, Engelman MJ. Ferrule design and fracture resistance of endodontically treated teeth. J Prosthet Dent 1990;63:529–36. 6. Pereira JR, Valle AL, Shiratori FK, et al. Influence of intraradicular post and crown ferrule on the fracture strength of endodontically treated teeth. Braz Dent J 2009;20: 297–302.

Figure 2

7. Ssherfudhin H Hobeich J, Carvalho CA, et al. Effect of different ferrule designs on the fracture resistance and failure pattern of endodontically ceramic crowns J Appl Oral Sci. 2011;19(1):28-33

requirements for the ferrule effect suggests that an improved prognosis

8. Carlini-Júnior B, Cecchin D, Farina AP, Pereira GD, Prieto LT, Paulillo LA. Acta Odontol Scand. 2013 Jan;71(1):278-82

could be gained if healthy dentin circumferentially extends 1.5 to 2.0 mm coronally to the margin of the crown, therefore requiring 5 mm of tooth structure coronal to the alveolar crest (Figure 2).

9. Zhang Y Y Peng M D, Wang Y N, Li Q. The effects of ferrule configuration on the anti-fracture ability of fiber post restored teeth. J Dent. 2015 Jan;43(1):117-25

About the Authors

While the general consensus is that the dentin wall supporting the core should have a minimal thickness of 1 mm, there are few studies to confirm this. If the clinical situation does not permit an ideal circumferential ferrule, an incomplete ferrule (of at least 180 degrees) is considered a better option than a complete lack of ferrule in providing fracture resistance to endodontically treated teeth.4-9 In situations of insufficient remaining coronal tissue, orthodontic extrusion or surgical crown lengthening have been suggested to provide an adequate clinical crown length and ferrule height. The former is preferable, because it preserves more tooth structure, has less adverse influence on esthetics and ensures a more favorable Figure 3

biomechanical behavior. Even so, when dealing with the restoration of teeth that have lost substantial hard tissue, creation of a ferrule may be required at the expense of the remaining tooth structure in the form of a beveled preparation margin.

Dr. Alan Atlas is Clinical Professor, Director of Implant Dentistry and Primary Care Unit Group Leader in the Department of Preventive and Restorative Sciences at the University of Pennsylvania School of Dental Medicine. He maintains a private practice dedicated to esthetic and comprehensive restorative dentistry in Philadelphia, PA. Dr. Sam Kratchman received a BS in Biology and a DMD both from Tufts University in Boston, MA. He then entered the University of Pennsylvania, where he received a certificate of Endodontics, and currently serves as an Associate Professor of Endodontics and the Assistant Director of Graduate Endodontics in charge of the microsurgical portion of the program. Dr. Kratchman also maintains two private practices, limited to endodontics, in Exton and West Chester, PA.

The ferrule effect on multi-rooted teeth has not been studied enough to offer

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RMDC Issue

RMDC SPEAKER

REAL WORLD DENTISTRY 2016 By David Garber, DMD

he changing “Real World” of clinical dentistry today involves using innovative clinical techniques coupled with an ever-evolving group of new products, technologies and aspects of the digital arena. In “today’s” economic climate, clinicians need to change procedural techniques to reduce treatment time, increase rapidity and predictability, while decreasing costs. We need to relearn how best to sequence and stage therapy in today's changed “real world” clinical practice. My RMDC program will be a perspective into how cross-disciplinary “interface planning” has become an integral art of restorative dentistry and why in 2016 it is essential to integrate the “white” of tooth esthetics as it relates to the critical “pink” gingival and lip interfaces. Learn how traditional clinical practice workflow has now become more streamlined, increasing and expediting almost any procedure, while decreasing risks, and then overall costs for your practice. The new developing sophistication in each aspect of clinical dentistry makes procedures easier, while allowing for much greater collaboration between the entire dental team in the initial planning of any clinical through the execution of the procedures. The program will address all the techniques; products and technology required to master porcelain laminate veneers and is directed toward accelerating the procedures while improving the efficiency and predictability and then longevity. The recent evolution in pressed/milled ceramics, dental adhesives and composite materials has combined synergistically to deliver more conservative restorations that are not only indiscernible from natural teeth, but increasingly

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stronger and easier. This exponentially increases their new clinical applications, while retaining more natural tooth structure and the all essential enamel. Today in replacing single teeth there are alternative forms of bridges, as well as a plethora of Implant Systems. However, each comes with specific limitations, and then the need for us to make different clinical decisions, based on the individual specific needs of the patient.

"In ‘todays’ economic climate, clinicians need to change procedural techniques to reduce treatment time, increase rapidity and predictability, while decreasing costs. We need to relearn how best to sequence and stage therapy in todays changed ‘real world’ clinical practice." We will update the clinician on current techniques and materials in restorative dentistry, extractions, implants, - and a dramatically changing “Digital World.” “Digital” now facilitates safer, more predictable and simple 3D treatment planning, precise surgical guides, optical impressions and CAD/CAM processed restorations. Sequencing and completing everything economically, from extraction, through implant placement and restoration is today readily possible on the same day – in your clinical practice.

The rapidly expanding “digital” arena, now allows dentists to do cogent 3-dimentional CBCT treatment planning, then develop precise surgical guides, followed by digital impressions, stereo lithographic models and CAD/CAM processed restorations. This program will address our need to meet the escalating public demand for function with esthetics and rapidity by integrating innovative restorative systems with implants and restoratively driven Periodontic Plastic Procedures. It will update the clinician on the most current techniques and materials in restorative dentistry, esthetics, implants and this dramatically changing digital arena. My discussion will provide the group with an interactive multi-disciplinary perspective to treatment planning and staging of therapy including hard and soft tissue. Everyday case examples will showcase practical applications to enhance predictability and provide superior patient care and satisfaction. Learning objectives may include: • New Restorative Products and Technologies & Techniques • Impressions 2016 – Traditional vs. “Digital”- decide which is best in your practice

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• Incorporating the Restoration of Dental Implants into your practice

• Simplified rapid veneer finishing techniques

• Temporary Restorations – What materials to use in different clinical scenarios

• The pressed ceramic (e max) or layered feldspathic choice

• Different Accelerated Veneer protocols for 2016 • Porcelain Decision making for porcelain fased to metal emay or zirconium • Digital restorations in 2016: is this viable in your daily practice • The importance of the “pink” component in Restorative Dentistry • A program directed at the complete dental team for the day to day practice • Accelerated, step-by-step tooth preparation techniques

About David Garber, DMD Dr. David Garber is a dual trained clinician and professor in the Department of Periodontics as well as in the Department of Oral Rehabilitation at the Medical College of Georgia. He is a Clinical Professor in the Department of Prosthodontics at Louisiana State University and a Clinical Professor in the Department of Restorative Dentistry at the University of Texas Health Science Center at San Antonio.

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RMDC SPEAKER

WAYS TO SHARPEN YOUR NOGGIN By Uche Odiatu, BA, DMD

our three-pound brain is the CEO of your whole body’s operation. It’s the playmaker, manager and overseer. It keeps 2,000 gallons of blood surging through your heart each day and throughout 63,000 miles of blood vessels. It has you place one foot in front of the other as you walk from patient to patient and let’s you know when you need to eat lunch. It stores and retrieves memories from this morning and all the way back to the day you graduated from college. Seems powerful doesn’t it? It is and it isn’t. It’s the center of your world and one of the most powerful processing machines in the universe. But it can’t live more than four minutes without oxygen. Did you know our brains reach their maximum size as teenagers and maintain that youthful volume until our late 20’s. Much of the atrophy as we age is not from neuronal death but from dendritic pruning as stale “same old same old” information comes through the system. Yes, we get stuck in our old routines and, routine lulls your brain gently to sleep. How can you keep your memory sharp so

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you can remember details about your favorite patients? How can you keep your ability to learn new things and embrace change? Can you decrease your chances of dementia (Alzheimer’s being the most common form of this this horrible disease) and enjoy treating patients into your 60’s and possibly your 70’s with ease? How about maintaining your reaction time and hand eye coordination to keep pace with the new grads in your town? I say YES YES YES. I am going to reveal to you FIVE things you can work on to maintain your brain power and possibly grow it more powerful as you live a long healthy life. Sleep Quality A good night’s sleep is very important to letting the body repair, regenerate and heal. The physical body is obvious, but less so is sleep's influence on the brain. Many of us try to burn the candle at both ends for exams, deadlines, etc., but new research shows the short term gains may lead us to long term disaster. Mary O’Brien, MD, in her book, The Healing Power of Sleep said, “over extended periods, these disruptions of normal function may push a vulnerable organ system over the edge to disease.” The brain, during sleep, consolidates memories, processes emotion and balances

neurotransmitters. Genius (and which dentist wouldn’t want a little more ingenuity?) has been known to erupt out of sleep. From Keith Richards waking up with the song "Satisfaction" coming out of his consciousness to August Kekule and the chemical formula for benzene. With recent surveys showing that half of the US population has sleep difficulties, it appears obvious that it’s attained epidemic proportions. With the critical relationship of quality sleep, learning and memory, it is clear 50% of the population may not be performing at their best due to lack of sleep. I know you are aware of the prevalence of sleep apnea. But it’s much more than that. It’s making the mistake of having that glass of wine close to bed time (disrupts sleep cycle). It’s having a night-light on in the bedroom (prevents you form getting into deep stage four sleep). It's watching TV right up the second of going to bed (spikes your waking hormone cortisol). We all need to learn new sleep habits if we want to be the best health care provider. Research has shown that there are drug free ways to helping with more than 70 categories of sleep disturbances, of which insomnia is #1. Progressive muscle relaxation, Cognitive Behavioral Therapy and similar techniques

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are being used very successfully. Manage Stress If there is one way to upset your brain and cause you to be less than 100% it’s to have poor stress management strategies. Can we get rid of stress? No. Can we learn to reframe it? Yes. Can we learn to change our personal destructive tension relieving methods? Yes. Chronic unrelenting stress is a killer of the body and the brain. Jay Olshansky, PhD, from the University of Illinois, calls unrelenting emotional stress an aging accelerator that will shorten your life. Besides the physical disturbances what does it do to your brain? Experts report that stress causes physical changes to you brain. “We are not disturbed by things but our perceptions of things.” – Epicticus Evening is the worst time to be preoccupied with negative thoughts and feelings. It boosts cortisol – a hormone that every of your 100 trillion cells and vital organs can’t ignore. And it screams, “Something isn’t right. You can’t rest. There’s an enemy somewhere in the vicinity.” Your primitive life preserving cycle kicks into gear and the hypothalamus sends messages to your pituitary gland and it in turn tells your adrenals to kick out adrenaline and cortisol. Can you see the cycle we create for ourselves? When this is going on - and for many it is happening from 8:00 until midnight – your brain will not prepare your body, brain and spirit for rejuvenating slumber. Your agitated body steals life force energy away from your digestive system and immune systems, redirecting it toward a predator that is not physically present. Anxiety steals serotonin from your hippocampus which needs serotonin to help sort out and file away memories. Chronic

stress and resulting anxiety over extended periods of time shrinks this vital part of your brain. Naturally about the size of your finger nail this part of your brain has shrunk to half its size by the time Alzheimer’s is first diagnosed Have I created a sense of urgency in you to manage stress and save your brain from imminent danger? A recent study with elderly subjects 80 years of age plus, saw those who managed stress well also had thicker overall cerebral cortex and a well formed anterior cingulate gyrus. The normal

“With the critical relationship of quality sleep, learning and memory, it is clear 50% of the population may not be performing at their best due to lack of sleep.” shrinking of the cortex was not evident in the people with healthier lifestyle habits. Take a look at some of Herbert Benson’s work from Massachusetts General Hospital. He showed that circulating levels of all the destructive stress hormones decreased with a regular meditation habit. It’s not just for Tibetan monks. North American dentists can benefit from closing their eyes in the evening and focusing on their “in breath and out breath” and observing their thoughts with detachment. Ommmm... Exercise Dementia and its precursor, Mild Cognitive Impairment (MCI), involves loss of brain function that influences language, memory, thinking, judgment and behavior. All the current research points to lifestyle as a key influence on mental sharpness as we age. People suffering from dementia often share the same lifestyle factors as those

experiencing cardiovascular disease and diabetes: such as inactivity, overeating, sedentary living and smoking. People who are obese are twice as likely to be diagnosed with some form of dementia. Diabetics have a 65% more likely to develop Alzheimer’s – which some researchers are calling Type III diabetes. The same things that make your cardiovascular system work poorly also make the brain work poorly. Remember the brain uses 20% of your oxygen intake even though it weighs three pounds. Yes, it is an oxygen hog. And how do you boost the cardiac capacity and oxygen utilization of your body? Exercise. Besides the enormous vascular needs of the brain, it has another relationship with exercise – neuroplasticity. Neuroplasticity is brain remodeling. Yes, your brain can renovate and improve itself if it has certain ingredients and a specific environment set up. Exercise boosts a key ingredient – BDNF. BDNF is Brain Derived Neurotophic Factor. BDNF facilitates neuronal survival, protection, remodeling and dendritic growth. Long words but all important parts of keeping your brain healthy and youthful. “All things held equal. If you have two dentists of equal ability and skills, the dentist who is an exerciser will always outperform the non-exerciser.” An fMRI study by Burdette in 2010, as reported in Aging Neuroscience Journal, discovered that a four month aerobic workout regimen in a group of healthy older adults who were sedentary resulted in boosted cerebral blood flow and connectivity in the hippocampus (remember I said this area is devastated in the person with Alzheimer’s). Limit Junk Food Every cell in your body is influenced by every morsel of food you eat and digest. From the Pop Tart to the muffin to the donut

Continued on pg. 29

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to the beer, it all has an influence on your waistline as well as your brain. The challenge of consuming loads of high glycemic treats and junk food is that it overloads your body’s Kreb Cycle (remember that from biochemistry?). After every overstuffed meal, a negative state is set up. It is called Postprandial Dysmetabolism. The body’s biochemistry is turned upside down by the abundant grams of sugar, trans fats and salt. The oxidative stress caused by excess poor quality nutrients not only disrupts fat burning and makes your pancreas work hard, your brain is also overloaded. A brain that has become insulin resistant will not work well. Its delicate environment needs ideal nutrients to play its A game. The high blood sugar – low blood sugar roller coaster completely disrupts your thinking processes. Ever been groggy after a lunch meeting of pasta and muffins? Ever been annoyed and irritable after a long morning where you worked through your break and found yourself snapping at your important valuable staff? Remember earlier I mentioned that the brain uses 20% of the

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oxygen coming into your lungs with every breath? Well with that amount of oxygen going in, the brain has a huge need to get rid of the exhaust or waste. Glial cells are the brain’s immune cells and they are the main ones to vacuum up all the waste that results from its metabolism.

Alzheimer’s.

Learn New Things

About Uche Odiatu, DMD Dr. Odiatu is a Certified Nutrition & Wellness Consultant, an NSCA certified trainer, a Certified Holistic Lifestyle Coach, the co-author of The Miracle of Health ©2009 and Fit for the LOVE of It! ©2002, & a professional member of the America College of Sports Medicine. He maintains a dental practice in Toronto and has inspired audiences at the largest dental conferences in the world. He has appeared on over 350 radio and TV shows including ABC 20/20 and Canada AM. Contact him facebook. com/Odiatu.

Last but not least, one of the most important things you can do to keep your brain fresh and youthful is to keep learning. Your brain over a lifetime is forever pruning and reshaping. New knowledge and activities makes your brain work harder and like a challenging personal trainer it stimulates your brain and keeps it young. Perls et al in 1999 reported that learning to play a new instrument, going to a new vacation spot, taking new courses and reading new varieties of books appear to expand and build neuronal networks. Numerous recent studies have shown that ongoing learning and keeping your brain busy dramatically reduces your likelihood of developing

The challenge is on. Learn new things, visit new vacation spots, run a half marathon, stop eating at buffets, breathe deep 10 times each day, sleep deeply and enjoy renewed professional and personal success.

RMDC SPEAKER

MANAGING DIFFICULT PATIENTS…. BEFORE THEY MANAGE YOU! By Ronald Goldstein, DDS

t has been said that 95% of patients are easy to manage but 5% can be classified as difficult patients. However, it is that 5% that can create so much stress that both dentist and staff wish they were on vacation when that patient’s name is on the appointment book. Nevertheless, those bad days can be reduced if proper management techniques are put in place. I have spent over 50 years successfully managing these types of patients and this article will be an intro to my lecture course at RMDC on managing difficult patients before they manage you. My lecture will focus on the many different types of difficult patients you may encounter, and advice on how to handle each one to ultimately find success. There are special signals to watch out for and strategies to adjust both dentist and staff communication and responses. This is why it must be a total team effort in order to make intelligent decisions both on patient selection and management. The secrets to making your practice days more enjoyable are: • Learning who to and who not to treat • Learning how to better evaluate your new patient • Teaching yourself and your team new management techniques

Difficult patients can be classified as mildly difficult, moderately difficult and severely difficult. The different types of patients in each category must be understood by the entire team including office personnel, hygienists and assistants, in order to convert that patient to better appreciate your services.

Teaching Your Staff the Velvet Touch So many offices are shocked to find what seemed to be a reasonably calm and friendly patient turn into Dracula’s mother or father. The fact is, no dental or medical practice can totally avoid dealing with problematic patients. My advice is:

"There is an old saying that ‘when in doubt… wait’…and this is good advice when any warning signs show up." First: Accept that they will show up. Second: Develop the ability to screen for them. Third: Create a team plan to better deal with them. Esthetically motivated patients will no doubt be much more concerned about treatment plans and especially treatment outcomes than they would with conventional restorative treatment. The ability to have a great smile is a tremendous asset to one’s self-image. Therefore it is essential for both dentist and staff to be good listeners to what the patient is saying. Video recording can be a real help to the ceramist as well as to later review the patient’s needs, wishes and expectations. Questionnaires can also be helpful as well as a detailed past dental history. If the patient is reluctant to provide past dentists or other key information that may well be a hint of past problems. There is an old saying that ‘when in doubt…wait’…

and this is good advice when any warning signs show up. Never rush to present a treatment plan. After a thorough assessment, clinical diagnosis and analysis of just how difficult the clinical treatment will be, the next step is to decide if you think you will be able to satisfy the patient’s expectations and how cooperative your potential patient will be throughout the course of treatment. After listening to a patient’s complaints about a previous dentist plus what he or she aspires to achieve in your office, try to make the decision if the patient is psychologically dysfunctional versus emotionally stable but upset and unhappy with previous results. Your patient can be unhappy with how he or she looks, and this dissatisfaction may also be a sign of depression. The questionnaire must be reviewed by the dentist before speaking with the patient, so that you can be better prepared to deal with certain responses the patient had to questions in a thoughtful and reassuring way. Team Approach The decision you make should be based not only on your analysis but also your receptionist, treatment coordinator, hygienist or dental assistant’s impression. Staff members who have had contact with the patient can be the key to predicting future patient behavior. Never forget that patients will be on their best behavior when you are in the room with them. This is one reason why I never enter the operatory on any visit until my assistant's report on the patient’s attitude or concerns that day. I have found that each member of the team beginning with whoever takes the very first phone call can many times offer valuable insight into the patient’s personality. Keeping in close communication with your staff will give you the upper hand in who this

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patient really is when you are not around. Some of the red flags may be: • Patients who have undergone multiple surgical procedures to improve their looks. This could be related to a body dysmorphic disorder. • Patients who suffer anxiety symptoms such as phobias, panic attacks or obsessive-compulsive behavior.

This lady was extremely particular about every single esthetic aspect of her case.

• Patients who say, “You are the expert…whatever you say is best” can be a real problem if later they reject what you have done for them and blame the decision on you! • Patients who cannot express what they want but only later vocalize about what they don’t want.

After changing her perception of color and shape of teeth several times, we finally got her to sign of on the final ceramic restorations.

Your decision whether to agree to treat the patient should be after the first diagnostic appointment, and sometimes second consultation appointment. Ask yourself, if you think you can meet or even exceed your patient’s expectations. When I have doubt, I divide the new patient’s treatment plan in phases and the first would be a trial smile appointment. If the patient is primarily concerned with esthetics, I never proceed to a final case until the patient is totally satisfied with the trial smile. And if for any reason I cannot please the patient with the trial smile, I refer the patient to another office in hopes a new dentist might succeed. However, this has only happened about five times in 50 plus years.

It is important to consider scheduling enough time with patients, so that they are thoroughly prepared for the process they are about to experience. Ensuring that patients are not only prepared, but informed should come in the form of a written description of what will happen. This includes details about the timing of each step; what they will look like during the process of living with temporaries; and what they can expect their smile to look like at completion. Further information such as how to care for their restorations, any eating restriction and a range of longevity of their restorations should also be given in writing. As an alternative, famed dental malpractice attorney Edwin Zinman advises dentists to let their patients read sections of "Change Your Smile" (Quintessence) that explain all the above plus much more. Allow the difficult patient to process this information during the appointment and ask for confirmation of understanding before proceeding to the next appointment. The next step in the process of training the staff is to understand how each type of difficult patient can best managed.

Dr. Goldstein’s upcoming course will classify difficult patients and is geared for the entire dental practice. About Ronald Goldstein, DDS Dr. Ronald Goldstein wrote the first comprehensive textbook on esthetic and cosmetic dentistry in 1976 (Esthetics in Dentistry). He is also a Clinical Professor at Georgia Health Sciences University School of Dentistry and an Adjunct Clinical Professor at both Boston University and the University of Texas Health Science Center at San Antonio.

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We’re here

Will you join us? Dentists at the Capitol Lobby Day Friday, Feb. 19, 2016, 8 a.m. to noon Colorado State Capitol in Denver We need you to join the conversation with legislators (no political experience required). In 2016, we will be discussing loan forgiveness, insurance reform and the Medicaid dental benefit.

Your voice, as a dentist, will make a difference. Please RSVP to participate in this annual event. Contact Krysia Gabenski at krysia@cdaonline.org or 303-996-2845.

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Can’t make it to Lobby Day? Contribute to support Colorado dental political efforts. Contact the CDA today at 303-740-6900!

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IT’S NOT TOO EARLY FOR LEADERSHIP SKILLS By William Simon, DMD

oday’s dentistry places a lot of attention on the value and importance of leadership skills.

organized dentistry. There is opportunity to network with other dentists and learn from leaders that have come before you.

As a new dentist, you may be asking yourself, “Why should I care about leadership? I don’t yet own my own practice. I have more important things to worry about like finding a good job, increasing my clinical speed, expanding my procedure mix, elevating my confidence level, servicing my debt and working towards a lifestyle that I envisioned when I made the decision to become a dental professional.” These are all valid points. However, it is important to at least understand the value of leadership now, and start the process of building those leadership skills.

Of all of the things that I have done over the course of my career, my efforts toward becoming a leader have been the ones that have paid off the most. My leadership skills have helped me to be a better dentist, a better employer and a better contributor to our profession. I encourage you to begin the process. Becoming an active part of organized dentistry can be a great place to start.

Early on in your career as an associate dentist or even as a new partner, you may not be in a position to utilize leadership skills as much as you will in the future. Yet, the earlier that you understand these skills and the sooner you begin working on them, the more equipped you will be to “hit the ground running” when you are in a position to use them.

“I have been told that leadership is not just getting things done. Rather, it is the art of getting things done by others.”

Printed with permission from the Montana Dental Association. About William Simon, DMD Dr. William Simon is described by some as “dramatic.” His 30-year dental career has included its share of challenging situations. Starting as an associate in a run-down Medicaid practice, he grew to become the sole owner of two highly successful multidoctor practices. His experience includes six build outs, nine locations, four spacesharing arrangements, one practice acquisition and over 25 associates. He experienced a lost lease, an embezzlement scheme, robbery at gun point and a major fire after which the team worked out of three offices before settling into an abandoned dental office while he rebuilt. The fourth month after the fire, Dr. Simon’s practice had the best production month in practice history.

I like to look at acquiring leadership skills as an investment, similar to the way I look at funding a retirement plan. The earlier you get involved, the more time you have to build on the power of compounding interest and ultimately, the more choices you will be able to make as you move through your career. Over time, you will find that the responsibilities of maintaining and advancing your clinical skills, and even more so your administrative skills, will increase. This is truer today in dentistry as our industry has evolved in to more of a business than it has ever been. Delegation will become more critical to your success. This is where the impact of leadership will be most apparent. I have been told that leadership is not just getting things done. Rather, it is the art of getting things done by others. If you are anything like me, you became a dentist to help people as well as achieve a higher quality of life for yourself. Becoming an effective leader can help you to further these interests to levels that far exceed what you can accomplish by yourself. By helping others, you will help yourself. These same leadership skills will also be of value to you outside your practice, not only in your involvement with other professional endeavors like organized dentistry, but your personal life as well. Of course, just like anything worth having, becoming a good leader takes effort. It takes establishing a clear vision along with a well established set of core values. It takes not only willingness to do anything that you expect of others, but an occasional demonstration of doing it. It takes giving credit where credit is due. It takes dedication, clear communication, integrity, courage, professionalism and an upbeat demeanor, even when you are not at your best. The effort is well worth it. One of the best activities I have found to build leadership skills is involvement in

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Be sure to check out the RMDC HANDS-ON COURSES being held at the:

MOUNTAIN WEST DENTAL INSTITUTE!

Visit MDDSdentist.com for a full schedule of other upcoming courses at the MWDI! • 140-seat Auditorium (can be divided in two) • Banquet Hall • 20-seat Executive Board Room • Hands-on Learning Lab Benches for 40 participants • Large Wet Lab • Four (4) Educational Operatories including one (1) equipped for surgery • 2D/3D Digital Imaging Suite • Planmeca PlanScan™ (mill & scanner) • Equipped to capture and stream live video • MDDS members receive a 15% discount • Multi-day & multi-room discounts • A/V always included • No catering restrictions • Free Wi-Fi • Two (2) free parking structures Metro Denver Dental Society | 925 Lincoln Street, Unit B Denver, CO 80203 | (303) 488-9700

MWDI.ORG

EVENT CALENDAR January 2016 January 21-23 2016 Rocky Mountain Dental Convention Colorado Convention Center 700 14th Street Denver, CO 80202 Mountain West Dental Institute 925 Lincoln Street, Unit B Denver, CO 80203 (303) 488-9700

February 2016 February 26 Basic Radiation for the Unlicensed Dental Personnel – Dr. Brad Potter Mountain West Dental Institute 925 Lincoln Street, Unit B Denver, CO 80203 8:00 am-12:00pm (303) 488-9700 February 26-27 Hands-on: Recognition and Management of Medical Emergencies: Participate in an Advanced Clinical Simulation – Dr. Jeff Young Children's Hospital Colorado 13123 E. 16th Avenue Aurora, CO 80045 Feb 26th 9:00pm-4:00pm Feb 27th 9:00pm-4:00pm (303) 488-9700

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February 27 Colorado Society of Oral & Maxillofacial Surgeons Winter Meeting Children's Hospital Colorado Mountain West Dental Institute 925 Lincoln Street, Unit B Denver, CO 80203 8:30 am-3:30pm (303) 488-9700

MArch 2016 March 18 Can You Adapt to the New Twist in Rotary Reciprocation, Negative Apical Pressure Irrigation, Cordless Obturation? –Dr. John Olmsted Mountain West Dental Institute 925 Lincoln Street, Unit B Denver, CO 80203 8:30am-5:30pm (303) 488-9700 March 19 Can You Adapt to the New Twist in Rotary Reciprocation, Negative Apical Pressure Irrigation, Cordless Obturation? –Dr. John Olmsted Mountain West Dental Institute 925 Lincoln Street, Unit B Denver, CO 80203 8:30am-5:30pm (303) 488-9700

APRIL 2016 April 1 Advances in Dental Pharmacotherapy: How to Maximize Success While Limiting Risk in Everyday Practice –Dr. Karen Baker Mountain West Dental Institute 925 Lincoln Street, Unit B 8:30am-5:30pm (303) 488-9700 April 8-9 Botulinum Toxin & Dermal Fillers Levels I & II & Frontline TMJ & Orofacial Pain Level I –The American Academy of Facial Esthetics Mountain West Dental Institute 925 Lincoln Street, Unit B Denver, CO 80203 April 8 8:30am-4:30pm April 9 8:30am-4:30pm (303) 488-9700

May 2016 May 21 Behavior Guidance Emphasizing Immobilization/Protective Stabilization –Drs. Nelle Barr & Sean Whalen Mountain West Dental Institute 925 Lincoln Street, Unit B Denver, CO 80203 8:00pm-3:00pm (303) 488-9700

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NON PROFIT NEWS

LEARN ABOUT VOLUNTEERING FOR COLORADO DDS AT THE RMDC

f you have an opportunity during the Rocky Mountain Dental Convention in January, be sure to meet Arvada general dentist Dr. Jeff Lodl and ask him about volunteering for Donated Dental Services (DDS), a program of Dental Lifeline Network • Colorado.

Dr. Lodl has a busy role as the Chair of the RMDC Programming Committee. In addition to giving back to his profession, he very generously shares his time and expertise helping vulnerable people who have no way to get the dental treatment they desperately need. He takes his commitment to the next level as Vice President of Dental Lifeline Network • Colorado. Since becoming a DDS volunteer more than 27 years ago, Dr. Lodl has donated over $100,000 in treatment to patients with disabilities, the elderly and the medically fragile who cannot afford care. DDS volunteers generally treat one patient per year (or more, if they choose) in their own offices and on their own schedules. Patients are prescreened. Volunteers review a patient profile in advance and choose whether to see or decline any patient. They determine their own treatment plans, never pay lab costs and there is no extra paperwork required.

One of Dr. Lodl’s current patients, Susie, 61, has chronic pain syndrome. Susie previously worked as a clipper in a jean factory. Now on a limited social security disability income with no dental insurance, she had few remaining teeth and painful dental disease. Susie was very concerned about the nutritional limitations of her soft food diet. Donating extractions, a full upper denture and partial lower denture, Dr. Lodl is in the process of restoring Susie’s dental health. “Susie was embarrassed by her smile, and tried to hide it. It gives me great personal satisfaction that she loves her smile now.” Try just one patient! Volunteer now! Join metro Denver’s 209 DDS volunteer dentists! More volunteers are needed. For information about volunteering, contact Denver DDS Coordinator, Kevin McGrellis, at (303) 534-3931 or kmcgrellis@ DentalLifeline.org or visitDentalLifeline.org/colorado/.

Denver Metro DDS Volunteer, Dr. Jeff Lodl with his patient, Susie

DDS Coordinator, Kevin McGrellis, ensures that patients arrive on time for appointments, arranges for assistance from specialists and laboratories and serves as the liaison between the staff and patient to facilitate everything. Another metro Denver volunteer, Dr. Victor Burdick, commented, “DDS makes it simple and easy to give back and donate. They are phenomenal.” Volunteers also say they never expected how much their staff would appreciate the DDS experience. Staff members celebrate the success of their patients and value the teamwork they provide with their dentists.

Visit the Dental Lifeline Network • Colorado booth at the RMDC to learn more about Colorado’s DDS program! Our sincere thanks to MDDS for providing this booth!

About Dental Lifeline and DDS: Donated Dental Services (DDS) is the flagship program of Dental Lifeline Network, a national nonprofit organization and a charitable affiliate of The American Dental Association. Now 30 years old, the DDS program was founded in Colorado where it has provided more than $27 million to 11,600 patients. Nationally, DDS has provided $300 million in donated care to more than 107,000 patients in 50 states and Washington DC.

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Spring 2014

CLASSIFIEDS Job Board: Associate in Greenwood Village - Active license and professional liability insurance required. Must be able to do endo, surgical extractions, prosthodontics, and work well with senior citizens. Ideal candidate is team-oriented, motivated and has exceptional communication skills. E-mail resumes to humanresources@tchd.org. Treatment Coordinator/ Scheduler in Centennial - Looking to add a long term superstar to our team, Monday--Friday, who can interact with patient's regarding treatment acceptance and to find an affordable way to fit treatment into their budget. Our ideal candidate is someone that has superb people skills, excellent patient care including detailed follow up, great communication skills, the desire to be an integral part of a team, attention to detail; someone who is able to project a warm, positive and professional image, is self-motivated, takes initiative and is able to multi-task. We are an established, caring, quality-oriented office and patients are our priority. We provide a comprehensive benefit package. MUST send a cover letter along with your resume to shelley@periodontalhealth.com. With patient convenience in mind, we like to offer multi-specialties in one location. (Private Practice) Real Estate: Oral Surgery/ Dental Office â&#x20AC;&#x201C; Lakewood, CO - Former Oral Surgery office with upgrades. Spacious waiting area with beautiful curved reception desk, four operatories, lab, after-surgery recovery area. Contact Kay Hoppal, Broker, Hamilton Properties Corp., 303-340-3529 or email kayhoppal@hamiltonproperties.com. General Practice for Sale: Northern Mountains, CO Annual Revenues $950K, 3 Ops, 1,200 square feet, Dr. Retiring. ADS Precise Consultants, www.adsprecise.com Email: frontdesk@ adsprecise.com, 888-909-2545.

PERIO Practice for Sale: Southern Front Range, CO (CO 1532) Annual Revenues $350K, 2.5 days/week. ADS Precise Consultants, adsprecise.com, Email: frontdesk@adsprecise.com, 888909-2545. General Practice: Aurora, CO (CO 1527) Annual Revenues $500K, 3 ops, 3 days per week, Dr. Retiring. ADS Precise Consultants, frontdesk@adsprecise.com, www.adsprecise.com, 888-9092545. PERIO Practice - Annual Revenues $611K, Practice Price $140K, Bldg also for sale - bldg price $140K, Dr. Retiring. ADS Precise Consultants, 800-307-2537, frontdesk@adsprecise.com, www.adsprecise.com. GP - Biological/Holistic for sale in Alamosa, CO Price: $275K, Annual Revenues $500K, 3 ops, seller willing to work back. Excellent high quality Biological Dental office for sale or associate opportunity.. "Federally Under-served Community." ADS Precise Consultants, 888-909-2545, www.adsprecise.com. OMS practice, western mountains near Vail & Aspen, Annual Revs $840K,Price $489K, 3 ops, 1260 sf, MTTF 8a-5p, bus. office open Wed (no pts). GP-Eastern Plains, Sale Price $349,000,Annual Revenues $624K,1,000 sq ft, 3 ops fully equipped,2 staff, Mon-Th 8:30a-5p, Fri 8a-12p (no patients), space available to expand (CO 1327) GP for sale in Arvada, Colo. (CO 1123). Annual revenue $135,000, three ops, 950 square feet. ADS Precise Consultants, 800-307-2537, frontdesk@adsprecise.com, www.adsprecise.com.

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