The Journal of the Philadelphia County Dental Society, Volume 79 Issue 4

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The Journal of the Philadelphia County Dental Society

October/November/December 2013


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THE JOURNAL

of the Philadelphia County Dental Society _________________________________________________________________________________

First District of the Pennsylvania Dental Association October/November/December 2013 x Vol. 79 x No. 4 ______________________________________________________________________________________________ Saul N. Miller, D.D.S., '14 Editor

CONTENTS

Stanley B. Toplan, D.D.S. Associate Editor

Nominations ........................................................................................ 2

Teresa F. Ravert Executive Director

OFFICERS

Kevin J. Klatte, D.M.D. President Andrew J. Mramor, D.D.S. President-Elect Judith A McFadden, D.M.D. Secretary A J. Chialastri, D.D.S. Secretary Emeritus Rochelle B. Lindemeyer, D.M.D. Treasurer Stanley B. Toplan, D.D.S. Historian

GOVERNORS

Peter J. Carroll, D.D.S., '14 Susan M. Chialastri, D.M.D., '15 Renee Fennell Dempsey, D.M.D., '14 Jay M. Goldberg, D.D.S., '13 Chinchai Hsaio, D.M.D., '15 Amid I. Ismail, B.D.S., '13 Stanley W. Markiewicz, D.M.D., '14 Harold L. Middleberg, D.D.S., '13 Thomas P. Nordone, D.M.D, '13 Mary M. “Toni” Rust., D.D.S., '15

President’s Message ........................................................................... 3 2013 PCDS Scholarships Awarded ....................................................... 4 2013 Liberty Continuing Education Course .......................................... 6 It’s Not Just about the Teeth ............................................................... 7 Newsbriefs .......................................................................................... 8 A Brief History of Dental Licensure ................................................ 14 Proposed Bylaws Revisions ............................................................. 15 Navy Dental Corps Celebrates 101 Years of Service .......................... 19 Membership Report .......................................................................... 20 Become a Mentor: It’s a Good Thing ............................................... 21 Health Watch ...................................................................................... 23 Dental Dates ....................................................................................... 27 Classified Ads ................................................................................... 31 Workplace Tips .................................................................................32

•••

Anand V. Rao, D.M.D., '17 PDA Trustee

•••

EXECUTIVE OFFICES:

One Independence Place 241 South 6th Street, Unit #C3101 Philadelphia, PA 19106-3797 215-925-6050 FAX: 215-925-6998 E-mail: philcodent@aol.com WEB: www.philcodent.org Member Publication

The JOURNAL is published by the Philadelphia County Dental Society, One Independence Place, 241 South 6th Street, Unit #C3101, Philadelphia, PA 19106-3797. The opinions expressed herein are those of the author under whose name they appear and are not to be regarded as representing the views of the Philadelphia County Dental Society unless so indicated. All advertising materials and correspondence, including classified advertisements and replies should be sent to: JOURNAL of the Philadelphia County Dental Society, One Independence Place, 241 South 6th Street, Unit #C3101, Philadelphia, PA 19106-3797. The Philadelphia County Dental Society does not approve or disapprove any products or services advertised in the JOURNAL. Articles for publication may be sent directly to the Editor electronically via e-mail to philcodent@aol.com Articles and classified advertisements should be submitted as Word documents; all other advertising should be submitted in .pdf format (Adobe 6.0 or higher). Contact the Society via telephone or e-mail if you require additional information. Deadline for copy is the first of the month PRECEDING the month of issue. Subscription is included in the annual dues. The JOURNAL is published electronically 4 times a year, January through December. Single printed copies: $4.00. Standard postage paid at Philadelphia, Pennsylvania. Copyright 2013. The Philadelphia County Dental Society.


Nominations As mandated by the Bylaws, the Board of Governors met as a Nominating Committee and presents the following report of nominations for 2014: Secretary:

Judith A. McFadden, D.M.D.

Treasurer:

Rochelle G. Lindemeyer, D.M.D.

Historian:

Stanley B. Toplan, D.D.S.

Board of Governors:

Thomas J. Filip, D.M.D. Michael A. Koumaras D.M.D. Thomas P. Nordone, D.M.D.

In accordance with the Constitution & Bylaws, the following shall be Delegates by reason of office: President, PresidentElect, PDA Trustee, and the six senior elected members of the Board. Accordingly, the following will automatically serve as Delegates to the 2014 Pennsylvania Dental Association Annual Session:

Dr. Peter J. Carroll Dr. Susan M. Chialastri Dr. Renee Fennell-Dempsey Dr. Chinchai Hsiao Dr. Kevin J. Klatte

Dr. Stanley W. Markiewicz Dr. Andrew J. Mramor Dr. Anand V. Rao Dr. Mary M. “Toni” Rust

In accordance with the Constitution & Bylaws, the following shall be Alternate Delegates by reason of office: Secretary, Treasurer, Editor and Immediate Past President. Additional Alternate Delegates shall be elected at the Annual Business Meeting so that the number of Alternate Delegates will equal the number determined by the PDA. Accordingly, the following will automatically serve as Alternate Delegates to the 2014 Pennsylvania Dental Association Annual Session.

Dr. Judith A. McFadden Dr. Rochelle G. Lindemeyer Dr. Saul N. Miller

Dr. Jay M. Goldberg (5 additional to be elected in November 2013)

Elections will take place during the Annual Business Meeting at 7:00 p.m., on Tuesday, November 19, 2013, at the Society’s Executive Offices (all Society members are welcome to attend). The Bylaws provide: 12.1.4 Additional nominations may be made by written petition signed by at least twenty (20) Active, Life or Retired Members in good standing. Such petitions must be submitted to the Secretary at least fifteen (15) days prior to the date of the Annual Business Meeting. The Secretary shall make a prompt determination as to the eligibility of nominees and willingness to serve if elected. 12.1.5 No additional nominations shall be made from the floor at the Annual Business Meeting, with the exception of nominations for Alternate Delegates to the Pennsylvania Dental Association.

ADA Seeks Change Requests for CDT 2015 Each year, the ADA Council on Dental Benefit Programs' Code Maintenance Committee (CMC) approves additions, revisions and deletions to the Code on Dental Procedures and Nomenclature (CDT). Change requests can come from anyone, but they typically are submitted by individual dentists, dental specialty organizations, the ADA and third-party payers. ADA reports that the CMC has already received 18 submissions; 12 of which are from dentists in private practice. The purpose of the CDT Code is to achieve uniformity, consistency and specificity in accurately reporting dental treatment by dentists. One use of the CDT Code is to provide for the efficient processing of dental claims and another is to populate an Electronic Health Record. In federal regulations published under authority of the Health Insurance Portability and Accountability Act (HIPAA), the CDT Code is named as the sole standard for reporting dental procedures on electronic claims, and the ADA is recognized as the owner responsible for its annual review and maintenance. November 1 is the deadline to submit change requests for CDT 2015. For more information on the maintenance process and how to submit a change request, visit online at http://www.ada.org/3831.aspx ADA staff members are available to answer members’ questions on the CDT Code by contacting them via telephone or by e-mail at dentalcode@ada.org

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THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY


President’s Message Kevin J. Klatte, D.M.D.

I hope you had an enjoyable summer. Time seems to go by so quickly, and the “easy livin’” of the summer gives us pause to slow the pace and relax before getting back into the usual routine. I can tell you that the PDA Bylaws Committee has been quite busy this summer in an effort to bring to fruition the directives of the House of Delegates from last spring. The changes in governance are eagerly awaited, and we hope to be able to review the Committee’s recommendations early in the new year. In September, your PCDS leaders participated in the PDA’s annual Welcome Reception for dental students. This was a lively and thoroughly enjoyable evening at the Triumph Brewing Company on September 12. We networked with many of our soon-tobe new dentists, and, I hope, forged a friendship with them that will translate into their active participation in our dental associations in the future. Speaking of dental students, our Mentoring Committee has received numerous requests from current dental students and pre-dental students to shadow dentists in Philadelphia. The pre-dental students are hoping to enter dental school in 2014 and 2015. All of the students who contacted us have expressed a strong sense of commitment to the profession and are eager to observe the daily routine of a dental office. If you wish to volunteer to welcome one of these young people into your practice for a day and, perhaps, begin a collegial relationship that may last into the future, please contact me at philcodent@aol.com or call Ms. Ravert at 215-9256050, and we will put you in touch with a student. This is a tremendous opportunity for each of us to share a one-on-one educational experience — for both the students and the dentists. On September 28, we had a wonderful presentation for new dentists on strategies for debt management and financial planning. The program was aimed at helping new dentists in their approach to entering the “real world” after their dental education and how to meet their debt obligations, live a comfortable lifestyle and initiate a plan for future financial security. Recent graduates have told us that they have been disheartened about managing these obligations in a prudent and commonsense manner. Mr. Lewis Frost, of Adviser Investments in Boston, MA, and our Secretary, Dr. Judith A. McFadden, were the principal speakers, and they received rave reviews for the helpful information they shared with the new dentists. We were de-

lighted that some of our own new dentists participated by providing budget numbers on which Mr. Frost was able to base his assessment and recommendations. The program was held on September 28 at the Chart House Restaurant in Philadelphia, a lovely venue on the Delaware River, and received financial support from Aspen Dental, the Pennsylvania Dental Association, PDAIS, CareCredit and The Insurance Agency for Dentists. In this issue, you will see a recommendation from the Bylaws Committee to revise the PCDS Bylaws to allow the President-Elect and the President to serve a two-year term. The recommendation emanated from the Advisory Committee, which has discussed this possibility for several years, and we hope that extending these terms will enhance our leadership continuity and provide an increased value to our members. As you read this issue, our ADA delegates will be preparing to attend the ADA House of Delegates (HOD) in New Orleans (Friday, November 1 to Tuesday, November 5). Among the House’s many items of business will be consideration of a report prepared for the ADA by a California health policy consulting firm, J.A. Diringer & Associates. This group, com-missioned by the ADA, prepared an environmental scan of the trends affecting the future of dentistry so that the association can prepare for the coming chal-lenges that will face the profession and oral health care in America. The delegates will also review the progress of Action for Dental Health, which was created to reduce the number of adults and children with untreated dental decay through multiple interventions, early diagnosis and risk assessment, disease management and health education, and by preventing dental disease before it starts. All of the reports and resolutions to be considered by the HOD are available online to ADA members at www.ada.org (in the search box type: 2013 HOD resolutions) — member login is required. Feel free to share your comments about any item of House business with the PCDS members who will be serving as delegates: Doctors Anand Rao (anandrao97@gmail.com) and Thomas W. Gamba (twgamba@mac.com) In addition, if you are planning to attend the ADA Session in New Orleans, remember that a Mission of Mercy (MOM) event to provide free dental care to underserved citizens of New Orleans will be sponsored on Sunday, November 3. To register as a volunteer for this event, visit ada.org/goto/session/ Based on the excellence of the MOM-n-PA event held here in Philadelphia in May, I know you will find this to be a worthwhile and enriching experience.

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2013 PCDS Scholarships Awarded

PCDS Scholarships were awarded during the full-day CE program on May 15, 2013. Shown (l-r): Dr. Kevin Klatte, President, Philadelphia County Dental Society, Natalie Laucius, Du (Isaac) Chung, Vladislav Sudacov, recipients, and Dr. Gregg M. Chialastri, Selection Committee Member.

Four dental students received scholarship awards from the Philadelphia County Dental Society, and three were present for the award presentation ceremony held at the May 15, 2013 continuing education program. Each received a $500 award. Dr. Gregg M. Chialastri shared with everyone that the Scholarship Fund was initiated by the Board of Governors in 1992 to help dental students meet immediate financial needs. Since that time, through the voluntary generosity of our members and friends, the fund has distributed more than $40,000.00 to our young colleagues at Temple University’s Kornberg School of Dentistry and the University of Pennsylvania School of Dental Medicine. The award is one of the ways PCDS encourages and assists aspiring dentists as they cope with studies, homes, families, jobs and mounting educational debt. Dr. Chialastri noted that, “each of these students in their applications for scholarship awards made several references to having been involved in community work and membership in or association with organized dentistry. They have excellent grades and were enthusiastically recommended to us by their teachers. Moreover, each of them conveyed a passion for dentistry and a sound commitment to patients, especially those with the greatest need.” The recipients selected for 2013 awards were: VLADISLAV SUDACOV, Temple University Kornberg School of Dentistry, Class of 2014. Vladislav graduated from Temple University in 2010 where he majored in biology. As a young child, he emigrated with his parents from Moldova to Bremen, Germany, where he grew up and completed high school. Active in his community, he volunteered to help others on a

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regular basis. He attended Temple University as an undergraduate and followed his dream of becoming a dentist. Vladislav’s decision to enter dentistry is tied to his experience at age 16 shadowing a dentist in Maryland. He is a member of ADPAC and serves as the vice president of Temple’s chapter of the Alpha Omega International Dental Fraternity. Vladislav is currently in the process of establishing a chapter of the Academy of General Dentistry at Temple. He has been fortunate to have been mentored by two of the best in our area–Dr. Tom Gamba and Dr. Susan Chialastri. He believes that organized dentistry sets standards, defines principles of ethics and outlines a code of conduct, ensuring universal quality of care for patients. These important hallmarks, as well as being able to advocate for oral health on a broad spectrum, are the reasons for his commitment to organized dentistry. Vladislav intends to continue his active involvement in our professional associations at the local, state, and national levels. NATALIE LAUCIUS, University of Pennsylvania School of Dental Medicine, Class of 2014. Natalie holds a Bachelor of Science degree in Biology from Muhlenberg College in Allentown, having graduated summa cum laude. She entered the dentistry program at Penn Dental through a 7 year bio-dental program partnership with Muhlenberg College. She is the community service chairperson for her class at Penn Dental, and she has worked with local dentists to coordinate student participation in Give Kids a Smile programs as well as coordinating community activities with ASDA, Penn Pediatric Society and the Penn Acapella group. In addition, she has worked in the community health honors program, focusing on the Homeless Health Initiative of The Children’s Hospital of Philadelphia. Natalie is well on her way to a career in pediatric dentistry and public health, and would ideally like to work in low income areas providing dental care to children who are most in need. Natalie is a member of ASDA, ADEA, and AAPD. DU (ISAAC) CHUNG, University of Pennsylvania School of Dental Medicine, Class of 2014. Isaac is a graduate of Stanford University, and holds a B.A. in Human Biology. His interest in biology and how the human body functions led him to becoming a human physiology lab research assistant, where he helped to conduct experiments relative to the body’s thermoregulation system. He later joined the Stanford Sports Medicine Department and became an athletic trainer for sports teams. His parents who emigrated from Viet Nam held fast to the values of hard work, determination, and constant hope for the future. Growing up with these values, Isaac was also inspired (continued on page 5)


Scholarships (cont’d.) and guided by several of his older siblings who served as role models in several professional and medical fields. He hopes for an opportunity in the future to participate in clinics that offer free or discounted treatment to underserved populations, and he notes that his ability to speak both Chinese and Vietnamese will foster better communication with patients who speak these languages. As Isaac is motivated to give back to others the excellent guidance which he has received from his mentors, he too hopes to become a mentor in the future. HILLARY ROSEN, University of Pennsylvania School of Dental Medicine, Class of 2014. Hillary holds a B.A. in Spanish from Tufts University, and spent time as an exchange student in Buenos Aires, Argentina. Both her parents are dentists, and growing up, expectations were that she would also join the profession. Hillary is motivated by factors such as

interaction with patients, hands-on procedures, and the ability to “re-form” a patient’s smile. Having observed her father’s active affiliation in local and state level dental associations, she is inspired to become active herself as she grows into her chosen profession. During summers, Hillary worked in a pediatric and orthodontic dental office which treated a diverse group of patients. She is inspired by that experience, and with her fluency in Spanish, is hoping to work with Spanish speaking patients. She has already done some volunteer work in that respect. Hillary appreciates that organized dentistry creates a niche for dentists to network, cooperate on cases and ask for second opinions. Hillary is active in organized dentistry and is currently a member of the Penn Dental Pediatric Society and the Hispanic Students Dental Association.

Congratulations to the PCDS Scholarship Recipients!

Without continual growth and progress, such words as improvement, achievement and success have no meaning. · Benjamin Franklin

Remember family, colleagues and friends with a donation to The Philadelphia County Dental Society Scholarship Fund Send your contribution to: PCDS Scholarship Fund, One Independence Place, 241 South 6th Street, Unit #C3101, Philadelphia, PA 19106-3797 Include instructions so we may send the appropriate acknowledgement

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The Philadelphia County Dental Society announces

The 2013 Liberty Continuing Education Series at the Philadelphia Hilton City Avenue Hotel 4200 City Avenue, Philadelphia, PA

ONE program remains in this year’s cycle In recognition of the need for quality continuing education, and in an effort to make such programs attractive and accessible to members, the Philadelphia County Dental Society proudly presents this package as a MEMBERSHIP BENEFIT. Every effort is made to bring you outstanding programs at minimal cost to you. Information and materials presented by clinicians are intended for your personal evaluation and are not necessarily endorsed by the Philadelphia County Dental Society. The Society does not express or imply that individual courses will be accepted for various state mandatory continuing education requirements. The individual license holder must consult the regulations pertaining to your state/s.

CE 64 – Wednesday – November 6, 2013 Dr. Richard L. Wynn – “Drugs in Dentistry – including Herbals and Natural Products” The latest information on conventional drugs, herbal supplements and nutraceuticals having an impact on dental and dental hygiene practice will be presented. Discussions will include new medical drugs, drug-induced osteonecrosis of the jawbone, an update on the latest guidelines for antibiotic and analgesic use, and four newly approved blood thinners. Herbal supplements will be discussed and health benefits compared, including free radicals, reactive oxygen species, antioxidants, chocolate, red wine, Co-Q-10, Omega-3’s, vitamin D and dental herbal products. The latest on the relationship between CRP (C-reactive protein) levels, periodontal disease and the risk of heart attack will be covered, along with the benefits of moderate alcohol consumption. (7 CE credits)

presented in cooperation with Delta Dental of Pennsylvania participating partners: AFTCO Transition Consultants; Hiossen, Inc.; Kerr Corporation; Orascoptic; PDAIS; PNC Bank;The Insurance Agency for Dentists; Total Care by Kerr; Willis of Delaware Program includes lunch and FREE parking validation. At the end of each calendar year, we provide you with a yearly transcript of all courses you attended through PCDS.

Register online at www.philcodent.org – select Members, Continuing Education Programs; or call 215-925-6050 for a reservation form PCDS Member Dentist - $175; ADA Member - $250;Non-Member Dentist - $300 Graduate Student/Resident – ADA Member - $95; Staff of PCDS Member - $95; All other staff - $125

©©©

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Dates for 2014 CE are listed on the outside back cover of this issue.

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It’s Not Just about the Teeth Saul N. Miller, D.D.S., Editor

It’s Labor Day weekend already,

and I am writing my message for the October/November/December issue of the Journal. Let me just say, “THIS IS NUTS!” The year has flown by; I’m a year older, but considering the alternative this is not necessarily a bad thing, and we are quickly closing in on 2014. As evidence, on September 3, 2013, I heard the first WIP promo for Wing Bowl 2014. It’s a good thing the computer prints out the correct date, because as most of you know, these dates no longer flow readily out of our pens. Many, many, many years ago, I would dread the composition assignment, “What I Did Last Summer.” If that were given to me today, I would write four words and hand it in . . . “You mean it’s over?” Having said this, I will share with you some of my summer adventures. While cycling into Phoenixville, I did not have a head-on collision with a car as it sped around a corner. We stopped one foot from each other, but as my late father might have said, a miss is as good as a mile. I’ll spare you the story of when he said this. I also did not get hit by a bus coming out of a dark garage at the Norristown Transportation Center. These incidents, often called “near misses,” are actually “near hits,” which is just the way I like ’em. As we say, if we walk away from it and get to use the bikes again, it’s a good ride. A great ride involves not encountering people with guns who shoot at us. In late August, the lovely and talented Rita and I were scheduled to speak at a depression/bipolar mood disorder support group, discussing oral hygiene, the relationship of periodontal disease to systemic disease and inflammation and selecting the right dentist for their unique situations. Rita and I had discussed our topics, but we did not have an exact script or order of presentation, as we did not want to detract from our charm and lively banter,

and we wanted the audience to “dictate” the tone and order of presentation. As it turned out, I was stuck in the office with our “computer guy” as show time quickly approached. I knew I would be a noshow, and lovely Rita would be on her own . . . a situation that would not necessary bring her joy and happiness. Well, Rita took one for the team and received excellent reviews and responses from the 40 attendees, even though flying solo again is not necessarily on top of her bucket list. Although patients with mental illness may not have medical issues and concerns that dentists might usually feel directly impact treatment, this is not necessarily the case. While preparing for our presentation, which became Rita’s presentation, we learned that when compared to the general population, individuals with severe mental illness are 3.4 times more likely to have lost all of their teeth and 6.2 times more likely to have decayed, missing or filled teeth. In addition, patients with psychiatric disorders may develop oral health problems related both to manifestations of their illness and side effects of medication. For example, patients with major depressive disorder or a depressed bipolar patient may have difficulty keeping appointments and remembering instructions, and patients in the manic phase of bipolar mood disorder may be highly distracted. Therefore, as with so many of our patients, it is very important to keep instructions simple and put them in writing. So there are numerous things that I didn’t do this summer which serve as important reminders for life as we know it. They may even serve as a basis for New Year’s resolutions. (Note the summer-to-New Year segway.) Watch out for oncoming traffic even when none is in sight at the moment. You never know what may come out of the darkness, even on a sunny day. Get to know your patients . . . better. Thank your team members. They pinch hit for you, often more than you know. THANK YOU, RITA. Happy 2014.

Pennsylvania State Board of Dentistry Information If you have changed your address, State Board regulations require you to notify the SBOD of your new address. For the complete text of the SBOD’s Rules and Regulations, visit the web site listed below. (On the left side, click on Health Related Boards, then click on Dentistry; click on Rules and Regulations.) Visit the web site at

www.dos.state.pa.us or call the State Board of Dentistry at 1-717-783-7162

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Newsbriefs

Members in the News

Dr. Amid Ismail, dean of Temple University’s Kornberg School of Dentistry, recently announced the launch of Project ENGAGE, a $1.75 million initiative to improve children’s access to oral healthcare. The program is available to children younger than six years of age, whose families receive Medicaid and live in North Philadelphia. This project “will assist children and families in getting dental care and remove barriers that prevent those children from having a dental home,” said Dr. Ismail. Community health workers will provide children and families with information, counseling and assistance in scheduling dental appointments. Public health dental hygienists will also be available to provide in-home care and additional treatments such as fluoride varnishes and sealants. Dr. Ismail, who also serves as a member of the PCDS Board of Governors, said that, “the neighborhoods served by Project ENGAGE have the highest cost of dental care in Pennsylvania, in part because the parents of those children tend to seek dental care only when it is an emergency and then seek it at a hospital. We need to shift the dental care from when the children have a problem to before the problem starts.” Dr. Lisa P. Deem, associate dean for admission, diversity and student services at Temple University’s Kornberg School of Dentistry, is currently serving as chair of the Pennsylvania State Board of Dentistry. Her term began in January 2013. Dr. Chinchai Hsiao, a member of the PCDS Board of Governors, was awarded diplomate status by the American Board of Endodontists in April 2013. In addition to his private practice, Dr. Hsiao is an instructor at the Community Dental Clinic at Temple University’s Kornberg School of Dentistry.

Legislative Updates

City Council Bill 130004 (Promoting Healthy Families and Workplaces) — April 11, 2013 was the deadline for Council to attempt an override of Mayor Nutter’s veto of mandatory sick leave legislation. Councilman Bill Greenlee, the legislation’s main sponsor, said he would not make the attempt because he lacked the necessary twelve votes to override the mayor’s veto of the bill. The bill had passed Council by a vote of 11-6 in March. The Greater Philadelphia Chamber of Commerce (GPCC) reported that the six “No” votes (Councilmen Bill Green, Jim Kenney, Mark Squilla, David Oh, Brian O’Neill and Dennis O’Brien) withstood strong pressure from supporters and proponents to impose a paid sick leave requirement on employers in Philadelphia who employ more than five employees. This was the second time proponents of paid sick leave failed to

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muster the necessary twelve votes to overturn the Mayor’s veto and make the bill law. However, Councilman Greenlee vowed to bring the legislation up again in the future. Thank you to those PCDS members who contacted their Council representatives to weigh in on this issue. We will keep you informed when Councilman Greenlee re-introduces the measure. Regarding the Business Use and Occupancy Tax (U & O tax), late in June, Councilwoman Maria Quiñones Sánchez announced she would not call for a vote on her bill to increase the tax during Council’s final meeting before the summer recess. The bill would have raised about $30 million toward solving the School District of Philadelphia’s $304 million budget crisis. Council raised the U & O tax last year as well, and the business community, lead by the Greater Philadelphia Chamber of Commerce, fought against a second straight increase. However, for the tax year that began July 1, 2013, there is a new tax rate and new calculation method for this tax. For information, about the new calculation, visit online http://www.phila.gov/Revenue/businesses/taxes/Pages/Use Occupancy.aspx

PDA Legislative Victory

At the end of June 2013, PDA learned that its lobbying efforts paid off. Both the Corbett administration and the General Assembly agreed to insert language into the budget that requires “sufficient funding” of the DDS (Donated Dental Services) program. The Department of Health has appropriated the re-quested amount of $150,000 that is needed to run the program, which is administered by Dental Lifeline Network (DLN) and facilitates care for patients who are elderly, disabled or medically compromised and unable to afford the cost of care. PDA credited this victory to the efforts of volunteer members, spouses and dental students who attended Day on the Hill on June 4, 2013 and spoke to lawmakers and staff about the need to fund the DDS program. (continued on page 9)


Newsbriefs (cont’d.) Be Aware of Fake Yellow Pages Company Scamming Dentists

Here is information to share with your staff. Fake companies posing as an online Yellow Pages service have been targeting businesses, including dentists, saying they owe money on an Internet phone book listing they allegedly purchased. According to a July 15, 2013 article in ADA News by staffer Kelly Soderlund, the scam begins when the scammers cold call businesses, ask a series of yes or no questions and often record the respondent’s answer. “The scam works because fraudsters convince the person who picks up the phone that they’re just ‘verifying’ an arrangement the company already has with the directory,” according to an article on the Federal Trade Commission’s (FTC) website. The scammers then start sending urgent-sounding invoices for hundreds of dollars, threatening to turn the unpaid bill over to a collection agency if the business owner doesn’t pay. Then the calls start, and the scammers play a recording of a staff member agreeing to the fees in question. But, in reality, they have electronically spliced the staff member’s previous yes or no answers with questions on the bill, ultimately trying to “prove” the business agreed to pay the bill. The FTC has already taken action against one fake Yellow Pages scammer. In 2012, a federal court ordered a European-based operation to pay more than $10.2 million for tricking small businesses and nonprofit organizations into paying for unwanted listings in online business directories, according to a FTC news release. In July 2011, the FTC filed a complaint against Jan Marks; Yellow Page Marketing B.V., which also did business as Yellow Page B.V. and Yellow Page (Netherlands) B.V.; Yellow Publishing Ltd.; and Yellow Data Services Ltd. They allegedly ran the scheme from Palma de Mallorca, Spain, using English and Dutch corporations, according to the release. The FTC’s Bureau of Consumer Protection offers tips for how businesses can protect themselves from this scam: x Train your staff to spot the scam. Talk to everybody who may answer the phone. x Inspect your invoices. Depending on the size and nature of your business, consider implementing a purchase order system to make sure you’re only paying legitimate expenses. At a minimum, authorize only a small group of employees to approve purchases and pay the bills. x Verify to clarify. Before paying invoices, investigate the companies listed to determine

whether they are legitimate. This can be done for free at the Better Business Bureau’s website at www.bbb.org x File a complaint on www.bbb.org and let the FTC know by filing a complaint at www.ftc.gov or by calling 1-877-FTC-HELP. For more information on this scam, visit the Bureau of Consumer Protection website at http://business.ftc.gov/documents/alt024-throwing-bookbusiness-directory-scams The ADA legal department also offers How to Avoid Becoming Victim to a Sales Scam at http://www.ada.org/8797.aspx

Another Scam: Pennsylvania Corporate Compliance

Beware if you receive an “official-looking” notice from either Pennsylvania Corporate Compliance Company or Corporate Records Service. The correspondence states the need for Pennsylvania business corporations and limited liability companies to file copies of its minutes and shareholders’ information — for a fee of $125.00. The correspondence even includes a citation to the Pennsylvania Business Law — just to make it look legitimate to the reader. This is a scam, and the Pennsylvania Department of State is aware of it. For the record, Pennsylvania corporations and limited liability companies are not required to file corporate minutes with the Department of State or with any private company. The Department says it is alerting all Pennsylvania business entities of this deceptive solicitation to prevent Pennsylvania businesses from completing the form and sending payment to a mailing center post office box address by the deadline on the form. The Department advises that any official notices sent to businesses by the Pennsylvania Department of State or the Secretary of the Commonwealth’s office will contain the letterhead and/or contact information for the Bureau of Corporations and Charitable Organizations. Contact the Bureau at 717-787-1057 or racorps@pa.gov if you have any questions or concerns regarding these solicitations. (continued on page10)

It is difficult to say what is impossible, for the dream of yesterday is the hope of today and the reality of tomorrow.

· Robert H Goddard, American rocketry pioneer

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Newsbriefs (cont’d.) Test for Medical Steam Device Effectiveness

As reported in the ADA News on July 16, 2013, The U.S. Food and Drug Administration (FDA) approved marketing of a new test that can determine faster whether steam sterilizers are functioning properly. Verify Cronos Self Contained Biological Indicator is the first biological indicator test that provides results in two hours. Like other biological indicator tests, the Verify Cronos SCBI consists of a vial containing dried spores from the heat-resistant bacteria Geobacillus stearothermophilus. Prior to the start of a sterilization cycle, the vial is placed inside the sterilization chamber along with the sterilization load. After the sterilization cycle is complete, the spores are placed in a liquid medium ideal for growth of any surviving bacteria. Growth of bacteria indicates that sterilization failed. For more information, visit www.fed.gov/MedicalDevices/default.htm

Environmental Awareness & ‘Green’ Buying

The environment is everyone’s concern, but it doesn’t always affect our buying decisions. So says a survey by coupon site RetailMeNot.com Although 46 percent of respondents said they are more likely to buy a product that’s eco-friendly over one that’s not, 59 percent indicated that they are unwilling to pay extra for it. Other results from the survey: Seventy-one percent of respondents said they think about the environmental impact (positive and negative) of the products they regularly shop for. However, 43 percent said they don’t consider the impact of their purchases when they actually buy. Sixty percent said that they at least sometimes take steps to lead a “greener” lifestyle by recycling, driving energy-efficient vehicles and using environmentally friendly products. Twenty-five percent reported that they always take such steps, and only 15 percent said that they never do. Forty percent of survey participants said they purchase “green” products when they are easily available and the price difference isn’t big; but 51 percent admitted that they tend to buy whatever they need when shopping, regardless of its environmental impact.

ADA / Sharecare Relationship Terminated

As noted in the ADA News, the ADA terminated its relationship with Sharecare on June 10, 2013. The Association decided to end its connection with the consumer website, which was co-founded by Mehmet Oz, M.D. after a March 28, 2013 episode of “The Dr. Oz Show” provided misleading information on dental amalgam. Producers refused to interview an ADA spokesperson for the segment, but Dr. Oz, who remains closely tied to Sharecare, did read a brief statement about dental amalgam attributed to the ADA. “As a science-based organization, we should always welcome inquiry, but we should not be seen as supporting the promotion of misleading information unsupported by the best science,” said ADA President Robert A. Faiella. A notice was posted on Sharecare.com indicating that the ADA is no longer affiliated with Sharecare and directing searchers to the ADA”s consumer website at http://www.mouthhealthy.org/

Data Banks Merged under Affordable Care Act

As reported by ADA News staffer Craig Palmer, on June 21, 2013, the National Practitioner Data Bank (NPDB) query fees will remain the same and reporting requirements “essentially the same with some minor technical changes to ensure consistency in reporting” after the bank’s May 6 merger with the Healthcare Integrity and Protection Data Bank (HIPDB). The 2010 Affordable Care Act required the elimination of duplication between the two data banks. Although the data banks were established for different purposes, overlap existed in some reporting and querying requirements, and Congress intended to streamline operations in a single bank. NPDB operations were consolidated with those of the former HIPDB, and information previously collected and disclosed by the HIPDB is now collected and disclosed by the NPDB. The NPDB or Data Bank, as it is now identified, is a confidential information clearing-house created by Congress under three primary statutes with the goals of improving health care quality, protecting the public and reducing health care fraud and abuse. The NPDB contains reports on health care practitioners, health care entities, providers and suppliers, which are submitted by certain eligible entities as required by law. To read the entire ADA News story and for more information, visit http://www.ada.org/news/8748.aspx (continued on page 11)

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Newsbriefs (cont’d.) More Questions about Affordable Care Act Requirements

Witnesses at two House Education and the Workforce subcommittee hearings testified in July 2013 that they appreciate the Obama Administration’s decision to delay for a year the employer mandate provision in the Affordable Care Act (ACA), but that businesses still face challenges in complying with the law that Congress should address, according to a report published in the July 25, 2013 edition of Inroads, newsletter of the American Society of Association Executives. Jamie Richardson, vice president of government affairs and shareholder and community relations for White Castle System, Inc., testified on behalf of the National Restaurant Association and urged lawmakers to reconsider the definitions of large employers and full-time employees in the ACA. “The calculation to determine whether a business is a large or small employer is unnecessarily complicated and especially burdensome for small businesses,” said Richardson. White Castle has slowed its growth from opening eight restaurants a year before 2010 to only two in 2013. Richardson said that the uncertainty surrounding the health care law has played a large part in bringing the company’s growth to a standstill. The company currently has around 10,000 employees and pays $30 million a year in health care costs. Under the ACA, that number is expected to rise by $8 to $9 million, Richardson said. Republicans on the House panels said union officials have also called for changes in the law to prevent the loss of their health plans and reverse a trend toward more part-time work. “Even union leaders — once strong supporters of the law — are beginning to realize it is hurting workers,” said Rep. Tim Walberg (R-MI), chairman of the Subcommittee on Workforce Protections.

mize profits. Included in the Senate report is a stated concern about the ability of the dental profession to provide access to care to millions of lowincome families and other vulnerable populations. The association noted that, “the causes of what amounts to a dental health crisis affecting these underserved Americans are complex and require a comprehensive set of solutions. The ADA, state dental societies and individual dentists have for decades wrestled with this situation as advocates before state and federal governments, in addition to their traditional roles as caregivers. There has been significant progress made, especially in bringing more children into dental offices for much-needed care. But much more is needed, especially with regard to young adults, who have the lowest rate of dental visits of any age group.” The ADA noted that it, along with all of the state dental societies, has launched Action for Dental Health: Dentists Making a Difference, a major initiative aimed at bridging this dental divide by targeting specific, proven and community-based solutions toward specific problems. Action for Dental Health encompasses numerous initiatives that fall into three categories: providing care now to those with the most immediate needs, strengthening and expanding the public/private safety net and bringing dental health education and disease prevention into communities. If you would like to read the complete ADA statement, contact PCDS via e-mail at philcodent.org and list “ADA Statement on Senate Report” in the subject line. (continued on page 12)

Senate Report: Fraud and Abuse by Private-Equity Backed Dental Practices

In July of 2013, the U.S. Senate Committee on Finance issued a discouraging report on ways in which some large dental practices are putting profits before patients, and most of the alleged fraud and abuse of patients involved children. The ADA issued a statement noting that such conduct is inexcusable and should be prosecuted vigorously. However, equally disturbing, said ADA, is the broad brush that implicates a whole class of practice models rather than focusing on the actual offenders. The Senate report identifies companies in which dentist employees have been pressured or required to perform unnecessary procedures in order to maxi-

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Newsbriefs (cont’d.) ADA Offers Updated Coding Books

Two updated dental coding books are now available from the ADA to help dentists stay up to date on the proper codes to use when billing their patients for dental procedures. The new CDT 2014 contains the Code on Dental Procedures and Nomenclature, the standard for recording dental services in patient records, on paper claim forms and on HIPAA standard electronic claim transactions. The new book is the only official source for the latest dental procedure codes. The manual has been improved to reflect real world dentistry such as: x providing codes that clearly document a service to a patient; x considering how the latest clinical advances and evidence-based dentistry affect the way you code; x reducing your workload by eliminating the need for narrative reports for certain codes; x developing more specific codes to the procedures you perform, including new codes for caries risk assessment and implants, and a new subcategory for carriers. The ADA worked with the American Association of Endodontists (AAE) and the American Association of Orthodontists (AAO) to revamp the endodontic and orthodontic sections to convey recent developments in these specialties. CDT 2014 is a spiral bound book with a searchable CD-ROM for quick code look up. The CDT book (J014) is available for $39.95 for ADA members and $59.95 retail price. The ADA is also offering the Dental Coding Made Simple: Resource Guide and Training Manual, 2013-2014 to help dentists and their staff understand the basics — and the complexities — of today’s dental coding system. Dental Coding Made Simple (J443) is available for $49.95 to ADA members and $74.95 retail price. Key features include: x 151 of the most common questions and answers; x more than 25 coding exercises; x an illustrated dental implant section; x new HIPAA Compliant 2012 ADA Dental Claim Form and completion instructions; x continuing education (CE) examination with five CE credits. The CDT 2014/Dental Coding Made Simple Kit (K214), which includes both the CDT 2014 and Dental Coding Made Simple books, is $75.00 for ADA members and $112.50 retail price. To purchase any of the books, visit adacatalog.org

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New Practical Guide to HIPAA Compliance Kit Available

The ADA has revised The ADA Complete HIPAA Compliance Kit (J598) to help dentists comply with the changes prescribed by the 2013 Omnibus Final Rule. Most of the changes are now effective. HIPAA compliance is one of the most important — and challenging — undertakings for a dental practice. The kit has tools to help dentists design and implement a comprehensive HIPAA compliance program. The kit includes The ADA Practical Guide to HIPAA Compliance: Privacy and Security Manual and The ADA Practical Guide to HIPAA Training, along with a three-year subscription to the HIPAA Compliance Update Service. The ADA Practical Guide to HIPAA Training is a two-level CD-ROM training program. Level 1 teaches the basics of HIPAA compliance to dental office staff and is worth one hour of continuing education credit. Level 2 is a more in-depth module designed for office managers who are developing their office’s HIPAA program in conjunction with the ADA Practical Guide to HIPAA Compliance. Level 2 is worth two hours of continuing education credit. The kit is $300 for ADA members and $450 retail price. To purchase the kit, visit adacatalog.org

Changes Regarding Use of NPI Numbers

The federal government has made some changes in how dentists and other health care providers must apply an identification number they typically use on claim submissions, according to a report in the June 17, 2013 ADA News by Kelly Soderlund.. The National Provider Identifier (NPI) is a unique, government-issued, standard identification number for individual health care providers and provider organizations such as clinics, hospitals, schools and group practices. NPIs that specify an individual, such as a solo practice dentist, are classified as Entity Type 1 (Individuals) NPIs. NPIs that specify a dental practice organization are classified as Entity Type 2 (Organizational) NPIs. Any health care provider that uses electronic transactions — such as claims or eligibility verifycations — is considered a covered entity under the Health Insurance Portability and Accountability Act (HIPAA) standard and is required under federal law to include an NPI on electronic transactions. All Medicare Part D prescription claims must contain the prescriber’s Type 1 individual NPI. Even a dentist who does not need a Type 1 individual NPI to bill for his or her services directly needs this identifier to prescribe drugs for patients who have (continued on page 13)


Newsbriefs (cont’d.) NPI Changes (cont’d.) Medicare Part D prescription drug benefits. A Type 2 Organizational NPI that identifies a dental practice organization is no longer sufficient to allow patient prescriptions to be billed to third-party insurance carriers. Only the Type 1 individual NPI is now valid for specifying the prescribing doctor on an insurance claim. Even dentists who are not HIPAA-covered entities because they use only mail, voice and fax to transmit claims may be required to use NPIs. To read the entire ADA News storye information, visit http://www.ada.org/news/8721.aspx

NC Dental Board Appeal Denied in Tooth Whitening Case

This is a follow-up to information published in previous issues of The Journal of the Philadelphia County Dental Society. The 4th U.S. Circuit Court of Appeals, in a case arising from a Federal Trade Commission enforcement proceeding, issued an opinion on May 31, 2013 holding that the North Carolina Board of Dental Examiners, in issuing cease and desist orders against certain purveyors of teeth cleaning, had violated the federal antitrust laws by engaging in an unreasonable restraint of trade. In so ruling, the federal appellate court denied the Board’s petition for review of a 2011 FTC order finding that the board violated the federal antitrust laws “by engaging in unfair competition in the market for teeth-whitening services in North Carolina.” The court found that the Board’s actions did not fall within the exception to antitrust law that protects conduct by states or state agencies, noting that the actions were not adequately authorized or supervised by the state itself. “At the end of the day, this case is about a State Board run by private actors in the marketplace taking action outside of the procedures mandated by state law to expel a competitor from the market,” the court concluded. The court relied in part on the fact that the members of the Board were elected by the dental community and not appointed by the governor. “An important part of the court’s findings was that actions by a health Board made up of health professionals could be viewed as collective acts by a group of competitors,” said Craig Busey, ADA general counsel. “Frankly, we are disappointed in the court’s failure to recognize that professional Boards created by the state in accordance with state mandates are in fact state agencies acting on state authority. We are concerned that this ruling may discourage dental or medical boards from fulfilling

their state-appointed mission for fear of intervention by the FTC.” The North Carolina Board may elect to challenge this decision, which was issued by a three-judge panel, in two different ways. It may petition the 4th Circuit for a “rehearing en banc,” meaning a rehearing before all of the judges who sit on the 4th Circuit Court of Appeals, or it may seek review of the decision by the U.S. Supreme Court through a writ of certiorari. If it chooses the latter, the board has 90 days from the date of the opinion in which to ask the U.S. Supreme Court to review the case, although that court is not required to accept the appeal. To read the full ADA News article from, visit http://www.ada.org/news/8730.aspx

Security and Your Photocopier

Today’s photocopiers do more than just reproduce information from one page to another, according to an article by Kelly Soderlund in a recent issue of the ADA News. Photocopiers can copy, print, scan, fax and e-mail documents. So when a piece of paper moves through a photocopier’s digital machine, the information on the paper is stored on the hard drive. If business owners, including dentists, don’t take steps to protect the data, it can be stolen from the hard drive through remote access or by extracting the information once the drive has been removed. The Federal Trade Commission’s (FTC) Bureau of Consumer Protection issued a series of steps business owners can take to ensure their copiers are secure. The guidelines are especially pertinent to health care providers who may make copies of patient records or other documents that include patients’ private health information. To learn more about how to keep photocopiers secure, visit http://www.business.ftc.gov/documents/bus43-copier-datasecurity

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A Brief History of Dental Licensure Teresa F. Ravert, Executive Director

According to William L. Frederick, Ph.D., the origins of present day professional and occupational licensing systems are found in Europe in the Middle Ages, beginning with the guild system. Guilds were organized along craft lines and had as their major purpose the protection of the economic interests of their members. The professional guilds — mostly for medicine, law and teaching — consisted of members who had received formal training in universities. The professional guilds helped to insure that persons entering the professions had adequate training. Dr. Frederick’s article, The History and Philosophy of Occupational Licensing Legislation in the United States, appeared in the March 1959 edition of JADA. The first law to regulate the practice of medicine in the American Colonies was enacted in 1760. It stated that any person who wanted to practice “physick and surgery” in the city of New York must first be examined and approved of by one of His Majesty’s Council, the judges of the Supreme Court, the King’s attorney general and (in case this wasn’t enough) the mayor of New York City. The penalty for setting up shop without fulfilling these requirements was a fine of five pounds. However, the licenses obtained by physicians in the 18th century were, in many instances, just honorifics. Throughout the countryside, lay practitioners considered it an inalienable right to practice folk medicine and did so with little fear of punishment. The earliest act passed by a state legislature to regulate the practice of dentistry in any way within a state was signed into law in Alabama in 1841. However, the act only provided for the election of a dentist to sit on each of the state’s county medical boards to assist in the examination of dentists if one could be found with the proper qualifications within the county. Only one dentist was known to have served in that capacity, and the law was never really enforced. In 1868, Kentucky became the first state to enact a dental practice act designated to regulate the practice of dentistry. Other state legislatures followed Kentucky’s lead, and by 1899, all of the states in the country at that time had passed dental practice acts. Pennsylvania’s dental practice act was passed in 1876; New Jersey’s in 1873 and Delaware’s in 1895. In the June 1959 edition of JADA, Dr. J. Ben Robinson, of Morgantown, West Virginia, authored an article entitled The American Association of Dental Examiners, and he wrote that “The fundamental purpose of . . . dental laws has been . . . the protection of the health, welfare and safety of the public . . .” Those laws also “. . . served to protect the qualified dentist from the destructive competition of unqualified persons who, before the advent of dental laws, stood ready to exploit the public and to degrade the dental profession.”

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Apparently, there was much disparity from state to state as to whether or not to “grandfather” those classified as “nongraduate dentists” (those who did not attain a dental degree) — regardless of how long they had been practicing. Some states did not include a “grandfather’s clause;” therefore, every dentist was required to participate in that state’s examination in order to obtain a dental license. Also, some states gave the dental boards the discretion of whether or not to accept diplomas granted by dental schools as a final requirement to obtain a license. Some states required both graduate and nongraduate applicants to take a state board examination. Records indicate that in 1871, there were 13,000 dentists practicing in the United States and only 1,807 (less than 14%) were graduates of dental colleges. Dr. Robinson noted that “a majority of dentists who were appointed to serve on state boards were of the nongraduate class” and that dental school representatives objected to this, indicating that “the nongraduate dentists could not fairly examine a candidate with a college degree.” Things seemed to get worse for a while after that because teachers from dental colleges accepted positions on state boards and there were accusations that “teacher-examiners . . . were disposed to favor their own graduates.” After a few years of dissension and discussion, all dental laws were amended to deny dental teachers the right to serve on a state dental examining board. Finally, in 1883, the National Association of Dental Examiners was established (this name was changed in 1945 to the American Association of Dental Examiners). The National Association of Dental Faculties was established in 1884. The intention of both groups was to upgrade, through improved educational standards, the qualifications of those who sought to engage in the practice of dentistry. In 1910, a joint committee of the National Association of Dental Examiners, the National Association of Dental Faculties and the American Dental Association met and organized the Dental Education Council of America, which served the profession from 1910 to 1937. The ADA House of Delegates, meeting in Atlantic City, NJ, in 1937, passed a resolution to include an ADA Council on Education, and this council was organized on May 1, 1938.

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Dr. J. Ben Robinson was a member of the ADA Council on Education from its inception until 1950. Many thanks to Ms. Andrea Matlak, archivist at the ADA Library, who supplied the information for this article.


Report of the Bylaws Committee Thomas W. Gamba, D.D.S., Chair

On September 18, 2013, Board of Governors approved revisions to the Society’s Bylaws. These changes emanated from a meeting of the Advisory Committee on May 21, 2013, suggesting that the terms of office for the President and President-Elect should be changed from one year to a two-year term for each office. The Committee asked the Bylaws Committee to prepare appropriate revisions to the Bylaws to incorporate this change. As the Committee incorporated these revisions, it also did a review of the Bylaws and included other areas which needed to be addressed. Following you will see those portions of the Bylaws which have been approved by the Board of Governors for revision. Deleted language is struck through (i.e., Alice Sturgis’); new language is underlined in red text. The revisions will be on the agenda for a final vote by members attending the Annual Business Meeting, Tuesday, November 19, at 7:00 p.m. at the Society’s Executive Office. The proposed revisions require a 2/3 majority of those voting. (The existing Constitution and Bylaws may be accessed online at www.philcodent.org)

THE CONSTITUTION OF THE PHILADELPHIA COUNTY DENTAL SOCIETY Article IX – PARLIAMENTARY AUTHORITY The current edition of Alice Sturgis’ the American Institute of Parliamentarians Standard Code of Parliamentary Procedure shall be the authority on all procedural questions not covered by the Constitution and Bylaws or adopted policies of this Society.

BYLAWS OF THE PHILADELPHIA COUNTY DENTAL SOCIETY First District of the Pennsylvania Dental Association (PDA) ARTICLE 1.0 MEMBERSHIP 1.1 ELIGIBILITY 1.1.1 Any legally qualified ethical dentist, legally qualified ethical practitioner of medicine, and such persons contributing to the advancement of dentistry, shall be eligible for membership in the Society. 1.1.2 Any ethical dentist is one whose professional conduct conforms to the American Dental Association (ADA) Principles of Ethics and Code of Professional Conduct. 1.1.3 Active, Life, and Retired membership shall be limited to dentists who are members in good standing of the American Dental Association ADA and the Pennsylvania Dental Association (PDA).

1.5 STUDENT MEMBER 1.5.1 Any pre-doctoral student who is a member of the American Student Dental Association. 1.5.2 Any student who is engaged full time in an internship, residency or graduate program of at least one academic year’s duration and who is a member of the ADA. 1.5.3 Student Members shall have the right to attend scientific sessions and apply for insurance sponsored by the Society but shall not have the right to vote or hold office.

(continued on page 16)

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Bylaws Revisions (cont’d.) ARTICLE 3.0 BOARD OF GOVERNORS 3.1 COMPOSITION AND TERM OF OFFICE 3.1.4 There shall be nine (9) elected members as follows: there shall be elected at each Annual Business Meeting three (3) members who shall serve for three (3) years, and who may not again be candidates for membership on election to the Board until at least one year after the end of their prior terms. 3.1.6 The following Society members shall serve as ex officio members of the Board without the right to vote: ADA and PDA officers, the General Chair of the Liberty Dental Conference, past presidents and emeritus officers of this Society. 3.1.7 Any governor may be removed from the Board for non-attendance at more than two meetings during a Society year or for other valid cause as may be determined by the Board. 3.2 POWERS AND DUTIES 3.2.5 The Board shall receive and act upon the resignations of officers and governors and have the power to fill vacancies for unexpired terms of the offices of President-Elect, Secretary, Treasurer, Editor, Historian, PDA Trustee, ADA Delegate, PDA Delegate and Governors and members of the Board of Directors of the Liberty Dental Conference. 3.2.9 All members of the Board, except the Historian, shall serve as Delegates or Alternate Delegates to the PDA. ARTICLE 4.0 OFFICERS 4.2 TERMS OF OFFICE 4.2.2 The President and President-Elect shall serve one (1) a term of two (2) years. 4.3 VACANCIES 4.3.1 Should the office of President become vacant, the President-Elect shall assume the duties of the President for the unexpired portion of the term, in addition to his/her elected succeeding term of

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office as President. 4.4 PRESIDENT’S DUTIES 4.4.11 To serve as a member of the Board and to continue as a member of the Board for a period of one (1) year from two (2) years following the expiration of the term of office. 4.5 PRESIDENT-ELECT’S DUTIES 4.5.4 At the beginning of the second fiscal year following election, end of the term of PresidentElect, to continue as President without other election. 4.6 SECRETARY’S DUTIES 4.6.10 To serve as an Alternate Delegate to the PDA. 4.7 TREASURER’S DUTIES 4.7.9 To serve as an Alternate Delegate to the PDA. 4.8 EDITOR’S DUTIES 4.8.3 To serve as an Alternate Delegate to the PDA. ARTICLE 5.0 PDA TRUSTEE 5.1 POWERS AND DUTIES ARTICLE 6.0 COMMITTEES OF THE BOARD OF GOVERNORS 6.1.1 Committee members shall serve for a term of one (1) year two (2) years, except as otherwise provided for in the Bylaws. Vacancies shall be filled by the President with the approval of the Board. ARTICLE 7.0 STANDING COMMITTEES 7.1.2 Standing Committee members shall serve for a term of one (1) year two (2) years, except as otherwise provided for in the Bylaws. Vacancies shall be filled by the President with the approval of the Board. (continued on page 17)


Bylaws Revisions (cont’d.) 7.1.3 Standing Committee chairs shall be appointed by the President and shall serve for a term of one (1) year two (2) years, with a maximum of five (5) two (2) consecutive terms, except as otherwise provided for in the Bylaws or by a two-thirds (2/3) majority vote of the Board. 7.4 LIBERTY DENTAL CONFERENCE. This committee shall be called the BOARD OF DIRECTORS OF THE LIBERTY DENTAL CONFERENCE and shall arrange for and present the Liberty Dental Conference. 7.4.1 Each year two (2) directors shall be elected at the Annual Business Meeting for a term of four (4) years. Nominations shall be as provided for in Article 12.0 of the Bylaws. A member who has retired from the Board of Directors shall not be eligible for re-election for one (1) year after retirement. 7.4.2 The President, President-Elect, Secretary, Treasurer and immediate past General Chair shall be ex-officio members without the right to vote. 7.4.3 The Board of Directors shall elect annually from among the Directors a Chair of the Board of Directors and a General Chair subject to the Approval of the Board of Governors. 7.4.4 The Board of Directors shall provide clinicians, speakers, scientific exhibits, technical demonstrations and other programs and exhibits for the Liberty Dental Conference. 7.4.5 The Board of Directors shall provide for all social activities of the Liberty Dental Conference. 7.4.6 The Board of Directors shall appoint subcommittees and their chairs as it deems appropriate. 7.4.7 The Board of Directors shall submit all plans, programs and recommendations to the Board of Governors for approval. 7.5 LIBERTY DENTAL CONFERENCE STEERING COMMITTEE. 7.5.1 The committee shall be composed of six members who have previously served on the Liberty Dental Conference Board of Directors. The President shall appoint the chair. 7.5.2 The Committee shall be responsible for the long range planning of the Liberty Dental Conference.

7.5.3 The Committee shall review the Rules and Regulations of the Liberty Dental Conference, when necessary, and make recommendations to the Board of Governors. ARTICLE 8.0 COUNCILS 8.1.2 Council members shall serve for a term of one (1) year two (2) years, except as otherwise provided for in the Bylaws. Vacancies shall be filled by the President with the approval of the Board. 8.1.3 Council chairs shall be appointed by the President and shall serve for a term of one (1) year two (2) years, with a maximum of five (5) two (2) consecutive terms, except as otherwise provided for in the Bylaws or by a two-thirds (2/3) majority vote of the Board. ARTICLE 9.0 DELEGATES AND ALTERNATE DELEGATES TO THE PENNSYLVANIA DENTAL ASSOCIATION 9.1 The number of Delegates and Alternate Delegates shall be determined by the PDA. 9.2 Active, Life or and Retired Members in good standing shall be eligible to serve as Delegates or Alternate Delegates. 9.3 The President, President-Elect, and the PDA Trustee and the six (6) senior serving Governors shall be Delegates to the PDA. 9.4 Additional Delegates shall be appointed as follows: Governors in their third year of service, in alphabetical order, then Governors in their second year of service, in alphabetical order, so that the number of Delegates shall be up to the number determined by the PDA. 9.5 The Secretary, Treasurer, Editor and Immediate Past President and the three (3) junior Governors shall be Alternate Delegates to the PDA and shall have first preference to replace absent Delegates. (continued on page 18)

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Bylaws Revisions (cont’d.) 9.6 Additional Alternate Delegates shall be elected at the Annual Business Meeting so that the number of Alternate Delegates shall be up to the number of Delegates determined by the PDA. 9.9 Alternate Delegates shall attend all caucuses of the First District caucus held prior to the PDA Annual Session, perform such additional duties as may be assigned by the chair of the delegation, and if appointed, assume all responsibilities of a Delegate. ARTICLE 12.0 NOMINATIONS AND ELECTIONS 12.1 NOMINATIONS 12.1.2 Nominees shall be proposed for each of the following offices: President-Elect (when applicable); Secretary; Treasurer; Editor (when applicable); Historian; Trustee to the PDA (when applicable); Three (3) Governors; Two (2) members of the Board of Directors of the Liberty Dental Conference. 12.1.5 No additional nominations shall be made from the floor at the Annual Business Meeting, with the exception of nominations for PDA Alternate Delegates. to the Pennsylvania Dental Association. 12.1.6 Nominations for the Delegates and Alternate Delegates to the PDA shall be proposed as follows: 12.1.6.1 The President, President-Elect, Secretary, Treasurer, Editor, PDA Trustee, Immediate Past President and the nine (9) elected members of the Board shall be automatically designated as Delegates. 12.1.6 A list of at least fifteen (15) additional nominees shall be prepared for PDA Alternate Delegate. 12.1.8 Additional nominations for Alternate Delegates may be proposed from the floor at the Annual Business Meeting.

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12.2 ELECTIONS 12.2.1 A ballot for all contested offices and for Delegates and PDA Alternate Delegates shall be prepared by the Secretary, listing all nominees in alphabetical order, whose names have been submitted and approved. 12.2.2 Elections shall be by the Society members present and voting at the Annual Business Meeting. 12.2.4 The order of election of Delegates and Alternate Delegates shall be determined by the number of votes received. Those receiving the highest number of votes shall be designated as Delegates until the delegate entitlement is complete. Those following in order of number of votes received shall be designated as Alternate Delegates until the alternate delegate entitlement is complete. Ties will be resolved alphabetically.

New Orleans, LA Distinguished Keynote Speaker - Former President Bill Clinton - Thursday, October 31 Continuing Education Programs - Thursday, October 31 to Sunday, November 3 World Marketplace Exhibition - Thursday, October 31 to Saturday, November 2 House of Delegates - Friday, November 1 to Tuesday, November 5 Mission of Mercy (MOM) - Sunday, Nov. 3 -

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Navy Dental Corps Celebrates101 Years of Service From the trenches of World War I to the battlefields of Afghanistan, the U.S. Navy Dental Corps continues to move forward as it begins its second century of service, according to an online article written by Joshua L. Wicks of the U.S. Navy Bureau of Medicine and Surgery Public Affairs. The Corps was established by President William Howard Taft on August 22, 1912. With more than 1,300 Active and Reserve officers, the Corps has matured into a world-class dental health care organization providing care for Sailors, Marines, military beneficiaries and countless others. “If the fighting force has high-quality dental care they will be effective warfighters,” said Lt. Cmdr. Andrea Lisell, a Navy dentist and now a second year endodontic resident at the Naval Post-Graduate school located at Walter Reed National Military Medical Center, in Bethesda, Md. “‘Fit to bite, fit to fight,’ is a common phrase heard around the dental clinics when I was stationed at Marine Corps Recruit Depot, Parris Island, S.C.” “Advancements in dental technology have changed greatly,” Lisell said. “I found this out for myself when I toured the museum aboard the

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decommissioned battleship USS North Carolina (BB55). Navy dentists worked in austere conditions when compared to a modern operatory, but that didn’t stop them from providing the best possible care to our warfighters during World War II.” Navy dentists routinely deploy aboard more than 46 ships, as well as part of Marine Expeditionary Units, as individual augmentees (IA) to places like Guantanamo Bay, Iraq, Afghanistan, Kuwait, the Horn of Africa and across the Pacific. They do this while maintaining high operational readiness and setting the standard for excellence, research, humanitarian assistance, health promotion and prevention around the world. Since the Dental Corps founding, its officers have led their corps with distinction earning 33 Bronze Stars, 17 Silver Stars, one Navy Cross and two Medals of Honor. “I’ve come to realize that I’m a member of a proud line of professionals,” Lisell said. “It’s hard to predict where the Dental Corps will go from here, but I expect that it will be around for another century, and I am proud to be a part of it.” The above is excerpted from the entire story, which can be accessed at http://www.navy.mil/submit/display.asp?story_id=76058

Page 1

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at 215-443-9293 or fax 215-443-9640 Systems Specialties, Inc. 1800-T Mearns Road, Warminster, PA 18974 30 Years Experience

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Membership Report

We welcome the following to membership in the Philadelphia County Dental Society. SEPTEMBER 18, 2013 ACTIVE MEMBER Dr. Ryan J. Baek University of Pennsylvania School of Dental Medicine, 2006 Dr. Joshua M. Davis Temple University Kornberg School of Dentistry, 2007 Temple University, 2009 (Orthodontics) Dr. Olimbi Ekmekcioglu University of Pennsylvania School of Dental Medicine, 2005 Dr. Julia L. Jackson Temple University Kornberg School of Dentistry, 2005 Howard University, 2011 (Oral & Maxillofacial Surgery) Dr. Michael E. Milewski Temple University Kornberg School of Dentistry, 2007 Temple University, 2010 (Orthodontics & Oral Biology)

Dr. Christine Pereira University of Pennsylvania School of Dental Medicine, 2011 Dr. Ashutosh A. Shrivastava University of Pennsylvania School of Dental Medicine, 2011 Dr. Raksha Srinivas University of Pennsylvania School of Dental Medicine, 2013 Dr. Jordan T. Strott University of Pennsylvania School of Dental Medicine, 2011 Mountainside Hospital NJ, 2012 (GPR) Dr. Tu-Anh Vu University of Pennsylvania School of Dental Medicine, 2013

Dr. Panagiota Stathopoulou National & Capodistrian University of Athens, 2003 University of Louisville, 2008 (Periodontics)

GRADUATE STUDENT Dr. Nadia Gharbi University of Montreal, 2009 University of Pennsylvania School of Dental Medicine, 2013 (Endodontics)

RECENT GRADUATE Dr. Michael Barnes Columbia University School of Dentistry, 2013

Dr. Patricia H. Rist Temple University Kornberg School of Dentistry, 2010 St. Christopher’s Hospital for Children, 2013 (Pediatrics)

Dr. Eun Young Lee Pusan National University, 1992 University of Pennsylvania School of Dental Medicine, 2011 (Endodontics)

ASSOCIATE MEMBER Dr. Frank Batastini Southern Dental Society of New Jersey

Dr. Elena Ogan University of Medicine & Dentistry, New Jersey, 2008 Newark Beth Israel Medical Center, 2009 (GPR) Dr. Ashley M. Paschal Temple University Kornberg School of Dentistry, 2011

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THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Dr. Jasleen Brar Orange County (CA) Dental Society Dr. Shweta Gandhi Southern Dental Society of New Jersey


Become a Mentor: It’s a Good Thing Kevin J. Klatte, D.M.D. & David A. Tecosky, D.M.D. Co-Chairs, PCDS Mentoring Program “. . . a role model in the flesh provides more than inspiration; his or her very existence is confirmation of possibilities one may have every reason to doubt, saying, ‘Yes, someone like me can do this.’” ¶ Sonia Sotomayor, Justice of the U.S. Supreme Court

You can become a mentor — no continuing education or extra training necessary. Each of us in the profession has the ability to relate our experiences and observations to the next generation. Each of us can provide a spark of extra incentive to a young person who aspires to be a part of our profession. Over the past few months, we have received numerous requests from students who want to shadow in a dental practice. Some are already in dental school and some are planning to enter dental school in 2014 and 2015. This is a “good deed” you can accomplish without even leaving the office. Why not invite a student to spend time in your office — providing firsthand information about the daily activities of the dentist and his/her auxiliary staff, both professionally

and business-wise? Share your insights and encourage the student in his/her quest. Associations Now, a publication of the American Association of Society Executives, published a list of suggestions about how to be a great mentor in 2010. Among the items are some that may be helpful to you: x Take time to make a personal connection. One of the pleasures of a mentoring relationship is the sense of connection between two people, so take time to make a personal connection. x Paying attention to the emotion and energy of the mentee will enable you to observe what matters most to him/her. It also will enable you to discern areas where he/she may feel discouraged or overwhelmed. x Share the conversation rather than doing all the talking. Sometimes, mentors mistakenly believe their job is mainly to impart wisdom and experience. Make sure you have a dialogue with your mentee and ask questions. So, if you are willing to have a college student or a dental student “shadow” you for a day, we’d be glad to add you to our list of mentors. Contact the Society Office at 215-925-6050 or e-mail philcodent@aol.com Become a mentor — it’s a good thing!

Comprehensive Compassionate Care

Exclusively Dedicated to Patients with Special Needs At Special Smiles, we focus solely on serving the needs of patients with intellectual and physical disabilities who require general anesthesia for dental care.

Call 215-707-0575

Andrew J. Mramor, DDS Clinical Director

For an appointment or consultation www.specialsmilesltd.com Episcopal Campus of Temple University Hospital 100 E. Lehigh Avenue * Philadelphia, PA 19125

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

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THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY


Health Watch Yogurt: Many Benefits

Great American Smokeout Thursday, November 21, 2013 is the American Cancer Society’s Great American Smokeout, an annual event that encourages smokers to make a plan to quit or to plan in advance and quit smoking that day. By quitting — even for one day — smokers will be taking an important step toward a healthier life — one that can lead to reducing cancer risk. Tobacco use remains the single largest preventable cause of disease and premature death in the United States, yet about 43.8 million Americans still smoke cigarettes — nearly 1 in every 5 adults. As of 2010, there were also 13.2 million cigar smokers and 2.2 million who smoke tobacco in pipes. Dentists can help themselves, family members, staff members and patients by providing information about smoking cessation. This information can be accessed and downloaded free of charge at http://www.cancer.org/healthy/informationforhealthcarepr ofessionals/index

The health benefits of yogurt are so impressive that many healthconscious people make it a daily habit; and each year, more and more research is published adding insight into the health benefits from eating yogurt, says Elaine Magee, M.P.H, R.D., a nutrition expert/writer for WebMD. The probiotics in yogurt have been linked to helping avoid colds, to enhancing resistance to and recovery from infection, to a reduction in blood pressure, among other benefits. When buying yogurt, decide whether you want regular-fat, low-fat, or fat-free. If you have a favorite brand, with just the right texture or tang for your taste buds, stick with it (low-fat or fat-free is even better). However, be sure to check the label for sugar content — some brands have more than others. In addition to yogurt, probiotics are found in fermented and non-fermented dairy products and in soy products like miso and soy drinks. (continued on page 25)

David R. Larson, D.D.S. has acquired the practice of Thomas B. Grosh, III, D.D.S. - Middletown, Pennsylvania

Call 1-800-232-3826 or visit us online at www.aftco.net for a free practice appraisal, a $2,500 value!

Paoli Family Dentistry has acquired the practice of Stephen D. Smith, D.M.D. - Paoli, Pennsylvania

Download our new AFTCO app from iTunes or Google! AFTCO is the oldest and largest dental practice transition consulting firm in the United States. AFTCO assists dentists with associateships, purchasing and selling of practices, and retirement plans. We are there to serve you through all stages of your career.

“Over $1.5 Billion in Practice Sales”

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

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UP INGcture P E Le

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THE DENTAL SOCIETY OF CHESTER COUNTY Re g i s AND DELAWARE COUNTY, PA on - li ter DKUd ne at proudly presents ental .c

DKU Continuing Dental Education

Springfield Country Club, Delaware County

DKU is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. DKU designates this activity for 30 continuing education credits. Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at www.ada.org/cerp.

om

Approved PACE Program Provider FAGD/MAGD credit. Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement. The current term of approval extends from 3/1/2013 to 2/28/2017. Provider ID #217995

Friday, November 15, 2013 Jeff Staads – Billings, MT – “You Cannot Not Communicate” Everyday, in every situation that involves another person, communication takes place. We recognize it most

readily when words are used. Besides the words we choose and use, messages are always being sent. The way you dress, your self-image, can all send messages. Are the messages received by our patients and others the same ones we think we are sending? Improving your communications skills will not only help you get treatment acceptance but also help you prevent accounts receivable from developing by verbally supporting your financial expectations. Should accounts receivable develop, you will learn how to collect them. You will learn: Skills that improve your communications; How to change your attitude when dealing with problems; The different characteristics of challenging people; Eight action steps to better deal with the people that challenge us; Create an effective financial policy; Get better results by controlling the collection conversation; Collect more money at time of service. Since 1990, as President of BRC, Jeff talks with an average of 100 audiences each year across the U.S. and internationally on communications skills, collections, sales and leadership. This course is a must for the entire dental team! This course is cosponsored by an educational grant from Dodd Dental Lab, Bonadent Lab and Dentsply.

Wednesday, December 18, 2013 Lou Graham, DDS – Chicago, IL – “Updates in Direct and Indirect Restorative Dentistry: Mastering Today’s Materials for Your Practice”

With life expectancies now approaching 80-95 years of age, it becomes our responsibility as oral health care providers to approach our patients with the most conservative restorations to maximize tooth structure. This course is about how to create long lasting restorations and the essential steps that MUST be incorporated into the process. The changes in materials have been profound and this program will present casework for all classes of restorations with the latest research and materials presented. Course objectives: Lights, their value, and the hidden secrets of what you need to know for proper curing.• Total-etching, Selective Etching, Self-etching…what to do? • How do the new low stress composites make our lives easier? Are they worth it? • The new age of Biomemetic liners and bases and why they are so valuable and unique. • Conservative caries removal • Mastering the latest in Class 2 matrix systems • Understanding: e Max, All Zirconia Restorations, Porcelain Restorations: The pros and cons to each. • How preparations vary and why one is far more conservative and the benefits of single use burs. • Maximizing your impressions: Techniques in both traditional and digital • Cementation: A game-changer non-resin biomimetic cement that delivers a superb seal along with ease of use and far more, will be presented along with step by step techniques from accurate interproximal adjustments, to polishing, leading to the final cementation. Dr. Graham is the former Dental Director of the University of Chicago’s Department of Dentistry. He is an internationally recognized lecturer extensively involved in continuing education for dental professionals. This course is co-sponsored by an educational grant from Dodd Dental Lab, Dentsply, Bonadent Lab, Shofu, Doxa and SDI.

Wednesday, January 15, 2014 John Minichetti, DMD – Englewood, NJ – “Information all Dentists Must Have for Successful Implant Treatment” This program is designed for

the dentist wishing to learn how to incorporate or expand their implant knowledge and techniques. Participants will go over diagnosis of the implant patient, treatment options for the edentulous patient, atraumatic extraction techniques, socket grafting, bone augmentation, mini implant surgery, basic implant surgery and implant restorative options. CT diagnosis and computer milled abutment restorations will be reviewed. At the completion of the course the participants will be able to: Understand how to diagnosis patients for dental implants; Analyze patients with CT Imaging; Evaluate the complexity scale of the patient for dental implants; Perform Atraumatic Extractions; Perform ridge preservation and socket grafting; Understand basic mini implant and standard root form dental implant surgery; Know the fixed abutment choices for dental implants; Understand implant overdenture options for fully edentulous patients. Dr. John Minichetti has been placing and restoring implants for over 25 years. He is a fellow of the American Academy of Implant Dentistry (AAID). He is also a Diplomate of the American Board of Oral Implantology/ Implant Dentistry of which he has served as President.This course is co-sponsored by an educational grant from Dodd Dental Lab, Dentsply and Hayes Handpiece Repair.

Friday, April 11, 2014 L. Stephen Buchanan, DDS, FICD, FACD – Santa Barbara, CA – “The Art of Endodontics: Everything Has Changed but the Anatomy” This

presentation relates the most fundamental and unchanging endodontic issues—pulp, dentin, root, and root canal anatomy—to principles of treatment, simplifying our choices among evolving procedural technologies. A diagnostic regimen is shown that can rule endo in or out, and if pain is of endo etiology, it can discover which tooth is referring the pain. Dr. Buchanan will also show his most current treatment methods. Procedures covered include guided-access cavities, rotary negotiation, shaping canals with one to three files, bug-jarring irrigation and 3D obturation accomplished in seconds. After watching this presentation attendees should understand: The influence of endodontic anatomy on pulp degeneration and how the complexities of root canal systems dictate treatment to their full apical and lateral extents. How 3D and 2D radiography with thermal pulp testing can deliver 100% diagnostic confidence. How to treatment plan emergency care, endo vs implant, and how you are going to successfully invade pt’s root canal systems. How cutting with guided access burs reduces loss of tooth structure while improving file paths. How rotary negotiation brings the 10X improvement that rotary shaping did 15 years ago. Why 3D obturation can improve success rates and how simple it is to do with today’s technology. Dr. Buchanan is a diplomate of the American Board of Endodontics and an assistant clinical professor at the post-graduate endodontic programs at USC and UCLA. This course is co-sponsored by an educational grant from Dodd Dental Lab and Dentsply.

Thursday, May 8, 2014 Glenn Dupont DDS – St Petersburg, FL –“Solving the Most Difficult Cases: A Step-by-Step Process” After graduating from Emory University School of

Dentistry in 1979, Dr. Dupont joined the practice of Dr. Peter Dawson. He is currently the Director of Faculty at the Dawson Academy. Dr. DuPont will share a process that he has been using successfully to solve the most difficult problems that patients present with. He has accumulated some extremely challenging cases over the last 34 years. Anterior open bites, class three problems, anterior cross bites, posterior cross bites, deep over bites, bulimia and anterior wear are a few of the cases that he will address. A step-by-step process will be presented in a series of checklists that the attending dentist can immediately apply to help solve problems with their patients. Learning objectives: Review key principles and concepts of esthetics and function; Apply the four treatment options to solve functional issues; Utilize the Functional-esthetic 2-D checklist; Show the use of the 10 Step 3-D checklist; Discuss checklists for lab communication to ensure predictabilty; Utilize a specific process to sequence all types of cases for efficiency and productivity; Apply these checklist and principles to a number of different cases. This course is co-sponsored by an educational grant from Dodd Dental Lab, Dentsply and Hayes Handpiece Repair.

Those taking the full DKU Series will receive both Bonus Courses at the Valley Forge Radisson Hotel Thurs., Sept. 26, 2013

BONUS #1: Gordon Christensen, DDS; “Clinical Update”

Wed. – Fri., March 5-6-7, 2014

BONUS #2: Members choose one course from the Valley Forge Dental Conference

All meetings will be held at the Springfield Country Club on Route 320, Springfield, Delaware County, PA, except for the Bonus Courses held at the Valley Forge Radisson Hotel. Registration for all courses 8:15 AM. Lecture 9:00 AM – 4:30 PM. Continental breakfast and lunch included for all DKU courses.

FEES

24

Delco and Chesco Society Members - Entire Series plus both bonus Courses - $695, Individual Courses - $195, 3 Courses - $530, 4 Courses - $615 Other ADA Members - Entire Series plus both bonus Courses - $745 Individual Courses - $210, 3 Courses - $570, 4 Courses - $665 Non-ADA Members - Entire Series plus both bonus Courses - $815, Individual Courses - $225, 3 Courses - $605, 4 Courses - $715 Staff members accompanied by a doctor will be $95 per course per person with reservation at least one week in advance, $110 per course per person at door. Cancellations and Refund Policy - No refunds will be made without notice of at least one week prior to course date. (A $25 administrative fee will be deducted.) For information please contact: DKU • c/o Barry Cohen, DMD • 4750 Township Line Rd • Drexel Hill, PA 19026 • 610-449-7002 • DKUDental@aol.com

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY


Health Watch (cont’d.) Help Reduce Your Drug Costs

3. Pill splitting is sometimes a good way to lower costs. Ask the pharmacist about tablet strength. Getting a tablet in twice the dose and cutting it in half sometimes can lower your cost by as much as one-half. 4. Most health insurance plans have a preferred list of drugs. Many will penalize the consumer by requiring a larger co-payment for nonpreferred drugs or by not covering the drug at all. Ask your health care professional to prescribe drugs that are on the preferred list. 5. Ask your pharmacist about less expensive drug options. He or she is in the best position to know which drugs can save you money. Then, ask your physician if switching to a less expensive alternative will work as well for you. 6. Talk to your physician not only about the potential risks and benefits of your medications, but also about price. All other things being equal, you may decide that one medicine is better than another at least in part because of its cost.

Drug therapy is a significant part of health care costs for all of us, and the costs of co-pays can add up quickly. While you need to rely on your physician to choose the best drug therapies for you, Dr. Howard LeWine, chief editor of Internet publishing for Harvard Health Publications and a clinical instructor of medicine at Harvard Medical School and Brigham and Women’s Hospital, advises that patients should play an active role in the decision-making process. He makes the following general recommendations: 1. Ask your physician about choices of drugs that are available for your condition and whether a generic version is available. 2. If you take prescription drugs for a chronic condition, think about getting a three-month supply and/or consider using a mail-order pharmacy. If you have the option to choose your own mail-order pharmacy, especially an Internetbased pharmacy, look for a VIPPS seal of approval.

30 years experience serving the dental community!

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Providing quality insurance products, at competitive prices, with outstanding customer service; this is our business philosophy. You, our clients, are our primary concern .

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THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

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We continue our 106th year of camaraderie and education as one of the oldest dental societies in the region!

Fall All Day Program: Friday, September 20, 2013 The Buck Hotel, Feasterville, PA

“Staging Comprehensive Treatment”

John Nosti D.M.D. practices full time with an emphasis on functional cosmetics, full mouth rehabilitation, and TMJ dysfunction. His down to earth approach and ability to demystify occlusion has earned him distinction among his peers. In his lecture, participants will learn how to stage comprehensive treatment to meet their patient’s budgetary limitations while providing functional and stable dentistry.

Fall Dine Around: Wednesday, November 6, 2013 Toscana 52, Feasterville, PA

“The Five W’s of Xylitol”

Lisa Stillman, RDH, BS is the Northeast Xylitol Educator. She teaches dental health professionals the general and dental health benefits of quality xylitol products with presentations and literature to assist dental offices to incorporate xylitol into the dental hygiene protocol. Lisa has practiced dental hygiene in Maryland and Virginia and currently has a position specializing in Periodontics. The Five W’s of xylitol; the Who, What, When, Where, and Why will become clear upon completion of this course. In addition, attendees will gain a greater appreciation for the many preventive and therapeutic benefits of xylitol.

Spring Dine Around: Wednesday, March 12, 2014 The Refinery at Sugarhouse Casino, Philadelphia, PA

"The Many Faces of Facial Pain"

Alan Stiles, D.M.D. is an Instructor in the Department of Oral and Maxillofacial Surgery at Thomas Jefferson University. His clinical practice is limited to the management of head, neck, and facial pain. Following his completion of his DMD at Temple University, he completed a residency in Orofacial Pain and Dysfunction at UCLA School of Medicine and Dentistry. He then completed his fellowship in headache at the Jefferson Headache Center in the department of neurology at Thomas Jefferson University in Philadelphia.

CPR: Friday, April 25, 2014

The Buck Hotel, Feasterville, PA

Spring All Day Program: Friday, May 9th, 2014 The Buck Hotel, Feasterville, PA

“Productivity: It's not by chance”

Bruce Baird, D.D.S.: The business of dentistry is changing as rapidly as new technology is changing how we treat patients. To succeed in today’s challenging economic environment, we have to re-evaluate our current processes and symptoms. Learn several key strategies that will effectively change your thinking on the business of dentistry, challenge many of the beliefs that prevent practices from realizing their full potential, and offer solutions to your most challenging business issues. Dr. Baird, is a preeminent cosmetic dentist in the Dallas / Fort Worth area at Granbury Dental Center. Dr. Baird specializes in cosmetic makeovers, full mouth rehabilitation, and dental implants.

Annual Golf Outing: June, 2014 Philmont Country Club

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THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY


Dental Dates The JOURNAL welcomes news concerning activities of your dental study club or other bona fide dental associations. Send information (as formatted below) to the Philadelphia County Dental Society via e-mail: philcodent@aol.com or fax: 215-9256998. Deadline for publication is the first of the month prior to publication (December 1 for the January/February/March issue), and information will be published on a space-available basis.

OCTOBER 4-5

THREE RIVERS DENTAL CONFERENCE — Seven Springs Mountain Resort. For information, visit online at www.dswp.org or e-mail threeriversdental@verizon.net or call 412-321-5810.

22

CONTINUING EDUCATION FOR DENTAL EXCELLENCE — center city — 6:30 p.m. Dinner meeting (Doubletree Hotel) featuring Dr. Louis Rossman, “Differential Diagnosis of Toothache Pain: Odontogenic Etiologies.” For information, contact: Vickie Fisher at 215-732-4450 or visit www.PhilaPerioImplants.com

22

CENTER CITY STUDY CLUB — Case Treatment Planning, 6:00 to 8:00 p.m. at the office of Dr. Jay Lauderbach, Group attendees bring cases for discussion amongst CCSC members. For information, contact laudenbachdental@gmail.com or 215-985-4337 or visit the website at www.laudenbach.com when you have a case for discussion; space is limited to 10 members. A light dinner will be served.

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CONTINUING EDUCATION FOR DENTAL EXCELLENCE — northeast — 6:30 p.m. Dinner meeting (Gallo’s Restaurant) featuring Dr. Louis Rossman, “Differential Diagnosis of Toothache Pain: Odontogenic Etiologies.” For information, contact: Sandra J. Berlin at 215-722-4290 or visit www.PhilaPerioImplants.com

31 — Nov 5 AMERICAN DENTAL ASSOCIATION — 154th Annual Session, New Orleans, LA. For information, visit the web site at www.ada.org/goto/session

NOVEMBER 5

CENTER CITY STUDY CLUB — Evening meeting. 6:00 p.m. at the Palm Restaurant at the Bellevue, featuring Andres Pinto, D.M.D., M.P.H. FDSRCSEd, Chairman and Associate Professor, Department of Oral and Maxillofacial Medicine & Diagnostic Sciences, Case Western Reserve School of Dental Medicine, “Managing patients with Xerostomia and Associated Dry Mouth Pain.” For information, contact laudenbachdental@gmail.com or 215-985-4337 or visit the website at www.laudenbach.com

6

PHILADELPHIA COUNTY DENTAL SOCIETY — Continuing Education Course at Hilton Philadelphia City Avenue Hotel, featuring Dr. Richard Wynn, “Pharmaceuticals.” For information, contact the Society at 215-925-6050 or visit the web site at www.philcodent.org

6

EASTERN DENTAL SOCIETY — Fall Dine Around, Toscana 52, Feasterville, featuring Lisa Stillman, R.D.H., Northeast Xylitol educator, “The Five W’s of Xylitol.” For information, contact Dr. Michael Salin At 215-322-7810 or Info@Esstern-Dentl.org or visit www.Eastern-Dental.org

12

CONTINUING EDUCATION FOR DENTAL EXCELLENCE — northeast — 6:30 p.m. Dinner meeting (Gallo’s Restaurant) featuring Dr. Joseph Greenberg & Dr. Tim Greco, “Harmonizing Dental & Facial Esthetics: How to Examine, Diagnose & Treat to a Predictably Successful Outcome.” Part 1. For information, contact: Sandra J. Berlin at 215-722-4290 or visit www.PhilaPerioImplants.com

13

GREATER PHILADELPHIA DENTAL HYGIENE STUDY CLUB — 6:00 to 9:00 p.m., featuring Kenneth Kornman, D.D.S., Ph.D., Chief Scientific Officer, Interleukin Genetics, Inc., Waltham, MA, “The Role of Genetics and Epigenetics in the Diagnosis and Management of Periodontitis.” 3 CEUs. The Northeast Philadelphia Dental Implant Study Club members will also attend this course. For information, contact Maggie Rutherford, R.D.H. at mrutherford@padental implants.com

19

PHILADELPHIA COUNTY DENTAL SOCIETY — Annual Business Meeting and Election of Officers — 7:00 p.m., at the Executive Office. All members are welcome to attend.

19

CONTINUING EDUCATION FOR DENTAL EXCELLENCE — center city — 6:30 p.m. Dinner meeting meeting (Doubletree Hotel) featuring Dr. Joseph Greenberg & Dr. Tim Greco, “Harmonizing Dental & Facial Esthetics: How to Examine, Diagnose & Treat to a Predictably Successful Outcome.” Part 1. For information, contact: Vickie Fisher at 215-732-4450 or visit www.PhilaPerioImplants.com

29 — Dec. 4 GREATER NEW YORK DENTAL MEETING — Jacob K. Javits Convention Center. For information, visit www.gyndm.com or call 212-398-6922. (continued on page 29)

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

27


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THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY


Dental Dates (cont’d.) DECEMBER 3

CONTINUING EDUCATION FOR DENTAL EXCELLENCE — northeast — 6:30 p.m. Dinner meeting (Gallo’s Restaurant) featuring Dr. Joseph Greenberg & Dr. Tim Greco, “Harmonizing Dental & Facial Esthetics: How to Examine, Diagnose & Treat to a Predictably Successful Outcome.” Part 2. For information, contact: Sandra J. Berlin at 215-722-4290 or visit www.PhilaPerioImplants.com

10

CONTINUING EDUCATION FOR DENTAL EXCELLENCE — center city — 6:30 p.m. Dinner meeting (Doubletree Hotel) featuring Dr. Joseph Greenberg & Dr. Tim Greco, “Harmonizing Dental & Facial Esthetics: How to Examine, Diagnose & Treat to a Predictably Successful Outcome.” Part 2. For information, contact: Vickie Fisher at 215-732-4450 or visit www.PhilaPerioImplants.com

JANUARY 2014 21

CENTER CITY STUDY CLUB — Evening meeting. 6:00 p.m. at the Palm Restaurant at the Bellevue, featuring Frederic Barnett, D.M.D., private practice, Endodontics, Philadelphia, PA; Chairman, I.B. Bender Postdoctoral Endodontic program, Albert Einstein Medical Center, “Integrate or Extirpate: Endodontics in the Implant Era.” For information, contact laudenbachdental@gmail.com or 215-985-4337 or visit the website at www.laudenbach.com

FEBRUARY 25

CENTER CITY STUDY CLUB — Case Treatment Planning, 6:00 to 8:00 p.m. at the office of Dr. Jay Lauderbach, Group attendees bring cases for discussion amongst CCSC members. For information, contact laudenbachdental@gmail.com or 215-985-4337 or visit the website at www.laudenbach.com when you have a case for discussion; space is limited to 10 members. A light dinner will be served.

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

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THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY


Classified Ads Classified Advertisement Policy. The Society reserves the right to accept, decline or withdraw classified advertisements at its discretion. The Society believes the advertisements that appear in these columns are from reputable sources; the Society neither investigates the offers being made nor assumes any responsibilities concerning them. Every precaution is taken to avoid mistakes, but responsibility cannot be accepted for clerical or printer’s errors. Requests to run advertisements “until further notice” cannot be accepted; the advertiser is responsible for renewals. Names of box number advertisers cannot be revealed. The JOURNAL reserves the right to edit copy of classified advertisements. Classified ads will not be taken over the telephone. DOCTOR, ARE YOU SEEKING EMPLOYMENT? Call the Philadelphia County Dental Society at 215925-6050 or Fax 215-925-6998 to have your name listed on our employment referral list. Weekdays, 9 a.m. to 5 p.m. DOCTOR, ARE YOU LOOKING FOR AN ASSOCIATE or for a dentist to work in your practice? Call the Philadelphia County Dental Society at 215925-6050 or Fax 215-925-6998 for the list of dentists seeking employment. Weekdays, 9 a.m. to 5 p.m. HOMEBOUND PATIENTS NEED CARE — If you have time in your schedule, why not consider providing care to homebound patients? Many patients need dental care, and most pay for the services. For more information, call Dr. Glenn Goodhart at 215-635-0200. SEEKING — Part-time, one to 3 days/week, to cover vacations, sick days, or to relieve patient load. No Agency Fee. Excellent technical and social skills. Had practice for 40 years, then sold it. Complete resume, references on request. Call 215-882-1350 or e-mail: rjfitt1@aol.com OPPORTUNITY AVAILABLE — General dentist parttime Southampton, PA. Send resume to Jrhodedds@yahoo.com NOW IS THE TIME. ENDONDONTIST IN YOUR OFFICE — Endodontist available to join your team to perform high quality, compassionate root canal treatments on your patients in your office. Schedule the crowns while your patient is still in the office. Increase your productivity. PA or NJ. Call 267-560-7425 or email: endorct@gmail.com FOR SALE — General dental practice and building Northeast Philadelphia. Established practice at same location for 61 years. Presently 2 operatories, but has room for expansion. Upstairs apartment rental income. Excellent opportunity for an energetic business-minded doctor to build a close-knit neighborhood practice. Please call 609-280-2768 or e-mail: rstol27@live.com OPPORTUNITY AVAILABLE — Hygienist — Take charge of your schedule and earning potential. Operations in 5 counties. Call for further information at 610-664-7795. LET ME PAY FOR YOUR HAWAIIAN VACATION! NJ and PA licensed GP will do quality endo in your office. Also available as a fill-in general dentist. Call 856-772-2293.

MARYLAND/NORTHERN VIRGINIA DENTAL PRACTICES FOR SALE — VA — 7ops modern established digital grossing $1.9 Million. BALTIMORE COUNTY PRACTICES — 3/4 ops grossing $665K; 3 ops grossing $365K. MONTGOMERY COUNTY — 3 ops modern digital x-rays; 2/4 ops shopping center. CALL FOR MORE. 800-544-1297 www.polcariassociates.com FOR SALE — Berks County dental office. Dentrix software, Schick digital radiography, 1700 active patients. 4 modern treatment rooms with state-of-theart equipment. Free-standing 2100 sq. ft. facility on busy corner with adjacent vacant lot available for expansion. E-mail: Kjsj1001@aol.com OPPORTUNITY AVAILABLE — Endodontist parttime for a general practice. Send resume to Jrhodedds@yahoo.com PRACTICE TRANSITIONS — We specialize in Practice Sales, Appraisals and Partnership Arrangements. Ask about our free guides for Sellers and Buyers. For information on services and listings, contact Philip Cooper, D.M.D., M.B.A., American Practice Consultants, toll free 1-800-400-8550, or www.ameriprac.com OPPORTUNITY AVAILABLE — Established Bala Cynwyd practice seeks an associate who is motivated, skilled and able to work independently. Could lead to transition/purchase potential. Call Steven @ 610-9608905. SPACE AVAILABLE — Main Line Location — 4-chair office. One-to-three days possible in our fully equipped state-of-the-art facility. Fax for further information at 610-667-4374. OPPORTUNITY AVAILABLE — Doctor needed for unique opportunities. This is not your ordinary practice. Excellent earning and ownership potential. Must possess energy and drive for servicing a high demand population. For information, please fax @ 610667-4374 or call Steven @ 610-960-8905. FOR SALE — Practices in zip codes 19116 or 18960. Includes equipment, inventory, four operatories. Transition available. Established practice that owner would like to sell to reduce workload. Fax: 215-6430333 or e-mail: dentalpractice@comcast.net

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Workplace Tips Ragan Communications, publisher of corporate communications, public relations and leadership development newsletters, offers the following workplace tips through its online publication, ManageBetter.biz Although targeted to corporate environment, these can be adapted for your practice and your personal life.

Analyze Performance Problems

Some performance problems may be the result of employees’ not wanting to do a good job, but not all. Before implementing disciplinary action against a subpar worker, take a look at some other possible root causes that you might be able to address directly: Expectations. Does the employee understand what you want? What his or her job requires? It may not be obvious, so review and explain expectations clearly. Training. Confirm that the employee has the skills needed to do his or her job — preferably before you hire the person. Of course, job descriptions can evolve as your practice grows and/or changes, so be ready to provide the resources necessary for the employee to master his or her job. Environment. This has two dimensions — the physical environment (lighting, temperature, work stations, etc.) and the culture of your office. Does the employee feel well treated by co-workers and fairly rewarded for his or her work? Deficiencies in either environmental factor can prevent top performance. Personal issues. An employee dealing with a big problem at home may have trouble concentrating on his or her work. You can’t solve employees’ personal problems for them, but you can listen to their situation and, if possible, suggest a reasonable accommodation, like a different work schedule or emergency leave.

Stress Affects Young and Old

Stress takes a toll on everyone in the workplace, young and old alike. That’s the finding of a study of workers in the United Kingdom, throwing cold water on the idea that young employees are more resilient in the face of workplace stress than their older counterparts. In the study, reported on HeartMath.com (a website dedicated to improving health, performance and well-being at home and in the workplace) seventytwo percent of survey participants 30 and younger reported taking at least one sick day during the previous twelve months, although only forty-six percent of workers 55 and older did the same. One possible reason: eighty-six percent of the younger group reported feeling stress at work, compared to sixty-six percent of older employees; twenty-eight percent of the young workers said they were prepared to take a day off to recover, as opposed to fifteen percent of their more senior colleagues.

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THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Helpful Steps for Conducting Meetings

If you follow these steps and keep the pattern consistent for all meetings, over time it will become evident to all the participants that expectations are clear, tasks are accomplished and meetings are meaningful. Set the meeting and the agenda. Work with key staff to set a viable agenda that will itemize specific topics and designated timeframes. Allocate enough time to thoroughly cover all agenda topics. Assign Roles. Each attendee should be notified of responsibilities well in advance of the meeting. Some common roles are: facilitator, subject matter expert, contributor, and recorder. It is wise to have separate individuals in these roles, if possible. Be Prompt. Set an expectation that the meeting will start on time and stay on task. When the time comes, be prompt. Also, be certain to end the meeting on time, following up (with another meeting if needed) to finish any uncovered agenda topics. Summarize Each Topic. As progress is made through the agenda, summarize each topic as it is closed so that the recorder can take clear, concise notes and all attendees have a chance to react to final decisions/next steps. Disseminate Notes and Schedule FollowUp. When the meeting concludes, review and update the notes and disseminate them to attendees. Follow-up meetings should be scheduled immediately, and the status on any open items should be tracked diligently and summarized.

SSNs Must Be Kept Private

A brief article that appeared in a recent edition of Pennsylvania Employment Law, published by HR Specialist, reminds employers of their responsibility to keep employees’ and clients’ Social Security Numbers (SSNs) private. A Pennsylvania law prohibits anyone from disclosing someone else’s SSN to the public. Employers cannot publicly display or post SSNs or require people to use their SSN to access a website. Businesses that use SSNs to identify employees and/or clients for reasons other than tracking payroll taxes must change that policy.


Am Pract Philad Cty

10/2/12

12:03 AM

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DENTAL PRACTICE SALES

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FREE GUIDES For Sellers & Buyers!

Want to Know More? We Can Guide You. American Practice Consultants, a full service Dental Practice Broker & Appraiser, was founded in 1985 by Philip A. Cooper, D.M.D., M.B.A. to provide a range of transition services to dentists who are selling or buying a practice.

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VALUATION • MARKETING NEGOTIATION • CONTRACT REVIEW FINANCING • MINIMIZING TAXES TRANSITION PLANNING WITH PATIENTS & STAFF AND SO MUCH MORE!

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Philip A. Cooper, D.M.D., M.B.A. 704 East Main Street, Suite D • Moorestown, New Jersey 08057 856-234-3536 • 800-400-8550 • cooper@ameriprac.com


PCDS Liberty Continuing Education Dates for 2014 Mark your calendar for the following dates and watch your mail in January for the reservation form (or register online after January 9 at www.philcodent.org) Wednesday, March 19 — speaker/topic to be announced (Plus CPR recertification at 4:00 p.m.) Friday, May 16 — Thomas E. Dudney, D.M.D. Diagnosing and Treating the Worn Dentition Wednesday, September 17 — speaker/topic to be announced Friday, November 7 — Sam Halabo, D.M.D. Innovations in Composite Technology: Versatile, Simplistic and Cost Effective

Mark Your Calendar Now & Plan to Attend PCDS Continuing Education Convenient Relevant Affordable

Helping you meet your legal and ethical responsibilities. 125


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