The Journal of the Philadelphia County Dental Society, Volume 80 Issue 3 by Teresa Ravert

The Journal of the Philadelphia County Dental Society July/August/September 2014

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THE JOURNAL

of the Philadelphia County Dental Society ________________________________________________________________________________

First District of the Pennsylvania Dental Association July/August/September 2014 x Vol. 80 x No. 3 ______________________________________________________________________________________________ Saul N. Miller, D.D.S., '14 Editor

CONTENTS

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

PCDS Members in Action .................................................................. 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 T.J. Filip, D.M.D., '16 Jay M. Goldberg, D.D.S., '14 Chinchai Hsaio, D.M.D., '15 Michael A. Koumaras, D.M.D., '16 Stanley W. Markiewicz, D.M.D., '14 Thomas P. Nordone, D.M.D, '16 Mary M. “Toni” Rust., D.D.S., '15

President’s Message ........................................................................... 3 Legislative Update ............................................................................... 4 MOM in PA Set for September ............................................................ 4 It’s Not Just about the Teeth ............................................................... 5 Dr. Gamba Is Candidate for ADA Office .......................................... 6 Become a Mentor: It’s a Good Thing ................................................. 6 2014 Liberty CE Programs ................................................................. 7 Membership Report ............................................................................ 8 New Dentists Workshop ................................................................... 10 2014 PCDS Scholarships Awarded ..................................................... 12 Newsbriefs ......................................................................................... 15 Health Watch ..................................................................................... 18 Dental Dates ...................................................................................... 19 Classified Ads ................................................................................... 23 Workplace Tips .................................................................................. 24

•••

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 2014. The Philadelphia County Dental Society.

PCDS Members in Action

First District members attended the 2014 PDA Annual Session in April. Seen here at the PDA House of Delegates are (l-r): Dr. Anand V. Rao, PDA Trustee; Doctors Jay M. Goldberg; Mary M. “Toni” Rust; Renee Fennell-Dempsey and T.J. Filip.

Spring clean out — PCDS President Kevin Klatte sponsored a Shred-It event for colleagues and friends at his orthodontic practice.

Dr. Lynne Brock (r), of Madison, Wisconsin, concluded her presentation on “New Dimensions in Endodontics” with a demonstration at the March 19, 2014 CE program. Dr. Brock’s participation was facilitated by Real World Endo

Photos courtesy of Drs. Saul N. Miller and Stanley B. Toplan

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President’s Message ¾ I am delighted to report that I have just returned from PDA’s Day on the Hill in Harrisburg, where members of the PDA had the opportunity to network with our state legislators and share our views on legislative issues that affect us as business owners and health care providers. More than 100 dentists, spouses, staff and dental students from across Pennsylvania gathered for this annual event. Also representing the First District’s Board of Governors were Dr. Jay M. Goldberg and Dr. Anand V. Rao. Teams of PDA members were assigned to meet with members of the General Assembly about issues such as the assignment of benefits, making dental education more affordable and improving access to dental care. Each participant was provided with excellent talking points — we wanted the legislators to hear from Pennsylvania’s dentists in one collective voice. The day began before 9:00 a.m. with a briefing from the PDA lobbyists; then, we boarded buses to the Capitol at 9:15, participated in a press conference and rally on the steps of the Rotunda, and then met with General Assembly members from 10:30 to 1:00. Afterward, we went back to the Radisson Hotel in Camp Hill for debriefing and lunch. Recent surveys of PDA members tell us that advocacy is considered as a top priority by most dentists. I honestly believe that this PDA annual event is one of the most worthwhile demonstrations of advocacy for the profession in Pennsylvania. It’s an event that every member should seriously consider attending. Please look for the date for Day on the Hill for 2015 in the near future (it is usually scheduled for the first Tuesday in June). Make a commitment NOW — while your treatment schedule is still light — to join us next year to advocate for your profession and your patients. After the wrap up luncheon at the conclusion of our activities, PDA held a Dental Career Expo. This event was free to all dental students, residents and new dentists. The Expo provided a chance to talk with exhibitors about career opportunities or get information about residency programs. ¾ The PDA Annual Session, held on April 25 and 26, 2014 was a history-making event. After years of working through ideas about governance, listening to experts on the subject and reading proposals from numerous committees, the House of

Delegates voted itself out of existence effective immediately. The House also agreed that the governing body of the Association should consist of the president, president-elect, secretary (to be elected by the Board from among the trustees), treasurer and 10 trustees. The number of trustees was discussed, with consideration for having seven or five trustees; but the final decision of the House was to keep the customary 10 trustees (one from each district). The House also added a Council of District Presidents to act in an advisory capacity to the Board. This transformation in PDA governance is designed to help our Association become more fluid, able to enact policies and procedures more easily and generally upgrade the way PDA represents its member dentists. New Bylaws have been authored and much of the redtape that tended to bog down movement has been eliminated. We are not swimming in uncharted waters, however, as there are a number of other state dental associations that operate without a House of Delegates. The PDA Annual Session, now to be known as Pennsylvania’s Dental Meeting, will be open to all PDA members and will feature continuing education, stakeholder information, fellowship and fun! So, we believe the future looks bright for PDA, and we encourage our members to learn about the changes by reading the PDA Journal and/or by visiting the website at www.padental.org ¾ You may remember reading in the April/ May/June issue of this Journal a brief article regarding the settlement earlier this year of a medical practice charged with alleged violations of the Health Insurance Portability and Accountability Act (HIPAA). The practice, with offices in Massachusetts and New Hampshire, agreed to pay the federal government $150,000 to settle the case. You will read in this issue (Newsbriefs) about a $4.8 million settlement. We are seeing that the government is being zealous in investigating complaints regarding HIPAA violations and the breach notification provisions of the Health Information Technology for Economic and Clinical Health Act (HITECH). Dentists who are covered entities must be certain that their offices are in compliance. ADA offers a HIPAA Compliance Kit (J598) at catalog.ada.org You can also find information about the Breach Notification Rule online at http://www.hhs.gov/ocr/privacy/hipaa/administrative/brea chnotificationrule/index.html ¾ Please accept my best wishes for a happy, safe and fun-filled Summer.

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Legislative Update In the latest development regarding zoning legislation (Bill 130920), the bill’s sponsor, Councilman Squilla, withheld further action and instead introduced Bill 140452, which addresses concerns about Nuisance Health Establishments. Dr. Anand V. Rao, PDA First District Trustee — who practices in Center City — met with Councilman Squilla during an event sponsored by the lobbying firm of S.R. Wojdak in May of 2014. Shortly after that, we learned that a new bill was being drafted in cooperation with the Health and Law Departments. The new bill shifts the focus from a zoning issue to a Health Department compliance. Dr. Rao testified in favor of Bill 140452 on behalf of the Dental Society at a June 10th hearing. The Philadelphia County Medical Society and the Delaware Valley Healthcare Alliance also testified in favor of the bill. The bill was unanimously passed out of Committee. By the time you read this issue of The Journal, we anticipate that the new bill will have been approved by full Council and, perhaps, signed by Mayor Nutter. Some history about Bill 130920: in February and April 2014, the Society sent Legislative Alert e-mails to members about the bill, which sought to create additional zoning barriers for new and expanding dental and medical practices in South Philadelphia and parts of Center City. This bill mirrored the legislation introduced last year by Council Members O’Neill and Henon (Bill 130770), which was passed by Council over Mayor Nutter’s veto. Bill 130920 was twice scheduled for hearings, but Councilman Squilla postponed both hearings. The bill sought to require any new or expanding medical or dental facility to obtain a zoning variance, which means additional time and money (i.e., going through neighborhood meetings and getting the approval of the Zoning Board of Adjustment (ZBA) to

grant an exception), and thus dentists might likely choose a different location without such obstacles. In a related matter, the Commonwealth Court of Pennsylvania recently ruled against a group of Holmesburg residents who have been seeking to keep a methadone clinic from opening on Frankford Avenue. Three Commonwealth judges overruled a decision of the ZBA that a permit for the clinic was issued in error. Philadelphia’s Department of Licenses and Inspections initially issued a permit for a methadone clinic on Frankford Avenue in 2011. On appeal, the ZBA voted 4-1 to overturn the permit, siding with the neighbors, who claimed that methadone clinics are not permitted in C-2 zoning districts. The Court of Common Pleas overturned the ZBA, ruling that methadone clinics fall under the broader category of medical uses, which are permitted in that zoning district, which is a classification of the old zoning code. In its opinion, the Commonwealth Court affirmed the Common Pleas court decision, and found “no merit” in the neighbors’ legal claims. Under the Americans with Disabilities Act (AwDA), recovering heroin addicts must be treated as disabled persons, the Commonwealth Court wrote. Cities cannot regulate methadone treatment centers separately from other medical facilities. The Court said that the ZBA erred when it sided with the neighbors. Methadone clinics were not pulled out of the medical office category when the Zoning Code Commission was up-dating the City’s code; doing so would have been illegal under the AwDA. Thus, Councilman Squilla, along with the Health Department, worked to address the issue in another way instead of creating new zoning regulations. Watch your e-mail for any continuing updates about Bill 140452.

MISSION OF MERCY – PENNSYLVANIA

YOU CAN HELP . . . Friday & Saturday - September 12 & 13 - Allentown MOM-n-PA Foundation is a 501(c) (3) non-profit foundation with the sole purpose of conducting an annual Mission of Mercy two-day event providing free dental care to the indigent in Pennsylvania. Pennsylvania’s first MOM-nPA, held on May 31 and June 1, 2013 in Philadelphia, was a great success — more than 900 members of the dental community donated free care to approximately 1800 individuals. The next MOM-n-PA is scheduled for Allentown. Volunteer dentists, dental hygienists, EFDAs, dental assistants and dental students, as well as EFDA, hygiene and assisting students, are needed to provide the professional care. Volunteer lay members of the community will provide logistical support. There will be volunteer translators for various ethnic groups. Here’s how you can help — make a donation to MOM-n-PA and/or volunteer your services (staff are welcome, too) for one or both days of the event. For more information, visit online at

www.mom-n-pa.com

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

Can you believe it's July already? It's certainly too late to work on your beach body for the summer of 2014. The least that we can do is work on our bodies and lifestyles so maybe, just maybe, we can be around and healthy enough to see the summer of 2015 arrive, even if we have not yet achieved the ideal beach body status that we had hoped to achieve by 2014. Life is full of disappointments, is it not? Dr. Gabe Mirkin reported the following in the May 4, 2014 edition of his weekly e-zine: Researchers in Spain used MRI scans on the brains of 614 people who had diabetes for an average of 10 years (Radiology, published online April 29, 2014).They showed that: x The longer a patient has diabetes, the smaller his brain, particularly in the gray matter that interprets and directs muscle control, seeing and hearing, memory, emotions, speech, decision-making and selfcontrol. Diabetics lose brain size more than twice as rapidly as non-diabetics x The longer a person has diabetes, the more likely he is to suffer dementia. x For every ten years a person has diabetes, his brain appears to be two years older than the brain of someone without diabetes. x The higher the average blood sugar and/or fasting blood sugar, the greater the loss of brain size. Researchers in Germany measured short term rises in blood sugars (fasting blood sugar) and long term blood sugars (Hemoglobin A1C) and found that higher levels of each are associated with loss of memory and learning and smaller brain size than in people who are not diabetic (Neurology, published online October 23, 2013). Even if you are not diabetic, you can develop a high rise in blood sugar after you eat. Higher blood sugars can remain for a short time or they can stay elevated all the time. The researchers measured fasting blood sugar levels to see if blood sugar remained elevated in the morning before breakfast, and used the HBA1C test to see if blood sugar levels remained high for two or three months. Brain scans showed that a person with higher blood sugar levels, even for just a few hours, has a smaller hippocampus, the place where you process both short and long-term memory. People with higher blood sugar levels did more poorly in memory tests. This shows that controlling blood sugar levels is important for non-diabetics as well as for diabetics.

Dr. Mirkin goes on to say, "Even if you do not have diabetes, high rises in blood sugar can damage every cell in your body to increase risk for heart attacks, kidney failure, strokes, dementia and premature death. When blood sugar levels rise too high, sugar sticks to the outer membranes of cells. Once there, sugar can never get off. It is converted by a series of reactions to sorbitol, a sugar alcohol that destroys cells. High rises in blood sugars are caused by: x eating too much sugar in sugar-added foods and sugared drinks including fruit juices, refined carbohydrates, red meat and fried foods, x not eating enough fruits and vegetables x not exercising, x being overweight, and x not meeting your needs for vitamin D. If all this is not convincing enough, Dr. Mirkin reports studies show that statin users in 2010 had a 29% increased incidence of diabetes, compared to 22% increased risk in 1990. Statins increase the risk of diabetes and, therefore, increase the risk for heart disease, while at the same time discouraging exercising by increasing muscle aches and weakness. You'll never guess what the advised lifestyle changes are. x Eat large amounts of fruits, vegetables, whole grains, beans, seeds and nuts. x Restrict sugar-added foods, sugared drinks (except during intense exercise), other refined carbohydrates, red meat and fried foods. x Try to work up to exercising at least an hour every day. x Avoid overweight. x Get blood levels of hydroxy vitamin D above 75 nmol/L. x Grow muscle. x Lose excess fat. Now, I don't know about you but I am seeing a trend here. Dr. Charles Mayo said that preventive dentistry can add 10 years to human life. One can only imagine the quality of life, and even the number of quality added years, we may have if we maintain a healthy hippocampus, in addition to healthy gums. Maybe I'll even organize a SAVE THE HIPPOCAMPUS bike ride to promote the cause. Note: You can visit drmirkin.com to sign up for Gabe Mirkin, M.D.'s e-zine. Tell him you learned about the site from The Journal of the Philadelphia County Dental Society and “It's Not Just about the Teeth.” (Neither PCDS nor Saul Miller, D.D.S. have any financial interest in this site.)

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Dr. Gamba Is Candidate for ADA Second Vice President Dr. Thomas W. Gamba is a candidate for the office of ADA Second Vice President. The election will be held at the ADA Annual Session in San Antonio in October 2014. The Second Vice President assists the ADA President as requested and serves as an ex officio member of the Board of Trustees and the House of Delegates. Dr. Gamba is a 1972 graduate of Villanova University and a 1976 graduate of Temple University School of Dentistry. He has maintained a general practice in Philadelphia since that time. Since 2010, he has been an adjunct faculty member in the Department of Restorative Dentistry at Temple University Kornberg School of Dentistry. Tom has actively participated in dentistry’s professional associations at the local, state and national levels. He served as a member of numerous committees and as a member of the Board of Governors of the Philadelphia County Dental Society. He served as a member and chair of the Board of Directors of the Liberty Dental Conference, has been a member of the First District Delegation to the PDA Annual Session for many years, chairs the Constitution and Bylaws

Committee, and was president of the Society in 19971998. He was a member of the PDA Board of Trustees and served as PDA vice president in 1996-1997. He served five terms as speaker of the PDA House of Delegates from 2000 to 2005, and was then elected to the office of PDA president-elect in 2006. He served as PDA president in 2007-2008. At the national level, he was a member of the ADA Council on Annual Sessions from 2001 to 2003 and the Council on Ethics, Bylaws and Judicial Affairs from 2007 to 2011. He has served as a delegate or alternate delegate to the ADA House of Delegates eight times, was a member of the Standing Committee on Credential, Rules and Order in 2000 and the Standing Committee on Constitution and Bylaws in 2010 and 2011. He also serves as a Grass-Roots Action Team Leader Tom is a fellow of the Academy of General Dentistry, the American and International Colleges of Dentistry, and a member of the Pierre Fauchard Academy. He has served on the Board of Directors of the Temple University Dental Alumni Society, is a founder and past president of the Girard Estates Area Residents Association, and has served as a member of the St. Monica Church Parish Council. Tom and his wife, Cynthia, have two children and two grandsons and reside in Philadelphia.

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 Can you spare a day or two to help a young student on his/her way to a dental career? Each of us has the ability to relate our professional 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. Each of us can become a mentor The PCDS office continues to receive 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. Being a mentor is a “good deed” you can accomplish without even leaving the office. Why not invite a student to spend time in your office — providing first-hand information about the daily activities of the dentist and his/her staff, both professionally and business-wise? Share your insights and encourage the student in his/her quest. Mentoring means helping a protégé observe, experiment and evaluate different methods to find out which strategies work best. Get started with these tips: x Explain what works for you and why. Telling a protégé what to do in a specific situation doesn’t really teach him/her much. You will be more effective if you communicate as explicitly as you can what strategies and

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techniques have worked best for you. After seeing a patient, for instance, you might tell the protégé why you took the approach you did, and how you might have done something different with another patient. x Urge your protégé to collect role models. These can be people within the profession or outside of it, and they don’t necessarily have to be people the protégé knows personally. A range of role models can help him/her choose between different styles in different situations. What works for Jack Welch in a business meeting might not work as well when dealing with a patient, a sales rep or an employee. x Encourage experimentation. Give protégés a gentle push to try out some of the different styles and approaches they observed. Encourage them take calculated risks. We ask you to join us and other members by allowing a college student or a dental student to “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!

The 2014 Liberty Continuing Education Series at the Philadelphia Hilton City Avenue Hotel 4200 City Avenue, Philadelphia, PA

TWO more programs are scheduled at (tuition: $175.00/PCDS Member Dentist) Programs begin at 8:30 a.m. and conclude by 3:30 p.m. (unless otherwise stated). Continuing education credits awarded; hours will be deducted for those who arrive late and/or leave prior to conclusion. Course descriptions available by fax (215-925-6998) or e-mail: philcodent@aol.com 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.

NO REFUNDS on courses purchased as part of the CE package. Each program includes lunch and FREE parking validation. The Philadelphia County Dental Society has been granted approval as an ADA CERP recognized provider as a component member of the Pennsylvania Dental Association. 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. Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at www.ada.org.cerp. The Philadelphia County Dental Society has been designated as an Approved PACE Program Provider by the Academy of General Dentistry. The formal continuing dental education programs of this program provider are accepted by AGD for Fellowship/Mastership and membership maintenance credit. Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement. The current term of approval extends from 1/1/2012 to 12/31/2015. Provider ID: 212415.

MARK YOUR CALENDAR NOW & REGISTER FOR THESE OUTSTANDING CLINICIANS: Course Descriptions and Registration at: www.philcodent.org/members/programs.aspx

CE 74 – Wednesday – September 17, 2014 Dr. Nicholas R. Conte, Jr. — “Clinical & Material Factors in Achieving the Ideal Impression” presented in cooperation with Dentsply participating partners: AFTCO Transition Consultants; Orascoptic by Kerr; PDAIS; PNC Bank; The Insurance Agency for Dentists; Willis of Delaware

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CE 75 – Friday – November 7, 2014 Dr. Sam Halabo — “Achieving Superb Results: Cementation, Bonding and Bulk Fill Composites” presented in cooperation with The Catapult Elite Group participating partners: AFTCO Transition Consultants; PDAIS; PNC Bank; The Insurance Agency for Dentists; Willis of Delaware

Space is limited.

Reservation Form ÎÎÎ

Membership Report

We welcome the following to membership in the Philadelphia County Dental Society.

APRIL 1, 2014 ACTIVE MEMBER Dr. Chun-Hsi Chung University of Pennsylvania School of Dental Medicine, 1986 University of Pennsylvania, 1992 (Orthodontics)

RECENT GRADUATE (cont’d.) Dr. Sarah Goldstein Southeastern University School of Dental Medicine, 2012

RECENT GRADUATE Dr. Christy M. Benjamin Temple University Kornberg School of Dentistry, 2012

GRADUATE STUDENT Dr. Thomas Langan, Jr. Temple University Kornberg School of Dentistry, 2013 Temple University, 2016 (Periodontics) Dr. George Souliman University of Pennsylvania School of Dental Medicine, 2013 Albert Einstein Medical Center, 2014 (GPR)

Dr. Diane Y. Chen University of Connecticut, 2013 Dr. Amanda Eidelson Columbia University School of Dentistry, 2011 Bronx Lebanon Hospital Center, 2012 (GPR)

NECROLOGY We are saddened to report the loss of the following member:

Dr. Jerome Gorson – April 2014 Dr. Julius Victor – February 2014

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Use a SEPARATE reservation form for each person - this form may be duplicated. Or register online at our Web Site: www.philcodent.org

RESERVATION FORM / 2014 LIBERTY CONTINUING EDUCATION PROGRAMS PCDS MEMBER NAME _________________________________________________________________ ADA # ______________________ TEL # (_____)________________ FAX # (_____)_______________ ADDRESS _____________________________________________________________________________ CITY/STATE/ZIP__________________________________E-MAIL _____________________________ NAME _______________________________________________________ will attend as follows: Be certain to indicate the CODE NUMBER for each course you choose [i.e., CE 71]. __ PCDS Member for one program: #____

$175.00

__ PCDS Member for 2 remaining programs: # (Be certain to choose carefully – substitution IS NOT permitted)

$480.00

__ ADA Member Dentist, for EACH program: # ____ (Include a copy of your current ADA membership card)

$250.00

__ Non-Member Dentist, for EACH program: # ____

$300.00

__ Graduate Student/Resident for one program: # ____ (Include a copy of your current ADA membership card)

$ 95.00

__ Staff employed by PCDS Member for EACH program: #____

$ 95.00

__ Staff employed by Non-Member, for EACH program: #____

$125.00

PAYMENT ENCLOSED IN THE AMOUNT OF ………………………………………… $______ Method of Payment: Card # _

Check

Visa

___ ____ ____ ____

MasterCard

American Express

Exp. Date _

_/__

Signature (required for charge cards): ______________________________________ Mail to PHILADELPHIA COUNTY DENTAL SOCIETY One Independence Place – 241 South 6th Street – Unit #C3101 - Philadelphia, PA 19106-3797 TELEPHONE: 215-925-6050 FAX: 215-925-6998

Confirmation & Tickets will be mailed to you approximately 10 days prior to each course. CE transcripts will be mailed each year in December. Each attendee is responsible for forwarding copies to the appropriate licensing or accrediting agencies (State Board, AGD, Specialty Boards, etc.).

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New Dentists Workshop: Approaching Student Debt Sensibly

On March 29, 2014, twenty-nine dental students and new dentists (classified by the ADA as those who have completed their formal dental education within the last ten years) gathered in Philadelphia to hear information about strategies for dental school debt management and personal financial planning. The four-hour session with lunch, initiated by the Philadelphia County Dental Society, was not a sales pitch, but a frank discussion of the difficulties many new dentists face in paying off huge educational debts, opening practices, buying homes and starting families. The New Dentists Workshop featured presentations by Dr. Judith A. McFadden, PCDS secretary, and Mr. Lewis C. Frost, portfolio executive and vice president of Adviser Investments of Newton, MA. The event was sponsored by a grant from the American Dental Association. The genesis for the Workshop began when Dr. Kevin J. Klatte, PCDS president, spoke to the Board of Governors about conversations he had with upper class dental students and new dentists. He said, “They told me they felt stressed out and overmatched about their debt and financial futures and that no courses at their dental schools adequately prepared them. I decided that our Society should try to provide helpful information and strategies to our young colleagues.” The Society held a succesful Workshop last September for thirtyseven new dentists. Dr. Klatte welcomed the attendees and introduced PDA chief executive officer, Camille Kostelac Cherry, and thanked her for being available to observe and participate during the Workshop. Dr. Klatte began the program with a message about the importance of membership in the tripartite dental system. He said, “You will hear a lot today about

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investments, but right now I want to talk to you about perhaps the best and most important ‘investment’ you can make as a dental professional — membership in our tripartite associations — your local, state and national dental associations. This investment does require the payment of dues, and while you won’t see a quarterly or annual financial statement showing the gains of your investment in dollars, you will realize — perhaps on a daily basis — its worth.” Of the many positive results from the activities of the dental associations, he said that “perhaps the most important return they give us today is advocacy. At all levels of our associations, dentistry is involved as a stakeholder and monitor of government legislation and regulation that will affect us as dentists, practitioners and business persons.” He specifically pointed to the ADA’s advocacy “for the profession as the nation grapples with changes in health care as contained in the Affordable Care Act (or Obamacare). From HIPAA compliance to electronic health records (EHR) to Medicaid funding to dentistry’s place as a leading stakeholder in the improvement of oral health care, ADA colleagues and staff work on our behalf.“ Noting that the average debt among graduating dental students in 2012 was between $221,000 and $263,000, Dr. McFadden offered practical approaches to budgeting, tracking expenses and saving aimed at helping new dentists manage the debt. She noted that the goal of the program was “to shed some light on the special monetary circumstances of new dentists and dental students. By giving some financial and budget tools to use now and long term, we hope to help them put things into perspective, regardless of the size of their debt, so that they can use money wisely, and by making good decisions, the emotional and worrisome concerns about money will not take over their lives.”

(continued on page 11)

Workshop (cont’d.)

Mr. Frost offered practical ideas for debt management as well as methods and ideas for planning for a stable financial future through prudent investment. Total educational debt for those who attended the event ranged from $60,000 to more than $400,000, with monthly pay-back rates ranging from $600 to $4,000. Attendees overwhelmingly responded that the session provided very or extremely helpful information to them. More than 50% said they would be likely to change their approach to debt management because of what they learned at the program. Nearly 75% responded that they thought it would be worthwhile to attend a student debt consolidation/restructuring course that featured a professional student debt specialist. Ninety-five percent said they would recommend the program to dental school classmates and/or colleagues.

To keep the tenor of the day light, attendees were presented with small piggy banks to serve as a visual reminder to start saving now — even the smallest saving, if repeated, can grow. Door prizes were awarded (these were various books about financial planning, investing, etc.) Those who completed the program evaluation were presented with a travel mug with the day’s slogan imprinted (Re-MEMBER Member$hip — PCDS, PDA, ADA — Your Best Investment). Attendees remained for lunch after the session and were able to speak informally with President Klatte and Mr. Frost. The Philadelphia County Dental Society sponsored a similar program in September of 2013 which drew thirty-seven attendees. Link to more photos: https://www.facebook.com/media/set/?set=a.48958381114 6194.1073741826.100002837370965&type=1&l=8427a77c 33

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2014 PCDS Scholarships Awarded

Pictured above are: (l-r) Dr. Kevin J. Klatte, PCDS president, Dr. Judith A. McFadden, PCDS secretary and member of the Selection Committee; Katherine France; Alexander Geiger; Brian Leong; Veronica Szabo; and Dr. Gregg M. Chialastri, past president and member of the Selection Committee.

Four dental students received scholarship awards from the Philadelphia County Dental Society during a ceremony held at the May 16, 2014 continuing education program. Each received a $500 award. Dr. Judith A. McFadden, PCDS secretary and member of the Selection Committee, reminded 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 members and friends, the fund has distributed more than $45,000.00 to our young colleagues at Temple Universityâ&#x20AC;&#x2122;s Kornberg School of Dentistry and the University of Pennsylvania School of Dental Medicine. The majority of graduates will leave dental school with overwhelming debt. In fact, the 2012 average debt was between $221,000 and $226,000. The Scholarship Fund consists of voluntary contributions from members and friends of the Philadelphia County Dental Society. 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. McFadden noted that all recipients are members of the American Student Dental Association, have excellent grades and were highly and enthusiastically recommended to us by their teachers. In their applications for the scholarship, each of them made several references to having been involved in

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

community work and membership in or association with organized dentistry. Moreover, each of them conveyed a passion for dentistry and a sound commitment to patients, especially those with the greatest need. The 2014 Scholarship recipients are: KATHERINE FRANCE . . . University of Pennsylvania School of Dental Medicine, Class of 2016. Katherine is a magna cum laude graduate of Carleton College in Northfield, Minnesota and a member of Phi Beta Kappa and Sigma Xi. While in college, she conducted biochemical research both at Carleton and at Syracuse University. She served as the campus president and treasurer of the AIDS and HIV Awareness Club, as director of the International Relations Council (interviewing prospective college students) and as a dancer and choreographer in a student-run dance group. She also holds a certificate of advanced study in French language and lived and studied in Paris. She spent a summer studying public health and the global AIDS epidemic in Botswana. Katherine says she has always been interested in a career in health care. She was attracted to a profession where she could achieve a degree of autonomy, develop a helpful skill set and apply her understanding in a creative way, and she found all of these things in dentistry. She points to a number of shadowing experiences that confirmed her (continued on page 13)

Scholarships (cont’d.) desire to become a dentist. She values the interplay of research, engineering and problem solving that exists in the profession. Katherine is pursuing a Master of Bioethics degree concurrently with her dental degree with the goal of becoming a more thoughtful and informed provider. She’s exploring either general practice or orthodontics and aspires to utilize her Bioethics degree to teach or mentor dental students. ALEXANDER GEIGER . . . Temple University Kornberg School of Dentistry, Class of 2015. Alex hails from Bensalem, Pennsylvania, and is a 2010 graduate of Pennsylvania State University. He also attended the University of New South Wales in Sydney, Australia. He told us he always looked forward to his dental visits as a child (he noted that the free samples of toothpaste were a large selling point with him, too). He finds it challenging and rewarding to be in a career that requires constant problem solving and being able to work in a one-on-one environment. Prior to entering dental school, he spent a year as a chairside assistant, an experience that has aided not only his understanding of dentistry but his ability to relate to patients. He held a position as an Art History Chief Aide at Educational Testing Services, the world's largest private nonprofit educational testing and assessment organization, where he devloped leadership and organizational skills while supervising thirtytwo employees. While at Penn State he was involved with fund raising for pediatric cancer research through the Four Diamonds Club. At Temple, he is a member of the Dominican Republic Club, which provides care to the underserved in the Dominican Republic. Alex is also a member of Temple’s Admissions Committee, providing insight and recommendations about dental school applicants. He looks forward to owning his own general practice, being a positive entity for his community and participating in at least one dental service project annually. BRIAN LEONG . . . Temple University Kornberg School of Dentistry, Class of 2015. Brian is a graduate of Stony Brook University in Long Island, New York. While in high school, he was accepted into the Gateway to Medicine program that prepares under represented and minority students for careers in the health professions. At Stony Brook, he participated in a variety of activities. In the Neurobiology Department, he conducted experiments on genetically modified mice that were believed to have a gene associated with schizophrenia. He was a CPR instructor and volunteered at Stony Brook Hospital’s blood bank, one of the largest trauma centers in that

area, to recruit donors. He was involved with the adapted aquatics program where he worked with physical therapists to help rehabilitate persons with disabilities. He also volunteered at the dental school clinic, which gave him a great insight into the profession and to the dental school experience itself. His interest in science, art and health care spurred him to seek a dental career. Through his volunteer efforts and shadowing at dental offices, he saw firsthand the impact that dentists make on peoples’ lives. He aspires to work with the medically complex and underserved populations who have to overcome difficult barriers to access to care. After graduation, he plans to enroll in a General Practice Residency program in a hospital based setting. VERONICA SZABO . . . Temple University Kornberg School of Dentistry, Class of 2015. Veronica graduated from Drexel University in 2007 with a degree in Business Administration. While in high school, she and a group of seven other high schoolers operated a student-run business, The Wilde Times Café. With the help of advisors, the students developed a business plan, secured a lease and oversaw all of the elements of operating a small business. While at Drexel, she focused on marketing and participated in three six-month internships, working at an advertising agency, a hospital foundation and the Philadelphia Electric Compnay. She began to take some elective science courses and became more interested in health care. Her first job after college was in dental marketing helping a dentist to expand her practice through community outreach and marketing initiatives. Veronica became more interested in dentistry, so she then trained as a dental assistant and decided that delivering care was a more fulfilling career path. After several years, she decided to enter dental school and attended night classes to complete her pre-dental requirements. At Temple, she is the outreach chair of the Hispanic Student Dental Association and is a member of the ASDA Student Alumni Relations Committee. She has volunteered for Temple’s “Give Kids a Smile Day®,” the first “Boo at the Philadelphia Zoo” Halloween event encouraging good dental hygiene, and has helped to recruit sponsors for American Cancer Society events such as “Coaches vs. Cancer” and “Locks of Love.” Veronica is highly motivated to become the owner of a general practice. She hopes to be a mentor for young people such as herself, who may not have considered dentistry as a first career.

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Newsbriefs More HIPAA Non-Compliance Violations

In the last issue of The Journal, we reported on the first settlement of a HIPAA non-compliance case between the government and a dermatology practice in the amount of $150,000. Now, we report the largest settlement totaling $4.8 million. As reported in the ADA News in May of 2014, resolution agreements were reached between the U.S. Department of Health and Human Services HHS Office for Civil Rights (OCR), New YorkPresbyterian Hospital (NYP) and the Trustees of Columbia University.. In September of 2010, there was a notification from NYP and Columbia University Medical Center to the OCR regarding a breach of ePHI (electronic protected health information) and a subsequent investigation regarding compliance with privacy and security rules promulgated by HHS ensued. The investigation revealed that the breach was caused when a Columbia-employed physician, who developed applications for both NYP and CU, tried to deactivate a personally-owned computer server on the network containing NYP patients’ electronic protected health information. “Because of a lack of technical safeguards, deactivation of the server resulted in ePHI being accessible on internet search engines,” said an OCR news release. “The entities learned of the breach after receiving a complaint by an individual who found the ePHI of the individual’s deceased partner, a former NYP patient, on the internet.” OCR said the investigation found that neither HIPAA-covered entity made efforts prior to the breach to assure that the server was secure and contained appropriate software protections, neither had conducted an accurate and thorough risk analysis that identified all systems that access NYP ePHI and neither had developed an adequate risk management plan that addressed the potential threats and hazards to the security of electronic protected health information. NYP paid a monetary settlement of $3,300,000 and CU paid $1,500,000 with both entities agreeing to “substantive corrective action” plans to include risk analysis, risk management, revised policies and procedures, staff training and progress reports. If your office is a covered entity, be certain that you are in total compliance with all necessary regulations. Dentists can find more information on the HIPAA Breach Notification Rule at http://www.hhs.gov/ocr/privacy/hipaa/administrative/brea chnotificationrule/index.html ADA Complete HIPAA Compliance Kit (J598) is available from the ADA Catalog at catalog.ada.org and includes a manual, the training CD-ROM and a

three-year update service. The kit is $300 for members and $450 for nonmembers.

Updated Regulations for E-mailing Patient Information

As reported by ADA News staffer Kelly Soderland on March 17, 2014, dentists who send documents and images containing patient information through unencrypted e-mail may risk exposing the information in a data breach and making themselves vulnerable to violating the Health Insurance Portability and Accountability Act (HIPAA). The law does not prohibit dentists from e-mailing protected health information to patients or other health care providers as long as they use reasonable safeguards while doing so, according to the Office for Civil Rights (OCR). Dentists and other medical professionals need “to be cognizant of what they’re sending, how they’re sending it and who they’re sending it to,” said Dr. Mary Licking, chair of a working group of the ADA Standards Committee on Dental Informatics. “The OCR’s website has a lot of resources about HIPAA and emailing protected health information that is useful to every practicing dentist.” Visit hhs.gov/ocr for more infomation If a patient asks for electronic records to be sent in an unencrypted e-mail, a covered dental practice must advise the patient of the risk. If the patient insists on receiving it in an unencrypted e-mail, the dental practice has to send it in that form. The ADA works with independent standards and certification organizations to create and drive the adoption of standards for secure, interoperable exchange of oral health information. There is technology available for dentists who are interested in encrypting e-mails and, while the ADA does not endorse any particular product or vendor, dental practices should select a service that complies with HIPAA, the HIPAA breach notification rule requirements and other applicable laws. “It’s imperative that covered dental practices that choose to use a secure messaging service that meets the HIPAA definition of a business associate or of a health information exchange obtain from that service provider a business associate agreement that complies with HIPAA requirements before using the service,” Dr. Licking said. Visit http://www.ada.org/news/9720.aspx to read the entire article. (continued on page 17)

HHH III

A child seldom needs a good talking to as a good listening to.

·Robert Brault American free-lance writer

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

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.

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 7, 2014 Harold Crossley, DDS, MS, PhD – Cambridge MD – Avoid Liability; Know Your Patients’ Medications and Their Impact on Dental Treatment! Your patients are living longer thanks to their medications but many of the physician-prescribed medications used by your patients have dental implications and side effects affecting your

treatment plan. Some of these medications are the drugs of choice of “doctor shoppers”. And one of these medications is the most prescribed medication abused by adolescents. This presentation includes the indications, contraindications, and side effects of the most commonly prescribed medications. Many of these medications were not approved when you took your pharmacology course in dental school. At the conclusion of this course, the attendees will know: Medications that could adversely interact with dental drugs; Why your patient is taking their medications; What oral side effects may be caused by these medications; Maximum doses for commonly prescribed pain medications; When not to prescribe NSAIDs; How to manage patients taking some of the newer anticoagulant medications; How to combine analgesics to maximize their effects; Indications and contraindications for opiate analgesics; and Current recommendations for SBE and orthopedic prost hesis prophylaxis. Harold L. Crossley is Professor Emeritus at the University of Maryland Dental School where he was awarded his D.D.S. degree. The liaison between the classroom and his part-time dental practice produced a practical approach to understanding the pharmacology of drugs used in the dental office. Bring your hygienist to this important Pharmacology update! This course is supported by educational grants from Dodd Dental Lab, Dentsply, Hayes Handpiece Repair, and PDAIS.

Wednesday, December 3, 2014 Jeffrey P. Okeson, DMD – Lexington KY – “What every dentist needs to know about Temporomandibular Disorders” The management of temporo-

mandibular disorders is a complex problem in dentistry. This complexity arises from the many different disorders that can be present as orofacial pain in the masticatory structures. In order to effectively manage TM disorders the clinician must first be able to differentiate these disorders from other orofacial pain conditions. Emphasis will be placed on diagnosis so that correct therapy will be selected for each patient. The role of occlusion and joint stability in TMD will be discussed. Appropriate use and fabrication of occlusal appliances will be presented. This course will benefit all practitioners. You will learn: To identify those pain disorders that will likely respond to your therapy from those that will not; The relationship between occlusion, bruxism and temporomandibular disorders; The most favorable condylar position for restorative dentistry and why there is so much controversy; and The appropriate use of occlusal appliance therapy. Dr. Okeson is a graduate of the University of Kentucky College of Dentistry where presently he is Professor and Chair of the Department of Oral Health Science and Director of the College's Orofacial Pain Center, which he established. This course is supported by educational grants from Dodd Dental Lab, Dentsply, and PNC.

Wednesday, January 14, 2015 Brian Nový, DDS, – Loma Linda, CA – “Offensive Dentistry” Let’s face it, sitting through a lecture about dental caries doesn’t sound appealing (in fact it sounds downright

boring). However, the science of clinical cariology is beginning to have an impact on restorative techniques and technology. Handpieces and burs will remove compromised tooth structure, but comprehensive patient care involves addressing the chronic disease that leads to cavitation. Combining the medical management of disease along with bioactive restorative materials can take the practice of dentistry to new heights – and give Streptococcus mutans more to fear than stronger fluoride. At the end of this course, participants should be able to: Describe the systemic theory of dental caries; Provide basic salivary analysis to identify “hidden” risk factors; Control patient caries risk with focused therapeutics; Design restorations to minimize recurrent decay; and Identify restorative materials that create ionic bonds. Dr. Nový is the Director of Practice Improvement at the DentaQuest Institute, and an Assistant Professor of Restorative Dentistry at Loma Linda University. He served on the ADA Council of Scientific Affairs 2014 and acts as the chairman of the CAMBRA coalition. This course is designed for the entire clinical team. This course is co-sponsored by a major educational grant from GC America along with grants from Air Techniques, Dodd Dental Lab, Dentsply, Hayes Handpiece Repair and Shofu.

Friday, April 10, 2015 David Hornbrook, DDS – San Diego, CA – “Functional Aesthetic Dentistry” For the past decade, the search for invisible, beautiful dentistry has been the goal of both

the clinician and the manufacturers. Coupled with the public’s quest for ideal aesthetics and a youthful, white smile, as the journey continues, it has also become more difficult. More difficult because our patients are more demanding for perfection today than ever before and more confusing because of the vast array of new materials and options available to provide this care. Join Dr. David Hornbrook as he explores our options for aesthetic, metal free dentistry for our patients in applications including smile design, posterior restorative, bridge applications, and full mouth rehabilitation. Discussion will include: updates of dentinal adhesion; ideal cementation of the new materials using the new resin cements; and addressing the role function plays in our decision making. Objectives and subjects covered will include: Understanding the advantages of the new ceramics ideal for smile designs; The use of lasers to enhance the aesthetic result; Reviewing and evaluating the diagnostic wax up; Learning how to predictably choose the correct cements for different materials that enhance aesthetics and long term success; and Understanding how we can truly be metal free, even with posterior bridges. This is a great course for the entire clinical team. Dr. Hornbrook serves on the faculty of many postgraduate university programs in aesthetic or cosmetic dentistry, including those at Baylor University, Tufts University, SUNY at the University at Buffalo, and UCLA. This course is supported by educational grants from Bisco, Dodd Dental Lab, Dentsply, PNC and PDAIS.

Friday, May 8, 2015 Uche Odiatu, DMD, – Toronto, Canada – “The Wellness Advantage: the Value Added Practice!” Want to add incredible value to your patient experience? There's

an avalanche of evidence demonstrating the link between your patients’ mouth with their lifestyle habits: lack of sleep, shift work, poorly managed stress, overeating & sedentary living. Patients appreciate the dental professional who sees the bigger picture & understands the relationship between the body, mind & mouth. You will gain new appreciation into the miraculous nature of the human body and to the way every part is connected. • Recognize the destructive inflammatory cascade in your patients. • Discover how visceral fat behaves like an active organ causing havoc throughout the body & mouth. • Identify 7 key foods & lifestyle habits that contribute to inflammation • Discover new lifestyle questions to add to your new patient exam. We'll go into advanced strategies to create change in your patients’ daily health practices & maybe yours? Across the board, your patients’ lifestyle cannot be ignored as you work at getting them to optimal health. From sedentary living (Is Sitting the New Smoking?) to mismanaged stress, you will discover a new way of looking at how chronic inflammation and disease is supported by your well-intentioned patients. Understand why certain patients do not respond well to your hygiene programs. Spot how stress & disrupted sleep shows up in your patients’ mouth. Implement a new dimension to your overall treatment planning. Develop team building strategies to get your entire office on board focusing on whole body health. Create a circle of influence & develop relationships with allied health professionals & get loads of referrals. Dr. Odiatu is an internationally recognized wellness & performance expert. This practicing dentist from Toronto is also an NSCA certified personal trainer, a holistic lifestyle coach, and a professional member of the American College of Sports Medicine. Invite the whole dental team for this day of health. This course is supported by educational grants from Dodd Dental Lab, Dentsply, Hayes Handpiece Repair and PNC.

Those taking the full DKU Series will receive both Bonus Courses Fri., October 24, 2014

BONUS #1: Stanley Malamed, DDS; “Emergency Medicine” at the Valley Forge Casino & Convention Center (Lower Level)

Wed. – Fri., March 4-5-6, 2015

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

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

FEES

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

Newsbriefs (cont’d.) Action for Dental Health Act of 2014

Have you seen advertisements or announcements that say “Support the Action for Dental Health Act of 2014?” What is it all about? The ADA Action for Dental Health movement gained the attention of the U.S. Congress with the introduction April 3, 2014 of legislation “to improve essential oral health care for lower-income individuals by breaking down barriers to care.” Introduced by first-term Rep. Robin Kelly, D-Ill., H.R. 4395 was referred to the House Energy and Commerce Committee. The Action for Dental Health Act of 2014 would provide a $10 million annual grant program for constituent and component dental societies and others at the state and local levels offering free dental services for underserved populations. The bill would also provide an additional $10 million to implement ADH initiatives that reduce barriers to care. Since the ADA launched Action for Dental Health: Dentists Making a Difference in May of 2013, more than a dozen state and local projects have been initiated across the country. Watch for continuing coverage of this initiative in the ADA News and urge your Congressional Representative to support H.R. 4395.

PDA Offers Webinar Series for New Dentists

PDA offers a complimentary webinar series focusing on topics that are relevant to dentists in the beginning stages of their careers. However, dentists from all career stages are more than welcome to attend. Registration is required for each webinar, but PDA members can participate in one or all three. The first webinar is scheduled for June 19, 2013 from Noon to 1 p.m. Entitled Legal Aspects of Practice Transition, the program, presented by Thomas J. Weber, Esq., will explore such topics as associate agreements, practice valuation, leases and required insurances. The next webinars will be held on August 21 and October 23, 2014. Visit the PDA website at www.padental.org or contact Michelle Rozman at 717234-5941 ext. 121 for information.

Theft or Loss of Controlled Substances

Federal regulations require that registrants notify the DEA Field Division Office in their area, in writing, of the theft or significant loss of any controlled substance within one business day of discovery of such loss or theft. The registrant shall also complete and submit to the Field Division Office in their area, DEA Form 106, “Report of Theft or Loss of Controlled Substances” regarding the theft or loss. DEA controlled substance registrants are strongly encouraged to complete and submit the DEA Form 106 online at http://www.deadiversion.usdoj.gov/21cfr_reports/theft/index .html If a registrant does not have internet access, a paper copy of the DEA-106 form can be requested by writing to: Drug Enforcement Administration Attn: Regulatory Section/ODG 8701 Morrissette Drive Springfield, VA 22152 Only those registered with DEA to handle controlled substances may utilize this form.

ADA Publication for Dental Practice Strategic Planning

“A Profession in Transition: Key Forces Reshaping the Dental Landscape” is an Executive Summary of the ADA Health Policy Resource Center (HPRC), published in August 2013. The ADA carried out a comprehensive analysis of the dental care sector to help inform the strategic planning process. The research was carried out by a group of external consultants and the HPRC, with additional comments provided by other renowned leaders. This Executive Summary states that, this “. . . is a critical moment for dentistry and a time for the profession to define its destiny. . . It is not a time for complacency. . . Ignoring what is happening in the health and consumer environment will mean ceding the future of the profession to others. ADA members are encouraged to read this 21page Summary to learn about everything from dental expenditures to delivery models to future practice settings to the Affordable Care Act’s impact on dental care and delivery. http://www.ada.org/sections/professionalResources/pdfs/Es can2013_ADA_Full.pdf

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Health Watch Bacterial Communities: A Good Thing

Researchers at the University of Michigan recently reported that a wide variation in the types of bacteria that healthy people have in their digestive tracts and elsewhere indicate that beneficial communities of microbes come in many different forms. Each person has a unique collection of bacterial communities arising from their life history, diet, medication use and environmental exposures, the researchers said. Collectively, these communities are known as the “microbiome.” “What our data shows is that just because a person’s microbiome is different doesn’t make it unhealthy,” study author Dr. Patrick Schloss, an associate professor of microbiology and immunology at the University’s Medical School. The team analyzed bacteria samples from nearly three hundred healthy adults. The samples were gathered

from eighteen places on the body, including the mouth, nose, gut, behind each ear, and inside each elbow. “What was unexpected was that it was possible to predict the type of community a person had in their gastrointestinal track based on the community in their mouth,” Dr. Schloss said. “This was possible even though the types of bacteria are very different in the two sites.” The findings might have practical applications sometime in the future, according to Dr. Schloss. “Understanding the diversity of community types and the mechanisms that result in an individual having a particular type or changing types will allow us to use their community type to assess disease risk and to personalize their medical care,” he explained. (continued on page 20)

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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 (September 1 for the October/November/December issue), and information will be published on a space-available basis.

JULY 8

CONTINUING EDUCATION FOR DENTAL EXCELLENCE — Center City — 6:30 p.m., Dinner meeting , Doubletree Hotel, featuring Dr. Robert Lucas, “HPV — The New Epidemic in Oral Pathology.” For information, contact: Vickie Fisher at 215-732-4450 or visit www.PhilaPerioImplants.com

CONTINUING EDUCATION FOR DENTAL EXCELLENCE — Northeast — 6:30 p.m., Dinner meeting, Gallo’s Restaurant, featuring Dr Robert Lucas, “HPV — The New Epidemic in Oral Pathology.” For information, contact: Vickie Fisher at 215-732-4450 or visit www.PhilaPerioImplants.com

AUGUST SEPTEMBER 3

NE DENTAL IMPLANT/PERIODONTAL PROSTHESIS STUDY CLUB — 6:00 p.m., Dinner meeting at the Buck Hotel, Feasterville, featuring Matthew Palermo, D.M.D., Acting Chair, Department of Restorative Dentistry, Temple University Kornberg School of Dentistry, Philadelphia, “Understanding the Full-Arch Fixed Complete Denture” (aka the “Hybrid”) For information, contact Paula Chernoff at 215-677-8686 or email pchernoff@padentalimplants.com

12-13

MOM-N-PA — PDA’s second Mission of Mercy, Allentown. For information and to contribute or register as a volunteer, visit mom-n-pa.com

PHILADELPHIA COUNTY DENTAL SOCIETY — Continuing Education Program at the Philadelphia Hilton Hotel, City Avenue, featuring Nicholas R. Conte, Jr., D.M.D., “Clinical and Material Factors in Achieving the Ideal Impression.” Register online at www.philcodent.org or see the reservation form in this Journal.

CONTINUING EDUCATION FOR DENTAL EXCELLENCE — Joint program in Northeast — 6:30 p.m., Dinner meeting, Gallo’s Restaurant, featuring Dr. Steve Fallon, “Restoring the Edentulous Arch or Failing Dentition.” Sponsored in cooperation with Nobelbiocare. For information, contact Vickie Fisher at 215-7324450 or visit www.PhilaPerioImplants.com

19-21

CHESAPEAKE DENTAL CONFERENCE — Ocean City, MD. For information, call 410-964-2880 or visit www.msda.com/cdc-at-a-glance.html

OCTOBER 1

NE DENTAL IMPLANT/PERIODONTAL PROSTHESIS STUDY CLUB — 6:00 p.m., Dinner meeting at the Buck Hotel, Feasterville featuring William C. Scarfe, B.D.S., F.R.A.C.D.S., M.S., “Cone Beam Computerized Tomography for Site Assessment.” For information, contact Paula Chernoff at 215-677-8686 or e-mail pchernoff@padentalimplants.com

9-14

AMERICAN DENTAL ASSOCIATION — 155th Annual Session, San Antonio, TX. For information, visit the web site at www.ada.org/goto/session

CONTINUING EDUCATION FOR DENTAL EXCELLENCE — Joint program in Northeast — 6:30 p.m., Dinner meeting, Gallo’s Restaurant, featuring Dr. Michael Sonick, “Topic to be announced. Sponsored in cooperation with 3i-Biomet. For information, contact Vickie Fisher at 215-732-4450 or visit www.PhilaPerioImplants.com (continued on page 21)

Notify Us about Changes of E-Mail Address To PCDS Members: If you change your e-mail address, remember to notify the Philadelphia County Dental Society so we can keep our records current and you will continue to receive The Journal electronically. Send your new address to philcodent@aol.com (be certain to send us your full name, too, so we can attach the new address to the correct member.)

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Health Watch (cont’d.) Glucosamine No Help with Joint Damage

Glucosamine does not slow damage to knee joints in people with long-term pain, according to a study published in The Journal of Arthritis & Rheumatology on March 11, 2014. Glucosamine is not regulated by the Food and Drug Administration (FDA). Many people take it as a treatment for osteoarthritis, but its benefit is uncertain, and prior studies have had conflicting results. The new study included two hundred and one adults with chronic knee pain. They were randomly divided into two groups. One group received a daily drink (diet lemonade) that contained glucosamine. The other group received a placebo drink that did not contain the supplement. The study lasted twenty-four weeks. MRI images were taken of people’s knees before and after the study. The images showed no difference between groups in the degree of cartilage loss during the study. There were also no differences between groups in their self-reported pain levels after 12 and 24 weeks of treatment.

Lori Wiviott Tishler, M.D., faculty member at Harvard Medical School, noted on Intelihealth.com that, “I am always happy to see a well-done study about nutritional supplements or alternative treatments. In my experience, patients often feel that supplements must be ‘better’ than other options because they are all natural.” She noted that physicians don’t really know if supplements are helpful or harmful. Since the profession lacks good treatments to stop arthritis from getting worse and good treatments to reduce symptoms, it is not surprising that people who suffer with severe arthritis look toward alternative therapies. Dr. Tishler also noted that the study had limitations: it was relatively short and people did not have to have proven knee osteoarthritis. However, it was encouraging that the researchers looked at structural effects on the knee, not just pain reduction. All of their measures also showed consistent results, which strengthens the conclusions.

Call 1-800-232-3826 for a free practice appraisal, a $5,000 value! 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.

Douglas A. Schmitt, D.D.S. has acquired the practice of Scott S. Markey, D.D.S. - York, Pennsylvania Rene M. Polis, D.M.D. has acquired the practice of Donna J. GiAntonio, D.M.D. - Springfield, Pennsylvania Mohammad Okasha, D.M.D. has acquired the practice of Barry A. Dubin, D.D.S. - Philadelphia, Pennsylvania AFTCO is pleased to have represented all parties in these transitions.

Helping dentists buy & sell practices for over 40 years.

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WWW.AFTCO.NET

Dental Dates (cont’d.) NOVEMBER 5

NE DENTAL IMPLANT/PERIODONTAL PROSTHESIS STUDY CLUB — 6:00 p.m., Dinner meeting at the Buck Hotel, Feasterville, featuring Study Club Members’ Lectures, the “All-on-4™” Experience, Robert A. Levine, D.D.S., F.C.P.P., Zola Makrauer, D.M.D., Gary Nack, D.D.S., F.A.G.D., Harry Randel, D.M.D., Robert Sattler, D.M.D., M.A.G.D. and Drew Shulman, D.M.D., M.A.G.D. For information, contact Paula Chernoff at 215-677-8686 or e-mail pchernoff@padentalimplants.com

6-8

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

PHILADELPHIA COUNTY DENTAL SOCIETY — Continuing Education Program at the Philadelphia Hilton Hotel, City Avenue, featuring Sam Halabo, D.M.D., San Diego, CA, “Achieving Superb Results: Cementation, Bonding and Bulk Fill Composites.” Register online at www.philcodent.org or see the reservation form in this Journal.

CONTINUING EDUCATION FOR DENTAL EXCELLENCE — Joint program in Northeast — 3:00 p.m., Dinner meeting, Gallo’s Restaurant, featuring Dr. Clark Stanford, “Evolution of Dental Implant Therapy — Combining the Best of Procedures, Devices and Patient Care.” Sponsored in cooperation with Dentsply. For information, contact: Vickie Fisher at 215-732-4450 or visit www.PhilaPerioImplants.com

PHILADELPHIA COUNTY DENTAL SOCIETY — Annual Business Meeting and Election of Officers, 7:00 p.m. at the Executive Office.

28 — Dec. 3 GREATER NEW YORK DENTAL MEETING — Jacob Javits Convention Center, New York. Meeting: November 28 to December 3; Exhibits: November 3 to December 3. For information, visit www.gnym.com or call 212-398-6922.

DECEMBER 2

CONTINUING EDUCATION FOR DENTAL EXCELLENCE — Center City — 6:30 p.m., Dinner meeting, Doubletree Hotel, featuring Dr. Pat McGovern, “Ancient Viticulture and Its Therapeutic Effects.” For information, contact: Vickie Fisher at 215-732-4450 or visit www.PhilaPerioImplants.com

CONTINUING EDUCATION FOR DENTAL EXCELLENCE — Northeast — 6:30 p.m., Dinner meeting, Gallo’s Restaurant, featuring Dr. Pat McGovern, “Ancient Viticulture and Its Therapeutic Effects.” For information, contact: Vickie Fisher at 215-732-4450 or visit www.PhilaPerioImplants.com

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

systemspecialties 3.25x7.25

11/15/05

9:09 AM

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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 .

The Insurance Agency for Dentists, LLC Bob Opperman 609-492-5608/215-990-6709 Fax: 609-492-5609 Email: dentistsinsagt@gmail.com

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MY PROFESSION IS

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. Monday thru Thursday, 10 a.m. to 4 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. Monday thru Thursday, 10 a.m. to 4 p.m.

SPACE AVAILABLE — Main Line Location — 4chair office. One-to-three days possible in our fully equipped state-of-the-art facility. Fax for further information at 610-667-4374. FOR SALE — MARYLAND/D.C./NORTHERN VIRGINIA DENTAL PRACTICES: Montgomery County: 4 op, room for more. Retiring. Great location. Fee-for-service. SOUTHERN MARYLAND: 3 ops near Naval Base. P/T grossing $550K. Main highway. Great area. 800-544-1297. Check website listings. www.polcariassociates.com

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 215635-0200.

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 @ 610-667-4374 or call Steven @ 610-960-8905.

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

FOR SALE — General dental practice in Northeast Philadelphia. Established at same location for 61 years. Presently two operatories, but has room for expansion. Excellent opportunity for an energetic business-minded doctor to build a close-knit neighborhood practice. Please call 1-609-280-2768.

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: 215643-0333 or e-mail: dentalpractice@comcast.net FOR SALE — Berks County dental office. Caesy Educational System. Dentrix software, Schick digital radiography, 1500 active patients. 4 modern treatment rooms with state-of-the-art equipment. Freestanding 2100 sq. ft. facility on busy corner with adjacent vacant lot available for expansion. E-mail: berkscountydental@gmail.com or 610-324-6897. 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 @ 610-960-8905. FOR SALE — Office & building; Dr. retired. Accumulate EQUITY while you work, not rent receipts. Located in Pennsauken, NJ, 7 minutes from Philadelphia. Well-known location. 4+ ops, equipment good. 1,000 sf. Call 856-665-6404.

FOR SALE — Well established 20 plus year-old general practice in beautiful modern office using Dentrix and digital radiography. Stunning center city Philadelphia views from a 3 operatory office. Strong hygiene program with over 1700 active patients and over $620,000 on gross collections in a 3 day week. Please call 267-973-9567 or e-mail centercity.dental.sale@gmail.com RENTAL OPPORTUNITY — Fully-equipped dental office one block off Rittenhouse Square available for rent. First floor townhouse. Excellent opportunity for dentist interested in establishing themselves in great neighborhood without major capital investment of either buying practice or fitting out undeveloped space. Enormous growth potential. Opportunity to ultimately purchase the building. Upstairs comprised of fully occupied rental units. If you are interested please e-mail me at claudiabalderston@gmail.com or call 215-266-1566. OPPORTUNITY AVAILABLE — Hygienist — Take charge of your schedule and earning potential. Operations in 5 counties. Call for further information at 610-664-7795.

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

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

Good Career Advice

Whether starting a new job or firmly established in the workplace, you can always profit from some basic advice on how to manage your career. Here are some do’s and don’ts to consider: Do focus on your natural skills. You’ll have to master some new skills during your career, but you’ll generally do best sticking to projects and positions that take advantage of your strengths and talents. Be honest about what you enjoy most and do best, and set goals that fit your personality, not someone else’s preferences. Do stay flexible. Although goals are important, being open to opportunities is crucial. Explore different options as you move through your career. Volunteering for an important cause can round out your skills; tackling a tough assignment can show that you’re willing to take risks. Don’t worry about what you can’t control. Your may think the boss is a grouch, business may be bad, your co-workers may annoy you — but if you can’t do anything about it, don’t waste time complaining. Put your energy into what you can really influence: your own performance and goals. Don’t forget to plan. Doing a good job now is important, but a solid plan for advancement and development will help you stay focused on your overall career. Decide what you really want to accomplish, and break your goal down into step-by-step actions that you can realistically carry out. Don’t get distracted by day-to-day trivia.

Are Your Employees Engaged?

An engaged workforce is committed to your business’ goals and motivated to pursue excellence. To create an atmosphere of engagement, try paying attention to these factors: Expectations. Be clear about your requirements and ask employees what they need in order to achieve them. This helps eliminate most of the surprises and conflicts that create job dissatisfaction. Objectives. Employees want — and need — to know what your strategic goals are and why those objectives are important. Explain what your objecttives mean for all stakeholders: patients, shareholders, managers, and workers. Alignment. Employees want to feel they are in basic agreement with your way of operating. You can’t shift your goals and policies to match every employee’s personal values, of course, but try to hire people whose beliefs and talents fit your business’ culture and strategies.

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Keep a Positive Relationship with Your Boss

If you suspect that your work relationship with your boss or manager isn’t the best it could be, here are some tips to help you rebuild the relationship: Recommit to your job. If you want to stay in place, take some time to review your boss’ expectations. The best way to show him/her that you are serious about keeping your job is to improve your performance as quickly as possible. Focus on the big picture. Make sure you understand what your organization is all about: its mission, strategy, values, and goals. You’ll feel more motivated to do good work if you understand why it matters, and you’ll demonstrate to your boss that you’re aligned with your organization’s vision. Let go of grudges. This may be difficult, but you won’t get ahead if you are constantly obsessing about past injustices. Concentrate on correcting mistakes and moving forward with an open mind and a positive attitude. Clarify your goals. Talk to your boss about his/ her priorities, and make them your own. Discuss what you need to do your job well, without making any unreasonable demands. With clear goals and expectations, you’ll be able to focus your efforts on success more effectively.

Work-Life around the World

Where’s the best place in the world to work? If you’re thinking of relocating to another country (or just curious), check out this list from the Mother Earth Network website: Bulgaria: 410 days of paid maternity leave, at 90 percent of salary. Brazil: Legally mandated 41 days of paid time off (30 days of vacation plus 11 federal holidays). Finland: Up to 40 paid days off a year (30 days of legally mandated vacation, and 10 public holidays). Germany: 27.8-hour workweek. Netherlands: 27.6-hour workweek (along with 16 weeks of maternity leave at full pay). Norway: Parental leave of up to 57 weeks at 80 percent of salary — with 10 weeks specifically reserved for fathers.

The artist is nothing without the gift, but the gift is nothing without work.

· Emile Zola (1840-1902) French novelist, playwright, journalist

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