The Journal of the Philadelphia County Dental Society Vol 81 Issue 2 by Teresa Ravert

The Journal of the Philadelphia County Dental Society

April/May/June 2015

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THE JOURNAL

of the Philadelphia County Dental Society ________________________________________________________________________________

First District of the Pennsylvania Dental Association April/May/June x Vol. 81 x No. 2 _____________________________________________________________________________________________ Saul N. Miller, D.D.S., '17 Editor Stanley B. Toplan, D.D.S. Associate Editor

CONTENTS 2015 MOM-N-PA Event .................................................................... 2

Teresa F. Ravert Executive Director

Medicare Opt In/Opt Out Deadline Approaches ................................ 2

OFFICERS

President’s Message ........................................................................... 3

Andrew J. Mramor, D.D.S. President Renee H. Fennell-Dempsey, D.M.D. 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., '17 Susan M. Chialastri, D.M.D., '15 T.J. Filip, D.M.D., '16 Jay M. Goldberg, D.D.S., '17 Chinchai Hsaio, D.M.D., '15 Kevin J. Klatte, D.M.D., '16 Michael A. Koumaras, D.M.D., '16 Thomas P. Nordone, D.M.D, '16 Mary M. “Toni” Rust., D.D.S., '15 Jonathan Siegel, D.M.D., '17

2015 Liberty Continuing Education Programs ................................... 4 CE Available Online through JADA ..................................................... 7 2015 Officers Installed ......................................................................... 8 Newsbriefs ..........................................................................................9 Legislative Update .............................................................................15 Do You Know? .................................................................................15 Health Watch ....................................................................................16 Supreme Court Rules against NC Board .......................................... 18 Membership Report .......................................................................... 19 Dental Dates ...................................................................................... 20 Take Time to Review Your Insurance Needs .................................. 22 Classified Ads ................................................................................... 23 Workplace Tips .................................................................................. 24 PDA Day on the Hill ............................................. Outside Back Cover

•••

Anand V. Rao, D.M.D., '17 PDA Trustee Thomas W. Gamba, D.D.S., '15 ADA Second Vice President

•••

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

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 2015. The Philadelphia County Dental Society.

THIRD ANNUAL MISSION OF MERCY – PENNSYLVANIA: YOU CAN HELP . . . Friday & Saturday – May 29 & 30 – Farm Show Complex, Harrisburg MOM-n-PA Foundation is a 501c3 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 second MOM-n-PA – September 12 and 13, 2014 in Allentown – was a tremendous success – hundreds of members of the dental community donated free care to more than 2,000 individuals, totaling $1 million in free dentistry. The next MOM-n-PA is scheduled for Harrisburg. 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 and 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

IMPORTANT REMINDER for All Dentists: Medicare Opt In or Opt Out Deadline Approaching Any dentist who treats Medicare beneficiaries must either enroll in the program or opt out in order to prescribe medication to their qualifying patients with Part D drug plans. Dentists who fit this requirement must take action – either to opt in or opt out – by June 1, 2015. Get more information from CMS (Centers for Medicare and Medicaid Services) at http://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/MedicareProviderSupEnroll /Part-D-Enrollment-Information.html For help in deciding whether to enroll or opt out, consult the ADA flowchart at http://success.ada.org/en/practice/medicare/medicare/medicare-decision-infographic

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

President’s Message With the thawing warmth of spring, change finally comes to the landscape around us. Nature’s inner workings have been underway beneath the blanket of snow unbeknownst to most of us, until those first blossoms appear underfoot or in the trees above. I would like for you to know that the Dental Society has been busy over the winter as well, in preparation for several proposed improvements. A subcommittee has been exploring ways to modernize our website to enhance our communication with you and the public. We want to connect it with a social media presence to facilitate more direct interaction with our members and to provide a platform for you to connect with each other. You should have received my legislative alert via email in February notifying you that Mayor Michael Nutter signed Philadelphia City Council’s Bill 141026 (Promoting Healthy Families and Workplaces) into law on February 12. We previously testified in opposition to earlier versions of this bill. This ordinance mandates that certain employees are entitled to paid and unpaid sick leave, all under certain terms and conditions. We will continue to monitor this law and provide you with any relevant information leading up to its implementation. Please send us your email address (send to philcodent@aol.com) so we can continue to keep you informed. Since regulatory or legislative changes can occur at a much faster pace than that of the seasons, we will be able to keep you abreast of future issues in a more timely fashion through the aformentioned changes to the website and through social media. I have met with local leaders from the American Student Dental Association (ASDA) and together, we are looking for ways to improve our relationship and programming. These students are very excited about their futures in the profession but have concerns about their exceptional debt burden and uncertainty with regards to the best course for their career paths. In recent years, the Dental Society has provided financial planning seminars geared towards new dentists and we will explore ways to provide similar programming to dental students from Temple and Penn. Mentoring by local dentists and specialists serves as a powerful way to provide insight and guidance into the business and practice of dentistry. We are considering hosting an in-person event to assist with recruiting mentors and mentees into PDA’s current mentoring program that pairs dental students or new dentists with volunteer members. I encourage you to participate in this program by completing a "Become a Mentor Form" on the PDA’s website under its section on Resources & Programs. Students considering post-doctoral education have reported a specific interest in meeting up with specialists. If you were previously enrolled in the program, please update your

mentor profile. You can direct any questions to the PDA membership department (membership@padental.org or 717234-5941). Last year, the PDA House of Delegates voted to eliminate its assembly and reformat the Annual Session into a business meeting to be combined with other programming. The first ever Pennsylvania Dental Meeting and Expo will occur on April 24-25. It’s a great way to earn CE, learn about issues impacting dentistry and to socialize with your colleagues at the beautiful Hershey Hotel in Hershey, PA. More information can be found at www.padental.org/expo and registration can be completed online if you are interested in attending. The business meeting component will be held at 1:00 PM on Saturday, April 25 and it is free to all members whose dues are paid in full. It is a venue for members to be involved in the governance of the PDA through election of officers and delegates to the 2015 ADA Annual Session and it also provides the opportunity to engage in discussions and advocate for solutions to problems facing the practice of dentistry in the state. If you cannot attend, please make sure to vote electronically by registering your preferred email address with the PDA membership department (membership@padental.org or 717-234-5941). PDA’s Day on the Hill is scheduled for June 2, and it will be followed by the PDA’s Dental Career Expo. This year, we will meet with state legislators in Harrisburg to again discuss assignment of benefits and ways to make dental education more affordable and improve access to dental care. I encourage you to participate because we are more powerful in numbers and can make a greater impact with your attendance. For complete details and to register, please go to the advocacy section of the PDA’s website. Please note that registration ends on May 12. There will be free bus transportation to Day on the Hill from King of Prussia to Harrisburg and back for PDA’s First (Philadelphia) and Second (Montgomery/Bucks, Chester/ Delaware, Lehigh Valley) District members. If you wish to ride the bus, please send your name and cell phone number to our Executive Office at philcodent@aol.com If you have a career opportunity available at your practice, consider registering for the Expo as an exhibitor to market the position you are offering. The next mission of MOM-n-PA will be held on May 2930 in Harrisburg, PA at the Pennsylvania Farm Show Complex & Expo Center. This marks the third annual, twoday volunteer event that provides free dental services to underserved Pennsylvanians. Volunteers are not limited to dentists and participation is open to hygienists, dental assistants, office staff, lab and dental equipment technicians, pharmacists, physicians and all students. Lay volunteers are highly encouraged to participate and these general volunteers represent the greatest need of the event. To find out more, please go to www.mom-n-pa.com At the website, you can register to volunteer or make a donation to this charitable event. On behalf of the entire Dental Society, I hope that you have a fantastic spring season!

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

The Philadelphia County Dental Society presents

The 2015 Liberty Continuing Education Series at the Philadelphia Hilton City Avenue Hotel 4200 City Avenue, Philadelphia, PA

THREE programs remain at the SPECIAL MEMBER TUITION OF $480.00 (individual full-day courses, $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. 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.

N O REFUN DS on courses purchased as part of the CE package. Each full-day program includes lunch and FREE parking validation. At the end of each calendar year, w e provide you w ith an annual transcript of all courses you attended through PCDS . NOT a PCDS Member?? ADA members may become Associate Members of the Society. Dues are $157 for the calendar year (no pro-rating). Contact the PCDS Executive Office (215-925-6050) for an application (or become a member through the web site: www.philcodent.org), and then register for courses at the LOW member rate. NOT an ADA Member?? Contact us about the Liberty Enrollment Program that will enable you to register for courses at the LOW member rate.

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.

For continuing education credit, as designated by the Philadelphia County Dental Society, see Course Descriptions.

Anticipated Participating Partners for all programs include: Garfield Refining, Hereaus-Kulzer; PDAIS, PNC Bank, The Insurance Agency for Dentists

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

CE 82 – Wednesday – May 13, 2015

8:30 a.m. to 3:30 p.m. – Dr. Dale Rosenbach – Treatment Planning the Single-Tooth Restoration. Implant dentistry has become something the average general dentist comes across on a daily basis, and the most common form of these restorations is the single-tooth implant. Whether the general dentist places implants or refers the surgical aspects out, a thorough knowledge of pre-surgical treatment planning will aid the restorative dentist in approaching the single-tooth edentulous space with greater confidence. Participants who complete this course should be able to: 1) Determine the suitability of a site for a single-tooth implant; 2) Determine the suitability of condemned teeth for atraumatic extraction; 3) Appreciate the rationales for timing of surgical implant placement; 4) Recognize both the clinical and radiographic factors that play a role in treatment planning for implants; 5) Understand to what degree a restoratively-driven surgical treatment plan can alter the restorative outcome of therapy; 6) Recognize when a tooth slated for extraction is a good candidate for an immediate implant based according to both functional and esthetic parameters; 7) Understand post-extraction alveolar ridge resorption and how socket preservation and immediate implant placement affect this phenomenon; 8) Recognize when a more conservative vs. a more invasive surgical approach is appropriate; 9) Appreciate how the implementation of socket wall and furcal bone classifications impact on treatment planning for immediate implants. (7 CE credits)

presented in cooperation with Neodent USA, Aim Dental Laboratory, Empire Dental Supplies, Lending Club Patient Solutions/Springstone

NEW DATE: CE 83 – Friday – October 2, 2015 (This program was originally announced as Friday, October 9 – the date has been changed.) 8:30 a.m. to 3:30 p.m. – Dr. Douglas E. Lambert – (morning session) Smile Design: Something Old, Something New, Something Borrowed and Something RED? What do we really need to consider prior to starting an aesthetic case? Is the Golden Proportion really “golden”? The elements of smile design are critical to starting the path toward a successful outcome for both the patient and the dental team, whether it is one tooth or an entire mouth. Yet, the concept can many times seem daunting and confusing. Learn about the role which macro-aesthetics and microaesthetics, simple dental anatomy, color and shade selection, phonetics, material choices, and perio-esthetics play in planning an aesthetic change. Learning Objectives: 1) Patient motivation to enhance a smile; 2) Key components of smile design; 3) Color and shade selection process – human or machine? 4) Importance of photography; 5) The RED Proportion – A New Standard for Designing Your Esthetic Case; 6) Communication: patient, lab, and yourself; 7) “No Prep” vs. “Minimal Prep” veneers. (afternoon session) “Recipe for Success” with Direct Composites. Direct composite resins offer the patient the most simple and cost-effective way to achieve an aesthetic change in the mouth. Composites have reached widespread use within the dental community, but not without a learning curve along the way. This program will offer a “Recipe for Success” based on clinical fundamentals, coupled with the integration of current technologies and materials, to yield simple, reproducible, and efficient techniques for composite restorations. The participants will gain practical knowledge and able to transfer the techniques learned to their daily practices. Learning objectives: 1) Use of unique matrices for composites; 2) How to utilize caries detection technology; 3) Achieving predictable tight interproximal contacts in posterior resins; 4) Discovering the “Best Kept Secret” in composite dentistry; 5) Maximizing the use of flowable resins-including new low stress flowables; 6) Layering vs bulk fill – does it matter? 7) Managing shrinkage and sensitivity in composites; 8) Total-etch vs Self-etch; 9) Streamlining your finishing and polishing protocol. (7 CE credits)

presented in cooperation with The Catapult Elite Group

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CE 84 – Friday – November 13, 2015 8:30 to 3:30 p.m. – Dr. Jack D. Griffin, Jr. – Let’s Stick It Together … Simplifying All Restorations with the Most Successful Aesthetic Materials EVER. So many materials, so little time. With a myriad of newer restorative materials and seemingly endless choices in luting materials and bonding systems … could this stuff be any more confusing? There are excellent materials today that can help us minimize sensitivity, decrease debonding, stop microleakage, and reduce problems we may have with our restorations. They key is having an arsenal that is versatile and almost universal in application and understanding how and when to use them. When do we etch, bond, cement, rinse, blow, cure? Is there a porcelain material that is indicated in almost EVERY situation? How many layers do we need in a posterior composite and how do we get tight contacts and great contours every time? Ever had a patient say “Doc, that tooth was never a problem until you fixed it?” Let’s stop the madness. The goal of this course is to simplify materials and techniques to provide great success with an increased efficiency with both indirect and direct esthetic restorations. We will learn indications for newer indirect materials such as Lithium Dislicate and Zirconia with preparation and placement methods for each. We will learn how to prep fast for success, do great build-ups, and simplify esthetic post placement with new universal bonding materials. Time will be spent learning BIOACTIVE materials that actually stimulate tooth formation. We will eliminate problems you have with posterior composites such as weak contacts, sensitivity, and slow placement with predictable matrix systems, bulk fill materials, and great bonding techniques. We will learn how to do it right the first time and to make the practice more enjoyable and efficient. Topics will include: 1) New indirect materials…. The strongest, most durable materials ever; 2) Lithium disilicate and zirconia … when and how to use to revolutionize your practice success; 3) Let’s Grow Tooth … Regenerative/BIOACTIVE materials…instead of just filling holes, provide an environment where dentin can prosper; 4) Universal bonding agents…the new “GOTTA HAVE” materials and how to use them; 5) Cementation Sanity … luting classes - what type of cement and when’ 6) Bulk fill materials for posterior restorations … more predictable, more efficient; 7) The foundation for success…great post and cores, preps, dentin replacement; 8) Predictable bonding, shaping, and contact formation for efficient posterior composites; 9) New impression systems … is it time to go digital? Best materials for impressions; 10) Drills, burs, lights and other goodies you thought were boring. (7 CE credits)

presented in cooperation with The Catapult Elite Group

Visit the web site at www.philcodent.org for updates on the list of principal sponsors and participating partners

PCDS Continuing Education Convenient Relevant Affordable

Helping you meet your legal and ethical responsibilities.

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

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

RESERVATION FORM / 2015 LIBERTY CONTINUING EDUCATION PROGRAMS PCDS MEMBER NAME _________________________________________________________________ ADA # ______________________ TEL # (_____)________________ FAX # (_____)_______________ ADDRESS _____________________________________________________________________________ CITY/STATE/ZIP__________________________________E-MAIL _____________________________ ATTENDEE’S NAME ___________________________________________________________________ PCDS FULL DAY PROGRAMS – indicate the CODE NUMBER for each course you choose [i.e., CE 81] ____ PCDS Member for 3 FULL DAY programs: #

$480.00

____ PCDS Member for one FULL DAY program: #____

$175.00

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

$250.00

____ Non-Member Dentist, for EACH FULL DAY program: # ____

$300.00

____ Staff employed by PCDS Member for EACH FULL DAY program: #____

$ 95.00

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

$125.00

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

Check

Visa

MasterCard

____ ____ ____ ____

American Express Exp. Date

__/__

Signature (required for charge cards): ______________________________________ Billing Address for Card (required): ________________________________________________________________________ _____________________________________________________________________________________________________ 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 (call to confirm our receipt of FAX) Confirmation, Tickets & Instructions will be mailed to you approximately 10 days prior to each course. CE transcripts will be mailed to you each year in December. Each attendee is responsible for forwarding copies to the appropriate licensing or accrediting agencies (State Board, AGD, Specialty Boards, etc.).

CE Available Online through JADA Licensed U.S. dentists can earn up to three CE credits each month through the JADA Online Continuing Education Program. To participate, go to http://jada.ada.org and choose the “CE” menu option in the JADA Continuing Education program. Credit for JADA CE is provided through the ADA Continuing Education Recognition Program (CERP) and administered by Elsevier, JADA’s publishing house. ADA members will continue to receive JADA CE at a discounted rate. ADA members must be registered for ADA.org members-only content and have an ADA.org password to receive discounted testing fees. Those who have never registered for members-only content will need to obtain a password by contacting the ADA at 800-621-8099 x 3553 or 312-440-2500 (weekdays 8:30 a.m.–5 p.m. Central Time), or sending an email to mscpassword@ada.org (include your membership number in your email. THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Society Officers for 2015 Installed

PCDS Officers at Installation Ceremonies: (l-r) Dr. Anand V. Rao, PDA trustee; Dr. Andrew J. Mramor, president; Dr. Renee H. Fennell-Dempsey, president-elect; Dr. Judith A. McFadden, secretary; Dr. Rochelle G. Lindemeyer, treasurer; Dr. Saul N. Miller, editor; Dr. Peter J. Carroll and Dr. Jay M. Goldberg, members of the Board of Governors.

Philadelphia County Dental Society officers were installed during ceremonies held at the Society’s Executive Offices on January 28, 2015. DR. ANDREW J. MRAMOR was installed as president for 2015 and 2016. He is a 2000 magna cum laude graduate of the Ohio State University College of Dentistry and was elected to membership in Omicron Kappa Upsilon as a senior dental student. He completed a general practice residency at Yale University-New Haven Hospital in June of 2001. He has been the clinical director at Special Smiles, LTD., located at Episcopal Hospital in Philadelphia, since 2006. DR. RENEE H. FENNELL-DEMPSEY will serve as president-elect for 2015 and 2016. She is a thirdgeneration general dentist and a registered nurse. Dr. Fennell-Dempsey graduated from Temple University School of Dentistry in 1993. She frequently lectures to women’s and community groups on a variety of dental health topics. She is a member of the Board of Trustees of the National Dental Association (NDA) and is a past president of New Era Dental Society, the local NDA chapter. She conducts a private dental practice in West Philadelphia. DR. JONATHAN SIEGEL was installed as a member of the Board of Governors for a three-year term. Dr. Siegel is a 2002 graduate of the University of Pennsylvania School of Dental Medicine and completed an AEGD program at the University of

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Medicine and Dentistry of New Jersey in 2003. He conducts a private general practice in Center City Philadelphia. Rejoining the Board of Governors for three-year terms are DR. PETER J. CARROLL AND DR. JAY M. GOLDBERG. DR. KEVIN J. KLATTE, immediate past president, will serve as a member of the Board of Governors for two years. Also installed were: DR. JUDITH A. MCFADDEN, secretary; DR. ROCHELLE G. LINDEMEYER, treasurer; DR. SAUL N. MILLER, editor; and DR. STANLEY B. TOPLAN, historian.

Dr. Klatte (r) accepted a certificate of appreciation for his tenure as president, presented on behalf of the Board by Dr. Judith McFadden.

Newsbriefs Research Briefs Available from ADA Health Policy Institute

A new research brief published by the ADA Health Policy Institute (HPI), entitled Supply of Dentists in the United States Is Likely to Grow, shows the number of dentists in the U.S. will continue to grow over the next generation. Under the most likely scenarios, the ADA’s model predicts that dental school graduations will exceed dentist retirements. The net increase of practicing dentists will exceed the corresponding growth of the U.S. population. Available at ADA.org/researchbriefs, the new report, shows the number of dentists practicing per 100,000 people today has climbed more than 4 percent from 2003 to 2013 and is projected to climb 1.5 percent from 2013 to 2018 and 2.6 percent by 2033. Other available new reports from HPI include: x Dental Care Utilization Rate Highest Ever Among Children, Continues to Decline Among Working-Age Adults. HPI found that from 2011 to 2012, dental care utilization increased among children and decreased among working-age adults. x Dental Benefits Expanded for Children, Young Adults in 2012. More children had dental benefits in 2012 than in the previous year, representing a continuation of more than a decadelong trend. The percentage of children without dental benefits is at its lowest rate since the Medical Expenditure Panel Survey, the source of HPI’s data for this brief, began tracking dental insurance coverage in 1999. x Fewer Americans Forgoing Dental Care Due to Cost. The percentage of the population reporting cost as a barrier to receiving necessary dental care fell in 2013. This is the third year of this decline, reversing the increase that occurred from 2000 to 2010. Despite improvements in affordability over the last few years, cost still remains the most critical barrier to obtaining needed dental care. x Most Important Barriers to Dental Care Are Financial, Not Supply Related. Between 2004 and 2012, fewer Americans reported needing dental care but not getting it. In both periods, among a group of 11 types of barriers to receiving needed dental care, financial barriers were mentioned most often. The level of financial barriers was highest among lowincome, nonelderly adults. x A Ten-Year, State-by-State Analysis of Medicaid Fee-for-Service Reimbursement Rates for Dental Care Services. HPI found that the average Medicaid fee-for-service reimbursement rate was 48.8 percent of commercial dental insurance charges for pediatric

dental care services and 40.7 percent for adult dental care services. Over the past decade, Medicaid reimbursement for pediatric dental care services relative to market rates fell in 39 states. The available evidence strongly suggests that enhanced Medicaid reimbursement, in conjunction with other reforms, increases provider participation and access to dental care for Medicaid enrollees.

FDA: No Change in Position on Amalgam

As reported by Craig Palmer in the ADA News, the U.S. Food and Drug Administration updated its consumer advisory on dental amalgam fillings on January 27, 2015, but “there is no change in our position,” an agency spokeswoman told Association representatives. There are no changes in FDA’s content for health professionals because “we don’t think the information for health professionals is changing,” said an FDA spokesperson. “Our position on dental amalgam hasn’t changed. There is some content that changes.” The FDA released letters denying three citizen petitions to ban or restrict dental amalgam, telling one petitioner, “FDA finds that the information you submitted, as well as other information that we have reviewed, does not support a finding that dental amalgam presents a substantial deception or an unreasonable and substantial risk of illness or injury.” Letters to the three petitioners said in conclusion, “Even so, FDA continues to evaluate the safety of dental amalgam and will take any further actions that are warranted.” The consumer update advises patients to “discuss treatment options with your dentist.” Other language “clarifies” and “changes” descriptions and content in the answers to these questions: x What is dental amalgam? x What should I know before getting a dental amalgam filling? x Benefits x Potential Risks x What is bioaccumulation? x Is the mercury in dental amalgam the same as the mercury in some types of fish? x If I am concerned about the mercury in dental amalgam, should I have my fillings removed? The FDA concluded in 2009 that dental amalgam was a safe and effective restorative treatment and issued a final rule, which the ADA supported, that reclassified dental mercury and amalgam components for regulatory purposes. Read the FDA Update at http://www.fda.gov/MedicalDevices/ProductsandMedicalProced ures/DentalProducts/DentalAmalgam/ucm171094.htm (continued on page 10)

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Newsbriefs (cont’d.) CDT 2015 Products Available

CDT 2015: Dental Procedure Codes book (J015), the only Health Insurance Portability and Accountability Act-recognized code set for dentistry, is designed for dental staff to use daily as a resource to code and document services accurately for claim submissions and dental records. CDT 2015 comes in three formats: a 180-page book (J015), $39.95 for members and $59.95 retail; an e-book (J015D), $29.95 for members and $44.95 retail; and a print and e-book bundle (J015B), $49.95 for members and $69.95 retail. It is also sold as a kit, CDT 2015 Kit (K215) with the CDT Companion 2015: Help Guide and Training Manual (J445). The CDT Companion 2015 contains more than 150 coding questions and answers, 26 detailed coding exercises and 15 quizzes to shore up a dental team’s preparedness for accurate coding. Purchased separately, the 242-page workbook (J445) is $49.95 for members and $74.95 retail. The e-book version (J445D) is $39.95 for members and $59.95 retail; the print and e-book bundle (J445B) is $59.95 for members and $84.95 retail. Bundled as a kit, CDT 2015 and the CDT Companion 2015 are $75 for members and $112.50 retail. The kit also is available in e-book form (K215D), which is $65 for members and $97.50 retail. The 2015 CDT Code Check App (J015i) for the iOS (iPhone, iPad) and Android-powered mobile devices (phones and tablets) is available for $19.99 for members and $29.95 in the Apple iTunes Store and the Android Market. The 2014 CDT Codes are free when you download the 2015 version. The 2015 CDT Code Check App includes 16 new procedure codes and 52 revised procedure codes. The 2015 app may be ordered from adacatalog.org and then downloaded from the Apple or Google Play stores. The app must be purchased annually to receive new CDT code sets. To purchase any of these CDT products, visit adacatalog.org or call 1-800-947-4746.

Dental Spending Slowing

An article on ADANews.org by staffer, Craig Palmer, notes that government actuaries have cited slower growth in dental spending than was projected just three months earlier in a study revising the postrecession National Health Expenditures (NHE) narrative from “low rates of growth” to “slowdown.” The 3.6 percent increase in the 2013 rate of growth in the overall health economy is the lowest on record since NHE record keeping began in 1960, the Centers for Medicare & Medicaid Services Office of the Actuary said.

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In September of 2014, actuaries had projected that 2013 dental spending would total $113 billion at a 1.9 percent annual growth rate. The study published in December of 2014 by the journal Health Affairs said actual dental spending increased by just 0.9 percent to $111 billion. Dental spending and the annual growth rate had been inching upward since 2009 when it increased minimally from $102.4 billion to $102.5 billion or 0.1 percent over 2008. The 2013 growth rate is the lowest since then.

ADA Report: Preventive Antibiotic Use Not Recommended Prior to Dental Treatment for Most Patients with Prosthetic Joints

January 2015’s Journal of the American Dental Association (JADA) reports that an updated ADA clinical practice guideline finds that in general, for patients with prosthetic joint implants, the use of prophylactic antibiotics, or antibiotics administered to prevent the risk of infection, are not recommended prior to dental procedures to prevent prosthetic joint infection (PJIs). The guidance, was created by a panel of experts tasked by the ADA Council on Scientific Affairs. “The panel found that the current best evidence failed to demonstrate an association between dental procedures and prosthetic joint infection,” said Dr. Thomas Hart, Chair of the ADA Council on Scientific Affairs. “However, this guideline should be integrated with professional judgment and used along with other available, patient-specific data, needs and preferences to determine an evidence-based approach to care.” Dentists should note that there does not appear to be a conflict between the updated ADA prosthetic joint infection practice guideline and a recent Lancet publication on infective endocarditis. "Prosthetic joint infection and infective endocarditis are different disorders," said Dr. Thomas Sollecito, who is one of nine members of the panel. "They have different risk factors. The microorganisms involved in PJIs are often from different ecosystems than the oral cavity whereas those in infective endocarditis can be from the mouth." The full recommendation, entitled, "The Use of Prophylactic Antibiotics Prior to Dental Procedures in Patients with Prosthetic Joints: Evidence-Based Clinical Practice Guideline for Dental Practitioners," can be accessed in the January 2015 print edition of JADA and on the JADA website. (continued on page 11)

Newsbriefs (cont’d.) NERB Changes Name to The Commission on Dental Competency Assessments

In an effort to more aptly reflect all of its member states, the North East Regional Board (NERB) introduced its new name in January 2015: The Commission on Dental Competency Assessments (CDCA). According to its website cdcaexams.org the new name better recognizes the geographical diversity of its current member dental boards NERB was founded in 1969 to facilitate the licensure examination process for candidates and eliminate the need for repetition of state board clinical examinations. It expanded from its original eight member states/jurisdictions to 24, including states across five time zones – from Maine and Florida to Hawaii. Today, CDCA administered clinical examinations are accepted in 46 different states and Jamaica.

ADA Offers Identity Theft Resource

Protecting Yourself From Identity Theft, an ADA member resource available on ADA.org, attempts to provide dentists with information needed to respond to the unauthorized disclosure or theft of their personal information. This resource summarizes steps an individual can take to respond to identity theft and provides links to federal government resources with more information about those steps. Among common forms of identity theft cited in the document are tax return ID theft; credit, ATM and debit card ID theft; child ID theft; medical ID theft, and military ID theft. The document also includes sections on “Protecting Yourself Is Important,” “Warning Signs of Identity Theft” and “Action Items for Victims of Identity Theft.” The document provides information from federal government sources including the Federal Trade Commission (FTC), Internal Revenue Service (IRS) and Social Security Administration (SSA) but does not include information about state law requirements. ADA advises dentists whose personal information has been compromised to seek information from the appropriate federal or state agency and legal advice from their own attorneys on matters involving data security and identify theft. This member-only resource is available at www.ada.org/ID-Theft In addition, the FTC and IRS posted educational materials and other resources during the current tax filing season that focus on tax-related ID theft, describing it variously as “a scam to avoid, “a major concern,” “a growing issue” and “an ongoing battle as

identity thieves continue to create new ways of stealing personal information and using it for their gain.” Visit ftc.gov/taxidtheft and the identity theft section at irs.gov for more information.

A 210 Million Year-Old Tooth Bite

Long ago, an epic battle occurred between two deadly enemies. The victor isn’t clear, but paleontologists at an excavation site in New Mexico have the evidence: a tooth embedded in the leg of an ancient dinosaur. The struggle took place about 210 million years ago, reports the Sci-News website, between a crocodile-like amphibian dinosaur called a phytosaur and a large reptile known as a rauisuchid. Scientists previously believed that the two dominant species didn’t tangle with each other, since the rauisuchid ruled the land while the phytosaur patrolled the sea. The discovery of a phytosaur tooth in the femur of a rauisuchid changes the theory of that relationship, though, and paleontologists expect to go back and challenge their assumptions about ecosystems during the Triassic period of Earth’s development. Read the article at http://www.sci-news.com/paleontology/science-evidencebattle-triassic-predators-phytosaur-rauisuchid-02179.html

Pennsylvania Convention Center: Optimistic Economic Impact for 2015

As a result of the latest agreement on work rules between the Pennsylvania Convention Center and the trade unions last year, the Center booked new shows that will generate more than $350 million in economic impact for the Philadelphia region. 2015 promises even greater returns for the region’s hospitality industry as the Convention Center welcomes the World Meeting of Families and Pope Francis. Initial estimates project the papal visit will attract more than 1 million visitors from around the world. Other major events at the Center will include the 2015 BIO International Convention, American Association for Cancer Research, International Society for Technology in Education and the NAACP; plus regional favorites such as the Auto Show, Flower Show, Philadelphia Marathon and Comic Con events. (continued on page 12)

UVUVUVUV

All you need is love. But a little chocolate now and then doesn’t hurt. º

Charles M. Schulz

(American cartoonist; creator of Peanuts)

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Newsbriefs (cont’d.) Victory for Fluoride in Dallas, Texas

During the spring of 2014, the City of Dallas found itself in a conflict about continuing its fluoridated water supply. Through hard work by the Dallas County Dental Society (DCDS), the City Council voted 13-2 in favor of renewing the city’s contract for fluoride treatment of the drinking water for an estimated 2.3 million citizens. Several Council meetings held in 2014 were filled with people hoping to keep the funding for fluoridation out of the budget. The victory for dental health came at the January 28, 2015 Council meeting. The city's contract with the fluoride supplier had expired and a new three-year $1 million contract was on the agenda for approval. Antifluoride groups brought in a large crowd in order to stop the funding. In the weeks leading up to the meeting, DCDS members and leaders contacted Council members, other local leaders, dental and medical organizations, leaders of 20 surrounding cities that purchase treated water from Dallas Water Utilities and local media to voice their support for the program. “First and foremost, we are obligated to health and safety,” DCDS President Dr. J. Christian Miller said in a letter to the Dallas Morning News touting the benefits and safety of fluoridated water. “It is our responsibility as health care providers to support evidence-based practices that are in the best interest of our patients and community.” Dean of Texas A&M University Baylor College of Dentistry, Dr. Lawrence Wolinsky, addressed the Council stating that “Ceasing fluoridation is counterintuitive to improvement, considering that dental decay is one of the most common childhood diseases and is responsible for an estimated 51 million school hours lost among children.” Dr. Wolinsky pointed out that the $1 million saved over three years by the city would be nominal compared to the costs in increased dental care.

Dentistry: Best Occupation

ADA staffer Craig Palmer reported in the January 14, 2015 ADA News that “Dentist” is number one on U.S. News and World Report’s list of best occupations of 2015 for offering “a comfortable salary, low unemployment rate and agreeable work-life balance.” Dentists also top the publication’s list of best health care occupations. “Dental hygienist” is number five on the top 100 list and number four on the health care list, which has “dental assistant” at number sixty-seven. “Today’s students want it all. And dentistry really does deliver that. What other profession allows you to care for patients, make a good living, work as part of a team and have flexibility?” said Dr. Richard W.

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Valachovic, president and chief executive officer of the American Dental Education Association. The U.S. News and World Report quoted Dr. Ada S. Cooper, an ADA consumer adviser, on the process of becoming a dentist and professional opportunities that “will find you – you won’t need to hunt them down.”

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.

Encourage Patients to Become Marrow Donors

ADA encourages members to support participation in the bone marrow matching program by providing appropriate literature in their offices, gathering samples and forwarding them for registration. Dentists are encouraged to get the kits, swab their patients' cheeks and send the samples in to the bone marrow registry. Because a medical or dental professional is not necessary for the task, you can also encourage your patients to obtain a kit with the materials to swab their own cheek cells and mail the samples to a bone marrow registry. One of the largest registries in the country is the National Marrow Donor Program – online at http://marrow.org/Home.aspx Doctors around the world search the registry to find a match for their patients in need of a bone marrow transplant. People can join online and receive their kit in the mail or in person. Another registry is Gift of Life Bone Marrow Foundation – online at http://www.giftoflife.org/default.aspx (continued on page 13)

Newsbriefs (cont’d.) Dental X-Ray Procedures Exam Information

To meet state requirements to perform dental xray procedures in Pennsylvania, dental assistants are required to pass the Radiation Health and Safety (RHS) exam administered by the Dental Assisting National Board, Inc. (DANB). After passing the exam, assistants must complete an application from the Pennsylvania State Board of Dentistry (SBOD) for authorization to perform x-ray procedures. Once authorization has been received, assistants may only perform x-ray procedures on the premises of a dentist under the direct supervision of the dentist. Dental assistants who are already authorized by the SBOD to perform radiological procedures do not need to retest. For more information, visit www.danb.org On the left side, click State Specific Information, select PA, and you will be able to access the needed information, or call 1-800-FOR-DANB.

What Frightens Most Americans

What are you most afraid of? The Chapman Survey on American Fears examines the everyday fears and worries of Americans. From a recent sample of 1,500 people, the survey determined that Americans’ top fears (as distinguished from mere “concerns”) are: x Walking alone at night. x Identity theft. x Internet safety. x Random/mass shootings. x Public speaking. At a lower level of anxiety, the study also identified the top five areas of concern among Americans: x Identity theft via the Internet. x Corporate surveillance of Internet use. x Running out of money. x Government Internet surveillance. x Illness. When asked about natural disasters, respondents admitted being most afraid of these catastrophic events: x Tornadoes and hurricanes. x Earthquakes. x Floods. x Epidemics. x Blackout/power loss.

OSHA Compliance Assistance

If you have been receiving advertising notices about the need for OSHA workplace compliance posters, stop before you order. The company sending the notices wants to SELL these to you. The advertisements may even list the fines and/or penalties that may be incurred if your office is visited by an OSHA inspector and found not to be in compliance. You do not need to buy anything. You should be able to download any compliance posters that the government requires. Visit the Department of Labor’s Office of Compliance Assistance at http://www.dol.gov/compliance/topics/posters.htm

Be kind, for everyone you meet is fighting a hard battle. º

Plato

Become a Mentor: Take Our Daughters & Sons to Work Day Thursday – April 23, 2015 This day is a perfect time to mentor your own children – let them discover the power and possibilities of a balanced professional and family life and provide them with an opportunity to learn about and share the activities of your day. More than 37 million youth and adults have participated at 3.5 million workplaces each year for the last 21 years. Recommended ages: 8 to 18. Take Our Daughters and Sons To Work Day has inspired future generations of girls and boys by helping bring them into the workplace to explore the many life choices they have.

Become a mentor – it’s a good thing!

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Legislative Update: Sick Leave Legislation Bill 141026 (Promoting Healthy Families and Workplaces) was approved by City Council and signed by Mayor Nutter on February 12, 2015. All employers that employ ten or more employees must provide paid sick time to their employees in compliance with the provisions of the legislation. Please read the requirements in the law and/or refer it to the person who performs your Human Resources tasks. You may recall that the previous Bill (130004) was passed by City Council and then vetoed by Mayor Nutter. The Mayor then formulated a Task Force composed of representatives from various labor forces to study the topic of paid sick leave. The Task Force reported back to the Mayor in December of 2014. Councilman Greenlee, the Bill’s original sponsor, then re-introduced the Bill at the beginning of 2015, this time with enough support on Council to override any veto. There was a public hearing on February 3, and the Bill was unanimously moved out of committee with a favorable recommendation. The rules of Council were suspended; the first reading took place at Council’s session on February 5, and it was passed on February 12 and signed into law by the Mayor that same day. Some of the highlights of Bill 141026 are: . . . x All employers that employ ten or more employees shall provide paid sick time to their employees in accordance with the provisions of this Chapter.

x All employees not entitled to paid sick time pursuant to this Chapter shall be entitled to unpaid sick time in accordance with the provisions of this Chapter. x All employees shall accrue a minimum of one hour of sick time for every 40 hours worked in Philadelphia. Employees will not accrue more than 40 hours of sick time in a calendar year, unless the employer selects a higher limit. x Employees who are exempt from overtime requirements under 29 U.S.C. § 213(a)(1) of the Federal Fair Labor Standards Act will be assumed to work 40 hours in each work week for purposes of sick time accrual unless their normal work week is less than 40 hours, in which case sick time accrues based upon that normal work week. x Sick time as provided in this Section shall begin to accrue on the effective date of this Ordinance, as to an employee who is employed as of such effective date. An employee who becomes employed after such effective date shall begin to accrue paid sick time at the commencement of his or her employment. To read Bill 141026, visit http://phila.legistar.com/Legislation.aspx/Help2.html (in the Search box type 141026, [be sure the year is listed as 2015] when that page comes up, click on the highlighted 141026, then look for the word “Attachments” and you can download a certified copy of the Bill.)

Do You Know? The American Dental Association has a number of Spanish resources and materials available for dental professionals and patients. The ADA has compiled a list of oral health and dental resources available from the ADA as well as other oral health organizations. For instance, patient education information is available from the ADA Catalog; MouthHealthy.org is available to provide oral health information to patients through all stages of life; and, among others, there are resources for Spanish language information available from the American Association of Oral and Maxillofacial

Surgeons, Colgate and the Hispanic Dental Association. For more information, visit online at https://www.ada.org/en/about-the-ada/spanish-resources The ADA Center for Professional Success offers member dentists vast resources to help them succeed in their businesses. Information can be accessed on a variety of human resource topics – from being a great boss to managing effective team meetings to using flexible benefit plans in your office and more. For information, visit online at https://www.ada.org/en/home-cps/practice/staff/humanresources

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Health Watch Think before Working Out

You work out regularly, so why aren’t you in the best shape of your life? You could be sabotaging yourself without realizing it. Whether you go to a fancy health club or simply exercise at home, don’t undercut your progress. Avoid these mistakes: >_d gQb]Y^W e` `b_`Ub\i Without a thorough warm-up, you won’t get all the benefits of a good workout, and you increase your chances of injury. Don’t leap right into exercise – get your muscles ready to work. 3_^ce]Y^W dXU gb_^W SQ\_bYUc Energy drinks and power bars may seem healthier than soda and chocolate, but they still add unwanted calories. Keep up your energy with fruits and vegetables, not trendy sports beverages or massive bran muffins.

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CdQbfY^W i_ebcU\V The flip side of eating too much is not eating enough to get through your workout. If you are hungry, you’ll tend to binge on highcalorie foods later. Focus on a healthy diet that supports your effort. 4_Y^W dXU gb_^W UhUbSYcU What do you want to accomplish? Get specific: Do you want to lose weight, build up muscle, increase your endurance, train for a marathon? Set clear goals, and then talk to a trainer about the best exercises for them. ?fUbT_Y^W i_eb g_b[_ed Exercising for hours at a time can release hormones into your system that aren’t good for your body in excess. Training seven days a week can wear you out and won’t give your body sufficient time to adapt and recover. Take a reasonable approach to your workouts so you don’t wear yourself out with no result. (continued on page 17)

Health Watch (cont’d.) Recognize Stroke Symptoms

observe, or experience, any of these symptoms, seek medical help right away.

Every minute matters when someone suffers a stroke. Prompt medical attention can make a huge difference in whether the person lives or dies, as well as in the quality of his or her recovery. Be alert for these warnings signs so you can take

Eat Your Breakfast Every Day

Mother always told you that breakfast is the most important meal of the day; but not everyone listens to her advice. A recent National Eating Trends survey found that 31 million adults skip breakfast in the morning. Most of them are millennials, ages 18 to 34. Why eat breakfast? People who sit down to breakfast every day have a twenty percent lower risk of developing obesity, and a nineteen percent lower risk of developing type 2 diabetes (according to a 2013 report from the University of Minnesota School of Public Health). A 2012 study by The Nutrition Society found that people ages 20 to 39, who eat a regular breakfast, have lower cholesterol and are less likely to suffer from high blood pressure than those who dash out of the house with an empty stomach. Great reasons to eat your breakfast every day!

fast action: 4YVVYSe\di gQ\[Y^W The person may appear dizzy, off-balance, or uncoordinated on his or her feet. C`UUSX `b_R\U]c Stroke can affect a person’s ability to remember words or pronounce them correctly, making him or her seem confused or intoxicated. 4b__`Y^W VQSU One side of the person’s face may droop or look frozen. 4YVVYSe\di gYdX Qb] ]_fU]U^dc Ask the person to lift both arms. An inability to raise his or her hands may indicate a stroke. 8UQTQSXU Stroke can cause a sudden, severe headache accompanied by nausea or vomiting. If you

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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.

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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 DQG WR WKH ZD\ HYHU\ SDUW LV FRQQHFWHG 5HFRJQL]H WKH GHVWUXFWLYH LQIODPPDWRU\ FDVFDGH LQ \RXU SDWLHQWV Discover how visceral fat behaYHV OLNH DQ DFWLYH RUJDQ FDXVLQJ KDYRF WKURXJKRXW WKH ERG\ PRXWK ,GHQWLI\ NH\ IRRGV OLIHVW\OH KDELWV WKDW FRQWULEXWH WR LQIODPPDWLRQ 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 interQDWLRQDOO\ UHFRJQL]HG ZHOOQHVV SHUIRUPDQFH H[SHUW 7KLV SUDFWLFLQJ GHQWLVW IURP 7RURQWR LV 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. Registration for all courses 8:15 AM. Lecture 9:00 AM – 4:15 PM. Continental breakfast and lunch included for all DKU courses. Delco and Chesco Society Members - Entire Series plus both bonus Courses - $695, Individual Courses - $195, 3 Cuorses - $530, 4 Cuorses - $615 Other ADA Members - Entire Series plus both bonus Courses - $745 Individual Courses - $210, 3 Courses - $570, 4 Cuorses - $665 Non-ADA Members - Entire Series plus both bonus Courses - $815, Individual Courses - $225, 3 Cuorses - $605, 4 Cuorses - $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

Supreme Court Rules against NC Dental Board By now, you are probably aware that the U.S. Supreme Court has ruled against the North Carolina Board of Dentistry’s order for nondentists to cease and desist offering teeth whitening services in that state. The FTC and, subsequently, the U.S. Court of Appeals for the 4th Circuit ruled that the board’s position violated antitrust laws. The ADA spearheaded an effort, joined by the American Medical Association as well as a host of other health care organizations, to submit a friend of the court brief to the U.S. Supreme Court urging reversal of the 4th Circuit. The ADA’s general counsel, J. Craig Busey, said, “The court’s decision leaves professional boards across the country in a quandary, with no explanation as to what level

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

of active supervision is necessary to invoke immunity for each board. In addition, boards are likely to be extremely reluctant to take actions that may subject them to legal exposure, and individual members may be justifiably concerned about possible liability. We will be working with other organizations to provide some kind of guidance for the boards, but it will not be an easy task. We are extremely disappointed with the Supreme Court’s decision.” Visit ada.org to read the ADA Legal Department’s analysis, as well as the Supreme Court’s ruling (in the search box, enter Supreme Court Rules against North Carolina Board).

Membership Report

We welcome the following to membership in the Philadelphia County Dental Society. JANUARY 28, 2015

Dr. Michael Kopa Temple University Kornberg School of Dentistry, 2014

RECENT GRADUATE Dr. Kimberly Babb Temple University Kornberg School of Dentistry, 2014

Dr. Elisheva Niedelman Temple University Kornberg School of Dentistry, 2014

Dr. I-Fang Chen University of Pennsylvania School of Dental Medicine 2014

Dr. Srijana Pokhrel New York University College of Dentistry, 2014

Dr. Stephan Kim Temple University Kornberg School of Dentistry, 2014

Dr. Garima Sinha University of Pittsburgh School of Dental Medicine, 2013 University of Pennsylvania School of Dental Medicine, 2014 (Oral Surgery Internship)

NECROLOGY Dr. Ruth H. Coder

February 2015

30 years experience serving the dental community!

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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 email: philcodent@aol.com or fax: 215-925-6998. Deadline for publication is the first of the month prior to publication (June1 for the July/August/September issue), and information will be published on a space-available basis.

APRIL 15

CONTINUING EDUCATION FOR DENTAL EXCELLENCE – Joint program in Northeast – 6:30 Dinner meeting at Gallo’s Restaurant, featuring Dr. David Kim, “Hard Tissue Management.” Sponsored in cooperation with Geistlich. For information, contact Vickie Fisher at 215-732-4450 or visit www.PhilaPerioImplants.com

PHILADELPHIA COUNTY DENTAL SOCIETY – Meeting of the Board of Governors, Council and Committee Chairs. 7:00 p.m. at the Executive Office. All members are welcome to attend.

CENTER CITY STUDY CLUB – 6:00 p.m., Dinner meeting at The Palm Restaurant, featuring Dr. Amy James, “Orthodontics Redefined.” For information, contact Amanda Cerini at amanda.aec@gmail.com or 215-985-4337 or visit the website at www.laudenbach.com

24-25

PENNSYLVANIA’S DENTAL MEETING – Annual Meeting of the Pennsylvania Dental Association at The Hotel Hershey, Hershey, PA. For information, consult the PDA Journal, or visit www.padental.org/expo or contact Rebecca Von Nieda at rvn@padental.org

MAY 6

NE DENTAL IMPLANT/PERIODONTAL PROSTHESIS STUDY CLUB – Dinner meeting at the Buck Hotel, Feasterville, at 6:00 p.m., featuring Zola Makrauer D.M.D., F.A.G.D., Gary Nack, D.D.S., F.A.G.D. and Harry Randel, D.M.D., Advanced Restorative, Implant & Cosmetic Dentistry, “Advanced Provisionalization for Complex Dental Implant & Restorative Cases.” For information, contact Paula Chernoff at 215677-8686 or email at pchernoff@padentalimplants.com

PHILADELPHIA COUNTY DENTAL SOCIETY – Continuing Education Program at the Philadelphia Hilton Hotel, City Avenue, featuring Dr. Dale Rosenbach, “Treatment Planning the Single-Tooth Restoration.” Register online at www.philcodent.org or see Registration form in this Journal.

GREATER PHILADELPHIA DENTAL HYGIENE STUDY CLUB – Featuring Lynne Slim, R.D.H., B.S.D.H., M.S.D.H., “Evidence-Based Dental Implant Assessment and Maintenance.” For information, contact Maggie Rutherford, R.D.H. at mrutherford@padentalimplants.com

EASTERN DENTAL SOCIETY – All Day Program at the Buck Hotel, Feasterville, featuring Timothy Bigza, D.D.S.; Theresa Groody, M.Ed., E.F.D.A., C.D.A., Marriane Drywer, R.D.H., M.Ed.; and Amy Kirsch, “Dentistry 360.” For information, contact Dr. Michael Salin at Info@Eastern-Dental.org or visit online at www.Eastern-Dental.org or call 215-322-7810.

CONTINUING EDUCATION FOR DENTAL EXCELLENCE – Joint program in Northeast – 6:30 Dinner meeting at Gallo’s Restaurant, featuring Dr. Roger J. Wise, “Pediatric and Adult Dental Trauma – The Multi-Disciplinary Approach.” For information, contact Vickie Fisher at 215-732-4450 or visit www.PhilaPerioImplants.com 29-30 MOM-N-PA – PDA’s third annual Mission of Mercy, at the Farm Show Complex in Harrisburg. For information or to make a contribution or to register as a volunteer, visit mom-n-pa.com

JUNE 2

PENNSYLVANIA DENTAL ASSOCIATION – DAY ON THE HILL – meet with your state legislators about items of concern to dentists and their patients. For information and to register, visit www.padental.org/dayonthehill

CONTINUING EDUCATION FOR DENTAL EXCELLENCE – Joint program in Northeast – 6:30 Dinner meeting at Gallo’s Restaurant, featuring Dr. Georgios Romanos, “Immediate Loading of Dental Implants: A Team Approach.” Sponsored in cooperation with Dentsply. For information, contact Vickie Fisher at 215-732-4450 or visit www.PhilaPerioImplants.com (continued on page 21)

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Dental Dates (cont’d.) 10

NE DENTAL IMPLANT/PERIODONTAL PROSTHESIS STUDY CLUB – Dinner meeting at the Buck Hotel, Feasterville, at 6:00 p.m., featuring J. Kobi Stern, D.M.D., M.Sc., Chair. Dept. of Periodontics & Implantology, University of Georgia, “Periodontal Surgical Procedures – Meeting Today’s Esthetic Challenges.” For additional information, contact Paula Chernoff at 215-677-8686 or email at pchernoff@padentalimplants.com

CONTINUING EDUCATION FOR DENTAL EXCELLENCE – Northeast – 6:30 Dinner meeting at Gallo’s Restaurant, featuring Adam Travia, “Natural Therapies for Dental Health.” For information, contact Vickie Fisher at 215-732-4450 or visit www.PhilaPerioImplants.com

SEPTEMBER 9

NE DENTAL IMPLANT/PERIODONTAL PROSTHESIS STUDY CLUB – Dinner meeting at the Buck Hotel, Feasterville, at 6:00 p.m., featuring Joseph R. Greenberg, D.M.D., Clinical Professor, Advanced Restorative Dentistry, Temple University Kornberg School of Dentistry, “Dento-Facial Therapeutic Model for Examination, Diagnosis & Treatment Planning Working in Esthetic Dentistry.” For additional information, contact Paula Chernoff at 215-677-8686 or email at pchernoff@padentalimplants.com

GREATER PHILADELPHIA DENTAL HYGIENE STUDY CLUB – Featuring Debra Youngfelt, B.S., M.C.H.E.S., C.T.T.S.,“Every Smoker, Every Time: Brief Clinical Interventions for Successful Tobacco Cessation.” For information, contact Maggie Rutherford, R.D.H. at mrutherford@padentalimplants.com

OCTOBER 2

PHILADELPHIA COUNTY DENTAL SOCIETY – (Revised Date) Continuing Education Program at the Philadelphia Hilton Hotel, City Avenue, featuring Dr. Douglas E. Lambert, (morning session) “Smile Design: Something Old, Something New, Something Borrowed and Something RED?”, (afternoon session) “Recipe for Success with Direct Composites.” Register online at www.philcodent.org or see Registration form in this Journal.

NE DENTAL IMPLANT/PERIODONTAL PROSTHESIS STUDY CLUB – Dinner meeting at the Buck Hotel, Feasterville, at 6:00 p.m., featuring Lorraine Guth, President, Motivations by Mouth, “Market Driven Success Strategies for the Dental Pracdtice of the Future.” For additional information, contact Paula Chernoff at 215-677-8686 or email at pchernoff@padentalimplants.com

GREATER PHILADELPHIA DENTAL HYGIENE STUDY CLUB – Featuring Philip L. Fava, II, D.M.D., M.D.Sc., “Periodontal Plastic Surgery and Periodontal Laser Therapy: What Are the Benefits for Your Patients?” For information, contact Maggie Rutherford, R.D.H. at mrutherford@padentalimplants.com

NOVEMBER 4

NE DENTAL IMPLANT/PERIODONTAL PROSTHESIS STUDY CLUB – Dinner meeting at the Buck Hotel, Feasterville, at 6:00 p.m., featuring Markus B. Blatz, D.M.D., Ph.D., Professor of Restorative Dentistry, Chair, Department of Preventative & Restorative Sciences, University of Pennsylvania School of Dental Medicine, “The Ceramic Update in Esthetic Dentistry.” For additional information, contact Paula Chernoff at 215-677-8686 or email at pchernoff@padentalimplants.com

PHILADELPHIA COUNTY DENTAL SOCIETY – Continuing Education Program at the Philadelphia Hilton Hotel, City Avenue, featuring Dr. Jack D. Griffin, Jr., “Let’s Stick It Together … Simplifying All Restorations with the Most Successful Aesthetic Materials EVER.” Register online at www.philcodent.org or see Registration form in this Journal.

GREATER PHILADELPHIA DENTAL HYGIENE STUDY CLUB – Featuring Lillian J. Caperila, R.D.H., B.S.D.H., M.Ed., “The 4 C’s in solving the Caries Puzzle – Caries Management by Risk Assessment.” For information, contact Maggie Rutherford, R.D.H. at mrutherford@padentalimplants.com

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Take Time to Review Your Insurance Needs In February 2015, the ADA News printed a letter from an El Paso, Texas, dentist extolling the worth of good disability and practice overhead insurance. The doctor detailed his recent health history, including chemo, stem cell transplant and maintenance chemo. He reported that he had to close his practice for six months and move to Houston for three months to be near his treatment facility. He recalled that when he first opened his practice 26 years ago, his accountant (who was also his father) stressed the need for satisfactory insurance coverage. Over the years, he continued to take advantage of the automatic increases and even took out a second policy from the ADA-endorsed carrier. He often thought that the monthly statements seemed excessive and that he was wasting a lot of money. He said that, because of the disability coverage and the office overhead insurance, he was able to retain most of his savings and was even able to keep his employees on the payroll during his recent illness. He plainly states: “Please don’t underestimate the need for this type of coverage. You and your family will depend on it just to make ends meet if the unthinkable happens.” Now is a good time to review your insurance coverages or to expand your coverage or to initiate coverage if you don’t have it. PCDS members can contact the Society’s endorsed vendor USI (formerly Willis of Delaware) and speak with Kurt Taylor (302-397-0332 or kurt.taylor@usi.biz). PDA members can contact Pennsylvania Dental Association Insurance Services, Inc. (PDAIS) at 1-800732-4748 or www.PDAIS.com ADA members can find out about the ADA-sponsored insurance plans at insurance.ada.org Or, contact your personal insurance representative. Be sure to take the time to review your insurance needs.

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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. 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. FOR SALE – Dental practice with great potential. The University City area of Philadelphia is booming. Universities and hospitals are expanding and new luxury apartment buildings are going up. This is one of the last individually owned Dental Practices in the area. Already paperless with digital x-rays. Call Henry Lazarus at 215-382-5126 or email: hlazar@verizon.net EQUPMENT FOR SALE – Forest dental chair, green, like new. Chair is in perfect working order and was barely used. $5,000 negotiable. Call 856-5770053. Ask for Mervat or email: mervat1029@yahoo.com MARYLAND/D.C./NORTHERN VIRGINIA DENTAL PRACTICES FOR SALE – No buyer’s fees. WESTMINSTER – 4 ops grossing $400K, high net, Digital XR, FFS; FREDERICK, MD – 3 ops retiring, PT, restorative; SOUTHERN MARYLAND NEAR WATER – PRICE REDUCTION – Retiring, grossing over $500K PT . Call 800-544-1297 or check our web site at www.polcariassociates.com FOR SALE – Berks County, PA – Busy office located on 2100 sq. feet w/room to expand. Diverse group of patients; PPO’s HMO’s & Medicaid. Intraoral cameras, digital x-ray, and a patient education system in all 4 operatories. About 30 new patients per month. Lots of opportunity to grow this, currently, 28 hours per week office. Please call or email Sharon Mascetti 484-788-4071 or email: Sharon.mascetti@henryschein.com (#PA151).

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

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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 email: dentalpractice@comcast.net FOR SALE – Chester County, PA – Very nice 23 year old practice in the heart of a great area. Recent cosmetic update, and the 2000 sq. feet show VERY well. 4 ops, plumbed for 5 and the equipment averages 10 years old. Robust recall system with staff that will be instrumental in the transition. SoftDent. Please call or email: Henry Schein Professional Practice Transition representative Sharon Mascetti at 484788-4071 or Sharon.mascetti@henryschein.com (#PA150). OPPORTUNITY AVAILABLE – Hygienist – Take charge of your schedule and earning potential. Operations in 5 counties. Call for further information at 610-664-7795. 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. 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

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.

Create a ‘Trust Fund’ with Your Team

Trust between you and your employees is crucial to the long-term enthusiasm, loyalty, and productivity of your team. It’s built in small ways, and rests on your credibility. Here are some thoughts on how to develop trust in your work relationships: Share information. This helps employees make good decisions on their own. It builds their confidence while increasing their willingness to actively participate in the growth of the organization. Avoid showing favoritism. Equal treatment must be practiced to promote trust, teamwork, and respect. Be straightforward with staff members. Don’t be afraid to admit that you don’t have a ready answer, rather than waffling or throwing out a haphazard reply that lacks credibility. Show flexibility in decision making. Make exceptions to the rules when common sense dictates it. Consider unusual alternatives for problems that can’t be resolved by typical methods. Express appreciation for jobs well done. Be specific with your praise or you’ll fall into the habit of using meaningless catchphrases like “Good job, Susan!” Also, be prompt in recognizing achievements. Speak one on one with employees. There’s no better way to build a relationship of trust than through personal, face-to-face contact.

Get Along and Get Ahead

Success at work calls for the right combination of skills. The most important are the people skills: your capacity for getting along with co-workers, patients and the boss. Cultivate these essentials: Empathy. The ability to view situations from another person’s perspective is crucial. You’ll build better relationships if you can put yourself in the shoes of the people around you. ?`dY]Yc] People like to hang out with coworkers who see opportunities, not problems. You don’t have to be a “Pollyanna” all the time, but resist the urge to complain, and focus on what’s going right. Self-promotion. Make sure people know who you are and what you can do for them. Don’t brag, but be willing to help whenever you can, and soon your coworkers will start to depend on your expertise. Appreciation. Thank people for their help, and congratulate them when they achieve something significant. They’ll notice that you’re paying attention to them and return the favor.

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Trouble Thinking?

We all have moments when the ideas seem to dry up. No matter how hard you pound your head, everything that comes out feels either half-baked or stale. Don’t give up. When you can’t think, try these tactics to get your creative motor revving again. Drink more water. Being hydrated keeps your brain and body fresh and energized. Clean up. Too much clutter can be distracting. Spend a few minutes clearing your workspace to clear your mind. Take a walk. Get out of the office for some fresh air and exercise. A change in scenery can give you a new perspective. Inhale. Light a scented candle or some incense (being careful not to burn down the office, of course), or visit a cosmetics counter to sniff some fragrance. Aromas can trigger memories and ideas. Write a letter. Instead of trying to come up with an idea, write a letter about the idea you want. Free associate, and don’t worry about grammar or organization. Just let the thoughts spill out. Play some music. Listen to something different – a new radio station or a friend’s CD. The rhythms may spark a brainstorm.

Age: No Barrier to Creativity

People sometimes think creativity is for the young. Children are endlessly imaginative, but the elderly are set in their ways. After all, you can’t teach an old dog new tricks, right? Consider some of the creative accomplishments by people who may have seemed, at first glance, to be past their prime: Goethe: famous German poet, finished Part 2 of his masterpiece Faust shortly before his death in 1832, when he was 83. Arthur Rubenstein, concert pianist, performed at Carnegie Hall at age 90. Grandma Moses, artist Anna Mary Robertson, had her first solo exhibition of paintings in 1940, when she was 80 years old. George Bernard Shaw, Irish-born playwright, remained active until his death in 1950 at age 94, when he published his final play. He was working on another unfinished play when he died. Pablo Casals, cellist and conductor, born in 1876, continued to perform on concert tours in his 80s.

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2015 PDA DAY ON THE HILL – TUESDAY, JUNE 2 MARK YOUR CALENDAR NOW PDA was successful with two of the funding issues for which members lobbied during Day on the Hill on June 3, 2014. In J u l y 2014, Governor Tom Corbett signed the budget that passed the Pennsylvania General Assembly. ¾ $150,000 was included for Dental Lifeline Network to operate the Donated Dental Services (DDS) program in Pennsylvania, which serves individuals who are elderly, disabled or medically fragile, who do not qualify for public assistance but cannot afford the cost of dental care. ¾ An additional $1 million was approved for the health practitioner loan forgiveness program, which provides loan repayment for dentists and other healthcare providers who practice in health professional shortage areas. While this does not change the amount of loan repayment for dentists (a maximum of $64,000 for up to four years commitment), it should increase the number of slots available for dentists who wish to apply to this program. The collective voice of PDA members LIKE YOU during the annual trip to the state Capitol truly does help the association achieve its advocacy goals. Many thanks to all those who took the time to attend the 2014 Day on the Hill.

Save the date – PDA Day on the Hill – June 2, 2015