The Journal of the Philadelphia County Dental Society Volume 81 Issue 4 by Teresa Ravert

The Journal of the Philadelphia County Dental Society

October/November/December July/August/September 2015

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THE JOURNAL

of the Philadelphia County Dental Society ________________________________________________________________________________

First District of the Pennsylvania Dental Association October/November/December 2015 x Vol. 81 x No. 4 _____________________________________________________________________________________________ Saul N. Miller, D.D.S., '17 Editor

CONTENTS

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

Report of Bylaws Committee ............................................................. 2

Teresa F. Ravert Executive Director

OFFICERS

Andrew J. Mramor, D.D.S. President Renee H. Fennell-Dempsey, D.M.D. President-Elect

Nominations ........................................................................................ 2 President’s Message ...........................................................................3 Necrology.............................................................................................3 Is Dental Insurance Really “Insurance?”............................................. 4 Requests for Necessity of Periapical Radiographs ............................. 4

Judith A McFadden, D.M.D. Secretary A J. Chialastri, D.D.S. Secretary Emeritus

Newsbriefs ..........................................................................................5

Rochelle B. Lindemeyer, D.M.D. Treasurer

Dental Dates.......................................................................................16

Stanley B. Toplan, D.D.S. Historian

GOVERNORS

PA Releases Opioid Prescribing Guidelines for Dentists ................. 10 Health Watch ..................................................................................... 11 Classified Ads ................................................................................... 19 Workplace Tips .................................................................................. 20

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

•••

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.

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

On September 3, 2015, the Board of Governors approved revisions to the Society’s Bylaws. The revisions, printed below, will be on the agenda for a final vote by members attending the Annual Business Meeting, Tuesday, November 17, at 7:00 p.m. at the Society’s Executive Office (all members are welcome to attend). The proposed revisions require a 2/3 majority of those voting.

ARTICLE 3.0 BOARD OF GOVERNORS 3.1 COMPOSITION AND TERM OF OFFICE 3.1.1 The Board of Governors, hereinafter referred to as “the Board,” shall consist of members in good standing. 3.1.2 All duly elected officers, except for the Historian, shall be voting members of the Board, with the President only voting in the event of a tie. 3.1.3 The Immediate Past President shall be a voting member of the Board. 3.1.4 There shall be nine (9) six (6) elected members as follows: there shall be elected at each Annual Business Meeting three (3) two (2) members who shall serve for three (3) years, and who may not again be candidates for election to the Board until at least one year after the end of their prior terms. 3.1.5 The PDA First District Trustee shall be a voting member of the Board. 3.1.6 The following Society members shall serve as ex officio members of the Board without the right to vote: ADA and PDA officers, past presidents and emeritus officers of this Society. 3.1.7 Any governor may be removed from the Board for non-attendance at more than two meetings during a Society year or for other valid cause as may be determined by the Board.

ARTICLE 4.0 4.2 TERMS OF OFFICE 4.2.1 The terms of officers shall coincide with the fiscal year of the Society. 4.2.2 The President and President-Elect shall serve a term of two (2) years. 4.2.3 The terms of office for the Secretary, Treasurer and Historian shall be one (1) year, with a maximum of five (5) consecutive terms. 4.2.4 The term of office of the Editor shall be three (3) four (4) years, with a maximum of two (2) consecutive terms. ARTICLE 11.0 NOMINATIONS 11.1 NOMINATIONS 11.1.1 Nominees shall be Active, Life or Retired members. No person shall be nominated without his/her consent and an expression of willingness to serve if elected. 11.1.2 Nominees shall be proposed for each of the following offices: President-Elect (when applicable); Secretary; Treasurer; Editor (when applicable); Historian; Trustee to the PDA (when applicable); Three (3) Two (2) Governors

Nominations

As mandated by the Bylaws, the Board of Governors met as a Nominating Committee and presents the following report of nominations for 2016: Secretary:

Judith A. McFadden, D.M.D.

Treasurer:

Rochelle G. Lindemeyer, D.M.D.

Historian:

Stanley B. Toplan, D.D.S.

In order to comply with the anticipated Bylaws revisions, the Board will take a directed action to realign the terms of office of the six Governors who will still remain in office as of January 1, 2016. The Bylaws provide: 12.1.4 Additional nominations may be made by written petition signed by at least twenty (20) Active, Life or Retired Members in good standing. Such petitions must be submitted to the Secretary at least fifteen (15) days prior to the date of the Annual Business Meeting. The Secretary shall make a prompt determination as to the eligibility of nominees and willingness to serve if elected. 12.1.5 No additional nominations shall be made from the floor at the Annual Business Meeting.

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President’s Message Andrew J. Mramor, D.D.S.

I hope that this finds you well after a rejuvenating summer and back into the swing of things at your practice and home. If you missed my previous message on volunteerism in the July/ August/September issue of The Journal, please make sure that you take a look and get involved! As one would expect, the summer months were slow in dental politics but a few events did occur including a PDA-sponsored mixer in Philadelphia on September 10 for the dental students of Penn and Temple. As noted before, the students really enjoy these events and it’s a great opportunity to interact with our future colleagues. Don’t worry if you missed it this time around; another one will be held in the spring. Our first board meeting after the summer took place on September 30, and the Dental Society’s annual business meeting is scheduled for November 17. All members are invited and encouraged to attend. It will be held at our boardroom at the executive office in Philadelphia. Contact the Dental Society for more details if you are interested in attending. There are still spaces left for this year’s last CE course – Friday, November 13: Dr. Jack D. Griffin, Jr. will present “Let’s Stick It Together. . . Simplifying All Restorations with the Most Successful Aesthetic Materials

EVER.” Contact the Dental Society today to reserve your seat. The American Dental Association’s Annual Session will be close to home in Washington DC, on November 5-8. The speakers for the opening session on Thursday will include Eleanor Clift and Charles Krauthammer. As always, there are a number of tours and receptions, including one at the Smithsonian. A Mission of Mercy will be held on Sunday, November 8. Make sure to take advantage of discounted Amtrak tickets, hotels and other travel discounts through the ADA if you plan to attend. If you have been out of dental school or residency less than 10 years, please note that the ADA is hosting a New Dentist Conference in conjunction with this year’s Annual Session. For complete details on both, make sure to visit the ADA’s web page at ADA.org/meeting At the start of my term, a subcommittee was organized to evaluate the Dental Society’s online presence. We are still exploring ways to improve our social media presence and the revamping of our web page. If you have any interest in becoming more involved with these efforts, please let me know because I welcome your assistance! Thank you once again for being a member. Please let us know of any suggestions on how we can enhance your membership and consider becoming more active in our leadership.

NECROLOGY Dr. Walter Gaskill – July 2015 Dr. Seymour Oliet – August 2015

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Is Dental Insurance Really “Insurance”? (Editor’s Note: The ADA has released the following information about dental benefit plans, which is designed to help you explain dental benefits to your patients.) No! The term “dental insurance” is a misnomer. An insurance plan is designed to make someone whole in the event of a loss. What your patients have are best named “dental benefit plans.” Typical employersponsored dental benefit plans are designed to help pay for only some of the patient’s necessary dental care. Coverage is not based on what patients need or what the dentist recommends. Instead, dental plan coverage is based on how many premium dollars the patient’s employer is willing to pay. Note that new pediatric (child-only) dental plans available through the Marketplaces created as an “essential health benefit” by the Affordable Care Act

(ACA) are more like coverage available in medical benefit plans. These do not have an annual maximum and further limit out-of-pocket expenses (deductibles, copays and coinsurance) for patients per year. After reaching the out-of-pocket maximum ($350 for individual kids) the plan has to pay for all incurred dentally necessary expenses. Too often, patients (and sometimes even dentists) do not understand the difference between medical “insurance” and a dental “benefit” plan. It is important for dentists to explain this difference to their patients. For more information on dental benefits and to access a quick set of videos visit the Center for Professional Success web site and go to https://success.ada.org/en/practice/...t-video-series

Requests for Necessity of Periapical Radiographs Many members have called the PCDS and the PDA as a result of requests from insurance companies for documentation of periapical x-rays. Editor Saul Miller spoke with the PDA’s Vince Pinizotto who offered a copy of an article written in the June 2015 issue of Insurance Solutions Newsletter, a provider newsletter about coding and working with carriers: “It is becoming more common for payers to require a narrative or chart notes when submitting periapical radiographic images, especially when taken at a recall visit. Some payers may even request the periapical image be submitted for review. Periapical images should only be taken following a patient evaluation in which the doctor determines they are medically necessary. All radiographs must be recommended and ordered by the dentist based on clinical necessity, and that necessity must be documented in the patient’s chart. It is inappropriate to take radiographs routinely based on ‘office protocol.’ without the dentist recommending specific images for the patient.” In an August 17, 2015 article in ADA News online, Kelly Soderlund reported that United Concordia Companies Inc. began denying claims for any periapical radiograph taken routinely on a patient who does not have complaints or symptoms. United Concordia sent a letter to participating dentists on June 30 stating that beginning on August 14, periapical radiographs taken routinely in the absence of a patient complaining or showing specific signs and symptoms will be denied and the dentist will not be able to bill the patient. Periapical radiographs taken as a result of specific signs and/or symptoms that are supported by the Food and Drug Administration (FDA) guidelines for prescribing

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radiographs will be allowed, according to the letter. Claims must include a copy of the radiograph and an explanation of the patient’s signs and symptoms. Without this information, United Concordia will deny the claim for lack of diagnostic materials, the letter says. Dr. Charles Hoffman, chair of the ADA Council on Dental Benefit Programs (CDBP), wrote a letter to Dr. James Bramson, chief dental officer for United Concordia, on July 21 expressing the council’s opposition to the new policy. “We disagree with such a policy and feel it is unnecessary for dentists to submit the actual radiographs,” Dr. Hoffman wrote. “Determination should be based on the reason for taking the radiograph, not what is subsequently seen on the radiograph. Review of the radiographs will not provide more information about the reason for taking the radiographs than simply clear justification that can be noted in the remarks section of the claim form itself.” Dr. Bramson responded on August 3 and said United Concordia began implementing its periapical radiograph policy on January 1, 2013, on a state-bystate basis and since then it has not affected the company’s timeliness or ability to accurately pay claims. He wrote that United Concordia took earlier concerns expressed by CDBP into consideration when weighing this policy but ultimately believes that the required documentation supports the rationale for providing the X-ray and makes the review and approval easier. Read the entire article online at ada.org –search for ADA United Concordia.

Newsbriefs Your Patients and the ADA Code of Ethics

ADA member dentists are unique in that they have something that other dentists don’t: a Code of Ethics. Patients like that, according to the results of a new study commissioned by the Association’s Council on Ethics, Bylaws and Judicial Affairs. Reporting on ADA News online on July 15, 2015, staffer David Burger said that nearly seventy percent of patients are more likely to choose an ADA member dentist knowing that those dentists follow a Code of Ethics, the study showed. The survey also showed that nearly 75 percent of patients said that simply knowing that a dentist was a member of the ADA would influence whom they selected as a dentist. The survey was conducted among a Censusbalanced, nationally representative sample of 1,000 people, with a 3 percent margin of error. Respondents were asked to read a description of the ADA Code before responding to a final question. The survey tested whether public knowledge of the ADA Code and its fundamental purpose of putting the interests of patients first would resonate with the public and might result in channeling patients to ADA member dentists. The findings included: x Sixty-seven percent of respondents knew if their dentists were members of the ADA. x Two in five consumers believed that ADA dentists hold themselves to a higher standard than other dentists. After learning about the Code, the number increased to fifty-three percent. x Patients aged 35-64 were more likely to be influenced by the Code when choosing a dentist, while people in the 18-24 age range were considerably less influenced by the Code. x If people believe they are already going to an ADA dentist, the Code will likely influence them to look even more strongly for another ADA member the next time they are in need of a dentist. Dr. Linda K. Himmelberger, Chair of the Council on Ethics, Bylaws and Judicial Affairs noted that dentists should print out the ADA Code and have copies of it in the waiting room and/or posted conspicuously in their waiting rooms. It is also recommended that members should either post the Code on their websites or post an existing video about the Code, available at ADA.org/en/about-theada/principles-of-ethics-code-of-professional-conduct on their sites. Printed copies of the Code are available upon request by contacting the coordinator of CEBJA, Earl Sewell, at 1-312-440-2499 or sewelle@ada.org The Code can be viewed at ADA.org

ADA Publishes New Guideline for Treatment of Periodontitis

The July 2015 issue of The Journal of the American Dental Association contained an evidencebased practice guideline on nonsurgical treatment of patients with chronic periodontitis by means of scaling and root planing (SRP) with or without adjuncts. Read the abstract or the entire report at http://jada.ada.org/article/S0002-8177(15)00334-7/fulltext

Appeals Court Upholds Teeth-Whitening Law

Teeth-whitening services “are naturally within the sphere of dentistry” and state law prohibits nondentists from offering them, the Alabama Supreme Court said in a June 5, 2015 ruling. “The legislature, moreover, has expressly provided that teeth whitening falls within the ‘practice of dentistry,’ and a presumption of constitutionality attaches to this legislative pronouncement,” the court said. “For the foregoing reasons, we hold that the requirement in the Dental Practice Act that teethwhitening services be performed by licensed dentists does not violate the due process protections of the Alabama Constitution of 1901,” the court said. The ruling affirmed a lower court’s 2014 judgment in favor of the Alabama Board of Dental Examiners and against nondentist vendors of teeth-whitening services. The Associated Press reported that a federal appeals court ruled on July17, 2015 that Connecticut has justification to impose “certain regulations on teeth-whitening businesses.” According to the article, “The 2nd U.S. Circuit Court of Appeals in New York said a number of reasons exist for rules governing teeth-whitening, particularly the practice of shining a light on teeth to activate peroxides.” A nondentist tooth whitener had challenged the regulation after being asked to stop providing the procedure in 2011 by the NY Department of Public Health. “The Dental Commission ruled only dentists may perform certain procedures.” Readers may recall that, earlier in 2015, the U.S. Supreme Court ruled against the North Carolina Board of Dentistry’s order for nondentists to cease and desist offering teeth whitening services in North Carolina on grounds that the order violated antitrust laws. (continued on page 6)

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Newsbriefs (cont’d.) New York AG Takes Action against Aspen Dental

A June 19, 2015 ADA News article by staffer, Kelly Sunderland reported that the New York attorney general announced a settlement with Aspen Dental Management Inc. that requires the company to pay a $450,000 penalty, remove itself from any clinical decisions within its practices, not split patients’ fees with the clinics and make it clear to consumers that the management company is not a provider of dental services. Under the agreement, which only pertains to Aspen Dental Management’s affiliated practices in New York, the company must stop exercising any control over dental practices’ clinical decision-making and will not communicate directly with practices’ clinical staff concerning the provision of dental care, sales of services or products to patients or the amount of revenue generated by services or products. ADA President Maxine Feinberg said “The ADA strongly advocates for noninterference in clinical decision-making and we’re pleased to see that this agreement supports this view. Decisions about dental care should be between the patient and the dentist.” Aspen Dental Management Inc., based in East Syracuse, New York, provides business support and administrative services to seven independently owned dental practices that maintain 40 offices in New York The settlement requires Aspen not to share in the dental practices’ fees for professional services rendered; to keep the practices’ finances separate from its own; and to allow the practices to have full and complete control over their revenues, profits, incomes, disbursements, bank accounts and other financial matters and decisions. Aspen Dental Management also agreed to reform its marketing practices, making clear to consumers on its website and elsewhere that the company provides only administrative and business support services to dental practices that are independently owned and operated by licensed dentists. The ruling came after the attorney general’s office received more than 300 complaints since 2005 about consumers’ experiences at Aspen affiliated offices across New York. The complaints concerned quality of care, billing practices, misleading advertising, upselling of medical services and products that consumers felt were unnecessary and unclear or incomplete terms for the financing of dental care. “The investigation revealed that Aspen Dental did not merely provide arms-length, back-end business and administrative support to independent dental practices, said the attorney general. Aspen “has developed what amounts to a chain of dental

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practices technically owned by individual dentists but which, in violation of New York law, were subject to extensive control by Aspen Dental Management. That control included sharing individual clinic profits with the management company and the marketing by the management company under the shared Aspen Dental trade name.” The attorney general’s office also said that the company incentivized and pressured staff to increase sales of dental services and products, implementing revenue-oriented patient scheduling systems and hired and oversaw clinical staff, including associate dentists and dental hygienists. The New York State Dental Association voiced its approval of the attorney general’s office recognizing the dentist’s position as the superior clinical decision maker.

Revised Guide Helps Create Employee Manual

The ADA Catalog has revised its best-selling book “The ADA Practical Guide to Creating and Updating an Employee Manual” to help dentists and dental practices avoid potential liability and staff problems. The book has 99 sample policies, as well as numerous sample forms, checklists and job descripttions that can be customized to a dental practice’s needs. An included flash drive has policies and forms in Microsoft Word for quick and easy personalization. The practical guide helps users: x Design and implement an employee policy manual, whether from scratch or a revision of a practice’s current manuals. x Navigate the hiring process, from writing the job description to placing an ad to interviewing candidates. It covers what the employer can and cannot ask in an interview, offers sample questions specific to various jobs in dental offices, and shows how to make an offer or politely – and legally – reject a candidate. x Terminate an employee. x Conduct and document fair annual performance evaluations. x Use progressive discipline as a tool to document and correct undesirable employee behavior. The guide also offers information on compensation, benefits, electronic communication policies, personal appearance, dress codes, staff training, attendance, employee motivation and patient management. To order, visit ADAcatalog.org ($89.95 for ADA members; $134.95 retail). (continued on page 7)

Newsbriefs (cont’d.) Aetna Buys Humana

Aetna’s announcement early in July 2015 that it has agreed to buy Humana for $37 billion generated significant media coverage, with many outlets casting the deal as part of a larger wave of consolidation in the healthcare industry. The ADA Morning Huddle noted that “. . . the acquisition is seen as the first of several expected mergers among major US health insurers.” Dan Diamond, contributor to Forbes Magazine, wrote in an online article that “. . . the big are getting bigger: Aetna and Humana, the nation’s number three and number four health insurers by revenue, are merging. Aetna will pay about $230 per share for Humana, in a $37 billion cash and stock deal, the largest-ever deal in the health insurance industry. . . It’s also the latest major merger in an increasingly frantic health care marketplace. Aetna and Humana still need federal approval. But the combined company could become the nation’s number two health insurer, behind UnitedHealth Group. The deal, subject to shareholder and regulatory approval, is expected to close in the second half of 2016.” ADA reported that the CEOs of Aetna and Humana “said the deal made sense in the rapidly changing health care market, especially since Aetna and Humana have what they called ‘complementary customers,’ with Humana handling a growing Medicare Advantage business and Aetna handling a large and diverse commercial business.”

Fun Facts from the World of Literature

The world of books, reading, and words is full of surprises. Take a look at some of these stories about writers and other creative people (from the Buzzfeed website): Green Eggs & Ham. This Dr. Seuss classic was written on a bet. Publisher Bennett Cerf wagered $50 that Ted Geisel couldn’t write a children’s book using fewer than 50 different words. Geisel won. DX_]Qc :UVVUbc_^ The third U.S. president and writer of the Declaration of Independence, invented more than 100 “American” words to distinguish U.S. writing from British usage – including the word “anglophobia.” Gone with the Wind. Margaret Mitchell began work on her first and only novel after recovering from an auto accident. During her convalescence, she read so many books from the local library that her husband got tired of going back and forth – so he suggested that she try writing a book of her own.

Big Premium Hikes in ACA Plans for 2016?

An article in the ADA Morning Huddle early in July 2015, noted that health insurers “around the country are seeking rate increases of 20 percent to 40 percent or more” in 2016, claiming their new Affordable Care Act customers are “sicker than expected.” An article in the New York Times on July 4, 2015 said that “Blue Cross and Blue Shield plans – market leaders in many states – are seeking rate increases that average 23 percent in Illinois, 25 percent in North Carolina, 31 percent in Oklahoma, 36 percent in Tennessee and 54 percent in Minnesota, according to documents posted online by the federal government and state insurance commissioners and interviews with insurance executives.” The article goes on to say that the proposed rate increases “are the first to reflect a full year of experience with the new in-surance exchanges and federal standards” and they “suggest that insurance markets are still adjusting to shock waves set off by the Affordable Care Act.” In response to the premium hikes, Health and Human Services (HHS) Secretary Sylvia Mathews Burwell said “that federal subsidies would soften the impact of any rate increases.” She encouraged customers to “try to find less expensive plans in the open enrollment period that begins in November.” Of the 10.2 million people who obtained coverage through federal and state market-places in 2015, eighty-five percent received subsidies in the form of tax credits to help pay premiums. Oregon recently approved 2016 rate increases for companies that cover more than 220,000 people. Moda Health Plan, which has the largest enrollment in the state, received a 25 percent increase, and the second-largest plan, LifeWise, received a 33 percent increase. A study of eleven cities in different states by the Kaiser Family Foundation found that consumers would see relatively modest increases in premiums if they were willing to switch plans. But if they switch plans, consumers would have no guarantee that they can keep their doctors. And to get low premiums, they sometimes need to accept a more limited choice of doctors and hospitals. (continued on page 8)

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Newsbriefs (cont’d.) Department of Labor Considers New Overtime Pay Rule

On July 16, 2015 the U.S. Department of Labor (DOL) announced a proposed rule that would extend overtime protections to nearly 5 million white collar workers within the first year of its implementation. Failure to update the overtime regulations, says DOL, has left an exception to overtime eligibility originally meant for highly-compensated executive, administrative, and professional employees now applying to workers earning as little as $23,660 a year. For example, a convenience store manager, fast food assistant manager, or some office workers may be expected to work 50 or 60 hours a week or more, making less than the poverty level for a family of four, and not receive a dime of overtime pay. Under current DOL regulations, last updated in 2004, employers are required to pay all employees time-and-a-half for any hours they work in excess of 40 hours per week if they make less than $23,660 per year, regardless of the employee’s job responsibilities. The proposed rule would more than double that salary threshold so that any employee earning a salary of less than $50,440 per year would become eligible for overtime pay. In addition, the minimum salary would automatically increase each year to match the 40th percentile of the average salary earned by full-time employees in the United States. While the rule won’t likely be finalized for months, the change is forcing companies to consider keeping closer tabs on hours worked by overtimeeligible employees, including how to handle work done out-of-office, such as responding to emails in the evening or working at a conference over a weekend. In a letter dated September 1 to the director of the Division of Regulation, Legislation and Interpretation, ADA President Maxine Feinberg and Executive Director Kathleen O’Loughlin said the revision could leave some dental employers affected by the change with the options of raising fees, which could be detrimental to millions of American already struggling to pay health care bills, or limiting the hours some employees work, which is not realistic for many dental practices because of after-hours emergencies and other patient problems that make working hours unpredictable.

A Reminder about PA Hiring Laws

The Pennsylvania New Hire Reporting Program was established in 1998 in accordance with federal and state law. It mandates that all employers report basic information about all newly hired and re-hired employees. The Pennsylvania New Hires

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Reporting Program aids in the collection of child support from non-custodial parents. Information provided by employers is matched against files containing the names of non-custodial parents who owe child support. When a match occurs, a notice is immediately sent notifying the employer to withhold child support, thus expediting child support payments. For calendar year 2014, nearly $21.5 million in child support monies were collected due to the new hire cross match. Since 2010, child support collections activity from wage garnishments issued to obligors totaled $134.5 million through December 2014, an average of $2.2 million per month. Data collected from the Program is also used to detect fraud in the UC (unemployment compensation) and workers' compensation programs. Since 1998, this matching process has identified in excess of 78,500 UC fraud overpayments resulting in the recovery of $34.7 million. To learn more about the New Hire Reporting Program and reporting process, visit www.CWDS.pa.gov and click on the "Report New Hires" hyperlink under the "Employers" section.

Did You Know?

A dentist by the name of Joaquim Jose da Silva Xavier, better known as Tiradentes (tooth-puller), organized Brazil’s first independence movement. After the death of his parents, he was raised by a tutor, who was a surgeon. He held several positions in his life, including cattle driver, miner and dentist. In 1789, Brazil was suffering after three hundred years of Portuguese rule and oppression. The royal family in Lisbon forbade the reading of books and newspapers because they did not want the people to aspire to rebellious tendencies. However, the Brazilian colonists learned about the American Revolution and the French Enlightenment. A group of army officers, gold mine owners, priests and lawyers conspired to oust the Portuguese ruler in Brazil. Unfortunately, an informer within the movement told the authorities and Tiradentes was arrested before the governor could be unseated. After a trial of almost three years’ duration, he, alone among ten men on trial, was executed in 1792, but was held in high regard by the people for years after that. By 1821, after continued insurrections, the son of the King of Portugal decided to join the independence movement and was crowned the first emperor of Brazil. In 1889, Brazil became a republic, and April 21 (the date of Tiradentes’ execution) was declared a national holiday, which it still is today. (continued on page 9)

Newsbriefs (cont’d.) Fluoride Wins Again

a nonprofit dental clinic in Martinsville and informed city council members about fluoridation facts before the vote. Also, city commissioners in Eustis, Florida, voted unanimously to maintain community water fluoridation in the community, according to the Florida Dental Association. Members of the association gave a presentation and were present at the meeting. Finally, fluoridation will continue in Austin, Texas, after two city committees failed to advance a resolution to the full city council that would have required the city to stop fluoridating by December 1. The Austin City Council’s Public Utilities Committee and Health and Human Services Committee held a joint hearing at which committee members decided to take no action to move the resolution to the full council for approval. “I trust our public health officials,” said Ann Kitchen, chair of the Public Utilities Committee. “They have dug into this. The great weight of the evidence supports community water fluoridation. I think it’s critical for our kids.” Prior to the decision, the committees heard presentations by local dental and health officials who supported fluoridation and presentations by those opposed. Dr. Elyse Cronin Barron, president of the Capital Area Dental Society, was among the participants at the meeting who described the benefits and evidence-based safety of water fluoridation.

On August 31, 2015 ADA News Online reported on a number of municipalities that voted in August to continue to fluoridate their public water supplies. The Denver Board of Water Commissioners voted to continue supplying optimally fluoridated water to the system’s 1.3 million customers in Denver and surrounding suburbs, according to Denver Water. “If Denver Water were to cease supplementing fluoride, customers would still receive fluoridated drinking water, but the levels would vary significantly, creating an imbalance throughout our service area,” said Denver Water Commissioner Penfield Tate in a news release. “Community water fluoridation provides dental health benefits across all socioeconomic communities in a predictable and uniform manner.” The resolution adopted by the board stated, “Nothing has been presented to the Board or learned in our research that would justify ignoring the advice of these public health agencies and medical and community organizations, or deviating from the thoroughly researched and documented recommendation of the U.S. Public Health Service.” Colorado Dental Association members provided supportive comments and testimony to commissioners at earlier hearings. In other news, the city council in Martinsville, Virginia, recently voted 3-2 against a motion to cease the addition of fluoride to its water supply. Dr. Mark Crabtree, a former chair of ADA Council on Access, Prevention and Interprofessional Relations, oversees

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THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

PA Releases Opioid Prescribing Guidelines for Dentists ADA Joins AMA Task Force to Reduce Opioid Abuse In June of 2015, the Pennsylvania departments of Drug and Alcohol Programs (DDAP) and Health released its third set of prescribing guidelines to address the prescribing of opioids for acute or chronic head and oral-facial pain. “In the past 15 years, Pennsylvania and the rest of the nation has seen a dramatic increase of prescribing opioids, and we believe this has led to the heroin and opioid crisis we are facing today,” said DDAP Secretary Gary Tennis. “This new set of guidelines will strengthen our efforts to significantly reduce the need for opioid prescription medications and open the door to alternative pain management for our citizens.” The dental prescribing guidelines address the use of opioids for the treatment of acute dental pain, and are intended to help health care providers improve patient outcomes when providing dental treatment, including avoiding potential adverse outcomes associated with the use of opioids to treat pain. The guidelines have been endorsed by the Pennsylvania Medical Society and the Pennsylvania Dental Association. PDA President, Dr. Wade Newman, said, "Pennsylvania Dental Association (PDA) understands that the issue of prescription drug abuse is a grave and growing concern among law enforcement, policymakers and the health care community and that initiatives must be undertaken to reduce the number of Pennsylvanians, especially our youth, who suffer from dependency of prescription drugs. The dental profession is a committed stakeholder in educating the provider community and patients about the inherent dangers and risks associated with prescription drug abuse." The Safe and Effective Prescribing Practices and Pain Management task force was created by DDAP in collaboration with departments of Human Services and Health, Pennsylvania District Attorneys Association and other stakeholder groups, in an effort to reduce prescription drug abuse and overdoses in Pennsylvania. The task force includes health care professionals, federal and state agencies. The 14-page document can be viewed and/or downloaded by visiting the PDA website at www.padental.org (scroll through the “What’s Happening” screen on the home page.) In other news, the ADA recently joined the American Medical Association Task Force to Reduce Opioid Abuse, and its first initiative is to urge health care professionals to register for and use state-based prescription drug monitoring programs.

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

The task force is comprised of twenty-seven physician organizations, seventeen specialty and seven medical societies that are committed to identifying and implementing the best practices to combat this public health crisis. The task force believes that when prescription drug monitoring programs are fully funded, contain relevant clinical information and are available at the point of care, they have been shown to be an effective tool to help health care providers identify patients who may be misusing opioids. More than 16,000 Americans died in 2013 from an overdose related to opioids; more than 8,000 died from one related to heroin; and nearly 44,000 died as a result of an overdose involving a prescription drug, according to the task force. ADA President Maxine Feinberg said, "As health care professionals, we're on the front lines of this issue and see how it causes devastating destruction for every life that it touches. Together, we can harness the collective power of preventative education and intervention to help reverse this epidemic. The ADA stands firmly behind this task force." The new initiative will seek to enhance health care providers' education on safe, effective and evidence-based prescribing. This includes a new web page (http://www.amaassn.org//ama/pub/advocacy/topics/preventing-opioidabuse.page) with information on prescription drug monitoring programs and their effectiveness; and a national marketing campaign to raise awareness of the steps health care providers can take to combat the opioid abuse epidemic and ensure they are aware of all the options available to them for appropriate prescribing.

Remember to Vote: Tuesday, November 3, 2015

Health Watch How Much Does an Accident Cost?

Injuries in the workplace can be expensive in ways employees and managers don’t expect. When you think about safety, remember that you’re protecting your organization against extra costs in these areas: @b_TeSdYfYdi Accidents and injuries can bring work to a halt as you deal with the impact. Investigations take time, and employees may slow down as they process the events – or if they feel managers are not taking care of them. Insurance. Insurance premiums typically increase for up to three years after an accident.

5hdUb^Q\ Y^fUcdYWQdY_^c OSHA and other agencies may decide to look into your safety practices, potentially disrupting work and making changes that will affect your bottom line. =UTYQ QddU^dY_^ An accident that makes headlines can bring the media down on your organization, asking questions and interrupting employees and forcing you to spend time defending yourself instead of getting work done. =_bQ\U 5]`\_iUes won’t be as engaged in their work if they are worried about management’s commitment to keeping them safe. Turnover and absenteeism can rise, and motivation to do good work may fall. (continued on page 13)

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THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

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THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Health Watch (cont’d.) Sugary Drinks Linked to Increased Risk of Type 2 Diabetes, Independent of Obesity

Read the entire article at http://www.bmj.com/content/351/bmj.h3576

Regular consumption of sugary drinks was linked to onset of type 2 diabetes independent of obesity, and fruit juices and no-calorie artificially sweetened drinks did not appear to be any healthier, according to a new study published in the BMJ (formerly known as The British Medical Journal) in July 2015. Researchers \UT Ri 6e]YQ[Y 9]Q]ebQ @X 4 Qd the University of Cambridge (UK) found that higher consumption of sugar-sweetened beverages was associated with an eighteen percent increase in incidence of type 2 diabetes per one serving a day. When they adjusted for obesity, there was still a thirteen percent increase over those who drank no sugary drinks. “This study adds to a growing body of literature suggesting that consumption of sugary drinks raises TYcUQcU bYc[c ³ cQYT =QbY_^ >Ucd\U = @ 8 @X 4 a food and nutrition policy expert Qd >Ug I_bk University and the author of an upcoming book about the soda industry.

Trends in Plastic Surgery

Approximately 15.6 million Americans underwent some kind of cosmetic surgery in 2014, a three percent increase from the year before. One in five women said they were actively considering plastic surgery in 2015. Of the most popular choices among women, breast reconstructive surgeries increased by seven percent in 2014 from the previous year; with buttock augmentation (fifteen percent), buttock lifts (forty-four percent); and implants (ninety-eight percent). Breast augmentations, however, decreased by one percent. =U^ QbU^µd RUY^W \UVd _ed dX_eWX @USd_bQ\ Y]`\Q^dc Uh`UbYU^SUT Q two hundred eight percent increase in 2014 over 2013, and male breast reductions have risen by twenty-nine percent since 2000. (continued on page 15)

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THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

UP INGcture P E Le

KE U TS e 6 CE S I s T EN cour

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16 /20

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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 20, 2015 John Alonge MS. DDS – Erie, PA – “Differential Diagnosis of Oral Lesions: An Interactive Lecture” Development of a working differential diagnosis is one

of the most difficult tasks in the diagnostic sequence. You can build your confidence with the diagnosis of oral lesions by spending a day with Dr. John Alonge, a talented surgeon and teacher with over 30 years of experience. Clinical case presentations focusing on a variety of pathological conditions and the use of an audience response polling system will help engage you in the decision making process. Biopsy techniques, treatment and prognosis of various lesions will also be reviewed. You will leave this program with a fresh perspective of oral pathology and the information needed to identify and diagnose oral lesions encountered in daily practice. Through your participation in this course, you will be better prepared to: recognize the diagnostic process required to formulate a differential diagnosis on soft tissue and radiographic lesions; utilize a practical classification scheme to refine your clinical diagnosis; recognize the etiology and management of various oral pathological conditions; and determine when to biopsy and when to refer for treatment. Dr. Alonge, is a Diplomate of the American Board of Oral and Maxillofacial Surgery and a Diplomate of the National Dental Board of Anesthesiology. He is currently in private group practice in Erie, Pennsylvania. Dr. Alonge has extensive experience in all subspecialty areas such as dentoalveolar surgery, dental implants, corrective jaw and facial surgery. This course is supported by educational grants from Dodd Dental Lab, and Hayes Handpiece.

Friday, December 11, 2015 Jane Soxman DDS – Pittsburgh, PA – “Know When to Hold ‘Em , When to Fold ‘Em, and When to Do ‘Em” The transformation of the pediatric patient’s

dentition and oral structures through the primary, mixed and early permanent dentition may result in various problematic presentations. Identification and timely intervention will assure not only the child’s developmental well being but may also minimize future treatment costs. This course begins with findings during the clinical examination including anomalies, pathology and various soft tissue presentations including upper airway obstruction, specific treatment recommendations for eruption disturbances, mandibular incisor crowding, space maintainers, and parafunctional habits. Dentists, assistants and hygienists will derive strongly enhanced diagnostic and treatment skills for their youngest patients. This is a nuts and bolts course in pediatric procedures that includes interim therapeutic restorations, indirect pulp therapy for young permanent molars and pulp therapy for primary molars. Full coverage stainless steel and esthetic crowns for primary molars, extraction of primary dentition and local anesthesia techniques are also presented. Course Objectives: Perform vital pulp therapy in primary molars with appropriate indications and medicaments and full coverage restorations for primary molars; Insure optimal clinical skills for administering local anesthesia for the pediatric patient; Improve technique for extraction of primary teeth; Recommendations and management for pathology and anomalies in the developing dentition; Identification and management of upper airway obstruction; and appropriate use of space maintainers and intervention for parafunctional habits. Dr. Soxman is a diplomate of the American Board of Pediatric Dentistry, a seminar instructor for general practice residencies, and editor of the Handbook of Clinical Techniques in Pediatric Dentistry. She maintains a private practice in Pittsburgh PA This course is supported by educational grants from Dodd Dental Lab, and PNC Bank.

Wednesday, February 3, 2016 David Weber – Marietta, GA – “The Winner In You: Raising the Bar on Patient Care and Customer Service” In a crazy economy, what truly separates one

practice from another may very well be the attitude, professionalism and the level of service being provided to patients! We live in such a frenzied pace, that it’s easy to forget the impact that actions, reactions, and behaviors can have on the perceptions others have of an office. This fast, fun, and highly interactive seminar zeroes in on the critical issues needed to meet and exceed patient expectations – and gets everyone in an office recharged to do the “right things”. Learning outcomes: 1) Learn the top 14 characteristics of professionals; 2) Develop a greater understanding of the impact of attitude and communication; 3) Understand what ‘best in class’ patient service looks like and feels like. Dave Weber CEO/President, Weber Associates is an internationally recognized speaker, author, and trainer in helping people make progress on purpose . In addition to presenting on the motivational speaking circuit, Dave is the author of Sticks and Stones Exposed: The Power of Our Words. This course is a must for the entire staff and spouses. This course is supported by educational grants from Dodd Dental Lab,.

Thursday, April 14, 2016 Joseph Kan, DDS, MS – Loma Linda, CA – “Essences of Anterior Implant Esthetics: The Perio-Ortho-Restorative Connection” Achieving anterior

implant esthetics is a challenging and demanding procedure. To create implant restorations with harmonious gingival contour that emulate nature is a science and art. Understanding the biologic and physiologic limitations of the soft and hard tissue will facilitate predictability in simple to complex esthetic situations. This course is designed for the Restorative Dentist, Periodontists, and Oral Surgeons focusing on current implant treatment philosophies and methodologies for replacing currently missing teeth and the managemen t of patients who will be losing a tooth or teeth in the esthetic zone. Emphasis will be placed on evidence based diagnosis and treatment planning, and surgical and prosthetic management of soft and hard tissue for optimal anterior implant esthetics. You will learn: Prognostic keys for predictable esthetic implant treatment; Immediate vs. Delayed vs. Early placements: Indications, Contraindications ; Management of the implant socket gap; Bone grafting & Soft tissue grafting concepts; Papilla management for implant vs. natural teeth; Management of inter-implant papilla; Management of surgical and prosthetic complications; and Provisionalization (contour for optimal gingival esthetics). Dr. Kan completed Prosthodontics and Implant Surgical training from Loma Linda University School of Dentistry where he is a Professor of restorative dentistry and maintains a private practice limited to imlant surgery and prosthodontics. He lectures worldwide. This course is supported by educational grants from Nobel Biocare, Dodd Dental Lab, Hayes Handpiece and PNC Bank.

Thursday, May 5, 2016 Gordon J. Christensen DDS, MSD, PhD – Provo UT – “THE CHRISTENSEN BOTTOM LINE-2016” This fast moving “bottom line” course includes the areas

of dentistry with the most activity and change in any given year. It is easily understood and has numerous summaries that help attendees to interpret the ongoing advancements in the profession. The course encourages audience participation, and questions and answers and is presented in an enjoyable and humorous manner. The hottest aspects in the following topics will be included: Endo, implants, technology, fixed pros, lasers, operative, esthetics, equipment, radiology, and periodontics. On the completion of this course attendees should be able to: List the most important and useful new techniques in these topics; List the most important and useful materials discussed in these topics; List the most important and useful new concepts discussed in this course; and Implement those aspects of the course most applicable to your practice. Gordon J. Christensen is Founder and Director of Practical Clinical Courses (PCC), Chief Executive Officer of Clinicians Report Foundation (CR), and a Practicing Prosthodontist in Provo, Utah. Since 1976, he and his wife Rella have conducted research in all areas of dentistry and published the findings to the profession in the well-known CRA Newsletter now called CLINICIANS REPORT. This course is supported by educational grants from Dodd Dental Lab, Hayes Handpiece, PNC Bank and VOCO.

Those taking the full DKU Series will receive a Bonus Course Wednesday, October 21, 2015

BONUS: Barbara Steinberg, DDS; “Medical Update for the entire Dental Team” at the Valley Forge Casino & Convention Center (Lower Level)

All meetings will be held at the Springfield Country Club on Route 320, Springfield, Delaware County, PA, except for the Bonus Course. 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 bonus Course - $645, Individual Courses - $195, 3 Courses - $530, 4 Courses - $615 Other ADA Members - Entire Series plus bonus Course - $695 Individual Courses - $210, 3 Courses - $570, 4 Courses - $665 Non-ADA Members - Entire Series plus bonus Course - $765, Individual Courses - $225, 3 Courses - $605, 4 Courses - $715 Staff members accompanied by a doctor will be $95 per course per person with reservation at least one week in advance, $110 per course per person at door. Cancellations and Refund Policy - No refunds will be made without notice of at least one week prior to course date. (A $25 administrative fee will be deducted.) For information please contact: DKU • c/o Barry Cohen, DMD • 4750 Township Line Rd • Drexel Hill, PA 19026 • 610-449-7002 • DKUDental@aol.com

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Health Watch (cont’d.) Diet and Dementia

The combination diet plan, known as the MIND (Mediterranean-DASH Intervention for Neurodegenerative Delay) diet, emphasizes healthy grains, vegetables, beans, poultry, and fish, along with a limited amount of red meat, butter, and sweets. Researchers have noted that other factors, like smoking history, regular exercise, and challenging activities like Sudoku or crossword puzzles, have also contributed to diet followers’ results. On the other hand, both the Mediterranean and DASH diets are believed to be effective at preventing heart disease, making them a healthy choice for other reasons.

Could the right diet lower your risk of developing Alzheimer’s disease? Maybe, according to an article on the MedicineNet.com website – although the results aren’t conclusive yet. A study of adults who closely followed a combination of two wellknown diet plans, the Mediterranean diet and the DASH (Dietary Approaches to Stop Hypertension) diet, found that subjects had a fifty-three percent lower risk of being diagnosed with Alzheimer’s. Other subjects who stuck to the diet only moderately well saw their risk drop approximately thirty-five percent.

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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 email: philcodent@aol.com or fax: 215-925-6998. Deadline for publication is the first of the month prior to publication (December 1 for January/February/March issue), and information will be published on a space-available basis.

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

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 Practice 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

CONTINUING EDUCATION FOR DENTAL EXCELLENCE – Joint program in Northeast – 6:30 Dinner meeting at Gallo’s Restaurant, featuring Dr. Harold Baumgarten, “Teeth vs. Implants: Special Considerations for the Aesthetic Zone.” Sponsored in cooperation with 3i-Biomet. For information, contact Vickie Fisher at 215-732-4450 or visit www.PhilaPerioImplants.com

NOVEMBER 3

CONTINUING EDUCATION FOR DENTAL EXCELLENCE – Northeast – 6:30 Dinner meeting at Gallo’s Restaurant, featuring Jim Spaulding, “Medical Emergencies in the Dental Office.” For information, Contact Vickie Fisher at 215-732-4450 or visit www.PhilaPerioImplants.com

CONTINUING EDUCATION FOR DENTAL EXCELLENCE – Center City – 6:30 Dinner meeting at Doubletree Hotel, featuring Jim Spaulding, “Medical Emergencies in the Dental Office.” For information, Contact Vickie Fisher at 215-732-4450 or visit www.PhilaPerioImplants.com

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

CENTER CITY STUDY CLUB – Dinner Meeting at Estia Restaurant, at 6:00 p.m., featuring Dr. Howard Fraiman, “Dentistry's Digital Revolution.” For information, contact Amanda Cerini at 215-985-4337 or laudenbachdental@gmail.com or 215-985-4337 or visit the website at www.laudenbach.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 PHILADELPHIA COUNTY DENTAL SOCIETY – Annual Business Meeting and Election of Officers, 7:00 p.m. at the Executive Office.

17 18

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

Dental Dates (cont’d.) NOVEMBER (cont’d.)

27 – Dec. 2 GREATER NEW YORK DENTAL MEETING – Jacob Javits Convention Center, New York. Meeting: November 27 to December 2; Exhibits: November 29 to December 2. For information, visit www.gnym.com or call 212-398-6922.

JANUARY 2016 26

CENTER CITY STUDY CLUB – Dinner Meeting at Estia Restaurant, at 6:00 p.m., featuring Dr. Eric Weiss, “Socket Grafting for the Restorative and Surgical Team.” For information, contact Amanda Cerini at 215-985-4337 or laudenbachdental@gmail.com or 215-985-4337 or visit the website at www.laudenbach.com

APRIL 12

CENTER CITY STUDY CLUB – Dinner Meeting at Estia Restaurant, at 6:00 p.m., featuring Dr. Alan Atlas, “The Compromised Tooth: Risk Assessment Criteria for Tooth Retention and Protocols for Successful Reconstruction.” For information, contact Amanda Cerini at 215-985-4337 or laudenbachdental@gmail.com or 215-985-4337 or visit the website at www.laudenbach.com

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THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Sponsor a new PDA member, get $100! Help PDA increase its market share of dentists in Pennsylvania by sponsoring a new member! When sponsoring a new member, you’ll not only be contributing to your professional association, but you’ll receive $100 as thanks for your efforts! Your $100 reward can be: & Used to indulge yourself for a job well done. & Applied to your recruited member’s dues.* & Applied to your membership dues.* & Donated to the Pennsylvania Dental Foundation. *All credits will apply to the following year’s dues.

For more information visit www.padental.org/100.

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Classified Ads Classified Advertisement Policy. The Society reserves the right to accept, decline or withdraw classified advertisements at its discretion. The Society believes the advertisements that appear in these columns are from reputable sources; the Society neither investigates the offers being made nor assumes any responsibilities concerning them. Every precaution is taken to avoid mistakes, but responsibility cannot be accepted for clerical or printer’s errors. Requests to run advertisements “until further notice” cannot be accepted; the advertiser is responsible for renewals. Names of box number advertisers cannot be revealed. The JOURNAL reserves the right to edit copy of classified advertisements. Classified ads will not be taken over the telephone. DOCTOR, ARE YOU SEEKING EMPLOYMENT? Call the Philadelphia County Dental Society at 215925-6050 or Fax 215-925-6998 to have your name listed on our employment referral list. 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. 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 DENTAPPRAISE™ – NATIONWIDE DENTAL PRACTICE APPRAISALS since 1992. Pre-sale, purchase, estate, mediation. “Ballpark Edition” approximate estimate, “Premier Edition” comprehensive market value. Information brochure: POLCARI ASSOCIATES, Ltd. 800-544-1297 or info@polcariassociates.com 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 – MARYLAND DENTAL PRACTICE SALES No buyer’s fees. SOUTHERN MARYLAND NEAR WATER – PRICE REDUCTION. Retiring. Grossing over $500K Part-time. ANNE ARUNDEL COUNTY – 5 ops modern grossing $ 850K. Retiring. Call 800-544-1297 or info@polcariassociates.com

The PDA Placement Service is a

members-only job search assistance program. It connects dentists who have available job opportunities or practices for sale with dentists seeking employment or to purchase a practice. For information, visit www.padental.org

REMEMBER: One more CE program for 2015 Friday, November 13 – 8:30 to 3:30 Let’s Stick It Together: Simplifying All Restorations with Dr. Jack D. Griffin, Jr. Register online at www.philcodent/org/members/programs.aspx or call 215-925-6050 for registration form

Click on Resources & Programs, then Placement Service. Member login is required.

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

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

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

PCDS Liberty Continuing Education Dates for 2016 Mark your calendar for the following dates and watch your mail in January for the reservation form (or register online after January 9 at www.philcodent.org)

Wednesday, March 16 – speaker/topic to be announced (Plus CPR recertification) Friday, May 20 – speaker/topic to be announced Wednesday, September 21 – speaker/topic to be announced Wednesday, October 26 – speaker/topic to be announced Mark Your Calendar Now & Plan to Attend PCDS Continuing Education Convenient Relevant Affordable

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