The Journal of the Philadelphia County Dental Society Volume 83 Issue 3 by Teresa Ravert

The Journal of the Philadelphia County Dental Society

2017 July/August/September 2015

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THE JOURNAL

of the Philadelphia County Dental Society ________________________________________________________________________________

First District of the Pennsylvania Dental Association July/August/September 2017 x Vol. 83 x No. 3 _____________________________________________________________________________________________ Saul N. Miller, D.D.S., '18 Editor Stanley B. Toplan, D.D.S. Associate Editor

CONTENTS Markiewicz Installed as PDA Trustee .................................................2 Members in the News ..........................................................................2

Caroline Power Gangl Managing Editor

Mentors Needed ...................................................................................2

Teresa F. Ravert Executive Director

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

OFFICERS Renee H. Fennell Dempsey, D.M.D. President Lennie M. Checchio, D.D.S. President-Elect Judith A McFadden, D.M.D. Secretary A J. Chialastri, D.D.S. Secretary Emeritus Rochelle G. Lindemeyer, D.M.D. Treasurer Stanley B. Toplan, D.D.S. Historian

State Issues Mandatory Opioid Consent Form for Minors .......................5 2017 PCDS Scholarships Awarded .....................................................6 2017 PCDS Liberty Continuing Education Programs.........................8 News Briefs........................................................................................12 Workplace Tips ...................................................................................16 Health Watch ......................................................................................19 Membership Report ...........................................................................20 Dental Dates.......................................................................................21 Classified Ads ...................................................................................24

GOVERNORS

Peter J. Carroll, D.D.S., '18 Thomas W. Gamba, D.D.S., '19 Jay M. Goldberg, D.D.S., '18 Kevin J. Klatte, D.D.S., '19 Stanley W. Markiewicz, D.D.S., '17 Andrew J. Mramor, D.D.S., '18 Jonathan Siegel, D.M.D., '17

•••

Stanley W. Markiewicz, D.D.S., '20 PDA Trustee

•••

EXECUTIVE OFFICES:

One Independence Place th 241 South 6 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, c/o Caroline Power Gangl, 1315 Sylvan Road, Lancaster, PA 17601 or emailed to cpgangl@yahoo.com 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 2017. The Philadelphia County Dental Society.

Markiewicz Installed as PDA Trustee Dr. Stanley W. Markiewicz was installed as the First District Trustee during the Pennsylvania Dental Meeting in Hershey in April 2017. His term of office is three years. Stan is a 1987 graduate of Temple University School of Dentistry, and he became active in the tripartite associations immediately Dr. Stanley W. Markiewicz after that, serving on various committees for the Philadelphia County Dental Society, including the Liberty Dental Conference. At various times over the years, he has served five full

Members in the News

Thomas P. Sollecito, D.M.D., F.D.S., R.C.S.Ed., chair of the University of Pennsylvania School of Dental Medicine Department of Oral Medicine, and chief of the Oral Medicine Division for Penn Medicine, was appointed as an ADA spokesperson on periodontics. The appointment is for one year, concluding at the end of the 2017 ADA Annual Meeting. Working through the ADA Division of Communications and Marketing and the Council on Communications, spokespersons are made available to media outlets nationwide to provide ADA’s position on various topics of oral health.

terms on the Society’s Board of Governors. He served four years as a member of the Liberty Dental Conference Board of Directors and was general chairman for the 1998 Conference. He served twice as president of the Society in 20022003 and again in 2007-2008. Stan has served on the Council of Education, the Finance Committee, the Long Range Planning Committee, and the Advisory Committee. He was a member of the PDA House of Delegates for nearly twenty years and served as an alternate delegate for six years. He was a delegate to the ADA Annual Meeting two times. He was a member of the PDA Council on Membership. He served as a member of the Committee on Local Arrangements for the 2005 ADA Annual Meeting, which was held in Philadelphia.

Derek J. Conover, D.M.D., is serving a second year as the Philadelphia County Dental Society’s representative to the PDA Membership Committee. Bilal M. Sajid, D.D.S., is serving a second year as a member of the PDA New Dentist Committee and is the chair of the Committee. Nipa R. Thakkar, D.M.D., serves on the ADA New Dentist Committee and as a consultant to the PDA New Dentist Committee. Renee H. Fennell Dempsey, D.M.D., serves as a member of the PDA Access to Oral Health Advisory Group.

MENTORS NEEDED FOR TWO UPCOMING EVENTS General Dentists – The Philadelphia County Dental Society is planning several sessions with AEGD/GPR residents in Philadelphia. These will be 4-hour programs dedicated to helping young colleagues navigate the “real world” of general practice. Mentors of all ages are needed to share your experiences. Other speakers will address such subjects as finding a job, employment agreements, etc. General Dentists and Specialists – The Pennsylvania Dental Association will sponsor a speed mentoring program for dental students sometime in September. Twelve dentist-mentors are needed for this fastpaced session to help mentor dental students about specialty or general practice. Contact Teresa Ravert at philcodent@aol.com for more information and dates and times. Please indicate the event in which you might want to participate. Send this information no later than August 1. We’ll send a blast email once we have dates confirmed.

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

President’s Message

Renee H. Fennell Dempsey, D.M.D. Happy Summer Greetings! As we celebrate Independence Day on July 4th with families and friends, let’s take a moment to honor those who have given their lives in defense of freedom and independence over those more than 240 years. Let us remember the many dentists who have served and continue to serve in the armed forces; we thank you. We also want to congratulate our new colleagues, the 2017 graduates from Temple University Kornberg School of Dentistry and the University of Pennsylvania School of Dental Medicine and welcome them into the tripartite family. Dean Ismail celebrated with the senior class at TUKSoD as they reached their goal of 100% membership enrollment as new dentists in the American Dental Association. Remember, we are here to help you succeed; reach out to us! There are a number of activities to share with you in this Message. I hope these will help you to learn more about your Dental Society and provide an incentive for you to become more active. ¾ At PCDS, our subcommittee continues its work on redesigning the Society’s web site and initiating a Facebook presence. As most of you know, it is quite an undertaking. Dr. Andrew J. Mramor chairs the group, and, in addition to members of the Board of Governors, we have been aided by new members Doctors Brooke A. Berson, Derek J. Conover, Sabrina Y. Dada, Alexander E. Fuller, Michael A. Koumaras, Bilal M. Sajid and Ayesha Sultan. ¾ I am very enthusiastic about my President’s Project – to increase membership and create a leadership academy in PCDS. The Subcommittee on the President’s Project met and is planning new exciting programs to benefit our members. For our new dentists, we are planning roundtable mentoring sessions with AEGD and GPR residents. We need you to participate! General dentist volunteers will participate for a few hours in this activity by sharing their experience in both the practice and business of dentistry. Thank you to our new PCDS dentists, Doctors Nipa Thakkar, Janine N. Musheno and Kristianne Macaraeg, for spearheading this project. We are also planning to have Practice Management Workshops to help us all succeed. There is still a great deal of work to be done. Please participate either by being on a committee or volunteering as a mentor with the AEGD and GPR

residents. Contact our Executive Director, Teresa Ravert, at philcodent@aol.com for more information. ¾ In April, I represented the First District at the Pennsylvania Dental Meeting. Thank you to all who attended, including members of our Board of Governors: Doctors Lennie M. Checchio, Thomas W. Gamba, Stanley W. Markiewicz, Judith A. McFadden, Saul N. Miller and Anand V. Rao. You will be happy to hear that the PDA has reactivated the Government Relations Committee and is planning ways to increase state advocacy, including preparing for the next PDA Day on the Hill. Members of PDA had a chance to voice their concerns to the Board of Trustees and Executive Office during the Town Hall Meeting; and we were reminded to Save the Date for the PDA 150th Anniversary, which will be celebrated April 27-28, 2018 in Hershey, PA. For more information, visit www.padental.org ¾ Dr. Anand V. Rao has completed his term as the PDA First District trustee. On behalf of the Society, I extend our deepest appreciation for his hard work over the last four years – not an easy job since it entailed working through the changes in PDA governance. Congratulations to Dr. Stanley W. Markiewicz. He was installed as the new PDA First District trustee. He brings a wealth of knowledge about our professional associations, and we wish him well as he begins his term. ¾ As noted in my last message, one my goals this year is to increase membership. As part of the President’s Project, we have set a goal of achieving 31 new members between June 1, 2017, and December 31, 2018. Again, I ask you to reach out to nonmember dentists, especially those who have been in practice ten years or less – colleague to colleague. Our associations are yielding positive results for dentists. The most important return our associations give us is something we do not have time to take on ourselves, and that is advocacy nationally, in Pennsylvania and in Philadelphia. The ADA advocates for the profession both in Chicago and in Washington as we cope with the changes in health care coverage and federal regulations. Statewide, the PDA monitors all legislative initiatives in the state, including activities of the State Board of Dentistry, and advocates on Capitol Hill in Harrisburg. Our own Philadelphia County Dental Society monitors local legislative and regulatory issues that affect us in the city. Please ask nonmember colleagues to consider joining our tripartite associations. Send their names and contact information to us at philcodent@aol.com (continued on page 4)

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

President’s Message (cont’d.) Representatives of the PCDS would be happy to attend your dental organization, study group or society meeting to discuss the benefits of membership. ¾ Finally, please remember to update your ADA profile page. You will recall that the association has launched a 3-year advertising campaign, spending $6 million annually for online search and digital advertising to x direct consumers to make an appointment with an ADA member dentist, x foster membership growth and x address the “busyness” gap by driving referrals to ADA member dentists. The new Find-a-Dentist tool contains enhanced features, making it easier for patients to find and book appointments with ADA dentists, and for members to track visits to their profile page. I encourage you to log in to ada.org and visit My ADA to update your profile as soon as possible. This program represents YOUR dues dollars at work. Here’s to a safe, happy and prosperous summer!

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

SPECIAL NOTICE: State Issues Mandatory Opioid Consent Form for Minors Act 125 of 2016 gives the Department of State’s Bureau of Professional and Occupational Affairs (Bureau) the authority to create and mandate the use of a consent form prescribers must use before prescribing opioids to minors. Pennsylvania law requires that in most non-emergency situations, a prescriber must first discuss the potential risks associated with the medication with the minor and the minor’s parent, guardian or other authorized adult, and obtain written consent using the state’s new form before prescribing opioid medications. With some exceptions, prescribers may not prescribe more than a 7-day supply of controlled substances containing opioids to minors.

Occupational Affairs and made available to all prescribers. The form must contain all of the following:

On February 4, 2017, the Commissioner of Professional and Occupational Affairs provided notice of the approval of the consent form all prescribers must use when prescribing opioids to patients under the age of 18. The consent form is available on the Bureau's website at www.dos.pa.gov/ProfessionalLicensing. In SB 1367, now Act 125 of 2016, prescribers must comply with the following procedure before issuing to a minor the first prescription in a single course of treatment for a controlled substance containing an opioid (regardless of whether the dosage is modified during that course of treatment):

The brand name or generic name and quantity of the controlled substance containing an opioid being prescribed and the amount of the initial dose.

A statement indicating that a controlled substance is a drug or other substance that the U.S. Drug Enforcement Agency has identified as having a potential for abuse.

A statement certifying that the prescriber engaged discussed risks with the patient.

The number of refills authorized by the prescription.

The signature of the minor’s parent, guardian or authorized adult and date of signing.

The prescriber must retain the form in the patient’s record.

Assess whether the minor has taken or is currently taking prescription drugs for treatment of a substance use disorder.

Prescribers, with some exceptions, may not prescribe to minors more than a seven-day supply of a controlled substance containing an opioid. If it is an authorized adult (not parent or guardian) signing the consent form, the prescriber may not prescribe more than a 72-hour supply to the minor.

Discuss with the minor and the minor’s parent, guardian or authorized adult all of the following:

Prescribers may prescribe more than a seven-day supply to a minor if either of the following applies:

The risks of addiction and overdose associated with the controlled substance.

The increases risk of addiction to controlled substances for individuals suffering from mental or substance use disorders.

In the prescriber’s professional clinical judgment, more than a seven-day supply of a controlled substance containing an opioid is required to stabilize the minor’s acute medical condition. If this is the case, the prescriber most document the condition and indicate the reason why a nonopioid alternative is not appropriate.

The dangers of taking a controlled substance containing an opioid with benzodiazepines, alcohol or other central nervous system depressants.

For management of pain associated with cancer, use in palliative or hospice care, or management of chronic pain not associated with cancer.

Obtain written consent for the prescription from the minor’s parent, guardian or authorized adult. The prescriber should obtain the consent using forms created by the Bureau of Professional and

This article originally appeared in the May/June 2017 issue of the Pennsylvania Dental Journal. Used by permission.

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

2017 PCDS Scholarships Awarded

2017 Scholarship recipients show here with (l) PCDS President, Dr. Renee H. Fennell Dempsey, and Selection Committee member, Dr. Gregg M. Chialastri (r). First row: Divya Trikannad, Megan Weber and Dena Feinberg. Top row: Alex Mitchell and Steven Mastropole. (Photo courtesy of Dr. Saul N. Miller)

The Philadelphia County Dental Society awarded scholarships to five dental students on May 19, 2017 during the CE program at the Hilton Philadelphia City Avenue Hotel. The Scholarship Fund was initiated by the Board of Governors in 1992 to help dental students meet immediate financial needs. The majority of graduates leave dental school with overwhelming debt. In fact, the average debt now exceeds $247,000.00. So, the Society’s scholarship award is just one very small way in which we can encourage and assist them as they try to cope with studies, homes, families and jobs. The Scholarship Fund consists of voluntary contributions from members and friends of the Philadelphia County Dental Society. This year, the Selection Committee awarded a total of $3,500.00 in scholarships to five students. The students are all members of the American Student Dental Association, have excellent grades and were highly and enthusiastically recommended by their teachers.

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Divya Trikannad. . . University of Pennsylvania School of Dental Medicine, Class of 2019, recipient of a $1,000.00 scholarship. Divya is a magna cum laude graduate of Rutgers University – New Brunswick with a major in biological sciences and a minor in psychology. She participated in varsity Track and Field and in Field Hockey. During college, she worked part time as a dental receptionist/insurance manager and as a dental assistant. After a childhood fight with tuberculosis that left her in fear of doctors and needles, she remembers her first visit for a dental cleaning at age seven. Her dentist’s calm demeanor – and the treasure chest prizes – won her over to the extent that she told her parents that day that she was going to be a dentist. She shadowed a general dentist during her senior year in high school, and her research confirmed that she wanted a career as a dentist. Currently, she is the president of the General Dentistry Society at Penn. She looks forward to participating in a GPR Program after graduating and hopes to open a private general (continued on page ')

2017 Scholarships (cont’d.) dentistry practice. Another goal she has set is to achieve Fellowship in the Academy of General Dentistry. Megan Weber. . . Temple University Kornberg School of Dentistry, Class of 2019, recipient of a $1,000.00 scholarship. Megan is a graduate of the University of Pittsburgh with a degree in biology and a chemistry minor. She then completed her Master’s degree in oral biology with a concentration in craniofacial genetics, and she continued into a Ph.D. program. She completed her research, successfully defended her thesis, and received a Ph.D. in oral biology in August of 2016. She spent some time during her college years shadowing in a general practice. Her own life experience first pointed her to dentistry. As a child, she was embarrassed and withdrawn because of an overbite. She says cXU received excellent orthodontic treatment throughout her middle school years and eventually began to feel good about herself and made friends. She takes seriously the fact that dentists not only improve the quality of oral health but also impact general wellbeing and confidence. Megan is currently vice president-elect of Temple’s ASDA chapter. She has been published in numerous dental publications and has given oral presentations at a number of dental meetings. She aspires to a career as a dental school faculty member and wants to play a key part in applying research to patient care. Dena Feinberg. . . Temple University Kornberg School of Dentistry, Class of 2019, recipient of a $500.00 scholarship. Dena is a graduate of Pennsylvania State University, where she was a member of the Dean’s list every semester, with a degree in general science and a minor in Spanish. Among her Penn State activities, she was a member of the pre-dental society, the club water polo team and a four year participant in the Penn State dance marathon known as THON. Her interest in dentistry began at a very young age when she tried to master techniques for removing her own baby teeth. She was eager to do the same for her siblings but they wanted no part of it. Dena was delighted to be able to spend time shadowing her family’s dentists. At Temple University, she is a founding member of a local outreach program through the Growing Smiles Foundation. In conjunction with ASDA, the program teaches dental prevention during early childhood education courses at Methodist Services. She has also experienced an outreach trip to impoverished communities in the Dominican Republic. Dena looks forward to being in private practice and being an active leader in public outreach programs. Steven Mastropole. . . Temple University Kornberg School of Dentistry, Class of 2018, recipient of a $500.00 scholarship. Steve is a graduate of Seton Hall University, where he was active in the pre-dental society, was a tutor for Seton Hall Student Support Services for

students from disadvantaged homes and worked summers as a dental assistant at a hometown dental practice. His interest in dentistry was sown when, as a 4-year old, he fell headfirst into a marble end-table, laterally luxating both of his primary central incisors. Numerous trips to the oral surgeon and orthodontist followed and, when asked in elementary school what job he wanted as an adult, he wrote: orthodontist. He volunteers for the Garces Foundation Community Health Day and the Special Olympics at Villanova University. A Dean’s Scholarship recipient at Temple, Steve has decided to apply for a prosthodontics residency and would like to practice as a prosthodontist and, hopefully, become a part-time dental school faculty member. He currently works 10 to 12 hours a week as an assistant in a periodontal practice to help finance his education. Alex Mitchell . . . Temple University Kornberg School of Dentistry, Class of 2018, recipient of a $500.00 scholarship. Alex is a graduate of Allegheny College, where he founded the school’s pre-dental society and first became familiar with ASDA. He says that he was terrified of the dentist as a youngster and has come to appreciate the need to help people conquer their fear and take care of their oral health. At Temple, he became an ASDA student representative, then the national District III Trustee to the ASDA Board, and, most recently, was elected as ASDA’s national vice president. He participates in Temple’s Give Kids a Smile Day, the Philly Oral Cancer Run, and Pennsylvania’s Mission of Mercy (MOM-N-PA). He participates in after school children’s health events, and Temple’s “Boo at the Philadelphia Zoo” Halloween event encouraging good dental hygiene. His goal is to participate in a GPR residency and then enter private practice. He is committed to remaining active in our professional dental associations and hopes to become a member of the New Dentist Committee in Pennsylvania – and perhaps nationally. He wants to work as a dental school faculty member, and he says it would be a dream come true to become the dean of a dental school one day. The brief descriptions above of the scholarship recipients give us only a small glimpse into the life experiences and work ethic that have helped these scholars form their decisions to enter dental school and be part of a giving profession. Dentistry will surely continue to be in good hands when we welcome these students as colleagues. To our members and friends, thank you for your contributions to the Scholarship Fund over the years – YOU have made it possible for us to acknowledge these students.

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

The Philadelphia County Dental Society presents

The 2017 Liberty Continuing Education Series at the Philadelphia Hilton City Avenue Hotel 4200 City Avenue, Philadelphia, PA

T:2 full-day programs remain available 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 1/1/2016 to 12/31/2019. Provider ID: 212415.

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

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

CE 54 – Wednesday, September 13, 2017 8:30 a.m. to 3:30 p.m. – Dr. Jeffrey W. Horowitz – I’ve Got a Few Tricks up My Sleeve! Tips to Make Everyday Procedures a Little Bit Easier. Call me experienced, seasoned or just plain old, but in more than 24 years of practicing dentistry, I have been fortunate enough to pick up tricks and tips from some of the greatest minds in dentistry while developing a few of my own. In this course, I will share many of the time saving (and sometimes procedure-saving) tricks that have had the greatest impact on the procedures I perform most. From diagnosis to restorative material choices through clinical execution, the objective of this course is to not have ANY dentist or assistant leave without ten new ideas they can implement immediately. At the conclusion of this course, participants should expect to understand: how to identify the most troublesome procedures in general practice, beginning with the diagnostic opinion; how to treatment plan toward reducing the risk for negative outcomes; how to make material choices that can reduce the risk for negative outcomes; new procedures that will help the practitioner overcome every-day obstacles while building the practice. (7 CE credits)

presented in cooperation with The Catapult Elite Group Participating partners include: Dentsply/Sirona, Garfield Refining, PDAIS, PNC Bank, St. Renatus/Kovanaze, The Insurance Agency for Dentists

CE 55 – Friday – November 10, 2017 8:30 to 3:30 p.m. – Dr. Lou Graham – The Geriatric Boom . . . Understanding this Unique Population and All That We Can Do for Them in All Phases of Their Oral Health. The biggest boom in dentistry will be the ever growing geriatric population. What is a geriatric patient? Is it age dependent and the answer is not really! Decisions are often very challenging on what is best for the patient. Treatment planning and case presentations will be shown for this growing segment within our practices. Topics include: prevention is for all ages and doesn’t stop here; customizing your approaches for plaque, xerostomia and so much more; reparative dentistry, when, where and why and what materials are best to utilize; grafting decisions and why you need to incorporate these into your practice; direct restorative materials that are must haves for this group; indirect options that are essential to understand and how embrasures and margins are age dependent; long term temporaries for those patients in medical and age related situations that can give you years of service. (7 CE credits)

presented in cooperation with The Catapult Elite Group Participating partners include: Dentsply/Sirona, Garfield Refining, PDAIS, PNC Bank, St. Renatus/Kovanaze, The Insurance Agency for Dentists

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

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

RESERVATION FORM / 2017 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 51]

____ PCDS Member for remaining 2 FULL DAY programs: #

$350.00

____ PCDS Member for one FULL DAY program: #____

$175.00

____ PCDS Member for two FULL DAY programs: #____ ____

$350.00

____ 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) Instructions will be emailed to you approximately 10 days prior to each course. No tickets will be mailed. 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.).

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

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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 3/1/2017 to 2/28/2021. Provider ID #217995

Friday, October 6, 2017 Cliff Ruddle, DDS – Santa Barbara, CA – “Creating Endodontic Excellence” Predictably successful endodontics is dependent on shaping canals, 3D cleaning, and filling root canal

systems. Evidence-driven techniques will be presented to demonstrate the procedural steps that comprise start-to-finish endodontics. This lecture will focus on those factors that influence success, including endodontic anatomy, pulpal breakdown, access cavities, glide path management, shaping canals, and 3D disinfection. Dr. Ruddle will teach the most recent advancements and proven techniques that serve to guide each endodontic case toward a predictably successful conclusion. At conclusion, participants should be able to: Appreciate the role endodontic anatomy plays in treatment success; Understand how a mechanical strategy influences negotiating and shaping canals; and Identify the most proven, cost effective methods to 3D clean root canal systems. Dr. Clifford J. Ruddle is Founder and Director of Advanced Endodontics. He maintains teaching positions at various dental schools, is a fellow in both the American and International Colleges of Dentistry, and has authored numerous articles and chapters for leading textbooks. This course is supported by educational grants from Dodd Dental Lab, Hayes Handpiece and PNC Bank.

Friday, November 10, 2017 Tim Hempton, DDS – Dedham, MA – “Practical Periodontal and Peri-implant Therapeutic Management” This program will review non-surgical and surgical maintenance

of the natural dentition and restored implants. Patient assessment, microbiology, and risk factors for the development of periodontal disease will be covered. Instrumentation utilized in mechanical debridement, as well as antimicrobials and antibiotics, will be evaluated for their efficacy. In cases where the prognosis for tooth retention was hopeless or the teeth were congenitally missing, practical maintenance techniques for restored implants which replaced missing teeth will also be presented. Potential risks for implant complications/peri-implant attachment loss will also be addressed. Learning objectives: Identify the risk factors, both local and systemic, involved in various periodontal diseases and risk for peri-implant attachment loss and complications; Review techniques for non-surgical maintenance of the natural dentition and restored implant; Learn about the efficacy and limitations of non-surgical mechanical therapy, as well as adjunctive local and systemic antibiotic therapy; and Understand the value of materials and tools associated with regeneration; i.e., bone grafts, barrier membranes, growth factors, and laser therapy. Dr. Hempton is a former clinical instructor at Harvard School of Dental Medicine and he served as the Assistant Director of the postdoctoral program in Periodontology at Tufts University. He also maintains a private practice limited to Periodontics and Dental Implants in Dedham, MA. This course is supported by educational grants from Dodd Dental Lab.

Friday, December 8, 2017 Tim Bizga, DDS – Cleveland, OH – “ The Keys to Successful, Predictable, and Efficient Direct Composite Restorations” Direct composite restorations are among

the most frequently performed restorative procedures, yet dentists often struggle with placement techniques, options for consistently achieving ideal inter-proximal contacts and post-operative sensitivity. There are several key elements that will determine the success of direct esthetic restorations including tooth preparation, material choice, placement technique, and curing method. This program will review esthetic principles, modern preparation design and when and where to use “total-etch” and “self-etch” adhesive systems. Additional topics will include: proper composite selection and placement techniques, the importance of light curing, anatomical contouring, and finishing and polishing; all of which are essential clinical components to achieving long-lasting esthetic restorations. Course Objectives: Review the current state of dentistry; Indications for anterior and posterior direct composites; The latest on preparation design; Understanding of adhesion, current products and their function in modern day dentistry; Technique tips for handling and placement of modern composites; Technique tips for generating ideal anatomic interproximal contacts; and Polishing and sealing techniques for the long term. Dr. Bizga is a general dentist practicing in Cleveland, Ohio. His practice focuses on comprehensive care, with special interests in implants, cosmetics and facial esthetics. This course is supported by educational grants from Dentsply, Dodd Dental Lab, PNC Bank, PDAIS and Bell Insurance.

Wednesday, February 7, 2018 Nakul Rathi, BDS, MS – Houston, TX – “Dental Implantology in the Digital Age” Implants today have proven to be an excellent benefit to the treatment options provided for our

patients. Using the current technologies available for implant surgery and implant prosthetics, this therapy has become very reliable and predictable. This course will discuss various cone beam computed tomography-based implant/prosthesis planning, easy virtual planning demonstration, and computed tomography-derived surgical guides and their effectiveness. Learn the applications of intraoral scanners for dental implantology, for routine single-unit cases as well as implant-supported rehabilitations, and how your patients and practice can benefit from this technology. Learning Objectives: Understand different conventional techniques and CAD-CAM counterparts for doing implant surgery and prosthetics; Treatment planning and execution for implants using CBCT, Software and intraoral scanners; and Steps for incorporating CAD-CAM in everyday implant practice for better patient care and higher revenues. After his dental degree Dr. Rathi pursued his interest in implants at New York University, with a year-long fellowship program. He then completed a Masters of Science (MS) and Advanced Prosthodontics Clinical Residency Program from The Ohio State University. This course is supported by educational grants from Dodd Dental Lab, Hayes Handpiece, and Carestream Dental.

Friday, April 13, 2018 Amy Morgan, CEO Pride Institute – Novato, CA – “Managing by the Numbers: Productivity, Profitability and the Power to Communicate” Are you growing your

practice by $100K to $200K each year to keep up with inflation, personal income needs and retirement strategies? Are your patients and staff dictating your daily schedule leading to uncontrolled production and profitability? Are you working harder for the same income or worse yet, for less? The only way out of this cycle is to construct a plan to reach the needed production, create and stick to expense forecasts, and lead your team to reach practice goals. Practice growth only occurs through positive, action-orientated relationships which leaders create with both their patients and their teams. Learn the necessary rules of business so your return on investment is certain. In this course you will learn how to: Analyze practice statistics to determine strengths and learn to overcome challenges to meet production goals; Compensate your team the only way that leads to improved performance; Use your numbers to address scheduling problems, secure financial arrangements, and improve any failed systems that get in the way of achieving goals; and Gain ultimate team performance by setting expectations through job descriptions, team reviews, and ongoing feedback. This course is supported by educational grants from Dodd Dental Lab, PNC Bank, PDAIS and Bell Insurance.

Wednesday, May 9, 2018 Alan Jeroff, DMD – Vancouver, BC – “Contemporary Oral Surgery for the General Dentist: A Simple and Predictable Approach to Minimally Invasive Oral Surgery” With implant dentistry quickly becoming the standard of care, knowing how to extract a tooth to leave as much boney architecture as possible is essential. This course will walk you step by step

through proven and effective ways to remove teeth while causing minimal trauma to the underlying bone. This lecture is designed for general dentists who want to expand their oral surgery. It will offer you, the general practitioner, an opportunity to better handle your extraction cases, manage complications and know what to avoid. This course is designed for the novice and advanced clinician. All concepts and techniques can be applied the next day in your office. Upon completion, you will be able to: Remove broken and difficult teeth with minimal flap; Apply effective local anesthesia techniques; Use instrumentation for atraumatic extraction and dento-alveolar surgery; Effectively retrieve broken root tips utilizing principles of exodontia; Understand the advantages and disadvantages of socket grafting and the relevance of choosing a graft material; and Manage complications more efficiently. Dr. Jeroff graduated from the University of Manitoba Dental School in 1977 and practices in Vancouver, British Columbia, Canada. He lectures widely on Oral Surgery at national and international levels. This course is supported by educational grants from Dodd Dental Lab, and Hayes Handpiece. All meetings will be held at the Springfield Country Club on Route 320, Springfield, Delaware County, PA. 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 - $695, Individual Courses - $210, 3 Courses - $560, 4 Courses - $655 Other ADA Members - Entire Series - $745 Individual Courses - $225, 3 Courses - $600, 4 Courses - $695 Non-ADA Members - Entire Series - $815, Individual Courses - $240, 3 Courses - $635, 4 Courses - $755 Staff members accompanied by a doctor will be $110 per course per person with reservation at least one week in advance, $130 per course per person at door. Cancellations and Refund Policy - No refunds will be made without at least one week’s notice 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

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News Briefs

Philadelphia Delays Ban on Salary History Inquiries Pending Court Challenge

Philadelphia has delayed enforcement of a local ordinance enacted in January that would bar employers in the city from asking job candidates for salary histories, pending resolution of a lawsuit filed by the local Chamber of Commerce for Greater Philadelphia. The ordinance was to have gone into effect on May 23, 2017. Following a motion for a preliminary injunction by the Chamber of Commerce, the district court granted a stay of the law’s implementation until the motion is resolved. Subsequently, the City of Philadelphia agreed to delay implementation of the ordinance indefinitely, saying in a statement that “volunteering to postpone implementation provides a benefit to the City in the litigation because it gives the court, and defense, more time to sort through the legal, factual and procedural issues addressed by plaintiff’s filings.” On May 31, the Chamber's suit was dismissed. The Chamber's legal team said it would consider filing an appeal of the dismissal, and City officials indicated they would again delay implementation until the outcome of a possible appeal.

Earn CE Credits in Radiology from PDA

25 Pa. Code, Section 221.11(b) requires that dentists and their staff (those that are involved with X-ray procedures) maintain continuing education (CE) in radiation safety, biological effects of radiation, quality assurance and quality control. Here is a great PDA member benefit to help you fulfill that requirement. PDA member dentists and their non-dentist staff members can earn 2 CE credits for viewing the Radiation Protection Update. A presentation and quiz are available in PowerPoint and as a PDF file. In order to receive a certificate of completion, you must pass a short quiz based on the content in the presentation. If you are not able to pass the quiz, you will not receive credit for the course. For more information visit http://www.padental.org/ Online/Public/Dental_Staff/Dental_Radiology_Regulations_and_ Testing_Information.aspx (Member login is required.)

ADA.org Resource Explains New Federal Rule on Substance Abuse

A new resource on ADA.org includes information on a federal rule that changed the confidentiality requirements for substance abuse patients. According to the rule, information released by substance use disorder facilities that would identify a patient as having been diagnosed, treated, or referred for treatment for a substance use disorder cannot be redisclosed unless the patient gives consent.

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The rule, from the Substance Abuse and Mental Health Services Administration within the U.S. Department of Health and Human Services, took effect March 21, 2017. The rule imposes obligations on both substance use disorder facilities and on “other lawful holders” of patient identifying information, including dentists who receive patient identifying information from a substance use disorder facility. Violations can result in fines. For more information, visit the resource by searching for “SAMHSA Final Rule on Confidentiality for Patients” on ADA.org. (Member login is required.)

Tool to Guide Dentists on Antibiotic Use for Dental Patients with Joint Implants

A commentary to clarify guidance on antibiotics use ahead of dental treatment was published in the February 2017 issue of The Journal of the American Dental Association. The article addresses managing care for patients with orthopedic implants undergoing dental procedures. Written by experts in the field the article reminds readers that there is no evidence that antibiotic use prevents PJIs (prosthetic joint infections). Only in very few situations are prophylactic antibiotics recommended for patients with prosthetic joint implants prior to dental procedures. Read the commentary at http://jada.ada.org/article/S0002-8177(16)309655/abstract?source=Morning_Huddle The 2015 guidelines provide the basic guidance needed and can be found at http://jada.ada.org/ article/S0002-8177(14)000191/fulltext?source=Morning_Huddle

CDC Develops Mobile App for Dentists

Dental professionals can monitor infection prevention practices in their offices with a mobile app that the Centers for Disease Control and Prevention released in January 2017. The CDC DentalCheck app lets dental practices check their compliance with administrative policies and clinical practice infection prevention and control recommendations contained within the CDC’s Guidelines for Infection Control in Dental Health Care Settings, which can be found at https://www.cdc.gov/oralhealth/infectioncontrol/pdf/safecare-checklist-a.pdf The app automates an infection prevention checklist and allows someone to easily move throughout the practice and evaluate compliance with recommended infection prevention practices. The CDC encourages infection prevention coordinators and other dental office staff trained in infection prevention to use this app at least annually to assess the status of their administrative policies and practices. (continued on page !#)

News Briefs (contâ&#x20AC;&#x2122;d)

that the emails they send are safe, even though encryption is not technically required. Even files you may not think include PHI, such as the universally recognized DICOM or jpeg radiograph file, have metadata that contain protected information â&#x20AC;&#x201C; such as the patientâ&#x20AC;&#x2122;s name. ADA members are eligible to receive one month Surgeon General Report on E-cigarette Use free of online data backup and recovery. For more E-cigarette use among youth has increased in recent information, visit dentalrecord.com or call 1-800-243years at an â&#x20AC;&#x153;alarming rate,â&#x20AC;? and public health 4675. Â&#x2122; professionals and others must work together to address it, said the U.S. Surgeon General in a report FTC Website to Help Small Businesses released December 7, 2016. Fend off Cyberattacks In 2014, e-cigarettes â&#x20AC;&#x201C; devices that deliver As reported in the May 10, 2017, issue of ADA News, nicotine, flavorings and other additives to users via an the Federal Trade Commission (FTC) has launched a inhaled aerosol â&#x20AC;&#x201C; surpassed conventional cigarettes as new website aimed at helping small business owners the mostly commonly used tobacco product among avoid scams and protect their computers and youth, according to the report, which is aimed at networks from cyberattacks and other threats. raising public health concern about e-cigarette use. The website â&#x20AC;&#x201D; ftc.gov/SmallBusiness â&#x20AC;&#x201D; provides â&#x20AC;&#x153;All Americans need to know that e-cigarettes articles, videos and other information on cyberattacks, are dangerous to youth and young adults,â&#x20AC;? said U.S. which have the potential to be devastating to small Surgeon General Dr. Vivek H. Murthy. â&#x20AC;&#x153;Any tobacco businesses. Small businesses often lack the resources use, including e-cigarettes, is a health threat, that larger companies have to devote to cybersecurity, particularly to young people.â&#x20AC;? according to a FTC news release. The report outlines the patterns of e-cigarette Cybersecurity firm Symantec Corp.â&#x20AC;&#x2122;s 2016 use among U.S. youth, the health dangers associated Internet Security Threat Report indicated that the with it, how e-cigarette companies market to young percentage of spear-phishing attacks targeting small people and what action can be taken at national, business rose from 18 percent to 43 percent between state and local levels to help curb use of the product. 2011 and 2015. Spear-phishing is the fraudulent Read the full report at* practice of sending emails ostensibly from a known https://e-cigarettes.surgeongeneral.govdocuments/2016_SGR_Full_Report_ or trusted sender in order to induce targeted non- SGI individuals to reveal confidential information. The FTCâ&#x20AC;&#x2122;s new website includes a new Small This report gives influencers the facts about how Business Computer Security Basics guide, which these products can be harmful to young peopleâ&#x20AC;&#x2122;s shares tips to help companies protect their files and health. devices, train employees to think twice before The surgeon generalâ&#x20AC;&#x2122;s office offers a consumer sharing the businessâ&#x20AC;&#x2122;s account information and keep friendly website aimed at educating parent and adult their wireless network protected. In addition, it also influencers of young people about e-cigarette use. It provides guidance on how to respond to a data can be found at https://e-cigarettes.surgeongeneral.gov/ Â&#x2122; breach. It also has information on other cyberthreats Transmit Only Secure Patient Data such as ransomware â&#x20AC;&#x201D; computer malware that DDS Safe, a managed online data backup and installs covertly on a victimâ&#x20AC;&#x2122;s device â&#x20AC;&#x201D; and phishing recovery solution endorsed by ADA Business schemes targeting small businesses. Â&#x2122; Resources, provides a three-layer protection system ADA Information on Helping Dentists Make that backs up all patient data online, to a Their Websites Accessible workstation and on an in-office drive â&#x20AC;&#x201C; ensuring Several member dentists in Texas have received patient records are not lost after disasters such as correspondence from an attorney alleging that their floods and fires. DDS Safe helps ensure that dental websites violated the Americans with Disabilities practices are meeting Health Insurance Portability Act (AwDA) because they are not accessible to and Accountability Act (HIPAA) standards. individuals with disabilities, according to the Texas One feature, Secure Email Solution, helps to Dental Association. The letters typically request provide a complete, all in one secure email solution payment of some amount of money to avoid a that's packed with all the features and benefits lawsuit and may insist on prompt compliance with healthcare professionals need to securely send and the AwDA. share Personal Health Information (PHI) with (continued on page !$ patients and providers. Dentists need to be certain Interested users can download CDC DentalCheck through the iTunes App Store Q^T 7__W\U @\Qi It can be displayed on Q fQbYUdi _V TUfYSUc. For more information about the app, visit the CDC website at https://www.cdc.gov/oralhealth/infectioncontrol/ dentalcheck.html Â&#x2122;

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News Briefs (contâ&#x20AC;&#x2122;d)

The AwDA, which became law in 1990, requires that all places of public accommodation, including retail stores, transportation, schools and healthcare facilities, be accessible to individuals with disabilities. The law has been construed, in some instances, to require that such accessibility be extended to websites offering services to the public. There are steps that a dental practice can take to make their websites more accessible to individuals with disabilities. These steps may also reduce the risk of a claim under the AwDA, according to the ADA Division of Legal Affairs. The steps include adding an accessibility link that directs individuals with disabilities to a webpage that tells them what to do if they canâ&#x20AC;&#x2122;t access something on the website; asking a web designer if the website is accessible as designed and implemented; and even temporarily disabling the website if it canâ&#x20AC;&#x2122;t quickly be made accessible. The laws involving the Americans with Disabilities Act and website accessibility are still largely up in the air when it comes to enforcement. A California district court in March dismissed a case in which the plaintiff sued the pizza chain Dominoâ&#x20AC;&#x2122;s for allegedly not having a website or app that was accessible to visually impaired people. The court found that the standards for compliance have not been articulated and that the websiteâ&#x20AC;&#x2122;s offer to respond to concerns about accessibility was not shown to be insufficient to comply with the law. The ADA has made available to members a variety of resources to address this issue. 1.

Website Accessibility â&#x20AC;&#x201C; A quick rundown, in a brief, executive summary-type format, of steps

that members should consider in the short term to make their websites less susceptible to a claim. " Website Accessibility Claims: Strategies for Dentists â&#x20AC;&#x201C; A â&#x20AC;&#x153;white paperâ&#x20AC;? type document that describes in greater detail strategies for members (and their attorneys) in case they receive a demand letter of the type described above. The paper also includes the actions that members might consider in order to make their websites more fully accessible to persons with disabilities in the long term. # Â$ 'HQWLVWÂ°V *XLGH WR WKH /DZ 7KLQJV (YHU\ 'HQWLVW 6KRXOG .QRZÂŽ (L756), is available from the ADA Catalog, includes sections on the Americans with Disabilities Act and its provisions affecting website development, including sample language for a web developer contract. To order, visit adacatalog.org PBHS, the only endorsed marketing services/website company by ADA Business Resources, complies with guidelines for accessibility for all new website development. Practices with older websites can contact PBHS regarding an accessibility audit and learn more about the actions required for practice compliance. PBHS is the leading provider of website design and online search engine marketing services for the dental community. ADA members receive a $500 discount on their packages, a selection of free ADA online patient brochures and videos, plus a complimentary analysis of their current branding and online presence. For more information or to set up a free consultation, contact PBHS at 1-855-932-4232. Â&#x2122;

Itâ&#x20AC;&#x2122;s Time to Remind Your Patients About Mouthguards Many Pennsylvania Interscholastic Athletic Association (PIAA) sports, especially high school football and boys and girls soccer, already have started voluntary practices for the fall season. PIAA as the governing body requires these athletes to wear mouthguards. Remind your patients when you see them this summer that a mouthguard should be considered part of their uniform, whether they are playing on a high school team, in a high school club sport not governed by PIAA or in a community recreational league. While it may take a few days to adjust to wearing the mouthguard, wearing it will become second nature in no time. Also remind patients that if they are having orthodontic treatment, their orthodontist can make a unique mouthguard just for them.

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The Insurance Agency for Dentists, LLC and the Sidney Sacks Agency, Inc. are proud to be appointed as the preferred providers of insurance services for the Philadelphia County Dental Society. Bob Opperman’s experience with the dental community goes back to the mid 80’s and the Sacks Agency has been serving the insurance needs of the area since 1946. The marriage of the two provides the dental community with the opportunity to obtain excellent insurance products, at competitive pricing, with outstanding customer service.

Contact Information ǣ Bob Opperma 609-ͼͼͶ-͸ͻͺ͸ȀͼͶͿǦͼͼͶǦ͸ͻͽ͸ȋ Ȍ 215-990-6709(cell) Erika Mainhart Ǧ610-270-9180 Ext. 207

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Workplace Tips

Dental Offices Can Cut Costs Through Energy Efficiency

Small and medium-sized businesses are unlocking big savings through energy efficiency upgrades. New, proven equipment can expand profit margins while offering improvements in worker comfort, facility attractiveness and equipment performance, says the PECO Smart Ideas energy efficiency program. Across Greater Philadelphia, dental offices of all sizes can take advantage of PECO’s energy efficiency solutions. Incentives are available for energyefficient lighting; heating, ventilation and air conditioning (HVAC) systems; compressed air equipment; and much more.

Offices investing strategically can cut utility costs 10 to 30 percent without sacrificing service, quality, style or comfort. Investing in energy efficiency can dramatically improve a practice’s bottom line and reduce vulnerability to energy price risks. A recent survey of National Small Business Association members found 84 percent had not received an energy audit, mostly due to lack of time or understanding of the audit process. PECO has certified dozens of local contractors who are available to identify and implement costeffective equipment or process upgrades. The selection process is made simple by visiting the PECO Smart Ideas for Your Business Contractor Database.

Search by location, contractor services or company name. Once efficiency upgrades are identified, PECO offers a wide range of rebates to assist in lowering project costs. Incentives are offered for: x Lighting: Interior and exterior LED as well as reduced wattage T8 or T5 linear fixtures. LEDs typically use 25 to 80 percent less energy than traditional incandescent bulbs and can last up to 25 times longer, saving on maintenance and operating costs. x HVAC: Comfort systems including highefficiency air conditioners, heat pumps and demand-controlled ventilation units, all on a per-ton basis. Rebates are also available for retrocommissioning, the process of ensuring HVAC systems are designed, installed and maintained according to operational specifications. Retrocommissioning can cut energy bills by 10 to 15 percent. x Compressed air systems: New, highefficiency compressors and various equipment that prevent air loss, such as air-entraining air nozzles. New models of compressed air equipment save energy while limiting moisture. x Controls: Energy management systems, otherwise known as building automation systems, as well as lighting sensors. Energy management systems can yield savings of more than 30 percent in older or poorly maintained buildings through the centralized control of HVAC, lighting and other building systems. x More: Data center upgrades, refrigeration equipment and custom retrofit measures. x Dental practitioners interested in unlocking the energy efficiency potential within their properties or facilities should contact PECO at 1-844-4BIZ-SAVE (1-844-424-9728) or visit peco.com/biz. (continued on page 1')

Don’t forget to enjoy nature’s bounty this summer! If you have the time, freeze fresh berries to make an ice cream sundae or small tomatoes, green beans and zucchini to add to a hearty soup this winter.

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Workplace Tips (cont’d.)

Improving Productivity and Employee Outlook in Your Office Environment

Ragan Communications, publisher of corporate communications, public relations and leadership development newsletters, among others, offers the following workplace tips through several of its online publications. Although targeted to the corporate environment, these easily can be adapted for your practice and your personal life. Get More from Your “To-Do” List A to-do list can help organize your time and energy effectively, but successful people know that it’s just a start, not an end in itself. Here is how you can get the greatest impact from your list: x Start the night before. Instead of making your list in the morning, finish your day by planning tomorrow’s work. You’ll arrive fresh and ready to tackle your most important tasks right away. x Keep it short. A list of 100 items is intimidating. Limit your to-do lists to tasks that add maximum value to your organization, not routine busywork. x Prioritize tasks. Don’t list items at random. Decide which job to tackle first, second, and third so you don’t waste time on less important tasks. x Categorize tasks. After you’ve identified your two or three most important jobs for the day go through your list and group similar tasks together. You’ll get more done by not switching between different kinds of tasks all day.

Get specific. Include the results you want, not just the name of the task. “Work on Johnson report” doesn’t give you a goal; “Finish Johnson report by 3:30” will help you focus on what you want to achieve. Create a Spirit of Innovation on Your Team Sparking innovation in a team depends on a number of factors. Concentrate on these to get the most from everyone’s creativity: • Debate. Encourage open discussion. Don’t let meetings turn into arguments, but do make sure everyone feels free to explore ideas honestly. • Support. Team members should help each other develop their ideas. The more support people feel, the more eager they’ll be to make suggestions. x

Address Employee Complaints Reasonably Employee complaints are part of every manager’s life. You can’t ignore them, but you should not let them take over your day, either. Handle them efficiently by asking your employee these questions: (continued on page !()

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Workplace Tips (cont’d.)

•

What is the exact problem? Don’t settle for unspecific gripes, like “I’ve got too much work.” Isolate the nature of the problem in concrete terms. Who else have you talked to? You may not be the first person employees turn to for help with every problem. Point out other people who are better equipped to offer immediate help in solving some problems, if this is an option. What happened when you talked? If the employee has already gone to another source for help and not been satisfied, find out why. If people who are supposed to help aren’t doing their jobs, you have to know. What do you disagree with? The complaint may stem from a disagreement with policy or a particular management decision. You may not be able to make changes that will satisfy the employee, but you should find out if the disagreement is over a legal matter, or perhaps the result of someone not doing his or her job. What’s your solution? Find out what the employee wants you to do, in plain concrete language. An acceptable solution may be quite reasonable. If it’s not, explain why and try to reach a compromise.

Take the Risk of Being Creative Creativity is a risky business. Here are ways to inspire your creativity:

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•

Practice. Don’t wait for the pressure of a crisis to start flexing your creativity. Envision some possible scenarios where you’d have to think fast to find a solution. When real problems arise, you’ll be better prepared to deal with them. Seek feedback. Look for people who can help you evaluate your ideas fairly. They should challenge you, not just say, “Great idea!” This will help keep your thinking sharp. Take small risks. Get used to uncertainty by using your imagination when the risks are minimal. You’ll build confidence as you learn what works and what doesn’t.

Document Employee Performance Problems Remember to document employee performance problems to protect yourself from lawsuits. Promptness and consistency are key. After discussing the problem with the worker, write a brief note about the incident. Here are the facts you need: x The employee’s name. x The date of the infraction. x A description of what occurred. x How you addressed the issue. Don’t worry about style, and don’t express opinions. Simply place your write-up of the incident in the employee’s file for future reference.

Health Watch

Brain Drain: Control Your Appetite After a Long Day at the Office

Why are you starving after a long day at work even though you’ve spent it mainly at your desk? Scientists, as reported by The New York Times, say it’s because your brain, feeling tired, wants more fuel to keep going—even though you haven’t been very active for eight or nine hours. The problem: you’re consuming calories you don’t actually need because your brain is telling you to. Get around this dilemma with exercise. In an experiment at the University of Alabama at Birmingham, 38 college students met to discuss what their favorite pizza was. Afterward, they were allowed at eat as much pizza as they wanted. On another day, they were brought back and given a series of high level tests. Then half the students worked out on treadmills while the rest sat quietly. The entire group was again served all the pizza they wanted, but the treadmill group ate less—about 25 fewer calories than at their previous session-while the rest of the group actually ate 100 calories more. The study suggests that a light workout after a mentally strenuous day may curb one’s appetite— good to know before you sit down to eat some liver with fava beans and a nice amarone.

Get in Shape and Lower Risk for Disease

Some of the best physical activities for your body don’t require the gym. These “workouts,” according to Harvard Medical School’s Focus on Healthy Living, can do wonders for your health: x help keep your weight under control, x improve your balance and range of motion, x strengthen your bones, x protect your joints, x prevent bladder control problems, and x even ward off memory loss. Swimming. Swimming might be the perfect workout as the buoyancy of the water supports your body and takes the strain off painful joints. Swimming is good for individuals with arthritis because it’s less weight bearing. Swimming can improve your mental state and put you in a better mood. Water aerobics is another option. These classes help you burn calories and tone up. Tai Chi. Tai chi — a Chinese martial art that incorporates movement and relaxation — is good for both body and mind. It is made up of a series of graceful movements, one transitioning smoothly into the next. Classes are offered at various levels, so tai chi is accessible and valuable for people of all ages and fitness levels. Tai chi is particularly good for older people because it improves balance, an

important component of fitness that you lose as you age. Try a class to get started and learn proper form. Find tai chi programs at the local YMCA, health club, community center, or senior center. Strength training. Lifting light weights won’t bulk up your muscles, but it will keep them strong. Muscles will lose their strength over time if not used. Muscle also helps burn calories, so the more muscle you have, the more calories you burn and the easier it is to maintain your weight. Strength training might also help preserve your ability to remember. Before starting a weight training program, be sure to learn the proper form. Start light with just one or two pounds. You should be able to lift the weights 10 times with ease. After a few weeks, increase that by a pound or two. If you can easily lift the weights through the entire range of motion more than 12 times, move up to slightly heavier weight. Walking. Walking is simple yet powerful. It can help you stay trim, improve cholesterol levels, strengthen bones, keep blood pressure in check, lift your mood and lower your risk for a number of diseases (diabetes and heart disease for example). Studies have shown that walking and other physical activities can improve memory and resist age-related memory loss. All you need is a well-fitting and supportive pair of shoes. Start walking for about 10-15 minutes at a time. Gradually increase the time you’re walking to 30 to 60 minutes on most days of the week. Kegel exercises. These do something important — strengthen the pelvic floor muscles that support the bladder. Strong pelvic floor muscles can help prevent incontinence. Learn more about these beneficial exercises here. Many of the things we do for fun (and work) count as exercise. Raking the yard counts as physical activity. So does ballroom dancing and playing with your kids or grandkids. As long as you’re doing some form of aerobic exercise for at least 30 minutes a day, and you include two days of strength training a week, you can consider yourself an “active” person.

The Opioid Crisis and Five Simple Sentences

In 2014, in a National Survey on Drug Use and Health, the Substance Abuse and Mental Health Service Administration reported almost 2 million Americans abused or were dependent on prescription opioids. Today, nearly half of all U.S. opioid overdose deaths involve a prescription opioid. In 2015, more than 15,000 people died from overdoses involving prescription opioids. How did we as a nation get here? According to an article in the June 5, 2017, issue of the Los Angeles Times, author Karen Kaplan (continued on page " )

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Membership Report

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NECROLOGY Dr. Jerome J. Blum Dr. Robert L. Van Arsdall, Jr.

Health Watch (contâ&#x20AC;&#x2122;d.)

says we can trace it back to a five-sentence letter sent to the editors of the New England Journal of Medicine (NEJM) in 1980. In that simple letter the authors, according to Kaplan, â&#x20AC;&#x153;described a rudimentary analysis of 11,822 hospital patients who took a narcotic painkiller at least once. The vast majority of these patients tolerated the drugs without incident, according to Jane Porter and Dr. Hershey Jick of the Boston Collaborative Drug Surveillance Program.â&#x20AC;? â&#x20AC;&#x153;There were only four cases of reasonably well documented addiction in patients who had no history of addiction,â&#x20AC;? Porter and Jick reported. â&#x20AC;&#x153;The addiction was considered major in only one instance.â&#x20AC;? To Porter and Jick the conclusion was obvious: â&#x20AC;&#x153;We conclude that despite widespread use of narcotic drugs in hospitals, the development of addiction is rare in medical patients with no history of addiction.â&#x20AC;? Their conclusion was woefully wrong. In the intervening years, citations of their claim experienced the equivalent of a Tweet going viral. By March 30, 2017, the letter had been cited by 608 other scholars compared to an average of 11 times

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

September 27, 2016 January 1, 2017

for letters to the editor that appeared in the NEJM within four weeks of Porterâ&#x20AC;&#x2122;s and Jickâ&#x20AC;&#x2122;s letter, according to the authors of a new letter to the editor in 2017, Pamela T.M. Leung of the University of Toronto and colleagues. They noted an increase in citations of the 1980 letter after OxyContin came on the market in the mid-1990s. The liberal reliance on these five sentences helped â&#x20AC;&#x153;shape a narrative that allayed prescribersâ&#x20AC;&#x2122; concerns about the risk of addiction associated with long-term opioid therapy,â&#x20AC;? Leung and her colleagues concluded. How do we know this is still the case? In 2015, more than 15,000 people died from overdoses involving prescription opioids, while every day over 1,000 people are treated in emergency departments for misusing prescription opioids. Â&#x2122;

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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: 215-9256998. Deadline for publication is the first of the month prior to publication (September 1 for October/November/December issue), and information will be published on a space-available basis.

JULY 11

CONTINUING EDUCATION FOR DENTAL EXCELLENCE – center city - 6:30 p.m. Dinner meeting (Doubletree Hotel) featuring Mark Kiefer, “Practical and Practiceable HIPAA Compliance - Just for Dentists.” For information, contact: Vickie Fisher at 215-732-4450 or Vickie.LocustStPerio@gmail.com or visit www.PhilaPerioImplants.com or www.LocustStPerioImplant.com

CONTINUING EDUCATION FOR DENTAL EXCELLENCE – northeast - 6:30 p.m. Dinner meeting (Gallo’s Restaurant) featuring Mark Kiefer, “Practical and Practiceable HIPAA Compliance - Just for Dentists”. For information, contact: Vickie Fisher at 215-732-4450 or Vickie.LocustStPerio@gmail.com or visit www.PhilaPerioImplants.com or www.LocustStPerioImplant.com

AUGUST

No meetings scheduled at this time.

SEPTEMBER 13

PHILADELPHIA COUNTY DENTAL SOCIETY – Continuing Education Program at the Hilton Philadelphia City Avenue Hotel. Dr. Jeffrey W. Horowitz: “I’ve Got a Few Tricks up My Sleeve! Tips to Make Everyday Procedures a Little Bit Easier” (in cooperation with The Catapult Elite Group). Register online at www.philcodent.org

CENTER CITY STUDY CLUB – Dinner Meeting at Estia Restaurant Philadelphia, 6:00 p.m., featuring Elliot Hersh, D.M.D., M.S., Ph.D., Professor of Pharmacology, University of Pennsylvania. “Evidence Based Analgesia for Dental Professionals.” For information, contact Diane Fosbenner, Professional Relations Coordinator, Laudenbach Periodontics & Dental Implants at 215-985-4337 or prc@laudenbach.com or visit the website at www.laudenbach.com.

CONTINUING EDUCATION FOR DENTAL EXCELLENCE – Joint program in Northeast – 6:30 p.m. Dinner meeting (Gallo’s Restaurant) featuring Stuart J. Oberman, Atty., “Risk Management.” For information, contact: Vickie Fisher at 215-732-4450 or Vickie.LocustStPerio@gmail.com or visit www.PhilaPerioImplants.com or www.LocustStPerioImplant.com

OCTOBER 19

CONTINUING EDUCATION FOR DENTAL EXCELLENCE – Joint program in Northeast – 6:30 p.m. Dinner meeting (Gallo’s Restaurant) featuring Michael Norton, B.D.S., F.D.S., R.C.S., “The Influence of Insertion Torque on Primary Stability, Implant Survival and Marginal Bone Loss,” Sponsored by Sirona Dentsply. For information, contact: Vickie Fisher at 215-732-4450 or Vickie.LocustStPerio@gmail.com or visit www.PhilaPerioImplants.com or www.LocustStPerioImplant.com

19-23

AMERICA’S DENTAL MEETING – ADA meeting, Atlanta, GA. Registration opens May 10. Visit online at www.ada.org/meeting

NOVEMBER 10

PHILADELPHIA COUNTY DENTAL SOCIETY – Continuing Education Program at the Hilton Philadelphia City Avenue Hotel. Dr. Lou Graham: “The Geriatric Boom…Understanding this Unique Population and All That We Can Do for Them in All Phases of Their Oral Health” (in cooperation with The Catapult Elite Group). Register online at www.philcodent.org

CENTER CITY STUDY CLUB – Dinner Meeting at Estia Restaurant Philadelphia, 6:00 p.m., featuring Todd Hydock, Director of Laboratory Services, Newtech Dental Laboratories. “A Team Approach to Full Arch Immediate Loading: Optimal Restorative Workflow and Restorative Design.” For information, contact Diane Fosbenner, Professional Relations Coordinator, Laudenbach Periodontics & Dental Implants at 215985-4337 or prc@laudenbach.com or visit the website at www.laudenbach.com. (continued on page "")

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Dental Dates (cont’d.) NOVEMBER (cont’d) 15

CONTINUING EDUCATION FOR DENTAL EXCELLENCE – Joint program in Northeast – 6:30 p.m. Dinner meeting (Gallo’s Restaurant) featuring Elliot V. Hersh, D.M.D., M.S., Ph.D., “Evidence Based Analgesia for Dental Professionals” (Sponsored by Septodont). For information, contact: Vickie Fisher at 215-732-4450 or Vickie.LocustStPerio@gmail.com or visit www.PhilaPerioImplants.com or www.LocustStPerioImplant.com

24-29

GREATER NEW YORK DENTAL MEETING – Meeting dates: November 24-29; Exhibit dates: November 26-29; at the Jacob Javits Convention Center, New York City. For information visit www.gnydm.com or call 212-398-6922

DECEMBER 5

CONTINUING EDUCATION FOR DENTAL EXCELLENCE – Joint program in Northeast – 6:30 p.m. Dinner meeting (Gallo’s Restaurant) featuring John Corino, D.M.D., M.S., “Current Trends in Implant Prothestics” (Sponsored by Straumann). For information, contact: Vickie Fisher at215-732-4450 or Vickie.LocustStPerio@gmail.com or visit www.PhilaPerioImplants.com or www.LocustStPerioImplant.com

JANUARY 2018 23

CENTER CITY STUDY CLUB – Dinner Meeting at Estia Restaurant Philadelphia, 6:00 p.m., featuring George Bandelac, D.D.S., M.S., “Immediate Loading of Single Tooth Implants in the Esthetic Zone.” For information, contact Diane Fosbenner, Professional Relations Coordinator, Laudenbach Periodontics & Dental Implants at 215-985-4337 or prc@laudenbach.com or visit the website at www.laudenbach.com

APRIL 24

CENTER CITY STUDY CLUB – Dinner Meeting at Estia Restaurant Philadelphia, 6:00 p.m., featuring Melissa Vettraino Bachstein, D.D.S., “Endodontics Beyond Traditional Root Canal Treatment: A Look at Complex Surgical and Non-Surgical Cases” For information, contact Diane Fosbenner, Professional Relations Coordinator, Laudenbach Periodontics & Dental Implants at 215-985-4337 or prc@laudenbach.com or visit the website at www.laudenbach.com.

Peyton Manning will address ADA 2017 attendees as part of the ADA's Distinguished Speaker Series, presented by ACT Oral Care. More than a legendary quarterback in the NFL, Mr. Manning is an all-around humanitarian dedicating his time off the field to various foundations.

Registration Now Open Visit ada.org/goto/session

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Am Pract Philad Cty

10/2/12

12:03 AM

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DENTAL PRACTICE SALES

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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 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 215-925-6050 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 215-925-6050 or Fax 215-925-6998 for the list of dentists seeking employment. Monday thru Thursday, 10 a.m. to 4 p.m. PROPERTY & EQUIPMENT FOR SALE/RENT – 6800 Torresdale Ave., Philadelphia, 19135. Two floors over 2,000 sq ft/floor, 3 rental properties on 2nd floor currently occupied. Ground-level dental office has 3 ops furnished with modem A-DEC equipment, good condition. Includes several thousand neighborhood patient files from past participation in HMO plans. Additional offices no longer afford me time at this office. This could be a GOLDEN OPPORTUNITY for any dentist who participates in HMO and/or Medicaid. Call 215-673-4017 or email richarddipdental@gmail.com. HOME-OFFICE SALE, PRIME LOCATION – Close to Philadelphia, high-traffic area. 4 ops, 1,000 sq. ft. Call 856-665-6404.

MARYLAND PRACTICES FOR SALE – ANNAPOLIS – 2-3 ops part-time, retiring, grossing $350K. BETHESDA – 2-3 ops, prof. bldg, at door parking, grossing $425K. WESTMINSTER – 4 ops, retiring, grossing $350K, P/T restorative only. Refers all specialty. POLCARI ASSOCIATES, Ltd. 1-800544-1297. info@polcariassociates.com PRACTICE TRANSITIONS – We specialize in Practice Sales, Appraisals and Partnership Arrangements. Ask about our free guides for Sellers and Buyers. For information on services and listings, contact Philip Cooper, D.M.D., M.B.A., American Practice Consultants, toll free 1-800-400-8550, or www.ameriprac.com 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 DENTAPPRAISE™ NATIONWIDE DENTAL PRACTICE APPRAISALS since 1992. Pre-sale, purchase, estate, mediation, partnership. “Ballpark Edition” approximate estimate, “Premier Edition” comprehensive market value. Information: POLCARI ASSOCIATES, Ltd. 1-800-544-1297, info@polcariassociates.com, or www.Dentappraise.net.

Remind Your Patients About the Next

National Prescription Drug Take Back Day October 28, 2017 Patients can turn in their unused drugs or expired medications for safe disposal.

To find a Take Back Day location, go to

https://apps.deadiversion.usdoj.gov/pubdispsearch

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY