The Journal of the Philadelphia County Dental Society
July/August/September 2019
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THE JOURNAL
of the Philadelphia County Dental Society ________________________________________________________________________________
First District of the Pennsylvania Dental Association July/August/September 201 • Vol. 85 • No. 3 ______________________________________________________________________________________________ Saul N. Miller, D.D.S., '19 Editor Nipa R. Thakkar, D.M.D. Associate Editor Caroline Power Gangl Managing Editor
CONTENTS President’s Message ...................................................................... 3 PDA CEO Camille Kostelac-Cherry, Esq., Retires.......... ............ 4 Liberty Continuing Education Dates 201 .................................... 6
Lisa B. Gottlieb Administrative Assistant
PCDS Scholarships Presented ......................................................... 6
OFFICERS
News Briefs ....................................................................................... 11
Lennie M. Checchio, D.D.S. President
Pay It Forward ............ ................................................................. 12
Renee H Fennell, D.M.D. President-Elect Judith A McFadden, D.M.D. Secretary A J. Chialastri, D.D.S. Secretary Emeritus
Membership Report ....................................................................... 9
Temple Students Learn to Care for PHRSOH with Disabilities .... ...... 13 Mom-n-PA at the Heart of Dentistry.............................................. 15 Mom-n-PA Humbling Experience for Layperson........................... 17 Health Watch .............................................................................. 20
Rochelle G. Lindemeyer, D.M.D. Treasurer
PCDS CE Program and Registration ........................................... 24
GOVERNORS
Classifieds ................................................................................... 29
Dental Dates ................................................................................. 27
Derek J. Conover, D.M.D., '21 Renee H. Fennell, D.M.D., '21 Thomas W. Gamba, D.D.S., '19 Kevin J. Klatte, D.D.S., '19 Jonathan Siegel, D.M.D., '20 Nipa R. Thakkar, D.M.D.,’20 David A. Tecosky, D.M.D. '21
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Stanley W. Markiewicz, D.D.S., '20 PDA Trustee
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CONTACT INFORMATION
Philadelphia County Dental Society P.O. Box 189 Glendora, NJ 08029 215-925-6050 FAX: 215-925-6998 E-mail: OJRWWOLHE#SKLOFRGHQW RUJ WEB: ZZZ SKLOFRGHQW RUJ Journal: 3KLOD'HQWDO-RXUQDO#\DKRR FRP
The JOURNAL is published by the Philadelphia County Dental Society, P.O. Box 189, Glendora, NJ 08028. 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 3KLOD'HQWDO-RXUQDO#\DKRR FRP The Philadelphia County Dental Society does not approve or disapprove any products or services advertised in the JOURNAL. Articles for publication and additional requests for JOURNAL-related information should be sent to the Managing Editor via e-mail to 3KLOD'HQWDO-RXUQDO#\DKRR FRP. 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 Managing Editor via telephone at (717) 805-4130 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 four times a year, January through December. Single printed copies: $4.00. Standard postage paid at Philadelphia, Pennsylvania. Copyright 2019. The Philadelphia County Dental Society.
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THE DENTAL SOCIETY OF CHESTER COUNTY Regis AND DELAWARE COUNTY, PA on - li ter DKUd ne at proudly presents ental .
DKU Continuing Dental Education
Springfield Country Club, Delaware County
Friday, October 18, 2019
The Dental Society of Chester County and Delaware County is an ADA CERP recognized provider approved by 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. The Dental Society of Chester and Delaware County designates this activity for six continuing education credits per course.
com
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
Damon Adams, DDS - Traverse City, MI
Trends, Innovations, Controversies & Clinical Tips – Dr. Adams will present an engaging presentation focused on current trends, controversies and innovations. He will be placing a special emphasis on
a variety of clinical and treatment planning tips designed to assist the dentist and team in choosing and successfully implementing the latest lab-fabricated, all-ceramic dental materials and treatment protocols. Course Objectives: A review of some of the latest trends, developments, and innovations in dentistry; Learn ways to minimize all-ceramic failures/fractures; Latest preparation and core build-up requirements for lithium disilicate and monolithic, zirconia restorations; Review and update of the latest translucent zirconia options: indications, special cautions, and future challenges; Update on cementation protocols and bioactive cements for lab-fabricated materials; Diagnosis and treatment planning considerations for lab-fabricated restorative materials; A brief update on revolutionary developments in composite resin materials and long-term provisional materials. A brief review of CAD/CAM/scanning and printing technologies for the dental office This course is supported by educational grants from Dentsply, Hayes and Kettenbach.
Wednesday, November 13, 2019
Orofacial Pain Disorders, Oral Mucosal Lesions: Diagnosis & Management –
Seena Patel, DDS - Phoenix, AZ
AM: Appropriately diagnosing and managing oral mucosal diseases can be challenging, and patients often see several providers before obtaining a correct diagnosis. A sound understanding of oral mucosal diseases and following a systematic approach to diagnosis prevents unnecessary office visits, diagnostic tests, treatments, and a delayed diagnosis. Course Objectives: Form a differential diagnosis for various oral mucosal conditions; Define the most common oral mucosal diseases; and Manage common oral mucosal lesions. PM: This course will introduce the attendant to all aspects of orofacial pain. It will review the temporomandibular joint disorders (TMDs): arthrogenous and myogenous disorders, internal derangements, and other uncommon joint conditions, as well as, neuropathic and neurovascular conditions. Will also review, non-odontogenic sources of toothache, headaches, and cervical pain. Dentists will learn to easily differentiate between these orofacial conditions and implement medical, dental, pharmacologic and behavioral treatments. Course Objectives: Recognize and diagnose patients with orofacial pain and dysfunction; Identify patients with TMDs and treat uncomplicated conditions; Manage TMDs through non-pharmacological methods, including splint therapy, interventional therapy, and physical medicine; and Select, administer and prescribe pharmacological agents. This course is supported by educational grants from Hayes and PNC.
Thursday, December 12, 2019
Mark Donaldson, Pharm D - Whitefish, MT
Money Makes the World Go Round, But Drugs Can Make It Spin – Did you know that more than 20% of hospital admissions are due to adverse drug reactions? Just because dentists prescribe
less than 10% of all available drugs, your patients may be taking others from the 90% with which you are not familiar. Polypharmacy is the norm, especially in the over 65 year old population, this course is considered essential to every practice setting today. This interactive program looks at some of the more common drugs and drug interactions and their management with a particular focus on the dental realm. The program will conclude with a discussion on what is in your emergency kit and why. After all, when an adverse drug reaction occurs due to a drug interaction, who is more at risk–you or your patient? Course Objectives: Describe the potential for drug-drug interactions and articulate strategies to avoid or manage them; Understand the principles of drug metabolism including liver enzyme induction and inhibition; Describe at least three disease states attributable for induced metabolism and three disease states attributable for inhibited metabolism. This course is supported by educational grants from Premier and Dentsply.
Friday, January 24, 2020
Paul Goodman, DMD - Pennington, NJ
AM: Systems to Decrease Dentist & Team Stress • PM: The Circle of Dentisting Life: Associate-Buying-Expanding-Selling! –
AM: This program will help dentists and their team manage issues that are controllable and deal with issues that are out of their control in a productive way. Learn how to manage the financial expectations of small, medium and large cases, as well as, supply management skills for lowering every day spending. Tips to manage both the schedule and your practice reputation. Learn communication and leadership skills for reducing team challenges and maximizing patient relationships. Course Objectives: Learn instant 5-minute practice systems that eliminate confusion and enhance patient service; Gain strategies for dealing with a growing dental business and team; Explore how to implement larger treatment plans and prepare the dentist and team to present them PM: Learn when to start planning to buy or sell a dental practice. Sellers will learn how to make their practices more attractive, and buyers will learn how to find the right practice for their needs, skills and location. We will exam the current state of the dental practice, transitions market, and buyers will learn how to approach a reputable bank for financing. Course Objectives: Keys to finding the right dental associates; Common pitfalls to avoid during transitions; Assembling the right team for buying and selling a practice This course is supported by educational grants from Kettenbach and PNC.
Dennis Tarnow, DDS - New York, NY
Friday, April 24, 2020
Interdisciplinary Approach for Treating the Esthetically Compromised Patient – Treatment planning of complex cases requires the highest level of knowledge and skill of the treating
team. An envisionment of the final case before starting is required to know where the goal of treatment will be directed Topics include controversial issues regarding immediate postextraction socket implant placement in relationship to survival and esthetic outcomes. Immediate provisional restoration of immediate implants placed into healed [delayed] or augmented sites. Current concepts will be presented on techniques, clinical research, histologic evidence, and innovations in immediate implant placement and provisional restoration treatment and how they can enhance outcomes for greater patient comfort, care, and satisfaction. The incidence and prevalence of inflammatory peri-implant disease is rapidly rising due to the increase in implants and their duration world-wide. Whether you are placing implants or restoring implants, it’s imperative that you understand the factors involved in peri- implant disease, are able to diagnose the problem in its incipiency and can take the proper steps to arrest its progression. Course Objectives: Should implants be placed immediately or in a delayed protocol? Should multiple implants be placed in the aesthetic zone? Should the case be splinted into separate bridges or individual teet? Understand which instruments and chemotherapeutic agents are best suited to debride, detoxify and decontaminate an affected implant. Understand the indications for non-surgical and surgical therapy, and the specific implant surgical techniques utilized to optimize the results of peri-implantitis treatment. This course is supported by educational grants from Garfield, Hayes, Kettenbach, Salvin and PNC..
Wednesday, May 20, 2020
John Molinari, PhD - Arroyo, CA
Emerging, Reemerging Diseases, Allergies & Vaccines in Dental Practices – Infectious diseases described over the past 4 decades include those caused by newly discovered microbial
pathogens, re-emergent infections with drug-resistant strains, and infections which have become resistant to previously successful antimicrobials. Ongoing challenges, and occupational guidelines for blood-borne pathogens (hepatitis B & C viruses, HIV), respiratory infections (influenza viruses, tuberculosis), and waterborne infections will be discussed. Included is a discussion of persons with representative autoimmune disorders (i.e. systemic lupus, cirrhosis, diabetes, leukopenic challenges resulting from transplantation, multiple acquired immune deficiency syndromes). Medical and dental clinicians must develop stronger professional relationships. Rising allergy challenges to patients and providers from all materials and drugs used in the dental office will be examined. This seminar will consider vaccination as an effective public health infection control approach for protection of the general population and health care professionals. Objectives: Comprehend the occupational health care risks presented by these diseases; Understand that an increasing number of dental patients present with a defect in their host immune defenses; Understand that certain allergic reactions are observable in the oro-facial tissues; and Comprehend the impact vaccinations have had in protecting the population and the consequences of not getting them! This presentation is ideal for the entire dental team.
For Speaker Bio go to www.DKUdental.com and see full brochure.
All meetings will be held at the Springfield Country Club on Route 320, Springfield, Delaware County, PA. Registration for all courses 8:00 AM. Lecture 8:30 AM – 3:45 PM. Continental breakfast and lunch included for all DKU courses.
FEES
PLEAS E NO NEW TE TIMES
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
President’s Message Lennie M. Checchio, D.D.S. I recently had the honor to attend the ADA Signing Day at the University of Pennsylvania School of Dental Medicine. The turnout was very good, whether it was for the membership signing, the message, the swag, the words of wisdom from Dr. Jim Boyle, immediate past president of the PDA, or the free lunch. Hopefully, the students appreciated and enjoyed all aspects of the event. Among the students’ comments and concerns was the fear that they would be forced to work for corporations, as a result of their massive student debt. In fact, it has been reported that some students have this concern as early as their first year in dental school. There has been a drastic change in how new dentists start their careers. Dr. Roger Levin wrote about “permanent game-changers” that are affecting providers of dental care in the United States. These include the following: 1. Changes in consumer purchasing habits 2. Opening of new dental schools, creating an influx of new dentists, increased competition in metropolitan areas, fee wars and more dentists joining and practicing in corporate settings. 3. Massive dental school loan debt 4. Decreased insurance reimbursement 5. Increase in national corporate dental practices 6. Fewer associateship opportunities 7. Dentists practicing 8 to 10 years longer In addition to the above, there are the following: 1. Compliance with ever increasing local, state and federal regulations. 2. The high cost of participation in insurance networks, due to lower fees, high cost to provide quality care and staff time required to monitor and follow-up on the reduced reimbursements.
3. Local large corporate practice organizations The Academy of General Dentistry has defined a Dental Maintenance Organization (DMO), or Dental Service Organization (DSO) as: “A variety of practice modalities in which management services, at a minimum, are provided in a manner that is organizationally distinct from the scope of activities performed by a dentist within his or her practice.” As written in the American College of Prosthodontists (ACP) position paper on corporate practice, “The trend toward larger, consolidated multisite practices is expected to continue, driven by changes in practice patterns of new dentists, a drive for efficiency and increased competition for patients” and “Management and some employee decisions may be made a different level, and a partial or complete loss of independent control over some aspects of practice can occur. This does not imply that there will be any degradation of care.” With the increased number of new dentists working in a corporate setting, it is important to ask the right questions prior to signing on the dotted line. According to the Academy of General Dentistry Practice Model Task Force Investigative Report on the Corporate Practice of Dentistry, among the questions that should be asked are: 1. Who is my employer? 2. Who can create or edit a treatment plan? Who is responsible for the treatment plan? Do I have the authority to disagree with or change a treatment plan? 3. Who owns the dental professional entity? Who owns the business entity? 4. What are my employer’s expectations regarding my productivity, patient volume and revenue? For example, may I take two hours to complete crown prep? 5 How are after hours emergencies addressed? For the complete list of questions and the complete report, please go to Advocacy Papers. Roger Levin wrote, “}American dentists are in an entirely new situation – one that they have never faced before. Although some game-changers may seem daunting, proactive dentists can insure bright futures for their practices.”
THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY
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PDA CEO Camille Kostelac-Cherry, Esq., Retires Saul N. Miller, D.D.S., Editor values I brought to my PDA family in 1994 The Pennsylvania Dental Association held and those are the values that informed and its annual meeting on April 6, 2019, in defined my service to PDA and its members Gettysburg, PA. The new one-day format over the past 25 years. I am grateful to have afforded the 100 attendees the opportunity been a small part of PDA's history.” to participate in CE, the annual business meeting and the town hall open forum, Camille is well known to many First where members could have their voices District (PCDS) members and especially to those who served as PCDS heard by PDA officers, staff and the general officers, delegates to the PDA membership. annual meetings, as well as In addition, the PDA PDA officers and First District was honored to host trustees. She was unfailingly Kathleen O’Loughlin, accessible to the First District – executive director of the she accepted invitations to ADA, who spoke on attend our annual business meetings, Installation of continued membership initiatives necessary to Officers, the Liberty Dental maintain the strength Conference, and she made time and vitality of the in her schedule to meet with the tripartite structure of the PCDS delegates to PDA’s ADA. annual meetings, both in Dr. Frank Serio and Philadelphia and at the Dr. Richard Wynn premeeting locations, to answer our questions and provide her sented programs on GetCamille Kostelac-Cherry, Esq. expertise on the issues facing ting Up To Speed in the association. She always brought a Periodontics for 2019 and Drugs and genuine, respectful point of view to business Supplements Affecting Patient Care discussions. Interacting with her at various Including New FDA Drug Approvals, social events made the activity even more Herbals, Antioxidants and Nutraceuticals. enjoyable; she put everyone at ease and A program on volunteer dental projects was also demonstrated a great gift of conversation available. and a sense of humor. With the announcement of the On a personal note, it has been my honor retirement of Camille Kostelac-Cherry, and privilege to know and work with Esq., who served as PDA CEO for 25 years, Camille for many of her years of service. I the organization marked a major milestone am proud to call her my friend. She has in its history. Camille gave the following always served PDA with the honesty and brief but honest and heartfelt speech. integrity she stated in her farewell words to “I am blessed to have been raised by the organization. parents who instilled in me very strong On behalf of the Philadelphia County family values. Faith, honesty, integrity, and Dental Society, I congratulate her and wish a hard-work ethic. All forged and tempered her the best in her future endeavors. with love and discipline. Those are the
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THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY
Camille joined the PDA staff in honoring Dr. Gaetan "Gus" Lavalla during his President's Dinner Dance in 19ϵϳ.
Camille congratulates Betsy Sonnenberg, left, and Teresa Ravert, right, on their recent, well deserved retirement.
Camille clarified a point on a resolution the House of Delegates was debating.
Journal editor Saul Miller, right, shares a smile and a hug with his favorite PDA CEO, Camille Kostelac-Cherry, Esq., circa 2004.
Camille joins (L-R) Dr. Andrew Kwasny, former Lt. Governor and lobbyist Mark Singel, and Dr. Thomas W. Gamba during PDA's 2008 Day on the Hill.
Don't you stay at home of evenings? Don't you love a cushioned seat In a corner, by the fireside, with your slippers on your feet? — Oliver Wendell Holmes, Sr
THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY
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2019 PCDS Scholarships Awarded PCDS Scholarships were awarded at the May 15 CE program. (Seated, l-r) recipients Caroline Hanna, Rima Modi and Sabine Page. (Standing, l-r) recipient Raffi Dadaian; Dr. Gregg M. Chialastri, member of the Selection Committee; recipient Craig McKenzie; Dr. Stanley W. Markiewicz, First District PDA Trustee. Not shown is recipient Sarah So.
The 2019 Philadelphia County Dental Society Scholarship Awards were awarded to six students from Temple and Penn during a brief ceremony at the Society’s May CE meeting. The scholarship fund was initiated by the Board of Governors in 1992 to help dental students meet immediate financial needs. Most will leave dental school with overwhelming debt—the average debt now exceeds $287,000. The 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 comprises voluntary contributions from members and friends of the PCDS. This year, the Selection Committee is awarding a total of $13,500 in scholarships to outstanding applicants. These students are members of the American Student Dental Association, have excellent grades and were highly and enthusiastically recommended to us by their teachers. All of them participate in laudable projects: community outreach, research, and American Student Dental Associ-
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THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY
ation representation at their schools. Raffi Dadaian…Temple University Kornberg School of Dentistry, Class of 2021, recipient of a $2,250 scholarship. Raffi is a graduate of the University of California, Davis where his passion for dentistry started when he was moved by an article in the LA Times about widespread dental health neglect in impoverished countries in the world. He set out to establish The Adaam Project, Healthy Teeth, a non-profit organization, aiming to educate underserved children in Armenia about proper dental hygiene and to equip them with the necessary tools for the maintenance of dental care. Over 20,000 dental kits were donated over a 3-year period. Raffi plans to stay in the Philadelphia/South Jersey area and eventually opening his own practice. Caroline Hanna…Temple University Kornberg School of Dentistry, Class of 2020, recipient of a $2,250 scholarship. Caroline’s passion for dentistry started in high school when she interned in a dental clinic at Staten Island University Hospital. Caroline graduated Fordham University in New York. Throughout her undergraduate years she was a dental assistant at an office in New York City where she was able to witness how rewarding dentistry is. She
watched patients leave the office with smiles on their faces, and saw their oral health, emotional health and overall quality of life improve. Caroline hopes to complete a General Practice Residency in the Philadelphia area and eventually open a practice in Philadelphia. Rima Modi…Temple University Kornberg School of Dentistry, Class of 2020, recipient of a $2,250 scholarship. Rima earned a bachelor’s in dental surgery from Dr. D.Y. Patil Dental College and Hospital in Pune, India. She moved to the United States to attend New York University College of Dentistry for a master’s in dental biomaterials. However, while completing her master’s degree, she was accepted by Temple to earn her DMD, so she has put her master’s degree on hold for now. Rima’s passion for dentistry came from her own experiences as a patient when she was treated for amelogenesis imperfecta. She believes that dentistry is beyond arts and science and is about being empathetic and sympathetic towards people. Through her own experiences, she feels as though she can share and feel her patients’ anxiety and help them overcome their fears and give them the smile they deserve. Rima plans to eventually practice in Illinois. Sabine Page…Temple University Kornberg School of Dentistry, Class of 2021, recipient of a $2,250 scholarship. Sabine is a cum laude graduate of Rutgers University. Dentistry has been a passion of Sabine’s since she was a little girl. She plans to break down the barriers of dental phobias and teach patients that oral health education and disease prevention is important for everyday living. She believes dentistry is the gateway for her to help others smile more. Sabine’s goal is to open her own general practice in either Philadelphia or the Lehigh Valley.
Sarah So…Temple University Kornberg School of Dentistry, Class of 2020, recipient of a $2,250 scholarship. Sarah graduated from Temple University in 2015 with a Bachelor of Science in biology. In summer 2015, she was accepted into the Post-Baccalaureate Program at Temple University School of Dentistry. Sarah believes that dentistry is a combination of art and science, through which one works closely with people to help them maintain and regain oral health and self-confidence. Her long-term goal is to participate in international medical and dental mission trips, through which she can help those living in impoverished areas with poor health facilities and lack of oral health education. Craig McKenzie…University of Pennsylvania School of Dental Medicine, Class of 2021, recipient of a $2,250 scholarship. Craig graduated summa cum laude from Virginia Tech. Craig’s passion for dentistry came from having positive dental experiences when he was a young child. Craig believes dentistry is a highly gratifying profession that allows him to practice in a variety of settings while forming relationships with his community. Craig’s goal is to be the dean of a dental school and to continue serving and advocating for the dental profession as a leader in organized dentistry. Craig plans on practicing in Pennsylvania or the northern Virginia area after completion of his residency.
This Photo by Unknown Author is
THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY
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THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY 7ඁൾ -ඈඎඋඇൺඅ ඈൿ ඍඁൾ 3ඁංඅൺൽൾඅඉඁංൺ &ඈඎඇඍඒ 'ൾඇඍൺඅ 6ඈർංൾඍඒ
Membership Report
We welcome the following to membership in the Philadelphia County Dental Society JULY 20, 2019 ACTIVE MEMBER Dr. Bansi T. Mithani Doescher Tufts University School of Dental Medicine, 2009 RECENT GRADUATES Dr. Olena Akbulut University of Pennsylvania School of Dental Medicine, 2019 Dr. Kayla Carlucci Temple University Kornberg School of Dentistry, 2019 Dr. Jonathan S. Chen New York University College of Dentistry, 2018 Dr. Caitlin Crouse Temple University Kornberg School of Dentistry, 2019 Dr. Adam Dai Temple University Kornberg School of Dentistry, 2019 Dr. Sabrina Mara Dorfmann University of Pennsylvania School of Dental Medicine, 2019 Dr. Ameer Hadi University of Pennsylvania School of Dental Medicine, 2019 Dr. Lauren J. Harper Temple University Kornberg School of Dentistry, 2014 Dr. Ilvain Hechavarria Sanchez University of Pennsylvania School of Dental Medicine, 2019 Dr. Bashar Hinnawi University of Pennsylvania School of Dental Medicine, 2019 Dr. Sardora Ismailova University of Pennsylvania School of Dental Medicine, 2019 Dr. Hassan Khan University of Pennsylvania School of Dental Medicine, 2018 Dr. Hyung Bin Lee New York University College of Dentistry, 2018 Dr. Lena Mercho Indiana University School of Dentistry, 2019 Dr. Michael T. Moore Temple University Kornberg School of Dentistry, 2019 Dr. Khoi Nguyen Temple University Kornberg School of Dentistry, 2019 Dr. Mili Patel University of Alabama School of Dentistry, 2019 Dr. Stevie Ames Roberts Tufts University School of Dental Medicine, 2018 Dr. Olena Ronan New York University College of Dentistry, 2018 Dr. Jean Cheng Yee Tan Temple University Kornberg School of Dentistry, 2019 Dr. Sara Toema University of Illinois at Chicago College of Dentistry, 2014 Dr. Amanda Tran Temple University Kornberg School of Dentistry, 2018
GRADUATE STUDENTS Dr. Reem Saad Abdulrahman Temple University Kornberg School of Dentistry, 2012 Albert Einstein Medical Center (Orthodontics/General Dentistry), 2020 Dr. Adrian Arreola University of Pennsylvania School of Dental Medicine, 2019 Philadelphia VA (GPR), 2020 Dr. Navkaran Bakshi New York University College of Dentistry, 2015 Temple University Hospital (Endodontics), 2020 Dr. Maria Bender Temple University Hospital (Pediatric Dentistry), 2020 Dr. Jason A. Berglund Tufts University School of Dental Medicine, 2018 (Oral & Maxillofacial Surgery), 2022 Dr. Anjali Bhatia University of Pennsylvania School of Dental Medicine, 2019 Albert Einstein Medical Center (GPR), 2020 Dr. Mina A. Boulos Tufts University School of Dental Medicine, 2017 Thomas Jefferson University Hospital (Oral & Maxillofacial Surgery), 2022 Dr. Colleen Brophy Columbia University College of Dental Medicine, 2017 (Oral & Maxillofacial Surgery), 2022 Dr. David Carpinello Temple University Kornberg School of Dentistry, 2018 Temple University (Orthodontics), 2020 Dr. Wilson Chan University of Pennsylvania School of Dental Medicine, 2017 Albert Einstein Medical Center, 2019 Dr. Zachariah W. Cole University of Pennsylvania School of Dental Medicine, 2017 (Oral & Maxillofacial Surgery), 2022 Dr. Taylor L. DeLaura University of Pennsylvania School of Dental Medicine, 2018 (Oral & Maxillofacial Surgery), 2024 Dr. Lisbet Diaz Linares University of Pennsylvania School of Dental Medicine, 2019 Temple University (Pediatric Dentistry), 2021 Dr. Eric Andrew Endres University of Maryland School of Dentistry, 2018 George E. Wahlen VA Medical Center (GPR), 2019 Dr. Alyssa Flashburg University of Maryland School of Dentistry, 2017 (Oral & Maxillofacial Surgery), 2021 (continued on page 22)
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PDA Go is now available! PDA Go is free mobile application software featuring: t practice management information t calendar of events t newsfeeds t peer interaction in the forums t resources to download and print t notifications of important news t and much more! PDA Go is available for both Apple and Android mobile devices. Download it today!
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THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY
News Briefs
PDA to Convene Congress in October
Registration is open and all members are invited to take part in the PDA Congress— Preparing for Our Future on Saturday, October 26 at the Radisson Hotel Harrisburg in Camp Hill, PA, from noon to 4:30 p.m. The Congress provides an opportunity for key committees and advisory groups to meet face-to-face to review their past activities, plan their activities for the remainder of the year and set three-year measurable (but flexible) goals for the future. The PDA’s strategic plan is a guide for all committees and advisory groups so the 30-minute session before the groups break for individual meetings will include a review of PDA’s strategic plan. The afternoon will inform any interested PDA member dentist on the pros and cons of dental therapists. The board wants member input so they can respond if legislation is introduced to bring dental therapists to Pennsylvania. Members also will hear the committees and advisory groups report their goals. Drs. Incalcaterra and Tauberg included a town hall open forum for members to comment on other issues of concern. The lunch buffet is priced at $30 per person. The agenda for the day follows. Registration is open at www.padental.org/calendar . PDA Congress – Preparing for our Future October 26, 2019 Radisson Hotel Harrisburg 1150 Camp Hill Bypass Camp Hill, PA 17011 Agenda Noon – 1:00 p.m.
Lunch ($30 per person)
1:00 p.m. – 2:30 p.m.
Dental Therapists Panel Discussion
2:30 p.m. – 3:30 p.m.
Committee and Advisory Group Goals
3:30 p.m. – 4:30 p.m.
Town Hall Open Forum & Closing Remarks
Special Notice Regarding New Law Requiring Electronic Prescriptions Department of Health Now Accepting Applications for Temporary Exemptions Per Act 96 of 2018, practitioners, excluding veterinarians, will be required to issue electronic prescriptions for Schedule II-V controlled substances beginning on October 24, 2019. The Department of Health is currently in the process of promulgating regulations in accordance with the act. While the Department of Health works to promulgate regulations, it is accepting petitions for temporary exemptions from the requirements in Act 96. These temporary exemptions are subject to approval by the department and preliminary in nature, pending final publishing of regulations as stated in Section 11(b.6) of the act. Click here to submit a petition for temporary exemption. For more information about the application process, please email RA-DHEPCS@pa.gov directly. To find out more about the new law, contact PDA’s government relations team at (800) 223-0016 or check out PDA’s website. Thanks to PDA’s government relations team for sharing this important information with the members of the PCDS. DEA Extortion Scammers Expanding Their Tactics As reported in the April/May/June 2019 issue of the Journal, DEA is aware that registrants are receiving telephone calls and emails by criminals identifying themselves as DEA employees or other law enforcement personnel. The criminals have masked their telephone number on caller ID by showing the DEA Registration Support 800 phone number. Recently, to create the illusion that these criminals are DEA employees, they have expanded the masking of their telephone numbers on caller ID with a phone number for a legitimate DEA office. For example, these criminals have used the phone numbers for DEA’s Office of Congressional and Public Affairs and DEA’s 800 number, which is used to provide direct support to DEA registrants. (continued on page 14)
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Pay It Forward! Dr. David Tecosky, Co-Chair, Mentoring Committee Everyone has a favorite movie which, when someone mentions it, you gush about it or have satisfying thoughts. One of my favorite movies is Pay it Forward (2000) starring Kevin Spacey, Haley Joel Osment, and Helen Hunt. The general theme of the movie is the story of a young boy who is given an assignment to do something which can change the world. He comes up with a project which instead of paying back someone, he pays it forward, repaying good deeds not with payback, but performs new good works for three new people. This little project mushrooms into a program that exponentially improves the lives of those who are affected.
always take great pleasure in my individual patient interactions, but nothing compares to being able to turn the lights on in the mind of a young person. I have had the pleasure to have mentored several young people who have, through various ways, found their way to my office to find out about a career in dentistry. Most recently, I
Dr. David Tecosky explains why a shadowing experience is so important for dental school candidates and exhorted each student to complete one.
Dr. David Tecosky describes a typical day in the life of a dentist to members of the St. Joe's University Predental Society.
I have always thought that the rewards of dentistry go beyond the immediate treatments for my patients but have also spread to those people that I can have a positive influence on in dentistry. I am thankful to those individuals who have both purposefully and sometimes even inadvertently had a positive effect on my life, including my dental professors at Penn Dental School, my uncle, Jerold Miller, a Past President of the Philadelphia County Dental Society, and many other thoughtful people who have served sometimes unwittingly as my mentors. Since 2003 I have co-chaired the Philadelphia County Dental Society Mentoring Committee with Dr Kevin Klatte, and I can attest that my mentoring experiences have been some of the most rewarding aspects of my dental career. I
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led an informational seminar to several members of St. Joseph’s University Predental Society, answering questions as varied as “How do I get into dental school?” to “What is the day in the life of a general dentist like?” In the last several years, I mentored two Temple Dental School undergraduate students who visited my office and observed procedures, with my patients’ permission, of course. We discussed philosophy, finance, science, psychology and what their motivations were for attending dental school. Both students have since matriculated at Temple Dental and remain in touch with me. The Philadelphia County Dental Society needs you for mentoring young students. It is, without a doubt, more satisfying than you might think. Please contact us so we can get these interested students to you. You can spend as little or as much time with these students as you desire, and I would be glad to help you. If you have had positive mentoring experiences with young people or have been the recipient of the same from your mentors, we would love to hear from you. Please send us your stories! Pay it Forward!
Temple Dental Students Learn to Care for People with Disabilities The Kornberg School of Dentistry will teach its students how to better treat people with disabilities.
Photo: Megan Milligan / The Temple News
A quote on a wall inside the Kornberg School of Dentistry reads, “We believe…in serving our community” on Sunday. The school will be teaching its students how to better accommodate people with disabilities seeking dental treatment. The Kornberg School of Dentistry is expanding its efforts to teach dental students how to accommodate people with disabilities. The Kornberg School and Penn Dental Medicine began an Inclusive Dental program at the end of March to teach practicing dentists and students how to treat people with disabilities. The program partners with AmeriHealth Caritas, a Philadelphia-based health care management company that helps low-income people and people with chronic illnesses. Dental care providers who are enrolled in the AmeriHealth program will be given up to a 10 percent reimbursement by the health care provider for all dental services, said Amid Ismail, dean of the Kornberg School. The program’s goal is to make communitybased dental care more accessible for people with disabilities. This dental care brings services to patients, rather than providing care in an office setting, and is designed for people who are homebound or have other barriers to accessing care, said Mark Wolff, dean of Penn Dental Medicine. “Disabilities can occur throughout the lifetime,” Wolff said. “Persons with disabilities require a special care and an understanding of how to best accommodate them.”
Melissa Young, a senior journalism major, suffers from a form of muscular dystrophy called Spinal Muscular Atrophy, which limits her movement. Young uses a wheelchair and said a dentist that could come to her would be more accommodating. “It is hard to go to dentist offices because all of the ones in my area have stairs,” Young said. “It’s also hard because a dentist has to be willing to treat me in my chair, since I can’t get out myself.” Kornberg and Penn Dental School also trained practicing dentists at a two-day program on March 29 and 30 to “Practice without Pressure,” which is a concept created by Practice Without Pressure Pike Peak, a Delaware-based dental practice that specializes in treating people who feel uncomfortable at the dentist. “Prevention is key,” Ismail said. “Instead of waiting for someone in six months to have a significant tooth decay and it reaches the nerve of the tooth then they have to be put to sleep to treat them, this breaks the cycle.” It will offer lectures to dental students on identify a range of disabilities, provide preventive care, discuss long-term treatment options and communicate with parents and those who care for people with disabilities. “It’s about desensitizing a patient so they can sit in a dental chair,” Ismail said. “For a patient with attention deficit [disorder, for example], they should be in a quiet room with a limited amount of [tools] coming out of a dental chair that normally scare people.” The training program will be helpful for knowing how to treat patients who need additional care, said Stephanie Tran, 26, a fourth-year dental student at Kornberg, who said she’s worked with patients who have autism spectrum disorder. “There are varied characteristics of autism where they can be over stimulated or under stimulated and more resistant to change,” Tran said. “You just have to adapt and express what you need to get done in that treatment.” Reprinted by permission of The Temple News, April 16, 2019. Author: Megan Milligan.
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News Briefs (cont’d) New DEP Radiological Regulations Recently, new Department of Environmental Protection (DEP) regulations regarding radiological health have gone into effect. While these changes most notably impact dental offices with Cone Beam-Computed Tomography (CBCT) machines, there are changes that will impact all dental offices. Click here for an overview of the changes. DEP regulations regarding Radiological Health can be found in their entirety at 25 PA. Code, Chapters 215-221.
ADA Files Complaint About SmileDirectClub with FTC’s Bureau of Consumer Protection
[Editor’s Note: Jeffrey M. Cole, D.D.S., M.B.A. President of the American Dental Association, on July 11, 2019, sent this information to all members of the ADA. We are repeating his message here in its entirety because of the importance of the complaint to organized dentistry and the public upon which SmileDirectClub preys.] Fellow dentists, The ADA is a strong advocate for the public and the profession. We are also strong advocates on the issue of direct to consumer orthodontic aligners. For that reason, the ADA has filed a complaint with the Federal Trade Commission (FTC) against SmileDirectClub, L.L.C. (SDC). In compiling its citizen petition with the Food and Drug Administration, the ADA identified a number of advertising and marketing claims of SmileDirectClub. The ADA believes these are false and misleading, (sic) and constitute substantive deceptive acts under Section 5 of the Federal Trade Commission Act.” Therefore, on June 27, the American Dental Association (ADA) sent a complaint letter to the FTC’s Bureau of Consumer Protection citing the following practices of SmileDirectClub that the ADA believes to be deceptive: 1. Informing customers they have recourse against SDC via arbitration when, in the same document, SDC hides a “small print” provision obligating the customer to waive any and all rights the customer “or any third party” may have against SDC;
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2. Encouraging consumers to become customers by telling them individually and directly that SDC aligners will correct their overbite, underbite, and crossbite conditions or their “extreme” malocclusion, and then, when customers complain, SDC invokes other SDC documents that state its aligners cannot treat bite conditions at all and can only treat mild to moderate teeth misalignment, not “extreme” misalignment; and, 3. Claiming that SDC customers receive the same level of dental/orthodontic care as actual dental patients when actually SDC and its “affiliated dentists” provide virtually no care and, contrary to its prominent and repeated claims, SDC does not use teledentistry. The ADA considers it our duty on behalf of the public to make the regulatory agencies aware of concerns with direct to consumer orthodontics. We will continue to keep you apprised of developments.
2019 ADA Annual Meeting & FDI World Dental Congress ADA’s 2019 Annual Meeting will be held jointly with FDI World Dental Federation. Plan to attend the ADA FDI World Dental Congress in San Francisco from September 4 to 8, 2019.
Registration fees start at $0! Download the preliminary program here.
REGISTER NOW
Mom-n-PA at the Heart of Dentistry Dr. Renee Fennell, President-Elect
What do Philadelphia, Allentown, Harrisburg, Pittsburgh, Erie and Reading have in common? If you’re a dentist, reading this article about Mom-n-PA will be a breath of fresh air after reading the book, Teeth: The Story of Beauty, Inequality, or the Struggle for Oral Health in America by Mary Otto or The Atlantic Magazine’s May 2019 article, “The Trouble With Dentistry” by Ferris Jabr. Mom-n-PA moves what great dentists do every day, changing lives and enhancing oral health, to a grand stage that’s able to provide
passion and dedication along with hundreds of volunteers, Mom-n-PA’s inaugural event was held at the Liacouras Center in Philadelphia,
Dr. Jay Goldberg demonstrating the use of the operating microscope.
PA, in 2013. Volunteers included dentists, hygienists, dental team members, dental students and community volunteers. At the heart of dentistry, these volunteers were able to serve
(l to r) Regina Carroll, Drs. Ronald Heier, and Pete Carroll prepare to check in the more than 1,000 volunteers starting at 5:00 a.m.
thousands of grateful patients with quality oral health care. The transformation is phenomenal. The America’s Dentists Cares Foundation turns an empty, 20,000-square-foot space into a fullservice dental clinic with 120 dental chairs where teams of volunteers provide patients from underserved areas with a variety of oral health services, including cleanings, fillings, extractions, restorations and partial dentures. Seven years ago, a group of dentists in the Pennsylvania Dental Association concluded that “mission work” might help to address the problem of access to oral health care for many Pennsylvania communities. The group called on Dr. Gary Davis from Shippensburg, PA, to be the General Chairperson. Dr. Davis had a 15year history working with dental mission groups in South America. With Dr. Davis’
Dr. Nipa Thakker colead of triage, with an appreciative patient.
approximately 1,800 patients from underserved areas in the Greater Philadelphia region. It was here where Mom-n-Pa—an annual, two-day, free dental mission—was born. Philadelphia County Dental Society members have continued to show up big for each successful Mom-n-PA event. This year Drs. Pete Carroll, Tom Gamba, Dave Tecosky, Tom Nordone, Jay Goldberg, Renee Fennell and Nipa Thakker all served as Co-Leads in dXUYb specialties or event divisions such as (continued on page 16)
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Heart of Dentistry (cont’d)
Drs. Thomas W. Gamba, Pete Carroll and David Tecosky (not shown), co-leads for patient routing.
triage and routing, while additional members provided essential services in the various disciplines of dental care. Dr. Amid Ismail, Dean of Temple University Kornberg School of Dentistry, supported the event with his presence and by arranging a bus to transport the students, staff and faculty who volunteered throughout the event. In addition, Penn dental students were present to volunteer and support the mission. Not only did our members volunteer clinically and administratively, they also solicited and garnered significant donations that made the mission possible.
Mom-n-PA has completed more than 30,000 procedures on 9,159 patients. The total value of dental care donated is $5,205,200, and we have had 4,932 volunteers. On June 7 and 8, Mom-nPA did it again in Wilkes Barre, PA, and surpassed serving 10,000 patients. PCDS thanks all the First District volunteers for their dedication and hard work making the Mom-nPA Free Dental Mission successful year after year. Finally, Dr. Davis often shares a special story about a woman who tearfully thanked him for replacing her front teeth with a partial denture. She was so happy that she could smile and take pictures with her family and friends again. Dr. Davis’ response? “We are changing lives here.” For more information and to view the list of donors, please visit the Mom-n-PA website at www.mom-n-pa.com
We are pleased to announce... Mehul Shah, D.M.D. has acquired the practice of
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Practice Sales & Purchases Over $3.2 Billion
We doubt this young woman expected such a fuss to be made over her when she was standing in line the second day of Mom-n-PA. Congratulations patient 10,000! We are glad you came!
So, what do Philadelphia, Allentown, Harrisburg, Pittsburgh, Erie and Reading in common? People who care!
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Mom-n-PA Wilkes-Barre: A Humbling and Meaningful Volunteer Opportunity for a Layperson Caroline Power Gangl, Managing Editor Recently I had the honor—yes, the honor— of volunteering along with my nearly 18-yrold twin daughters Mari and Megan at the Mom-n-PA event in Wilkes-Barre. I had volunteered for an afternoon shift at the Mom-n-PA Harrisburg event, where I was assigned as the person who kept the list of patients for general dentistry. Because of the layout of the Pennsylvania Farm Show building, I didn’t feel connected to the event, but was happy to help. Fast forward to Wilkes-Barre. Wow! Participating in the event right from the start with orientation at 5:00 a.m. immediately made me feel like I was part of something bigger than the event itself. It made me feel like I was volunteering alongside people who had invested countless hours organizing this and previous Mom-n-PA events to serve thousands of people in pain and in need and who had recruited more than 1,000 lay
The volunteers preparing for and seeing the first of the more than 1,600 patients at the Mohegan Sun Arena.
volunteers who served in a diverse number of roles: volunteer registration, patient registration, patient ambassador (who accompanied the patient from the time their dental care began until they presented the patient to us for the exit interview), hospitality, pharmacy and patient education. When finished with the general orientation, the three of us were directed to a computer bank where we would be conducting exit interviews of all the patients. Marie Davis got us up to speed rather
quickly, but we did not see patients until 7:00 a.m. (The doors for patients to register had opened at 6:00 a.m.) Our assignment included matching the patient to their original registration record, recording the number and types of procedures performed, checking that the patient had picked up any free prescriptions prescribed, instructing them how they could get back into the patient line if they needed additional dental care and asking them to rate their satisfaction of their treatment on a scale from one to five, with one being the worst day they thought they could have had and with five being the best experience possible. Two things struck me immediately as the first patients were brought to us by their patient ambassadors. First, the patient ambassadors had taken the time to establish a rapport with their patients, wished them well in some aspect of their life that the two of them had discussed, introduced them by name to the exit volunteers and shook their hands or gave them a pat on the shoulder as the patient ambassadors said goodbye and returned to the floor of the arena to be assigned to another patient. Second, the patients were genuinely thrilled and appreciative to have had someone care enough to volunteer to relieve their pain, fabricate a denture for them so they had the confidence to smile again or to demonstrate genuine sympathy when the only option to relieve the patient’s pain was to extract one or more teeth. Despite having her mouth packed with gauze due to multiple extractions, one of the first patients to exit used her two hands to rate the experience on the one to five scale. (continued on page 18)
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Mom-n-PA (cont’d) Forget five, she kept flashing fives on both hands. I think we convinced her to stop when she reached 60! The morning flew by. My daughter Mari was asked to move to help copy patients’ charts so they could take the copy home with them for the next time they saw a
be checked out by the physician at the arena, and he rattled off a list of things that could be causing her symptoms, from low sugar to low blood pressure. The physician, just like everyone at the event, was kind and sympathetic. She asked Megan many questions as she examined her to determine why Megan did not feel well. She determined that Megan being queasy at the site of blood, seeing many patients who sported bloody gauze in their mouths, and not having a chance to process what she was seeing until she had down time at lunch all contributed to Megan feeling poorly. Also, Megan was recovering from an ear infection; and having her mother throw her in a car and driving her to Wilkes-Barre after her last two final exams on the last day of school certainly did not help. She agreed Megan would benefit from some rest at the hotel. (Yes, I’m sure I earned some points toward Mother of the Year that day.)
At the exit station my daughter Mari reviews with a patient the treatment performed.
dentist. Fortunately, we still had Megan at the exit table, quickly entering data while chatting with the patient, often telling them they would feel better when they got home and followed the dentist’s aftercare instructions. Unfortunately, Megan went down for the count after lunch, with a headache and queasiness. She sat in the arena for about two hours until I convinced her to let me take her to our hotel. As we were leaving the arena, Gary Davis asked where we were going. When we told him, he insisted Megan
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The dental assisting leads are all smiles and thumbs up after the first day of the Mom-n-PA mission.
By the time I returned, Mari was back conducting exit interviews, which allowed me to take some photos of her and my former Pennsylvania Dental Association (PDA) colleagues. Once on the floor of the (continued on page 19)
Mom-n-PA (cont’d)
arena, I was greeted with lots of hugs and hearty hellos from many dentists and some of their spouses, some of whom I have known for more than 20 years from working at the PDA for 13 years. Again, the event was generating good feelings and appreciation. As the afternoon wound down, I had time to reflect. First, the people who organize this annual event, especially Dr. Gary Davis, general chair, are truly dedicated to the people who benefit from these dental missions around the state and are committed to conducting these missions annually. Second, the organization of the event was truly impressive! Everyone working at the event wore different color shirts, which allowed everyone else to determine at a glance what role a person was playing. Having the chairs and section leaders all wearing black and purple shirts, respectively, helped everyone, including seasoned “veterans,” to quickly find a leader to answer a question or get the resources needed to address an issue.
Third, I could not believe that in a building housing more than 1,500 people I did not encounter one who was not pleasant and upbeat. Fourth, Mari and Megan are pretty cool people when they’re not being my kids. Finally, the organizers cared about their volunteers. As Mari and I went to return to our hotel, Marie Davis stopped us to find out how Megan was feeling. When Marie learned that she was feeling better and her queasiness when seeing blood was probably a major contributor to her tanking after lunch, Marie said she was relieved to hear it and that Megan would be assigned to a quease-free job at registration next year in Philadelphia! The girls will graduate high school no later than June 3 next year, and the 2020 Mom-n-PA mission is scheduled for June 56, 2020, in the Liacouras Center in Philadelphia. There may be more Mother of the Year points coming my way.
Save the Date!
2020 Mom-n-PA Dental Mission Friday, June 5 and Saturday, June 6, 2020 Liacouras Center, Philadelphia www.mom-n-pa.com
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Health Watch Don't Look Back, Your Enemies May Be Gaining on You In 1991, hikers in the Italian Alps discovered Otzi the Iceman, a man who was preserved in ice after his murder about 5,300 years ago. He was killed by a hard hit on his head and an arrow through his shoulder when he was about 46 years old. He is now entombed at the South Tyrol Museum of Archaeology in Bolzano, Italy, with a life-size statue of him as he may have looked standing nearby. Recent analyses of this moststudied mummy of all time show that he had signs of inflammation linked to many of the diseases we suffer today. He had ¾ extensive arteriosclerosis, ¾ a common bacterium that causes stomach ulcers, ¾ damaged cartilage in both knees, ¾ whipworm parasites, ¾ Lyme disease, and ¾ decayed teeth. He also had 61 tattoos inked on his skin, which may have been decorative or the result of a primitive pain control effort similar to acupuncture. Inflammation Your immunity is good for you. It is supposed to attack and kill invading organisms to prevent them from harming you. You have cytokines that punch holes in the membranes of invading bacteria and white blood cells that kill and eat them. However, your immunity is supposed to dampen down after it has done its jobs of killing germs or healing wounds. If it stays active all the time, you will suffer from inflammation as your immunity uses the same mechanisms that kill germs to attack you. Today we know that inflammation is linked to arteriosclerosis, arthritis, various auto-immune diseases and so forth. Inflammation can be caused by or made worse by any chronic infection. Extensive Arteriosclerosis and Meat CT scan X-rays showed that Otzi the Iceman was at high risk for a heart attack or stroke because he had huge plaques in the arteries leading to his heart, carotid arteries leading to his brain, the distal aorta leading to his legs and the right iliac
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artery leading to his right leg (Fortschritte auf dem Gebiet der Roսntgenstrahlen, May 28, 2018). He was at high risk for a heart attack, but unlike most North Americans today who suffer a high rate of heart attacks, he was not overweight, did not smoke tobacco, probably did not drink much alcohol, was very active, and certainly did not eat the typical Western highsugar diet. An earlier study analyzed the contents of his stomach and found that his last meal included the meat of wild goat and deer and some grains, and earlier meals also included meats. He may have been a shepherd and his clothing was made from animal hides of six or more domestic and wild species, so apparently meat was readily available to him. Studies on this mummy from 50 centuries ago add to the evidence that eating meat can be linked to plaques in arteries. Today, autopsies on apparently healthy North Americans under age 30 who died from homicides, accidents or suicides have shown that almost all already had extensive plaques in their arteries (Pathology International, June 1995;45(6):403–408). Other studies show that arteriosclerotic plaques start to form at bad LDL cholesterol levels of 50 to 60 mg/dL (J of the Am Coll of Cardiol, Dec 19, 2017;70:2979-2991). Almost never does a doctor today see an untreated patient with LDL below 50, and red meat appears to be a major culprit. For each three ounces of meat a person eats per day, there is a 16 percent increased risk of death from heart attacks, a 10 percent increased risk of death from cancer and a 12 percent increased risk of death overall (Archives of Internal Medicine, November 12, 2012). The Bacterium that Causes Stomach Ulcers It wasn’t until 1982 that Barry Marshall first reported that the bacterium, Helicobacter pylori, caused stomach ulcers, for which he and Robin Warren received the Nobel Prize in 2005. Otzi suffered from the oldest known case of Helicobacter pylori. Today, half of the world’s human population has this germ in their stomachs, but less than 10 percent develop stomach ulcers from it (Science, Jan. 7, 2016). However, he is likely to have had a chronic infection as he had high levels of antibodies
against this bacterium making it more likely that the germ had invaded into his stomach lining. Today many cases of stomach ulcers can be cured just by taking antibiotics for a couple weeks. Osteoarthritis of His Knees Otzi had severe cartilaginous damage of both of his knees. Today, 80 percent of North Americans have X-ray evidence of osteoarthritis by age 65 and 60 percent have significant joint pain. Most cases of knee arthritis are caused by inflammation from obesity, lack of exercise, a pro-inflammatory diet and lack of vitamin D (JAMA, November 22, 2017). For Otzi, the likely causes of his inflammation would be his chronic infections and probably a high-meat proinflammatory diet. Otzi had to be extremely active just to survive, so his knee cartilage damage was most likely caused by trauma from hunting and fighting, but today, less than 10 percent of knee osteoarthritis appears to be related to trauma. One study compared the size of knee cartilage in skeletons of people who ¾ lived from 6000 to 300 years ago (from U.S. museums) and were probably very active, ¾ died between 1905 and 1940, a period during the early industrial era when the majority of people were active and slender, and ¾ died between 1976 and 2015 during the modern post-industrial era, when the majority of people were inactive and fat. The authors found that the incidence of knee osteoarthritis (loss of cartilage) has risen at a frightening rate over the last 50 years, reflecting changes from active agrarian or industrial lifestyles to a post-industrial inactive society in which most people do not do a lot of physical labor and gain too much weight (Proc Nat Acad Sci, August 29, 2017;114(35):9332-9336). Knee cartilage has such a poor blood supply that it has to get its nutrients from constant movement and weight bearing that effectively pumps the nutrients into the cartilage. Not moving your knees enough deprives knee cartilage of the nutrients necessary to sustain itself so that the cartilage becomes smaller and weaker. (See Osteoarthritis has Doubled in the Last Fifty Years)
Lyme Disease Lyme disease is a chronic infection usually caused by a bacterium called Borrelia from a tick bite. It usually starts as an expanding circle around a tick bite and then can damage every tissue in your body. The most common symptoms are muscle and joint pains and it can usually be cured by taking antibiotics. Otzi is the first known carrier of Lyme disease, which means that this disease has been around for at least 5000 years. Dental Cavities His teeth were full of cavities, usually caused by plaques loaded with bacteria that dig holes in teeth. Tooth decay and gum diseases are common sources of inflammation and are strongly linked to heart disease. What We Can Learn from Otzi the Iceman The ongoing studies of Otzi the Iceman offer evidence that even 5300 years ago, inflammation was a major cause of diseases just as it is today, and that: ¾ eating red meat can be associated with the formation of plaques in arteries, ¾ trauma can damage knee joints, even though the most common cause of osteoarthritis today appears to be lack of activity, and ¾ bacterium that cause chronic diseases such as Lyme disease, stomach ulcers and tooth decay are still with us after 5000 years. ALSO remember not to let your enemies sneak up on you from behind. Reprinted with permission of Dr Gabe Mirkin from his Fitness and Health e-Zine, June 10, 2019. To subscribe to his free newsletter, go to DrMirkin.com He does not sell, rent or give your e-mail address to anyone.
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Membership Report (cont’d)
Dr. Donald J. Goudreau, III University of Connecticut School of Dental Medicine, 2013 (Oral & Maxillofacial Surgery), 2019 Dr. Lori Herman Temple University Kornberg School of Dentistry, 2019 Temple University (Orthodontics), 2021 Dr. Ashley Huynh Temple University Kornberg School of Dentistry, 2019 Philadelphia VA (GPR), 2020 Dr. Steve Kang University of Pennsylvania School of Dental Medicine, 2018 University of Pennsylvania (Oral & Maxillofacial Surgery), 2024 Dr. Baljeet Khaira Boston University Henry M. Goldman School of Dental Medicine, 2017 Albert Einstein Medical Center (GPR), 2019 Dr. Rachel Kim University of Buffalo School of Dental Medicine, 2019 Albert Einstein Medical Center (GPR), 2020 Dr. Hallie Klein University of Pennsylvania School of Dental Medicine, 2019 University of Pennsylvania (Endodontics), 2021 Dr. Arjun Kumar University of Pennsylvania School of Dental Medicine, 2019 Thomas Jefferson University Hospital Oral & Maxillofacial Surgery), 2023 Dr. Hattanas Kumchai University of Pennsylvania School of Dental Medicine, 2019 Thomas Jefferson University Hospital (Oral & Maxillofacial Surgery Internship), 2020 Dr. John Lankalis Columbia University College of Dental Medicine, 2017 University of Pennsylvania (Oral & Maxillofacial Surgery), 2023 Dr. Brandon M. Locke New York University College of Dentistry, 2018 (Oral & Maxillofacial Surgery), 2022 Dr. Jamie Lowstetter University of Pennsylvania School of Dental Medicine, 2018 (GPR), 2019 Dr. Sasha Manchanda Boston University Henry M. Goldman School of Dental Medicine, 2018 Temple University (Pediatric Dentistry), 2020 Dr. Joanna C. Mangar University of Pennsylvania School of Dental Medicine, 2017 Temple University (Pediatric Dentistry), 2021 Dr. Armita Mashkouri Boston University Henry M. Goldman School of Dental Medicine, 2017 Temple University (Periodontics), 2021
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Dr. Nicole A. Massetti University of Pennsylvania School of Dental Medicine, 2019 University of Pennsylvania (Oral & Maxillofacial Surgery Internship), 2020 Dr. Stephen J. McCown Temple University Kornberg School of Dentistry (Orthodontics), 2018 Temple University (Orthodontics Internship), 2021 Dr. Nima Missaghian University of Pennsylvania School of Dental Medicine, 2019 University of Pennsylvania Hospital (Oral & Maxillofacial Surgery), 2024 Dr. Hwi Moon University of the Pacific, Arthur A. Dugoni School of Dentistry, 2014 (Oral & Maxillofacial Surgery), 2021 Dr. Patrick Moran Temple University Kornberg School of Dentistry, 2019 Temple University (Orthodontics), 2021 Dr. Joseph L. Mustazza Temple University Kornberg School of Dentistry, 2017 (Periodontics), 2020 Dr. Yea Nam University of Buffalo School of Dental Medicine, 2018 Temple University (Pediatric Dentistry), 2020 Dr. Erin Norris University of Pennsylvania School of Dental Medicine, 2019 St. Christopher’s Hospital for Children (Pediatric Dentistry), 2021 Dr. Yisroel Noskow Nova Southeastern University College of Dental Medicine, 2017 St. Christopher’s Hospital for Children (Pediatric Dentistry), 2019 Dr. Mohamad Osman University of Pennsylvania School of Dental Medicine, 2019 University of Pennsylvania (Orthodontics), 2021 Dr. Sarah E. Prehn New York University College of Dentistry, 2014 St. Barnabas Hospital (Orthodontics/General Dentistry), 2019 Dr. Jessie E. Price University of Pennsylvania School of Dental Medicine, 2019 Albert Einstein Medical Center (GPR), 2020 Dr. Alec Robin University of Pennsylvania School of Dental Medicine, 2019 University of Pennsylvania (Pediatric Dentistry), 2021 Dr. Ross Rosenblatt University of Pennsylvania School of Dental Medicine, 2018 Temple University (Endodontics), 2020 Dr. Danya Shabi University of Pennsylvania School of Dental Medicine, 2019 St. Christopher’s Hospital for Children (Pediatric Dentistry), 2021 (continued on page 23)
Membership Report (cont’d)
Dr. Sonika Shah St. Christopher’s Hospital for Children (Pediatric Dentistry), 2020 Dr. Daniel Sierra-Vasquez Harvard School of Dental Medicine 2017 (Oral & Maxillofacial Surgery), 2023 Dr. Mona Sobhani University of Pennsylvania School of Dental Medicine, 2019 University of Pennsylvania (Oral & Maxillofacial Surgery), 2025 Dr. Anjali Soni Virginia Commonwealth University School of Dentistry, 2017 St. Christopher’s Hospital for Children (Pediatric Dentistry), 2019 Dr. Alyssa Southard Temple University Kornberg School of Dentistry, 2019 University of Pennsylvania (Oral & Maxillofacial Surgery Internship), 2020
Dr. Stephanie Tran Temple University Kornberg School of Dentistry, 2019 Temple University (Pediatric Dentistry), 2021 Dr. Divya Trikannad University of Pennsylvania School of Dental Medicine, 2019 Albert Einstein Medical Center (GPR), 2020 Dr. Joanna Walska Columbia University College of Dental Medicine, 2016 Temple University (Pediatric Dentistry), 2020 Dr. Ping Wang Temple University Kornberg School of Dentistry, 2019 Temple University (GPR), 2020 Dr. James Wu Tufts University School of Dental Medicine, 2015 Temple University (Periodontics), 2020 Dr. Juliana Zoga University of Pennsylvania School of Dental Medicine, 2016 (Orthodontics), 2020
NECROLOGY
Dr. Gilbert M. Zayon Dr. Earl Stover Dr. Marshall D. Vaughters
May 20, 2019 May 23, 2019 June 25, 2019
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The Philadelphia County Dental Society and The Pennsylvania Dental Association present
The 2019 Liberty Continuing Education Series at the Philadelphia Hilton City Avenue Hotel 4200 City Avenue, Philadelphia, PA FOUR full-day programs are scheduled 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, PCDS and PDA are proud to present 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 PCDS and PDA. PDA does not express or imply that individual courses will be accepted for various state mandatory continuing education requirements. The individual license holder must consult the regulations pertaining to your state/s. NO REFUNDS on courses purchased as part of the CE package. Refunds for courses purchased individually will be issued less a 10% administrative fee if the registration is cancelled in writing seven days prior to the program you are attending. Refunds are not issued for no shows. Each full-day program includes lunch and FREE parking validation. At the end of the calendar year, PDA will provide you with an annual transcript of all courses you attended through the Liberty CE Series. NOT a PCDS Member? ADA members may become Associate Members of the Society. Dues are $157 for the calendar year (no prorating). Contact the PCDS Executive Office (215) 925-6050 for an application or become a member through the website at www.philcodent.org. NOT an ADA Member? Contact PCDS about the Liberty Enrollment Program that will enable you to register for courses at the LOW member rate.
PDA 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. Concerns or complaints about a CE provider may be directed to the provider or to the Commission for Continuing Education Provider Recognition at ADA.org/CERP.
For continuing education credit, as designated by PDA, see individual course descriptions. Learning objectives are available on the printed brochure mailed in December 2018. Visit www.padental.org/calendar for updates on the list of principal sponsors and participating partners.
Course Information ĂŽ
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CE 67 – Friday, September 13, 2019 8:30 a.m. to 3:30 p.m. Things That Go Wrong, Even When You Do Everything Right presented by Joyce Bassett, DDS, FAACD, FAGD (6 CE credits recommended for dentists, specialists, hygienists, dental assistants, EFDAs, lab technicians & all office personnel) This innovative, fast pace course will explore frequently seen problems that occur during restorative treatment, showcasing a variety of modes of failures. Dr. Bassett will explore state of the art, real-time digital design and link 3D prosthetic planning with fundamental smile design principles. You will learn systematic techniques to treat every aspect and ensure aesthetics that are BUILT TO LAST. These techniques can be used to both prevent and remedy failures.
Presented in cooperation with Catapult Education Dr. Bassett practices comprehensive restorative and aesthetic dentistry in Scottsdale, Arizona. She is an Accredited Fellow of the American Academy of Cosmetic Dentistry and served as its president in 2015-2016. She is a member of Catapult’s bureau and evaluates new dental materials for them. The cases presented in her lecturers are all published in peer review journals and available at http://www.drbassett.com/publications.html.
CE 68 – Wednesday, November 6, 2019 8:30 to 3:30 p.m. Crown & Bridge: The Complete Solution presented by Ron Kaminer, DDS (6 CE credits recommended for dentists, specialists, dental assistants, EFDAs, and lab technicians) For most general practitioners crown and bridge represents the bulk of day-to-day dentistry. This lecture will methodically and systematically take the attendee on a journey to simplify and streamline fixed prosthetics. Through a thorough didactic, we will revisit old concepts, modernize them, and show specific examples on how to apply all of this into clinical practice.
Presented in cooperation with Catapult Education Dr. Kaminer is a 1990 graduate of the State of New York (SUNY) Buffalo School of Dental Medicine. Dr. Kaminer has always been passionate about technology and was one of the first 100 dentists in the country to include a hard tissue dental laser into his practice. He practices full-time focusing on minimally invasive and digital dentistry. Visit www.padental.org/calendar for updates on the list of principal sponsors and participating partners.
PCDS Continuing Education Convenient Relevant Affordable Helping you meet your legal and ethical responsibilities.
Registration Form Î
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Register online at www.padental.org/calendar. NOTE: Online registration is not available for PCDS member dentists and staff attending a course with the dentist. Associate Members, Liberty Enrollees and Non-Member Dentists and staff attending without a dentist, please register using this form.
Use a SEPARATE reservation form for each person - this form may be duplicated.
RESERVATION FORM / 2019 LIBERTY CONTINUING EDUCATION SERIES ATTENDEE’S FULL NAME ADA # ____________________________ DESIGNATION (DDS, DMD, RDH, EFDA, OTHER) ATTENDEE'S E-MAIL
TEL # (
)
ADDRESS CITY/STATE/ZIP INDICATE ANY DIETARY OR ACCESSIBILITY NEEDS
2019 Dates & Courses CE 67 – Friday, September 13 - Restorative Failures CE 68 – Wednesday, November 6 - Crown & Bridge
Full-Day Programs: select option & include the CODE NUMBER for each course you will attend (e.g., 67). PCDS Member for 1 or 2 FULL-DAY program: # ____ ____ no. of programs selected =
$175.00 x ____
ADA Member Dentist for one FULL-DAY program: # ____ ____ no. of programs selected =
$250.00 x _____
Non-Member Dentist for one FULL-DAY program: # ____ ____ no. of programs selected. =
$300.00 x ____
$_______ $_______ $_______
Hygienist, EFDA, non-licensed Office Personnel employed by PCDS/ADA or PDA member: # ____ ____ $95.00 x ____ no. of programs selected =
$_______
Hygienist, EFDA, non-licensed Office Personnel employed by non-member: # ____ ____ $125.00 x ____ no. of programs selected =
$_______
PAYMENT TO PDA ENCLOSED IN THE AMOUNT OF
$________
Method of Payment: check (payable to PDA) Visa MasterCard American Express Discover Credit Card #
______________ __
Exp. Date _
_/__
Name on Card/Signature
Mail completed form and payment to PDA, P.O. Box 3341, Harrisburg, PA 17105. Forms with credit card payments can be faxed to (717) 232-7169, attn.: Rebecca Von Nieda. Completed registration forms/on-line registration must be received no later than 10 business days prior to the course. Questions may be directed to Rebecca at rvn@padental.org or (717) 234-5941, ext. 117. Confirmations will be emailed to attendees. 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, Specialty Boards, etc.).
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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 Journal of the Philadelphia County Dental Society at PhilaDentalJournal@yahoo.com 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.
AUGUST No meetings scheduled at this time.
SEPTEMBER 13
PHILADELPHIA COUNTY DENTAL SOCIETY – Continuing Education Program at the Hilton Philadelphia City Avenue Hotel. 8:30 a.m. to 3:30 p.m. “Things That Go Wrong, Even When You Do Everything Right” presented by Joyce Bassett, DDS, FAACD, FAGD, presented in cooperation with Catapult Education. Register online at www.padental.org/calendar
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CONTINUING EDUCATION FOR DENTAL EXCELLENCE – Joint program in the Northeast – 6:30 p.m. Dinner meeting (Gallo’s Restaurant) featuring Dean Mark Wolff, D.D.S., Ph.D., Dean of Dental Medicine, University of Pennsylvania – “Treatment of Persons with Disabilities – A Moral Imperative.” For information contact Vickie Fisher at 215-732-4450 or Vickie.LocustStPerio@gmail.com or visit www.PhilaPerioImplants.com or www.LocustStPerioImplant.com
OCTOBER No meetings scheduled at this time.
NOVEMBER 6
PHILADELPHIA COUNTY DENTAL SOCIETY – Continuing Education Program at the Hilton Philadelphia City Avenue Hotel. 8:30 to 3:30 p.m. “Crown & Bridge: The Complete Solution” presented by Ron Kaminer, DDS, in cooperation with Catapult Education. Register online at www.padental.org/calendar.
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CONTINUING EDUCATION FOR DENTAL EXCELLENCE – Joint program in the Northeast – 6:30 p.m. Dinner meeting (Gallo’s Restaurant) featuring Casey Hein, RDH – “Periodontal-Systemic Links: The Case for Early Intervention of Periodontal Disease.” For information contact Vickie Fisher at 215-732-4450 or Vickie.LocustStPerio@gmail.com or visit www.PhilaPerioImplants.com or www.LocustStPerioImplant.com
Nov. 29 – Dec. 4 GREATER NEW YORK DENTAL MEETING – Jacob K. Javitz Convention Center, 11th Ave. B/W 34th & 39th St., New York City. For more information or to register, go to www.gnydm.com/.
DECEMBER 3
CONTINUING EDUCATION FOR DENTAL EXCELLENCE – Joint program in the Northeast – 6:30 p.m. Dinner meeting (Gallo’s Restaurant) featuring Kanisha Campbell, M.D. & Leela Jackson, Psy.D. “Eating Disorders and Dental Health.” For information contact Vickie Fisher at 215-732-4450 or Vickie.LocustStPerio@gmail.com or visit www.PhilaPerioImplants.com or www.LocustStPerioImplant.com
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Am Pract Philad Cty
10/2/12
12:03 AM
Page 1
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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 28
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, Wednesday & Thursday, 9 a.m. to 5 p.m. DOCTOR, ARE YOU LOOKING FOR AN ASSOCIATE or for a dentist to work in your practice? Call the Philadelphia County Dental Society at (215) 925-6050 or Fax (215) 925-6998 for the list of dentists seeking employment. Monday, Wednesday & Thursday, 9 a.m. to 5 p.m. FOR SALE – Dental Practice located in South Jersey, 25 minutes to Atlantic City. Turn-key operation, 41 years established. Dentist retiring. 3 operatories, panorex, gendex, small equipment, all supplies, records. Price negotiable/Best reasonable offer. (609) 561-1500. POSITION AVAILABLE – Fee-for-service suburban Philadelphia multi-specialty group practice seeks individual for long-term relationship leading to equity ownership. Advanced training in restorative dentistry or experience required. Email dental632@comcast.net 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
SECURE A BRIGHT FUTURE! – Prestigious, accessible, established and state-of-the-art dental practice in South Philly seeks family-centric dentist(s) to continue its history of superb, compassionate care. Ideally located near stadiums, highways and awesome neighborhoods, our patients... once they love you...will shower you with food, baked goods and generations of loyal visits. 2,200 active patients in the last 18 months. Eleven operatories, beloved hygienists, dedicated assistants, talented dentists and experienced office staff add to its reputation as a Best in Philly office multiple times. Inquire at: dynamicdentalofficeforsale@gmail.com
Notify Us About Changes of E-Mail Address PCDS Members, if you change your e-mail address, remember to notify the Philadelphia County Dental Society so we can keep our records current and you will continue to receive The Journal electronically. Send your new address to lgottlieb@philcodent.org. Please be certain to send us your full name, too, so we can attach the new address to the correct member!
DENTAL OFFICE & HOME FOR SALE OR LEASE – Dental office with potentially 4 chairs and doctor’s office and residence in high traffic area of Media, PA, for sale or lease. R2 zoning allows owner occupant to use property as residence and office. Professional side of building has one full bath, sterilization area, Pano station, three treatment rooms and one large bay area. Residence has three bedrooms, living room, kitchen, two baths and one car garage. Plenty of parking and great visibility from Baltimore Pike. Great opportunity for dentist starting a practice or as a satellite office. Total square footage at 200 Grandview Rd is 3,100. Please do not disturb tenant but call Kai at (301) 792-8081 with questions.
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