The Journal of the Philadelphia County Dental Society Volume 85 Issue 4

The Journal of the Philadelphia County Dental Society

October/November/December July/August/September 2019 2015

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THE JOURNAL

of the Philadelphia County Dental Society ________________________________________________________________________________

First District of the Pennsylvania Dental Association 2FWREHU/1RYHPEHU/'HFember 201 • Vol. 85 • No. ______________________________________________________________________________________________ Saul N. Miller, D'S, ¶ Editor Nipa R. Thakkar, DMD Associate Editor Caroline Power Gangl Managing Editor Lisa B. Gottlieb Administrative Assistant

OFFICERS

Lennie M. Checchio, DDS President Renee H Fennell, DMD President-Elect Judith A McFadden, DMD Secretary A J. Chialastri, DDS Secretary Emeritus

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Rochelle G. Lindemeyer, DMD Treasurer

GOVERNORS

Derek J. Conover, DMD, ¶21 Renee H. Fennell, DMD, ¶21 Thomas W. Gamba, DDS, ¶19 Kevin J. Klatte, DDS, ¶19 Jonathan Siegel, DMD, ¶20 Nipa R. Thakkar, DMD, ¶20 David A. Tecosky, DMD ¶

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Stanley W. Markiewicz, DDS, ¶20 PDA Trustee

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Philadelphia County Dental Society P.O. Box 189 Glendora, NJ 08029 215 925-6050 FAX: 215 925-6998 E-mail: OJRWWOLHE#SKLOFRGHQW RUJ WHEVLWH: 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.

Nominations As mandated by the Bylaws, the Board of Governors met as a Nominating Committee and presents the following report of nominations for 2020: Secretary: Stanley Markiewicz, D.D.S.

PDA Trustee: Nipa Thakkar, D.M.D.

Treasurer: Kevin Klatte, D.M.D.

Board of Governors: Janine Burkhardt, D.M.D. Kristianne Macaraeg, D.M.D.

Elections will take place during the Annual Business Meeting on Tuesday, November 19, 2019, at 7:00 p.m. at Maggiano’s in Philadelphia. (All Society members are welcome to attend.) The Bylaws provide: 11.1.4 Additional nominations may be made by written petition signed by at least twenty (20) Active, Life or Retired Members in good standing. Such petitions must be submitted to the Secretary at least fifteen (15) days prior to the date of the Annual Business Meeting. The Secretary shall make a prompt determination as to the eligibility of nominees and willingness to serve if elected.

11.1.5 No additional nominations shall be made from the floor at the Annual Business Meeting.

CE Transcripts to Be Mailed Caroline Power Gangl, Managing Editor CE transcripts for all courses provided by the Philadelphia County Dental Society in the calendar year 2019 will be mailed from the Pennsylvania Dental Association office in December 2019. Be certain to keep these documents in a safe place.

For those who hold Pennsylvania licenses, your next renewal date is March 31, 2021. Dentists are required to have 30 hours of continuing education; hygienists, 20 hours, and expanded function dental assistants, 10 hours.

You will need to be able to verify that you have met the requirements between April 1, 2017 and March 31, 2019, plus current CPR certification. (The Philadelphia County Dental Society is offering a CPR recertification course on Wednesday, March 20, 2020. See “Save the Date” on page 13 for registration information.)

The State Board of Dentistry (SBOD) may not ask you to list specific courses on the renewal application, but, typically, it performs a random follow-up to as many as

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40 percent of license holders statewide, asking them to provide verification of their CE credits. Remember, too, that the required credit hours must be for courses in subjects which contribute directly to the maintenance of clinical competence of a dentist, dental hygienist or expanded function dental assistant.

Pennsylvania does not accept credit for courses in billing, office management, practice building, insurance reimbursement or communication skills.

Special Considerations for Acts 31 and 124 Act 31 Child Abuse and Neglect As a condition of each biennial licensure renewal you must complete 2 hours of continuing education on Child Abuse Recognition and Reporting, presented by an SBOD-approved entity. Approved courses taken between April 1, 2019, and March 31, 2021, will count toward your 2021 license renewal.

Initial licencees need 3 hours in Child Abuse Recognition and Reporting from an SBOD-approved provider. (continued on page 15)

President’s Message Lennie Checchio, DMD During a recent conversation with my sister about our daughters’ professional education and tuition, I was surprised to learn that my niece’s medical school tuition is $58,000, compared to my younger daughter’s dental school tuition and fees which total approximately an additional $46,000 with an estimated percent annual increase. Of course, these numbers do not include the other expenses of life.

When my older daughter graduated dental school in 2005, her tuition was $68,000; however, my son had the real dental deal at the University of Pittsburgh when the 20032007 tuition was a mere $50,000 (click here for data source).

US News and World Report wrote that according to the AAMC tuition questionnaire, the average medical school tuition in the 2018-2019 school year was $57,506. The most expensive medical school, Columbia, was $67,810. In the 2017-2018 school year of dental school, the most expensive dental school was the Herman Ostrow School of Dentistry of USC at $86,614.00/year. This, again, does not include include instruments, textbooks or other fees, not to mention those pesky living expenses.

The Business Insider published a story comparing Dental, Medical and Law School.

They discussed how the professions are no longer the path to wealth due to the staggering student-loan debt. Even the Wall Street Journal weighed in on an orthodontist, Dr. Mike Meru, with $1 million in school debt, stating that this debt will escalate to $2 million in the 20 years to pay it back. Brace yourself.

According to the Urban Institute, Dental School is the most expensive professional degree program in the United States!

In 2017 The Millennial Money Man started a site where people could share their stories about student debt. Some wrote how doctors aren’t underpaid but they have an extensive financial, mental and physical toll involved in their training. Imagine 10 years, or more, of 100-hour weeks in school and residency. Then the high pressure of the career starts. This happens by age 30, if they are lucky. At this point, in addition to massive student loan debt, there may be loans for the purchase of a practice, a mortgage, a car payment and more.

Fall out of this is that the best and the brightest will choose careers other than health care. Will only the wealthy be able to afford to go into health care? What does that mean for the public?

After the Obama administration took over the student loan business and prevented private banks from making students loans, the loan rate went up to 6 percent. No wonder some students feel taken advantage of by the government. It should be noted that the American Student Dental Association (ASDA) has worked tirelessly to try to make student loans more manageable for health-care providers. There has been a laundry list of proposals made to Congress.

Loan forgiveness is one thing that has been proposed, but taxes must still be paid on the loan that is forgiven.

Why the large difference between medical school and dental school? During Years 3 and 4 of medical school students are rotating through hospitals or private offices to see which specialty they would like to pursue. Years 3 and 4 of dental school are also evaluating the different specialties but in a clinic provided by the dental school. This (continued on page 4)

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President’s Message (cont’d) means built, stocked, supplied, staffed and insured by the school. This adds to the cost of dental school. Also, all medical specialty training programs have a salary, while very few dental specialty trainings programs have salary and many have tuition.

Businesspersons say not to go into health care; the return on investment is not good, and there are certainly easier ways to make money. My mind set, and I try to pass it on to young people interested in a career in

health care, is go to a college where you will accrue have very little debt, whether due to low tuition, scholarship money or both. Also, look for a salaried post-doctoral residency.

Planning carefully helps to decrease the risk of accumulating so much debt.

Doctors say do what you love, not just for the money. You have to do your job every day and for a long time. I can’t imagine not loving it.

Members in the News 2019 Speed Mentoring Program Helps 21 Local Dental Students

Thakkar Gives Invocation at 2019 ADA Opening House of Delegates

On Sept. 26, 2019, Pennsylvanian Dental Association sponsored a Speed Mentoring event for Philadelphia area dental students.

Nine PDA member dentists, among them Dr. Lennie Checchio, president; Dr. Renee Fennell, president-elect; and Dr. Nipa Thakkar, member of the Board of Governors, Philadelphia County Dental Society, participated in the event.

More than 20 students from Penn and Temple broke into small groups and had 10 minutes to spend with each mentor before moving on the next mentor.

Nipa Thakkar, DMD, above, gave the invocation at the Opening Session of the House of Delegates of the American Dental Society in San Francisco on Sept. 6.

Thakkar, a 2012 graduate of the Temple University Kornberg School of Dentistry, is a member of the Board of Governors of the Philadelphia County Dental Society.

Above, Dr. Renee Fennell shares some of her dentistry experiences with two local dental students at PDA's Speed Mentoring program.

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Report of the Constitution and Bylaws Committee Thomas W. Gamba, D.D.S., Chair On September 17, 2019, the Board of Governors approved revisions to the Society’s Constitution and Bylaws. The revisions, printed below in RED, will be on the agenda for a final vote by members attending the Annual Business Meeting on Tuesday, November 19, 2019, at 7:00 p.m. at Maggiano’s in Philadelphia. (All members are welcome to attend.) The proposed revisions require a 2/3 majority of those voting.

If adopted, the revised Constitution & Bylaws will become effective January 1, 2020, and will be published on the Society’s website (www.philcodent.org).

THE CONSTITUTION OF THE PHILADELPHIA COUNTY DENTAL SOCIETY Article I – NAME A. The name of this organization shall be the Philadelphia County Dental Society (First District Dental Society of the Pennsylvania Dental Association), hereinafter referred to as “the Society” or “this Society.”

B. The Society shall be a component member of the Pennsylvania Dental Association (PDA), which in turn is a constituent of the American Dental Association (ADA).

C. The seal of the Society shall bear the words: “The Philadelphia County Dental Society (First District Dental Society of the Pennsylvania Dental Association), organized A.D. 1886.”

Article II – MISSION A. The Philadelphia County Dental Society is a professional association committed to the improvement of the public’s oral health and the representation of its members through advocacy, education and information.

B. The function and operation shall conform with the Constitution and Bylaws of the PDA and the ADA. Article III – ORGANIZATION A. OFFICE – Any Executive Office shall be located in the City of Philadelphia, County of Philadelphia, in the Commonwealth of Pennsylvania.

B. MEMBERSHIP – The membership shall consist of dentists and other persons, whose classifications and qualifications shall be established in the Bylaws.

Article IV – GOVERNMENT A. LEGISLATIVE BODY – The legislative and governing body shall be the Board of Governors.

B. ADMINISTRATIVE BODY – The administrative body shall be the Executive Committee.

Article V – OFFICERS A. The officers shall be a President, President-Elect, Secretary, Treasurer, Financial Officer and Editor, each of whom shall be elected by the membership in such manner as provided in the Bylaws.

Article VI – SESSIONS A. SCIENTIFIC SESSIONS – Scientific Sessions shall be conducted by the members of the Society as provided in the Bylaws.

B. BUSINESS SESSIONS – Business Sessions shall be conducted by the members of the Board of Governors as provided in the Bylaws.

Article VII – PROFESSIONAL CONDUCT A. The current Principles of Ethics and Code of Professional Conduct adopted by the ADA shall govern the conduct of members in relation to each other and the public, with such additions or changes as may be deemed necessary or appropriate by the Board of Governors to satisfy local requirements, and to this end each member shall conduct himself/herself so as to support the object for which this Society is organized.

Article VIII – AMENDMENTS A. This Constitution may be amended at any Annual Business Meeting by a two-thirds Ҁ affirmative vote of the members present and voting, provided that the proposed amendment has been approved by a two-thirds (2/3) affirmative vote of the Board of Governors and provided that the amendment shall have been published in the Society’s official publication or by notice to the membership no later than thirty (30) days prior to the Annual Business Meeting. Amendments to the proposed amendment require no previous notice and require only a majority vote for their approval.

Article IX – PARLIAMENTARY AUTHORITY The current edition of the American Institute of Parliamentarians Standard Code of Parliamentary Procedure shall be the authority on all procedural questions not covered by the Constitution and Bylaws or adopted policies of this Society.

(The Bylaws begin on the next page.)

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BYLAWS OF THE PHILADELPHIA COUNTY DENTAL SOCIETY First District of the Pennsylvania Dental Association (PDA) ARTICLE 1.0 MEMBERSHIP 1.1 ELIGIBILITY 1.1.1 Any legally qualified ethical dentist, legally qualified ethical practitioner of medicine, and such persons contributing to the advancement of dentistry, shall be eligible for membership in the Society.

1.1.2 Any ethical dentist is one whose professional conduct conforms to the American Dental Association (ADA) Principles of Ethics and Code of Professional Conduct.

1.1.3 Active, Life, and Retired membership shall be limited to dentists who are members in good standing of the ADA and the Pennsylvania Dental Association (PDA).

1.2 ACTIVE MEMBER 1.2.1 Any dentist eligible for membership in the ADA and the PDA and whose professional or home address is within Philadelphia County, Pennsylvania.

1.2.2. Any dentist who has been assigned to active duty in the Federal Dental Services for a limited period of service and whose professional address or home address is within Philadelphia County, Pennsylvania.

1.2.3 Active members shall have the right to vote hold office, attend meetings and sessions of the Society, serve on committees and councils, receive the official publication and other mailings, apply for insurance sponsored by the Society and to such other services as are provided by the Society.

1.3 LIFE MEMBER 1.3.1 Any dentist who has met the eligibility requirements for Life Membership of the American Dental Association and who has been an Active Member of this Society for a minimum of one (1) year.

1.3.2 Active Life: Any dentist who has met the eligibility requirements for Active Life Membership of the ADA.

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1.3.3 Retired Life: Any dentist who has met the eligibility requirements for Retired Life Membership of the ADA Life Members shall have all the privileges of Active Membership.

1.4 RETIRED MEMBER 1.4.1 Any Active Member who has met the eligibility requirements for Retired Membership of the ADA. 1.4.2 Retired Members shall have all the privileges of Active Membership.

1.5 STUDENT MEMBER 1.5.1 Any pre-doctoral student who is a member of the American Student Dental Association.

1.5.2 Any student who is engaged full time in an internship, residency or graduate program of at least one academic yearâ&#x20AC;&#x2122;s duration and who is a member of the ADA. 1.5.3 Student Members shall have the right to attend scientific sessions and apply for insurance sponsored by the Society but shall not have the right to vote or hold office.

1.6 HONORARY MEMBER 1.6.1 Any individual who has made outstanding contributions to the advancement of the art and science of dentistry, upon nomination of the Executive Committee and election by the Board of Governors.

1.6.2 Honorary Members shall receive a certificate of honorary membership and the official publication of the Society.

1.6.3 Honorary Members shall have the right to attend scientific sessions, but shall not have the right to vote, hold office or apply for insurance programs, unless already a fully privileged member.

1.7 ASSOCIATE MEMBER 1.7.1 Any dentist member in good standing of the ADA whose primary membership is in another jurisdiction.

1.7.2 Any legally qualified practitioner of medicine, subject to the approval of the Board of Governors.

1.7.3 Any non-dentist who has contributed to the advancement or teaching of dentistry subject to the approval of the Board of Governors.

ARTICLE 2.0 ANNUAL BUISNESS MEETING An Annual Business Meeting shall be held for the purpose of electing members to all elective offices designated in these Bylaws and to carry out such other business as the Board shall determine.

ARTICLE 3.0 BOARD OF GOVERNORS 3.1 COMPOSITION AND TERM OF OFFICE 3.1.1 Any dentist in the Federal Dental Services, assigned to active duty within the jurisdiction of this Society, who is a member of the ADA. The Board of Governors, hereinafter referred to as â&#x20AC;&#x153;the Board,â&#x20AC;? shall consist of members in good standing.

3.1.2 All duly elected officers shall be voting members of the Board, with the President only voting in the event of a tie.

3.1.3 The Immediate Past President shall be a voting member of the Board.

3.1.4 There shall be six (6) elected members as follows: there shall be elected at each Annual Business Meeting two (2) members who shall serve for three (3) years, and who may not again be candidates for election to the Board until at least one year after the end of their prior terms.

3.1.5 The PDA First District Trustee shall be a voting member of the Board.

3.1.6 The following Society members shall serve as ex officio members of the Board without the right to vote: ADA and PDA officers, past presidents and emeritus officers of this Society.

3.1.7 Any governor may be removed from the Board for non-attendance at more than two meetings during a Society year or for other valid cause as may be determined by the Board.

3.1.8 Any ex officio member(s) of the Board may serve as a voting member for the purpose of reaching a quorum at any duly convened meeting of the Board.

3.2 POWERS AND DUTIES 3.2.1 The Board shall be the legislative and governing body of the Society.

3.2.2 The Board shall have charge and general control of all properties and financial affairs.

3.2.3 The Board shall provide suitable places for meetings.

3.2.4 The Board may secure an office and employ staff as it deems necessary.

3.2.5 The Board shall receive and act upon the resignations of officers and governors and have the power to fill vacancies for unexpired terms of the offices of President-Elect, Secretary, Treasurer, Financial Officer, Editor and PDA Trustee.

3.2.6 The Board shall meet in regular session, upon written notice, no less than four (4) times during the Society year. Additional meetings of the Board may be called at the discretion of the President, or shall be called by the President upon the written request of eight (8) members of the Board.

3.2.7 The Board shall approve and arrange for the Annual Business Meeting place and date, and other meetings or educational sessions.

3.2.8 The Board shall receive and act upon reports and recommendations from officers, committees and councils.

3.2.9 The Board shall function as the Nominating Committee.

3.2.10 The Board shall consider any violations of the Principles of Ethics and Code of Professional Conduct of the ADA 3.2.11 The Board shall receive, consider and act upon all written charges of negligence of duty of an officer, governor or a committee or council member.

ARTICLE 4.0 OFFICERS The officers shall be President, President Elect, Secretary, Treasurer, Financial Officer and Editor shall be Active, Life or Retired members in good standing.

4.2 TERMS OF OFFICE 4.2.1 The terms of officers shall coincide with the fiscal year of the Society.

4.2.2 The President and President-Elect shall serve a term of two (2) years.

4.2.3 The terms of office for the Secretary and Treasurer shall be one (1) year, with a maximum of five (5) consecutive terms.

4.2.4 The term of office of the Financial Officer shall be two (2) years, with a maximum of three (3) consecutive terms.

4.2.44.2.5 The term of office of the Editor shall be four (4) years, with a maximum of two (2) consecutive terms. (continued on next page)

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4.3 VACANCIES 4.3.1 Should the office of President become vacant, the President-Elect shall assume the duties of the President for the unexpired portion of the term, in addition to his/her succeeding term of office as President.

4.3.2 All other vacancies shall be filled by the Board for the unexpired portion of the term.

4.4 PRESIDENT’S DUTIES 4.4.1 To serve as the official representative of the Society in its contacts with governmental, civic, business and professional organizations for the purpose of advancing the objectives and policies of the Society.

4.4.2 To preside at all meetings of the Society and the Board and to perform such duties as usually pertain to this office.

4.4.3 To select the chair and members of each committee and council, with the approval of the Board, to serve for the term of his/her office, except as otherwise provided for in the Bylaws.

4.4.4 To appoint any ad hoc committees which the Board may deem necessary.

4.4.5 To designate the time and place of all meetings of the Board and of such other meetings as may be required.

4.4.6 To insure that the Treasurer and employees of the Society are bonded to the Society.

4.4.7 To insure that the financial accounts of the Society are audited annually by a Certified Public Accountant.

4.4.8 To submit, at the Annual Business Meeting, a written report of the activities of this office, including recommendations to the Board.

4.4.9 To chair the Executive Committee, with the right to vote, and to serve as an ex-officio member of all committees and councils without the right to vote.

4.4.10 To serve as a member of the Board and to continue as a member of the Board for a period of two (2) years following the expiration of the term of office.

4.5 PRESIDENT-ELECT’S DUTIES 4.5.1 To assist the President as requested.

4.5.2 To serve as a voting member of the Board.

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4.5.3 In the absence of the President, to perform all duties of the President, and in case of death, resignation or removal from office of the President, to immediately assume office as President for that unexpired portion of the term and for the following term.

4.5.4 At the end of the term of President-Elect, to continue as President without other election.

4.5.5 To serve as an ex-officio member of all committees and councils, without the right to vote.

4.6 SECRETARY’S DUTIES 4.6.1 To keep a complete record of all proceedings of the Society, the Board and such other committee and council meetings as the President may direct.

4.6.2 To sign all official documents, keep the seal of the Society and cause it to be affixed to official documents or certificates after they have been properly signed.

4.6.3 To make all necessary reports to the Secretary of the PDA 4.6.4 To maintain an accurate membership list.

4.6.5 To notify all members of the time and place of meetings and elections, of names of candidates for office and of any other necessary information, and to provide official ballots for elections.

4.6.6 To keep a copy of the Constitution and the Bylaws at the Executive Office for inspection by any member.

4.6.7 To conduct the general correspondence of the Society and retain full copies thereof.

4.6.8 At the discretion of the Board, any or all of the foregoing duties of the Secretary may be performed by staff.

4.6.9 To serve as a voting member of the Board.

4.6.10 To perform such other duties pertaining to the office of Secretary as may be required.

4.7 TREASURER’S DUTIES 4.7.1 To receive all monies due the Society, deposit them and the securities of the Society in such financial institutions as the Board shall select.

4.7.2 To disburse funds for items provided for in the budget as approved by the Board.

4.7.3 To keep accurate accounts of all monies and securities received, and of all payments made, and to make a report thereof and of the financial status of the Society whenever directed by the Board.

4.7.4 At the discretion of the Board, any or all of the foregoing duties of the Treasurer shall be performed by staff.

4.7.5 To engage a Certified Public Accountant, as chosen by the Board, for the purpose of an annual audit of the Society’s complete financial status.

4.7.6 To give security to the Society, in bond of approved surety, as the Board may require, the cost to be paid by the Society.

4.7.7 To serve as a member of the Finance Committee.

4.7.8 To serve as a voting member of the Board.

4.7.9 To perform such other duties pertaining to the office of Treasurer as may be required.

4.8 FINANCIAL OFFICER’S DUTIES 4.8.1 To oversee the investment monies of the Society.

4.8.2 To maintain an Investment Policy for the Society.

4.8.3 To Chair the Finance Committee of the Board.

4.8.4 To serve as a voting member of the Board.

4.8.5 To perform any duties required by a Financial Officer.

4.84.9 EDITOR’S DUTIES 4.8.14.9.1 To edit and assume responsibility for publishing and distributing the Society’s official publication at the direction of the Board.

4.8.24.9.2 To serve as a voting member of the Board.

4.8.34.9.3 To receive such compensation, if any, as shall be determined by the Board.

4.8.44.9.4 To maintain membership in the American Association of Dental Editors, the dues for which shall be paid by the Society.

ARTICLE 5.0 PDA TRUSTEE 5.1 POWERS AND DUTIES 5.1.1 The Trustee of the First District to the PDA shall be elected at the Society’s Annual Meeting immediately preceding the expiration of the term of office of the predecessor, in accordance with the Bylaws of the PDA. 5.1.2 The Trustee shall serve as a voting member of the Board and shall report to the Board at each meeting on the activities of the PDA and its Board of Trustees.

ARTICLE 6.0 COMMITTEES OF THE BOARD OF GOVERNORS Committees of the Board shall be composed of at least three (3), and no more than five (5), members of the Board of Governors. Committee members and chairs shall be appointed by the President, with the approval of the Board, except as otherwise provided for in the Bylaws. Each committee may propose consultants, who need not be members of the Society, for approval by the Board.

6.1.1 Committee members shall serve for a term of two (2) years, except as otherwise provided for in the Bylaws. Vacancies shall be filled by the President with the approval of the Board.

6.1.2 The President and the President-Elect shall be ex-officio members of all committees of the Board without the right to vote.

6.1.3 Committees shall refer all recommendations to the Board.

6.2 The EXECUTIVE COMMITTEE shall be composed of the President, President-Elect, Secretary, Treasurer, and one Governor as appointed by the President. The committee shall be chaired by the President and shall act as the administrative body of the Society.

6.3 The CENTRAL OFFICE MANAGEMENT COMMITTEE shall be composed of the Secretary and two (2) other members of the Board as appointed by the President and shall be chaired by the Secretary.

The committee shall be responsible for all matters regarding personnel and property in the management of the Society’s Executive Office and all other real property owned or operated by the Society. (continued on next page)

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6.46.3 The CONSTITUTION AND BYLAWS COMMITTEE shall be composed of three (3) members of the Board as appointed by the President. The committee shall review the Constitution and Bylaws at the direction of the Board, receive and consider all suggested changes to these documents, and make recommendations to the Board for approval and implementation.

ARTICLE 7.0 STANDING COMMITTEES 7.1 Standing Committees shall be composed of at least three (3) and no more than five (5) members of the Society, who need not be members of the Board, except as otherwise provided for in the Bylaws. The President shall assign one (1) member of the Board to each committee to serve as liaison to the Board, without the right to vote.

Each committee may propose consultants, who need not be members of the Society, for approval by the Board.

7.1.1 Standing Committee members shall be appointed by the President, with the approval of the Board, except as otherwise provided for in the Bylaws.

7.1.2 Standing Committee members shall serve for a term of two (2) years, except as otherwise provided for in the Bylaws. Vacancies shall be filled by the President with the approval of the Board.

7.1.3 Standing Committee chairs shall be appointed by the President and shall serve for a term of two (2) years, with a maximum of two (2) consecutive terms, except as otherwise provided for in the Bylaws or by a two-thirds (2/3) majority vote of the Board.

7.1.4 The President and the President-Elect shall be ex-officio members of all Standing Committees without the right to vote.

7.1.5 Standing Committees shall refer all recommendations to the Board.

7.2 The ADVISORY COMMITTEE shall be composed of the Immediate Past President, President, President-Elect, PDA Trustee and at least three (3) past presidents. The Immediate Past President shall chair the committee. It shall be available to advise the President in any matters upon request.

7.3 The FINANCE COMMITTEE shall be composed of seven (7) members as follows: the Financial Officer, the Treasurer; three (3) governors, one of whom is in the third year of

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his/her term, one in the second year, and one in the first year and two (2) other members of the Society. The committee shall supervise the financial operations of the Society, make investment recommendations to the Board and prepare an operating budget annually for approval by the Board. The Financial Officer shall chair the Finance Committees.

7.3 NONDUES INCOME COMMITTEE 7.3.1 The committee shall be composed of the chair of the Finance Committee and two other members. The president shall appoint the chair and may appoint consultants, both members and non-members, to review a particular product or service.

7.3.2 The committee shall investigate proposals, gather appropriate documentation and negotiate agreements, with the approval of the Board, which will allow the Society to endorse products and/or services to members, in accordance with the Guidelines for Endorsements.

ARTICLE 8.0 COUNCILS 8.1 Councils shall be composed of at least three (3) and no more than five (5) members of the Society, who need not be members of the Board, except as otherwise provided for in the Bylaws.

The President shall assign one (1) member of the Board to each council to serve as liaison to the Board, without the right to vote. Each council may propose consultants, who need not be members of the Society, for approval by the Board.

8.1.1 Council members shall be appointed by the President, with the approval of the Board, except as otherwise provided for in the Bylaws.

Vacancies shall be filled by the President with the approval of the Board.

8.1.2 Council members shall serve for a term of two (2) years except as otherwise provided for in the Bylaws. Council chairs shall be appointed by the President and shall serve for a term of two (2) years, with a maximum of two (2) consecutive terms, except as otherwise provided for in the Bylaws or by a two-thirds (2/3) majority vote of the Board.

8.1.3 Council chairs shall be appointed by the President and shall serve for a term of two (2) years, with a maximum of two (2) consecutive terms, except as otherwise provided for in the

Bylaws or by a two-thirds (2/3) majority vote of the Board.

8.1.4 The President and the President-Elect shall be ex-officio members of all Councils without the right to vote.

8.1.5 The Councils shall refer all recommendations to the Board for action.

8.2 The COUNCIL ON COMMUNICATIONS & PUBLIC RELATIONS shall be responsible for all publicity for the Society, including all activities for the National Childrenâ&#x20AC;&#x2122;s Dental Health Month, National Senior Smile Week and other similar programs that may improve the health of the citizens of Pennsylvania or promote the art and science of dentistry, as developed by the Society, the PDA or the ADA. 8.3 The COUNCIL ON EDUCATION shall arrange for and conduct all educational programs as directed by the Board.

8.4 COUNCIL ON MEMBERSHIP 8.4.1 The Council shall be responsible for recruitment and retention of members, receive and review applications for membership and present membership reports to the Board.

8.4.2 The Council shall be responsible for recruitment and retention of members of the American Student Dental Association chapters at Temple University Kornberg School of Dentistry and the University of Pennsylvania School of Dental Medicine.

8.4.3 The Council shall evaluate existing membership benefits, consider improvements and make appropriate recommendations to the Board of Governors.

ARTICLE 9.0 FINANCE 9.1 The fiscal year shall be from January 1 to December 31.

9.2 The business of the Society shall be operated within a budget prepared for each fiscal year by the Finance Committee, subject to the approval of the Board. All committees and councils using Society funds shall be required to present their budget requests to the Finance Committee in time to be considered in the annual budget.

9.3 At the end of each fiscal year any unused balance in the budget accounts and unanticipated revenue shall revert to the General Fund.

ARTICLE 10.0 ANNUAL DUES 10.1 The annual dues for Active, Associate, Student and Affiliate members shall be determined by the Board upon the recommendation of the Finance Committee and shall be payable by January first of each year.

10.2 Active members shall pay no dues for the year of graduation and the first full calendar year following the year in which the DDS or DMD degree was awarded or advanced training program was completed; 25 percent of dues for the second full year, 50 percent of dues in the third year, 75 percent in the fourth year and 100 percent in the fifth year and thereafter. Eligibility for this benefit shall be conditioned on maintenance of continuous membership or payment of reduced dues for the years not previously paid, at the rates current during the missing year(s).

10.3 Student members of the American Student Dental Association shall be exempt from the payment of dues.

10.4 Active members otherwise in good standing may be granted a waiver of dues under special circumstances, as determined by the Secretary.

10.5 Any member who is under suspension of the dental license by the Pennsylvania State Board of Dentistry shall be required to pay the annual dues.

10.6 Any member, while receiving assistance from the Relief Fund of the ADA and/or the PDA, shall be exempt from the payment of dues and shall be considered to be in good standing during the period of such assistance.

ARTICLE 11.0 NOMINATIONS 11.1 NOMINATIONS Nominees shall be Active, Life or Retired members. No person shall be nominated without his/her consent and an expression of willingness to serve if elected.

11.1.1 Nominees shall be proposed for each of the following offices: President-Elect (when applicable); Secretary; Treasurer; Financial Officer; Editor (when applicable); Trustee to the PDA (when applicable); Two (2) Governors. (continued on next page)

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11.1.2 The Board, functioning as the Nominating Committee, shall nominate candidates for each office stated in 12.1.2 11.1.1.

11.1.3 Additional nominations may be made by written petition signed by at least twenty (20) Active, Life or Retired Members in good standing.

Such petitions must be submitted to the Secretary at least fifteen (15) days prior to the date of the Annual Business Meeting. The Secretary shall make a prompt determination as to the eligibility of nominees and willingness to serve if elected.

11.1.4 No additional nominations shall be made from the floor at the Annual Business Meeting.

11.1.5 The complete list of nominees selected by the Board shall be published in the Society’s official publication or by notice to the membership no later than thirty (30) days prior to the Annual Business Meeting.

12.2 ELECTIONS 12.2.1 A ballot for all contested offices shall be prepared by the Secretary, listing all nominees in alphabetical order.

12.2.2 Elections shall be by Society members present and voting at the Annual Business Meeting.

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Ballots with more votes than the available number for any office shall be declared invalid and shall be disqualified for that portion of the ballot only. Failure to vote for the full number of candidates to fill vacancies shall not disqualify a ballot.

12.2.5 All ballots shall be secured for sixty (60) days and then destroyed.

ARTICLE 13.0 DELEGATE TO THE AMERICAN DENTAL ASSOCIATION 13.1 The PDA First District Trustee shall be the delegate.

ARTICLE 14.0 AMENDMENTS 14.1 These Bylaws may be amended at any Annual Business Meeting by a two-WKLUGV Ҁ

affirmative vote of the members present and voting, provided that the proposed amendment has been approved by a two-WKLUGV Ҁ DIILUPDWLYH vote of the Board of Governors, and provided that the amendment shall have been published in the Society’s official publication or by notice to the membership no later than thirty (30) days prior to the Annual Business Meeting. Amendments to the proposed amendment require no previous notice and require only a majority vote for their approval.

2020 PCDS Liberty Continuing Education Dates PCDS courses for 2020 will be administered by the Pennsylvania Dental Association.

Mark your calendar for the following dates and watch your mail in November for the reservation form (or register online after October 22 at www.padental.org/calendar).

SAVE THE DATE WEDNESDAY, MARCH 18, 2020 – THOMAS E. DUDNEY, DMD 8:30 a.m. to 3:30 p.m. – Be Aware of Wear: A Systematic Approach to Diagnosing, Treatment Planning, and Restoring the Worn Dentition AND What’s a Dentist to Do? Diagnosis, Treatment Options and Rehabilitation of Difficult and Unusual Cases 3:45 p.m. to 5:45 p.m. – CPR Recertification in cooperation with Catapult Education

FRIDAY, MAY 15, 2020 – DOUGLAS LAMBERT, DDS 8:30 a.m. to 3:30 p.m. – Bunts, Punts, and Elbows – The Sports Dentistry Side of Your Practice AND S.M.A.R.T. Dentistry for Your Practice: Simplified Methods and Restorative Techniques in cooperation with Catapult Education

WEDNESDAY, OCTOBER 28, 2020 – THOMAS VIOLA, RPH, CCP 8:30 a.m. to 3:30 p.m. – Essential Pharmacology for Treating Medically Complex Dental Patients AND Self-Medication: Dental Considerations and Patient Care Planning

FRIDAY, DECEMBER 4, 2020 – 8:30 a.m. to 3:30 p.m.

Child Abuse Recognition and Reporting presented by ANGELA M. STOUT, DMD, MPH; Radiation Safety for Pennsylvania Dental Professionals presented by KAREN PASS AND Pain Management Alternatives and Identification of Addiction presented by

E. STEVEN MORICONI, DMD, FACD, FICD Under Act 31, Child Abuse Recognition and Reporting for Dental Professionals is required by March 31, 2021, for dentists, hygienists and EFDAs renewing a Pennsylvania dental license.

Will fulfill the Act 124, CE requirement for dentists renewing their license in March 31, 2021, who have a current DEA registration or use another DEA number (as permitted by law) to prescribe controlled substances.

MARK YOUR CALENDAR NOW & PLAN TO ATTEND

PCDS Continuing Education Convenient Relevant Affordable Helping you meet your legal and ethical responsibilities.

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Where Have All the Documents Gone?

Caroline Power Gangl, Managing Editor Since the Philadelphia County Dental Society closed its physical doors in January, you may have been wondering about the fate of the Society's historical documents.

They are now in the safe hands at the Historical Society of Pennsylvania on Locust St. The Historical Society was happy to accept the donation of so many documents that chronicle the history and evolution of dentistry in the Philadelphia area.

If you were to search for the records on the Historical Society’s website (http://www.discover.hsp.org), here is the most important part of the results.

Philadelphia County Dental Society records Physical Description:

17.0 Linear feet 10 cartons, 2 oversized boxes, and 4 scrapbooks

Summary:

Organized in 1886 the Philadelphia County Dental Society is a professional association that is dedicated to the improvement of the public's oral health and upholding ethical principles in the field of dentistry. In addition, the group provides educational and informational support to its members and acts as an advocate for the dental profession. This collection consists primarily of bound volumes of the Society's journal and photograph albums.

Additional items in the collection include a minute book with the charter and bylaws, a membership ledger, membership application, a letter regarding the addition of fluoride into the city of Philadelphia's water supply, typed and printed histories of the organization, published materials related to the organization and dentistry, property records relating to the Richardson Dilworth House (the location of the Society from the late 1970s to the late 1990s), citations, photographs of Philadelphia taken by Society members, the seal of the Society, and other materials. The oversized boxes contain framed items.

Even though it has been months since the physical transfer from the PCDS office to the Historical Society, your materials have not yet been examined by an archivist.

The reason, according to Cary Hutto, chief archivist at the Historical Society, is a matter of money.

“We depend on donations to pay archivists to process and conserve the many historical documents and collections we are happy to receive,” said Hutto. “The donation from the Philadelphia County Dental Society is rather large, and I estimate it would take 50 to 100 hours to index and process,” said Hutto.

While the Historical Society has some well-trained volunteers who help the paid staff, their availability ebbs and flows, she added.

To support the Historical Society’s mission, you may want to consider becoming a Friend of the HSP. By joining the Friends of HSP, you're not just supporting the care and conservation of a remarkable collection of historical materials; you're also becoming part of a community of passionate history enthusiasts. Friends of HSP receive many benefits, including access to HSP’s nationally significant collection of more than 21 million records spanning over 350 years of history.

You can recognize friends or family in a meaningful way while at the same time supporting the collections, educational programs, and mission of the Historical Society of Pennsylvania through tribute and memorial gifts. Use this link if you wish to make such a gift.

Look for updates about the progress of archiving PCDS’s history in future issues of the Journal.

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CE Transcripts (cont’d) Protection (DEP) notified licensed dentists that they and their staff members who are involved with X-ray procedures must include radiology safety, biological effects of radiation, quality assurance and quality control as part of their continuing education curriculum.

The DEP recommends that individuals obtain two contact hours, or 4 hours of continuing education every four years. “Contact hours” are defined by DEP as those obtained in a traditional classroom setting.

Each office will need to maintain a record of their Radiation Safety CE. When DEP inspectors come to your office to inspect X-ray equipment, they may ask to see these records.

Any person who chooses not to be compliant with the radiology continuing education requirements may be subject to civil and criminal penalties listed within the Act. You can find CE courses to help you fulfill your Act 31 and Act 124 CE course responsibilities at padental.org/act31andact124.

Act 124 Opioid Education Dentists who have a current DEA registration or use another DEA number (as permitted by law) to prescribe controlled substances must complete at least 2 hours of CE in pain management, identification of addiction or the practice of prescribing or dispensing of opioids as a portion of the total CE required for biennial renewal.

Applicants for an initial license must obtain at least 2 hours of education in pain management or identification of addiction, and at least 2 hours of education in the practice of prescribing or dispensing opioids for a total of 4 hours. They may complete this requirement as part of their professional degree educational program or from a continuing education (CE) program taken within 12 months of obtaining an initial license or certificate.

Radiation Safety CE Keep in mind that, in July 2008, the Pennsylvania Department of Environmental

FPO W REGISTER NOW DĞĞƚŝŶŐ ½PAGE AD Pennsylvania’s Dental Meeting Saturday, April 25, 2020|Mount Airy Casino Resort PA’s first AAA Four-Diamond casino in the scenic Pocono mountains

Select from individually priced sessions on topics relevant to today’s dental practitioner, including child abuse recognition, opioids, local anesthesia and medical marijuana.

For more information, visit www.padental.org/PDM or call Rebecca Von Nieda (800) 223-0016, ext. 117.

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News from Harrisburg New State Law Requiring Use of Electronic Prescriptions Takes Effect October 24, 2019 Before session ended in 2018, the Pennsylvania General Assembly passed HB353 (now Act 96), which requires health-care providers to electronically prescribe all Schedule II-V controlled substances, except when they are directly dispensed or administered by the provider (i.e., other than pharmacists).

EXEMPTIONS 8. Prescriptions issued pursuant to an established and valid collaborative pracAct 96 includes many exemptions. Providtice agreement between the provider ers do not have to comply with this mandate and pharmacist, a standing order or a if any of the following apply: drug research protocol.

1. If a veterinarian issues the prescription.

9. Prescriptions issued in an emergency 2. If the prescription is not available to be issituation pursuant to federal or state sued or received due to a temporary technolaw, and Department of Health (DOH) logical or electrical failure (in this situation, regulations. a provider must, within 72 hours, see to cor10. Where the pharmacy that receives the rect any cause for the failure that is reasonprescription is not set up to process elecably within his or control). tronic prescriptions.

3. The prescription is dispensed by a prac11. Controlled substances that are not retitioner or pharmacy located outside quired to be reported to the Prescription Pennsylvania.

Drug Monitoring System (PDMP).

4. The prescription is prescribed by a proCOMPLIANCE vider who or a health-care facility that Providers who do not qualify for any of does not have either of the following: the above-mentioned exemptions must ¾ Internet access start complying with the law by October 24, 2019. Providers who are unable to ¾ An electronic health record system timely comply with the requirements may 5. Instances when a provider treating a papetition DOH for an exemption based on tient in an emergency department or economic hardship, technical limitations or health-care facility determines that it is exceptional circumstances. DOH will adopt impractical for the patient to obtain the regulations establishing the form and specontrolled substance if it were precific information providers should include scribed electronically, or it would cause when petitioning for an exemption. PDA an untimely delay that adversely imwill promote this form to members once it is pacts the patient’s medical condition. available. (See “DOH Accepting Temporary 6. Prescriptions issued for patients enExemption Application” on the next page to rolled in a hospice program, and resiapply for an exemption.) dents in a nursing home or residential DOH may approve an exemption for a health care facility. specified amount of time, not to exceed one 7. Situations in which controlled substance year from the date of approval. The exception compounded prescriptions and prescripmay be renewed annually, subject to approval. tions containing certain elements required by the FDA or any other (continued on next page) governmental agency cannot not be prescribed electronically.

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PDA recommends that providers still take steps necessary to comply with Act 96 even when petitioning DOH for a hardship exception. Be prepared to comply by October 24 in case DOH does not grant the hardship exemption.

PENALTIES Providers who violate the Act are subject to the following penalties: ¾ An administrative penalty of $100 for the first ten violations. ¾ An administrative penalty of $250 for each subsequent violation, up to a maximum of $5,000 per calendar year. ¾ Violations will reset and not carry over to subsequent calendar years.

DOH will NOT report violations to the provider’s licensing board, nor does the provider need to self-report any violations. Licensing boards will NOT take disciplinary actions for any violations of Act 96 of 2018.

Providers will have the ability to appeal any fine assessed by DOH.

DOH Accepting Temporary Exemption Applications

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 are 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 staff at 1-800-223-0016 or check PDA’s website.

Complying with Pennsylvania’s New Electronic Prescription Prescribing Law, Act 96

For those of you who must comply with Act 96 of 2018, below is a list of vendors offering electronic prescribing services in dental offices.

This list is not all inclusive. There are several software/service options available; it is up to each practice to determine a software/service program that is right for it. PDA does not recommend or endorse any particular software or service. Please review and read all contracts carefully before signing.

Allscripts: https://www.allscripts.com/market-solutions/eprescribe 1-800-334-8534 Carestream Dental: https://www.carestreamdental.com/en-us/products/eservices-clinical-eservices/eprescriptions/ 1-800-944-6365 Practicefusion: https://www.practicefusion.com/e-prescribing/ 1-415-346-7700 Dentrix (Henry Schein One): https://www.dentrix.com/products/eservices/eprescribe 1-800-336-8749 Eaglesoft (Patterson Dental): http://patterson.eaglesoft.net/ Easydental (Henry Schein One): http://www.easydental.com/products/eservices/eprescribe 1-800-824-6375 Lexicomp (Wolters Kluwer): http://webstore.lexi.com/Lexicomp-ePrescribe# 1-855-633-0577 If you have questions or concerns click here for more information about Act 96 of 2018 or contact PDA’s government relations staff at 1-800-223-0016.

Special thanks to Marisa Swarney, John Basial and Kathleen Bumpers of the PDA’s government relations staff for sharing this important Act 96 information with our members.

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News Briefs Penn Dental Medicine to Name Saito Pediatric Care Center A major gift from a Penn Dental Medicine alumnus is helping to advance pediatric dentistry education and patient care. With this contribution from Dr. Tony Saito, a 1995 DMD graduate, the school will name its pediatric clinic the Saito Pediatric Care Center.

A pediatric dentist, Dr. Saito owns a private practice based in West Boylston, Mass., which he opened in 2001. After earning his DMD from Penn Dental Medicine in 1995, Dr. Saito com- Dr. Tony Saito pleted a general practice residency at Mount Sinai Medical Center and went on to a pediatric residency at Columbia University Medical Center.

“I chose to make this gift to support the future of our rapidly evolving profession.

Our students under the guidance of our outstanding Penn faculty need the most advanced technology in order to provide the best care for the children in the Philadelphia community,” says Dr. Saito. “It is my hope to have the students that I have mentored, return to Penn Dental and give back their time and energy as I have given to them.”

The space to be named the Saito Pediatric Care Center is the 16-chair teaching clinic for the school’s pediatric program, where postdoctoral students as well as DMD students provide care to children of all ages. The care center includes 10 private operatories and an open bay area with six treatment areas.

The section with the private operatories and the waiting area underwent a renovation in early 2019 to enhance the clinical care and patient experience. All 10 operatories have been outfitted with new equipment, including new dental chairs with rear-delivery instruments, new radiology

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units, and new cabinetry. One of the most significant changes was the creation of an operatory designed to accommodate patients who use a wheelchair—now outfitted with a lift, patients can be easily treated without having to leave their wheelchairs.

A celebration of the official naming of the Saito Pediatric Care Center will take place as part of the School’s Alumni Weekend 2020, May 15–16, when Dr. Saito will be marking his 25th reunion from Penn Dental Medicine.

Ransomware Hit Hundreds of Dental Offices in the US Hundreds of dental practice offices in the US had their computers infected with ransomware at the end of August 2019, according to ZDNet. The incident was another case of a ransomware gang compromising a software provider and using its product to deploy ransomware on customers' systems.

According to Catalin Cimpanu of Zero Day, in this case the software providers are The Digital Dental Record and PerCSoft, two Wisconsin-based companies who collaborated on DDS Safe, a medical records retention and backup solution advertised to dental practice offices in the United States.

Company Paid Ransom Demand The last weekend of August a hacker group breached the infrastructure behind this software and used it to deploy the REvil (Sodinokibi) ransomware on computers at hundreds of dental practices across the United States.

The security breach came was discovered that Monday. Dentists returned to work only to find they couldn't access any patient information.

A source affected by the ransomware told ZDNet that the two companies opted to pay the ransom demand. The Digital Dental (continued on page 19)

News Briefs (cont’d)

Record and PerCSoft shared a decrypter with affected dental offices, helping companies recover encrypted files.

The recovery process was slow, with some dental offices claiming on a Facebook group that the decrypter either didn't work at all or didn't recover all their data.

Ironically, The Digital Dental Record advertises DDS Safe on its website to safeguard files from ransomware attacks.

What are the key takeaways from these incidents? ¾ Talk to your IT consultant about daily backups of your data on a device not connected to the Internet, like a zip drive, that someone takes offsite each night. ¾ Treat your IT consultant well so he or she will take your calls immediately in case of a problem with your practice management systems.

2020 ADA Membership Cards Go Digital

Starting in 2020, ADA membership cards will be digital, and ADA will no longer be mailing physical cards to members.

Members can still print their card.

However, the cards will now be accessible via smartphones and other digital devices anytime, anywhere. In addition, ADA members will continue to receive their ADA membership window decal through the mail.

The transition to electronic membership cards technically started following the conclusion of the ADA FDI World Dental Congress in San Francisco as members started renewing their memberships for 2020.

According to the Association, benefits of switching to eCards include allowing members to access their card anytime and anywhere; digital cards can’t be lost or stolen; and reducing waste by not printing physical cards.

Members can access their eCards in their MyADA profile on ADA.org. By logging on to ADA.org/MyADA, members can choose to print their own cards at home or save it to their smartphone’s virtual wallet.

Comments Invited on Two Applications Seeking Dental Specialty Recognition

The National Commission on Recognition of Dental Specialties and Certifying Boards is inviting public comment on two applications for specialty recognition requesting that orofacial pain and oral medicine be recognized as dental specialties.

Written comments on the applications, submitted by the American Academy of Orofacial Pain and American Academy of Oral Medicine, are due Oct. 28, 2019.

The National Commission is inviting public comment for a 60-day period according to its Application Process for Recognition of a Dental Specialty protocol based on the applicant’s compliance with the ADA Requirements for Recognition of Dental Specialties.

To review the American Academy of Orofacial Pain application and the American Academy of Oral Medicine application, visit ADA.org/ncrdscb You can submit comments to Catherine Baumann, director, National Commission on Recognition of Dental Specialties and Certifying Boards, 211 E. Chicago Ave., Chicago, IL 60611.

ADA Advocacy Efforts

Sign up by Nov. 13 to Receive GKAS Program Product Kits Give Kids A Smile program coordinators should sign up their 2020 event between Oct. 1 and Nov. 13 to be eligible to receive donated product kits. (continued on page 20)

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News Briefs (cont’d) Program coordinators can visit ADA.org/GKAS to sign up their programs for 2020 and check out resources. The website also includes the GKAS Toolbox for program planning guides, sample forms, letters and other materials.

Through the ADA’s Give Kids A Smile program, launched nationally in 2003, more than 6 million underserved children have received free oral health services.

In 2019, these free services were provided by more than 27,000 dental team members, and nearly 7,000 dentists. GKAS would not be possible without the continued support and national sponsors Henry Schein, Colgate and KaVo Kerr, in addition to the many Henry Schein supplier partners who donate products.

Give Kids A Smile is celebrated nationally on the first Friday in February.

GKAS events do not have to take place in February, and many activities take place throughout the year, such as GKAS backto-school events held in August.

ADA Seeks Nominations for 10 Under 10 Awards The American Dental Association is seeking nominations through Dec. 31, 2019, to recognize 10 new dentists who are demonstrating excellence in their work and inspiring others.

Winners of the third annual ADA 10 Under 10 Award will receive a $1,000 cash award and be recognized in various ADA publications and channels. The ADA New Dentist Committee will choose and announce the winners in March 2020.

“New dentists are doing amazing things in innovative technology, research, education, volunteerism, advocacy and the military,” said Dr. Emily A. Mattingly, ADA New Dentist Committee chair. These new dentists need to be recognized for their accomplishments, she said.

Last year, the ADA New Dentist Committee received more than 120 nominations.

The 10 recipients were recognized for their

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work in geriatric dentistry research, development of new pedagogical models for dental students and in the expansion in access to care in their respective communities, and more.

Nominations are sought for new dentists who are making a difference in: ¾ Science/research/education ¾ Practice excellence ¾ Philanthropy ¾ Leadership ¾ Advocacy Nominees must be active ADA members who graduated from dental school between the years 2010 and 2019. Selfnominations are not permitted. For more information or to nominate a new dentist, visit ADA.org/10under10.

Congress Urged to Repeal Medical Device Tax The ADA and more than 600 stakeholders are asking lawmakers to permanently repeal the medical device tax set to take effect at the end of 2019.

The medical device tax is a 2.3 percent tax on the sale of most medical devices sold in the United States, including dental restorative materials, instruments, impression materials and equipment. The tax was twice suspended by Congress and the most recent suspension will expire Jan. 1, 2020.

In previous advocacy efforts, the ADA has told legislators the dental device manufacturing industry estimates the tax could increase the cost of dental care by more than $160 million annually. The ADA also has noted that operating costs for dental practices, particularly specialties, are significant, and the ability to sustain or grow small businesses such as dental practices could be further strained with the implementation of the medical device tax.

“We respectfully request that Congress prioritize repeal of the medical device tax (continued on page 21)

News Briefs (cont’d) before it causes any more harm to the innovation ecosystem,” the groups wrote.

VA Urged to Reduce Administrative Burdens for Dentists Participating in New Program In response to the Department of Veterans Affairs’ information request on a new initiative to expand veterans’ access to health care, the ADA is asking the agency to decrease the administrative burden for dentists interested in participating in the program.

The MISSION Program: Veterans Community Care Program, which debuted in June, enables veterans to receive care from approved non-VA medical providers in their communities. These community care providers include dentists.

While the ADA appreciates the VA’s work to coordinate the dental care of veterans receiving care under the Veterans Community Care Program, the ADA also is very concerned about the increased administrative burdens that will be placed on dental practices.

In the letter sent to the VA, the Association said that “optimal oral health for any population is best achieved through a patient-centric partnership” and noted the best way to achieve that is for dentists and dental team members to keep their focus on delivering patient care.

The ADA observed that while the Veterans Community Care Program was created “in part to reduce the bureaucratic hurdles veterans face when seeking care,” forms 10-10143b and 10-10143c will not assist the VA and dentists participating in the Veterans Community Care Program from meeting this goal. Instead, these forms may have the opposite effect of discouraging dentists from becoming a Veterans Community Care Program provider.

Form 10-10143b requires dentists to submit a copy of all dental records including, but not limited to, images, test results, notes or other records of what care was provided and why to the VA, in addition to filing a claim.

This far exceeds the information needed by other public and private dental payers to process a claim, which could result in requests by the VA for this additional nonnormative request for information, and repeated resubmissions by the dental office as they seek to comply with the requirement, opined the ADA. While many dental offices use different practice management systems, some offices are still paper based. The Association estimated that “duplicating and transmitting patient records will take much longer than the five minutes per patient claim estimated by the VA” and estimated this process will instead take “up to two hours of administrative staff time,” which is especially burdensome on dental practices that see large numbers of veterans.

Regarding credentialing, for which the VA requires Form 10-10143C, the ADA instead encourages the VA to use the Council for Affordable Quality Healthcare ProView system, which can be accessed at no cost by any U.S. licensed dentist, regardless of their membership status with the ADA. CMS Urged not to Change Documentation Process for Fee-For-Service Medicaid The ADA, Academy of General Dentistry and American Academy of Pediatric Dentistry are urging the Centers for Medicare and Medicaid Services (CMS) to not rescind the requirement for states to submit Medicaid access monitoring review plans (AMRP) because they believe changing the requirements will have a negative impact on access to oral health care.

The three dental organizations are also asking CMS to not change the requirements for how states undergo reducing or restructuring their Medicaid payment rates.

“Over 23 million Medicaid enrollees receive dental services via fee-for-service and (continued on page 22)

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

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News Briefs (cont’d) an additional 5.3 million Medicaid enrollees receive them via combined fee-for-service/managed care,” wrote the presidents of the ADA, AGD and AAPD in a Sept. 13 letter to CMS. They noted the enrollees include pregnant women, children, the elderly, the disabled and patients with a chronic and/or complex health condition.

They emphasized it is critical that these beneficiaries have access to quality services received in a timely manner. Delays in accessing needed treatments and services could lead to poor outcomes and unnecessary costs to the health-care system, and federal oversight is needed to ensure that the Medicaid program is serving our nation’s most vulnerable.

The organizations said they are concerned that the proposal to rescind the November 2015 Medicaid access rule could impede access to oral health care. That rule required states to develop and submit an access monitoring review plan — also called an AMRP — which enables CMS to measure access to care and reimbursement rates.

CMS use an “ADA-developed checklist” to review state AMRPs and ensure that the states have plans in place to ensure access to care for fee-for-service beneficiaries.

The groups encouraged CMS to adopt an approach to standardize and submit the ADA’s checklist as a foundational tool for such standardization for the dental benefit within Medicaid fee-for-service programs.

Within the proposed rule, CMS also noted that it is developing a methodology for reporting Medicaid access data in lieu of AMRPs, but the three organizations urged CMS to first come up with criteria for improving the AMRPs before loosening the monitoring requirements. The group also said they would like the opportunity to participate in CMS’ review process for monitoring state Medicaid programs and requested more access to the information necessary to do this, noting that CMS' Transformed

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THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Medicaid Statistical Information System, or T-MSIS, is currently not widely available to non-governmental entities.

The organizations believe it is critical that CMS monitors rate reductions and maintain a process for beneficiaries and providers to provide input on the implications of rate reductions on access to care. On average, Medicaid fee-for-service reimbursement was 49.4 percent of fees charged by dentists for children and 37.2 percent for adults in 2016.

“This shortfall in reimbursement threatens access to care, and that will only grow under the proposed rule’s removal of the requirements for states to follow prior to submitting a state plan amendment that reduces or restructures Medicaid payment rates,” the letter concluded.

You can follow all of the ADA’s advocacy efforts at ADA.org/advocacy.

FPO ¼PAGE AFTCO Since 1968

We are pleased to announce...

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Thomas P. Dudas Jr., D.M.D. & Brian D. Sowatsky, D.D.S. Doylestown, Pennsylvania

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Practice Sales & Purchases Over $3.2 Billion

Membership Report We welcome the following to membership in the Philadelphia County Dental Society AUGUST 2019 RECENT GRADUATES Dr. Amogh Bhalerao Virginia Commonwealth University School of Dentistry, 2019 Dr. Nayantara Bhatt University of California San Francisco School of Dentistry, 2019 Dr. Olsen Boci Temple University Kornberg School of Dentistry, 2008 Dr. Ryan Patrick Eckley University of Maryland School of Dentistry, 2018 (General Dentistry), 2019 Dr. Parth S. Karia Western University College of Dental Medicine, 2016 Temple University Kornberg School of Dentistry (Endodontics), 2019 Dr. Vijaya Kondru Temple University Kornberg School of Dentistry (Periodontics) Dr. Roxana Larisa Maciejeski University of Nevada Las Vegas School of Dental Medicine, 2019 Dr. Regina Vayner Midwestern University College of Dental Medicine, 2017 Jacobi Montefiore Hospital East (Oral/Maxillofacial Surgery), 2019 Dr. Hongmeng Zhou University of Pennsylvania School of Dental Medicine, 2019 Community Medical Center/ VA Hospital (General Dentistry), 2019

GRADUATE STUDENTS Dr. Jacqueline Caster Midwestern University College of Dental Medicine, 2015 University of Pennsylvania School of Dental Medicine/CHOP (Pediatric Dentistry), 2021 Dr. Adam Elrafei University of Maryland School of Dentistry, 2018 St. Christopher’s Children’s Hospital (Pediatric Dentistry), 2020 Dr. Vladimir Flys Temple University Kornberg School of Dentistry, 2019 Temple University Kornberg School of Dentistry (Periodontics), 2022 Dr. Erik Juel Harriman Boston University Henry M. Goldman School of Dental Medicine, 2014 Drexel University (Oral/Maxillofacial Surgery), 2020 Dr. Rajaa Mashhour 2008 Temple University Kornberg School of Dentistry (Periodontics), 2022 Dr. Jennifer R. Schlesinger Temple University Kornberg School of Dentistry, 2013 Albert Einstein Medical Center (Endodontics), 2020 Dr. Jane Hee Shin Harvard School of Dental Medicine, 2014 Albert Einstein Medical Center (Endodontics), 2021 Dr. Regina Vayner Midwestern University College of Dental Medicine, 2017 Temple University Kornberg School of Dentistry (Periodontics), 2022

Happy Holidays to All of Our Members from the Governors, Trustees & Staff of the Philadelphia County Dental Society THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

23

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 (December 1 for January/February/March issue), and information will be published on a space-available basis.

OCTOBER CONTINUING EDUCATION FOR DENTAL EXCELLENCE – Joint program in Northeast – 6:30 p.m.

Dinner meeting (Gallo’s Restaurant) featuring Christopher A. Barwacz, DDS, FAGD, FICD – “Implant Diagnosis and Treatment Planning for Single-Tooth Restorations” Sponsored in cooperation with Dentsply/Sirona. 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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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 CONTINUING EDUCATION FOR DENTAL EXCELLENCE – Joint program in the Northeast – 6:30 p.m. Dinner meeting (Gallo’s Restaurant) featuring Kanisha Campbell, MD & Leela Jackson, PsyD “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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MARCH 2020 PHILADELPHIA COUNTY DENTAL SOCIETY – Continuing Education Program at the Hilton Philadelphia City Avenue Hotel.

8:30 to 3:30 p.m. “Be Aware of Wear: A Systematic Approach to Diagnosing, Treatment Planning, and Restoring the Worn Dentition” AND “What’s a Dentist to Do? Diagnosis, Treatment Options and Rehabilitation of Difficult and Unusual Cases” presented by Thomas E. Dudney, DMD. 3:45 to 5:45 p.m. CPR Recertification. Register online at www.padental.org/calendar.

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MAY 15

PHILADELPHIA COUNTY DENTAL SOCIETY – Continuing Education Program at the Hilton Philadelphia City Avenue Hotel. 8:30 to 3:30 p.m. “Bunts, Punts, and Elbows – The Sports Dentistry Side of Your Practice” AND “S.M.A.R.T. Dentistry for Your Practice: Simplified Methods and Restorative Techniques” presented by Douglas Lambert, DDS. Register online at www.padental.org/calendar.

OCTOBER 28

PHILADELPHIA COUNTY DENTAL SOCIETY – Continuing Education Program at the Hilton Philadelphia City Avenue Hotel. 8:30 to 3:30 p.m. “Essential Pharmacology for Treating Medically Complex Dental Patients AND Self-Medication: Dental Considerations and Patient Care Planning” presented by Thomas Viola, RPh, CCC. Register online at www.padental.org/calendar.

DECEMBER 4

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PHILADELPHIA COUNTY DENTAL SOCIETY – Continuing Education Program at the Hilton Philadelphia City Avenue Hotel. 8:30 to 3:30 p.m. “Child Abuse Recognition and Reporting” presented by Angela M. Stout, DMD, MPH; “Radiation Safety for Pennsylvania Dental Professionals” presented by Karen Pass AND “Pain Management Alternatives and Identification of Addiction” presented by E. Steven Moriconi, DMD, FACD, FICD. Register online at www.padental.org/calendar.

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) 9256050 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 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.

GENERAL DENTIST WANTED AS ASSOCIATE in general practice. FT/PT, flexible hours. Well established practice in Lindenwold, same location over 35 years. All phases of dentistry offered. Emphasis on cosmetic treatments. Active NJ dental license, CDS license; some experience preferred. Ambitious, friendly person. Flexible hours; possible purchase potential. Call (856) 783-8600 or email bgenet3@gmail.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 PROPERTY & EQUIPMENT FOR SALE or RENT – 6800 Torresdale Ave., Philadelphia, 19135. Property consists of 2 stories over 2,000 square feet per floor. Upstairs are 3 rental properties currently occupied. Ground level dental office has 3 operatories furnished with modern A-DEC equipment in good condition. Also included would be several thousand patient files of neighborhood patients treated when I participated in HMO plans. I have additional offices which no longer afford me time at this location. This could be a GOLDEN OPPORTUNITY for any dentist who participates in HMO and/or Medicaid. For more information please call (215) 673-4017 or email at richardip@yahoo.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 contact http://www.armeriprac.com

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

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Health Watch Low Vitamin B12 May Increase Risk for Bleeding Strokes

A surprising study from the UK shows that vegetarians and pescatarians (those who eat fish but not meat) appear to be at increased risk for suffering bleeding strokes, even though they are at reduced risk for heart attacks and are not at increased risk for clotting strokes (Brit Med J, September 2019;366:l4897). Researchers followed 48,188 healthy people, average age 45, for an average of 18.1 years. The subjects were classified as: ¾ meat eaters, ¾ fish eaters who ate no meat, and ¾ those who ate neither meat nor fish.

In agreement with most previous studies, this study showed that, compared to meat eaters, the fish eaters had a 13 percent reduced rate of heart disease and the vegetarians had a 22 percent lower rate. The meat eaters also had a significantly higher rate of conditions that can cause heart attacks and strokes: high blood pressure, diabetes, high cholesterol and obesity.

The authors did not check blood levels of nutrients in patients in this study, but vegetarians are at high risk for deficiencies of vitamins B12 (Med J Aust, 2013;199(4):S27S32), vitamin D (J Ayub Med Coll Abbottabad, Jan 2013;25(1-2):152-5) and in poorer countries, other B vitamins and amino acids, the protein building blocks.

Risk Factors for Stroke

About 90 percent of strokes are caused by clots blocking blood flow to the brain and 10 percent are caused by bleeding into the brain (Stroke, 1993;24:35–41).The most potent risk factors for clotting strokes are high blood pressure, arteriosclerosis, and an irregular heartbeat called atrial fibrillation. A high-plant diet that restricts meat and processed foods is associated with decreased risk for strokes and for heart attack risk factors that include obesity, high blood pressure, high cholesterol and diabetes (Curr Atheroscler Rep, 2012;14:300–306). A plant-based diet helps to reduce stroke risk by reducing high blood pressure, sodium to potassium ratio, atrial fibrillation,

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THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

overweight/obesity, diabetes, atherosclerosis, cholesterol, systemic inflammation, endothelial function, and TMAO; and by increasing endothelial progenitor cells (J Geriatr Cardiol, May 2017;14(5):321–326).

Sources of Vitamin B12 and Vitamin D Plants do not contain vitamin B12, so a vegetarian can get B12 only from eggs, milk, yogurt, cheese, and B12-fortified foods, or supplements. Deficiencies of vitamin B12 are common, even in people who are not vegetarians. For example, people who take pills to reduce stomach acidity are at very high risk for B12 deficiency (Nature, June 2017). The stomach produces a chemical called intrinsic factor that helps absorb Vitamin B12 from food.

Infections such as Helicobacter pylori can damage the stomach to prevent the production of intrinsic factor and interfere with vitamin B12 absorption.

Vitamin B12 deficiency can cause weakness, tiredness, lightheadedness, heart palpitations, shortness of breath, memory loss, dementia, nerve damage such as numbness or tingling, and many other problems.

Plants are a very poor source of vitamin D, so vegetarians who do not get enough vitamin D from sunlight can get some from eggs, mushrooms, foods fortified with vitamin D, or supplements.

My Recommendations We do not know why a plant-based diet may increase risk for bleeding strokes, but if you are a person who eats mostly a plant-based diet, you are at risk for suffering a deficiency of vitamin B12, vitamin D, and amino acids. With aging you can lose a lot of your ability to absorb B12. I recommend that you get blood tests for B12 and hydroxyvitamin D with your yearly physical examination. If you have a deficiency of B12, you also should get blood tests for methylmalonic acid and homocysteine. Check with your doctor.

Reprinted with permission of Dr Gabe Mirkin from his Fitness and Health e-Zine, Sept. 20, 2019. To subscribe to his free newsletter, go to DrMirkin.com He does not sell, rent or give your e-mail address to anyone.

(continued on page 27)

Health Watch (cont’d) Which Beverages Are Best at Keeping You Hydrated?

According to a study from Scotland's St. Andrews University, plain water isn't the most hydrating beverage around. When the researchers compared the hydration responses of several different drinks, they found that while water— both still and sparkling—does a pretty good job of quickly hydrating the body, beverages with a little bit of sugar, fat or protein do an even better job of keeping us hydrated for longer.

There are two things that determine how well a beverage hydrates a person: ¾ The volume of a given drink. The more you drink, the faster the drink empties from your stomach and gets absorbed into the bloodstream, where it can dilute the body's fluids and hydrate you. ¾ The drink's nutrient composition. For example, milk was found to be even more hydrating than plain water because it contains the sugar lactose, some protein and some fat, all of which help to slow the emptying of fluid from the stomach and keep hydration happening over a longer time period.

Milk also has sodium, which acts like a sponge and holds onto water in the body.

Oral solutions that are used to treat diarrhea, which contain small amounts of sugar as well as sodium and potassium, which can also help promote water retention in the body, are very similar.

But it gets tricky. Fruit juices or colas, beverages with more concentrated sugars, are not necessarily as hydrating as their lowersugar cousins. They may remain longer in the stomach and empty more slowly compared to plain water, but once these beverages enter the small intestine their highly concentrated sugars get diluted. This process basically “pulls” water from the body into the small intestine to dilute the sugars.

Juice and soda are not only less hydrating, they offer extra sugars and calories that won't fill us up as much as solid foods. If the choice is between soda and water for hydration, go with water every time.

Staying hydrated is important because it ¾ helps our kidneys and liver to rid our bodies of toxins, ¾ plays a key role in maintaining skin’s elasticity and suppleness, ¾ keeps our joints lubricated, ¾ helps prevent infections, and ¾ carries nutrients to our cells.

In most situations people don't need to worry too much about how hydrating their beverages are. “If you're thirsty, your body will tell you to drink more,” Ronald Maughan, professor at St. Andrews School of Medicine and the study’s author said.

The Most Hydrating Beverages, Ranked The research team at St. Andrews University tested 13 common beverages to see how they impact hydration. Here's what they found, ranked from most hydrating over a four-hour period to least. x x x x x x x x x x x x x

Skim milk Oral rehydration solutions (like Pedialyte or Liquid I.V.) Full fat milk Orange juice Cola Diet Cola Cold tea Tea Sports drink Still water Sparkling water Lager Coffee

Source: The American Journal of Clinical Nutrition, Volume 103, Issue 3, March 2016, Pages 717–723

THE JOURNAL OF 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