The Journal of the Philadelphia County Dental Society Volume 86 Issue 1 by Teresa Ravert

The Journal of the Philadelphia County Dental Society

January/February/March July/August/September 2020 2015

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THE JOURNAL

of the Philadelphia County Dental Society ________________________________________________________________________________

First District of the Pennsylvania Dental Association -DQXDU\/)HEUXDU\/0DUFK 20 â&#x20AC;¢ Vol. 8 â&#x20AC;¢ No. ______________________________________________________________________________________________ Saul N. Miller, D'S, Â¶ Editor Caroline Power Gangl Managing Editor /LVD % *RWWOLHE $GPLQLVWUDWLYH $VVLVWDQW

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Lennie M. Checchio, DDS President

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GOVERNORS

Derek J. Conover, DMD, Â¶21 Renee H. Fennell, DMD, Â¶21 Thomas W. Gamba, DDS, Â¶ -DQLQH %XUNKDUGW, D0', Â¶ Jonathan Siegel, DMD, Â¶20 Nipa R. Thakkar, DMD, Â¶20 David A. Tecosky, DMD Â¶

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&217$&7 ,1)250$7,21 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

7KH -2851$/ LV SXEOLVKHG E\ WKH 3KLODGHOSKLD &RXQW\ 'HQWDO 6RFLHW\ 3 2 %R[ *OHQGRUD 1- 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 20 . The Philadelphia County Dental Society.

Election Results Elections were held at the Philadelphia County Dental Society’s Annual Business Meeting on November 19, 2019. Terms of office began on January 1, 2020. Installation Ceremonies will be held on February 4, 2020. Secretary: Treasurer:

Stanley W. Markiewicz, D.D.S. Kevin J. Klatte, D.D.S.

Board of Governors: Janine Burkhardt, D.M.D., ’22 Thomas W. Gamba, D.D.S., ’22

PDA Trustee, 2023: Nipa R. Thakkar, D.M.D.

The changes to the Philadelphia County Dental Society Constitution and Bylaws were approved as presented at the November 2019 meeting. During the meeting, President Lennie Checchio bestowed the titles of secretary emerita and treasurer emerita on Dr. Judith A. McFadden and Dr. Rochelle G. Lindemeyer, respectively, for their tireless work on behalf of the Society and its members in these roles.

FPO for System Specialties half page

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

News Briefs American Dental Association Files Suit Against Delta Dental

The American Dental Association has filed a class action lawsuit against Delta Dental Plans and the Delta Dental Plan Association. The complaint alleges that Delta has engaged in anticompetitive conduct and violated federal antitrust laws by allocating territories of operation and dividing the national market in order to restrict competition and reduce reimbursement rates to dentists. The complaint goes on to allege that Delta’s anticompetitive acts hurt both dentists and their patients by limiting the choices of dental care available to patients and making it more difficult for dentists to deliver the care that patients need and want. In addition to the ADA’s complaint, individual dentists have filed several class action complaints against Delta, also alleging antitrust violations. In these complaints, the ADA and the individual dentists are requesting that the court certify the proceedings as a class action. The court will rule on that request in the coming months.

DEA Launches Suspicious Orders Report System Online Database Drug Enforcement Agency registrants may have received an email in October from the agency about its new database to help registrants prevent opioid abuse. The Suspicious Orders Report System online tool was launched as part of a federal requirement by the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act, or SUPPORT Act. A key provision of that legislation, which the American Dental Association supported in 2018, includes authorizing additional funding for improving the quality and interoperability of state prescription drug monitoring programs.

The law requires that all DEA registrants that distribute controlled substances to other registrants report suspicious orders to DEA. It does not affect dentists who only write patient prescriptions for controlled substances. On the DEA website, the agency lists several examples of common questions some registrants have had, including: Who needs to report to the SORS Online system? The SORS Online system should only be used by DEA registrants that distribute controlled substances to other DEA registrants. Previously, only manufacturers and distributors were required to report suspicious orders. The SUPPORT Act requires that all DEA registrants that distribute controlled substances report suspicious orders to SORS Online. Reverse distributors and exporters are not affected by this SUPPORT Act requirement. I am a practitioner and I only write prescriptions for and dispense controlled substances. Am I required to report anything to SORS Online? No. Practitioners who are not distributing/selling controlled substances to other DEA registrants are not required to report anything to SORS Online. I am a pharmacy and I only dispense controlled substances pursuant to prescriptions a practitioner writes. Am I required to report anything to SORS Online? No. Pharmacies that are not distributing/selling controlled substances to other DEA registrants are not required to report anything to SORS Online. For more information, visit the DEA website or email deadiversionwebmaster@usdoj.gov. (continued on page $)

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

News Briefs (cont’d) Senate Passes Drug Monograph Legislation

The Senate Dec. 10, 2019, voted 91-2 in favor of the Over-the-Counter Monograph Safety, Innovation and Reform Act — legislation that would reform the Food and Drug Administration's system for regulating over-the-counter drugs. The bill, S 2740, returns to the House for consideration, where it previously passed, 401-17, as part of a larger bill in January 2019. The bill authorizes the FDA commissioner to update a drug monograph by administrative order instead of following a laborious rulemaking process. A drug monograph is a predetermined checklist covering acceptable ingredients, formulations, testing methods, packaging, labeling and more. Updating the drug monograph has been a key ADA priority for the last two Congresses. The Association hopes that reforming the over-the-counter process would help create a pathway for a single strength-controlled acetaminophen-ibuprofen combination drug to be developed, which could become a viable alternative to opioid pain relievers. The ADA also believes it will bring major benefits for the oral health products, as it will allow for combination of important ingredients used to prevent oral diseases. In a Dec. 12 letter to Speaker of the House Nancy Pelosi, D-Calif., and Minority Leader Kevin McCarthy, R-Calif., the ADA urged lawmakers to bring the bill to the floor. ADA leaders said that under current law, drug products with ingredients that the FDA generally recognizes as safe and effective for self-use “may bypass the rigorous and expensive new drug application process if they are tested, manufactured, labeled and reviewed in accordance with an appropriate drug monograph.”

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Passing the Over-the-Counter Monograph Safety, Innovation and Reform Act of 2019 would enable the FDA to implement a “much more nimble and far more effective” approval process, the ADA stated in the letter. For more information on the ADA’s advocacy efforts, visit ADA.org/advocacy.

Organizations Charged with HIPAA Violations, Significant Fines

The Office for Civil Rights announced Oct. 23 that it imposed a $2.15 billion civil money penalty against Jackson Health System in Miami for violations of the Health Insurance Portability and Accountability Act, or HIPAA. JHS submitted a breach report to OCR in August 2013, stating it had lost paper records containing protected health information of 756 patients in January 2013. JHS determined three boxes containing additional patient records were lost in December 2012, although it did not report this discovery to OCR until June 2016. In July 2015, a reporter posted a photograph on social media of a JHS operating room screen containing a patient’s medical information. OCR subsequently initiated an investigation into JHS. JHS reported to OCR in February 2016 that an employee inappropriately accessed over 24,000 patient records since 2011 and had been selling the information. OCR determined that JHS failed to conduct enterprise-wide risk analyses, regularly review information system activity records, adequately restrict workforce access to protected health information and provide timely and accurate breach notification to the secretary of the Department of Health and Human Services (HHS). JHS did not contest the findings and paid the penalty in full. (continued on page %)

News Briefs (cont’d) The OCR announced Nov. 27 that Sentara Hospitals agreed to pay $2.175 million to settle potential HIPAA violations. Sentara is a hospital group with 300 care sites across Virginia and North Carolina. In April 2017, HHS received a complaint saying Sentara sent an individual a bill containing another patient’s protected health information, according to an OCR media release. The government’s investigation found that Sentara had mailed the protected health information of 577 patients to wrong addresses. The information included patient names, account numbers and dates of service. Sentara reportedly did not properly report the breach because it concluded, incorrectly, that it was only necessary if a patient’s diagnosis, treatment information or other medical information were disclosed. Sentara also agreed to a corrective action plan that includes two years of monitoring by the HHS.

Use FDA MedWatch to Report Poor Clinical Outcomes from DIY Plastic Teeth Aligners The ADA reminds dentists of the Food and Drug Administration’s MedWatch voluntary reporting form to report poor clinical outcomes associated with the use of medical devices, including direct-to-consumer plastic teeth aligners offered by several companies. This resource provides important data to the FDA concerning the public health and safety of medical devices under the agency’s jurisdiction. The period for submitting public comment to the citizen petition the ADA filed with the FDA closed Oct. 22. In the petition, the ADA argued that SmileDirectClub is placing the public at risk by knowingly evading the FDA’s “by prescription only” restriction for plastic aligners, which are an FDA Class II medical device. But dentists and

consumers can still report bad clinical outcomes using the FDA’s MedWatch voluntary reporting form anytime. Although the comment period for the FDA citizen petition has ended, FDA MedWatch provides an ongoing platform for dentists to speak up when they encounter the negative outcomes connected to mail-order aligners and other devices. Patients can also report any adverse experiences on MedWatch. In lieu of having dentists review patient dental records or perform any sort of patient exam (whether using teledentistry or otherwise) before prescribing orthodontic treatment, SmileDirectClub instead requires customers to self-report their dental condition. As the ADA explains in its citizen petition, customer self-reporting does not meet the applicable standard of care because it does not satisfy a dentist’s requisite professional due diligence. For dentists who ultimately see patients who have had a bad clinical outcome from trying direct-to-consumer dentistry, it’s important to view their previous charts to provide the most complete care. As in most other situations involving patients who were previously treated by another provider, dentists who have treated patients with adverse outcomes from plastic teeth aligners should ask their patients to request their records from the direct-to-consumer company. The ADA reminds dentists who treat patients subsequent to direct-to-consumer aligners that obtaining the patient’s treatment records is important for continuity of care and inclusion in the general dental treatment record. Patients have a legal right to obtain all clinical records from treating dentists or direct-to-consumer companies. (continued on page &)

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News Briefs (cont’d) In addition to its citizen petition, on June 27, the ADA sent a complaint letter to the Federal Trade Commission’s Bureau of Consumer Protection, raising concerns about what the ADA believes are SmileDirectClub’s deceptive advertising and marketing practices. The FTC also offers consumers an online form to report complaints about unfair and deceptive business practices on its website. Dentists can visit https://www.accessdata.fda.gov/scripts/medwatch/index.cfm and click on “Health Professional” to start their report. They will have to fill out a questionnaire on the patient’s basic information — age, weight, race, etc. — then provide information about the problem, including a description, what the outcome was, any lab results and whether there’s a product available to evaluate. Dentists will also be asked a series of questions about the product and its manufacturer. Not all questions are required to be answered. Dentists must include their names, but their addresses are optional, and can check a box if they do not want their identity disclosed to the manufacturer in question.

University of Pittsburgh School of Dental Medicine Adopts OpioidFree Prescribing Guidelines The University of Pittsburgh School of Dental Medicine is helping to combat the opioid crisis by becoming the first institution of its kind to establish a set of opioid-free pain management guidelines for a majority of outpatient procedures performed in its dental clinics, the school announced Nov. 6. The goal of the guidelines is to reduce opioid prescribing and abuse by emphasizing non-narcotics, such as ibuprofen or acetaminophen, as the first choice to manage pain. “That really should help us provide a lower risk for our communities and make sure that this type of thing is changed over time so that the addiction rates hopefully go down and our communities aren't ravaged

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by this like they have been,” said Dr. Bernard J. Costello, dean of the dental school. “It's going to take a while to have this spread within the field. These are the types of changes that we want to see happen in health care.” While the opioid crisis has affected communities across the United States, the Appalachian region has been hit especially hard. The Pennsylvania Attorney General's Office estimates 12 Pennsylvanians die from an opioid, heroin or fentanyl overdose every day. “We're representative of the other hot zones in the United States,” Dr. Costello said. “The Appalachian corridor has been ravaged by this.” Most outpatient procedures do not require opioids for optimal pain management, but there could be specific clinical circumstances where opioid medications may be among the appropriate treatment options. The guidelines can help dentists account for these situations as they make individual assessments, Dr. Costello said. “It's not a cookbook approach to take care of patients; it's guidance that helps clinicians make a good choice based on what they know of the biology of the patient and the patient's concerns,” he said. The guidelines are not only for dentists practicing in the dental school's clinics but also for dental students and residents as they learn how to approach pain management for their future patients. “That's a huge part of it, really,” Dr. Costello said.

Patterson, Benco Decline to Appeal Decision Regarding FTC Complaint Patterson Companies announced Nov. 8 that it reached a settlement agreement with the Federal Trade Commission regarding an administrative complaint filed by the FTC concerning alleged misconduct. (continued on page ')

News Briefs (cont’d) The FTC issued an administrative complaint in 2018 alleging that Benco Dental Supply Co., Henry Schein and Patterson, the nation's three largest dental supply companies, violated U.S. antitrust laws by conspiring to refuse to provide discounts to or otherwise serve buying groups representing dental practitioners. The commission did not reach a determination regarding Patterson’s alleged conduct, but, as a result of the settlement, Patterson and the FTC decided not to appeal the recommendation of the administrative law judge and Patterson agreed to abide by the terms of the judge’s remedial order. The order did not impose any monetary fine on the company or require an outside monitor. While Patterson disagreed with the judge’s findings and believed it had meritorious grounds to appeal the initial decision, the company determined that, for business reasons, a settlement was in its best interest, according to a Patterson news release. “Following the [judge’s] initial recommendation, the FTC approached Patterson with an offer to settle this matter,” the release said. “We continue to categorically deny any wrongdoing and believe that the facts and mainstream legal precedent demonstrate the company’s independent and lawful decision-making in a highly competitive industry. However, after an evaluation of all options — including an appeal to the FTC’s full commission and, potentially, an appeal to a federal circuit court after that — Patterson determined that a settlement is in the company’s best interest, and allows us to avoid the costs, distraction and uncertainty related to this matter.” Chief Administrative Law Judge D. Michael Chappell held in his Oct. 15 decision that two of three respondents — Benco and Patterson — named in a Federal Trade Commission complaint violated U.S. antitrust laws.

Benco also declined to appeal that decision to the federal district court. “While we respectfully disagree with the ruling, Benco Dental has made a business decision not to appeal,” according to a statement from the company. “We're pleased that, contrary to the FTC's original claim, it was concluded that there was no industrywide conspiracy regarding dental buying groups. Considering that no fine was imposed, or onerous restrictions put in place, we feel there is little to gain by committing any further resources to the matter.” Judge Chappell dismissed claims that Henry Schein conspired with competitors. Buying groups seek lower prices for dental supplies and equipment on behalf of solo and small-group dental practices seeking to gain discounts by aggregating and leveraging the collective purchasing power and bargaining skills of the individual practices. The case is unrelated to and separate from a federal court-approved $80 million settlement agreement in a class action lawsuit against Henry Schein, Patterson and Benco, who were accused of violating antitrust laws by fixing prices on dental equipment and supplies. For more information on the case specifics, visit ADA.org and search for ADA News stories containing the words “$80 million settlement.”

ADA Membership Cards Going Digital in 2020! The ADA is going digital! Your 2020 membership card can be accessed by signing in to your account at ADA.org/MyADA and clicking “My Membership Card.” Download it in your smartphone’s virtual wallet or print it; the choice is yours. In the next few weeks, you also will be able to access a digital membership card through PDA Go, PDA’s new mobile app. Download PDA Go in the App Store or Google Play and use the digital card for proof of your membership.

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Membership News A Fall ’19 special issue of Temple magazine was published to honor standout alumni, the 30 Under 30, “who are designing their own futures and making a better tomorrow for all of us.” Among these 30 special alumni was Philadelphia County Dental Society Governor Janine Musheno Burkhardt, Temple University School of Dentistry Class of 2015. Once you read about Dr. Burkhardt’s accomplishments, the reason she was selected for the award should be obvious. As told in The UpSide column of the Philadelphia Inquirer, after graduation Dr. Burkhardt worked a bit in private practice, then applied to be a dentist at the Stephen Klein Wellness Center in North Philadelphia, run by Project HOME. The position required a dentist who would see patients and oversee all dental operations. At age 26, she got the job. The Hub of HOPE, located under SEPTA’s Broad St line, is the downtown service center for Philadelphia’s homeless and transient population, an initiative of Project HOME, SEPTA, and the city. In December 2018, Dr. Burkhardt expanded dental care into the medical suite, and she now sees patients on Thursdays at the Hub, most of whom do not have access to Medicaid and receive their dental care for free. Dr. Burkhardt fought to get one dental chair and a dental equipment cart to fit in the limited space provided to her, which means she can see only one patient at a time at the Hub. As she said in the Inquirer article, the single room has had an unexpected benefit. “I get to engage more with my patients,” she said. “I hear their life stories and work to establish some type of trust so that they want to come back.” Author Howard Gensler noted in the Inquirer article, “Since Burkhardt began the Project HOME dental practice at Stephen Klein Wellness Center, she’s brought on a

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second dentist, is in the process of hiring a third dentist, and has hired a trio of assistants to treat over 4,270 patients. The center has also partnered with Temple’s Kornberg School of Dentistry on a senior year outreach program for students and, via a partnership with Einstein, has expanded services to offer dentures, crowns and root canals on a limited basis. (The more advanced procedures are performed only at the center, not the Hub, due to the frequent number of follow-up visits required.) Project HOME founder Sister Mary Scullion calls Dr. Burkhardt “awesome.” Sister Mary said in the Inquirer article, “We are so fortunate to have her. Her leadership in growing and developing this important service has been a blessing.” Patient Rudy Jones-Bey, 60, who was sleeping on a park bench last year, is now living in a men’s facility, has a new set of teeth and hopes to find housing this year. He said about his dental care, “The difference is that they’re so caring. That’s what separates them from a hospital. I tell everybody about this service. You’ll never find a better group of people.”

IF YOU ARE ALWAYS TRYING TO BE NORMAL YOU WILL NEVER KNOW HOW AMAZING YOU CAN BE. Maya Angelou

The Philadelphia County Dental Society and The Pennsylvania Dental Association present

The 2020 Liberty Continuing Education Series at the Philadelphia Hilton City Avenue Hotel 4200 City Avenue, Philadelphia, PA FOUR full-day programs are scheduled at the SPECIAL MEMBER TUITION of $480.00 (individual full-day courses, $175.00/PCDS Member Dentist) Programs begin at 8:30 a.m. and conclude by 3:30 p.m. (unless otherwise stated). Continuing education credits awarded; hours will be deducted for those who arrive late and/or leave prior to conclusion. In recognition of the need for quality continuing education, and in an effort to make such programs attractive and accessible to members, PCDS and PDA are proud to present this package as a MEMBERSHIP BENEFIT. Every effort is made to bring you outstanding programs at minimal cost to you. Information and materials presented by clinicians are intended for your personal evaluation and are not necessarily endorsed by PCDS and PDA. PDA does not express or imply that individual courses will be accepted for various state mandatory continuing education requirements. The individual license holder must consult the regulations pertaining to your state/s. NO REFUNDS on courses purchased as part of the CE package. Refunds for courses purchased individually will be issued less a 10% administrative fee if the registration is cancelled in writing seven days prior to the program you are attending. Refunds are not issued for no shows. Each full-day program includes lunch and FREE parking validation. At the end of the calendar year, PDA will provide you with an annual transcript of all courses you attended through the Liberty CE Series. NOT a PCDS Member? ADA members may become Associate Members of the Society. Dues are $157 for the calendar year (no prorating). Contact the PCDS Executive Office (215) 925-6050 for an application or become a member through the website at www.philcodent.org. NOT an ADA Member? Contact PCDS about the Liberty Enrollment Program that will enable you to register for courses at the LOW member rate.

PDA is an ADA CERP Recognized Provider ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to the Commission for Continuing Education Provider Recognition at ADA.org/CERP.

For continuing education credit, as designated by PDA, see individual course descriptions. Learning objectives are available on the printed brochure mailed in December 2018. Visit www.padental.org/calendar for updates on the list of principal sponsors and participating partners.

Course Information Ă&#x17D;

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CE 70 – Wednesday, March 18, 2020 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 Diagnosis, Treatment Options and Rehabilitation of Difficult and Unusual Cases presented by Thomas E, Dudney, DMD (6 CE credits recommended for dentists, dental assistants & EFDAs) Worn Dentition—In today’s society tooth wear is more prevalent and it is therefore incumbent upon the entire dental team to be well versed in recognizing the clinical signs of wear while understanding the importance of prevention when possible and the restorative options when necessary. This half-day lecture will illustrate the different types of tooth wear with clinical examples and demonstrate a systematic approach to diagnosis and treatment. Difficult and Unusual Cases—Sometimes the restorative dentist encounters clinical situations that are out of the ordinary and can often be difficult to treatment plan. This half-day lecture will examine several such cases in order to explore treatment options and develop treatment plans. Treatment results will be demonstrated along with helpful clinical tips.

Presented in cooperation with Catapult Education Dr. Dudney is the clinical director for the newly formed Pacific Aesthetic Continuum (PAC) hands-on programs. He also is an accredited member of the American Society for Dental Aesthetics and a Diplomat of the American Board of Aesthetic Dentistry.

3:45 p.m. – 5:45 p.m. CPR Recertification – additional fee required – see “CPR 20” on Reservation

Form. Recertification card will be awarded at the completion of the program. NO ADMITTANCE – AND NO REFUND – FOR THOSE WHO ARRIVE AFTER THE PROGRAM BEGINS. YOU MUST BE PRESENT FROM 3:45 UNTIL THE CONCLUSION OF THE PROGRAM IN ORDER TO RECEIVE YOUR RECERTIFICATION. WRITTEN REQUESTS FOR REFUNDS MUST BE RECEIVED NO LATER THAN MARCH 11 – NO REFUNDS FOR ANY REASON AFTER MARCH 11.

CE 71 – Friday, May 15, 2020 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 (6 CE credits recommended for dentists, dental assistants & EFDAs) Sports Dentistry—Athletic injuries to the orofacial region and the dentition are on the rise. Unique and timely techniques employed for diagnosing, treating and restoring these accidents are paramount in the successful long-term results. This half-day lecture will help prepare you to assess and treat dental trauma. S.M.A.R.T. Dentistry—The importance of being a savvy decision-maker can make a big difference in both the day-to-day clinical efficiency of the practice and the overall success we desire for our patients. Implementing the concept of S.M.A.R.T. dentistry - Simplified Methods and Restorative Techniques can offer many fundamentals in both technique and material selection for the dentist and the entire staff to meet or exceed these goals.

Course Information, continued Î

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Presented in cooperation with Catapult Education Dr. Lambert is a Fellow in the Academy for Sports Dentistry, the American Society for Dental Aesthetics and a Diplomat of the American Board of Aesthetic Dentistry. Dr. Lambert serves as an independent consultant and clinical researcher for many dental manufacturers.

CE 72 – Wednesday, October 28, 2020 8:30 to 3:30 p.m. Essential Pharmacology for Treating Medically Complex Dental Patients and Patients who Self-Medicate presented by Thomas Viola, RPh, CCP (6 CE credits recommended for dentists, specialists, hygienists, dental assistants & EFDAs) Are you confident in your knowledge of medications and dietary supplements, as well as their interactions, adverse reactions and effects on patient management and treatment planning? This comprehensive lecture explores the dental implications of the prescription medications, non-prescription medications, herbal products, nutritional supplements and substances of abuse most frequently used by patients. Participants receive this essential information in a format that is practical and entertaining for the entire dental team. Dr. Viola is a board-certified pharmacist, clinical educator, professional speaker and published author. Tom’s programs provide an overview of the most prevalent oral and systemic diseases and the most frequently prescribed drugs used in their treatment. Tom has no relevant financial relationships to disclose.

CE 73 – Friday, December 4, 2020 8:30 to 10:30 a.m. Child Abuse Recognition and Reporting for Dental Professionals (Act 31) presented by Angela M. Stout, DMD, MPH (2 CE credits recommended for dentists, specialists, hygienists, dental assistants & EFDAs & all office personnel) This lecture is custom designed for dental professionals and will fulfill Act 31 mandatory CE requirements for licensed dental professionals (dentists, hygienists and EFDAs). NOTE: You must be present for the entire program in order to receive credit. Allow sufficient time for traffic, parking and program registration. Attendees will be asked to provide their full name, license number, date of birth and the last 4 digits of their social security number at registration. PDA will transmit this information to the state to verify that you completed the course for license renewal in 2021. No on-site registration for this course. Child Abuse Recognition and Reporting for Dental Professionals will fulfill your Act 31 CE requirement and is included in the CE package tuition but may be ordered as a single event; to order ONLY the Act 31 course, see CE 31 on the registration form. Dr. Stout is a pediatric dentist in private practice in Erdenheim, PA. She completed her dental degree in 1993 at Temple University School of Dentistry and a three-year pediatric dental residency at the Children's Hospital of Pittsburgh. While teaching full time, Dr. Stout completed a master’s degree in Public Health at University of Pittsburgh Graduate School of Public Health. Dr. Stout has no relevant financial relationships to disclose.

Course Information, continued Î

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10:45 a.m. to 12:45 p.m. Radiation Safety for Pennsylvania Dental Professionals presented by Karen Pass (2 CE credits recommended for dentists, specialists, hygienists, dental assistants, EFDAs & all office personnel) A thorough understanding of the principals of radiation is critical to patient and staff safety. The purpose of this lecture is to identify and review the applicable Pennsylvania radiation safety regulations for dental professionals, including the requirements of Pennsylvania Code Title 25 §221.11. Ms. Pass is the co-founder and principal compliance consultant for inUnison Consulting, LLC, providing workshops and seminars as well as comprehensive onsite regulatory compliance programs for dental, medical and veterinary facilities. Ms. Pass has no relevant financial relationships to disclose.

1:45 p.m. to 3:45 p.m. Pain Management Alternatives and Identification of Addiction (Act 124) presented by E. Steven Moriconi, DMD, FACD, FICD (2 CE credits recommended for dentists, specialists, hygienists, dental assistants, EFDAs & all office personnel) The lecture will fulfill the Act 124 of 2016, CE requirement for dentists who have a current DEA registration or use another DEA number (as permitted by law) to prescribe controlled substances. Pain management, identification of addiction and the practices of prescribing opioids will be discussed. Dr. Moriconi is in private practice in Jenkintown, PA, and is the surgeon-in-chief of the Dental Division at Abington Hospital. He also serves as the director of the General Practice Residency Program at Abington Hospital. Dr. Moriconi has no relevant financial relationships to disclose. Visit www.padental.org/calendar for updates on the list of principal sponsors and participating partners.

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

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.

Gambling Problem? Call 1-800-Gambler

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Register online at www.padental.org/calendar. NOTE: Online registration is now available for PCDS member dentists and staff attending a course with the dentist. Associate Members, Liberty Enrollees and Non-Member Dentists and staff attending without a dentist, please register using this form.

Use a SEPARATE reservation form for each person - this form may be duplicated.

RESERVATION FORM / 2020 LIBERTY CONTINUING EDUCATION SERIES ATTENDEE’S FULL NAME ADA # ____________________________ DESIGNATION (DDS, DMD, RDH, EFDA, OTHER) ATTENDEE'S E-MAIL

TEL # (

)

ADDRESS CITY/STATE/ZIP INDICATE ANY DIETARY OR ACCESSIBILITY NEEDS

2020 Dates & Courses CE 70 – Wednesday, March 18 - Worn Dentition & Difficult Cases; additional fee required for CPR renewal CE 71 – Friday, May 15 - Sports & S.M.A.R.T. Dentistry CE 72 – Wednesday, October 28 - Pharmacology CE 73 – Friday, December 4 - full day includes Act 31; Radiation Safety & Act 124

Full-Day Programs: select option & include the CODE NUMBER for each course you will attend (e.g., 70). PCDS Member for all 4 FULL-DAY programs: # ____ ____ ____ ____ PCDS Member for one or two FULL-DAY program: # ____ ____ no. of programs selected =

$480.00

Best Value!

$175.00 x ____ $_______

ADA Member Dentist for one FULL-DAY program: # ____ ____ ____ ____ $250.00 x _____ no. of programs selected =

$_______

Non-Member Dentist for one FULL-DAY program: # ____ ____ ____ ____ $300.00 x ____ no. of programs selected. =

$_______

Hygienist, EFDA, non-licensed Office Personnel employed PCDS/ADA or PDA member: # ____ ____ ____ ____ $95.00 x ____ no. of programs selected =

$_______

Hygienist, EFDA, non-licensed Office Personnel employed by non-member: # ____ ____ ____ ____ $125.00 x ____ no. of programs selected =

$_______

CPR Recertification on March 18 – CPR 20

$60.00

ACT 31 PROGRAM ONLY (does not include lunch) on December 4 - CE 31 PCDS/PDA Member Dentist

$60.00

Non-member Dentist

$160.00

Hygienist, EFDA or Non-Licensed Office Personnel

$60.00

PAYMENT TO PDA ENCLOSED IN THE AMOUNT OF

$________

Method of Payment: check (payable to PDA) Visa MasterCard American Express Discover Credit Card #

______________ __

Exp. Date _

_/__

Name Printed on Card/ Signature Mail completed form and payment to PDA, P.O. Box 3341, Harrisburg, PA 17105. Forms with credit card payments can be faxed to (717) 232-7169, attn.: Rebecca Von Nieda. Completed registration forms/on-line registration must be received no later than 10 business days prior to the course. Questions may be directed to Rebecca at rvn@padental.org or (717) 234-5941, ext. 117. Confirmations will be emailed to attendees. CE transcripts will be mailed to you each year in December. Each attendee is responsible for forwarding copies to the appropriate licensing or accrediting agencies (State Board, Specialty Boards, etc.). THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Membership Report We welcome the following to membership in the Philadelphia County Dental Society NOVEMBER 2019 ACTIVE MEMBERS Dr. Andrea L. Dopp University of Detroit Mercy School of Dentistry, 2014 University of Louisville School of Dentistry (Orthodontics), 2016

Dr. Ariel M. Farahi University of Pennsylvania School of Dental Medicine, 2016 University of Pennsylvania School of Dental Medicine (Oral & Maxillofacial Surgery), 2022

Dr. Rajvir Jutla Tufts University School of Dental Medicine, 2014 Philadelphia VA Medical Center (General), 2015

Dr. Victoria Gandarillas The College of Dental Medicine at Nova Southeastern University, 2018 St. Christopher’s Hospital (Pediatrics), 2020

Dr. Rodrigo Neiva University of Michigan School of Dentistry (Periodontics), 2003 RECENT GRADUATES Dr. Sara Engleman Temple University Kornberg School of Dentistry, 2018 Albert Einstein Medical Center (General), 2019 Dr. Diana Lin Arizona School of Dentistry & Oral Health, 2013 Lutheran Medical Center (General), 2014 LSU School of Dentistry/Shreveport (Oral & Maxillofacial Surgery), 2015 USCF Fresno (Oral & Maxillofacial Surgery), 2019 GRADUATE STUDENTS Dr. Solange A. Abreu University of Pennsylvania School of Dental Medicine, 2017 University of Pennsylvania School of Dental Medicine (Prosthodontics), 2020 Dr. Fred Andrew F. Arino Temple University Kornberg School of Dental Medicine, 2018 Temple University Kornberg School of Dentistry (Orthodontics), 2020 Dr. Eric Chung University of California, Los Angeles School of Dentistry, 2015 University of Pennsylvania School of Dental Medicine (Oral & Maxillofacial Surgery), 2021 Dr. Anthony Congiusta New York University College of Dentistry, 2016 Thomas Jefferson University Hospital (Oral & Maxillofacial Surgery), 2022

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Dr. Logan Ganoe University of Colorado School of Dental Medicine, 2016 Thomas Jefferson University Hospital (Oral & Maxillofacial Surgery), 2020 Dr. Sandy Ha University of California Los Angeles School of Dentistry, 2018 University of Pennsylvania School of Dental Medicine (Oral & Maxillofacial Surgery), 2024 Dr. Albert Newsome III University of North Carolina - Chapel Hill, Adams School of Dentistry, 2016 University of Pennsylvania School of Dental Medicine (Oral & Maxillofacial Surgery), 2023 Dr. Scott Oh University of Pennsylvania School of Dental Medicine, 2018 St. Christopher’s Hospital (Pediatrics), 2020 Dr. Devin Parambo University of Pittsburgh School of Dental Medicine, 2018 St. Christopher’s Hospital (Pediatrics), 2020 Dr. John A. Ruch University of Pennsylvania School of Dental Medicine, 2015 University of Pennsylvania School of Dental Medicine (Endodontics), 2021 Dr. Hamel Sevak New York University College of Dentistry, 2018 Temple University Kornberg School of Dentistry (Periodontics), 2021 (continued on page 16)

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HOW TO VOTE FOR PDAͬADA OFFICERS ALL PDA MEMBERS /E 'KK ^d E /E' MAY VOTE IN THE ELECTION͘ YOU WILL VOTE FOR W WZ ^/ EdͲ > d E > ' d ^ E >d ZE d ^͘ VOTING TAKES PLACE ONLINE IN & Zh Zz ϮϬϮϬ͘ zKh Dh^d ^, Z zKhZ D /> t/d, W dK Z /s >>Kd͊ THERE IS AN “ELECTION” PAGE ON ::: 3$'(17$/ 25* WHERE YOU CAN REVIEW CANDIDATES’ CREDENTIALS͘ PDA WILL EMAIL YOU A BALLOT IN FEBRUARY͘ COMPLETE YOUR BALLOT AND SEND TO PDA͘ YOU WILL RECEIVE A CONFIRMATION REQUEST FROM PDA͘ SEND THE CONFIRMATION BACK TO PDA͘ W> ^ y Z /^ zKhZ Z/',d ^ D D Z dK ,KK^ d, > Z^ K& zKhZ ^^K / d/KE͊

NEED HELP? CALL PDA AT 800-223-0016

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Membership Report (cont’d) GRADUATE STUDENTS (cont’d) Dr. Seunghwa S. Shin University of California Los Angeles School of Dentistry, 2012 Long Island Jewish Medical Center (General Dentistry), 2013 Temple University Kornberg School of Dentistry (Periodontics), 2021 Dr. Ryan Sterk University of Colorado School of Dental Medicine, 2016 University of Pennsylvania School of Dental Medicine (Oral & Maxillofacial Surgery), 2021

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Dr. Zachary Tanenbaum Louisiana State University School of Dentistry, 2018 Albert Einstein Medical Center (General Dentistry), 2020 Dr. Jeffrey Joseph Valenti New York University College of Dentistry, 2014 Thomas Jefferson University Hospital (Oral & Maxillofacial Surgery), 2020 Dr. Brandon Zipper The College of Dental Medicine at Nova Southeastern University, 2018 Temple University Kornberg School of Dentistry (Orthodontics), 2020

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

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

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 NEWNOTE 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

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Health Watch by Dr. Gabe Mirkin Benefits of Time-Restricted Eating In a recent study of time-restricted eating, a group of 19 people with metabolic syndrome (also called pre-diabetes) ate their usual meals but ate only between 8AM and 6PM (10 hours) and took in no calories during the other 14 hours each day (Cell Metabolism, Dec 5, 2019). They did not change the amounts or kinds of food that they ate or how much they exercised. The participants used an app called MyCircadianClock to record everything they ate. After a two-week period where they ate in their normal way and got all the measurements and blood tests to establish their baselines, they spent three months following the 10-hour time-restricted eating program. At the end of the three months, they: ¾ had eaten 9 percent fewer calories per day (without trying), ¾ lost 3 percent of their body fat and reduced their belly fat by 3 percent, ¾ lowered their high blood pressure, bad LDL cholesterol, fasting blood sugar, triglycerides, and HBA1c (a measure of cell damage from sugar stuck on cells), ¾ were able to lower their doses of medications to control their high cholesterol and high blood pressure, and ¾ slept better at night. Metabolic Syndrome or Pre-Diabetes Metabolic syndrome or pre-diabetes affects 30 percent of North American adults. It is diagnosed when a person has three or more of the following: ¾ obesity (BMI >25) ¾ high blood pressure (systolic blood pressure >120 at bedtime) ¾ high bad LDL cholesterol (>100) ¾ low good HDL cholesterol (<40) ¾ high triglycerides (>150)

¾ high HBA1c (>5.7) ¾ excess belly fat (pinch more than 3 inches of fat near the belly button). Various patterns of intermittent fasting (such as alternate-day modified fasting) have become popular since many people find these diets easier to follow than traditional calorie restriction diets. The type of intermittent fasting used in this study, called time-restricted eating, looks very promising for treatment of patients with metabolic syndrome, pre-diabetes, diabetes or obesity. This new study agrees with the findings of an earlier study that compared eating during a six-hour window (8AM to 2PM) with a program of eating between 8AM to 8PM, or 12 hours a day (Obesity, July 24, 2019). Reasons to Avoid Having a Fat Belly Storing fat in your belly, rather than your hips, is associated with diabetes because it means that you probably store fat in your liver. When blood sugar levels rise too high, your pancreas releases insulin, which lowers blood sugar levels by driving sugar from the bloodstream into the liver. Fat in your liver prevents the liver from accepting sugar from the bloodstream to keep blood sugar levels high. Most people with a large belly and small hips have excess liver fat and high blood sugar levels after eating and are at high risk for diabetes and heart attacks. Intermittent fasting markedly helps to decrease belly fat (Translational Research, October 2014;164(4):302–311). The authors of these studies agree that calories eaten in the morning countless and are healthier than calories eaten in the evening. Skipping breakfast and lunch has been associated with eating more calories later in the day and significantly increasing the likelihood of developing a fatty liver (continued on page 1()

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Health Watch (cont’d) (Euro Soc of Endoc, 2018 annual meeting in Barcelona, Spain). When you sit around or lie in bed after eating, your muscles will not contract enough to remove sugar from your bloodstream. The best time to eat is before or just after finishing exercising, when your muscles will draw huge amounts of sugar from your bloodstream to help prevent a fatty liver that can cause obesity, diabetes, heart attacks, strokes and premature death. “Fasting” May Not Be for Everyone The various types of intermittent fasting can be useful for people who want to lose weight, want to maintain their existing healthful weight, or want to keep from depositing excess fat in their liver. However, some conditions can be worsened or complicated by fasting. Discuss your plans with your doctor, particularly if you are diabetic, have low blood pressure, take medications, or are underweight. You will probably be advised not to use intermittent fasting if you are pregnant, trying to become pregnant, or breast-feeding an infant; if you are under age 14; or if you have a history of eating disorders. My Recommendations I have used variations of intermittent fasting for several years now and have recommended them to many others who have been pleased with their success. See Weight Loss with Intermittent Fasting and Why We Use Intermittent Fasting. I am now recommending time-restricted eating (no calories after 6 or 7 PM except on social occasions) to virtually every adult, whether or not they are trying to lose weight, because I feel strongly about not raising your blood sugar just before you go to bed. The results of the study quoted above should be a wake-up call for everyone who has any risk for diabetes, heart attacks or strokes (and that is pretty much all of us.)

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Creatine Creatine is a substance found in muscle cells that can help your muscles produce energy, particularly while lifting heavy weights or exercising intensely. Your body makes creatine from three amino acids (protein building blocks) called L-arginine, glycine, and L-methionine. You also get creatine when you eat animal protein: meat, poultry or seafood. A 160-pound person uses about two grams of creatine per day, usually with about half made by your body and half from your food. One pound of beef or salmon provides about 1-2 grams of creatine. Creatine is stored primarily in skeletal muscles, with small amounts stored in the liver, kidneys and brain. How Creatine Supplies Energy for Muscles Your muscles get their energy from carbohydrates, fats and protein in the presence of oxygen. A chemical called ATP also supplies energy for muscles both when enough oxygen is available and when there is not enough oxygen. When you exercise so intensely that you can't get all the oxygen you need to burn food for energy, your muscles can get their energy without oxygen from ATP (adenosine tri phosphate), also called A3P. Your muscle removes a phosphate from ATP (A3Phosphate) to form ADP (A2Phosphate) to supply energy. However, ADP offers no energy for cells, and there is only a limited amount of available ATP, so your body uses creatine to supply a phosphate molecule by converting ADP (no power) back to ATP, a source of power that doesn't need oxygen. If you increase the supply of creatine, theoretically you could have more phosphate to convert ADP (A2P) to ATP (A3P) and thus have more energy to lift heavier weights. (continued on page 1))

Health Watch (cont’d) Creatine Supplements North Americans spend more than 2.7 billion dollars a year on sports supplements, of which creatine is the most common. Creatine pills and powders will help you to become stronger only if you also do heavy resistance exercises at the same time (J Int Soc Sports Nutr, 2012; 9: 33). Most studies show that taking creatine supplements will not help you to run faster (International Journal of Sport Nutrition and Exercise Metabolism, 2017;27(3):285–292) or help to control weight (Human Kinetics Journals, 2017;27(3):285-292). Creatine offers no benefit in preventing muscle injuries or cramps (Sci Sports Exerc, 2001;33(2):183–188). There are several different forms of creatine. Since we have cumulative data only on creatine monohydrate, you may be risking your health if you take other forms of creatine that have not been studied. The studies we have seen show that creatine is possibly safe taken in doses of up to 5 grams daily for up to 18 months (J Sprts Med, 2017;8:213-226), and possibly safe taken in doses up to 10 grams daily for up to five years (Sports Medicine, 2015;45(9):1285-1294). It appears that doses greater than 20 grams per day offer no additional muscle benefits. These high doses may harm you by causing: ¾ stomach pain, nausea, diarrhea, or muscle cramping ¾ weight gain by causing muscles to retain extra fluid (Journal of Athletic Training, Jan 2003;38(1):44–50) ¾ increased risk for kidney problems, particularly if you have high blood pressure or diabetes, or take non-steroidal anti-inflammatory drugs (NSAID) such as ibuprofen The chemical process of extracting creatine in the laboratory forms toxic contaminants called dicyandiamide and dihydrotriazines, that have to be removed before humans can take them safely. The industry

that distributes creatine is unregulated and you have no way to know what you are actually buying. My Recommendations Creatine supplements will not help you grow larger or stronger muscles unless you also do heavy resistance exercises. Creatine can make muscles appear to be larger without increasing strength by causing them to retain more water. If you decide to take creatine supplements, make sure you have healthy kidneys and do not have heart disease, liver disease or diabetes, do not take NSAID pain medicines, and are not pregnant. I believe that you should never exceed five grams per day of creatine supplements. Since you have no way to know what you are actually getting in creatine supplements, I think that the best sources of creatine are fish or chicken. Reprinted with permission of Dr Gabe Mirkin from his Fitness and Health E-Zine, Dec. 19, 2019. To subscribe to his free newsletter, go to DrMirkin.com He does not sell, rent or give your e-mail address to anyone.

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THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

ASDA News ASDA National Leadership Conference Relevant to All Students Jill Patel, Temple University Kornberg School of Dentistry ’21, recently attended the 2019 American Student Dental Association National Leadership Conference. We thank her for providing the follow summary. The ASDA National Leadership Conference was a terrific experience for all the members. Why attend NLC in the first place? It has direct relevance to students of all classes. For D1s, it was a great way to see a first glimpse of organized dentistry, and for everyone it helped with continuing leadership growth. Each member built new connections with students from all over the country. It was great to see how each ASDA chapter is organized and to share our ideas in order to help strengthen other chapters, while learning ways to make Temple’s chapter even better. In addition, we also gained greater knowledge and understanding of working with the school administration for the betterment of the school and the excellence of our education. At the conference we learned more about the importance of goal setting. Ben Nemtin, from the MTV Show The Buried Life, spoke and introduced the idea of 100 things you want to do before you die. We thought to incorporate that into ASDA, so we will be creating a bucket list of things we would like to accomplish over the next year. We can check things off that list throughout the year and the years to follow! During sessions, we learned about teledentistry and the shift in dentistry due to the need for geographical distribution of dental care. We learned how to improve our communication skills with patients in a session on emotional communication and a workshop on how to conduct difficult conversations with patients. Other sessions addressed the digital aspects of dentistry, how to improve ergonomics to protect our health, and what should be on our CVs (and, of course, what should not). NLC was valuable because we learned about essential aspects of our profession, not taught in dental school, that will strengthen our dental and professional skills.

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Students from Temple University’s Kornberg School of Dentistry take time to visit Chicago’s famous "Cloud Gate" sculpture during a break in the ASDA National Leadership Conference. Many locals affectionately refer to the sculpture as the Coffee Bean.

Temple ASDA conference attendees were very lucky to have the opportunity to grow as leaders, network and learn about a broad range of topics. We look forward to sharing our knowledge and experiences with our members to help with our future in clinic and to strengthen our personal development skills and overall health.

THERE IS NO END TO EDUCATION. IT IS NOT THAT YOU READ A BOOK, PASS AN EXAMINATION, AND FINISH WITH EDUCATION. THE WHOLE OF LIFE, FROM THE MOMENT YOU ARE BORN TO THE MOMENT YOU DIE, IS A PROCESS OF LEARNING. Jiddu Krishnamurti

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

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 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

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PDAIS.com | (877) 732-4748 *Savings will vary by individual and types of insurance purchased. © Copyright PDAIS 2019. All Rights Reserved. PDAIS logo is a registered trademark of Pennsylvania Dental Association Insurance Services.

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

Dental Dates

The JOURNAL welcomes news concerning activities of your dental study club or other bona fide dental associations. Send information (as formatted below) to the Journal of the Philadelphia County Dental Society at PhilaDentalJournal@yahoo.com Deadline for publication is the first of the month prior to publication (March 1 for April/May/June issue), and information will be published on a space-available basis.

FEBRUARY CONTINUING EDUCATION FOR DENTAL EXCELLENCE – 6:30 p.m. Dinner meeting (Gallo’s Restaurant) featuring Thomas Viola, RPh, “Cannabis in Dentistry.” Sponsored in cooperation with Proctor & Gamble. For information, contact Vickie Fisher at (215) 732-4450 or visit Vickie.LocustStPerio@gmail.com or visit www.PhilaPerioImplants.com or www.LocustStPerioImplant.com

MARCH 11

CONTINUING EDUCATION FOR DENTAL EXCELLENCE – 6:30 p.m. Dinner meeting (Gallo’s Restaurant) featuring Faizan Alawi, DDS, “Oral Cancer and Pre-Cancer.” For information, contact Vickie Fisher at (215) 732-4450 or Vickie.LocustStPerio@gmail.com or visit www.PhilaPerioImplants.com or www.LocustStPerioImplant.com

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.

APRIL 7

CONTINUING EDUCATION FOR DENTAL EXCELLENCE – 6:30 p.m. Dinner meeting (Gallo’s Restaurant) featuring Cameron Galloway, “Risk Management.” Sponsored in cooperation with MedPro Group. For information, contact Vickie Fisher at (215) 732-4450 or Vickie.LocustStPerio@gmail.com or visit www.PhilaPerioImplants.com or www.LocustStPerioImplant.com

CENTER CITY STUDY CLUB – Dinner Meeting at Estia Restaurant, Philadelphia, 6:00 p.m., featuring Alissa Jerud, PhD, “The ART and Science of Anxiety.” For information, contact Danielle Medrano, Laudenbach Periodontics & Dental Implants at (215) 985-4337 or prc@laudenbach.com or visit the website at www.laudenbach.com

MAY 6

CONTINUING EDUCATION FOR DENTAL EXCELLENCE – 6:30 p.m. Dinner meeting (Gallo’s Restaurant) featuring Rabie Shanti, DMD, MD, “Case Based Discussion of Benign and Malignant Pathology of the Oral Cavity.” For information, contact Vickie Fisher at (215) 732-4450 or Vickie.LocustStPerio@gmail.com or visit www.PhilaPerioImplants.com or www.LocustStPerioImplant.com

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.

JUNE 10

CONTINUING EDUCATION FOR DENTAL EXCELLENCE – 6:30 p.m. Dinner meeting (Gallo’s Restaurant) featuring Naren Rajan, DMD, Topic TBA. Sponsored in cooperation with Straumann. For information, contact Vickie Fisher at (215) 732-4450 or Vickie.LocustStPerio@gmail.com or visit www.PhilaPerioImplants.com or www.LocustStPerioImplant.com

(continued on page 24)

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY

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

Dental Dates (cont’d) JULY TBD

CONTINUING EDUCATION FOR DENTAL EXCELLENCE – 6:30 p.m. Dinner meeting (Gallo’s Restaurant). For information, contact Vickie Fisher at (215) 732-4450 or Vickie.LocustStPerio@gmail.com or visit www.PhilaPerioImplants.com or www.LocustStPerioImplant.com

AUGUST No classes scheduled at this time.

SEPTEMBER 16

CONTINUING EDUCATION FOR DENTAL EXCELLENCE – 6:30 p.m. Dinner meeting (Gallo’s Restaurant) featuring Katherine France, DMD, MBE, “Non-Surgical Temporomandibular Pain Management.” For information, contact Vickie Fisher at (215) 732-4450 or Vickie.LocustStPerio@gmail.com or visit www.PhilaPerioImplants.com or www.LocustStPerioImplant.com

OCTOBER TBD

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.

NOVEMBER TBD

DECEMBER 4

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.

CONTINUING EDUCATION FOR DENTAL EXCELLENCE – 6:30 p.m. Dinner meeting (Gallo’s Restaurant) featuring Kathryn Gilliam, BA, RDH, FAAOSH, “The Celiac Surge: Oral Signs of a New Epidemic.” For information, contact Vickie Fisher at (215) 732-4450 or Vickie.LocustStPerio@gmail.com or visit www.PhilaPerioImplants.com or www.LocustStPerioImplant.com

THE JOURNAL OF THE PHILADELPHIA COUNTY DENTAL SOCIETY